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May 14
'Forget BMI, just measure your waist and height' say scientists
People concerned about heart disease and diabetes should simply take their height and waist measurements to figure out their risk, say British researchers.
Ideally, all should aim to keep their waist measurement less than half that of their height, found the scientists.

That means a 6ft (72 inch) tall man should aim to keep his waist less than 36 inches, while a 5ft 4in (64 inch) woman should keep hers under 32 inches.

They have found that the easy-to-calculate ratio between the two is a better predictor of risk than the most widely measure of obesity, called body mass index (BMI).

The team, who analysed the health of some 300,000 people, found this ratio was a better predictor of high blood pressure, diabetes and cardiovascular events like heart attacks and strokes than body mass index.

While BMI is used almost universally in the medical profession, most people are unfamiliar with it, partially because it is not a straightforward calculation.
BMI is calculated by taking one's mass in kilograms and dividing it by the square of one's height in metres.

Dr Margaret Ashwell, former science director of the British Nutrition Foundation, and now an independent consultant, spearheaded the study. She is presenting the research at the European Congress on Obesity in Lyon, France, on Saturday.

"Keeping your waist circumference to less than half your height can help increase life expectancy for every person in the world," she said.

The ratio was also better than just taking a waist measurement, she added, as it took into account differing height between individuals and ethnic groups.

While BMI was a useful indicator, it failed to take into account the distribution of fat throughout the body.

Abdominal fat, around the heart, liver and kidneys, has been found to be worse than that on the bottom and hips, in terms of heart disease and diabetes.

Dr Ashwell suggested the waist-to-height ratio should be considered as a screening tool.

May 14
Child deaths: Preventable infections 'the leading cause'
Most deaths of young children around the world are from mainly preventable infectious causes, experts have said.

A US team, writing in the Lancet, looked at mortality figures from 2010.

They found two-thirds of the 7.6m children who died before their fifth birthday did so due to infectious causes - and pneumonia was found to be the leading cause of death.

One expert said it was very important to "translate such findings into action".

The team from Johns Hopkins Bloomberg School of Public Health looked at data from a range of sources, including household surveys and registration systems for 193 countries. Mathematical modelling was used where data was incomplete.

They found child deaths had fallen by two million (26%) since 2000, and there have been significant reductions in leading causes of death including diarrhoea and measles - as well as pneumonia.

But they say there are still significant challenges.
International targets

Half of child deaths occurred in Africa - two thirds (2.6m) were due to infectious causes, including malaria and Aids.

In South East Asia, neonatal causes were the leading cause of death.

Five countries (India, Nigeria, Pakistan, Democratic Republic of Congo and China) accounted for almost half (3.75m) of deaths in children under five.

The researchers warn that very few countries will achieve international targets for improving child survival - the Millennium Development Goal (MDG) 4 - by the 2015 deadline.

Only tetanus, measles, and HIV/Aids have fallen enough to meet the target.

Writing in the Lancet, the researchers say: "Across all the previous and current rounds of causes of childhood death estimation, pneumonia and pre-term birth complications consistently rank as the leading causes at the global level.

"Africa and South East Asia are repeatedly the regions with the most deaths in children younger than five years.

"Our trend analysis shows that accelerated reductions are needed in the two major causes and in the two high-burden regions to achieve MDG4 by 2015."

May 10
Kids who sleep with parents tend to be 'slimmer'
Children who get up at night and sneak into bed with their parents may be healthier as they are less likely to become overweight, a new study has revealed.

Disturbed sleep is associated with obesity because it interferes with hunger hormones but research conducted in Denmark suggested the opposite may be true for children.

A study of 497 children between the ages of two and six found children who always stayed in their own beds were three times more likely to be overweight than children who got into bed with their parents every night, the Telegraph reported.

Dr Nanna Olsen, at the Research Unit for Dietary Studies, Institute of Preventive Medicine, at Copenhagen University Hospitals said it might be because these children have a greater sense of security by cuddling up to their parents.

The findings were presented at the European Congress on Obesity in Lyon, France.

"The results may suggest that elements of parental social support or other types of positive psychosocial responses if being allowed to enter parents' bed during night may protect against overweight, whereas types of negative psychosocial responses such as feelings of rejection when not being allowed to enter parents' bed may lead to overweight," Dr Olsen said.

May 10
Major drive against contagious diseases
With monsoon around the corner, Ernakulam district health department has launched a major drive against spread of contagious diseases. At a meeting of top officials and Ministers convened here the other day, Health Minister V S Sivakumar instructed the officials to intensify the activities in this regard.
District Medical Officer Dr R Sudhakaran informed the officials on the current scenario of water-borne diseases in Ernakulam. He also elaborated on the steps taken by the department to deal with spread of contagious diseases.
"The health department has adopted measures like superchlorination of wells, distribution of rat poison to households, inspection of residential areas and awareness creation as part of the efforts to prevent contagious diseases during monsoon," Dr Sudhakaran added.
Incidents of Hepatitis A and B were reported from some parts of the city. Last week, the health department identified a case of H1N1 fever from the district, following which, the department had issued strict instructions to ensure the quality of drinking water.
Speaking at the meeting, Urban Affairs Minister Manjalam Kuzhi Ali directed the officials to carry out regular checking and inspection at wayside eateries, in association with the Corporation. Recently, Kochi Corporation launched a drive to verify the quality of food and drinking water at wayside eateries.
The Health Minister assured to take measures to deploy sufficient number of medical officers and ensure proper supply of medicines in the major hospitals. As part of the efforts, a 24-hour control room and ambulances have been set up. "Procedures have begun to deploy medical officials, including Rapid Action Teams at the hospitals," he said. The Minister asked the public to follow the instructions issued by the health department in view of the spread of diseases.
Apart from the Health and Urban Affairs Ministers, Excise Minister K Babu, Food and Civil Supplies Minister Anoop Jacob, MLAs Dominic Presentation, Hibi Eden, Anwar Sadath, Mayor Tony Chammany, District Collector P I Sheik Pareeth and health department director Dr P K Jameela were also present.

May 09
Low vitamin D worsens lupus
Lupus patients may develop more severe symptoms if their vitamin D levels are low, says an Australian study.
Known as systemic lupus erythematosus (SLE), lupus is an autoimmune disease, which prompts an attack on tissues of the body by its own immune system, affecting more than five million people worldwide. It can also lead to kidney disease.
Although its cause is unknown, the results can be disastrous as the body stops producing normal antibodies, which becomes instrumental in an attack on healthy tissues.
Eric Morand, professor and head of the Monash lupus clinic, who led the study, said although avoiding the sun is important for lupus patients, as sunlight can aggravate the condition, but this can also lead to vitamin D deficiency and contribute to its severity, according to a Monash statement.
"Instances of vitamin D deficiency can be seen in cultural groups where clothing covers the body, in people with dark skin tone who have lower absorption, and those who practice sun avoidance" Morand said.
"Although it's too soon to draw conclusions about the long-term safety and effectiveness of vitamin D supplements in lupus, a clinical trial is the next step proving that supplementing vitamin D makes lupus better," added Morand.

May 09
Tuberculosis declared 'notifiable disease'
After the stupendous success in Polio eradication, the government appears to have set its eyes on Tuberculosis (TB) as it has been declared a notifiable disease. Implying: from now on, any institution/hospital, government or private, which detects a new tuberculosis patient, will have to inform the government about the case and the kind of treatment given.

The notification was sent to all states on May 7.

According to the notification, to ensure proper monitoring, trim down TB transmission and choke the cases of drug resistant TB, the designated authority that would have to be informed about new TB cases are the district health officer/CMO of a district and the municipal health officer in a municipality.


The decision is significant, with the number of people with drug-resistant TB increasing every passing day. According to the statistics available with the National TB Control Programme, the disease kills two persons every three minutes in the country and the daily toll adds up to about 1,000.

Multi-drug resistant TB has become a menace in India. Every year, the country reports 15 lakh new cases of TB.

As per the statistics given by WHO, around 73,000 of the notified new TB cases in 2010 were already multi-drug resistant. Of these, less than 3,000 were detected.

May 08
Range of brain diseases could be treated by single drug
The tantalising prospect of treating a range of brain diseases, such as Alzheimer's and Parkinson's, all with the same drug, has been raised by UK researchers.

In a study, published in Nature, they prevented brain cells dying in mice with prion disease.

It is hoped the same method for preventing brain cell death could apply in other diseases.

The findings are at an early stage, but have been heralded as "fascinating".

Many neuro-degenerative diseases result in the build-up of proteins which are not put together correctly - known as misfolded proteins. This happens in Alzheimer's, Parkinson's and Huntington's as well as in prion diseases, such as the human form of mad cow disease.
Turn off

Researchers at the University of Leicester uncovered how the build-up of proteins in mice with prion disease resulted in brain cells dying.

They showed that as misfolded protein levels rise in the brain, cells respond by trying to shut down the production of all new proteins.

It is the same trick cells use when infected with a virus. Stopping production of proteins stops the virus spreading. However, shutting down the factory for a long period of time ends up killing the brain cells as they do not produce the proteins they actually need to function.

The team at the Medical Research Council laboratory in Leicester then tried to manipulate the switch which turned the protein factory off. When they prevented cells from shutting down, they prevented the brain dying. The mice then lived significantly longer.

Each neuro-degenerative disease results in a unique set of misfolded proteins being produced, which are then thought to lead to brain cells dying.

Prof Giovanna Mallucci told the BBC: "The novelty here is we're just targeting the protein shut-down, we're ignoring the prion protein and that's what makes it potentially relevant across the board."

The idea, which has not yet been tested, is that if preventing the shut down protects the brain in prion disease - it might work in all diseases that have misfolded proteins.

Prof Mallucci added: "What it gives you is an appealing concept that one pathway and therefore one treatment could have benefits across a range of disorders.

"But the idea is in its early stages. We would really need to confirm this concept in other diseases."
'Fascinating'

The study has been broadly welcomed by other scientists although many point out that the research is in its infancy.

Professor of Molecular Neurobiology at King's College London, Roger Morris, said it was a "breakthrough in understanding what kills neurons".

He added: "There are good reasons for believing this response, identified with prion disease, applies also to Alzheimer's and other neuro-degenerative diseases.

"And because it is such a general response, we already have some drugs that inhibit this response."

Prof Andy Randall, from the University of Bristol, said: "This is a fascinating piece of work.

"It will be interesting to see if similar processes occur in some of the common diseases with such deposits, for example Alzheimer's and Parkinson's disease.

"Furthermore, if this is the case, can modulating this same pathway be a route to new therapeutic approaches in these more prevalent conditions that afflict many millions of sufferers around the world? Ultimately only more research will tell us this."

Dr Eric Karran, the director of research at Alzheimer's Research UK, said: "The findings present the appealing concept that one treatment could have benefits for a range of different diseases; however the idea is in its early stages.

"The research focuses on the effects of the prion protein and we would need to see the same results confirmed in Alzheimer's and Parkinson's to really strengthen the evidence."

May 08
Eye Color Linked to Skin Diseases
They say "the eyes are the window to the soul." But a new study suggests the eyes may also offer a sneak peek at the risk of serious skin problems down the road.

The results showed that people with blue eyes were less likely to develop vitiligo. Meanwhile, people with brown eyes were more likely to develop the skin disease and its characteristic white patches of skin and hair.

Researchers say the findings suggest eye color may also have important implications on melanoma risk because the two diseases are related genetically.

"Genetically, in some ways vitiligo and melanoma are polar opposites," researcher Richard Spritz, MD, director of the Human Medical Genetics and Genomics Program at the University of Colorado School of Medicine, says in a news release. "Some of the same genetic variations that make one more likely to have vitiligo make one less likely to have melanoma, and vice versa."

Vitiligo is an autoimmune disease in which a person's immune system attacks normal pigment cells, causing irregular white patches of skin and hair. People with vitiligo are also at higher risk of developing other autoimmune diseases like autoimmune thyroid disease, type 1 diabetes, rheumatoid arthritis, and lupus.

Melanoma is the most deadly form of skin cancer.
Eye Color Tied to Skin Risk

In the study, published in Nature Genetics, researchers looked at the genes associated with vitiligo in 450 people with the skin disease and at a comparison group of nearly 3,200 Americans of non-Hispanic European ancestry.

The analysis identified 13 new genes that predispose people to vitiligo.

The results also showed that a lower percentage of people with blue or gray eyes and a higher percentage of people with brown eyes had vitiligo than would be expected with the normal distribution of eye colors.

For example, among the people with vitiligo:

27% had blue or gray eyes, compared with 52% of Americans of European descent without the condition.
43% had tan or brown eyes vs. 27%.
30% had green or hazel eyes vs. 22%.

Researchers say the abnormal immune response associated with vitiligo may have effects in lowering the risk of melanoma.

"We think that vitiligo represents over-activity of a normal process by which one's immune system searches out and destroys early cancerous melanoma cells," says Spritz.

He says as researchers learn more about the genes associated with vitiligo, they may learn more about the genes involved in other autoimmune diseases as well as melanoma.

May 07
British scientists growing 'human spare parts' in laboratory
British scientists claim to be for the first time growing human body parts at a laboratory at the University College London, which they say could soon make organ donation a thing of the past.

A team, led by Prof Alexander Seifalian of the varsity's Department of Nanotechnology and Regenerative Medicine, claims it's actually focussing on growing replacement organs and body parts to order, using a patient's own cells.

"This is a nose we're growing for a patient next month. It's a world first. Nobody has ever grown a nose before," Prof Seifalian was quoted by the 'Daily Mail' as saying.

In fact, the scientists say that when the the nose is transferred to the patient, it doesn't go directly onto the face but will be placed inside a balloon inserted beneath the skin on their arm.

After four weeks, during which time skin and blood vessels can grow, the nose can be monitored, then it can be transplanted to the face, they say.

Added Adelola Oseni, a team member: "Other groups have tried to tackle nose replacement with implants but we've found they don't last. They migrate, the shape of the nose changes. But our one will hold itself completely, as it's an entire nose shape made out of polymer."

Looking like very thin Latex rubber, the polymer is made up of billions of molecules, each measuring just over one nanometre (a billionth of a metre), or 40,000 times smaller than the width of a human hair. Working at molecular level allows the material itself to be intricately detailed.

"Inside this nanomaterial are thousands of small holes. Tissue grows into these and becomes part of it. It becomes the same as a nose and will even feel like one," Seifalian said.

Other parts in the making include the trachea -- windpipe -- to be used in the world's first synthetic organ transplant, and an artery, say the scientists.

"We are the first in the world working on this. We can make a metre every 20 seconds if we need to. However, the full success of these implants needs to be tested with a larger number of patients in clinical trials," said Seifalian.

May 07
'Low oxygen levels drive cancer growth'
Low oxygen levels in cells, not genetic mutations, may fuel uncontrollable cancer growth, says a new discovery.

If hypoxia, or low oxygen levels in cells, is proven to be a key driver of certain types of cancer, treatment plans for curing the malignant growth can change in significant ways, said Ying Xu, professor of bioinformatics and computational biology at Georgia University's Franklin College of Arts and Sciences.

The research team analysed samples of messenger RNA data, also called transcriptomic data, from seven different cancer types in a publicly available database.

They found that long-term lack of oxygen in cells may be a key driver of cancer growth, the Journal of Molecular Cell Biology reports.

Previous studies had linked low oxygen levels in cells as a contributing factor in cancer development, but not as the driving force for cancer growth.

High cancer rates worldwide cannot be explained by chance genetic mutations alone, Xu said, according to a Georgia statement.

He added that bioinformatics, which melds biology and computational science, has allowed researchers to see cancer in a new light.

"Cancer drugs try to get to the root, at the molecular level, of a particular mutation, but the cancer often bypasses it," Xu said.

"So we think that possibly, genetic mutations may not be the main driver of cancer."

The researchers analysed data downloaded from the Stanford Microarray database via a software programme to detect abnormal gene expression patterns in seven cancers: breast, kidney, liver, lung, ovary, pancreatic and stomach.

Xu relied on the gene HIF1A as a biomarker of the amount of molecular oxygen in a cell. All seven cancers showed increasing amounts of HIF1A, indicating decreasing oxygen levels in the cancer cells.

Low oxygen levels in a cell interrupt the activity of oxidative phosphorylation, a term for the highly efficient way that cells normally use to convert food to energy.

Low oxygen levels engender the process of creating new blood vessels. They provide fresh oxygen, thus improving oxygen levels in the cell and tumour and slowing the cancer growth - but only temporarily.

"When a cancer cell gets more food, it grows; this makes the tumour biomass bigger and even more hypoxic. In turn, the energy-conversion efficiency goes further down, making the cells even hungrier and triggering the cells to get more food from blood circulation, creating a vicious cycle. This could be a key driver of cancer," Xu said.

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