Are inhaled medications effective and safe in critically ill patients on mechanical ventilation?
2012-10-04
New Rochelle, NY, October 4, 2012—Essential medications can be delivered as inhaled drugs to critically ill patients in the Intensive Care Unit (ICU) who require mechanical ventilation to breathe. Aerosol drug delivery is highly complex, however, and if not done properly the medication will not reach the lungs and therapy will be ineffective. The efficacy and safety of aerosol delivery of drugs commonly used in the ICU such as antibiotics, diuretics, and anticoagulants is explored in depth in a review article published in Journal of Aerosol Medicine and Pulmonary Drug Delivery, ...
What makes self-directed learning effective?
2012-10-04
In recent years, educators have come to focus more and more on the importance of lab-based experimentation, hands-on participation, student-led inquiry, and the use of "manipulables" in the classroom. The underlying rationale seems to be that students are better able to learn when they can control the flow of their experience, or when their learning is "self-directed."
While the benefits of self-directed learning are widely acknowledged, the reasons why a sense of control leads to better acquisition of material are poorly understood.
Some researchers have highlighted ...
Toward an artificial pancreas: Math modeling and diabetes control
2012-10-04
Philadelphia, PA – October 4, 2012—Diabetes mellitus is a chronic disease in which individuals exhibit high levels of sugar in the blood, either due to insufficient production of insulin—the hormone that allows glucose to be absorbed by body cells—or the body's lack of response to insulin. Type 1 diabetes occurs due to loss or dysfunction of β-cells of the pancreas, the organ that produces insulin. Type 2 diabetes is caused by a defective glucose-insulin regulatory system. The most common control for diabetes is by subcutaneous injection of insulin analogues through ...
Advanced surgical approaches may benefit elderly patients with colorectal, bladder cancers
2012-10-04
CHICAGO—Advanced surgical techniques such as robotic-assisted operations and minimally invasive surgical procedures may extend survival and improve recovery in octogenarians with bladder and colorectal cancers when compared with patients who undergo conventional open operations according to two new studies presented at the 2012 Annual Clinical Congress of the American College of Surgeons.
Boston University investigators found robotic-assisted bladder procedures may be a viable option in selected patients aged 80 years and older who would not otherwise have an
operation ...
Penn-developed mouse model of debilitating lung disease suggests potential treatment regimen
2012-10-04
PHILADELPHIA – LAM, short for pulmonary lymphangioleiomyomatosis, affects about 1 in 10,000 women of childbearing age and is characterized by proliferation of smooth muscle-like cells in the lung, destruction of lung tissue, and growth of lymphatic vessels. The disease manifests itself in a wide variety of ways, so it is sometimes difficult to diagnose and there is no cure. The disease is caused by inactivation of either of two genes, TSC1 or TSC2, but to date no animal model has been able to replicate the pathologic features those mutations produce in humans.
Now, ...
Mom's high blood pressure in pregnancy could affect child's IQ in old age
2012-10-04
New research from the University of Helsinki, Finland, suggests that a mother's high blood pressure during pregnancy may have an effect on her child's thinking skills all the way into old age. The study is published in the October 3, 2012, online issue of Neurology®, the medical journal of the American Academy of Neurology.
"High blood pressure and related conditions such as preeclampsia complicate about 10 percent of all pregnancies and can affect a baby's environment in the womb," said study author Katri Räikkönen, PhD. "Our study suggests that even declines in thinking ...
Methane emissions can be traced back to Roman times
2012-10-04
Emissions of the greenhouse gas methane into the atmosphere can be traced back thousands of years in the Greenland ice sheet. Using special analytical methods, researchers from the Niels Bohr Institute, among others, have determined how much methane originates from natural sources and how much is due to human activity. The results go all the way back to Roman times and up to the present, where more than half of the emissions are now man-made. The results are published in the scientific journal, Nature.
Methane is an important greenhouse gas, which today is partly emitted ...
Surprising black-hole discovery changes picture of globular star clusters
2012-10-04
An unexpected discovery by astronomers using the National Science Foundation's Karl G. Jansky Very Large Array (VLA) is forcing scientists to rethink their understanding of the environment in globular star clusters, tight-knit collections containing hundreds of thousands of stars.
The astronomers used the VLA to study a globular cluster called Messier 22 (M22), a group of stars more than 10,000 light-years from Earth. They hoped to find evidence for a rare type of black hole in the cluster's center. They wanted to find what scientists call an intermediate-mass black hole, ...
50-hour whole genome sequencing provides rapid diagnosis for children with genetic disorders
2012-10-04
KANSAS CITY, Mo. – OCTOBER 3, 2012 – Today investigators at Children's Mercy Hospitals and Clinics in Kansas City reported the first use of whole genome information for diagnosing critically ill infants. As reported in Science Translational Medicine, the team describes STAT-Seq, a whole genome sequencing approach - from blood sample to returning results to a physician - in about 50 hours. Currently, testing even a single gene takes six weeks or more.
Speed of diagnosis is most critical in acute care situations, as in a neonatal intensive care unit (NICU), where medical ...
Key environmental factors influencing manta ray behavior identified
2012-10-04
Manta rays are more likely to gather together under either a new or a full moon, according to new research published Oct 3 in the open access journal PLOS ONE by Fabrice Jaine and colleagues at the University of Queensland.
The research identifies environmental factors that predict the abundance and behavior of manta rays at Lady Elliott Island in the Great Barrier Reef. The authors comment that knowing these factors is important for conservation efforts, "especially in the context of a changing climate and with targeted fisheries increasingly threatening manta ray populations ...
Oldest evidence of regular meat consumption by early humans found
2012-10-04
A fragment of a child's skull discovered at Olduvai Gorge, Tanzania shows the oldest known evidence of anemia caused by a nutritional deficiency, reports a new paper published Oct. 3 in the open access journal PLOS ONE.
The discovery, made by a global team of researchers led by Manuel Domínguez-Rodrigo from Complutense University, Madrid, suggests that early human ancestors began eating meat much earlier in history than previously believed. The skull fragment identified is thought to belong to a child somewhat younger than two and shows bone lesions that commonly result ...
Novel blood-based protein signature determined for rare, aggressive lung cancer
2012-10-04
Researchers have discovered a panel of 13 blood proteins that may be effective biomarkers to detect malignant mesothelioma, according to a study published Oct. 3 in the open access journal PLOS ONE by Rachel Ostroff from the company SomaLogic, which developed the new test, and colleagues at other institutions.
Malignant mesothelioma is a rare, aggressive form of lung cancer that can develop after prolonged exposure to asbestos. Because early diagnosis is difficult, most patients face a poor prognosis and have few options for treatment. In the study, authors compared proteins ...
Less is more when choosing between groups of assorted items
2012-10-04
When making decisions about the value of an assortment of different objects, people approximate an average overall value, which though frequently useful can lead to apparently irrational decision-making. A new study published Oct 3 in PLOS ONE by Jerald Kralik and colleagues at Dartmouth College shows for the first time that non-human primates also make similar 'irrational' choices based on approximation.
In the study, researchers found that rhesus monkeys preferred a highly-valued food item (a fruit) alone to the identical item paired with a food of positive but lower ...
Mollusc missing link revealed in 3-D
2012-10-04
Scientists have discovered a rare fossil called Kulindroplax, the missing link between two mollusc groups, which is revealed in a 3D computer model, in research published today in the journal Nature.
The researchers have unearthed the worm-like partly shelled Kulindroplax, which they have modelled in a 3D computer animation. Kulindroplax lived in the sea during the Silurian Period, approximately 425 million years ago, when most life lived in the oceans and the first plants were beginning to grow on land. The team found the Kulindroplax fossil, the only one of its kind ...
Blocking tumor-induced inflammation impacts cancer development
2012-10-04
Researchers at the University of California, San Diego School of Medicine report the discovery of microbial–dependent mechanisms through which some cancers mount an inflammatory response that fuels their development and growth.
The findings are published in the October 3, 2012 Advanced Online Edition of Nature.
The association between chronic inflammation and tumor development has long been known from the early work of German pathologist Rudolph Virchow. Harvard University pathologist Harold Dvorak later compared tumors with "wounds that never heal," noting the similarities ...
Healthcare professionals as bad as patients at good respiratory inhaler technique
2012-10-04
Healthcare professionals are as bad as patients when it comes to knowing how to use inhalers prescribed for asthma and other respiratory conditions correctly, says an editorial in Drug and Therapeutics Bulletin (DTB).
They therefore can't be relied on to teach patients how to use these devices correctly, says DTB.
But as 45 million prescriptions for respiratory inhalers were dispensed in 2011 in England alone—at a cost of £900 million to the NHS—everyone needs to be more clued up on correct inhaler technique to make sure these drugs work well for patients and offer ...
Aspirin may temper brain power decline in elderly women at risk of heart disease
2012-10-04
Daily low dose aspirin could slow the decline in brain power among elderly women at high risk of heart disease, indicates observational research published in the online journal BMJ Open.
The researchers base their findings on 681 women between the ages of 70 and 92, 601 of whom were at high risk of heart disease and stroke, defined as a 10% or greater risk on a validated risk scale (Framingham).
All the women were subjected to a battery of tests to measure their physical health and intellectual capacity, including verbal fluency and memory speed, and dementia (mini ...
Ancient mollusk tells a contrary story
2012-10-04
New Haven, Conn. — A fossil unearthed in Great Britain may end a long-running debate about the mollusks, one of life's most diverse invertebrate groups: Which evolved first, shelled forms like clams and snails, or their shell-less, worm-like relatives?
The small new fossil, found in marine rocks along the English-Welsh border, provides the best fossil evidence yet that the simpler worm-like mollusks evolved from their more anatomically complex shelled brethren, rather than the other way around.
The discovery reinforces previous findings from molecular sequencing studies ...
Southern Hemisphere becoming drier
2012-10-04
A decline in April-May rainfall over south-east Australia is associated with a southward expansion of the subtropical dry-zone according to research published today in Scientific Reports, a primary research journal from the publishers of Nature.
CSIRO scientists Wenju Cai, Tim Cowan and Marcus Thatcher explored why autumn rainfall has been in decline across south-eastern Australia since the 1970s, a period that included the devastating Millennium drought from 1997-2009.
Previous research into what has been driving the decline in autumn rainfall across regions like southern ...
Black hole surprise in ancient star cluster
2012-10-04
Astronomers have made the unexpected discovery of two black holes inside an ancient cluster of stars in our galaxy, the Milky Way.
The research, published today in the prestigious journal Nature, describes the detection of two black holes that are about 10 to 20 times heavier than our Sun in the globular cluster named M22.
Black holes, so dense that even light can't escape them, are what is left when a massive star reaches the end of its life and collapses in on itself.
Co-author Dr James Miller-Jones, from the Curtin University node of the International Centre for ...
Researchers identify dozens of new de novo genetic mutations in schizophrenia
2012-10-04
New York, NY (October 3, 2012) — Columbia University Medical Center (CUMC) researchers have identified dozens of new spontaneous genetic mutations that play a significant role in the development of schizophrenia, adding to the growing list of genetic variants that can contribute to the disease. The study, the largest and most comprehensive of its kind, was published today in the online edition of the journal Nature Genetics.
Although schizophrenia typically onsets during adolescence and early adulthood, many of the mutations were found to affect genes with higher expression ...
UT Dallas research shows graphene nanopores can be controlled
2012-10-04
Engineers at The University of Texas at Dallas have used advanced techniques to make the material graphene small enough to read DNA.
Shrinking the size of a graphene pore to less than one nanometer – small enough to thread a DNA strand – opens the possibility of using graphene as a low-cost tool to sequence DNA.
"Sequencing DNA at a very cheap cost would enable scientists and doctors to better predict and diagnose disease, and also tailor a drug to an individual's genetic code," said Dr. Moon Kim, professor of materials science and engineering. He was senior author ...
Tomb of Maya queen K'abel discovered in Guatemala
2012-10-04
Archaeologists in Guatemala have discovered the tomb of Lady K'abel, a seventh-century Maya Holy Snake Lord considered one of the great queens of Classic Maya civilization.
The tomb was discovered during excavations of the royal Maya city of El Perú-Waka' in northwestern Petén, Guatemala, by a team of archaeologists led by Washington University in St. Louis' David Freidel, co-director of the expedition.
Along with David Freidel, professor of anthropology at WUSTL, the project is co-directed by Juan Carlos Pérez, former vice minister of culture for cultural heritage of ...
Getting athletes back in the game sooner following shoulder injuries
2012-10-04
Athletics have always been a part of Jade Dismore's life. The 27-year-old native of South Africa grew up playing tennis and swimming; as an adult she became an avid runner and recreational volleyball player. For several years she felt soreness in her shoulder, but assumed it was nothing serious. As she began training for her first triathlon, the pain became increasingly severe. After trying to manage the pain on her own for years, Dismore decided it was time to seek medical attention.
"I started feeling dull pain in my shoulder about four or five years ago and tried ...
Onset of flu season raises concerns about human-to-pet transmission
2012-10-04
CORVALLIS, Ore. – As flu season approaches, people who get sick may not realize they can pass the flu not only to other humans, but possibly to other animals, including pets such as cats, dogs and ferrets.
This concept, called "reverse zoonosis," is still poorly understood but has raised concern among some scientists and veterinarians, who want to raise awareness and prevent further flu transmission to pets. About 80-100 million households in the United States have a cat or dog.
It's well known that new strains of influenza can evolve from animal populations such as ...
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