Tuesday, December 27, 2005

health news 12-27-05

Childhood infections stunt growth, shorten life

Link discovered in study of old health records: Risk persists in developing countries

Records from four European countries show that, on average, survivors of generations with rampant childhood infection - measured by cohort mortality rates at young ages - were shorter and died sooner than counterparts from generations with less childhood disease.

Crimmins and Finch propose that even when they grew into apparently healthy adults, survivors of high-infection generations carried a heavier lifetime burden of inflammation. This in turn accelerated the progress of cardiovascular disease.

The authors also cited contemporary studies showing that respiratory infections, childhood diarrhea, dysentery and other common infectious diseases reduce growth.

When rates of infection dropped due to improved public health practices, adult survivors grew taller and lived longer.

"Our model implies that the reduction in lifelong levels of infections and inflammation reduced and delayed the progression of cardiovascular disease and mortality due to heart disease and allowed for increased height," said Crimmins, the study's lead author.

Other obvious beneficial factors, such as improved nutrition and higher standards of living, did not explain all the mortality data. Crimmins and Finch found that increases in height did not always follow improvements in income and nutrition. In addition, height decreased during some periods of improving income in early industrial cities.

The authors concluded that a reduction in infection and resulting inflammatory load had the potential to increase height independently of improved food intake.

This study extends previous research by Finch and Crimmins, published last year in the journal Science, that linked childhood infectious disease exposure to chronic inflammation leading to cardiovascular disease and a shortened lifespan.

For their current study, the authors collected mortality data from Sweden, France, England and Switzerland. The data begins in different years for each country but ends uniformly with individuals born in 1899.

After 1900, modern medicine became a dominant force in treating childhood illnesses, swamping the mortality effects studied by Crimmins and Finch.

"The inflammatory mechanism for our model only works when mortality from infection is high," Finch said. "Once childhood infection is low, it can no longer be a factor in explaining old-age trends."

Next, Crimmins and Finch plan to explore the possibility that the mechanisms of infection and aging in historical populations may apply to developing countries with high levels of infectious diseases and inadequate medical care.

http://tinyurl.com/bkhjq



Not always having enough to eat can impair reading and math development in children, Cornell study confirms

When young school-age children do not always have enough to eat, their academic development -- especially reading -- suffers, according to a new longitudinal Cornell University study.

The research provides the strongest evidence to date that food insecurity has specific developmental consequences for children. Food insecurity is defined as households having limited or uncertain availability of nutritionally adequate or safe foods.

"We found that reading development, in particular, is affected in girls, though the mathematical skills of food-insecure children entering kindergarten also tend to develop significantly more slowly than other children's," said Edward Frongillo, associate professor of nutritional sciences at Cornell. The study also found that girls' social skills suffer when families that have been food secure become food insecure while the child is in the early primary grades.

"In addition, we found that kindergarten girls from food-insecure families tend to gain more weight than other girls, which may put them at risk for obesity as adults," he said.

Frongillo, Cornell graduate student Diana Jyoti, who will receive her master's degree in January, and Sonya Jones of the University of South Carolina analyzed data from the U.S. Department of Education's Early Childhood Longitudinal Study on about 21,000 children who entered kindergarten in 1998 and were followed through third grade.

http://tinyurl.com/9kt3w

Monday, December 05, 2005

Health news 12-05-05

Why lost weight can creep back on
Scientists have discovered why it is often harder to keep weight off than to lose it in the first place.
A team at New York's Columbia University has shown the key is falling levels of the hormone leptin, which controls appetite.
They found that giving people who had recently lost weight injections of the hormone helped them to avoid putting the pounds straight back on. The study features in the Journal of Clinical Investigation.




Concerns over IVF contamination risk

Some children conceived by a common IVF method could be carrying chunks of bacterial DNA in their chromosomes, finds a study in mice

SOME children conceived by a common method of IVF could be carrying chunks of bacterial DNA in their chromosomes, according to a study in mice. The researchers who conducted the work say that such accidental genetic modification would be very rare, but they argue that fertility doctors should take more precautions to exclude it.

Intracytoplasmic sperm injection, or ICSI, is used to help would-be fathers with very low sperm counts or sperm that cannot swim normally. Rather than mixing sperm and eggs in a culture dish as in conventional IVF, technicians take individual sperm and inject them into a woman's eggs. ICSI has been growing in popularity since its debut in 1991, and now accounts for around half of the IVF procedures in many countries, including the UK and the US.

Over the past five years, researchers have experimented with using ICSI to make genetically modified animals by mixing DNA ...

http://tinyurl.com/dd5f7



Pregnancy drug can affect grandkids too

A drug often given to pregnant women to help their babies mature enough to survive can have effects on the subsequent generation, a guinea pig study finds

DOCTORS treating a woman at risk of having a premature baby may inadvertently be affecting her future grandchildren as well. A study in guinea pigs suggests that a drug commonly given to pregnant women to help their babies mature enough to survive can also affect the brains and behaviour of their grandchildren too. The finding raises a difficult dilemma for doctors, for while the drug undoubtedly saves lives, its side effects could last for generations.

Babies normally spend 40 weeks in the womb, but some can survive even if they are born 15 or 16 weeks early. However, their lungs lack enough of a substance called a surfactant to breathe unassisted. So since the 1970s, doctors have been injecting women at risk of having a very premature baby with synthetic glucocorticoid drugs, such as betamethasone, which hasten the development of a fetus's lungs.

A single dose cuts the death rate ...

http://tinyurl.com/8fsek




Free Medical Books - Over the next few years, many important medical textbooks will be available online, free and in full-text. The unrestricted access to scientific knowledge will have a major impact on medical practice. FreeBooks4Doctors! is dedicated to the promotion of free access to medical books over the Internet.

http://tinyurl.com/85rev



'Survival' genes hold key to healthy brains in babies and the elderly

Completing a daily crossword and enjoying a range of activities and interests has long been accepted as a recipe for maintaining a healthy brain in older age, but the reasons for this have never been clear. Now, scientists at the University of Edinburgh are seeking to identify brain's 'survival' genes which lie dormant in unused brain cells, but are re-awakened in active brain cells. These awakened genes make the brain cells live longer and resist traumas such as disease, stroke and the effects of drugs, and are also critical to brain development in unborn babies.
Their findings could lead to the development of smarter drugs or gene therapies to halt the progress of neurological diseases like Alzheimer's and Parkinson's disease and may also explain, scientifically, the benefits to the brain of maintaining an intellectually and physically stimulating lifestyle in later years.  Dr Giles Hardingham of the Centre for Neuroscience Research at the University of Edinburgh said: "When brain cells are highly stimulated, many unused genes are suddenly reactivated. We have found that a group of these genes can make the active brain cells far healthier than lazy, inactive cells, and more likely to live a long life. These findings also have implications at the other end of life, where maternal drug taking and drinking can cause these survival genes to be turned off in the brain of unborn babies."  Dr Hardingham, who presented this work recently at the prestigious annual meeting for the Society for Neuroscience in Washington DC, explained: "We recently discovered that a critical step in turning on these survival genes involves activating a master genetic controller called CREB. We aim to home in on which of these CREB-controlled genes are crucial in helping the brain cells live longer and become resistant to trauma. By being able to explain at molecular level the basis of brain activity-dependent survival, it will open the way to developing better therapies to help halt the progress of neurological diseases.  He added: "Our work also bears relevance to the potential harm that can befall an unborn baby if it is exposed to substances which suppress its brain activity, like alcohol, and certain drugs like Ketamine and PCP (Angel Dust). The brain cells of young, developing brains are particularly reliant on signals from these 'survival' genes, but these signals are suppressed if their mothers are taking drugs or drinking alcohol.  "This in turn can lead to serious health problems such as foetal alcohol spectrum disorder, which affects up to one per cent of live births in the UK and can cause mental retardation, behavioural problems and diminished growth. Some of this harm may be reduced or minimized if we know exactly how it is taking place."



Children with heart defects found to benefit from exercise

Exercise restrictions may be unnecessary for most children

A small but compelling pilot study indicates that many children with serious congenital heart disease, who are typically urged to restrict their activity, can improve their cardiovascular function and exercise capacity through a cardiac rehabilitation program. Fifteen of 16 children participating in a 12-week rehabilitation program at Children's Hospital Boston showed significant gains in heart function, researchers report in the December Pediatrics.
Congenital heart defects affect about 8 in 1000 newborns. Due to advances in care, more and more children with these defects are surviving. Many have diminished exercise capacity after the defects are repaired, and some of this reduction is caused by a lack of activity, says Jonathan Rhodes, MD, a cardiologist at Children's who led the study.
"These kids haven't exercised much. They've been told by coaches, doctors, parents and teachers, 'Oh, you can't exercise,'" Rhodes says. "Cardiac rehabilitation is not a component of most pediatric cardiology programs."



Comforting behavior mistaken for movement disorder

Masturbation in young females can mimic paroxysmal dystonic posturing

The comforting behavior of thumb-sucking wouldn't land a 1-year-old girl in a neurologist's office, but the twisting and unusual movements of the comforting act of infantile masturbation can lead parents and physicians to believe a child is suffering from a movement disorder.
An article published in December's Pediatrics describes a dozen cases of young girls who were referred to pediatric movement disorder clinics between 1997 and 2002 for evaluation of paroxysmal (episodic) dystonic posturing, which is characterized by involuntary muscle contractions that force the body into abnormal movements and positions. Many of the children were subjected to invasive testing and medication before neurologists discovered the dystonic-like symptoms were actually normal muscle contractions that accompany masturbation.



OBESITY BEFORE PREGNANCY LINKED TO CHILDHOOD WEIGHT PROBLEMS  COLUMBUS , Ohio – A child's weight may be influenced by his mother even before he is actually born, according to new research.   Results of the study, which included more than 3,000 children, suggest that a child is far more likely to be overweight at a very young age – at 2 or 3 years old – if his mother was overweight or obese before she became pregnant. A child is also at greater risk of becoming overweight if he is born to a black or Hispanic mother, or to a mother who smoked during her pregnancy.

http://tinyurl.com/d549m



UCLA imaging study of children with autism finds broken mirror neuron system

Findings pinpoint mechanism behind social deficits

New imaging research at UCLA detailed Dec. 4 as an advance online publication of the journal Nature Neuroscience shows children with autism have virtually no activity in a key part of the brain's mirror neuron system while imitating and observing emotions.
Mirror neurons fire when a person performs a goal-directed action and while he or she observes the same action performed by others. Neuroscientists believe this observation-execution matching system provides a neural mechanism by which others' actions, intentions and emotions can be understood automatically.
Symptoms of autism include difficulties with social interaction -- including verbal and nonverbal communication -- imitation and empathy. The new findings dramatically bolster a growing body of evidence pointing to a breakdown of the brain's mirror neuron system as the mechanism behind these autism symptoms.



Chemical used in food containers disrupts brain development

Bisphenol A (BPA) has been linked to damage in developing brain tissue

The chemical bisphenol A (BPA), widely used in products such as food cans, milk container linings, water pipes and even dental sealants, has now been found to disrupt important effects of estrogen in the developing brain.
A University of Cincinnati (UC) research team, headed by Scott Belcher, PhD, reports in two articles in the December 2005 edition of the journal Endocrinology that BPA shows negative effects in brain tissue "at surprisingly low doses."
The research was supported by funding from the National Institutes of Health and the Pediatric Brain Tumor Foundation.
"These new studies are also the first to show that estrogen's rapid signaling mechanisms are active in the developing and maturing brain in regions not thought to be involved with sexual differences or reproductive functions," Dr. Belcher said.
BPA has often been implicated in disease or developmental problems.




Friday, November 25, 2005

Health news 11-25-05

Bestmint by Ortek: A Disruptive Technology For More Than Tooth Decay

You can't put stuff like this in a SciFi plot. No one would believe it when the dentist said "eat lots of this candy please". No fiction: Ortek, Inc. is planning production of a candy that is reported to be more effective than sodium fluoride at preventing tooth decay. The active ingredient is an amino acid commonly found in nuts and whole grains. Some plausible ourcomes from introduction of the Ortek "Basicmints", assuming widespread popularity, include: a gradual end to flouride drips at the public water supply; no more dental fluoride treatments for kids; the phoenix-like "anti-fluoridation" movement, which has periodicaly attracted support from either end of the political spectrum, derails; toothpaste market shares are tossed in the air and pasteless toothbrushing becomes fashionable; outlays for filings are reduced; and, the need for one of the remaining consumer uses of elemental mercury ...we're talking about amalgam production by dentists... is reduced. While press coverage seemed to infer the use of a "biotech" method in manufacture (whatever that means), details are unclear. The meta-story is much bigger than an ingredient list though. Brace yourself for many more such disruptive technologies that confound and confuse our world views.

http://tinyurl.com/by8op

and the basicmints wweb site:

http://tinyurl.com/92wdd


Small RNA Molecules Tackle Herpes

By Karen Ross
ScienceNOW Daily News
23 November 2005

Efforts to stop the spread of sexually transmitted diseases (STDs) often fail because people don't take precautions in the heat of the moment. In an encouraging new development, researchers have designed and tested a topical therapy in mice that prevents infection by one of the most prevalent STDs, genital herpes virus, for days after it is applied.




Problem of emerging infectious diseases likely to worsen

Editorial: A walk on the wild side – emerging wildlife diseases BMJ Volume 331, pp 1214-5

Emerging infectious diseases pose a global threat to human and animal health, and the problem is likely to worsen, warns an expert in this week's BMJ.
The recent emergence of diseases, such as AIDS, SARS and avian flu, have catapulted emerging infectious diseases to the top of the medical and political agendas, and have highlighted the importance of wildlife as reservoirs or vectors for disease, writes Dr Andrew Cunningham.
Of pathogens causing emerging infectious diseases, 75% are zoonotic (able to transmit from animals to humans), with wildlife being an increasingly important source.
But why are we now seeing an apparently rapid increase in the emergence of new zoonoses from wildlife?
One of the major drivers is closer human contact with wildlife, primarily caused by human encroachment into, and modification of, wildlife habitat. For example, Ebola virus outbreaks often are linked to hunting for "bushmeat" or to mining development, and the AIDS pandemic originated from human encroachment into African forests for food.
The rise in international trade and travel is also important. The emergence of West Nile virus in North America, and AIDS and SARS globally, for example, arose from such travel and trade.
This globalisation of people and products is difficult to control and is largely related to increasing air transportation. With world air travel expected to grow at about 5% a year for at least the next 20 years, the problem of emerging infectious diseases will continue to grow, he warns.
Emerging infectious diseases are not only a problem for human health but are a major threat to animal welfare and to species conservation. Some emerging infectious diseases also threaten domesticated species.
Through emerging infectious diseases, therefore, the medical, veterinary, and wildlife conservation professions, share a common agenda. The problem is not small, and tackling it will not be easy, but recognising a common problem is, at least, a start, he concludes.



Wednesday, November 23, 2005

Pediatric Medical Traumatic Stress Toolkit for Health Care Providers

This toolkit was produced by the Medical Traumatic Stress Working Group of the National Child Traumatic Stress Network to:


  • Raise awareness among health care providers about traumatic stress associated with pediatric medical events and medical treatment, as it may affect children and families.
  • Promote "trauma-informed practice" of pediatric health care in hospital settings across the continuum of care and in a variety of settings within the hospital - e.g., from emergency care, to the ICU, to specialized inpatient units, to general pediatrics.

This compendium of materials is designed for hospital-based health care providers (physicians, nurses, and other health care professionals.) The materials may also be of use to mental health professionals who work in health care settings. The materials provide:


  • An introduction to traumatic stress as it relates to children facing illness, injury, and other medical events.
  • Practical tips and tools for health care providers.
  • Handouts that can be given to parents that present evidence-based tips for helping their child cope.

Health news 11-23-05

C.D.C. Proposes New Rules in Effort to Prevent Disease Outbreak
Published: November 23, 2005

Federal officials yesterday proposed the first significant changes in quarantine rules in 25 years in an effort to broaden the definition of reportable illnesses, to centralize their reporting to the federal government and to require the airline and shipping industries to keep passenger manifests electronically for 60 days.

http://tinyurl.com/83anp



With Cancer, Treatment Is Only Part of the Picture

More than 10 million people in the United States are cancer survivors, and their numbers increase daily. Many are considered cured. Some are still in treatment and one day may - or may not - be counted among the cured. Others are living with advanced disease.But nearly all have similar needs:

•A need to know about and cope with the physical and emotional consequences of cancer and its treatment, including current challenges to quality of life and delayed health effects.

•A need to know when to worry and when not to worry about symptoms that could signal a recurrence or a new cancer.

•A need for reliable information and assistance on matters like diet, exercise and smoking cessation that may improve survival chances.

•A need to deal with employment and insurance problems related to their medical histories.

Such needs inspired a panel of the National Academies this month to call for major improvements in follow-up care for cancer patients, who are too often left to struggle on their own with serious cancer-related matters.

http://tinyurl.com/ddkh6


Survey finds toys dangerous to kids

Makers accused of disregarding safety

WASHINGTON -- Though decades of effort have made toys safer, children still choke on balloons, get strangled by yo-yo water balls and suffer hearing damage from loud playthings, a watchdog group warned Tuesday in its annual toy safety survey.
The U.S. Public Interest Research Group's 20th survey noted that the Consumer Product Safety Commission reported the deaths of 16 children in toy-related incidents last year, along with another 210,000 emergency room visits. Choking on small parts, balls and balloons remains a leading cause of death and injury in kids younger than 15.



Breast-Feeding May Lower Mom's Risk of Diabetes 
By Serena Gordon
HealthDay Reporter 

TUESDAY, Nov. 22 (HealthDay News) -- Breast-feeding your baby can cut your risk of developing type 2 diabetes, new research shows.  "We found that breast-feeding is really good for mothers. Each year she breast-feeds cuts the risk of type 2 diabetes by 15 percent," said study author, Dr. Alison Stuebe, a clinical fellow in maternal fetal medicine at Brigham and Women's Hospital, and an instructor at Harvard Medical School in Boston.

http://tinyurl.com/afvwd



When Parasites Go Pop!

By Meagan White
ScienceNOW Daily News
22 November 2005

Lathering up with topical creams before each swim may no longer be necessary to prevent schistosomiasis, a water-borne parasitic infection that kills an estimated 800,000 people a year. A mix of red cedarwood oil and surfactant--a compound that makes oil spread evenly on the water surface--can kill schistosome larvae by making them swell and explode, according to a new study.
Schistosomiasis, also known as bilharzia, infects 200 million people in Africa, the Middle East, and Asia. Repeated infections can cause severe and eventually deadly damage to the liver, intestines, lungs, bladder, and the brain.



Mortality among very low-birthweight infants higher at minority-serving hospitals


BACKGROUND: Neonatal mortality rates--that is, mortality in the first 28 days--in the United States fell significantly between 1940 and 2000 from 28.8 deaths per live birth to 4.6 deaths. Yet ethnic and racial disparities have persisted or increased during that time. Deaths among very low-birthweight infants (VLBW) account for more than half the infant deaths in the United States. The researchers sought to determine whether there is a correlation between mortality among VLBW infants and quality of care. The research was based on data from 74,000 infants at 332 hospitals across the nation.

FINDINGS: The researchers found that infant mortality for black and white infants born at minority-serving hospitals, defined as hospitals where 35 percent of VLBW infants are black, was significantly higher than for black and white infants born at hospitals where fewer than 15 percent of these infants are black. These findings suggest that minority-serving hospitals provide lower quality care to VLBW infants than do other hospitals.

IMPACT: "There's a known disparity between blacks and whites in infant mortality," said Dr. Leo Morales, associate professor of general internal medicine and health services research at the David Geffen School of Medicine at UCLA, and the lead researcher. "This study points to a possible explanation for that disparity--namely that hospitals where the majority of black infants are born do not provide the same quality of care as hospitals where the majority of White infants are born." The next step is to investigate the reasons for the disparity, such as financial status, physician and nursing staffing and other hospital characteristics.

AUTHORS: Other researchers on this study in addition to Morales are Douglas Staiger of Dartmouth College and the National Bureau of Economic Research; Jeffrey D. Horbar of the University of Vermont and the Vermont Oxford Network; Joseph Carpenter, Vermont Oxford Network; Michael Kenny of the University of Vermont; Jeffrey Geppert, National Bureau of Economic Research, and Jeannette Rogowski, RAND Corp.

http://tinyurl.com/983zv



Tuesday, November 22, 2005

Health news 11-22-05

Lifelong benefits of cuddling your baby
by JULIE WHELDON, Daily Mail
09:39am 22nd November 2005
It may come as no surprise to parents, but cuddling your baby provides them with social benefits for years afterwards, according to scientists.
They found a clear link between love and attention in the early years and healthy emotional responses in later life.
Children who have been deprived of physical contact as babies have lower levels of social-bonding hormones, the researchers found.

Even if they are then smothered with love as toddlers, it can be very difficult to repair the damage.  The research, published in the journal Proceedings of the National Academy of Sciences, looked at hormones called oxytocin and arginine vasopressin.  Both play a role in response to stress and social bonding, with levels typically rising after the subject has been comforted with human contact.  The scientists took 18 children aged around four and a half who had been born in orphanages and therefore missed out on the level of physical contact they might have had from a mother and father.

http://tinyurl.com/948gw

Childhood Scars That Never Heal

By Constance Holden
ScienceNOW Daily News
21 November 2005

Researchers have long suspected that abuse or neglect early in life can permanently alter people's brains, making them more prone to anxiety and depression, less able to handle stress, or even incapable of forming strong attachments with others. There has been little molecular evidence to back this up, however. Now a group reports that children who started life as neglected orphans show long-term deficiencies in hormones related to social attachment.
Hormones play an important role in our interactions with others. Oxytocin levels increase during warm physical interactions with a familiar person, and vasopressin is related to recognizing familiar people. Studying these hormones has proven difficult in small children, however, because they have to be obtained via blood samples or spinal taps.



Daycare illness guidelines exist, but largely unknown

A new Cincinnati Children's Hospital Medical Center study shows that parents, pediatricians and child care providers are equally unknowledgeable about guidelines that recommend whether children should be excluded from child care due to particular illnesses.
As a result, children may be excluded for harmless conditions that do not meet national criteria, such as colds and allergic conjunctivitis, while being allowed to return to child care for some conditions that warrant staying home, such as uncontrolled coughing or persistent diarrhea, according to Kristen Copeland, M.D., a pediatrician at Cincinnati Children's and lead author of the study.
The study, published in the November-December issue of Ambulatory Pediatrics, found that child care providers, parents and pediatricians knew guideline recommendations for 12 common childhood ailments only 60 percent of the time.
"Inappropriate exclusions from child care can have a significant economic impact," says Dr. Copeland. "When their child attending child care becomes ill, parents have limited options. It's easy to see how exclusion can become a contentious issue between parents who may think child care providers are inconsistent and unreasonable in their application of guidelines and those child care providers who resent some parents' attempts to subvert the guidelines."



SLU research on teen moms refutes conventional wisdom: Early motherhood may not ruin their lives

Nurses can play pivotal role in helping young families succeed

ST. LOUIS -- A new Saint Louis University study rebuts the assumption that all teenagers who have babies face a future of dismal failure.  "Earlier studies exaggerated the long-term negative consequences associated with teenage mothering," says Lee SmithBattle, R.N., DNSc, professor of nursing at Saint Louis University Doisy College of Health Sciences and principal investigator of a qualitative study that analyzed the experiences of teen mothers a dozen years after they had given birth to their first child.  "This study and several others show that teen mothers fare better over time than our assumptions suggest," she says.  SmithBattle, who has been researching teen mothers for 17 years, found that early motherhood has not ruined their lives.  She has followed the lives of mothers and their families every four years, starting when their babies were less than a year old. For this article, SmithBattle analyzed interviews conducted when 11 moms were in their 30s to show how becoming a mom as a teen affected their lives. Her article appears in this month's issue of Western Journal of Nursing Research.




Multiple-birth babies, boys have higher risk of defects

GAINESVILLE, Fla. - Twins, triplets and other multiples have a nearly 50 percent greater chance of being born with birth defects, and boys tend to be more at risk than girls, according to two population-based studies conducted at the University of Florida.
UF researchers who studied all Florida births from 1996 through 2000 found multiples have a higher risk than babies born singly of developing 23 of 40 birth defects, such as spina bifida, according to results recently published online in the Maternal and Child Health Journal.
The same team of researchers, from UF's Maternal Child Health Education Research and Data Center, studied 4,768 pairs of opposite-sex twins and found that boys had a 29 percent higher risk for birth defects than girls. This could be because boys tend to develop at a slower pace, leaving a little more time for potential problems to arise, according to findings published this month in Birth Defects Research (Part A): Clinical and Molecular Teratology.  "In the past 20 years, multiple births have increased because of greater reliance on assistive reproductive technology, especially among women delaying childbirth until their 30s and 40s," said Yiwei Tang, M.D., an assistant professor of pediatrics and a lead researcher on both studies. "In offering these options to women, full disclosure of an increased risk of birth defects should be made."



ADHD medication might also treat hyperactivity symptoms in autism

Methylphenidate, a medication used to treat attention-deficit hyperactivity disorder (ADHD), may be effective in treating hyperactivity symptoms in children with autism and related pervasive developmental disorders, researchers report in the November Archives of General Psychiatry.
The study was conducted by the Research Units on Pediatric Psychopharmacology (RUPP) Autism Network, a National Institute of Mental Health funded multi-site consortium dedicated to the development and testing of treatments for children with pervasive developmental disorders such as autism. The Yale team is directed by Lawrence Scahill, associate professor of nursing and child psychiatry at Yale.
"This study shows that methylphenidate is an effective medication for children with pervasive developmental disorder (PDD) accompanied by increased hyperactivity," said Scahill. "However, the percentage of children showing a positive response and the magnitude of benefit is lower than what we have come to expect in ADHD uncomplicated by PDD."



Periodontal therapy may reduce the incidence of preterm births and low birthweight infants

Study showed that women with gingivitis who received periodontal therapy before

CHICAGO – Pregnant women will want to include a periodontal evaluation as part of their prenatal care. That's because researchers found that periodontal treatment significantly reduced the risk of having a preterm birth or a low birthweight infant, according to a study published in the Journal of Periodontology.
"We found a significant association between gingivitis and preterm birth after adjusting for the major risk factors for preterm delivery, suggesting that gingivitis, the earliest form of periodontal disease, is an independent risk factor for preterm birth and low birthweight," said Dr. Néstor J. López, Professor of the University of Chile. "Periodontal therapy reduced preterm birth and low birthweight infant rates by 68 percent in women with pregnancy-associated gingivitis."
This is in concordance with two other intervention studies in which periodontal treatment reduced the incidence of preterm births and low birth weight infants between 71 percent and 84 percent in pregnant women with moderate to severe chronic periodontitis.
"Ideally, women should begin their pregnancy without periodontal infections, and they should be educated and motivated to maintain a high level of oral hygiene prior to and throughout pregnancy," said López. "If periodontal infection is diagnosed at any time during pregnancy, the treatment should be administered as soon as possible in order to reduce the risk of preterm birth and low birthweight."








Monday, November 21, 2005

health news for Nov 21

Do increased levels of testosterone play a role in Sudden Infant Death Syndrome?

Sudden Infant Death syndrome (SIDS) is the leading cause of unexpected death in infants ages one week to one year old. Although the number of SIDS related deaths has decreased due to greater public awareness regarding infants' sleep positions, the cause of SIDS remains unknown. However, a study in the November issue of The Journal of Pediatrics shows that elevated testosterone levels may put infants at greater risk for SIDS.

Michael Emery, PhD, from the University of Washington, and colleagues tested estrogen and testosterone levels in the blood serum of 127 infants who had died of SIDS and 42 infants who had died of other causes of unexpected infant death. They found that the testosterone levels in the male SIDS infants were 120% higher than in male non-SIDS infants and 50% higher in female SIDS infants than in female non-SIDS infants. Estrogen levels were not different among the SIDS and non-SIDS infants.
"These results may be important for better understanding of SIDS because the known relationship between testosterone and breathing during sleep provides a mechanism that potentially contributes to SIDS," says Dr. Emery. Previous studies have indicated that higher levels of testosterone may result in depressed breathing during sleep, which in turn may increase the risk of SIDS.



Twins' lower IQ levels than single-born children not down to social factors

The cognitive cost of being a twin: evidence from comparisons within families in the Aberdeen children of the 1950s cohort study, BMJ Online First

Social and economic circumstances do not explain why twins have significantly lower IQ in childhood than single-born children, according to a study in this week's BMJ.
Researchers studied 9,832 single-born children and 236 twins born in Aberdeen, Scotland between 1950 and 1956, using a previous child development survey as a base. They also gathered further information on mother's age at delivery, birth weight, at what stage of the child's gestation they were born, their father's occupational social class, and information on other siblings.
They found that at age seven, the average IQ score for twins was 5.3 points lower than that for single-born children of the same family, and 6.0 points lower at age nine.
The study also showed that taking into account factors such as the child's sex, mother's age, and number of older siblings made little difference to the IQ gap.
Despite advances in recent years in obstetric practice and neonatal care, the authors argue that the likely explanation is because some twins have a shorter length of time in the womb than other children and are prone to impaired fetal growth.




Researchers zero in on the possible cause of Kawasaki disease

In an important discovery in infectious disease research, a team of scientists from Northwestern University has identified a possible viral cause of Kawasaki disease, the most common cause of acquired heart disease in children in developed nations.
Since 1967 when Kawasaki disease was originally described, investigators have suspected an infectious cause, but, until now, none has been identified.
The research group was led by Anne H. Rowley, M.D., professor of pediatrics and of microbiology/immunology at Northwestern University Feinberg School of Medicine and Children's Memorial Hospital.
An article describing the new findings was published in the Nov. 15 issue of the Journal of Infectious Disease.



Childcare reduces stress levels for kids with working mums

Low job satisfaction in working mothers increases the stress levels of their children, but spending longer in childcare can help overcome these effects, new research has shown.

In a study involving more than 50 nursery school children, researchers found higher levels of the stress hormone cortisol in children whose mothers found their jobs less rewarding, or left them feeling emotionally exhausted, than those who reported more enjoyment from their jobs.

Levels of cortisol in the evening were more than double in these children.

Yet for women who have low job satisfaction, the research suggests that placing their children in childcare would help to significantly reduce the stress experienced by their children.

The researchers also found that children from families that were either highly expressive or reserved also exhibited higher than average cortisol levels.

http://tinyurl.com/afs5b




Thursday, November 17, 2005

health news

Scientists evaluate impact of preemptive malaria treatment for infants

Experts from the international consortium on IPTi present latest findings on a promising new approach for fighting malaria in children

Yaoundé, Cameroon (17 November 2005)--Administering malaria medicines preemptively to infants in malaria endemic regions has emerged as a potentially effective way to protect young children from the ravages of the disease. Children account for the majority of malaria deaths.
Leading scientists from an ambitious international consortium charged with evaluating the potential of Intermittent Preventive Treatment in Infants (IPTi) will explore the results of a recent clinical trial in Ghana and preliminary evidence from other IPTi research underway in Africa. IPTi has the potential to become a major tool for malaria control in Africa as it may be delivered at the time of routine childhood vaccination--through the Expanded Program on Immunization (EPI)--which increases the chance of long-term sustainability.


New study finds malaria could play key role in mother-to-child transmission of HIV in pregnancy

Yaoundé, Cameroon (17 November 2005)--Malaria infections boost production of a substance that might significantly increase HIV replication in the placenta. This interaction could explain why mother-to-child transmission (MTCT) of HIV in Yaoundé increases following a rainy season, according to new findings presented at this week's Fourth Multilateral Initiative on Malaria (MIM) Pan-African Malaria Conference.
Laboratory tests have revealed that biological substances known as "proinflammatory cytokines", such as TNF-alpha, which is found in high levels in placentas infected with malaria, could stimulate HIV replication in the placenta.
"Our research highlights the fact that placental malaria, through the placental cytokine network, could play an important role in mother-to-child HIV transmission in utero that has been underestimated so far," said Anfumbom Kfutwah of the Pasteur Center's virology laboratory. (Thursday, 3:10 p.m., Ebony Hall, Parallel Session 26, Presentation 169)
He said scientists have been investigating a possible link between malaria and in utero HIV infections since a study conducted in Yaoundé, Cameroon found that MTCTs peaked three months after the rains peaked. Seasonal rains are known to bring an increase in malaria infections by providing the ideal breeding environment for mosquitoes that carry the disease.


Research reveals likely connection between early-life stress and teenage mental health problems

Research to be presented Wednesday, Nov. 16, at the Society for Neuroscience Meeting in Washington, D.C.

WASHINGTON, D.C. – Research conducted at the Oregon National Primate Research Center at Oregon Health & Science University and at the University of Pittsburgh suggests a strong link between significant stress early in life and the increased incidence of mental health problems during adolescence. The research strengthens the case for proactive treatment or counseling of children who undergo a significant early-life stress. The research is being presented during the Society for Neuroscience meeting in Washington, D.C., Nov. 12-16. The meeting is one of the largest and most respected gatherings of neuroscientists in the world.
Both past research and human observation reveal that children who experience early-life stresses such as abuse, neglect, or loss of a parent have an increased risk of developing attachment disorders. Later in childhood, these same children show an increased incidence of manifesting some types of behavioral and emotional disorders, including attention deficit/hyperactivity disorder, conduct disorders, anxiety, depression, suicide, drug abuse and post-traumatic stress disorder. Both genetic factors and life experiences appear to play a role in the causes of these mental health disorders.


A fast diagnosis for bacterial meningitis

University of Sydney researchers at Westmead Millennium Institute develop an accurate and rapid method of diagnosing bacterial meningitis.

Several hundred serious cases of bacterial meningitis are diagnosed in Australians every year. Bacterial meningitis is a medical emergency that requires immediate diagnosis and treatment, however doctors have always faced difficulty in diagnosis, both in children and adults.
Professor Tania Sorrell and her team at Westmead Millennium Institute have discovered a quick and effective diagnostic for identifying bacterial meningitis using metabonomics.
Metabonomics is the study of the chemical composition of body fluids and tissues. All living organisms carry a unique metabolic fingerprint, and this can be identified using sophisticated techniques such as nuclear magnetic resonance (NMR) and mass spectrometry.
Researchers in this study compared the metabolic fingerprints of spinal fluid from patients who presented with meningitis-like symptoms at Westmead Hospital. They found that those with bacterial meningitis could be easily and accurately differentiated from those with non-infected fluid, and even from viral meningitis.
"When diagnosing bacterial brain infections, accuracy and speed are vitally important" says chief investigator Professor Tania Sorrell.
"Bacterial meningitis can be difficult to diagnose, particularly in young children, and this method will lead to faster and more targeted treatment meaning better outcomes."
Whilst this diagnostic is ready for the pathology lab, most hospitals do not yet possess the technology required. As technology advances however, and hospitals obtain more powerful equipment, the diagnosis and treatment of bacterial meningitis will become faster and more effective.