Family Medical Doctors – “Scientists Create 3D Model That Mimics Brain Function”

SOURCE : Star Advertiser
By            : Pam Belluck
Category  : Family Medical Doctors, Adult Medical Care

Scientists create 3D model that mimics brain function

Scientists create 3D model that mimics brain function

A doughnut created in a lab and made of silk on the outside and collagen gel where the jelly ought to be can mimic the basic function of brain tissue, scientists have found. Bio-engineers produced a kind of rudimentary gray matter and white matter in a dish, along with rat neurons that signaled one another across the doughnut’s center. When the scientists dropped weights on the material to simulate traumatic injury, the neurons in the three-dimensional brain model emitted chemical and electrical signals similar to those in the brains of injured animals. It is the first time scientists have been able to so closely imitate brain function in the laboratory, experts said. If researchers can replicate it with human neurons and enhance it to reflect other neurological functions, it could be used for studying how disease, trauma and medical treatments affect the brain — without the expense and ethical challenges of clinical trials on people.

“In terms of mechanical similarity to the brain, it’s a pretty good mimic,” said James J. Hickman, a professor of nanoscience technology at the University of Central Florida, who was not involved in the research. “They’ve been able to repeat the highest level of function of neurons. It’s the best model I’ve seen.” The research, led by David Kaplan, the chairman of the biomedical engineering department at Tufts University, and published Monday in the journal PNAS, is the latest example of biomedical engineering being used to make realistic models of organs such as the heart, lungs and liver. Most studies of human brain development rely on animals or on slices of brains taken after death; both are useful but have limitations.

Brain models have been mostly two-dimensional or made with neurons grown in a three-dimensional gel, said Rosemarie Hunziker, program director of tissue engineering and biomaterial at the National Institute of Biomedical Imaging and Bioengineering, which funded Kaplan’s research. None of those systems replicate the brain’s gray or white matter, or how neurons communicate, Hunziker said. “Even if you get cells to live in there, they don’t do much,” she said. “It is spectacularly difficult to do this with the brain.” Kaplan’s team found that a spongy silk material coated with a positively charged polymer could culture rat neurons, a stand-in for gray matter. By itself, though, the silk material did not encourage neurons to produce axons, branches that transmit electrical pulses to other neurons. The researchers formed the silk material into a doughnut and added collagen gel to the center. Axons grew from the ring through the gel — the white matter substitute — and sent signals to neurons across the circle. They got “these neurons talking to each other,” Hunziker said. “No one’s really shown that before.”

By adding nutrients and growth factors, scientists kept the brainlike tissue alive in an incubator for two months, at which point they experimented on it. Adding a neurotoxin essentially killed the neurons, as it would in a real brain. To simulate traumatic brain injury, they dropped disklike weights from different heights. That was a key experiment, Hickman said, because “if you take a real brain and you start whacking it, you should get the same forces and the same stretching.” Kaplan said the brain-in-a-dish “didn’t go splat,” but reacted like “a kitchen sponge, and it would compress down and then partially spring back up.” He said measurements of glutamate, a neurotransmitter that surges in brain injury, showed that “the more severe the damage, the higher the spike” in glutamate.

Gordana Vunjak-Novakovic, a biomedical engineering professor at Columbia who has collaborated with Kaplan on other studies, described the model as a kind of “Lego approach,” a “modular structure” that can be expanded and made more complex. “This is not normal tissue, but it is the first proof of principle that something like this can be achieved outside of the body,” she said. Hickman said future experiments would need to study human brain tissue, including other cells and regions in the brain.”There are some limitations, but they seem to have gotten the mechanics right,” he said. “They’ve set up an architecture so some clever person in the future could then do it.” Kaplan said his team was working on sustaining the brainlike tissue for six months — and with human neurons created from stem cells by other scientists. He plans to add a model of the brain’s vascular system, so researchers can study what happens when drugs cross the blood-brain barrier. Ultimately, he hopes the bioengineered model can be used “to study everything from drugs to disease to surgical effects to electrode implants,” he said. “I mean, the list is endless.”

SOURCE : staradvertiser.com/news/breaking/20140811_scientists_create_3d_model_that_mimics_brain_function.html

Adult Medical Care – “Bone Drugs Don’t Lower Breast Cancer Risk After All”

SOURCE   : Philly
By            : Kathleen Doheny HealthDay Reporter
Category : Adult Medical Care, Family Medical Doctors

Bone Drugs Don't Lower Breast Cancer Risk

Bone Drugs Don’t Lower Breast Cancer Risk

Drugs known as bisphosphonates, commonly prescribed to treat the bone-weakening disease osteoporosis, don’t appear to reduce the risk of breast cancer as previously thought, new research finds. “We found that postmenopausal women who took a bisphosphonate for three or four years did not have a decreased risk in breast cancer,” said study author Trisha Hue, an epidemiologist at the University of California, San Francisco. When prior observational studies noted links between the drugs’ use and lower breast cancer risk in, experts assumed the drugs deserved the credit. However, based on the new findings, Hue suspects that low estrogen levels may have been the risk-reducer.

“Women who get bisphosphonates have a low bone mass density,” she said. “If you have low bone mass density, you probably have low estrogen.” This is because the hormone, which is depleted after menopause, helps regulate bone mass and strength. Many types of breast cancer need estrogen to grow, she said. The study is published Aug. 11 in JAMA Internal Medicine. Previous studies that found the fringe benefit of reduced breast cancer risk were observational, meaning people taking the drugs happened to have lower breast cancer risk. But the research didn’t establish a direct cause-and-effect relationship. Hue’s team decided to take a look at two randomized clinical trials that compared two popular osteoporosis drugs, Fosamax and Reclast, to see if the women taking the drugs were less likely to get breast cancer than women given a placebo, or sham drug.

In one study, nearly 6,500 women aged 55 to 81 were assigned to take either Fosamax (alendronate) or a placebo. After about four years, similar numbers of women got breast cancer — 1.8 percent of those on the drug and 1.5 percent of those on placebo. The second study compared more than 7,700 women, aged 65 to 89, given Reclast (zoledronic acid) intravenously or a placebo IV infusion once a year. After nearly three years of follow-up, less than 1 percent of women in each group developed breast cancer. One expert said the results underscore the importance of randomized clinical trials in demonstrating cause-and-effect. “In this case, two randomized studies have disproved the notion that bisphosphonates reduce the risk of beast cancer, a finding that was supported by observational studies,” said Dr. Stephanie Bernik, chief of surgical oncology at Lenox Hill Hospital in New York City. Both types of studies are important, explained Dr. Jill Maura Rabin, a professor of obstetrics and gynecology at Hofstra North Shore-LIJ School of Medicine in New York. While the new analysis suggests the drugs don’t protect against breast cancer, Rabin said follow-up for longer than three or four years might still have found a benefit since breast cancer can take years to develop. Even so, the new research simply suggests that women prescribed the drugs for bone health should continue taking them, Rabin said, but just not expect a bonus of lower breast cancer risk.

Family Medical Doctors – “Healthy lifestyle changes can lower heart disease risk in adults”

Source     : Wall Streetotc
By            : Robert Barnes
Category  : Adult Medical Care,Family Medical Doctors

Healthy lifestyle changes can lower heart disease risk in adults

Healthy lifestyle changes can lower heart disease risk in adults

Health experts and dietitians always recommend good lifestyle changes and healthy eating habits especially for those suffering from cardiovascular diseases, pregnant women and obese people. A new study has found that adults can lower their heart disease risk by adopting healthy habits. Factors like eating unhealthy foods including the junk and fatty items, cigarette smoking or alcohol consumption and lack of exercise or being a couch potato lead to heart disease risk in old age.

According to the researchers at the Northwestern University’s Feinberg School of Medicine, the adults in their 30s or 40s can slow down and even reverse progression of coronary artery diseases by adopting good habits and bringing healthy changes in their lifestyle. Moreover, the researchers also cautioned against picking up unhealthy habits during early adulthood as they say this can increase heart problems in old age. “It’s not too late. You’re not doomed if you’ve hit young adulthood and acquired some bad habits. You can still make a change and it will have a benefit for your heart,” said lead study author Bonnie Spring, who is a professor of preventive medicine at the Northwestern University’s Feinberg School of Medicine.

To establish the hypothesis, the researchers used data from 5,000 participants who were part of the Coronary Artery Risk Development in Young Adults (CARDIA). The heart health of the participants was assessed at baseline when they were about 18 to 30-year-old. It was recorded again 20 years later. The researchers tried to find out the association between healthy living and coronary artery calcification and thickening. A healthy lifestyle was calculated on the following factors in the study:

  •     Not being overweight
  •     Non-smoker
  •     Being physically active
  •     Having low alcohol intake and a healthy diet

In the beginning of the study, about 10 percent of participants reported all five healthy behaviors. But the condition was different 20 years later. When the participants’ heart health was calculated, it was found that at least 25 percent of the CARDIA participants had adopted one habit that was good for their physical health. According to the researchers, each additional healthy habit was linked with reduction in risk of detectable coronary artery calcification and lower intima-media thickness, which are considered to be the two major markers that predict future heart disease risk. About 40 percent of participants picked up unhealthy lifestyle habits, which increased their risk of developing a heart disease.

Spring said in a news release, “This finding is important because it helps to debunk two myths held by some health care professionals. The first is that it’s nearly impossible to change patients’ behaviors. Yet, we found that 25 percent of adults made healthy lifestyle changes on their own. The second myth is that the damage has already been done – adulthood is too late for healthy lifestyle changes to reduce the risk of developing coronary artery disease. Clearly, that’s incorrect. Adulthood is not too late for healthy behavior changes to help the heart.” The study, which was funded by the National Heart, Lung and Blood Institute and the National Institutes of Health, is published in the journal Circulation.

SOURCE : wallstreetotc.com/healthy-lifestyle-changes-can-lower-heart-disease-risk-adults/25256/

Family Medicine Doctors – Antidepressants in Pregnancy And Baby’s Heart

Source     : Web-MD
By            : Barbara Bronson Gray
Category  : Adult Medical Care,Family Medicine Doctors

Antidepressants in Pregnancy and Baby's Heart

Antidepressants in Pregnancy and Baby’s Heart

Antidepressants taken during the first three months of pregnancy don’t appear to increase the risk of heart defects in babies, new research suggests. However, this latest study contradicts previous research that found that taking antidepressants in pregnancy can be risky. The question is an important one because depression is common in pregnancy. It’s diagnosed in 10 percent to 20 percent of pregnant women, and up to 13 percent of women take antidepressants while pregnant, according to the researchers. “The most critical period in the development of an embryo or in the growth of a particular organ is during the time of most rapid cell division,” said Krista Huybrechts, lead study author and epidemiologist at the Brigham and Women’s Hospital, in Boston. So, it is in the first three months of pregnancy that the risk for developing major malformations is highest, she explained. The U.S. government-funded research was published in the June 19 issue of the New England Journal of Medicine. The current study’s findings run counter to two previous studies that caused the U.S. Food and Drug Administration in 2005 to formally warn health care professionals that early prenatal exposure to paroxetine (Paxil) may increase the risk of heart malformations at birth. Huybrechts and her team had some concerns about the earlier research and wanted to re-examine the evidence by designing their study differently. They tightened the focus and took more factors that could interfere with the data into account, she said. The team looked at whether antidepressants, including those called selective serotonin reuptake inhibitors, or SSRIs — such as paroxetine (Paxil) and sertraline (Zoloft) — are indeed associated with an increased risk of heart defects at birth.

The researchers tapped data from 46 states and Washington, D.C., from 2000 through 2007. They were able to use demographic information, such as age, income and education, as well as data about all physician services and hospitalizations, including diagnoses, procedures and filled outpatient prescriptions. A total of almost a million women who had given birth were included in the study. They were all on Medicaid without supplementary private insurance. All of the women were between 12 to 55 years of age. Women were excluded if they had been treated with drugs that have been associated with birth defects (such as chemotherapy, lithium, retinoids and thalidomide) or if their infants had been diagnosed with a genetic abnormality. A total of about 64,000 (6.8 percent) of the women used antidepressants in the first three months of pregnancy. After adjusting the data to account for other factors that might increase the risk of a heart defect, the researchers found almost no difference in the risk of a baby being born with a heart defect between mothers who had been on antidepressants and those who hadn’t.

SOURCE : webmd.com/baby/news/20140618/antidepressants-in-pregnancy-wont-harm-babys-heart-study-suggests

Adult Medical Care – “12 Foods That Control Your Appetite”

Source    : News Yahoo
By           : CAREY ROSSI – Good Morning America
Category : Adult Medical Care,Family Medicine Doctors

Adult Medical Care In Casselberry

Adult Medical Care In Casselberry

When you’re trying to lose weight, cutting back on the amount you eat is a given—but feeling hungry all the time is one of the major reasons why most diets fail within a week. Still, you can silence your grumbling stomach without consuming extra calories. In fact, eating certain foods sends a signal to your brain that you’re done eating, and quiets your appetite. Shut out the ice cream pint that’s calling your name by eating these healthy and satisfying foods.

Apples

Chomp on an apple approximately a half hour before a meal—the fiber and water from the apple will fill you up, so you’ll eat less, says Debra Wein, RD, president of Wellness Workdays, a leading provider of worksite wellness programs.

Avocado

Eating half of an avocado with your lunch may help you feel full for the rest of the afternoon, according to a study published in Nutrition Journal. Women who did that felt 22% more satisfied and had a 24% lower desire to snack three hours later than on days they ate a calorically equivalent lunch without the avocado.

Beans, chickpeas, lentils

Dietary pulses such as chickpeas, lentils, beans, and peas are protein-rich superfoods that also pack in fiber, antioxidants, B vitamins, and iron. Eating more of them may also help you control your appetite. A recent meta-analysis published in the journal Obesity found that people were 31% more satisfied after a meal when it included pulses.

Soup

In a Penn State study, people who slurped a bowl of low-calorie, broth-based soup before their lunch entrées reduced their total calorie intake at the meal by 20%. “Soups can take the edge of your appetite since they take up a lot of volume in your stomach, but with very few calories,” says Beth Saltz, RD, owner of

nutritionskitchen.com.

Pickles

Pickles, sauerkraut, kimchi, and other fermented foods have short-chain fatty acids (SCFAs), and recent research in the Annals of The New York Academy of Sciences found that they help strengthen the bond between the gut and the brain. SCFAs stimulate production of hormones that cross the blood-brain barrier and improve appetite signaling. Fermented foods also boast probiotics, the healthy bacteria that help digestion. Some experts believe probiotics may reduce appetite and aid weight loss, though research is inconclusive.

Chili powder

You may already know that capsaicin, the compound in chilis that gives them their kick, fires up your metabolism. Recent research from Maastricht University in the Netherlands shows that adding heat to your meal may also control your appetite. The study, which was published in the journal Appetite, found that adding 1/4 tsp of chili pepper to each meal increased satiety and fullness. What’s more, some participants were only allowed to consume 75% of their recommended daily calorie intake, but didn’t feel any more desire to continue eating after dinner than those who were given 100% of their daily calories.

Dark chocolate

When you’re craving something sweet, reach for dark chocolate. Research suggests dark chocolate can help reduce blood pressure and protect the heart and brain. It’s also more filling than milk chocolate and may help curb cravings for both sweet and salty foods, according to a study in the journal Nutrition & Diabetes. In fact, participants consumed 17% fewer calories at a meal following a dose of dark chocolate.

Eggs

Starting your day with eggs will leave you satisfied until lunch. The power’s in the protein: research from the University of Missouri at Columbia suggests that eating a 300-calorie breakfast made up of 30 to 39 grams of protein (think: eggs and sausage) reduces hunger pangs and increases fullness during the time between breakfast and lunch. What’s more, the research revealed that high-protein breakfast eaters consume fewer calories throughout the day.

Nuts

Nuts are another filling food that may help you eat less. In a British Journal of Nutrition study, obese women who paired either 1.5 ounces of peanuts or 3 tablespoons of peanut butter with Cream of Wheat cereal and orange juice felt fuller for up to 12 hours after finishing breakfast than those who didn’t eat the peanut products.  “Nuts are essentially designed by nature to control appetite because they’re rich in healthy unsaturated fat, along with bonus protein and fiber,” says Cynthia Sass, MPH, RD, Health contributing nutrition editor. Together, the three nutrients slow digestion and regulate blood sugar when combined with carbs like fruit, oatmeal, or brown rice.

Oatmeal

Consider ditching cereal for warm, gooey oatmeal. Oatmeal will keep you feeling fuller longer, suggests a study in the Journal of the American College of Nutrition. Participants were served 250 calories of cereal or oatmeal with 113 calories of milk. The oatmeal-eaters were satiated longer, and they also experienced a greater  reduction in hunger and a decreased desire to eat compared to ready-to-eat cereal eaters. Why the difference? Oatmeal is higher in fiber and protein and also has higher amounts of beta-glucan–the sugars that give oatmeal its heart-healthy properties, hydration, and molecular weight compared to ready-to-eat cereals.

Water

Being low on H2O can trick you into believing you’re hungry. Why? The symptoms of hunger are similar to those of being dehydrated: low energy, reduced cognitive function, and poor mood. So next time you’re craving an afternoon snack, drink a tall glass of water and wait 10 minutes. Chances are, your hunger pangs will pass, and you’ll have saved hundreds of calories.

SOURCE : news.yahoo.com/12-foods-control-appetite-065940559–abc-news-health.html