Category Archives: Health Care

Fight to curtail antibiotics in animal feed

Fight to curtail antibiotics in animal feed

Consumer advocates have been campaigning for years to curb the use of antibiotics in agriculture, citing studies that show that 70 percent of all U.S. antibiotics are administered in low doses – not to treat disease, but to promote the growth of pigs, sheep, chicken and cattle.

But as early as 1963, British researchers tied the emergence of drug-resistant strains of salmonella in humans to antibiotics fed to cattle.

Related: Raised Without AntibioticsDoctors failing to do no harmGood Germs, Bad Germsarticles on the overuse of antibiotics

From Ghost Writing to Ghost Management in Medical Journals

Ghost Management: How Much of the Medical Literature Is Shaped Behind the Scenes by the Pharmaceutical Industry?

As discussed below, a substantial percentage of medical journal articles (in addition to meeting presentations and other forms of publication, which are not the focus here) are ghost managed, allowing the pharmaceutical industry considerable influence on medical research, and making that research a vehicle for marketing.

Ghost writing and honorary authorship are not in and of themselves scientific problems, though they become so when they shape science to meet particular interests [1]. Some honorary authors are senior professors and chairs of departments, who are added to articles because of local academic politics rather than at the request of drug companies [15,16].

It has been repeatedly and firmly established that pharmaceutical company funding strongly biases published results in favor of the company’s products [17–19]. Ghost management amplifies that bias, because when one set of commercial interests exerts influence at multiple stages of research, writing, and publication, it will shape the resulting article.

This PLoS published essay includes 52 citations of studies in this area.

While they are clear to distinguish drug company influence on authors and other influence, I can see no justification for honorary authorships. Why can’t people just be honest. Is that really too high an expectation for scientists? Academic politics should not trump truth – especially for scientists. I can understand that traditionally claiming authors that were not actually authors has not been uncommon. But what reason is there to be dishonest in this way now? I don’t know of a good reason. Therefore it seems to me this practice should be seen as any other dishonest practice and those interested in finding the truth should stop making dishonest claims of authorship.
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New Questions on Treating Cholesterol

New Questions on Treating Cholesterol

For decades, the theory that lowering cholesterol is always beneficial has been a core principle of cardiology. It has been accepted by doctors and used by drug makers to win quick approval for new medicines to reduce cholesterol.

But now some prominent cardiologists say the results of two recent clinical trials have raised serious questions about that theory — and the value of two widely used cholesterol-lowering medicines, Zetia and its sister drug, Vytorin.

“The idea that you’re just going to lower LDL and people are going to get better, that’s too simplistic, much too simplistic,” said Dr. Eric J. Topol

via: The Cholesterol Mystery

Related: The Study of Bee Colony Collapses ContinuesContradictory Medical StudiesWhy Most Published Research Findings Are FalseLifestyle Drugs and RiskPrescription Drugs to Aid Children’s Sleep

Bacteria Race Ahead of Drugs

Bacteria race ahead of drugs

Dr. Jeff Brooks has been director of the UCSF lab for 29 years, and has watched with a mixture of fascination and dread how bacteria once tamed by antibiotics evolve rapidly into forms that practically no drug can treat.

“We are on the verge of losing control of the situation, particularly in the hospitals,” said Dr. Chip Chambers, chief of infectious disease at San Francisco General Hospital. The reasons for increasing drug resistance are well known:
– Overuse of antibiotics, which speeds the natural evolution of bacteria, promoting new mutant strains resistant to those drugs.
– Careless prescribing of antibiotics that aren’t effective for the malady in question, such as a viral infection.
– Patient demand for antibiotics when they aren’t needed.
– Heavy use of antibiotics in poultry and livestock feed, which can breed resistance to similar drugs for people.

Terry Hazen, senior scientist at Lawrence Berkeley National Laboratory and director of its ecology program, is not at all surprised by the tenacity of our bacterial foes. “We are talking about 3.5 billion years of evolution,” he said. “They are the dominant life on Earth.”

Bacteria have invaded virtually every ecological niche on the planet. Human explorers of extreme environments such as deep wells and mines are still finding new bacterial species. “As you go deeper into the subsurface, thousands and thousands of feet, you find bacteria that have been isolated for millions of years – and you find multiple antibiotic resistance,” Hazen said.

In his view, when bacteria develop resistance to modern antibiotics, they are merely rolling out old tricks they mastered eons ago in their struggle to live in harsh environments in competition with similarly resilient species.

We have written often about the misuse of anti-biotics. This is a serious problem. And it is sad to see yet another example of well know scientific facts being ignored and by so doing threatening the healthy lives of others. i just finished a great book on bacteria and human health – Good Germs, Bad Germs.

Related: articles on the overuse of antibioticsMisuse of antibioticsTuberculosis RiskEvolution is Fundamental to ScienceBlocking Bacteria From Passing Genes to Other BacteriaRaised Without AntibioticsHandwashing by Medical Care Workers

Robot Nurse

Robot nurse under development at Sask. university

In two years, a robot nurse could be trolling hospital hallways, handing out pills or visiting quarantined patients. At least that according to its creator, Reza Fotouhi, who says his robot could well be the answer to worker shortages in the health-care, mining and agriculture fields.

With a video camera on the front end, he could see what was ahead of the machine. The $215,000 project is funded by the Canada Foundation for Innovation and the government of Saskatchewan.

Related: PowerBotRobot Navigation Using PredictionCarnegie Mellon Robotics AcademyArticles on Improving the Health Care SystemHealth Care Now 16% of GDP in USA

Discussing Medical Study Results

Brazilian berry destroys cancer cells in lab, UF study shows:

“Acai berries are already considered one of the richest fruit sources of antioxidants,” Talcott said. “This study was an important step toward learning what people may gain from using beverages, dietary supplements or other products made with the berries.” He cautioned that the study, funded by UF sources, was not intended to show whether compounds found in acai berries could prevent leukemia in people.

“This was only a cell-culture model and we don’t want to give anyone false hope,” Talcott said. “We are encouraged by the findings, however. Compounds that show good activity against cancer cells in a model system are most likely to have beneficial effects in our bodies.”

Other fruits, including grapes, guavas and mangoes, contain antioxidants shown to kill cancer cells in similar studies, he said. Experts are uncertain how much effect antioxidants have on cancer cells in the human body, because factors such as nutrient absorption, metabolism and the influence of other biochemical processes may influence the antioxidants’ chemical activity.

The title the University of Florida gives the press release is misleading I think (even though true). But at least the text provides reasonable caution. We really need to make sure press releases (especially from Universities) don’t focus on hype. Universities need to be held their missions of education which includes helping the public understand science not confusing the public. Dr. Talcott’s page on the Açai berry. Universities are obviously more and more focusing on revenue instead of education – I am sure they will claim to support education… but they need to show that is true.

Related: Cancer Cure, Not so FastWhy Most Published Research Findings Are FalseEat food. Not too much. Mostly plants.

The Science of Happiness

Positive Psychology: The Science of Happiness

People with happy brains have their parents to thank, to a certain extent, not only for happy genes, but also for loving childhoods. Studies have shown that angry or critical parents can actually alter a child’s happiness level until it’s set around age 16.

Scientists have known for decades that a large part of our temperament is genetically pre-determined; by studying the personalities of identical twins they’ve found that about 50 percent of our happiness — or unhappiness — can be traced to our genes. Adding the 40 percent that we can control with our daily thoughts and actions still leaves about 10 percent unaccounted for. This remaining 10 percent is related to our life circumstances, such as where we live, how much money we have, our marital status, and how we look.

This is a very interesting article. Like many social science claims I find these claims more open to question than most other studies – but interesting none-the-less.

Related: The How of Happiness: A Scientific Approach to Getting the Life You Want by Sonja Lyubomirskyposts on psychology from our management blogThe New Science of Happiness (Time)The Science of Happiness (Harvard)Another Paper Questions Scientific Paper Accuracy

New Drug Targets May Fight Tuberculosis in Novel Way

New Drug Targets May Fight Tuberculosis and Other Bacterial Infections in Novel Way

“We have developed the first inhibitor of a key small molecule from Mycobacterium tuberculosis and Mycobacterium leprae (which causes leprosy) utilized to subvert human host’s defenses and damage and invade human host’s cells during infection,” explains study senior author Dr. Luis Quadri, Associate Professor of Microbiology and Immunology at Weill Cornell.

“We are moving beyond antimicrobials such as antibiotics, which kill the bacterium directly, to anti-infectives, that may have no effect against the pathogen in the test tube but which do compromise its ability to infect and spread in the host,” he explains. “We believe that the expansion of the drug armamentarium to include such anti-infective drugs could help the fight against multi-drug resistant infection that has become such a challenge today.”

“I believe that drugs targeting virulence factors are just one component of the paradigm shift in the antimicrobial drug discovery for the 21st century—one that will offer patients more options in the fight against truly global killers,” he says.

Related: Entirely New Antibiotic DevelopedTuberculosis RiskDisrupting the Replication of BacteriaAntibiotic Discovery Stagnates

Scientists Cure Mice Of Sickle Cell Using Stem Cell Technique

Scientists Cure Mice Of Sickle Cell Using Stem Cell Technique

Using a recently developed technique for turning skin cells into stem cells, scientists have cured mice of sickle cell anemia — the first direct proof that the easily obtained cells can reverse an inherited, potentially fatal disease.

researchers also cautioned that aspects of the new approach will have to be changed before it can be tried in human patients. Most important, the technique depends on the use of gene-altered viruses that have the potential to trigger tumor growth. “The big issue is how to replace these viruses,” said Rudolf Jaenisch of the Whitehead Institute for Biomedical Research in Cambridge, Mass., who led the new work with co-worker Jacob Hanna and Tim M. Townes of the University of Alabama Schools of Medicine and Dentistry in Birmingham.

The researchers converted those skin cells into iPS cells by infecting them with viruses engineered to change the cells’ gene activity so they would resemble embryonic cells. Using DNA splicing techniques in those cells, the researchers then snipped out the small mutated stretches of DNA that cause sickle cell disease and filled those gaps with bits of DNA bearing the proper genetic code.

Next, the researchers treated the corrected iPS cells with another kind of virus — this time one designed to induce a genetic change that encouraged the cells to mature into bone marrow cells.

Finally, each mouse that gave up a few skin cells at the beginning of the experiment was given an infusion with the corrected marrow cells created from its own skin cells. Those cells set up permanent residence in the animals’ bones and began producing blood cells — the major function of marrow cells — and releasing them by the millions into the circulatory system.

But now the blood cells being produced were free of the sickle cell mutation.

Antibacterial Chemical Disrupts Hormone Activities

Antibacterial Chemical Disrupts Hormone Activities:

A new UC Davis study shows that a common antibacterial chemical added to bath soaps can alter hormonal activity in rats and in human cells in the laboratory — and does so by a previously unreported mechanism.

The findings come as an increasing number of studies — of both lab animals and humans — are revealing that some synthetic chemicals in household products can cause health problems by interfering with normal hormone action. Called endocrine disruptors, or endocrine disrupting substances (EDS), such chemicals have been linked in animal studies to a variety of problems, including cancer, reproductive failure and developmental anomalies.

The researchers found two key effects: In human cells in the laboratory, triclocarban increased gene expression that is normally regulated by testosterone. And when male rats were fed triclocarban, testosterone-dependent organs such as the prostate gland grew abnormally large. Also, the authors said their discovery that triclocarban increased hormone effects was new. All previous studies of endocrine disruptors had found that they generally act by blocking or decreasing hormone effects.

In their disclosure statement, the authors report that six of them have taken steps to patent their findings through the University of California.

Research paper Triclocarban enhances testosterone action: A new type of endocrine disruptor?.

Related: Killing Germs May Be Hazardous to Your HealthAntibacterial Soaps are BadAntibacterial Products May Do More Harm Than GoodFlushed Drugs Pollute Water