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Showing posts from April, 2023

'Eat, sleep, console' reduces hospital stay and need for medication among opioid-exposed infants

Researchers have found the "Eat, Sleep, Console" (ESC) care approach to be more effective than using the Finnegan Neonatal Abstinence Scoring Tool (FNAST) to assess and manage opioid-exposed newborns, according to a national, randomized controlled clinical trial. source https://medicalxpress.com/news/2023-04-console-hospital-stay-medication-opioid-exposed.html

European paediatricians sound alarm over medicine shortage

Paediatricians from European countries have raised the alarm over a shortage of medicines for children including antibiotics and asthma treatment, warning it was endangering health. source https://medicalxpress.com/news/2023-04-european-paediatricians-alarm-medicine-shortage.html

Transgender women are still at risk for prostate cancer

Transgender women keep their prostates even after gender-affirming surgery, but the extent to which they remain at risk of prostate cancer has been unclear. source https://medicalxpress.com/news/2023-04-transgender-women-prostate-cancer.html

Clouds carry drug-resistant bacteria across distances: study

For a team of Canadian and French researchers, dark clouds on the horizon are potentially ominous not because they signal an approaching storm—but because they were found in a recent study to carry drug-resistant bacteria over long distances. source https://medicalxpress.com/news/2023-04-clouds-drug-resistant-bacteria-distances.html

New method improves accuracy of DNA sequencing 1,000-fold to detect rare genetic mutations

A team of researchers at the Broad Institute of MIT and Harvard has developed a new approach to next-generation sequencing that detects genetic mutations within single molecules of DNA. source https://medicalxpress.com/news/2023-04-method-accuracy-dna-sequencing-fold.html

Study challenges long-held beliefs about the roles of short-term and long-term memories

Would it surprise you to learn that short-term motor memories that last less than a minute play a bigger role than long-term ones in relearning movements after you've forgotten them? If so, you're not alone: the Harvard John A. Paulson School of Engineering and Applied Sciences (SEAS) scientists who discovered this were also amazed at the finding. source https://medicalxpress.com/news/2023-04-long-held-beliefs-roles-short-term-long-term.html

MRI imaging method captures brain glucose metabolism without administering radioactive substances

Metabolic disorders play a central role in many common conditions, including Alzheimer's, depression, diabetes and cancer, which call for reliable as well as non-invasive diagnostic procedures. Until now, radioactive substances have been administered as part of the process of mapping glucose metabolism in the brain. source https://medicalxpress.com/news/2023-04-mri-imaging-method-captures-brain.html

What to know about tick, Lyme season following a mild winter

After a mild winter in the U.S., will there be an uptick in ticks this year? source https://medicalxpress.com/news/2023-04-lyme-season-mild-winter.html

Findings call into question recommendations that imply all sources of fructose-containing sugars carry the same risk

The role of sugars in public health continues to be urgently debated among nutrition scientists and health professionals—yet the science behind the effects of various fructose-containing sugars (e.g., sucrose/table sugar, high-fructose corn syrup, fructose/fruit sugar) on overweight and obesity has been unclear. A new comprehensive review, "Important food sources of fructose-containing sugars and adiposity: a systematic review and meta-analysis of controlled feeding trials," recently published in The American Journal of Clinical Nutrition, elevates the importance of focusing on the types of foods and diets consumed, as well as total calories, when associating consumption of sugars with weight gain. source https://medicalxpress.com/news/2023-04-imply-sources-fructose-containing-sugars.html

Black youth most likely to receive drug restraints for mental health

Non-Hispanic Black youth between the ages of 5 and 18 years old are more likely to undergo pharmacologic restraint during mental health crises than children of other races and ethnicities. The findings will be presented at the Pediatric Academic Societies (PAS) 2023 Meeting, held April 27-May 1 in Washington, D.C. source https://medicalxpress.com/news/2023-04-black-youth-drug-restraints-mental.html

Gut microbiome fluctuates throughout the day and across seasons, finds study

The balance of microbes in the human gut varies substantially from morning to night and even more by season—with profound fluctuations completely transforming the microbiome from summer to winter, according to a study to be presented at Digestive Disease Week (DDW) 2023. source https://medicalxpress.com/news/2023-04-gut-microbiome-fluctuates-day-seasons.html

My scan shows I have thyroid nodules. Should I be worried?

The thyroid is a gland located at the base of the neck. It makes thyroid hormones, which control the way the body uses energy. source https://medicalxpress.com/news/2023-04-scan-thyroid-nodules.html

Long COVID Treatment Not ‘One-Size-Fits-All’

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A study has found what many patients and doctors are already discovering: There is no single treatment for long COVID, and many different patients are having many different symptoms. source https://www.webmd.com/covid/news/20230420/long-covid-treatment-not-one-size-fits-all?src=RSS_PUBLIC

How a team approach to the early childhood obesity epidemic creates success

A new study by researchers at the Friedman School of Nutrition Science and Policy at Tufts University and others shows how bringing together coalitions of individuals from government, public health, health care, public education, and other arenas to address a public health issue can result in better policies, systems, and environments for change. source https://medicalxpress.com/news/2023-04-team-approach-early-childhood-obesity.html

Plastic particles themselves, not just chemical additives, can alter sex hormones

Amid rising evidence that additives designed to improve plastics also disrupt sex hormones, a Rutgers laboratory trial shows that plastic itself can do likewise when inhaled at moderate levels. source https://medicalxpress.com/news/2023-04-plastic-particles-chemical-additives-sex.html

Study leads to first positive surgical trial in the deadliest type of stroke

The results of a promising surgical treatment for hemorrhagic strokes, led by researchers at Emory University School of Medicine since 2017, were announced Saturday in a late-breaking clinical trial presentation at the American Association of Neurological Surgeons (AANS) meeting in Los Angeles. source https://medicalxpress.com/news/2023-04-positive-surgical-trial-deadliest.html

Preschool Ear, Nose, and Throat Problems Linked with Autism

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Very young children who have common ear and upper respiratory problems appear to have an increased risk of being diagnosis of autism or showed high levels of autism traits, according to a new study. source https://www.webmd.com/brain/autism/news/20230426/ear-nose-and-throat-problems-linked-with-autism?src=RSS_PUBLIC

EU unveils reforms for cheaper drugs and to avoid shortages

The EU on Wednesday unveiled a long-awaited proposed reform of legislation governing pharmaceutical drugs to make them cheaper, prevent shortages and boost new antibiotic production. source https://medicalxpress.com/news/2023-04-eu-unveils-reforms-cheaper-drugs.html

Killing is their job: Two studies analyze natural killer cells as they tackle the worst form of malaria

Scientists are unraveling the complex mystery underlying how the immune system mounts a potent defense against one of the world's most relentless killers—the deadly parasites that cause the worst form of malaria. source https://medicalxpress.com/news/2023-04-job-natural-killer-cells-tackle.html

How the tumor microenvironment stimulates pancreatic cancer growth and progression

Pancreatic cancers are deadly and hard to treat, in part because they are so often detected at an advanced stage; overall five-year survival rates are about 11%. Two separate labs at Boston Children's Hospital took out-of-the-box approaches to this difficult cancer, and both uncovered some very promising leads. source https://medicalxpress.com/news/2023-04-tumor-microenvironment-pancreatic-cancer-growth.html

Drugmaker GSK says EU to review womb cancer treatment

British pharmaceutical giant GSK said on Tuesday that the EU's drug watchdog will study a new treatment for a common type of womb cancer for potential approval in the European market. source https://medicalxpress.com/news/2023-04-drugmaker-gsk-eu-womb-cancer.html

How the brain controls blood flow during sleep

Even while we are asleep, the brain does not rest completely. Surprisingly, the blood flow in a sleeping brain can be greater than when it is in a wakeful state. This allows the brain to remove waste metabolites, which is important to prevent the development and progression of neurological dysfunctions such as dementia. However, the exact mechanism of how the sleeping brain increases blood flow has not been known. source https://medicalxpress.com/news/2023-04-brain-blood.html

Research reveals brain pathway that signals when we have made a mistake and facilitates better future decision-making

The Nobel prize winning physicist Niels Bohr once said, "An expert is a (person) that has made all the mistakes that can be made in a narrow field." This idea, that to master a skill we must learn from our mistakes and avoid making them in future, has long been recognized; however, the brain mechanisms and pathways that control this ability have been poorly understood. source https://medicalxpress.com/news/2023-04-reveals-brain-pathway-future-decision-making.html

Global prevalence of H. pylori infection has steadily declined over 40 years

A research team led by Professor Leung Wai-keung from Department of Medicine, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong (HKUMed) and the Baylor College of Medicine of the United States found that Helicobacter pylori (H. pylori) infection around the world has been steadily declining over the past four decades, thus offering a comprehensive, updated epidemiology of H. pylori infection. The study has been published in The Lancet Gastroenterology & Hepatology. source https://medicalxpress.com/news/2023-04-global-prevalence-pylori-infection-steadily.html

Mechanism of PTEN deficient breast cancer detailed, suggesting improved therapeutics

A group of researchers led by the Dana-Farber Cancer Institute, Boston, has illustrated the mechanistic pathway for PTEN-deficient breast cancer and successfully tested a method of countering the downstream effects of immune system evasion by tumors. source https://medicalxpress.com/news/2023-04-mechanism-pten-deficient-breast-cancer.html

Novel treatment regimen appears well tolerated, beneficial to children with relapsed brain tumors

The first in-human-study of a new immunotherapy that blocks a natural enzyme tumors commandeer for their protection was well tolerated by children with relapsed brain tumors and enabled many to have unexpected months of a more normal life, researchers say. source https://medicalxpress.com/news/2023-04-treatment-regimen-tolerated-beneficial-children.html

Landmark Malawi trial boosts iron levels in pregnant women

The World Health Organization (WHO) currently recommends oral iron taken twice daily as the standard of care in developing nations, but adherence to this treatment is poor. source https://medicalxpress.com/news/2023-04-landmark-malawi-trial-boosts-iron.html

Study suggests that maintaining normal vitamin D levels may benefit patients with advanced skin cancer

New research indicates that for patients with advanced skin cancer, it may be important to maintain normal vitamin D levels when receiving immunotherapy medications called immune checkpoint inhibitors. The findings are published by Wiley online in CANCER, a peer-reviewed journal of the American Cancer Society. source https://medicalxpress.com/news/2023-04-vitamin-d-benefit-patients-advanced.html

Drug combination restores ability of leading treatment to signal for death of blood cancer cells

Despite the promise of new medications that promote cancer cell death in people with acute myeloid leukemia, leukemic cells often adopt features that let them evade the drugs' effects within a year. source https://medicalxpress.com/news/2023-04-drug-combination-ability-treatment-death.html

Single CT scan in kids low risk for cancers, but 4 or more CTs increases risk

For children under age 18 years, a single computed tomography (CT) scan is not associated with an increased risk of brain tumours, leukemia or lymphoma, but exposure to 4 or more scans before adulthood more than doubles the risk, according to new research in Canadian Medical Association Journal (CMAJ). source https://medicalxpress.com/news/2023-04-ct-scan-kids-cancers-cts.html

Self-fitting, over-the-counter hearing aids beneficial

Self-fitting, over-the-counter (OTC) hearing aids produce self-reported and clinical outcomes similar to those of audiologist-fitted hearing aids for adults with mild-to-moderate hearing loss, according to a study published online April 13 in JAMA Otolaryngology-Head & Neck Surgery. source https://medicalxpress.com/news/2023-04-self-fitting-over-the-counter-aids-beneficial.html

Inflammation 'brake' gene may help reveal outcomes of kidney disease

A discovery about gene variants of an inflammation 'brake' brings scientists a step closer to personalised treatment for patients at risk of kidney disease and kidney failure. source https://medicalxpress.com/news/2023-04-inflammation-gene-reveal-outcomes-kidney.html

Engineering team develops multifunctional tendon-mimetic hydrogels

Repairing or replacing injured tendons or similar load-bearing tissues represents one of the major challenges in clinical medicine. Natural tendons are water-rich tissues exhibiting outstanding mechanical strength and durability. Their mechanical properties originate from sophisticated microscale structures involving stiff collagen fibrils aligned in parallel and interlaced with soft water-retaining biopolymers. source https://medicalxpress.com/news/2023-04-team-multifunctional-tendon-mimetic-hydrogels.html

Research unveils paths to stopping cytokine storms in COVID-19

Scientists have uncovered a new understanding of how COVID-19 causes severe multi-organ injury in some patients and the pathways to stopping the cytokine storms behind them, according to new research published today in the Journal of Clinical Investigation Insight. source https://medicalxpress.com/news/2023-04-unveils-paths-cytokine-storms-covid-.html

Rate of U.S. Kids Attempting Suicide by Overdose Rose During Pandemic

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Suspected suicide attempts by poisoning in 10- to 19-year-olds that were reported to poison centers increased by 30% in 2021. source https://www.webmd.com/children/news/20230421/rate-of-us-kids-attempting-suicide-by-overdose-rose-during-pandemic?src=RSS_PUBLIC

The first year of the COVID-19 pandemic had negative health and mental health effects on group home workers

Group homes are therapeutic environments that are critical to the care of patients with severe mental illness (SMI) and/or intellectual or developmental disabilities. source https://medicalxpress.com/news/2023-04-year-covid-pandemic-negative-health.html

Pandemic Saw Rise in Mistrust of Childhood Vaccines Worldwide

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A new UNICEF report reveals a significant decline in the public's faith in the importance of childhood vaccines. source https://www.webmd.com/children/vaccines/news/20230421/pandemic-saw-rise-in-mistrust-of-childhood-vaccines-worldwide?src=RSS_PUBLIC

Scientists use genetics to dig into a tumor's past

For patients with some types of cancer, diagnosis can happen at an advanced stage. While a tumor grows unnoticed, it accumulates hundreds to thousands of mutations, making it difficult for scientists studying late-stage cancers to figure out which ones contributed to tumor growth at the earlier stages of cancer. Knowing more about the genetic events that take place during the progression to cancer can help scientists engineer more realistic cell and animal models of the disease and even develop better ways to detect and treat it early. source https://medicalxpress.com/news/2023-04-scientists-genetics-tumor.html

US Supreme Court to weigh in on abortion pill access

The US Supreme Court was poised to wade into the divisive battle over the abortion drug mifepristone with a ruling due Friday on lower court-ordered restrictions on the widely used pill. source https://medicalxpress.com/news/2023-04-supreme-court-abortion-pill-access.html

Bioinformatic exploration of perivascular space discovers 24 genomic risk loci

An international team of 79 researchers have collaborated on a study published in Nature Medicine to delve into perivascular spaces (PVS), a poorly understood artifact seen in magnetic resonance imaging of cerebral small vessel disease, a leading cause of stroke and dementia. source https://medicalxpress.com/news/2023-04-bioinformatic-exploration-perivascular-space-genomic.html

What a Doctor Wants You to Know About Ulcerative Colitis

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From treatment to remission, symptoms to support, here’s what a doctor who treats it every day wants you to know about ulcerative colitis. source https://www.webmd.com/ibd-crohns-disease/ulcerative-colitis/features/uc-doctor-know?src=RSS_PUBLIC

WHO hails Africa's first mRNA vaccine hub

Africa's first mRNA vaccine hub was ceremonially launched on Thursday to acclaim from the UN's global health chief, who hailed it as a historic shift to help poor countries gain access to life-saving jabs. source https://medicalxpress.com/news/2023-04-hails-africa-mrna-vaccine-hub.html

CDC Backs Call for Second COVID Booster for High Risk People

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The agency said that people at higher risk — such as the immunocompromised and those over age 65 — could choose to get a second booster shot before this fall. source https://www.webmd.com/covid/news/20230420/cdc-backs-call-for-second-covid-booster?src=RSS_PUBLIC

67 million children missed out on vaccines because of COVID: UNICEF

Some 67 million children partially or fully missed routine vaccines globally between 2019 and 2021 because of lockdowns and health care disruptions caused by the COVID-19 pandemic, the United Nations said Wednesday. source https://medicalxpress.com/news/2023-04-million-children-vaccines-covid-unicef.html

Researchers develop a small desktop robot for older adults

Researchers from the Universitat Politècnica de València (UPV), belonging to the Valencian Institute of Artificial Intelligence (VRAIN), have developed a new prototype of a small desktop robot for older adults that can monitor their physical and mental state and recommend different exercises to contribute to their well-being. source https://medicalxpress.com/news/2023-04-small-desktop-robot-older-adults.html

Study indicates link between tech use, anxiety, depression in older adults

Using data collected from the National Health and Aging Trends Study, Harvard Medical School researchers at Brigham and Women's Hospital explored the various communication patterns that adults age 65 and older reported having with friends, family, and health care providers during the COVID-19 pandemic. source https://medicalxpress.com/news/2023-04-link-tech-anxiety-depression-older.html

France 'risks' abortion pill shortage as US stocks up: gender body

France risks shortages of abortion pills as US states build up stocks during an intensifying legal and political battle over reproductive rights, the country's gender equality authority has warned. source https://medicalxpress.com/news/2023-04-france-abortion-pill-shortage-stocks.html

Black and socioeconomically disadvantaged patients with vascular disease have worse symptoms, bypass outcomes

A Michigan Medicine study finds that Black and socioeconomically disadvantaged patients with a common vascular disease have more severe symptoms before bypass surgery—and are at greater risk for amputation and other complications after the procedure. source https://medicalxpress.com/news/2023-04-black-socioeconomically-disadvantaged-patients-vascular.html

Prenatal depression may be linked to cardiovascular disease after childbirth

Individuals who were diagnosed with depression during pregnancy were more likely to be diagnosed with cardiovascular disease within two years after giving birth than individuals without depression, according to new research published today in the Journal of the American Heart Association. source https://medicalxpress.com/news/2023-04-prenatal-depression-linked-cardiovascular-disease.html

Young adults with cancer at greater risk for HPV-related cancers

A team of researchers at Huntsman Cancer Institute and the University of Utah (the U) found that human papillomavirus-related cancer diagnoses are more common in adolescent and young adults (AYAs) who have previously had cancer. The team is led by Anne Kirchhoff, Ph.D., MPH, investigator in the Cancer Control and Population Sciences Research Program and associate professor of pediatrics at the U. source https://medicalxpress.com/news/2023-04-young-adults-cancer-greater-hpv-related.html

How a gut microbe can exacerbate obesity

RIKEN researchers have discovered how a species of gut microbe exacerbates obesity in mice fed a high-fat diet. Now published in Cell Metabolism, this finding could help scientists develop new ways of treating obesity via the microbiome. source https://medicalxpress.com/news/2023-04-gut-microbe-exacerbate-obesity.html

Good sleep is key to pre-teen mental health, confirms study

For many kids, the period between childhood and early adolescence can be difficult. source https://medicalxpress.com/news/2023-04-good-key-pre-teen-mental-health.html

Resident T-cells key to Salmonella immunity, shows study

Salmonella infections cause about a million deaths a year worldwide, and there is an urgent need for better vaccines for both typhoid fever and non-typhoidal Salmonella disease. New work from researchers at the UC Davis School of Veterinary Medicine shows how memory T cells, crucial for a vaccine that induces a powerful immune response, can be recruited into the liver in a mouse model of Salmonella. source https://medicalxpress.com/news/2023-04-resident-t-cells-key-salmonella-immunity.html

Italy probes BAT, Amazon over heated tobacco ad

Italy's competition authority said Tuesday it was investigating British American Tobacco's Italian division and online giant Amazon for alleged misleading advertising of a heated tobacco product. source https://medicalxpress.com/news/2023-04-italy-probes-amazon-tobacco-ad.html

Novel score predicts heart failure improvement after atrial fibrillation ablation

A score based on four readily available clinical and imaging parameters identifies the heart failure patients who benefit most from atrial fibrillation ablation, according to late breaking science presented at EHRA 2023, a scientific congress of the European Society of Cardiology (ESC). source https://medicalxpress.com/news/2023-04-score-heart-failure-atrial-fibrillation.html

Novel ablation strategy improves freedom from arrhythmias in atrial fibrillation patients

An innovative three-step ablation approach including ethanol infusion of the vein of Marshall improves freedom from arrhythmias in patients with persistent atrial fibrillation compared to pulmonary vein isolation (PVI) alone, according to late breaking science presented at EHRA 2023. Preliminary results at 10 months are presented, with follow up ongoing until 12 months. source https://medicalxpress.com/news/2023-04-ablation-strategy-freedom-arrhythmias-atrial.html

False Promise of Vaginal Laser Therapy in Breast Cancer Patients

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A study of breast cancer survivors with genitourinary syndrome of menopause, or GSM, found that vaginal laser "rejuvenation" therapy didn’t help with sexual function. source https://www.webmd.com/breast-cancer/news/20230417/false-promise-of-vaginal-laser-therapy?src=RSS_PUBLIC

Effort underway to develop first US guidelines for ADHD in adults

The number of diagnosed cases of attention-deficit/hyperactivity disorder (ADHD) have increased significantly among adults in the United States within the past decade, which could be due to many factors, including overdiagnosis. A recent JAMA study found that diagnoses of ADHD in adults are growing four times faster than in children. source https://medicalxpress.com/news/2023-04-effort-underway-guidelines-adhd-adults.html

A highly sensitive, wearable piezoelectric blood pressure sensor for continuous health monitoring

A KAIST research team led by Professor Keon Jae Lee from the Department of Materials Science and Engineering and the College of Medicine of the Catholic University of Korea has developed a highly sensitive, wearable piezoelectric blood pressure sensor. source https://medicalxpress.com/news/2023-04-highly-sensitive-wearable-piezoelectric-blood.html

Treatment as prevention works: HIV infections down by 66% in NSW and Victoria

Increasing treatment access and reducing undiagnosed infections is vital for combatting HIV, UNSW researchers have shown. source https://medicalxpress.com/news/2023-04-treatment-hiv-infections-nsw-victoria.html

New genetic target for male contraception identified

Discovery of a gene in multiple mammalian species could pave the way for a highly effective, reversible and non-hormonal male contraceptive for humans and animals. source https://medicalxpress.com/news/2023-04-genetic-male-contraception.html

Teen jobs: Some parents cautious about negative impact on grades, sleep and social life

For many teens, that first formal job as a fast-food cashier, barista or lifeguard is a rite of passage. source https://medicalxpress.com/news/2023-04-teen-jobs-parents-cautious-negative.html

Detailed guidance on natural pacemaker method published today

An international consensus statement on the safest and most effective way to implant a pacing system that mimics the heart's normal function is published today in EP Europace, a journal of the European Society of Cardiology (ESC). The document is being launched at the EHRA Conduction System Pacing (CSP) Summit and will be discussed during EHRA 2023, a scientific congress of the ESC. source https://medicalxpress.com/news/2023-04-guidance-natural-pacemaker-method-published.html

UK nurses prepared to strike until Christmas: union leader

Nurses in Britain are prepared to strike until Christmas if they cannot reach a deal with the government on pay, the leader of the country's main nursing union said on Sunday. source https://medicalxpress.com/news/2023-04-uk-nurses-christmas-union-leader.html

Disturbed sleep may partially explain long COVID breathlessness

A major UK study has discovered that the disturbed sleep patterns in patients hospitalized with COVID-19 was likely to be a driver of breathlessness. source https://medicalxpress.com/news/2023-04-disturbed-partially-covid-breathlessness.html

Potential 'game-changer' in diagnosing Parkinson's disease

A certain protein builds up in the brains of most Parkinson's patients, a study confirmed on Thursday using a new technique hailed as a potential "game-changer" that could point towards a way to test for the debilitating disease. source https://medicalxpress.com/news/2023-04-potential-game-changer-parkinson-disease.html

Some Bear Facts That Could Help Prevent Human Strokes

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Long periods of immobility can put people at risk of dangerous blood clots — yet hibernating bears lie around for months without any problem. Now scientists think they've figured out why. source https://www.webmd.com/stroke/news/20230414/some-bear-facts-that-could-help-prevent-human-strokes?src=RSS_PUBLIC

Data suggest chronic health conditions in incarcerated people in the US may be severely undertreated

Chronic conditions such as type 2 diabetes, asthma, HIV infection, and mental illness may be greatly undertreated in the U.S. jail and prison population, suggests a new study from researchers at the Johns Hopkins Bloomberg School of Public Health. source https://medicalxpress.com/news/2023-04-chronic-health-conditions-incarcerated-people.html

Rescuing corneal cells from death with the help of mitochondria

Fuchs' endothelial corneal dystrophy, a degenerative eye disease, causes progressive vision loss that can induce blindness. It is the leading cause of corneal transplantation, but the scarcity of grafts hinders its treatment. A research team from Université Laval and Université de Montréal has identified a way to slow the disease and even avoid transplantation if diagnosed at an early stage. source https://medicalxpress.com/news/2023-04-corneal-cells-death-mitochondria.html

Researchers invent novel ingestible capsule X-ray dosimeter for real-time radiotherapy monitoring

Gastric cancer is one of the most common cancers worldwide. A new invention by researchers from the National University of Singapore (NUS) could help improve the treatment of this cancer by enhancing the precision of radiotherapy, which is commonly used in combination with treatment options such as surgery, chemotherapy or immunotherapy. source https://medicalxpress.com/news/2023-04-ingestible-capsule-x-ray-dosimeter-real-time.html

Select cells 'home in on the skin like guided missiles' at birth to enhance immunity

Certain immune cells possess a homing property that directs them to the skin at birth to protect the baby, researchers from The University of Texas Health Science Center at San Antonio (UT Health San Antonio) discovered. source https://medicalxpress.com/news/2023-04-cells-home-skin-missiles-birth.html

Less painful, more convenient antibody treatments

Antibody treatments exist for many diseases, but require injections or IV infusions, which are painful, inconvenient and carry risks. Now, a team of researchers at the University of Connecticut has created a way to deliver multiple doses of antibodies over a period of weeks using a small, biodegradable skin patch instead. source https://medicalxpress.com/news/2023-04-painful-convenient-antibody-treatments.html

Had COVID? Part of the Virus May Stick Around in Your Brain

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Investigators discovered the spike protein from the virus in brain tissue of animals and people after death. The finding suggests these virus fragments build up, stick around, and trigger inflammation that causes long COVID symptoms. source https://www.webmd.com/covid/news/20230413/part-of-coronavirus-may-stick-around-the-brain?src=RSS_PUBLIC

How cancer cells muscle their way into other organs

The biomechanics of how cancer cells escape from the bloodstream to invade other organs has been described for the first time by researchers from UCL, MIT and their collaborators. source https://medicalxpress.com/news/2023-04-cancer-cells-muscle.html

A new peptide may hold potential as an Alzheimer's treatment

MIT neuroscientists have found a way to reverse neurodegeneration and other symptoms of Alzheimer's disease by interfering with an enzyme that is typically overactive in the brains of Alzheimer's patients. source https://medicalxpress.com/news/2023-04-peptide-potential-alzheimer-treatment.html

Test

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Test source https://www.webmd.com/news/20230413/release-test-news?src=RSS_PUBLIC

Malaria vaccine gets green light for use in Ghana

A malaria vaccine developed by Britain's Oxford University is to be used in Ghana, the first time it has received regulatory clearance anywhere in the world. source https://medicalxpress.com/news/2023-04-malaria-vaccine-green-ghana.html

Millions with opioid addiction don't receive residential treatment, finds study

Approximately 7 million adults in the U.S. are living with opioid use disorder (OUD). Yet a new Northwestern Medicine study that measured residential treatment use among Medicaid enrollees across nine states found only 7% of enrollees with OUD received residential treatment, an integral part of the recovery process for many. source https://medicalxpress.com/news/2023-04-millions-opioid-addiction-dont-residential.html

Tai chi chuan may be effective against cognitive decline, study suggests

Mild cognitive impairment (MCI), the transition period before dementia, have shown a tendency to go hand-in-hand with type 2 diabetes (T2D); about 45% of individuals with T2D also have MCI. Tai chi chuan is an increasingly popular multimodal mind-body exercise consisting of slow, deliberate physical movements combined with meditative practices. source https://medicalxpress.com/news/2023-04-tai-chi-chuan-effective-cognitive.html

Self-folding surgical tools fit through a catheter for minimally invasive surgical procedures

A camel cannot go through the eye of a needle. But researchers at ETH Zurich have now achieved something that—figuratively speaking—comes quite close. They have developed a new approach to minimally invasive surgical instruments, allowing large objects to be brought into the body through a narrow catheter. Their demonstration study has been published in the journal Nature Communications. source https://medicalxpress.com/news/2023-04-self-folding-surgical-tools-catheter-minimally.html

Pregnant women show robust and variable immunity during COVID-19, study finds

While pregnant women are at greater risk of getting sick from COVID-19, little was known about how the immune system responds to the infection during pregnancy. New research from the Peter Doherty Institute for Infection and Immunity (Doherty Institute) has found that pregnant women display a strong immune response to SARS-CoV-2 infection, comparable to that of non-pregnant women. source https://medicalxpress.com/news/2023-04-pregnant-women-robust-variable-immunity.html

Global type 1 diabetes burden remains high despite advances

The past few years have seen numerous advances in the understanding of how type 1 diabetes develops and how to manage it, yet the global disease burden remains high, according to a review article published April 5 in The Lancet. source https://medicalxpress.com/news/2023-04-global-diabetes-burden-high-advances.html

New approach to fighting fetal brain dysfunction

A team from the Nagoya University Graduate School of Medicine in Japan has uncovered new information about how microglia, the resident immune cells in the brain, colonize the brain during the embryonic stage of development. Although erythromyeloid progenitors (EMPs) were previously thought to divide into either microglia or macrophages, the group found that macrophages that enter the brain primordium—the brain in its earliest recognizable stage of development—can become microglia at later stages of development. source https://medicalxpress.com/news/2023-04-approach-fetal-brain-dysfunction.html

Education and peer support cut binge-drinking by National Guard members in half, study shows

A new study shows promise for reducing risky drinking among Army National Guard members over the long term, potentially improving their health and readiness to serve. source https://medicalxpress.com/news/2023-04-peer-binge-drinking-national-members.html

Mitochondria power supply failure may cause age-related cognitive impairment

Brains are like puzzles, requiring many nested and co-dependent pieces to function well. The brain is divided into areas, each containing many millions of neurons connected across thousands of synapses. These synapses, which enable communication between neurons, depend on even smaller structures: message-sending boutons (swollen bulbs at the branch-like tips of neurons), message-receiving dendrites (complementary branch-like structures for receiving bouton messages), and power-generating mitochondria. To create a cohesive brain, all these pieces must be accounted for. source https://medicalxpress.com/news/2023-04-mitochondria-power-failure-age-related-cognitive.html

Updated guidance: Antimicrobial stewardship programs essential for preventing C. difficile in hospitals

Five medical organizations say it is essential that hospitals establish antimicrobial stewardship programs to prevent Clostridioides difficile (C. difficile) infections. These infections, linked to antibiotic use, cause difficult-to-treat diarrhea, longer hospital stays, and higher costs. C. difficile infections are fatal for more than 12,000 people in the United States each year. source https://medicalxpress.com/news/2023-04-guidance-antimicrobial-stewardship-essential-difficile.html

Impact of coronavirus on states' fertility rates tracked with economic, social, and political divides

Experts have found that at the start of the COVID-19 outbreak in early 2020, Americans chose not to become pregnant as they grappled with stay-at-home restrictions, anxiety, and economic hardship. Now, a new study led by researchers at NYU Grossman School of Medicine shows that some states actually experienced steeper decreases in fertility than others. source https://medicalxpress.com/news/2023-04-impact-coronavirus-states-fertility-tracked.html

Investigating the neural interactions characterized by flow experience in Chinese calligraphic handwriting

Chinese calligraphic handwriting (CCH) is an ancient, expressive art of writing Chinese characters that has been deemed as an intangible cultural heritage by UNESCO. source https://medicalxpress.com/news/2023-04-neural-interactions-characterized-chinese-calligraphic.html

Gene expression signatures indicate loss of function by master regulators of the genome

Second only to the notorious TP53 gene, the genes for assemblages known as mSWI/SNF protein complexes are the most frequently mutated entities in cancer cells. Made up of 10 to 15 subunits, the complexes are built from the activity of 29 individual genes. source https://medicalxpress.com/news/2023-04-gene-signatures-loss-function-master.html

Researchers reveal key mechanism of natural killer cell dysfunction

A team has revealed the key mechanism of the loss of membrane protrusions on intratumoral natural killer (NK) cells, which impairs their ability to recognize and kill tumor cells, providing a new strategy for NK cell-based immunotherapy. This work was published in Nature Immunology. source https://medicalxpress.com/news/2023-04-reveal-key-mechanism-natural-killer.html

More US gunshot victims dying before reaching a hospital

A growing percentage of gunshot wound victims in the United States are dying before they reach the hospital, a study by researchers at the University of Washington School of Medicine in Seattle has found. source https://medicalxpress.com/news/2023-04-gunshot-victims-dying-hospital.html

Identifying cancer genes' multiple personalities

Mutations in our genes can lead to severe problems, like colon or liver cancer. But cancer is very complex. Mutations in the same genes can lead to different subtypes of tumors in different people. Currently, scientists don't have a good way to produce such tumor subtypes for study in the lab. source https://medicalxpress.com/news/2023-04-cancer-genes-multiple-personalities.html

Non-biological factors and social determinants of health important in women's CVD risk assessment

Non-biological factors and social determinants of health are important to include in CVD risk assessment for women, particularly for women of diverse races and ethnicities other than white, according to a new American Heart Association scientific statement published today in Circulation, the Association's flagship, peer-reviewed journal. source https://medicalxpress.com/news/2023-04-non-biological-factors-social-health-important.html

Targeted testing for HIV in hospital emergency departments has great potential, researchers say

Targeted testing for HIV in emergency departments has great potential for increasing diagnoses, this year's European Congress of Clinical Microbiology & Infectious Diseases (ECCMID) in Copenhagen, Denmark, (15-18 April), will hear. source https://medicalxpress.com/news/2023-04-hiv-hospital-emergency-departments-great.html

Report: Florida officials cut key data from vaccine study

An analysis that was the basis of a highly criticized recommendation from Florida's surgeon general cautioning young men against getting the COVID-19 vaccine omitted information that showed catching the virus could increase the risk of a cardiac-related death much more than getting the mRNA shot, according to drafts of the analysis obtained by the Tampa Bay Times. source https://medicalxpress.com/news/2023-04-florida-key-vaccine.html

China health officials lash out at WHO, defend virus search

Chinese health officials defended their search for the source of the COVID-19 virus and lashed out Saturday at the World Health Organization after its leader said Beijing should have shared genetic information earlier. source https://medicalxpress.com/news/2023-04-china-health-lash-defend-virus.html

Predicting mRNA degradation to improve vaccine stability

Messenger Ribonucleic Acid (mRNA) as a therapeutic approach is gaining momentum due to its ability to be rapidly manufactured and its promising outcomes. mRNA-based vaccines, for instance, played a crucial role in the fight against COVID-19 in many parts of the world. source https://medicalxpress.com/news/2023-04-mrna-degradation-vaccine-stability.html

Judge halts FDA approval of abortion pill mifepristone

Access to the most commonly used method of abortion in the U.S. plunged into uncertainty Friday following conflicting court rulings over the legality of the abortion medication mifepristone that has been widely available for more than 20 years. source https://medicalxpress.com/news/2023-04-halts-fda-abortion-pill-mifepristone.html

11 Possible Heart Symptoms You Shouldn't Ignore

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WebMD article on 11 possible symptoms of heart problems that you may not be aware of, such as dizziness, fatigue, and nausea. source https://www.webmd.com/heart-disease/features/never-ignore-symptoms?src=RSS_PUBLIC

Two-organ chip developed to answer fatty liver questions

A new chip that holds different cell types in tiny, interconnected chambers could allow scientists to better understand the physiological and disease interactions between organs. The integrated-gut-liver-on-a-chip (iGLC) platform was designed by scientists at Kyoto University's Institute for Integrated Cell-Material Sciences (iCeMS), to improve understanding of non-alcoholic fatty liver disease (NAFLD). The researchers, together with colleagues in Japan, published their findings in the journal Communications Biology. source https://medicalxpress.com/news/2023-04-two-organ-chip-fatty-liver.html

Researchers chart path forward on developing mRNA vaccines for infections beyond COVID-19

After helping to develop and test new mRNA technologies for COVID-19 vaccines, University of Maryland School of Medicine (UMSOM) researchers and scientists are turning their attention to utilizing this innovative technology to ward off other infectious diseases like malaria and influenza. Last month, UMSOM faculty in the Center for Vaccine Development and Global Health (CVD) launched a new clinical trial to investigate the use of mRNA technologies to create a vaccine against malaria. source https://medicalxpress.com/news/2023-04-path-mrna-vaccines-infections-covid-.html

Targeting a unique metabolic pathway might starve pancreatic cancer

Much of the research on new cancer treatments in the last two decades has focused on genetic targets that allow cancers to grow and spread by altering cell signaling or shutting off tumor suppressors. There is a growing body of evidence that unique features of cancer cell metabolism, though, could provide new opportunities for developing treatments that impact tumors in a direct way while leaving healthy cells relatively untouched. source https://medicalxpress.com/news/2023-04-unique-metabolic-pathway-starve-pancreatic.html

Study finds doxycycline reduces sexually transmitted infections by two-thirds

The oral antibiotic doxycycline prevented the acquisition of sexually transmitted infections (STIs) when tested among men who have sex with men (MSM) and transgender women who took the medication within 72 hours of having condomless sex, according to findings published today in the New England Journal of Medicine. Specifically, the post-exposure approach, termed doxy-PEP, resulted in a two-thirds reduction in the incidence of syphilis, gonorrhea, and chlamydia among the study participants, all of whom reported having an STI within the previous year. However, the research also revealed a slight increase in antibacterial resistance that requires further exploration, the authors found. source https://medicalxpress.com/news/2023-04-doxycycline-sexually-transmitted-infections-two-thirds.html

Long COVID is a greater burden for migrant groups in the Netherlands than for the native population: Study

All prominent migrant groups in the Netherlands are suffering more from long-COVID than the native Dutch population, research from Amsterdam UMC has found. The study, published today, in The Lancet Regional Health—Europe, shows that in some groups the rates of long-COVID are up to 50% higher than in the Dutch population. This results in many migrant groups "suffering in silence," in the words of senior author Professor Charles Agyemang. source https://medicalxpress.com/news/2023-04-covid-greater-burden-migrant-groups.html

Creating an artificial pathologist

A team from the Max Planck Institute for the Science of Light (MPL) in Erlangen has created a new, fast and precise method for clinicians to analyze cells in tissue samples from cancer patients without the need for a trained pathologist. They use artificial intelligence to evaluate the data their method produces. source https://medicalxpress.com/news/2023-04-artificial-pathologist.html

Researchers ID biomarkers of response to immunotherapy for kidney cancer

The number of immune cells in and around kidney tumors, the amount of dead cancer tissue, and mutations to a tumor suppressor gene called PBRM1 form a biomarker signature that can predict—before treatment begins—how well patients with kidney cancer will respond to immunotherapy, according to new research directed by investigators at the Johns Hopkins Kimmel Cancer Center and its Bloomberg~Kimmel Institute for Cancer Immunotherapy. source https://medicalxpress.com/news/2023-04-id-biomarkers-response-immunotherapy-kidney.html

Men and women have different obesity drivers, pointing to the need for tailored interventions

A new study from UCLA researchers finds sex-specific brain signals that appear to confirm that different drivers lead men and women to develop obesity. The study, appearing in the journal Brain Communications, combined data from several modes of MRI with patients' clinical features and personal histories to identify sex-specific mechanisms in the brain underlying obesity. source https://medicalxpress.com/news/2023-04-men-women-obesity-drivers-tailored.html

Not all itches are the same, according to the brain

Itch is a protective signal that animals use to prevent parasites from introducing potentially hazardous pathogens into the body. If a mosquito lands on a person's arm, they sense its presence on their skin and quickly scratch the spot to remove it. Itchiness due to something like a crawling insect is known as "mechanical" and is distinct from "chemical" itchiness generated by an irritant such as the mosquito's saliva if it were to bite the person's arm. While both scenarios cause the same response (scratching), recent research by Salk Institute scientists has revealed that, in mice, a dedicated brain pathway drives the mechanical sensation and is distinct from the neural pathway that encodes the chemical sensation. source https://medicalxpress.com/news/2023-04-brain.html

Obstructive sleep apnea may directly cause early cognitive decline

Obstructive sleep apnea (OSA) is a potentially dangerous condition. During sleep, the throat muscles of people with OSA relax and block the airflow into the lungs, so that they repeatedly stop breathing. Common symptoms of OSA include restless sleep, loud snoring, daytime sleepiness, and prolonged headaches in the morning—highly debilitating for patients and their partners. source https://medicalxpress.com/news/2023-04-obstructive-apnea-early-cognitive-decline.html

App-solutely addicted: Is your screen time impacting your health?

Our addiction to smartphone apps could be affecting our health negatively, leading to issues like sleep deprivation, says a UNSW Business School technology expert. source https://medicalxpress.com/news/2023-04-app-solutely-addicted-screen-impacting-health.html

Survey of allergists/immunologists reveals management of hereditary angioedema differs by region

Hereditary angioedema (HAE) is a disease that, due to its rare nature, can pose difficulties for both patients and medical professionals. A new survey of allergists/immunologists from the American College of Allergy, Asthma and Immunology (ACAAI) shows that diagnosing, treating and managing this condition can be challenging for patients and healthcare providers—including patients in rural areas. An article about the survey is published in Annals of Allergy, Asthma and Immunology. source https://medicalxpress.com/news/2023-04-survey-allergistsimmunologists-reveals-hereditary-angioedema.html

Air pollution is linked to lower COVID-19 vaccine responses

People exposed to higher levels of air pollution before the pandemic had lower antibody responses to COVID-19 vaccines, according to a study led by the Barcelona Institute for Global Health (ISGlobal), in collaboration with the Germans Trias i Pujol Research Institute (IGTP). In particular, exposure to fine particulate matter (PM2.5), nitrogen dioxide (NO2) and blank carbon (BC) was associated with about a 10% decrease in IgM and IgG antibody responses in people without prior infection. source https://medicalxpress.com/news/2023-04-air-pollution-linked-covid-vaccine.html

Telehealth programs improve behavior problems in young children with developmental delay

Telehealth programs for parents can improve the behavioral problems of children with developmental delay, according to new research. source https://medicalxpress.com/news/2023-04-telehealth-behavior-problems-young-children.html

Math can help people identify the bonds of friendship

New research reveals that math can help people identify the bonds of friendship. source https://medicalxpress.com/news/2023-04-math-people-bonds-friendship.html

Could a novel small molecule slow or reverse the effects of Duchenne muscular dystrophy?

In a new study published in The FASEB Journal, investigators demonstrated the potential of a molecule that may help overcome some of the devastating symptoms of Duchenne muscular dystrophy (DMD), the most common life-limiting congenital neuromuscular disorder. The agent promotes the activity of AMP-activated protein kinase (AMPK), an important fuel-sensing enzyme that is present in all mammalian cells. source https://medicalxpress.com/news/2023-04-small-molecule-reverse-effects-duchenne.html

Pig blood and cobra venom used to increase human lung transplant viability

Medical researchers at Vanderbilt University Medical Center, Nashville, have found a way to maintain donor lung viability for transplantation. The method was even shown to return viability to transplant tissues that would otherwise have been deemed too damaged to use. The technique could substantially increase the ratio of donor-to-recipient transplants, saving lives and speeding access to treatment. source https://medicalxpress.com/news/2023-04-pig-blood-cobra-venom-human.html

Cognitive impairment in people living with HIV not made worse by COVID-19 in those who are vaccinated, study suggests

New research being presented at this year's European Congress of Clinical Microbiology & Infectious Diseases (ECCMID) in Copenhagen, Denmark (15–18 April), finds that people living with HIV (PWH) performed worse on cognitive tests in the first four months following SARS-CoV-2 infection compared to people without HIV, but these differences appear to be attributable to HIV and not to COVID-19. source https://medicalxpress.com/news/2023-04-cognitive-impairment-people-hiv-worse.html

Communication may guide family members' decisions after sudden cardiac death

Improving communication among death investigators, health care professionals and family members after a relative's sudden cardiac death may help relatives understand the cause of death and influence their decision to seek follow-up screening for inherited heart conditions, according to new research published today in í. source https://medicalxpress.com/news/2023-04-communication-family-members-decisions-sudden.html

New study reveals thousands of prenatal supplements fail to provide adequate nutrition for pregnant women and babies

A new study from researchers in the Lifecourse Epidemiology of Adiposity (LEAD) Center at the University of Colorado Anschutz Medical Campus shows that 90 percent of pregnant women do not receive adequate nutrients during pregnancy from food alone and must look to supplements to fill that deficit. However, they also discovered that 99 percent of the affordable dietary supplements on the market do not contain appropriate doses of key micronutrients that are urgently needed to make up for the nutritional imbalance. source https://medicalxpress.com/news/2023-04-reveals-thousands-prenatal-supplements-adequate.html

Study to decode microbe-gut signaling suggests potential new treatment for IBD

Fresh insights into how our bodies interact with the microbes living in our guts suggest that a two-drug combination may offer a new way to treat inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. source https://medicalxpress.com/news/2023-04-decode-microbe-gut-potential-treatment-ibd.html

Higher lithium levels in drinking water may raise autism risk

Pregnant women whose household tap water had higher levels of lithium had a moderately higher risk of their offspring being diagnosed with autism spectrum disorder, according to a new study led by a UCLA Health researcher. source https://medicalxpress.com/news/2023-04-higher-lithium-autism.html

How broccoli sprouts became an emerging tool against a range of diseases

Strolling through the produce section of your local grocery story, you might notice—tucked between the pre-sliced radishes and the plastic-wrapped mushrooms—a container of broccoli sprouts, a mat of wispy white shoots with spring-green leaves the shape of a handmade valentine. Perhaps you took that container home and discovered the sprouts to be earthy on the tongue, less nutty than their more popular cousin alfalfa. Not pepper-spicy but horseradish-spicy, a heat that tickles the back of the nose. Perhaps you found that just a handful added complexity, a satisfying crunch, to sandwiches and salads. source https://medicalxpress.com/news/2023-04-broccoli-emerging-tool-range-diseases.html

Experts address top food myths

Don't eat after 8 p.m. Wait—don't eat before noon? Have a glass of red wine; it's good for your heart! Actually, no amount of alcohol is good for your health. Nix the carbs. Nix the red meat. Nix the eggs. source https://medicalxpress.com/news/2023-04-experts-food-myths.html

First-in-class treatment delivers major advance for incurable kidney disease

The latest findings from the PROTECT phase III trial show sparsentan—a novel treatment for IgA nephropathy—significantly reduces proteinuria, or abnormal protein levels in the urine, compared to standard treatment irbesartan. source https://medicalxpress.com/news/2023-04-first-in-class-treatment-major-advance-incurable.html

E-health reduces patient pain, opioids in clinical study

An online "e-health" program helped more people with chronic pain reduce their opioid medications and pain intensity than a control group that had only regular treatment in a recent clinical study. source https://medicalxpress.com/news/2023-04-e-health-patient-pain-opioids-clinical.html

Privately sponsored refugees likely to receive better prenatal care than government-assisted refugees in Canada

Government-assisted refugees were less likely to receive adequate prenatal care than privately sponsored refugees, found a new study published in CMAJ (Canadian Medical Association Journal). source https://medicalxpress.com/news/2023-04-privately-sponsored-refugees-prenatal-government-assisted.html

Mozambique works to contain cholera outbreak after cyclone

Weeks after massive Cyclone Freddy hit Mozambique for a second time, the still-flooded country is facing a spiraling cholera outbreak that threatens to add to the devastation. source https://medicalxpress.com/news/2023-04-mozambique-cholera-outbreak-cyclone.html

Outbreak of typhoid on Dutch ship traced to contaminated drinking water

A large outbreak of typhoid on a ship in the Netherlands has been traced to contaminated water, this year's European Congress of Clinical Microbiology & Infectious Diseases (ECCMID 2023, Copenhagen, April 15-18) will hear. source https://medicalxpress.com/news/2023-03-outbreak-typhoid-dutch-ship-contaminated.html

Extremely rare gene variants point to a potential cause of age-related macular degeneration

A study from the National Eye Institute (NEI) identified rare genetic variants that could point to one of the general mechanisms driving age-related macular degeneration (AMD), a common cause of vision loss in older adults. source https://medicalxpress.com/news/2023-03-extremely-rare-gene-variants-potential.html

Two cancer research studies reveal essential role of neutrophils in immunotherapy

Two independent Ludwig Cancer Research studies published in the current issue of the journal Cell show that immune cells known as neutrophils, whose abundance in the microenvironment of tumors has traditionally been associated with poor patient prognosis, can play an important role in the success of cancer immunotherapies. source https://medicalxpress.com/news/2023-03-cancer-reveal-essential-role-neutrophils.html

Study shows ketamine could be beneficial for treating brain injury in children

A common anesthesia drug could be beneficial in reducing pressure inside the skull of children with traumatic brain injuries (TBI), according to a study published in Critical Care Medicine. source https://medicalxpress.com/news/2023-04-ketamine-beneficial-brain-injury-children.html

But do they work? Researchers investigate effectiveness of lactation cookies on human milk production

They sell worldwide, often retailing for more than $2.50 per two-ounce bag: Lactation cookies, which manufacturers purport to increase milk in people who breastfeed. Many claim they work—but what does the science say? source https://medicalxpress.com/news/2023-04-effectiveness-lactation-cookies-human-production.html