Tiny swimming robots sent inside mice treat deadly pneumonia successfully

Nanoengineers at the University of California San Diego have developed microscopic robots that can swim around in the lungs, deliver medication and clear up life-threatening cases of bacterial pneumonia, according to a study published in Nature Materials..

The so-called microrobots safely eliminated pneumonia-causing bacteria in the lungs and resulted in 100% survival. By contrast, untreated mice all died within three days after infection. Made of algae cells whose surfaces are speckled with antibiotic-filled nanoparticles, the algae provide movement, which allows the microrobots to swim around and deliver antibiotics directly to more bacteria in the lungs.

The nanoparticles containing the antibiotics are made of tiny biodegradable polymer spheres that are coated with the cell membranes of neutrophils, which are a type of white blood cell. What’s special about these cell membranes is that they absorb and neutralize inflammatory molecules produced by bacteria and the body’s immune system. This gives the microrobots the ability to reduce harmful inflammation, which in turn makes them more effective at fighting lung infection.

CPAP

CPAP treatment, which is often used at home to help people with sleep problems, helps to keep the lungs open and makes breathing easier / CREDIT
Lancaster University

The work is a joint effort between the labs of nanoengineering professors Joseph Wang and Liangfang Zhang, both at the UC San Diego Jacobs School of Engineering. Wang is a world leader in the field of micro- and nanorobotics research, while Zhang is a world leader in developing cell-mimicking nanoparticles for treating infections and diseases. Together, they have pioneered the development of tiny drug-delivering robots that can be safely used in live animals to treat bacterial infections in the stomach and blood. Treating bacterial lung infections is the latest in their line of work.

“Our goal is to do targeted drug delivery into more challenging parts of the body, like the lungs. And we want to do it in a way that is safe, easy, biocompatible and long lasting,” said Zhang. “That is what we’ve demonstrated in this work.”

The team used the microrobots to treat mice with an acute and potentially fatal form of pneumonia caused by the bacteria Pseudomonas aeruginosa. This form of pneumonia commonly affects patients who receive mechanical ventilation in the intensive care unit.

The researchers administered the microrobots to the lungs of the mice through a tube inserted in the windpipe. The infections fully cleared up after one week. All mice treated with the microrobots survived past 30 days, while untreated mice died within three days.

Treatment with the microrobots was also more effective than an IV injection of antibiotics into the bloodstream. The latter required a dose of antibiotics that was 3000 times higher than that used in the microrobots to achieve the same effect. For comparison, a dose of microrobots provided 500 nanograms of antibiotics per mouse, while an IV injection provided 1.644 milligrams of antibiotics per mouse.

The team’s approach is so effective because it puts the medication right where it needs to go rather than diffusing it through the rest of the body.

“These results show how targeted drug delivery combined with active movement from the microalgae improves therapeutic efficacy,” said Wang.

And if the thought of putting algae cells in your lungs makes you squeamish, the researchers say that this approach is safe. Next steps include studies to validate the microrobot treatment and scaling it up before testing it in larger animals and eventually, in humans.

 

India Covid cases rise again to 15K today

India on Friday reported marginal rise at 15,754 fresh Covid-19 cases in the last 24 hours, against 12,608 infections on Thursday, with 47 more Covid deaths, taking the nationwide death toll to 5,27,253 so far.

The active caseload of the country stands at 1,01,830 cases, accounting for 0.23 per cent of the country’s total positive cases. The recovery of 15,220 patients in the last 24 hours took the cumulative tally to 4,36,85,535. Consequently, India’s recovery rate stands at 98.58 per cent, said the Union Health Ministry.

Meanwhile, India’s daily positivity rate has marginally declined to 3.47 per cent, while the weekly positivity rate in the country currently also stands at 3.90 per cent. In the same period, a total of 4,54,491 tests were conducted across the country, increasing the overall tally to over 88.18 crore.

As of Friday morning, India’s Covid-19 vaccination coverage exceeded 209.27 crore, achieved via 2,78,10,025 sessions. More than 3.99 crore adolescents have been administered with a first dose of Covid-19 jab since the beginning of vaccination drive for this age bracket.

Why COVID-19 increases risk of stroke? UCLA study throws light

 

A UCLA-led study explains how COVID-19 increases the risk for stroke. Scientists made the finding by running fluid spiked with a COVID-19-like protein through a 3D-printed model of the arteries of a patient who had suffered a stroke.

Although COVID-19 was first identified by its severe respiratory symptoms, the virus has caused strokes in young people who had no known risk factors. But little is known about how the virus increases the risk for stroke.

UCLA researchers used a 3D-printed silicone model of blood vessels in the brain to mimic the forces generated by blood pushing through an artery that is abnormally narrowed, a condition called intracranial atherosclerosis. They showed that as those forces act on the cells lining the artery, and increase the production of a molecule called angiotensin-converting enzyme 2, or ACE2, which the coronavirus uses to enter cells on the surface of blood vessels.

Creating new model

“The flow directly influences ACE2 expression,” said Dr. Jason Hinman, an assistant professor of neurology at the David Geffen School of Medicine at UCLA and the study’s senior author. In addition to Hinman, the study’s authors are neurologists at the Geffen School of Medicine and scientists from UC San Francisco and the Veterans Health Administration. The paper was published (PDF) in Stroke.

UCLA researchers created the model using data from CT scans of blood vessels in a human brain. After creating the new model, researchers confirmed the particles did indeed interact with the cells lining the blood vessel, mostly in the regions of the brain with higher levels of ACE2.

“This finding could explain the increased incidence of strokes seen in COVID-19 infections,” Hinman said.

Another discovery offered an insight that eventually could help identify people with COVID-19 who may have a higher risk for stroke. When the scientists analyzed which genes were turned on in the endothelial cells after the coronavirus spike proteins bound to them, they found that the genes that were activated were a specific set of immune-response genes that are found in brain blood vessel cells, but not in endothelial cells from other organs of the body.

“There’s a unique brain endothelial response to the virus that may be helpful in identifying patients who are have a higher risk for stroke,” Hinman said. The researchers intend to conduct follow-up studies using a live coronavirus in the 3D-printed blood vessel model, which would further confirm the results of the current study and clarify which COVID-19 patients may have a higher risk for stroke.

Study in polluted Taiwan shows regular exercise still prevents high blood pressure

People who regularly exercise are at a lower risk of high blood pressure, even if they live in highly polluted areas, found a new research, since the risk-benefit relationship between air pollution and physical activity is a major concern as more than 91% of people worldwide live in areas where air quality fails to meet World Health Organization (WHO) guidelines.

The paper published in the American Heart Association’s flagship journal Circulation, is based on a study of more than 140,000 adults without high blood pressure in Taiwan, who are followed for five years. Researchers classified the weekly physical activity levels of each adult as inactive, moderately active or highly active.

Researchers also classified level of exposure to fine particulate matter (PM2.5) as low, moderate and high. PM2.5 is the most commonly used indicator of air pollution. High blood pressure was defined as 140/90 mm Hg, though the American Heart Association 2017 Guideline defines high blood pressure as 130/80 mm Hg.

Exercise helps despite high pollution 

Study author Xiang Qian Lao, an associate professor at the Jockey Club School of Public Health and Primary Care at The Chinese University of Hong Kong in Shatin, said: “While we found that high physical activity combined with lower air pollution exposure was linked to lower risk of high blood pressure, physical activity continued to have a protective effect even when people were exposed to high pollution levels. The message is that physical activity, even in polluted air, is an important high blood pressure prevention strategy.”

Highlights of the study show that people who are highly active and exposed to low levels of pollution had a lower risk of developing high blood pressure, whereas those who were inactive and exposed to highly polluted air had a higher high blood pressure risk.

High risk levels

Each increase in PM2.5 level was associated with a 38% increase in risk of incident hypertension, whereas each increase in physical activity level lead to a 6% lower risk of hypertension, suggesting that reducing air pollution is more effective in preventing high BP.

Regardless of pollution level, people who exercised moderately had a 4% lower risk of high blood pressure than those who didn’t exercise. People who exercised at a high level had a 13% lower risk of high blood pressure than those who don’t.

The findings of this study are limited to air pollution because it only included people living in Taiwan, where ambient air was moderately polluted (the annual PM2.5 concentration was 2.6 times of the limit recommended by the World Health Organization).

Never mix energy drinks with alcohol, warns study

A key ingredient of energy drinks could be exacerbating some of the negative effects of binge drinking, said a new study sending a warning to many people who mix energy drinks with alcohol to counteract the sedative nature of alcohol, tricking users into feeling more awake and less drunk than they really are.

Researchers from the University of Portsmouth and the Federal University of Santa Maria in Brazil tested the effects of taurine, a key ingredient of many energy drinks, and alcohol on social and fear responses in zebrafish, and found that taurine seemed to increase the fear-reducing properties of alcohol, but also affected social communication.

Co-author of the study Dr Matt Parker, Senior Lecturer in Behavioural Pharmacology and Molecular Neuroscience at the University of Portsmouth, said: “The effects of mixing alcohol and energy drinks is yet to be established. This study is the first to show that the two together may be exacerbating some of the negative effects of binge drinking; that is reduction of fear and problems in social communication while intoxicated, which collectively increase the risk of fighting, violence and participation in risky behaviours.”

In the study, published in the Journal of Psychiatric Research, the researchers tested how taurine and alcohol (at volumes reflecting levels that would induce moderate human intoxication) affected the behaviour of 192 zebrafish. The fish were divided into shoals (with four fish per shoal) and were exposed to either just water, taurine and alcohol separately or taurine and alcohol for one hour. Their shoaling behaviours were then analysed at different time intervals at 0-5 minutes, 30-35 minutes and 55-60 minutes. The fish were also tested for their fear-like responses to a predator by dividing the tank into four areas, with the furthest area used to mimic a predator fish.

The fish that were exposed to both alcohol and taurine had fewer interactions with other fish in the shoal compared to those exposed to water alone or just alcohol. These fish also showed more ‘risky’ behaviour, spending more time in the predator zone than other groups.

Dr Parker said: “We found that the addition of taurine, an ingredient in many ‘energy’ drinks, appears to exacerbate risky choices in zebrafish, as well as reducing their social cohesion. Taken together, these data appear to suggest that mixing alcohol and taurine might be a factor in increasing some of the negative effects of alcohol. People should be aware that drinking energy drinks in combination with alcohol may impair their judgement, and should do so with caution.”

Depression and early old age go hand-in-hand, finds study

Amid increasing instances of depression among the celebrities, common people and even teenagers, psychologists at the University of Sussex have come up with a new dimension to the alarming mental health issue saying the brain ages faster when people undergo frequent depression.

Depression is the leading cause of mental ill health across the world with more than 300 million people suffering from it with an estimated increase of more than 18% between 2005 and 2015, according to World Health Organization (WHO).

Earlier studies found that people with depression or anxiety have an increased risk of dementia in later life, leading to decline in overall cognitive function. The new study extrapolates it to showcase a direct link with early old age as well. Dementia is expected to grow substantially over the next 30 years.

After a review of 34 longitudinal studies, with data available from 71,000 participants, the study measured the rate of decline of overall cognitive state resulting in memory loss, poor decision making and slow information processing in older adults. It has excluded dementia as past studies have already established its link with old age.

The study found that people with depression faced imminent and greater decline in cognitive functions inold age than those without depression.

Lead researchers Darya Gaysina and Amber John from the EDGE Lab at the University of Sussex have stressed on dealing with depression effectively since the implications at a later stage may prove irreversible.

“This study is of great importance – our populations are ageing at a rapid rate and the number of people living with decreasing cognitive abilities,” said Gaysina.

Amber John, who carried out this research for her PhD at the University of Sussex adds: “People living with depression shouldn’t despair – it’s not inevitable that you will see a greater decline in cognitive abilities and taking preventative measures.”

Some of the preventive measures she suggested include regular exercising, practicing mindfulness and undertaking recommended therapeutic treatments, such as Cognitive Behaviour Therapy.

The study was published in the journal Psychological Medicine.

What WHO says on Depression?

Depression is different from usual mood fluctuations and short-lived emotional responses to daily life-style challenges. It reflects in symptoms ranging from depressed mood, loss of interest and enjoyment, and reduced energy levels for at least two weeks.

Some of them may even experience anxiety, disturbed sleep and loss of appetite, feelings of guilt or low self-esteem, poor concentration and even medically unexplained symptoms.

At its worst, depression can lead to suicide. Close to 800,000 people die due to suicide every year. Suicide is the second leading cause of death among youngsters between 15 and 29 years of age. Seeking early medical intervention is a must in such cases.

 

 

Eat healthy diet to keep hearing aid away

Hearing loss, which affects nearly 48 million Americans, can be mitigated with healthy diet, said a new study by researchers from Brigham and Women’s Hospital, who examined the relation between three different diets and risk of developing hearing loss.

The researchers studied the Alternate Mediterranean diet (AMED), Dietary Approaches to Stop Hypertension (DASH), and the Alternative Healthy Eating Index-2010 (AHEI-2010) in 70,966 women in the Nurses’ Health Study II. These participants have been followed for 22 years to come up with the contention that eating a healthy diet is associated with a lower risk of acquired hearing loss in women.

“Interestingly, we observed that those following an overall healthy diet had a lower risk of moderate or worse hearing loss,” said Sharon Curhan, epidemiologist in the Channing Division of Network Medicine at BWH, and lead author of the study. “Eating well contributes to overall good health, and it may also be helpful in reducing the risk of hearing loss.”

In this longitudinal study, researchers collected detailed information on dietary intake every four years and found that women whose diet resembled the AMED or DASH dietary patterns had an approximately 30 percent lower risk of hearing loss.

The findings in a sub-cohort of over 33,000 women reveal that the magnitude of the reduced risk may be greater than 30 percent, and it may also pertain to the AHEI-2010.

The AMED diet includes extra virgin olive oil, grains, legumes, vegetables, fruits, nuts, fish and moderate intake of alcohol. The DASH diet includes fruits and vegetables and low-fat dairy, and low in sodium. The AHEI-2010 diet has common components with AMED and DASH.

The study has been published in the Journal of Nutrition on May 11. Researchers said further study is required as the present study was based on self-report. It requires to be studied in additional populations, it said.

What’s healthy diet for Ear?

Essentially, minerals are key to hearing health, followed by potassium, folic acid and magnesium. Minerals are available in plants that absorb them from the earth and animals which graze on plants and eating the meat, we consume these minerals. However, there are few minerals which are crucial for hearing health.

Potassium comes next as it regulates fluid in the inner ear, which translates the noises we hear into electrical impulses the brain interprets as sound. It erodes with age causing old age hearing loss.

Eating vegetables such as potatoes, spinach, lima beans, tomatoes, raisins, apricots, bananas, melons, oranges, yogurt and milk contibute to potassium supply to the body.

Folic Acid helps to metabolize homocysteine, an inflammatory compound that reduces circulation and controlling it helps the hair cells of the inner ear healthy and working properly. It is available in folate-rich foods such as organ meat, spinach, broccoli and asparagus.

Magnesium protects the delicate hair cells in the inner ear from loud noise and lack of adequate magnesium deprives blood vessels from oxygen, as found in a study by the University of Michigan Kresge Hearing Research Institute. It is found in yogurt.

In addition, zinc is considered essential to keep the ear free from cold-related infections, which in turn protects it from tinnitus or pesky ear.

Frequent sauna bathing brings down stroke risk, says study

Frequent sauna bathing can bring down the risk of stroke, said a new international study, based on a 15-year follow-up on people taking a sauna 4-7 times a week.

the study found that they were 61% less likely to suffer a stroke than those taking a sauna once a week. This is the first such large-scale study and the findings have been published in the journal Neurology.

Stroke is one of the leading causes of disability worldwide, with a cascading effect on the economy with huge medical bills and payouts. The reduced risk associated with sauna bathing was found by a team of scientists from the Universities of Eastern Finland, Bristol, Leicester, Atlanta, Cambridge and Innsbruck.

The findings are based on the population-based Kuopio Ischaemic Heart Disease Risk Factor (KIHD) study. The study involved 1,628 men and women aged 53 to 74 years living in the eastern part of Finland, whose frequency to traditional Finnish sauna baths with a relative humidity of 10-20%.

The participants were divided into three groups: those taking a sauna once a week, those taking a sauna 2-3 times a week, and those taking a sauna 4-7 times a week.

The more frequently saunas were taken, the lower was the risk of stroke, the results showed. Compared to people taking it once a week, the risk considerably decreased by 14% among those with 2-3 sessions and 61% among those with 4-7 sessions.

The association persisted even when taking into account conventional stroke risk factors, such as age, sex, diabetes, body mass index, blood lipids, alcohol consumption, physical activity and socio-economic status, with no gender bias.

Previous results from the KIHD study at the University of Eastern Finland have shown that frequent sauna bathing reduces the risk of cardiovascular mortality. The association of sauna bathing with reduced stroke may include a reduction in blood pressure, stimulation of immune system, a positive impact on the autonomic nervous system, and an improved cardiovascular function.

In another recent experiment, the same team had shown that sauna bathing has acute effects on the stiffness of the arterial wall, hence influencing blood pressure and cardiac function parameters.

Faster walking patients are hospitalized less: Study

Faster walking patients with heart disease are hospitalised less, according to research presented today at EuroPrevent 2018, a European Society of Cardiology congress, and published in the European Journal of Preventive Cardiology.1,2

The three-year study was conducted in 1,078 hypertensive patients, of whom 85% also had coronary heart disease and 15% also had valve disease.

Patients were then asked to walk 1 km on a treadmill at what they considered to be a moderate intensity.3 Patients were classified as slow (2.6 km/hour), intermediate (3.9 km/hour) and fast (average 5.1 km/hour). A total of 359 patients were slow walkers, 362 were intermediate and 357 were fast walkers.

The researchers recorded the number of all-cause hospitalisations and length of stay over the next three years. Participants were flagged by the regional Health Service Registry of the Emilia-Romagna Region, which collects data on all-cause hospitalisation.

Study author Dr Carlotta Merlo, a researcher at the University of Ferrara, Ferrara, Italy, said: "We did not exclude any causes of death because walking speed has significant consequences for public health. Reduced walking speed is a marker of limited mobility, which is a precursor of disability, disease, and loss of autonomy." 4,5

During the three year period, 182 of the slow walkers (51%) had at least one hospitalisation, compared to 160 (44%) of the intermediate walkers, and 110 (31%) of the fast walkers.

The slow, intermediate and fast walking groups spent a total of 4,186, 2,240, and 990 days in hospital over the three years, respectively.

The average length of hospital stay for each patient was 23, 14, and 9 days for the slow, intermediate and fast walkers, respectively (see figure).

Each 1 km/hour increase in walking speed resulted in a 19% reduction in the likelihood of being hospitalised during the three-year period. Compared to the slow walkers, fast walkers had a 37% lower likelihood of hospitalisation in three years.

Dr Merlo said: "The faster the walking speed, the lower the risk of hospitalisation and the shorter the length of hospital stay. Since reduced walking speed is a marker of limited mobility, which has been linked to decreased physical activity,4 we assume that fast walkers in the study are also fast walkers in real life."

She continued: "Walking is the most popular type of exercise in adults. It is free, does not require special training, and can be done almost anywhere. Even short, but regular, walks have substantial health benefits. Our study shows that the benefits are even greater when the pace of walking is increased."

Fatty fish, camelina oil good for HDL, IDL cholesterol: study

Eating fatty fish increases the size and lipid composition of HDL particles in people with impaired glucose metabolism, said a new study by the University of Eastern Finland.

The changes in size and lipid composition of HDL (good cholestrol) particles make them beneficial for cardiovascular health, said the study published in Molecular Nutrition & Food Research. It also found that camelina sativa oil decreases the number of harmful IDL particles.

The researchers studied the effects of camelina oil and fatty fish intake on the size and composition of cholesterol-carrying lipoproteins. Although the health effects of HDL particles actually are dependent on their size and composition, earlier research has shown that large HDL particles are associated with a reduced risk of cardiovascular diseases, whereas a small HDL particle size may increase the risk.

The IDL lipoprotein, on the other hand, is the precursor of LDL, which is also known as “the bad” cholesterol. Previous studies have shown that long-chain omega-3 fatty acids found in fish have a beneficial effect on lipoprotein size and composition. Camelina oil. It’s also rich in alpha-linolenic acid, which is an essential omega-3 fatty acid whose associations with lipoproteins aren’t well understood yet.

The study involved 79 Finnish men and women aged between 40 and 72, and with impaired glucose metabolism. The participants were randomly divided into 4 groups and studied for 12 weeks — the camelina oil group, the fatty fish group, the lean fish group, and the control group.

People in the lean and fatty fish groups were instructed to eat lean or fatty fish four times a week, and people in the camelina oil group were asked to use 30 mm of camelina sativa oil daily. Participants in the control group were allowed to eat fish once a week, and the use of camelina oil and other oils containing alpha-linolenic acid, such as rapeseed oil, was prohibited.

The researchers found that eating fatty fish increased the size and lipid composition of HDL particles, and that the use of camelina oil decreased the number of harmful IDL particles.

Both of these changes can reduce the risk of cardiovascular diseases. Eating lean fish, however, was not associated with changes in the number, size or composition of lipoprotein particles, they found.

Ketamine may help treat migraine compared to other therapies

Ketamine, a medication commonly used for pain relief and increasingly used for depression, may help alleviate migraine pain in patients who have not been helped by other treatments, said a new study presented at the ANESTHESIOLOGY 2017 annual meeting.

The study of 61 patients found that almost 75 percent experienced an improvement in their migraine intensity after a three- to seven-day course of inpatient treatment with ketamine. The drug is used to induce general anesthesia but also provides powerful pain control for patients with many painful conditions in lower doses than its anesthetic use.

“Ketamine may hold promise as a treatment for migraine headaches in patients who have failed other treatments,” said study co-author Eric Schwenk, director of orthopedic anesthesia at Thomas Jefferson University Hospital in Philadelphia. “Our study focused only on short-term relief, but it is encouraging that this treatment might have the potential to help patients long-term. Our work provides the basis for future, prospective studies that involve larger numbers of patients.”

An estimated 12 percent of the U.S. population suffers from migraines – recurring attacks of throbbing or pulsing moderate to severe pain. A subset of these patients, along with those who suffer from other types of headaches, do not respond to treatment. During a migraine, people are often very sensitive to light, sound and may become nauseated or vomit. Migraines are three times more common in women than in men.

The researchers reviewed data for patients who received ketamine infusions for intractable migraine headaches – migraines that have failed all other therapies. On a scale of 0-10, the average migraine headache pain rating at admission was 7.5, compared with 3.4 on discharge. The average length of infusion was 5.1 days, and the day of lowest pain ratings was day 4. Adverse effects were generally mild.

Dr. Schwenk said while his hospital uses ketamine to treat intractable migraines, the treatment is not yet widely available. Thomas Jefferson University Hospital will be opening a new infusion center this fall that will treat more patients with headaches using ketamine. “We hope to expand its use to both more patients and more conditions in the future,” he said.

“Due to the retrospective nature of the study, we cannot definitively say that ketamine is entirely responsible for the pain relief, but we have provided a basis for additional larger studies to be undertaken,” Dr. Schwenk added.

New Blood Pressure Monitoring Device Developed to Make it More Accurate

Amid recent reports of blood pressure devices not being accurate, a team of doctors from Jerusalem have come up with a new oscillometry device to measure it accurately.

The device, developed by a group of researchers from the Jerusalem College of Technology and the Shaare Zedek Medical Center in Israel, uses photoplethysmography technique, a pressure cuff wrapped around the arm and an electro-optic probe on the finger.

The finger probe acts as pulse oximeter that emits light into the finger and the detector measures the light transmitted through the finger. “The transmitted light exhibits pulses at the heart rate, due to cardiac-induced blood volume changes in the finger tissue,” explained lead author Meir Nitzen.

When the cuff pressure increases beyond the systolic blood pressure these pulses disappear and vice versa, enabling the correct determination of systolic blood pressure. Since the device does not eliminate the “white coat syndrome”, wherein a patient’s fear or anxiety during the test increases the measurement, they propose to avoid the effect advising the device to be used at home and in a relaxed atmosphere.

Since the old oscillometry-based automatic meters offer a low level of accuracy than the manual auscultatory technique, they advise the use of an electro-optic probe on the finger as well. The error inaccuracy levels of 10 to 15 mmHg seen in available in automatic oscillometric technique is attributed to air-pressure wave measurements in these devices.

A systolic blood pressure (BP) that measures 140 mmHg or higher and a diastolic measurement of 90 mmHG or higher (140/90 mmHg) is considered high.

The research findings have been presented at the “Cardiovascular Aging: New Frontiers and Old Friends conference” in Westminster, Colo.

However, past studies have shown that blood pressure monitoring may help patients with hypertension and stroke but did not improve blood pressure control for patients who had normal blood pressure at the start.

A study published in CMAJ (Canadian Medical Association Journal) said, “Home monitoring depended on patients taking their blood pressure, recognizing if readings were consistently over target, understanding the need for intensification of treatment, visiting their physician for review and appropriate management by their physician.”

Sally Kerry, Centre for Primary Care and Public Health, Queen Mary, University of London, UK, said good blood pressure control can significantly reduce the risk of recurrent stroke in the estimated 15 million people who have strokes each year worldwide.

“Home monitoring depended on patients taking their blood pressure, recognizing if readings were consistently over target, understanding the need for intensification of treatment, visiting their physician for review and appropriate management by their physician,” wrote the authors.

The study involved 381 participants aged 30 (mean 72) years from three stroke units in London, using home monitoring from March 2007 to August 2009. A total of 23% of participants were from ethnic minorities, and 45% had some disability due to stroke, including many frail, elderly patients.

 

Age of Father in IVF Births Crucial: Study

Men, unlike women, do not have a menopause to say they cease to help in fertility but a recent study has found that the chance of natural conception can be affected by the age of the male partner, particularly in the genetic health of sperm cells.

Despite a wide belief and celebrity examples of Charlie Chaplin or Luciano Pavarotti, which have kept alive the notion that male fertility goes on forever, the new study in IVF couples shows quite clearly that live birth outcome is clearly affected by the age of the male partner.

“Our study found an independent effect of male age on the cumulative incidence of live birth,” said investigator Dr Laura Dodge from Harvard Medical School, Boston, USA. He will present the study’s results on Tuesday at the 33rd Annual Meeting of ESHRE in Geneva.

The study was an analysis of IVF cycles performed at an IVF centre in Boston between 2000 and 2014. About 19,000 cycles performed in 7,753 couples were analyzed. The female partners were stratified in four age bands: under 30, 30-35 years, 35-40 years, and 40-42. Men were stratified into these same four age bands, with an additional band of 42 and over.

As expected, the cumulative live birth rate was lowest in those couples where the female partner was in the 40-42 age band, and in this group the age of the male partner had no impact. In other bands of female age, the cumulative incidence of live birth was significantly affected by male partner age and was found to decline as the man grew older.

For example, in couples with a female partner aged under 30, a male partner aged 40-42 was associated with a significantly lower cumulative birth rate (46%) than a male partner aged 30-35 (73%). Similarly, in couples with a female partner aged 35-40 years live birth rates were higher with a younger than with an older male partner.

“Generally,” explained Dr Dodge, “we saw no significant decline in cumulative live birth when women had a male partner the same age or younger. Where we see significant decreases in the cumulative incidence of live birth is among women with male partners in the older age bands.”

Dr Dodge noted that in natural conceptions increasing male age is associated with a decreased incidence of pregnancy, increased time to pregnancy, and increased risk of miscarriage. The mechanisms are unclear but may include impaired semen parameters, increased DNA damage in sperm, and epigenetic alterations in sperm that affect fertilisation, implantation, or embryo development, she said.

 

This is the first study to calculate the cumulative incidence of live birth while jointly stratifying on multiple bands of both male and female age.

Flax Seeds Help Women Most: Study

Flaxseed is the new sought-after supplement in faily diet owing to its component lignans which help women to get regular menstrual cycle and also reduce the risk of breast cancer, show recent research findings.

According to the American Institute for Cancer Research, flax seed contains lignans, also called phytoestrogens, bearing a chemical structure similar to estrogen but unlike estrogen that increases the risk of breast cancer, these brown seeds do not increase cancer risk but be more protective.

In studies conducted on animals, it was shown that lignans isolated from flaxseed help women during the menstrual period and post-menopausal period by lowering the risk of breast cancer. It was also observed that flaxseed did not interfere with the effectiveness of the anti-estrogen medication tamoxifen, said the AICR study. The higher blood levels of lignans show prominent cancer-protective features, said the study.

“For people who wish to consume flaxseed as a source of omega-3 fat or dietary fiber, studies do not support fears that flaxseed could increase incidence or recurrence of breast cancer,” says Karen Collins. However, more research is to be done before recommending it as a medication for breast cancer, said Collins in the paper.

In a previous study conducted from 2002 to 2005, the German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ) researchers used the MARIE study to take blood samples of 1,140 women who had been diagnosed with postmenopausal breast cancer. After a mean observation time of six years, they related enterolactone levels to clinical disease progression.

Compared to the study subjects with the lowest enterolactone levels, the women with the highest blood levels of this biomarker had an approximately 40 percent lower mortality risk. When the scientists additionally took account of the incidence of metastasis and secondary tumors, they obtained a similar result: Women with the highest enterolactone levels also had a lower risk for such an unfavorable disease progression.

“We now have first clear evidence showing that lignans lower not only the risk of developing postmenopausal breast cancer, but also the mortality risk,” said Jenny Chang-Claude.

There had been prior studies to determine the lignan intake by means of dietary surveys. But the results of such surveys are often unreliable and, in addition, there are big differences in the way individuals actually process the plant substances into effective metabolic products. Therefore, the Heidelberg team chose the more reliable measurement of biomarkers.

Otherwise, flax seeds have other potential medicinal properties, besides preventing growth of harmful cancer cells, even for prostate cancer. Since these seeds are found to catalyze insulin secretion in the body to regulate blood-sugar levels, diabetics are often advised to make it part of their daily diet.

In menopausal women, flaxseeds help them fight complications by maintaining balance in body hormones and reducing the risk of osteoporosis. It is also helpful in lowering bad cholesterol due to its rich nutrients.

The flipside of flaxseeds is that they are rich in calorie levels, 150 grams in four tablespoons.

Mozart’s Music Reduces Hypertension (BP), Says Study

A study from the University Bochum in Germany showed in its recent comparative research of the classical music of Wolfgang Amadeus Mozart and Johann Strauss II vis-a-vis Abba of the 1980s that the hepertension comes down when you listen to Mozart or Strauss but not ABBA.

They corraborated how Mozart’s music can reduce blood lipid concentration, blood pressure and heart rate, some of the benefits observed in people. “It’s been known for centuries that music has an effect on human beings,” said authors in a study published in the German journal Deutsches Ärzteblatt International. “In antiquity, music was used to improve performance in athletes during the Olympic Games.”

The researchers have divided 120 person in two groups and recorded their cortisol concentration, blood pressure and heart rate before listening to the music, after listening to the music. One group was given to listen to Mozart or J. Strauss Jr. and ABBA.

The other 60 people in the second group were not asked to listen to any music but to read silently. Those who listened to the music of Mozart and Strauss showed a considerable decrease in their blood pressure and heart rate. Those who listened to ABBA had more or same blood pressure at the end.

In another comparison of those who spent reading in silence and those who listened to Mozart or Strauss, the gap is relatively visible as those who read book recorded slightly lower BP but hose in the other music group recorded a higher decrease in their BP, said the researchers. In all, clasical music leads to a lower blood cortisol level, said researchers.

In terms of women listeners to the music, the decrease in their blood pressure is relatively less than men who listened to the same music. Music provides greater health benefits than silence, asserted researchers in their conclusion.

The Mozart family c. 1780. The portrait on the wall is of Mozart’s mother. (Wikipedia)

Blood Vessels Can Actually Get Better With Age

 

Although the causes of many age-related diseases remain unknown, oxidative stress has been linked to cardiovascular and neurodegenerative diseases including diabetes, hypertension and age-related cancers.

However, researchers at the University of Missouri recently found that aging actually offered significant protection against oxidative stress, suggesting that aging may trigger an adaptive response to counteract the effects of oxidative stress on blood vessels.

“Molecules known as reactive oxygen species, or ROS, play an important role in regulating cellular function,” said Steven Segal, at the MU School of Medicine and senior author of the study. “However, the overproduction of ROS can help create a condition referred to as oxidative stress, which can alter the function of cells and interfere with their growth and reproduction.”

To understand the effects of aging on the function of blood vessels when they are exposed to oxidative stress, Segal’s team studied the inner lining, or endothelium, of small resistance arteries. Resistance arteries are important to cardiovascular function because they regulate both the amount of blood flow into tissues and systemic blood pressure.

“We studied the endothelium from resistance arteries of male mice at 4 months and 24 months of age, which correspond to humans in their early 20s and mid-60s,” Segal said. “We first studied the endothelium under resting conditions and in the absence of oxidative stress. We then simulated oxidative stress by adding hydrogen peroxide.

When oxidative stress was induced for 20 minutes, the endothelial cells of the younger mice had abnormal increases in calcium when compared to the endothelial cells of the older mice. This finding is important because when calcium gets too high, cells can be severely damaged.”

When oxidative stress was extended to 60 minutes, Segal’s team found that the death of endothelial cells in the younger mice was seven times greater than those from the older mice. These findings indicated that with advancing age, the endothelium had adapted to preserve cellular integrity when confronted with oxidative stress.

“This finding contrasts with the generally held belief that the functional integrity of the endothelium is compromised as we age. Our study suggests that blood vessels adapt during the aging process to regulate ROS and minimize cell death when subjected to an abrupt increase in oxidative stress. This adaptation helps to ensure that the arteries of older individuals can still do their jobs.”

The study was published in the Physiological Society’s Journal of Physiology.