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Dementia raises death risk in oldest elderly

NeurologyDec 14 07

Alzheimer’s disease and other forms of dementia may have a particularly strong impact on life expectancy among the oldest elderly.

In a study published in the journal Neurology, researchers found that 95-year-olds with dementia were less likely to survive to their 100th birthday than those without dementia.

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Exercise more to live longer: study

Public HealthDec 14 07

Following national recommendations for physical activity can lengthen your life, results of a study indicate.

In the study, people 50 to 71 years old who got at least 30 minutes of moderate physical activity at least five days a week—as recommended in U.S. national guidelines—were 27 percent less likely to die over the next six or seven years, Dr. Michael F. Leitzmann of the National Cancer Institute in Bethesda, Maryland and colleagues found.

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Ingredient in human semen may enhance HIV infection

AIDS/HIVDec 14 07

An ingredient in human semen may actually help the HIV virus infect cells, German researchers said on Thursday.

They said naturally occurring prostatic acidic phosphatase or PAP, an enzyme produced by the prostate, can form tiny fibers called amyloid fibrils that can capture bits of the human immunodeficiency virus and usher it into cells.

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Workplace opportunities and stresses are both increasing

Public Health • • StressDec 14 07

Teamworking and other modern employment practices can put as much strain on a woman’s family relationships as working an extra 120 hours a year, an extensive study of the British workforce funded by the Economic and Social Research Council suggests.

The research finds that while British employers have maintained long-term career relationships with employees in spite of competitive market pressures, they have devised ways of extracting more effort and higher performance. These practices include team-based forms of work organization, individual performance-related pay, and policies that emphasize the development of individual potential.

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Overweight People Are More Likely to Have Bad Breath, TAU Study Finds

Obesity • • Respiratory Problems • • Weight LossDec 13 07

Researchers publish study that finds a direct link between obesity and bad breath

Now there’s another good reason to go on that diet after the holidays. Tel Aviv University researchers have published a study that finds a direct link between obesity and bad breath: the more overweight you are, the more likely your breath will smell unpleasant to those around you.

The research, led by breath expert Prof. Mel Rosenberg from the Department of Human Microbiology and The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine at Tel Aviv University, was reported in the Journal of Dental Research in October. The study also reported, for the first time, scientific evidence that links bad breath to alcohol consumption.

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Research unveils new hope for deadly childhood disease

Children's Health • • Public HealthDec 13 07

Investigators at the University of Rochester Medical Center have uncovered a promising drug therapy that offers a ray of hope for children with Batten disease – a rare neurodegenerative disease that strikes seemingly healthy kids, progressively robs them of their abilities to see, reason and move, and ultimately kills them in their young twenties.

The study, highlighted in the January edition of Experimental Neurology, explains how investigators improved the motor skills of feeble mice that model the disease, helping them to better their scores on successive coordination tests.

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Genetic differences influence aging rates in the wild

Flu • • InfectionsDec 13 07

Long-lived, wild animals harbor genetic differences that influence how quickly they begin to show their age, according to the results of a long-term study reported online on December 13th in Current Biology, a Cell Press publication. Evidence for the existence of such genetic variation for aging rates—a central tenet in the evolutionary theory that explains why animals would show physiological declines as they grow older—had largely been lacking in natural populations until now, the researchers said.

“We’ve found that individuals differ in their rates of aging, or senescence, and that these differences are (at least in part) caused by genetic effects so they will be inherited,” said Alastair Wilson of the University of Edinburgh. “While the genetic effects we found are completely consistent with existing theory, scientists hadn’t previously managed to test this theory properly except in controlled laboratory experiments.

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Venlafaxine extended-release effective for patients with major depression

Depression • • Drug NewsDec 13 07

Major depressive disorder (MDD) is the most common major mental illness, afflicting almost one in five individuals. More than 75% of people who recover from an episode of MDD will have at least one recurrence, with the majority having multiple recurrences. MDD is the leading cause of disability of all medical illnesses, with substantial functional impairment, morbidity, and mortality. Few studies have assessed the efficacy of antidepressant medications beyond 1 year of maintenance treatment for the prevention of recurrent depression. However, a new study being published in the upcoming December 15th issue of Biological Psychiatry has done just that.

The PREVENT study, an acronym for the title of the study “The Prevention of Recurrent Episodes of Depression with Venlafaxine for Two Years study,” is, according to one of the senior authors on the paper, Dr. Martin B. Keller, “a multiphase, double-blind, randomized clinical trial designed to investigate the efficacy of the serotonin-norepinephrine reuptake inhibitor (SNRI) venlafaxine extended release in the prevention of depressive recurrence over 2 years in patients with a history of recurrent MDD who have responded to acute and continuation treatment.” The investigators randomly assigned patients with recurrent depression to receive treatment with either venlafaxine extended-release (ER) or fluoxetine, an antidepressant already established as efficacious as a comparative medication. Although the PREVENT study followed patients for over two years, this article reports only on the acute and continuation phases, which were 10 weeks and 6 months long respectively.

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Natural human hormone as the next antidepressant?

Depression • • Endocrinology • • Psychiatry / PsychologyDec 12 07

Novel treatment strategies for major depression with broader treatment success or a more rapid onset of action would have immense impact on public health, a new study published in the December 1st issue of Biological Psychiatry explains. This new study reports findings that support the evaluation of a potential new antidepressant agent.

According to the lead author on this study, Kamilla Miskowiak, MSc: “Although depression is often related to problems in the chemistry of the brain, recent evidence also suggests that there may be structural problems as well with nerve cells not being regenerated as fast as normal or suffering from toxic effects of stress and stress hormones.”

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Use of Diabetes Medication by Older Adults Associated With Increased Risk of Serious Heart Problems

Diabetes • • Drug Abuse • • HeartDec 12 07

Older patients treated with the diabetes medications known as thiazolidinediones (which include rosiglitazone) had a significantly increased risk of heart attack, congestive heart failure and death, compared with the use of other hypoglycemic drugs, according to a study in the December 12 issue of JAMA. The authors suggest that these results provide further evidence that this class of medication may cause more harm than good.

The thiazolidinediones (TZDs) rosiglitazone and pioglitazone are oral hypoglycemic agents used to treat type 2 diabetes and have been shown to improve glycemic control. “While improved glycemic control has been linked to better clinical outcomes in diabetes and TZDs have been suggested as having potential cardiovascular benefits, recent concerns have arisen regarding adverse cardiac effects of these drugs,” the authors write.

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Smoking Associated With Increased Risk of Diabetes

Diabetes • • Tobacco & MarijuanaDec 12 07

A review of previous studies indicates that people who currently smoke have an increased risk of developing type 2 diabetes, compared with non-smokers, according to an article in the December 12 issue of JAMA.

A number of studies have examined the association between smoking and incidence of glucose abnormalities, and have suggested that smoking could be independently associated with glucose intolerance, impaired fasting glucose and type 2 diabetes, which could make smoking a modifiable risk factor for type 2 diabetes. However, it appears the quality and clinical features of these studies have not been fully assessed regarding this possible association.

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Depression screening for cancer patients too often falls between the cracks

Cancer • • DepressionDec 10 07

Depression is known to be associated with cancer yet too many cancer patients are not screened for this mental disorder, according to researchers from the Indiana University School of Medicine, the Regenstrief Institute and the Roudebush VA Medical Center.

In a study published in the November-December issue of General Hospital Psychiatry, Caroline Carney Doebbeling, M.D., M.Sc. and Laura Jones, Ph.D., looked at data from the Roudebush VA Medical Center, where 95 percent of veterans in primary care are screened for depression.

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Asking Where And When The Next Disease Outbreak Could Happen

Infections • • Public HealthDec 10 07

It was one of those things you hear about on the news: an outbreak of monkeypox in the Chicago area. An animal dealer placed infected rats from Africa next to a crate of prairie dogs. The disease spread to the prairie dogs, which were then sold in pet stores across the nation. Dozens of people in multiple states were sickened from contact with the animals.

The incident gave K-State veterinary medicine graduate Christine Ellis a little bit of global perspective. At the time, she was working as an associate veterinarian at The Midwest Bird and Exotic Animal Hospital in the Chicago area.

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Is there a developmental component to the risk for depression?

Depression • • Psychiatry / PsychologyDec 10 07

Psychiatrists remain divided as to how to define and classify the mood and anxiety disorders, the most common mental disorders. Committees across the globe are currently pondering how best to carve nature at its anxious joints for the fifth version of the Diagnostic and Statistical Manual (DSM-V), the “gold standard” reference book for psychiatrists. Only recently has the process of refining the diagnostic system been informed by high quality longitudinal data. An important new study of this type was published in the December 1st issue of Biological Psychiatry.

Ian Colman, Ph.D., the lead author, notes, ““Rarely have classification systems in psychiatry considered the nature of symptoms of depression and anxiety over time; however research into trajectories of alcohol abuse and antisocial behaviour shows that accounting for symptoms over time may help in better understanding causes and outcomes of these disorders.”

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Diabetes and hyper-insulinemia as predictors of colorectal cancer risk in a prospective cohort of wo

Cancer • • DiabetesDec 07 07

Women with diabetes are 1.5 times more likely to develop colorectal cancer than those who do not have the metabolic disorder, according to researchers at the University of Minnesota. The findings, they say, add to the complex body of evidence linking diet and colorectal cancer and also provide new evidence that furthers our understanding of the role of insulin in cancer promotion.

“Colorectal cancer and type II diabetes share a number of common factors, including obesity, so it is interesting to see the direct line between these two conditions,” said Andrew Flood, Ph.D., assistant professor in the Division of Epidemiology and Community Health at the University of Minnesota School of Public Health and the University of Minnesota Cancer Center ”In general, the idea is that if elevated insulin levels create a biochemical environment conducive to cancer growth, it provides one mechanism by which diet and lifestyle can really influence cancer risk.”

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