Archives: 11/2005

It’s a fact that obesity is a major public health problem right? Right. So what’s new?
Well, maybe some of us are actually not fat, but only fat in our own minds. The fact that we all have an image of our selves stored in our brain, which can sometimes get disordered, is considered to have a lot of influence on origin of diseases like anorexia and bulimia.
mindfat Keep Fat In MindBBC reports that UK scientists have identified the part of the brain that determines whether a person perceives themselves as fat.

The area is called the posterior parietal cortex which sits at the side of the head, just above the ear. The University College London and the Institute of Neurology team believe the findings might explain why some people feel fat, even when they are thin.
To achieve the so-called “Pinocchio” illusion, the 17 participants each had a vibrating device placed on their wrist to stimulate the tendon and create the sensation that the joint was bending, even though it was not.
With their hand touching their waist, the volunteers felt their wrists bending into their body, creating the illusion that their waists were shrinking. During the experiment, all of the volunteers reported that they felt as though their waist had shrunk by up to 28%.
The brain scans revealed increased activity in the posterior parietal cortex at the same time. This brain region helps interpret the sensory information coming from different parts of the body.
The volunteers who reported the strongest shrinking sensation also showed the strongest activity in this area of the brain.
Lead researcher Dr Henrick Ehrsson said: “Unlike more elementary bodily senses such as limb movement, touch and pain, there are no specialized receptors in the body that send information to the brain about the size and shape of body parts. “Instead, the brain appears to create a map of the body by integrating signals from the relevant body parts such as skin, joints and muscles, along with visual cues.”
He said other studies have shown that people with injuries in the parietal cortex area of the brain experience the feeling that the size and shape of their body parts have changed.

Well, if after all you don’t have problems with your posterior parietal cortex and you are indeed obese, you will have other serious problems that are making headlines to consider. Add this to the list of reasons why to loose weight and act now.
At BBC learn more about feeling fat
Read the whole research article: “Neural Substrate of Body Size: Illusory Feeling of Shrinking of the Waist“…

mammo dr Digital Tomosynthesis Shows Promise in Breast CA
The Radiological Society of North America (RSNA) is saying, from its meeting in Chicago, that newly digitized and improved 30-year old tomosynthesis technology shows better specificity and sensitivity for the diagnosis of breast CA than conventional film mammography:

“The results of our preliminary trial suggest that tomosynthesis may decrease false-positive screening mammography findings by half, thereby reducing the number of women who are recalled after screening mammography for a second, more thorough exam,” said lead author Steven Poplack, M.D., associate professor of diagnostic radiology and obstetrics and gynecology at the Dartmouth Hitchcock Medical Center/Dartmouth Medical School in Lebanon, N.H.
A patient’s experience is much the same for tomosynthesis as it is for a standard mammography exam. Tomosynthesis obtains digital data that can be manipulated and displayed in a variety of ways, including paging through or cine display of thin (one millimeter) sections or slices of breast tissue, which eliminates the problem of overlying tissue that might be mistaken for lesions or that may hide small cancers.
To evaluate the role of tomosynthesis in breast cancer screening and diagnosis, Dr. Poplack and colleagues studied 98 women who were recalled for diagnostic imaging following abnormal screening mammograms. The initial screening mammography exams showed 112 findings in the women.
When the researchers compared the exams and took into account findings seen with tomosynthesis only, they found that approximately 40 percent of the patients would not have been recalled had they originally been screened using tomosynthesis. As a diagnostic imaging technique for follow-up of a potential abnormality in the breast, tomosynthesis was as good as, if not better than, diagnostic mammography in 88 percent of patients.
Dr. Poplack is optimistic about the ability of tomosynthesis to improve the overall accuracy of diagnosing breast disease. “Tomosynthesis is going to reduce the number of false-positive screening exams and will probably allow us to find more early breast cancers,” he said.
He pointed to a number of reasons this technology is appealing. “The similarity of tomosynthesis to mammography allows us to build on the current foundation of mammography while improving interpretation,” he said. “It is both an evolution of mammography technology and revolutionary new technology.”

The RSNA press release
Prototype digital breast tomosynthesis system presented… MAMMOMAT® NovationDR product page at Siemens
Breast tomosynthesis case studies at Hologic, Inc., maker of digital tomosynthesis systems…

CyberHand lr The CyberhandThe European Information Society Technologies (IST) website is reporting a new IST programme to develop an artificial hand and sensory system that could provide patients with active feeling in addition to motor function:

… CYBERHAND project aims to hard wire this hand into the nervous system, allowing sensory feedback from the hand to reach the brain, and instructions to come from the brain to control the hand, at least in part.
Coordinated by Professor Paolo Dario with Professor Maria Chiara Carrozza leading the development of the hand, the project united researchers from Germany, Spain, Italy and Denmark.
So far, the project is racking up an impressive list of achievements. It has a complete, fully sensitised five-fingered hand. The CYBERHAND prototype has 16 Degrees of Freedom (DoFs) made possible by the work of six tiny motors.
Each of the five fingers is articulated and has one motor dedicated to its joint flexing for autonomous control. It features that miracle of evolution, the opposable thumb, so the device can perform different grasping actions.
Taking inspiration from the real hand, where a muscle pulls a tendon inside a synovial sheath, CYBERHAND’s finger cables run through a Teflon sheath pulled by a DC motor. So the proximal, medial and distal phalanges, those bones between your finger knuckles, are all driven by the same tendon. This approach is called underactuation as there are more Degrees of Freedom than Degrees of Movement (motors); it means the prosthesis has a self-adaptive grasp.
79475 001 The Cyberhand“This is a fundamental feature of the CYBERHAND prosthesis because only a limited number of control signals are available for user’s voluntary control,” says project manager, Dr Lucia Beccai. Importantly, it also means less user effort is required to control the hand during daylong use.
The CYBERHAND prototype integrates the two types of human senses. One senses where parts of the body are relative to other parts, whether our fingers are open or closed, for example. The other relates to taste, touch, sound, hearing and sight that tell us about the external world. CYBERHAND includes sensors for tension, force, joint angle, end stroke and contact in the final prototype.
This prototype uses Longitudinal IntraFascicular Electrodes (LIFEs) to connect the hand to the nervous system. Within the CYBERHAND project, in addition to traditional wire LIFEs, a new type of electrode has been developed to improve performance and make them less invasive in humans: the Thin Film LIFE (tfLIFE).
So far, the project has produced excellent science and engineering to create an impressive prototype. The next step is to test the device in humans.

The press release
The project’s homepage

4D The PR QuagmireTom Cruise is now under attack from a new enemy, the American College of Radiology, which issued the following harsh statement:

Actors Tom Cruise and Katie Holmes may be placing their unborn child at risk if fetal ultrasound is performed on Ms Holmes without medical supervision and should not, in any way, view fetal keepsake ultrasound images thus obtained as a substitute for appropriate medical attention. Use of such medical equipment by unlicensed individuals may also be a violation of federal law.
The American College of Radiology (ACR) fully supports the views of the US Food and Drug Administration that fetal ultrasound be performed only for medical purposes, by certified technologists, with a prescription from an appropriately licensed provider.
“This is a patient safety issue. Untrained people, even if they have the financial means, should not buy, or be allowed to buy and operate, ultrasound machines, which are, in fact, medical devices and should not be used without a medical indication,” said Carol M. Rumack, MD, FACR, chair of the ACR Commission on Ultrasound. “Images of the fetus are an opportunity to diagnose problems before birth that may require treatment. These images should be obtained by certified technologists under the supervision of physicians properly trained in ultrasound. The images should then be interpreted by properly trained physicians and discussed with the parents and treating physicians in order to plan for the best care of the baby and mother,” said Dr Rumack.

Dr Cruise, having acquired the power of Force Lightning and treated Oprah Winfrey with electric shock therapy, received his honorary doctorate from the School of Scientology. He continues taking matters into his own hands. First psychiatry, now obstetrics.
The American College of Radiology press release
(hat tip: Kevin, M.D.)

Cpr New CPR Guidelines Revealed
Forbes.com is reporting that the American Heart Association has released new, simpler guidelines for CPR training. From the article:

The chances that a victim of cardiac arrest will be successfully resuscitated and go on to live a normal life range from two percent to 70 percent in the United States and Canada, depending on location.
Overall, the guidelines — which urge laypeople to take a CPR course — emphasize a “back-to-basics” approach.
“The most common reason people die is because no one nearby knew CPR or didn’t actually do it after cardiac arrest happened,” said Dr. Michael Sayre, volunteer chairman of the American Heart Association’s basic life support subcommittee, and associate professor of emergency medicine at Ohio State University.
“One of the reasons for that is the skill has been very complicated,” he added. “We believe that the first step towards bystanders taking action is to improve the accessibility and quality of CPR training and to simplify instructions.”
The biggest change is in the ratio of chest compressions to breaths, which under the new guidelines is now 30 compressions for every two breaths, compared to 15 compressions for every two rescue breaths in the 2000 guidelines.
Other recommendations include training 911 dispatchers to provide CPR instructions by phone.
At its most basic level, the American Heart Association guidelines urge more people to learn CPR.
“We’re stressing the importance of the public taking CPR classes,” [Dr. Robert O'Connor, Vice Chairman of the American Heart Association's emergency cardiac care committee -ed.] said.

The article from Forbes.com…
The guidelines
Flashback: CPR Anytime™ for Family and Friends

tictac Placebo Effect Links Expectations to Results
The Associated Press is running a story covering the positive effects of positive patient expectations. Among the findings at various universities:

University of Michigan scientists injected the jaws of healthy young men with salt water to cause painful pressure, while PET scans measured the impact in their brains. During one scan, the men were told they were getting a pain reliever, actually a placebo.
Their brains immediately released more endorphins – chemicals that act as natural painkillers by blocking the transmission of pain signals between nerve cells – and the men felt better. To return to pre-placebo pain levels, scientists had to increase the salt-water pressure.
Italy’s [Dr. Fabrizio] Benedetti gave Parkinson’s patients a placebo and measured the electrical activity of individual nerve cells in a movement-controlling part of the brain. Those neurons quieted down, a decrease in firing of about 40 percent that correlated with a reduction in patients’ muscle rigidity – they moved more easily.
Likewise, Parkinson’s patients moved much better when they were told that doctors had turned on a pacemaker-like implant in their brains, which blocks tremors, than when it was turned on covertly.

The article repeatedly tries to specify that the placebo effects observed weren’t just psychological, but also physical. However, there is a physical electro-chemical embodiment of all psychological activity. The distinction disregards links between neural activity and it’s body-wide effects. However, all-in-all, it highlights the importance of patient perception on mediating the known effects of a drug or technology.

The surprising discovery of different oxygen-18 to oxygen-16 isotope ratios inside versus outside of cells can lead to new frontiers against cancer:

A scientific method that has been used to track the source of illegal drugs, explosives, counterfeit bills and biological warfare agents may have some new uses: detecting rapidly growing cancers and studying obesity and eating disorders…
The researchers found that up to 70 percent of the water inside rapidly growing bacterial cells was generated by metabolism, the process of converting food into energy and other necessities of life. That conclusion was based on their surprising discovery that water inside the bacterial cells (intracellular water) has a different oxygen-18-to-oxygen-16 ratio than water outside the cells (extracellular water).
If future research proves the same thing is true in mammalian cells, then the difference in isotopic makeup of water inside and outside of rapidly growing cells might be used to detect fast-growing cancer cells in the brain or other hard-to-biopsy areas of the body, or study the metabolism of obese people or people suffering anorexia or bulimia, says Hegg, an assistant professor chemistry…
The researchers grew E. coli bacteria at body temperature in flasks containing a nutrient-rich liquid culture medium. There were four sets of flasks, each holding a growth medium containing water with a different ratio of oxygen-18 to oxygen-16.
After the bacteria grew for three hours, the contents of each flask were sucked through a filter, leaving a pasty “cake” of bacterial cells with the consistency of wet flour.
Water was extracted from the bacterial cakes by placing each cake in a test tube, freezing the cakes by putting the tubes in liquid nitrogen, using a vacuum to remove the air from each tube, then putting the tubes in boiling water. The water from each cell cake was boiled into steam, which was routed to another tube where the water condensed.
Before undergoing this process, half of the bacterial cakes were washed with water with four different ratios of oxygen-18 to oxygen-16. The washing process allowed researchers to calculate how much of the water extracted from the bacterial cakes came from outside and from inside the bacteria. Water samples were analyzed in a mass spectrometer, which detects the atomic weights of isotopes of oxygen within the water.
The result: The ratio of oxygen-18 to oxygen-16 was different in water from inside and outside the bacteria. The extent of that difference allowed the scientists to determine that 30 percent of the water inside rapidly growing E. coli came from outside the bacteria and 70 percent of the water was produced by metabolism inside the bacteria.

The research from the University of Utah in Salt Lake City and Pacific Northwest National Laboratory in Richland, Washington was published in the online edition of the Proceedings of the National Academy of Sciences.
More at the University of Utah…

432143466 Biotechnologys Newest Chemical ToolHoward Hughes Medical Institute is reporting that an international team of researchers has developed a new technique to manipulate and modify specific sequences within a DNA molecule, using DNA methyltransferases, enzymes that are responsible for turning genes on and off:

Methyltransferases require a source for the methyl groups that they attach to DNA, and most often that source is a molecule called S-Adenosyl-L-methionine (AdoMet), sometimes known as SAM or SAMe. Methyltransferases grab the methyl group from AdoMet and transfer it directly to DNA, positioning it with enviable specificity within the sequence. This specificity suggests that the enzymes can be a useful tool in the laboratory. But Klimasauskas [Saulius Klimasauskas, a research scholar at the Institute of Biotechnology in Vilnius, Lithuania -ed.] and colleagues wanted the flexibility to attach more than just a simple methyl group…
To try out their technique, the scientists synthesized molecules that mimicked AdoMet, but had chemical groups with longer carbon chains in the position where the methyl group was usually located. The enzymes were able to grab the bulkier group and transfer it to DNA. Since the family of DNA methyltransferases includes enzymes capable of recognizing more than 200 distinct sequences, this new approach provided an unprecedented ability to manipulate DNA experimentally.
To demonstrate the technique’s potential to alter DNA function, the researchers modified DNA in a position that blocked another enzyme’s ability to snip the molecule at its target site. “No one has really thought about possible applications [of this] before because no one thought it was possible,” said Klimasauskas. He predicts that DNA methyltranferases will become a standard laboratory tool like restriction endonucleases.

Picture caption: “Simulated model of the HhaI methyltransferase (shown as grey van der Waals surface) in ternary complex with the bound synthetic cofactor (spacefill CPK) and its target site (shown in magenta, flipped out target base shown in green) in DNA (grey). Left, a modified target site on DNA is shown that contains the covalently attached extended group (spacefill CPK).”
The Howard Hughes Medical Institute reports

Do you have some quality time to waste? Then watch this little drawing study of a human figure.