Archives: 12/2005

OTC

halitosiskitty lr The Hello Kitty Breath Tester
Engadget is reporting about an electronic little kitty from Japan, a halitosis detector:

This time around, the Hello Kitty Breath Tester kicks the old puff-and-sniff in the palm approach to halitosis detection rightly to the curb. A happy kitty icon means you’ll get big hugs from daddy while a little wincing kitty means pack your bags princess, it’s off the salt mines for you!

Product page (in Japanese)
Flashbacks: Detecting Infection With E-nose; The Breathscanner 1.0; Electronic Nose Shows Promise for Lung CA Detection

suretouch lr SureTouch Visual Mapping System
Medical Tactile, Inc., a Los Angeles company with tactile sensing technology expertise, has announced the introduction of the world’s first tactile sensing device for documenting clinical breast exams. The company believes that its FDA-cleared SureTouch Visual Mapping System will improve “the sensitivity, specificity and objectivity of manual breast palpation exams.” Current indication for this product, according to the FDA, is as an adjunct device for performing and documenting clinical breast exams.
The workings of the system:

suretouch sm SureTouch Visual Mapping SystemThe SureTouch Visual Mapping System electronically documents the Clinical Breast Exam (CBE). Simply palpate suspicious breast lesions with the hand-held tactile probe, and SureTouch instantly creates images of surface stress patterns.
The SureTouch probe houses an array of tactile sensors up to four times as sensitive as human touch and is clinically proven to accurately map lesions as small as 5mm.
SureTouch provides palpation images which are reproducible by different examiners, virtually eliminating the subjective nature of the CBE.
In seconds, SureTouch prints an objective electronic record to augment the patient’s chart. As a Physician Extender, SureTouch provides an indispensible visual aid for a more caring patient consultation.

suretouch med SureTouch Visual Mapping System

A tactile sensor consists of an array of pressure transducers which produce a digital signal as the sensor is pressed and moved against tissue. The MTI tactile sensor technology provides greater sensing sensitivity and repeatability than competing technologies and is up to four times as sensitive as the human sense of touch.
Just as a digital camera captures the sense of sight, MTI’s tactile sensing technology captures the sense of touch. Using advanced, proprietary image processing algorithms, SureTouch extracts salient lesion information from raw tactile images, as shown in the figure below. This provides physicians with key information about the lesion without the need for specialized training in image interpretation and enables them to make informed real-time decisions regarding patient referral and course of care.

Someone needs to tell Tom Cruse about the system, though we are starting to believe he might be one of our regular readers.
More at Medical Tactile

rtrty1nv FDA Approves Test to Screen for West Nile in Donated Blood, Organs, Cells and TissueThe FDA has approved the Procleix WNV Assay, developed by Gen-Probe Inc., and marketed by Chiron Corporation. According to the FDA’s press release:

“This approval is the result of a tremendous cooperative effort among FDA, other public health agencies, the test kit manufacturers and the blood industry,” said Jesse Goodman, MD, MPH, director of FDA’s Center for Biologics Evaluation and Research. “To develop an investigational test to screen blood, tissue and organ donors, and to get this test in blood banks throughout the country, and then licensed this quickly is a remarkable achievement for public health and patient safety.”
In 2002, it was discovered that WNV could be transmitted in blood and an urgent effort to develop a blood test began. With support from FDA, the Centers for Disease Control and Prevention and the National Institutes of Health, manufacturers developed investigational WNV tests that were rapidly put in place both to evaluate their effectiveness and as an interim measure to protect the blood supply. Blood banks across the United States participated in these efforts, resulting in the detection and removal of approximately 1,600 infected donations, safeguarding the blood supply and providing the needed data for today’s approval.

More from Gen-Probe and Chiron

Rebuilt Rebuilt: First Hand Account of a CyborgMichael Chorost became a cyborg at age 36. After being hard of hearing his whole life, he went acutely deaf while at a conference in Reno, Nevada. He elected to receive a cochlear implant from Advanced Bionics. As Chorost describes Rebuilt:

It’s a scientific memoir of going deaf and getting my hearing back with a cochlear implant, that is, a computer embedded in my skull. Science fiction writers and filmmakers have speculated about cyborgs (human-computer fusions) for decades, but in this book I reveal what it’s really like to have part of one’s body controlled by a computer.

The book is almost overwhelmingly personal, highlighting how the process of relearning to hear changed his outlook on life (the sub-title is “How Becoming Part Computer Made Me More Human”). The book does an excellent job of covering both the technical and practical aspects of becoming a cyborg. Being technically literate himself, Chorost deftly describes his experience and the technology that mediates it in language that strikes a “just right” mix of technicality and informality.
This would be an excellent read for any biomedical engineer, audiologist, ENT specialist, or potential patient thereof.
The entire first chapter of the book can be downloaded (in .pdf) at Chorost’s website.
The book can be found at the typical online retailers, as well as a bookstore near you.

mycofilm Preventing Biofilms in TB, LeprosyThe identification of a novel gene in Mycobacterium smegmatis could help with the development of new strategies to combat mycobacterial diseases such as tuberculosis and leprosy. Howard Hughes Medical Institute is reporting about the research and latest weapon from the Bronx:

HHMI researchers have identified a gene that enables mycobacteria–the cause of tuberculosis and leprosy–to form biofilms. Bacterial biofilms help mycobacteria resist treatment. But researchers found that when mycobacteria closely related to the TB and leprosy pathogens lack one key protein, mature biofilms fail to form. Interrupting the gene that produces this protein, known as GroEL1, could help treat or prevent these dread diseases.
To decipher the protein’s role in biofilm construction, Graham F. Hatfull, a Howard Hughes Medical Institute (HHMI) professor at the University of Pittsburgh, collaborated with HHMI investigator William R. Jacobs, Jr., at Albert Einstein College of Medicine. They discovered that GroEL1 oversees the production of a particular set of fatty acids called mycolic acids, which are necessary for biofilm growth…
bronxbomber Preventing Biofilms in TB, LeprosyJacobs’ and Hatfull’s current study began with the unexpected observation by Hatfull’s postdoctoral fellow, Anil Ohja, that a virus-infected strain of Mycobacterium smegmatis could not form proper biofilms. The virus, the mycobacteriophage Bxb1-named the Bronx Bomber by Jacobs after he isolated it from dirt in his own backyard in the Bronx, New York-integrates its DNA into the middle of the mycobacterium’s GroEL1 gene. This integration disrupts production of the GroEL1 protein, which belongs to a class of proteins known as chaperones that help shape and guide other proteins within the cell.
While another chaperone protein, GroEL2, is essential for mycobacterial growth, the strain missing GroEL1 managed to grow abundantly while floating in liquid cultures. Unlike the GroEL2 protein, a general “housekeeping” chaperone that helps the cell’s proteins fold properly, GroEL1 has a more specialized role. Without it, the mycobacteria could not construct mature, textured biofilms.
To find out how a chaperone protein might influence different growth phases, Ohja compared proteins made by mycobacteria strains with and without GroEL1. They showed that without the chaperone, the cells were lacking a key part of their fatty acid synthesis machinery. Then the group compared the fatty acids profiles of the two strains. The bacteria without GroEL1 made less fatty acid in general and none of the particular mycolic acids required to produce a biofilm.
“These studies emphasize that fatty acid synthesis is a highly regulated process that depends on the physiological growth state of the cells,” said Hatfull. Researchers must do further study to find out how the chaperone causes the change in mycolic acid production, he said, but it is likely that it throws a molecular switch in the synthesis machinery.
Mycobacterium tuberculosis also has two GroEL genes, and its GroEL1 protein is 90 percent identical to the M. smegmatis GroEL1. Even though there is no direct evidence yet that M. tuberculosis forms biofilms, Hatfull and Jacobs say it is highly likely that the two GroEL1 proteins act in similar ways to change mycolic acid synthesis-a hypothesis they plan to test next. The same mechanism might also be at work in M. ulcerans and M. leprae, which both cause painful, disfiguring diseases.

The source

esa suit The I Garment
To be developed for the Portuguese Civil Protection department to protect its firefighting personnel, the European Space Agency’s project consists of a garment, sensor and data acquisition infrastructure, telecommunications and software:

The project will develop a service for the Portuguese Civil Protection to accurately and effectively manage the human resources on the field in near real-time, guaranteeing the service will work even when terrestrial communications are unavailable.
The service will address the need to know where each member of the force is during an emergency and their health condition, allowing replacements to be organized in a timely fashion and teams to be moved according to the operational needs of the occurrence.
I-GARMENT will develop full-bodied smart garments equipped with sensors to monitor position, vital signals (temperature and heart beat) of the agents. This information will be sent via a wireless link to Civil Protection Officers in the HQ, processed and returned to the field officers equipped with PDAs and/or TabletPCs.
The fire-fighting garment will be made with the latest and most sophisticated materials available to provided proper protection in hazardous situation, with special emphasis to user comfort and mobility.
Tightly integrated with the garment there will be an array of sensors, telecommunication, localisation, alert and processing hardware capable of collection the status and position of the fire-fighter and transmitting it wirelessly and in real time to a data collecting computer installed in local Operational Field Vehicles (OFV).
Besides providing a means to collect data from the garments, the telecommunication system will allow the data to be transmitted from the local OFV to the main servers located in the management centre. This will be carried out with the use o satellite transmission, making the data available from virtually anywhere there might be a fire situation, without the need for further communication infrastructure.
The main pieces of software to be developed are the data collecting servers and an application where both field and centre managers can analyse the data from all the fire-fighters in real-time, being able to make fast decisions based on their status and position. The application will feature geographical information data to complement the data collected from the garments.

Project’s page
(hat tip: WMMNA)

radioactive seeds05 s New Ways to Zap Prostate CAA trio of innovations to treat prostate CA is being touted by the University of Wisconsin-Madison:

Directionally emitting radioactive sources, a device for placing needles and seeds, and a super-fast treatment-planning method were developed by UW-Madison engineering physics professor Douglass Henderson and medical physics associate professor Bruce Thomadsen.
To eradicate diseased tissue, physicians implant up to 100 radioactive seeds in the prostate. Like a tiny grain of rice, each seed is cylindrically shaped and emits radiation in all directions-increasing its likelihood of zapping healthy tissue, too.
So, borrowing a concept from nuclear materials handling, Henderson and Thomadsen designed directional seeds-sources with vertical shielding along one side. “I think nobody’s done it before because they look at these sources, which are only eight-tenths of a millimeter in outer diameter, and they say there isn’t enough space to put shielding,” says Thomadsen. “We found you can compress things and you can do it.”
As a result, they can implant seeds, particularly at the boundaries between healthy and diseased tissue, that steer radiation where it’s needed most.
With graduate student Liong Lin, the two developed prototypes and conducted successful radiation simulations. Now they are working with a leading brachytherapy products company to develop experimental prototypes. To keep the seeds from rotating once they’re implanted, the group also hopes to modify their design to incorporate a wedge-shaped anchor along one vertical side.
Implanting the seeds accurately is no small feat. With a hole-studded grid mounted over the patient as a guide, physicians use a hollow needle to insert the seeds manually. They rely on real-time ultrasound images of the prostate to ensure proper seed location and depth. But both the confines of the grid and the ultrasound itself limit the process, meaning that the radioactive seeds may not make it to the correct locations, says Thomadsen. So he and his graduate students abandoned the grid and built a robot that could deliver seeds more precisely than a physician could by hand.
Graduate student Michael Meltsner built a prototype robot and has perfected it by programming it to implant seeds into oranges. “It’s a really basic prototype, and he’s at the point where we have to test to make sure that, in the simple form we have, it’s going to perform exactly how we want,” says Thomadsen.
By next year, when the system is complete, it will provide countless angles for inserting seeds and will enable physicians to properly orient seeds that contain shielding.
To plan the seed placement for maximum effectiveness, physicians currently map an ultrasound view of the prostate on a 3-D grid, use optimization software to calculate several sets of possible seed locations, and determine which configuration will work best. But current optimization methods are iterative methods-that is, they calculate a solution, make a change, calculate a new solution, make a change, and so on.
Inspired by a reactor physics technique called adjoint, or “backward” transport, Henderson, Thomadsen and their graduate students developed a method that could reduce the time of this treatment-planning step from as long as 40 minutes to just a few seconds. “The adjoint function plays a big role in the selection of the seed position,” says Henderson.

The press release

National Cancer Institute’s Alliance for Nanotechnology in Cancer has released the latest headlines. Interesting stuff.

drug dispenser Its Like Pyxis for Your HomeIn many hospitals, medications and supplies are dispensed by powerful, even tyrannical, Pyxis machines. When the right information is painstakingly entered, Pyxis will unlock the appropriate drawers. Newer models will verbally reprimand you if you fail to close the drawers and log your usage.
Now, patients can experience this kind of electronic abuse in the comfort of their own home:

Unitech Tokyo Co. is selling a home-use device that automatically doles out the correct dosage of prescribed medicine and sounds a warning until the user retrieves the medicine. The device comes with several trays for storing pills. The trays open and offer the medicine at the exact times and frequency set by the user. The drug dispenser continues repeating, “Here is your medicine. Don’t forget to take it,” until the user retrieves the medicine.

Charming — and so stylish. For $150, a delightful addition to any bedroom or kitchen.