Archives: 4/2007

 Hand Carried Ultrasound worksA study in the BMJ (a special publication) has determined that hand-carried ultrasound (HCU) is effective as a substitute for a standard echocardiography session a third of the time for making a definite diagnosis. Here’s a short excerpt from the paper:

…a complete echocardiographic examination is an expensive diagnostic test, which requires skilled personnel, and is usually performed several days after the first cardiology evaluation. This results in the need for a second patient-doctor encounter for possible revision of treatment, with consequent delay in diagnosis and treatment and high-cost outpatient cardiology clinic management.
Over the last few years, hand-carried ultrasound (HCU) devices have proved to be reliable tools for rapidly assessing the presence of cardiac abnormalities, with the potential for providing answers to the clinical questions raised after physical examination. Their use could lead to a reduction in the number of SE examinations, a decreased work load for echocardiographic laboratories, and prompt clinical decisions, with a positive impact
on both patient management and financial arrangements.
…The use of a simple HCU device in the outpatient cardiology clinic allowed reliable diagnosis in
one third of the patients referred for echocardiography, which translates into cost and time saving benefits.

Paper abstract: A hand-carried cardiac ultrasound device in the outpatient cardiology clinic reduces the need for standard echocardiography. [Heart 2007;93:470-475]
(Hat Tip: Dr. Wes)

femur bone pen holder Femurs are great for holding pens
Pens are scarce in the anatomy lab, and there never seems to be a goop-free place to set one down. Well, a genius decided to tackle this problem, producing a life-size exact femur replica that holds up to three pens. Now you can safely rest your pens in the diaphysis of a delicious thigh-bone.
There seems to be no end to kitschy medical accessories, can you catch ‘em all?
Try and buy yourself one here
(Hat tip: The Uber-Review)

Depression is one of the most common under-diagnosed disorders for a variety or reasons, and Taiwanese researchers hope an online self-assessment program will help accurately diagnose this problem.

Chao-Cheng Lin of the National Taiwan University Hospital, Yu-Chuan Li of the National Yang-Ming University, and other colleagues in Taiwan developed the Internet-based Self-assessment Program for Depression (ISP-D). Between September 2001 and January 2002 the team recruited 579 subjects via a popular mental health website. Volunteers were sent a follow-up email one to two weeks after completing the first questionnaire inviting them to re-sit the test, and those who completed the questionnaires were offered a psychiatrist’s appointment to validate the diagnosis.
Results of the first assessment showed that 31% of participants had major depressive disorder, 7% a minor depressive disorder, 15% had some symptoms of depression that did not amount to a full diagnosis of depression (subsyndromal depressive symptoms) and 46% had no depression. Analysis of the retest results show excellent reproducibility for major depressive disorder. The reproducibility was lower for minor depressive disorder, which may be because minor depression is not a stable diagnosis. The psychiatrist’s follow-up revealed that the diagnosis was correct for 75% of those tested online.

Press release: Surfing the blues — Internet questionnaire can accurately identify depression …
Abstract: Web-based tools can be used reliably to detect patients with major depressive disorder and subsyndromal depressive symptoms

Art

 Heavy Metal
What do lethal attack droids, bisected bronze skulls, and terminator-styled mechanical arms have in common? They are some of the amazing sculptures made by Norwegian prosthetics designer, Christopher Conte.

Christopher Conte was born in Bergen, Norway where he began drawing at age 3. At age 6, shortly after moving to New York, he started taking college art classes at Hofstra University following a recommendation from his first grade teacher.
While still in high school he attended St. John’s University and in the eleventh grade received a scholarship to Pratt Institute in Brooklyn, New York. Once at Pratt, he also studied human anatomy at Columbia Presbyterian Hospital through a program sponsored by Columbia University.
After earning a Bachelors Degree in Fine Art (BFA) from Pratt Institute, he entered the prosthetics field and began making artificial limbs for amputees in New York. Along with a combined love for sculpture, medical-science, and biomechanics, the field enabled Chris to apply his natural talents to help others in less fortunate situations, which he still does to this day

Christoper Conte Gallery
(hat tip: MAKE)

luke bino brain DARPA: Operation Jedi Skills This is off the charts cool, as the boys at DARPA have drawn inspiration from the legendary Star Wars movies with the goal of giving our fighting men and women Jedi Skills. They are working on blending real time electroencephalograms (EEGs) with advanced binoculars for soldiers to rapidly detect potential threats and enemy targets.

Recent developments and discoveries in the disparate technology areas of flat-field, wide-angle optics, large pixel-count digital imagers, cognitive visual processing algorithms, neurally-based target detection signatures and ultra-low power analog-digital hybrid signal processing electronics have led DARPA to believe that focused technology development, system design, and system integration efforts may produce revolutionary capabilities for the warfighter. The final objective of the DARPA CT2WS program is the development of prototype soldier-portable digital imaging threat queuing systems capable of effective detection ranges of 1-10 km against dismounts and vehicles while simultaneously surveying a 120-degree or greater field of view (FOV).

For more information, check out the Wired article which is packed with the official Q&A from industry leaders as well as several presentations on the scientific work being accomplished.
Press Release: Cognitive Technology Threat Warning System
(hat tip: Engadget)

436563wwi New Molecule Involved in the Bodys Processesing of Dietary FatA new molecular player in triglyceride metabolism has been identified by researchers at UCLA:

Digested fats travel to the small intestine, where they are packaged into chylomicrons, which are large, spherical particles filled with triglycerides.
Chylomicrons then travel through the bloodstream and deliver triglycerides to the skeletal muscles and heart — tissues that are hungry for fuel — or to adipose tissue for energy storage. Molecules called proteoglycans, attached to the inside walls of capillaries, wait like baseball players with their mitts open, poised to catch the passing chylomicrons.
Proteoglycans hold the chylomicrons steady while the triglycerides are broken down or hydrolyzed by the enzyme lipoprotein lipase (LpL). The triglyceride breakdown products are then taken up and used by cells.
“Previously we didn’t know what molecule in the capillaries facilitated the capture of chylomicrons and facilitated the interaction with lipoprotein lipase,” said Dr. Stephen Young, study author and investigator at the David Geffen School of Medicine at UCLA. “We think that we’ve found the missing piece of the puzzle.”
Investigators discovered that a protein called glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1 (GPIHBP1) may be the missing link.
Scientists found that mice deficient in GPIHBP1 develop very high triglyceride levels, even on a normal diet, demonstrating that fats in the bloodstream are not readily metabolized in the absence of GPIHBP1.
Laboratory tests confirmed that GPIHBP1-deficient mice had much higher levels of chylomicrons in the bloodstream than normal mice. The GPIHBP1-deficient mice had grossly milky plasma, reflecting very large amounts of triglycerides in the blood.
“These findings indicate a defect in the breakdown of chylomicrons in mice that don’t have GPIHBP1,” Beigneux said.
Investigators predicted that if GPIHBP1 were involved in the processing of chylomicrons in the bloodstream, then the protein would be made by endothelial cells of capillaries, where the breakdown of triglycerides takes place. Indeed, microscopy showed that GPIHBP1 is expressed highly and exclusively on the endothelial cells of capillaries of heart, adipose tissue and skeletal muscle.
Interestingly, scientists found that this protein was absent from the brain, which mainly uses glucose for energy.
“These differences suggest that endothelial cells may play an active role in regulating the delivery of lipid nutrients to different tissues,” Beigneux said.
Experiments with cultured cells revealed that GPIHBP1 binds both chylomicrons and lipoprotein lipase, suggesting GPIHBP1 is a key platform for the processing of chylomicrons.

Press release: UCLA Identifies New Molecule Involved in the Body’s Processesing of Dietary Fat …

36425alz1 Alzheimers Friendly Virtual Home
The Division of Geriatrics at Weill Cornell Medical College has received a grant from The NEC Foundation of America “to support the development of the Alzheimer’s-Friendly Virtual Home, a unique and innovative Web site with graphics-rich information for caregivers on ways to best adapt a home for persons with Alzheimer’s disease and related disorders.”
Researchers at Cornell have already been working on such a website. They believe that an appropriately designed geriatric home environment can reduce excess disability and improve functional capacity of the elderly inhabitants. As a matter of fact, if you are a medical student or primary care physician, you can take an online multimedia course on environmental geriatrics on Cornell’s website.
36425alz2 Alzheimers Friendly Virtual Home
For more check out the 3D Animated Virtual Home
Press release: NEC Foundation of America Grant Helps Build Weill Cornell Medical College’s Alzheimer’s-Friendly Virtual Home …
(Hat tip: MTB Europe)

65134leech Link Fest Link O Rama Link O Tastic Link Mania

  • Socialized Medicine in Colorado — An Open Letter to Colorado Physicians
    [Paul S. Hsieh, MD] (hat tip: Kevin, M.D.)
  • Misclassified for Centuries, Medicinal Leeches Found to Be Three Distinct Species
    [The National Science Foundation]
  • Given Imaging, Fujinon to develop endoscopic equipment
    [Globes online]
  • A Genetic “Gang of Four” Drives Spread of Breast Cancer
    [Howard Hughes Medical Institute]
  • Scientists discover a key player in embryonic muscle development
    [Weizmann Institute]
  • skin%20temp%20transmitter MAKE: How To Make a Skin Temperature Transmitting Device The Citizen Scientist has a great article about an ingenious product that may never make it to market. Inventor Jan Cocatre-Zilgien has created a unique pediatric thermometer to continually monitor and transmit your child’s temperature. However, due to the cost of government approval and post-production liability, Jan fears his product may never see store shelves.

    Any parent who has had to take care of a feverish child at home knows what a source of emotional stress and anguish it can be. This is magnified at night, as fever often tends to get higher then. Unchecked fever may create complications of its own, such as dehydration and febrile convulsions in infants. The lack of sleep resulting from periodically monitoring the child can be very tiring for the parents, especially if the fever spans several days.
    When small single-chip transmitter and receiver modules became publicly available, it was an invitation to design a skin temperature telemetry system for those parents. I used the very robust modules from Linx Technologies, with 418 MHz chosen over 315 MHz because of the slightly shorter antenna. Essentially, if the transmitted child skin temperature gets too hot (fever peak) or too low (malfunction), an alarm is triggered at the receiver. The version whose receiver is integrated with an alarm clock was patented in the USA under patent number 5,844,862, which shows variants and other complementary information.
    This skin temperature telemetry system works, but bringing the product to market takes more work–and funds. I discovered after the fact that the FCC Part 15 compliance must be done by a certified engineering firm at a cost of $20,000 for the transmitter, plus $20,000 for the receiver. Then you need very expensive product liability insurance (imagine a child dying of the poorly explained Sudden Infant Death Syndrome, while wearing the telemetry transmitter). As a result, I have only tried to convince established manufacturers to market the system, including those making wireless outdoors temperature sensors for weather monitoring, but this was not successful.

    (hat tip: MAKE)