Archives: 5/2007

46543hypo Special Needs Population Planner SoftwareArgonne National Laboratory is reporting an introduction of a new open-source software to track and to help disabled individuals in case of a natural disaster, war or other emergencies.

The software provides a database for creating a list of individuals with special needs throughout a given emergency planning area. Individuals with special needs include the physically, mentally and medically disabled, those without transportation and latchkey children.
The project began in 1998 with funding from the U.S. Army under the Chemical Stockpile Emergency Preparedness Program for the seven areas across the country where chemical weapons are stored. These areas have emergency evacuation plans for neighboring residents, and Argonne researchers were asked to gather data and develop software to help identify and plan for individuals with special needs at the Anniston Army Depot site near Anniston, Ala. The study covered most of a six-county area with 115,000 households and 275,000 residents, of whom about 9 percent reported special needs.
The next step was to learn who these individuals are, where they are located, and what special requirements they have, said Ed Tanzman, who led the project for Argonne’s Decision and Information Sciences Division. Registrations were collected through annual direct-mail solicitations, supported by advertising and telephone contacts. In Anniston, local officials recognized that first responders would be unable to rescue every registered person in case of emergency. Instead, they decided to help make these people more self-reliant by offering them adapted protective equipment, training and services.
“Hurricane Katrina highlighted the national problem of emergency planning for persons with special needs, when a number of residents — many disabled persons or their caregivers — were trapped for days at the Superdome because of evacuation problems,” Tanzman said. “During Hurricane Rita, about three weeks later, 44 assisted-living-facility residents were being evacuated on a motorcoach when it caught fire, killing 23. These events made it clear to the public that those who are disabled and disadvantaged are at great risk during emergencies. Specialized plans are needed to help them become better able to implement such protective actions as sheltering or evacuation.
“With the U.S. Census Bureau estimating that up to 19 percent of the population is disabled,” Tanzman said, “the Army recognized a need to make this software available to all emergency planners, not just those near Anniston Army depot. Using the Argonne-developed software, emergency planners for any area can begin building a database of persons with special needs and developing emergency response or evacuation plans to accommodate them.”

To learn more about the software, head on to Special Population Planner software page
Press release: New software helps emergency planners assist people with special needs …
Flashback: BoingBoing Shamefully Ignores Valid Questions; More about User-Generated Content; WhoIsSick.org: Hypochondriacs Welcome!

643424nyt A Doctor vs The New York TimesHere’s a great opinion piece by Richard L. Reece, MD at the MedInnovationBlog about an uphill battle to save US healthcare.

I await the day when The New York Times runs a series of “good news” articles about the state of American health care. The series might have these titles,

  • Americans Trust Their Doctors
  • Americans Have Greater and Quicker Access to High Tech Diagnostic and Curative Care Than Any Other Nation
  • Foreign Physicians Flock to America for Training Unavailable in Their Country
  • Record Numbers of Canadians Cross Border for Life-Saving Care
  • America Achieves Unprecedented Longevity Gains in Last Decade
  • Americans Receive 80 Percent of Noble Prizes in Medicine
  • Research at American Pharmaceutical Companies Produces 90 Percent of the World’s New Drugs
  • America’s Innovative Health System’s Variety and Choice the Wonder of The World
  • That’ll be the day.

    A must read: The New York Times Reports “Good News” About American Health Care
    (hat tip: Kevin, M.D.)
    Flashbacks: America’s Next Great Debate: Health Care; Cuban Health Care; How AMA and Other Societies Abrogate Their Responsibilities; Sicko?

  • Chemical Maps Hint at Drugs’ Effects on Schizophrenia
    [Duke University]
  • DNA-damage test could aid drug development
    [MIT]
  • Philips and Traxtal to deliver image guided therapy solutions using electromagnetic navigation
    [Philips]
  • Mammography rates declining in the United States
    [Cancer]
  • Healthcare Blogging Summit 2007 Roundup
    [Trusted.MD]
  • Grand Rounds at Medical Humanities Blog
    [Medical Humanities Blog]
  • The face, not the body, attracts a mate
    [New Scientist]
  • UC Irvine’s Hans Keirstead and colleagues have been granted permission from the university’s Institutional Review Board to conduct a project to develop stem cell lines via somatic cell nuclear transfer:

    UC Irvine neurobiologist Hans Keirstead and his research team today [May 14, 2007 --ed.] launched a project to develop stem cell lines that genetically match human patients. These lines would allow scientists to better study conditions ranging from diabetes to Parkinson’s disease, and they would provide the basis for potential patient-specific stem cell treatments.
    Keirstead will use a technique called somatic cell nuclear transfer (SCNT) in which a patient’s DNA is transplanted into a donated unfertilized egg cell in order to generate stem cell lines with the same genetic makeup of the patient. These lines have tremendous therapy potential because the human immune system is less likely to attack genetically identical cells. Only a few laboratories in the world are attempting this technique in human stem cell research and, thus far, no human stem cell lines have been derived using this method.
    “This technique holds tremendous promise to advance our knowledge of stem cells and their potential to cure disease,” said Keirstead, associate professor of anatomy and neurobiology and co-director of UCI’s Sue and Bill Gross Stem Cell Research Center. “I am excited to embark on this line of research and look forward to the day when patient-specific stem cells are utilized to treat people suffering from debilitating injuries and health conditions.”
    This project received approval May 11 from UCI’s Institutional Review Board, which under federal regulation reviews all proposed studies involving human tissue. The Embryonic Stem Cell Research Oversight Committee at UCI also has reviewed the project and will ensure that experiments involving embryonic stem cells serve important research goals and are conducted according to the highest ethical standards.

    Press release: UCI launches effort to develop patient-specific stem cell lines …
    Prof. Hans S. Keirstead’s homepage
    Flashback: Stem cell treatment improves mobility after spinal cord injury …

    ipod pacemaker iPod v. PacemakerCell phones have been getting a lot of flak in ERs and hospitals, while iPods are seen as the pinnacle of design. Leave it to a 17-year old to bring the real troublemaker out into the open. Apparently iPods interfere with pacemakers, sometimes causing them to stop working completely. Here’s more from Reuters:

    The study tested the effect of the portable music devices on 100 patients, whose mean age was 77, outfitted with pacemakers. Electrical interference was detected half of the time when the iPod was held just 2 inches from the patient’s chest for 5 to 10 seconds.
    In some cases, the iPods caused interference when held 18 inches from the chest. Interfering with the telemetry equipment caused the device to misread the heart’s pacing and in one case caused the pacemaker to stop functioning altogether.
    Thaker, whose father is an electrophysiologist and whose mother is a rheumatologist, said he asked his dad about a potential interaction between pacemakers and iPods.

    Reuters

    virus%20sponge Viral Sponge Cleans Blood, Removes Bird Flu Peter Kofinas, professor of bioengineering at the University of Maryland’s A. James Clark School of Engineering, is using a new technology to develop a “sponge” that could filter everything from viruses to drugs to excess sugar from blood, in a fashion similar to dialysis.

    The virus sponge is based on a technology called molecular imprinting. In molecular imprinting, researchers stamp a molecule’s shape into a substance (in this case, a hydrogel–a sponge-like material). When the specific molecule filters through the hydrogel, it fits in the imprint hole and is trapped.
    The research group of Peter Kofinas, a professor in the Clark School’s Fischell Department of Bioengineering, is the first to apply molecular imprinting to the capture of viruses, and to show that this approach is possible using an inexpensive hydrogel.
    “This new technology could be integrated into hospitals and healthcare centers at minimal cost,” according to Kofinas. Modifying existing dialysis machines to include the virus sponge technology would be relatively simple, he said.
    “This virus removal device can be used the same way as a kidney dialysis machine,” Kofinas continued. “If you have a viral infection, you can go to the hospital and have your blood cleaned of that virus.”
    While a new vaccine must be developed each year for the strain of influenza that is expected to be the most potent, a hydrogel can be imprinted as a universal filter for all flu strains. However, to achieve better performance, a hydrogel filter can also be produced to catch a particular strain of the virus.
    The molecular imprinting process has many applications beyond trapping viruses.
    “Applying the technology to a drug or food additive could contribute to the dietary freedom of those who suffer from type II diabetes,” Kofinas said.
    A pill containing the hydrogels could be developed to remove excess sugars when taken with food, thus helping diabetics regulate their diet, Kofinas explained. The hydrogels would work within the small intestine to remove glucose prior to absorption into the blood stream.
    Drug manufacturers could use the hydrogel filters in vaccine production. Pharmaceutical companies use viruses to create the vaccines that fight them. Hydrogels could be used to strip the virus out of the finished medication—a process that is currently very time-consuming and expensive.
    Another potential application is to use the material as a filter in masks for those needing protection in case of biological warfare or other harmful biological agent exposure.

    Press Release

    htn%20vaccine A Vaccine for Hypertension If you’re not a fan of taking daily medication to control your high blood pressure, then British scientists may have a solution for you.

    British scientists have developed a vaccine to control high blood pressure which could save tens of thousands of lives a year in the UK alone.
    Based on a protein found in limpets, it would need a course of just three jabs, with a booster every six months.
    Now the Cheshire-based drug firm Protherics says its vaccine will make it much easier for people to control their blood pressure.
    “Improving compliance in this way could save thousands from life-threatening complications such as heart attack or stroke,” said the company’s Dr Andrew Heath.
    The jab, which has been successfully tested on people, uses the limpet protein to attack a hormone called angiotensin, which is produced by the liver.
    Angiotensin raises blood pressure by narrowing arteries. The vaccine, however, turns the body’s immune system against the hormone.
    Protherics is planning trials of an improved version of the jab, which is ten times more effective at stimulating the immune system than its original formula.
    People who have tried it have suffered few side-effects, although one in ten did complain of a brief, flu-like illness.

    Daily Mail

    Zane%20Dusen Student Unlocks The Power Of Music For People With Disabilities
    Van Dusen, a talented musician and student at Rensselaer Polytechnic, has used his skills to give disabled individuals the ability to play instruments and compose music.

    Van Dusen, a senior majoring in electronic media, arts, and communication (EMAC) and computer science, worked with an interdisciplinary group of students led by Pauline Oliveros, a world-renowned musician and distinguished professor of the arts at Rensselaer. The team designed and implemented a computer interface that tracks the movement of a user’s head to allow them to produce electronic sounds and compose music on a virtual keyboard in both solo and ensemble settings.
    The device provides a much-needed outlet for creative expression for people with extremely limited mobility, particularly individuals with severe cerebral palsy (CP) – a neurological disorder that permanently affects body movement and muscle coordination and has the capacity to render people unable to speak or move. It also has therapeutic benefits, according to Van Dusen.
    “We recently tested the adaptive use musical instrument in a clinic and noticed that many of the children were more focused on their movements because they were motivated by the sounds they were creating,” he said. “One child played the instrument for almost an hour, even though it took a lot of effort for him to keep his head up that long.”
    Beyond musical communication, Van Dusen sees potential for the device to allow users to create verbal exchanges: “The interface could be adapted to create speech software, allowing those who suffer from CP to form full sentences, rather than just yes or no responses.”

    RPI Press Release

    Wired is reporting on a new cheap, painless, and portable treatment for skin cancer.

    Scottish company Lumicure has developed a portable device that combines a tiny light, a photosensitizing cream and a bandage that, if approved by the Food and Drug Administration, could treat skin cancer conveniently with molecular precision.
    “It can be worn by the patient in a (Band-Aid), while the battery is carried like an iPod,” said professor Ifor Samuel of the Organic Semiconductor Centre at Scotland’s University of St. Andrews, who helped develop the technology, in a statement.
    Skin cancer, which typically requires painful or invasive treatments, affects 40 percent of all Americans at some point during their lives. The Lumicure treatment would cost between $200 and $300, compared with roughly $15,000 to $20,000 for the standard therapy. It could also eliminate the need for chemotherapy in some cases.
    Lumicure’s treatment is a new twist on an existing treatment called photodynamic therapy. It starts with a cream containing aminolevulinic acid, which becomes photosensitive when it comes in contact with a cancer lesion. When exposed to light, the cream interacts with only the cancerous cells, making it a very selective skin treatment.
    Lumicure’s light source is a low-powered organic light-emitting diode embedded in a small adhesive device. Its battery module — roughly the size of an MP3 player — fits easily in a pocket.
    Photodynamic therapy available today requires treatment at a hospital using heavy equipment. It’s also uncomfortable for patients because they must stay very still under extremely intense light; the treatment also can leave painful skin lesions. The new treatment takes longer than the standard therapy, but there’s almost no discomfort and no scarring.
    “As traditional photodynamic therapy is delivered in a physician’s office, this new technology, if proven effective in clinical trials, may offer the possibility of increased access and ease of use for many patients,” said Dr. Isaac Neuhaus, assistant professor at University of California at San Francisco Dermatologic Surgery and Laser Center.

    More at Wired