Archives: 1/2009

Research scientists at the Vanderbilt Medical Center are developing a sensor that can identify the presence of carcinoma based on how light is attenuated when it traverses within a patient’s skin.
Here’s a video report from Vanderbilt:


Press release: Diagnosing Skin Cancer Without Biopsy

nursingcentral Unbound Medicine Embraces Apples iPhoneUnbound Medicine has embarked on a project to make many of the company’s products available as native applications for the iPhone and iTouch devices. Nursing Central, the first product in the pipeline, has just been released for the Apple platform and Unbound promises faster, more reliable access to clinical data than using the online version.
From the press release:

The first native iPhone application to become available on the Unbound Platform is Nursing Central™, the best-selling nursing application that provides up-to-date information on diseases, tests, drugs, and procedures. Designed to take full advantage of the iPhone’s exceptional visual and navigational support, Nursing Central also provides cross-links connecting related information and personalized bookmarking of favorite topics. Unbound’s unique interface takes full advantage of the iPhone’s outstanding internet capabilities by delivering frequent content updates, tables of contents from just-published journals, and citations and abstracts from more than 18 million medical journal articles.

Nursing Central on iPhone demo
Product page: Nursing Central
Press release: Unbound Medicine Announces Download Support for iPhone™ and iPod® touch Devices

feeteasdt Compression Helps With Restless LegsManufacturers of intermittent pneumatic compression devices designed for prevention of deep vein thromboses can probably start looking for a new indication for their gadgets. A study conducted by physicians from the Walter Reed Army Medical Center has demonstrated that pneumatic compression devices (PCDs) can be used as a treatment option for people with restless legs syndrome. The research was published in the journal Chest.
Results of the study from the abstract:

Thirty-five subjects were enrolled. Groups were similar at baseline. Therapeutic PCDs significantly improved all measured variables more than shams. Restless Legs Severity Score improved from 14.1 ± 3.9 to 8.4 ± 3.4 (p = 0.006) and Johns Hopkins Restless Legs Scale improved from 2.2 ± 0.5 to 1.2 ± 0.7 (p = 0.01). All quality of life domains improved more with therapeutic than sham devices (social function 14% vs 1%, respectively; p = 0.03; daytime function 21% vs 6%, respectively, p = 0.02; sleep quality 16% vs 8%, respectively, p = 0.05; emotional well-being 17% vs 10%, respectively, p = 0.15). Both Epworth sleepiness scale (6.5 ± 4.0 vs 11.3 ± 3.9, respectively, p = 0.04) and fatigue (4.1 ± 2.1 vs 6.9 ± 2.0, respectively, p = 0.01) improved more with therapeutic devices than sham devices. Complete relief occurred in one third of subjects using therapeutic and in no subjects using sham devices.

Abstract in Chest January 2009 vol. 135 no. 1 74-80
Image: malik ml williams

cadfasdfads 3 D Virus Imaging wth Magnetic Resonance Force Microscopy
A team of IBM researchers at the company’s Almaden Research Center in San Jose, Calif used a magnetic imaging technique to capture three dimensional images of the tobacco mosaic virus at a spatial resolution of four nanometers.
Abstract:

We have combined ultrasensitive magnetic resonance force microscopy (MRFM) with 3D image reconstruction to achieve magnetic resonance imaging (MRI) with resolution <10 nm. The image reconstruction converts measured magnetic force data into a 3D map of nuclear spin density, taking advantage of the unique characteristics of the "resonant slice" that is projected outward from a nanoscale magnetic tip. The basic principles are demonstrated by imaging the 1H spin density within individual tobacco mosaic virus particles sitting on a nanometer-thick layer of adsorbed hydrocarbons. This result, which represents a 100 million-fold improvement in volume resolution over conventional MRI, demonstrates the potential of MRFM as a tool for 3D, elementally selective imaging on the nanometer scale.

Abstract in PNAS: Nanoscale magnetic resonance imaging
More from the New York Times
Flashback: Nano-scale MRI on the Horizon

Side View w arrows2 Vagal Electrical Nerve Stimulation Helps With Weight Loss in Clinical TrialEnteroMedics (St. Paul, MN) has released results of a 38 patient study showing that the company’s Maestro implant helped patients lose a considerable amount of body weight. The system uses high frequency electrical pulses to block signals in the vagal nerve between the stomach and the brain. We had a post about the EnteroMedics neuromodulation therapy back in May 2007.
From the company press release:

The study includes 38 implanted subjects and is designed to evaluate the system’s safety and efficacy. Follow-up data show excess weight loss, or EWL, of 37.6% in 9 patients at 18 months of VBLOC Therapy, 28.1% in 17 patients at 12 months of therapy and 17.9% in 35 patients at six months of therapy. To date, no deaths or unanticipated adverse device events have been reported.
In addition, further subgroup analysis of the effect of VBLOC Therapy on two of the major co-morbidities frequently associated with obesity, type 2 diabetes and hypertension, showed the following: ten patients with diabetes, showed a statistically significant reduction of 1.1 percentage points (p=.002) from 8.2% at baseline to 7.1% at four weeks and fifteen patients with both systolic and diastolic hypertension, which was either untreated or controlled with drugs, showed statistically significant reductions of 13.9 mm Hg in systolic pressure and 10.7 mm Hg in diastolic pressure at four weeks. The improvements in blood pressure are maintained through six months.
In addition to the VBLOC-RF2 study, the Maestro System is being used in the Company’s pivotal EMPOWER clinical trial, a randomized, prospective, double-blind, placebo-controlled study being conducted in the United States and Australia under an Investigational Device Exemption (IDE) approved by the U.S. Food and Drug Administration. The trial was fully enrolled at 15 Centers of Excellence with 294 patients in September 2008. The study blind, which remains in place for 12 months after activation of therapy in the experiment arm, is expected to lift in the second half of this year.

Press release: EnteroMedics Announces Eighteen-Month Excess Weight Loss Results from its VBLOC-RF2 Feasibility Study…
Flashback: Vagal BLocking for Obesity Control

tb x220 Smart Chemistry Helps With Antibiotic ComplianceTuberculosis is a treatable disease that requires strict compliance with an antibiotic regiment, resulting in patients not letting the drug finish its job once they feel better. To increase compliance, a research group at MIT has developed a urine test that can reveal a hidden code on a piece of paper if a metabolite of the antibiotic is present. This code is then used to receive free mobile phone minutes or other goodies in programs meant to increase compliance.
From MIT Technology Review:

The researchers recently finished a feasibility test in Nicaragua, where they worked with local scientists to improve the accuracy of the test strips, testing them on urine samples collected from TB patients. They also tested the robustness of the devices, making sure that they could be stored reliably and that they worked as well in humid Nicaragua as they did in New England.
The team is launching a larger trial this month in Karachi, Pakistan, in collaboration with the city’s Center for Community Development. The researchers plan to start with 30 patients but aim to eventually test the program on 1,000 people, comparing both compliance and infection rates in those who use the devices and those who have more traditional monitoring.

Read on at MIT Tech Review
Project page: X out TB …

stentstentstent Triangular Prostatic Stents to Go On Market in EuropeIsrael’s Allium Ltd. won the European CE mark for the company’s triangular prostatic stent for patients with benign prostatic hyperplasia (BPH) or with advanced prostate cancer.
From the product page:

Allium’s prostatic stents have a large caliber triangular cross-section to match the contours of the prostatic urethral lumen and have the ability to exert varying degrees of radial force depending on the anatomy. For example, higher radial force in its main body and lower radial force in the area near the external sphincter to prevent sphincteric dysfunction. These characteristics enable the Allium Prostatic Stents to conform to the prostatic urethra, allow an excellent flow and offer a much improved comfort than existing stents, all these without geopardizing the voluntary continence mechanism.

Triangular Prostatic Stent…
Flashback: CE Approved Allium Stents

In the BBC video below, Dr. Peter Kohl of Oxford University, and one of the principal investigators at the Virtual Physiological Human (VPH) initiative, shows off a cardiac computer simulator that was developed to test potential cardiac treatments.


More from the BBC
Virtual Physiological Human Network of Excellence (VPH NoE) and information portal for the VPH Initiative …

The Boston Globe, in what seems like a strange attempt at a public awareness campaign, has published a poster of things you can do at home to induce hallucinations. Perhaps this should be a standard inset in all newspapers to help people handle the news within.
lsd at home Cheap Tricks: DIY Hallucinations
Hack Your Brain at Boston Globe…