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Want to improve your eyesight? Eat these foods for a strong, healthy … – Times Now

August 28th, 2017 1:42 am

Times Now
Want to improve your eyesight? Eat these foods for a strong, healthy ...
Times Now
New Delhi: It is said that if your eye is healthy, your whole body will be full of light. So, don't take your eyes for granted. Maintaining a well-balanced, healthy diet ...
Supplement may slow vision loss in seniors with macular degenerationUPI.com

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Want to improve your eyesight? Eat these foods for a strong, healthy ... - Times Now

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Here’s How To Tell If You Damaged Your Eyes From Staring At The Sun – BuzzFeed News

August 28th, 2017 1:42 am

Solar retinopathy is like a sunburn on the retina, a layer of tissue at the back of your eye, Habash tells BuzzFeed Health. "The part that's damaged is the macula, the thinnest part of the retina, which controls the sharpest, centermost part of vision," she says, noting that this part of the eye is also more prone to burning than the rest of it. "It can take a few seconds or a few minutes for damage to be done everyone is different."

As we previously reported, this can cause the center of your vision to turn into a grey or black spot, making it hard to focus on things like reading, driving, or even just seeing the people in front of you. That said, you probably won't go completely blind from staring at the sun. Although the macula is very important to our eyesight, it's still only responsible for one part of vision. "You won't go completely blind from damage to the macula, since you'd still have your peripheral vision," Schuman tells BuzzFeed Health.

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Check your eyesight with this simple optical test – Belfast Live

August 28th, 2017 1:42 am

Looking after your eyesight is extremely important but often overlooked as we take our vision for granted.

Although we all know the basics about protecting our eyes, one specific issue has been on the internet's agenda this week.

In the aftermath of the eclipse which plunged the United States into a brief moment of darkness earlier this week, many people have been left wondering if they've damaged their eyes by looking directly at the sun without suitable protection.

As a result, this simple at-home eye test has been doing the round online.

It involves staring at an optical illusion-type square grid and it designed to provide you with an idea about the state of your eyes before you rush off to an optician's in a panic.

Starting to worry about your eyesight and fancy giving it a go? Let's do it.

The image above is of the aforementioned Amsler grid - taken from the National Eye Institute in America- which tests your optic nerve. The test works best if you print out the square.

To use it, cover one eye up and stare at the dot right in the centre of the grid then repeat with the other eye.

If any of the lines are missing or become wavy, or if you notice any other unusual differences such as dark areas, strangely sized boxes, or blurry edges, then something is up.

The earlier you diagnose any problems, the better position you'll be in to help your issues.

If you have any concerns about your eyesight, it's definitely worth checking yourself in for an eye test for peace of mind at the very least.

So get them checked - and remember not to look directly at the next eclipse!

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How To Tell If Watching The Eclipse Damaged Your Eyes – NPR

August 28th, 2017 1:42 am

Crowds gathered to watch the solar eclipse at Saluki Stadium on the campus of Southern Illinois University in Carbondale, Ill. Scott Olson/Getty Images hide caption

Crowds gathered to watch the solar eclipse at Saluki Stadium on the campus of Southern Illinois University in Carbondale, Ill.

Less than an hour after the Great American Eclipse completed its coast-to-coast show on Monday, people's fascination with the sun and the moon quickly turned to concern about their eyes.

We're hoping all you Shots readers heeded our words of caution and wore eclipse glasses or enjoyed the show indirectly.

But if you did steal unprotected glances skyward, and especially if your eyes felt funny or hurt a little afterward, you might be wondering how you'll know if you've done any long-term damage.

To answer that question, we once again turned to Ralph Chou, a professor emeritus of optometry and vision science at the University of Waterloo, in Ontario, Canada, and a leading authority on the damage the sun's rays can do to the eye's retina.

This interview has been edited for length and clarity.

How would somebody know if they've done any damage?

It takes at least 12 hours before we can tell if anything has happened. The thing is, if people just saw the sun briefly without a protective filter just a fraction of a second the chances they've hurt themselves are very low.

If they looked at the display of a camera or a smartphone but didn't look through the optics at the sun, they're in no danger. While it may look bright, it isn't all that bright by comparison. They were not getting direct optical radiation from the sun in that case. It's just a duplicate of whatever the sensors see, and there's no danger in that.

If, for some reason, they forgot to use their filters entirely well, [permanent damage is] always a possibility, but I would hope that after all the publicity, that that didn't happen.

What might someone's symptoms be if they didn't use any filters and looked at the sun?

It wouldn't be until 12 hours later that they would even notice their vision was changing. It might not be until [the next] morning when they wake up and realize that they can't see that well.

[The symptoms would be] blurred vision, where the very center of the vision might have a spot, or multiple spots, that were missing in their vision that were very, very blurred. Around it, there might be some clear spots. It really depends on exactly what happened, and what kind of injury there is at the back of the eye. [As Chou told us earlier, this kind of vision loss can get better over several months to a year. But about half the time, it's permanent.]

What should someone do if they're worried there could be damage? Should they stay indoors or wear sunglasses?

Seeing an optometrist is faster than getting to see an ophthalmologist. If there is damage, the optometrist would refer the individual to the ophthalmologist for further assessment and management in any case.

The damage, if any, would not be mitigated by staying indoors or wearing sunglasses, but these are ways to make vision more comfortable as the individual recovers.

I used an eclipse viewer that came from a reputable seller. But even after looking at the sun for a few seconds through that, I felt like my eyes felt weird and needed time to adjust.

The thing is, if you look for a sustained period through the filter, you're stimulating only one set of color-sensitive receptors at the back of the eye. So they'll get more work than, say, the receptors that are responsible for green and blue light. And the result will be that for a brief time, you'll suffer the same kind of after-image effects that you get from looking at a very bright headlight or flash from a camera.

You'll recall how you'll have spots in your vision that are sort of the opposite effect of what you normally see. That kind of thing will happen if you look at the sun for an extended period of time. It'll feel a bit weird as your eyes recover from that. It doesn't mean you've hurt yourself. It's just that you've overloaded some of the photo receptors, and it takes a while to get back to full function. In most cases, it's going to be just a few minutes. There's no lasting damage from that. You would have to be staring at an extremely bright image for minutes at a time before you started to get any clinically significant damage.

So what did you think about the eclipse?

For me, this was Total Eclipse No. 19. It was an extremely good eclipse. We had really beautifully clear sky [in Salem, Ore.]. It was just a beautiful sight. So, wow. It was great.

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Blurry vision, eyes hurting, headaches after the eclipse? A doctor checked our symptoms – W*USA 9

August 28th, 2017 1:42 am

A local eye doctor says there were patients who came in after the eclipse reporting blurry vision.

Pete Muntean, WUSA 11:25 PM. EDT August 22, 2017

WASHINGTON (WUSA9) - As the solar eclipse faded from view, Google searches for eclipse headache and eyes hurt skyrocketed.

There was a patient who came in yesterday reporting blurry vision, said Dr. Alberto Martinez of Visionary Eye Doctors.

About a week before the spectacle, the practice asked for patients to return its promotional eclipse glasses. The fear was they did not meet protective standards.

RELATED:Was the total eclipse experience worth it?

But Martinez says the real risk was to naked eyes if you look for ten, fifteen, twenty seconds.

Caught the tail end of the #eclipse! Vowed to not miss totality in 2024! pic.twitter.com/L0vb8m5m43

Martinez gave an eye exam to WUSA9 reporter Pete Muntean, who insisted that his vision was blurry after viewing the eclipse through borrowed, ISO-certified glasses. Martinez inspected Munteans macula, the region of the retina responsible for keen vision. The result of the test was perfect eyesight.

Is this proof that eclipse eye is in the eye of the beholder? The best way to find out is to be examined, said Martinez.

2017 WUSA-TV

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Charity to highlight the dangers of smoking to eyesight | News | Isle … – Isle of Man Today

August 28th, 2017 1:42 am

Promenade walk for the Manx Blind Welfare Society

The Manx Blind Welfare Society has announced that protecting eye health, particularly from the dangers of smoking, will be the message of Vision Awareness Week 2017.

The annual event returns next month with its usual mix of events, talks and presentations, including the Douglas promenade walk and Bright for Sight Day.

This is the fourth year the society has hosted Vision Awareness Week, which will run from September 11 to 17. The aim is to promote awareness of the issues faced by the hundreds of visually impaired people living in the Isle of Man, highlight the societys work and services, and encourage people to look after their eyesight.

Throughout the week the society has a schedule of free talks to schools, businesses and other organisations, and will also be delivering awareness training courses.

During Bright for Sight Day, on Friday, September 15, the society is encouraging people to wear colourful clothing to raise awareness of visual impairment and raise funds for the society, which provides a range of vital free services to people with total and partial sight loss.

As part of the day there will be a coffee morning organised by the Isle of Man Fund for the Blind, and a Zumba Night. Both events will be held at Corrin Court, Onchan.

The Vision Awareness Week finale, on Sunday, September 17, will be Step Out for Sight, previously known as Walk My Way. Everyone is invited to join the event and walk Douglas promenade, starting from the Jubilee Kiosk on Loch Promenade and heading towards Summerland.

Participants can walk as far as they choose, and are encouraged to wear fancy dress, try walking with a blindfold, bring their dog or even go three-legged.

To celebrate the start of Vision Awareness week, the society will host a Ceilidh on the Park on Friday, September, 8. Organised in association with Onchan Commissioners, the evening will include a performance from Yn Tarroo Marroo Ceili Band, chilli supper and a raffle.

Tickets, priced 15, are available by calling 674727.

Manx Blind Welfare Society chairman Charles Fargher said: Were really looking forward to the fourth year of Vision Awareness Week, which has enjoyed great success reinforcing the important message of understanding how blindness and visual impairment affects hundreds of people of all ages right across the Isle of Man.

The week is all about heightened awareness, and the central message this year will be about eye health with an emphasis on the dangers posed by smoking.

The number of smokers is falling, but there are still people across the age ranges who continue and they are risking their eyesight as well as their general health.

Research shows smokers are twice as likely to lose their sight than non-smokers, and smoking has been linked to causing or worsening a number of eye conditions, including cataracts, macular degeneration, optic neuropathy and diabetic retinopathy. These are conditions which impact on vision and can lead to total sight loss.

Alongside highlighting the dangers of smoking, we will be reminding people of other simple steps they can take to protect their eyesight, such as regular eye tests, exercise, a balanced diet and keeping your eyes covered in the sunshine.

He added: As ever, the society will also be explaining what the Isle of Man can do together to ensure everyone has the opportunity to live their life how they want and as independently as they choose. We want to help people understand the challenges of being visually impaired, but also to raise awareness of what can be achieved by blind people when barriers to learning, work and social environments are removed.

I hope the whole island joins us during Vision Awareness Week to enjoy all the events, and learn more about protecting their own eyesight and understanding the needs of those with sight loss.

The Manx Blind Welfare Society provides vital services for more than 600 people with serious sight loss on the Isle of Man and during Vision Awareness Week the charity will also be publicising the work they do alongside other charities, societies and agencies with blind and visually impaired people.

You can find full details of the events planned for Vision Awareness Week 2017 at http://www.mbws.org.im/vision-awareness-week.

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Sami Inkinen on his bold plan to cure type 2 diabetes forever … – TechCrunch

August 28th, 2017 1:42 am

Sami Inkinen founded and then exited Trulia about a year after Zillow snapped it up for $3.5 billion in 2014. Hes since moved on to build Virta, a health care startup claiming it can cure type 2 diabetes.

Its a bold claim. Most treatment plans offer to help those with the disease manage it, not get rid of it. But Inkinen, with zero medical background, believes hes found a way to wholly eradicate diabetes for good.

The secret is as simple as a low-carb diet.

It seems pretty obvious cut out the sugar and bad carbs and your diabetes will get better. But thats easier said than done with humans. Inkinen tells me hes learned through time where the pain points are and what people need to truly succeed.

So far Virta has conducted a small trial involving 262 people and the results seem promising. A majority (91 percent) of those participating finished the program and 87 percent of them either reduced their dosage or went off their insulin, says the startup. Over half of the participants were able to reduce at least one of their diabetes medications.

I sat down with Inkinen to talk about his company and why he decided to jump into the health care space after his success in the real estate field.

Founder Sami Inkinen relaxing in the Virta office space in downtown San Francisco.

SB: Thats a bold claim that youre making that you can cure diabetes.

SI: Yeah totallyWithout tech you cant do Virta.

Were not just a software company, were a software company that combines biochemistry and science to cure the disease. If one of those is wrong its not going to work.

SB: Do you worry you tell them a bit too early to get off their medications?

SI: Yeah, thats precisely the reason why we have our own doctors. Thats precisely the reason why we have a full-stack health care companyIts absolutely critical that we get this data very, very rapidly so we can start adjusting them off of meds. If we dont get people off the meds quickly and accurately, its actually dangerous for the patients. When youre diabetic your blood sugar runs high. You take drugs, you get it down. If we can get your blood sugar down naturally and then you take drugs on top of that youre going to be in the ER.

SB: Insurance companies, are you working with them?

SI: Well, they are excited because they can save costs. In America, each state we have who pays your health care. Its either your employer if youre at a large company, and most companies will cover it. So we sell both to employers.

SB: Okay, but this just sounds like a diet.

SI:It sounds very simple. Like, oh carbs are bad throw the carbs out. Yes, but it gets more nuanced. How do you do it in a way that you can reverse the type 2 diabetes and do it in a way thats very sustainable and you feel good about it? Because you know if youre eating bagels and bread all the time and I say just stop doing that, you feel horrible and you dont want to do that.

Its absolutely necessary to deliver results. The traditional approach is that its overweight or obesity that causes diabetes. Therefore all we have to do is help people lose weight. But, its a combination of tech and how we track the markers and the right science nutritionally.

SB: Is that proprietary software that youre using?

SI: Yeah, we build everything in house After the doctor makes all the clinical decisions about the patient, and so forth, what hes looking at is basically a data pool of all the patients every day, several times a day. When he sees the data, he sees that drug for that patient needs to go off.

SB: Couldnt anyone look at it and say, Oh, I can replicate this program?

SI: Well it has the IP. The IP is in two places. One is the protocol that we use, which drives high participation and the results. Its not trivial. It really has to be highly individualized. Whether its food or what you do or how you choose medications, its nothing one-size fits all. Every person is different. Thats the first one.

The second one is this entire system where we collect data and data improves the protocols, this kind of cycle. The more data we have the better the protocol, the better the treatment, the more we can automate, the more efficient we can be.

The way we use software and AI for the benefit of doctors is we basically give them superpowers. We can read all that data on a real-time basis every day of every second and then tell our patients, Okay, Wilma she needs attention. Her, whatever medication she might be on, needs to be reduced.

SB: How do you do that?

SI: What we try to do is take thinking out of the picture for the patients. Every morning that you wake up you have a task to complete. Whether thats tracking related, changing your nutrition, or some behavior change, or something else. We basically stitch together a personalized care plan for each patient based on whats their background and whats happening to them.

You may have heard the Center for Disease Control, CDC, has a diabetes prevention program, which is really a weight loss program. Its basically 16 educational modules over 16 weeksIts kind of like the diet approach, the cookie-cutter approach. You want to do the South Beach Diet, buy the South Beach Diet book and you get the 50 foods that we should eat and the 50 foods you shouldnt.

You cant be successful in curing someones health if you have a one-size fits all approach.

SB: You got involved because you were pre-diabetic.

SI: I was on my way, yes. I was pre-diabetic. You may remember, Ive got a company called Trulia, which just happens to be in this building. Once Trulia went public, I just stayed on the board and I stepped away from an operational role.

I thought maybe Ill start competing and I won the Ironman World Championships in my age group.

(Inkinen has been a competitive triathlete since 2007).

SB: Really?

SI: I was like wow, this is freaking awesome. Then I found out that I was pre-diabetic.

SB: Even after you were very active and athletic?

SI: That was my moment of truth, if you will. I thought, it doesnt make any sense. What we are telling people to do, the message to pre-diabetics today in America is Dont you worry. Youre getting fit but you have to eat a little less, eat a little healthier and exercise a little more everything will be just fine. Well I had been doing that freaking 20 years.

SB: Mm-hmm.

SI:That was the turning point for me. I started reading research and thats what kind of led me to meet my scientific co-founders. The bottom line, what these guys had shown is that there is a way to nutritionally reverse type 2 diabetes without starving you to death. They had published all these papers. I was like this is nuts. This is 30 years-old science.

I said the key thats missing here is we dont have the tech to deliver this, the continuous outpatient services. That was the catalyst for Virta.

Then we kind of built the protocol, built the first product, and then the key step for me was I said we dont want to be another Theranos. In health care, maybe were just shrinking our own pool, but we have to run a clinical trial. If this works, this is going to be absolutely huge.

SB: If an employer wants to get involved with your program, do they just contact you?

SI: Call us up, through our website, and also of course we have our sales as wellOur business model is, if we dont reverse diabetes we dont want to be paid.

SB:When youre saying that you cure it, do you mean that if they switch back to the same old diet they wouldnt have diabetes?

SI: Well type two diabetes is not an acute, like broken bones and then the bone is fixed and then its not broken anymore.

Type 2 diabetes can be reproduced in any one patient. Of course, the subtle lifestyle changes have to last and thats why you want to show that once you cure the disease it actually stays in remission.

SB: Whats the individual cost?

SI:Its about $400 a month. Then low-income people we have patients that use a program that keeps them with access.

SB: So, if the drugs are $500 and this is $400

SI: Yeah so thats the average cost of diabetic medicine in America.

SB: Do they have to stay on the program for life? $400 a month for life?

SI: Its one year minimum and then the second year is up to your choice. Whether you need our support or not.

SB: Whats next?

SI: Theres a couple of big things coming out. One is the one-year results (now out at the time of publishing). Thats one huge thing for usWe can make powerful claims like Hey, the reversal rate is this much, how much we saved money, this is how many lives we saved. These are the results.

Then the second thing that were focused on is just scaling with employers, insurance companies, and patients directly. Letting them know that this works.

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Diabetes, the killer of hearts – Star2.com

August 28th, 2017 1:42 am

When it comes to diabetes, they also risk developing complications such as heart and kidney diseases.

Again, a well-known fact that has been trumpeted over and over again.

But to the frustration of doctors such as National Heart Institute (better known by its Malay acronym IJN) chief clinical officer and senior consultant cardiologist Datuk Dr Aizai Azan Abdul Rahim, Malaysians are still slow to waking up to the ugly truth of such diseases and taking charge of their health.

Ideally, he says, prevention is better than cure.

But people still dont care. At IJN, we see the aftermath of diabetes.

About 60% of diabetics will die from cardiovascular diseases (CVDs), while about 40% die from end stage kidney disease, he says.

He adds that diabetics have a two to four times higher risk of suffering from heart diseases such as heart failure, heart attack or peripheral vascular disease, compared to a non-diabetic, while the risk of suffering a stroke is twice as much.

If possible, we dont want to see all of this developing.

All the risk factors are going up, so CVD is still the number one cause of death in Malaysia. The cause of death of one in four Malaysians is CVD (including stroke).

According to Dr Aizai, about 60 of diabetics will die from CVDs while about 40 die from end stage kidney disease. Photo: Handout

The National Health and Morbidity Survey 2015 painted a bleak picture of the health of Malaysians, with 3.5 million having diabetes.

Of concern is that 53% of diabetics above the age of 18 did not even know they had the disease.

It also revealed that 9.6 million people aged above 18 had high cholesterol levels, with two out of five of them not aware of their condition.

When it came to obesity, 3.3 million Malaysians were obese and 5.6 million were overweight.

It was the same when it came to children, where an estimated one million of those aged below 18 were obese.

There was a slight improvement in hypertension numbers, where 30.3% or 6.1 million people aged 18 and above had the medical condition, compared to 32.7% in 2011.

Again, 17.2% with hypertension were not aware of their condition.

Clinical practice guidelines set in 2015 had further tightened the targets for the control of type 2 diabetes, including bringing HBA1c to less or equivalent to 6.5%, triglycerides to less or equal to 1.7mmol/L, and LDL cholesterol to less or equal to 2.6mmol/L.

However, if the diabetic patient has overt cardiovascular disease, their target for LDL cholesterol is less or equal to 1.8 mmol/L.

Ones blood pressure was recommended to be 135/75mmHg, while exercise of moderate intensity was recommended to be 150 minutes weekly.

Dr Aizai says because of the lower HBA1c criteria, about 80% of Malaysian diabetics do not have their blood glucose levels under control.

For IJN patients who have diabetes, he says they are more compliant when it comes to taking their medication.

It is, however, a challenge to get them to comply to lifestyle changes such as regular exercise and a healthy diet.

Less than half are fully compliant, he says.

They dont want to stop smoking. They still dont want to exercise and still want to eat at the mamak. It is difficult to achieve compliance because you have to put in your own effort.

He adds that IJN also has visiting endocrinologists from Hospital Universiti Kebangsaan Malaysia.

Diabetic patients who do not have their own endocrinologists and have poor control over their disease can be referred to them.

Dieticians are also on hand to provide the necessary advice.

Dr Aizai says that the best is for a patient to be given holistic treatment, where the doctor looks at other possible side effects of diabetes including eye disease, kidney problems and peripheral artery disease (PAD), aside from treating the heart problem.

PAD is a disease where plaque builds up in the arteries.

This plaque can harden and narrow arteries over time, limiting the flow of oxygen-rich blood to your organs and other parts of your body.

It normally affects the arteries in the legs.

Dr Aizai adds that a test can be done to see if blood pressure is equal in ones arms and legs. The test is called Ankle Brachial Index (ABI).

A difference in pressure indicates that there is possibility of a narrowing or blockage.

The next step is to take an ultrasound of the lower limbs or go for a CT angiogram to determine the location and severity of the blockage, he says.

If the blockage is significant, then we can do balloon angioplasty, stenting or leg bypass surgery. It is part of treatment.

Referrals are given when it comes to kidney and eye diseases as IJN does not have specialists on hand to treat these complications.

Diabetes is a metabolic condition. It affects multiple organs. Normally, a problem in one organ, like the heart, is just the tip of the iceberg, he adds.

Its the terrible twins. The ones which are closely linked to diabetes are hypertension and high cholesterol.

Dealing with complications

Dr Aizai says that diabetics tend to develop coronary artery disease at a younger age.

They also tend to have diffuse narrowing or blockages in more than one artery, resulting in multiple stents having to be placed.

Most people with diabetes who get a heart attack also dont exhibit the normal clinical symptoms, he says, adding that this is because diabetics have already experienced nerve damage, numbing them to the pain.

They will probably say they feel extremely tired or experience shortness of breath.

As a result, many present themselves late as they dont realise they have a heart problem.

I always tell patients to check their blood sugar because they may think feeling weak is a sign of hyper- or hypoglycaemia. So, if your levels are normal, then there is another reason.

Although treatment for diabetics with a heart condition is the same as non-diabetics, he says that diabetic patients are at risk of developing complications, leading to a longer stay at the hospital.

Because they also tend to stay longer in order to normalise their blood glucose levels, which will usually spike due to the stress of surgery, they will also have an increased risk of contracting hospital-based infections.

They are also more prone to developing a second heart attack, he says.

Diabetes, Dr Aizai says, promotes atherosclerosis, which is the build-up of plaque in the arteries.

Other conditions that work against a diabetic include being more prone to developing blood clots, the inability to produce enough nitric oxide to dilate and expand blood vessels for more oxygen supply, and inflammation that damages the blood vessels.

He adds that the danger of diabetes is that the disease has probably manifested itself in a person for some time before a diagnosis.

It is never a fresh case. It is probably five to 10 years before it is clinically detectable, he says, adding that early screening is important.

Once you are diabetic, you are already considered to have a coronary artery disease risk.

The survival curve is equivalent to someone who does not have diabetes, but already has experienced a heart attack.

Datuk Dr Aizai Azan Abdul Rahim is IJN Chief Clinical Officer and Senior Consultant Cardiologist. This article is brought to you by IJN.

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National Diabetes program begins Sept. 7 at St. Thomas More Hospital – Canon City Daily Record

August 28th, 2017 1:42 am

National Diabetes program begins Sept. 7 at St. Thomas More

St. Thomas More Hospital will host the year-long Center for Disease Control National Diabetes Prevention Program every Thursday night from 4:45- 6 p.m. in the Community Room of the hospital. The program focuses on preventing type 2 diabetes and is free for participants. Groups will meet for 16 weekly sessions and six monthly follow-up sessions with a trained Lifestyle Coach. This new program will kick off with an informational meeting at 5 p.m. Sept. 7 in the St. Thomas More Hospital Community Room.

"One in three American adults have prediabetes, so the need for prevention has never been greater," said Shannon Minich, R.N., C.D.E., Diabetes Program Coordinator. "I'm so excited we are able to bring the Diabetes Prevention Program to Fremont County because it offers a proven approach to preventing or delaying the onset of type 2 diabetes through modest lifestyle changes made with the support of a coach and one's peers." Minich is a certified Diabetes Educator with 19 years of Nursing experience.

Participants learn how to eat healthy, add physical activity to their routine, manage stress, stay motivated and solve problems that can get in the way of healthy changes. There are some qualifying factors and space is limited, so please call Minich at 719-285-2712 or email to shannonminich@centura.org for more information.

September events at the John C. Fremont Library

All programs and clubs are free and at the John C. Fremont Library, located at 130 Church Ave. in Florence, unless otherwise noted. For more information, call 719-784-4649.

September's Featured Artist

The John C. Fremont Library is hosting Jennifer Gerring's origami series, Origami Travels. Gerring, a resident of Cotopaxi, became fascinated with Origami at a young age. Over the years her love for the art has grown. She has attended multiple classes learning under some of the best living paper-folders of our generation. She is a member of the Origami-USA organization, British Origami Society, and the Origami Houston Study Group.

Adult Programs

Pioneer Women of Fremont County with Sherry Johns will be at 5:30 p.m. Sept. 6. Enjoy a historical glimpse of the female half of Fremont County from rowdy to respectful, winsome to wild, and suffragette to sinner. Johns includes numerous never-seen-before photos of local historical women in this program. She tells of their lives, families and accomplishments and what they contributed to Fremont County.

Universal Health Care: Bringing American into the 21st century with Madi Jacobs will be at 7 p.m. Sept. 13. People are dying from treatable disease in America. Why? Because the current health care system is based on profit. There are many solutions. Join Dr. Jacobs's talk about Universal Health Care. Discussion to follow.

Preserving Your Harvest and Preparing for Next Year with Christine Hassler will be at 6 p.m. Sept. 19. Join Hassler to learn the basics of dehydrators and dehydrating fruits and vegetables. She will also share some of her favorite recipes using dehydrated ingredients. Other preserving methods like pickling will be covered. She will also go over the basics of "putting your garden to bed for the winter."

Author and Artist Talk: Historical Fiction with Joe Dorris will be at 5 p.m. Sept. 20. Dorris will share about his historical fiction novels -- about the realities of pioneer struggles, love and hardships in the 19th century Idaho wilderness. His presentation will touch on highlights from pioneer gold miners, the Sheepeater Indians, Swedish farmers, and Chinese miners and merchants within a unique geographic setting. He has written four books, Katrine, Salmon River Kid, Sojourner of Warren's Camp, and Sheepeater.

Movie Night: The Zookeeper's Wife will be shown at 5 p.m. Sept. 22. A married couple who work as zoo caretakers help save Jews from the Holocaust. Rated PG-13. 124 minutes. Free popcorn.

Tomb of the Unknown Soldier with Tom Tudor will be at 7 p.m. Sept. 26. Tudor has been a distinguished speaker for 25 years, presenting a moving and informative narration of our nation's most hallowed ground: Arlington National Cemetery. Tudor, speaking to hundreds of organizations and institutions nationwide, is an authority on the history of 'Arlington' and the Tomb of the Unknown Soldier, which is visited by over four million people annually.

Native American Skies by Courtney Miller will be at 6 p.m. Sept. 27. Miller has written over 200 articles for the online ezine, Native American Antiquity, and other online magazines and is considered an expert on Native American cultures. He will also be signing his books afterwards including his new mystery series, "The White Feather Mysteries," set in the modern day Wet Mountain Valley.

Clubs

The Vegan Book Club is at 11 a.m. the first and third Tuesdays. The Vegan Book Club discusses veganism and topics related to veganism. Club President: Harriet Balhiser, harrietbalhiser@bresnan.net.

Wool Gatherers is at 10 a.m. every Wednesday. The Wool Gatherers meet every Wednesday to yak, knit (or crochet or quilt), and have lunch. The group is BYOP: Bring Your Own Project. All levels welcome.

Adult Coloring Night is at 7 p.m. the first and third Wednesdays at Florence Brewing Company, located at 200 S Pikes Peak Ave. in Florence. Everyone is welcome to come and color in adult coloring books.

Youth Programs

Story Time at the Library is at 10:30 a.m. every Wednesday. Join Ms. Debbie for songs, stories and crafts.

Story Time at the Farmers Market in Pioneer Park is at 10:30 a.m. every Thursday. Bring a blanket and join Ms. Debbie for stories in the shade. Themes change weekly, counts for Summer Reading Program.

Story Time at the Library is at 10:30 a.m. every Friday. Join Ms. Debbie for songs, stories and crafts. Friday Story Time is funded by the Growing Readers Together initiative.

Youth Clubs

Teen Group is at 3:45 p.m. every Thursday. Teens in sixth to 12th grade are invited for crafts, games and fun. There is a new weekly theme. Snacks will be provided.

Paper Patriots Fremont County will meet Sept. 6

Paper Patriots Fremont County will meet Sept. 6 to create Cards of Gratitude for recovering and returning soldiers at Ft. Carson. Doors will be open from 9:30 a.m. to 4:30 p.m. to anyone who has a few minutes to drop by and help create. Donations of envelopes, patriotic papers, rubber stamps and other items are always appreciated. Call 719-276-9002 for more information.

Homebuyer's Workshop slated for Sept. 9

This one-day workshop will be held at 9 a.m. Sept. 9 at the UAACOG office, 3224-A Independence Road. It is free to the public. The workshop takes participants through the home buying process from loan application to loan closing and life as a homeowner. Lenders such as CHFA, Rural Development and others require that borrowers participate in this type of training. reservations are required for the workshop and space is limited. For more information, contact Central Colorado Housing (a department of UAACOG) at 719-269-7687 or email laura.yost@uaacog.com.

Arkansas Valley Dressage Association presents the September Pathfinder Schooling Show

Arkansas Valley Dressage Association presents the September Pathfinder Schooling Show beginning at 9 a.m. Sept. 30 at Pathfinder Park. For those who ride Dressage, Western Dressage, Eventing or Gaited, this schooling show is for you.

The event judge will be Kathy Simard, a USDF certified instructor through fourth level and a new member of the certification faculty. She is an "L" graduate with distinction. Over the years, Simard has ridden with many FEI and Olympic judges and competitors and has earned her UDSF Bronze and Silver medals. Her students have won many year-end awards in both Dressage and Eventing.

To reserve a space, contact Renee 719-276-2029 or email mcmillenrenee@gmail.com. For more information, visit http://www.arkansasvalleydressage.org or https://www.facebook.com/Arkansas-Valley-Dressage-Association-292505197521873/.

History club for 3rd-5th graders to begin its 5th year

The Eastern Fremont County Historical Club is ready to begin its fifth year of study. This Club is for local 3rd-5th graders to help them learn about the rich Florence and Fremont County history. Registration will be from 10-11 a.m. Sept. 8 at the Faith Journey Nazarene Church fellowship hall in Florence. The hall is located west of the Kwik-Stop on Second and Church. It will be $1 per week or your child may join for a year membership for $25. With their membership, your child will receive a watch and a membership card that allows your child to attend all Club meetings and get into the Florence Pioneer Museum and Research Center for free with an attending adult. Club meetings will be held from 10-11 a.m. every Friday. The Club will follow the Re-2 schedule: if the school is on a vacation, so is the Club! There will be a calendar provided at registration.

After registration, the Club will be jumping into a Native American study of the Ute Indians, their culture, their territories, and their leaders. This unit will be approximately 6 weeks and then it is on to a peek at John C. Fremont.

Several times this year, the Club will meet at the museum. We have several displays that will enhance whatever unit of study we are on, especially Jesse Frazer, "Johnny Appleseed" of Florence, James A. McCandless our town founder, and a study of the Florence Oil Field and coal mines of the area.

The Museum is still open due to the nice weather so stop by and see what we are up to. The Museum asks for a $3 per person admission/donation to keep the electric bill paid! Our "Mad Scientist" display is still up and a wonderful camera display is out for all to remember those good ol' days. Upstairs are tributes to our Coal Creek pioneers, the Blunts and the Cowens. Read Charlie Cowan's poem about the Coal Creek fire. His store was destroyed in this terrible inferno. Outside in the Industrial Garden (the backyard), there is a new model pump jack that really works!

Daily Record Staff

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National Diabetes program begins Sept. 7 at St. Thomas More Hospital - Canon City Daily Record

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How to control your diabetes and get tips on healthy meals free class offered on September 9 – User-generated content (press release) (registration)

August 28th, 2017 1:42 am

If you want to learn how to better control your diabetes and get tips on how to prepare fresh healthy meals, you can get both for free at class on Saturday, Sept. 9.

The Northern Kentucky Health Department and the Boone County Cooperative Extension are offering the comprehensive education from 8:30 a.m. to 6 p.m. at the Boone County Cooperative Extensions Enrichment Center, 1955 Burlington Pike, Burlington.

Registration is required.

Lunch and a diabetes toolkit will be provided.

Topics will include: what is diabetes, healthy eating, preventing complications and more. Participants will see a cooking demonstration, and then sample freshly prepared meals and snacks to demonstrate healthy cooking techniques for individuals with diabetes.

In addition, participants will have the opportunity to visit the Boone County Farmers Market, located adjacent to the extension center.

The class will be led by a Registered Nurse/Certified Diabetes Educator, a Registered Dietitian from the Health Department and the Boone County Extension Agent for Family and Consumer Sciences.

The Health Departments diabetes program is accredited through the Kentucky Department for Public Healths Healthy Living with Diabetes program.

For more information and to register for the class or for information about the Health Departments diabetes control program, please call Joan Geohegan at 859.363.2115 or Julie Shapero at 859.363.2116.

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Study finds drinking may lower risk for diabetes – WTMJ-TV (press release) (registration) (blog)

August 28th, 2017 1:42 am

A recent study published by theEuropean Association for the Study of Diabetes has recently discovered that those who frequently consume alcohol have a reduced risk of developing diabetes.

The study, conducted byProfessor Janne Tolstrup and colleagues from the National Institute of Public Health of the University of Southern Denmark, examined the effects of drinking frequency on diabetes risk over the course of several years. Using data from the Danish Health Examination Survey, conducted between 2007 and 2008, over 70,000 participants were continually followed up with until 2012.

Danish citizens aged 18 and over completed the self-reporting questionnaire, which included questions regarding their lifestyle and health. Factors such as drinking patterns, the types of drinks consumed, age, sex, lifestyle habits, diet and even body mass index were all taken into consideration.

Anyone who had previously been diagnosed with diabetes, pregnant women or women who had recently given birth were excluded.

The data was then analyzed and researchers found that those with the lowest risk of developing diabetes were the survey participants who consumed moderate amounts of alcohol.

Men who consume 14 drinks per week were found to have a 43 percent lower risk of developing diabetes relative to men who dont consume any alcohol. Women who consume nine drinks per week had a 58 percent lower risk of developing diabetes compared to those who abstain from all alcoholic beverages.

When considering the frequency in which one consumes alcohol, the studys data revealed that those who drink 3-4 days a week had the lowest risk of diabetesa 27 percent lower risk in men and a 32 percent lower risk for womencompared to individuals who drink less than one alcoholic beverage per week.

And if youre wondering what type of drink gives you the best chance of fending off diabetes, the authors of the study note that they really didnt see much of a difference in those who drank wine, beer or spirits. Or perhaps even all three.

[h/t: Science Daily]

This story originally appeared on Simplemost. Checkout Simplemost for other great tips and ideas to make the most out of life.

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GE engineer conquered diabetes with bicycling – Albany Times Union

August 28th, 2017 1:42 am

Photo: Lori Van Buren, Albany Times Union

GE engineer conquered diabetes with bicycling

GE engineer Bill Monaghan kept in great shape as champion high school bicyclist. But as a became happily married dad he became less active and chubby.

His wife Natalie worried about his high cholesterol and obesity-related sleep apnea. When he was diagnosed with Type 2 diabetes, he returned to his biking passion and won back his health.

"He lost all the weight and the diabetes, high cholesterol and sleep apnea were all gone," Natalie says proudly.

Now, Monaghan is coaching about 40 Capital Region bike ridersincluding many diabeticsfor the Juvenile Diabetes Research Foundation's September 14-17 fundraising rides. Those rides range in length from 30 to 100 miles. All of the upstate New York JDRF Ride to Cure Diabetes start in Saratoga.

Monaghan posts details of his Saturday coaching rides on the JDRF Northeast New York website for those who would like to train with him.

"The diabetics I'm coaching are vigilant and take very good care of each other," said Monaghan, a Charlton resident. "They'll suggest we stop if they sense someone should check his or her blood sugar."

Monaghan loves Italian designed bikes but his key preference is that the bike be made of titanium bike because the metal is so strong. (The newer lightweight carbon bikes concern him because carbon crumbles under impact far more easily). He was so devoted to biking that he owned a White Plains bike shop for eight years where he became expert at fitting bikes to riders.

He remains such an evangelist for biking's health benefits that he spends Saturday afternoons at Freemans Bridge Sports in Scotia fitting customers for helmets and bikes. A properly adjusted bike seat can make all the difference between viewing a bike ride as fun or just a chore that burns calories.

"The fact is, you're going to be safer and have a better time on a $200 bike that is perfectly fitted for you than an $8,000 bike that doesn't fit," he said. "You're better off getting fitted at a local bike shop where people love bikes and know what they're doing. At a big box sports store, you might find a kid who only knows football in the bike department. And he's there putting together bikes primarily to earn Ramen noodle money, not because he knows how to fit bikes to customers."

Natalie accompanied him on his bike journey back to good health. They rode a tandem bike along the coast of Maine's Acadia National Park for about 26 miles. Then they rode to the top of Cadillac Mountain, which Natalie describes as three miles of sharp switchbacks. She doesn't remember it as grueling.

"It was romantic, with fog drifting around the mountain," she exclaimed. "And it was invigorating with all the clean air so I hope other people trying to get in shape will try it."

The JDRF Saratoga has a fundraising goal of $2.1 million and $$1,465,4331 in donations have been pledged in the name of various bicyclists as of Thursday afternoon. There are several locations across America where fundraising rides will roll out in September. Maryland-based Ben Etheridgeof JDRF's Greater Chesapeake and Potomac Chapter is coming to New York to participate in the Saratoga ride. As of this week, he raised $74,961 in pledged donations, more than any other rider.

"I've been participating in these rides for years all over the country because I have two children with Type 1 diabetes," Etheridge said. "Doctors are very optimistic that they can overcome through nutrition and fitness. About 25 percent of the riders each year have Type 1 diabetes."

To learn more about the Saratoga ride visit the JDRF website;

http://www2.jdrf.org/site/TR/Ride/JDRFNationalRide?pg=entry&fr_id=6889

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A New Way to Fight Heart Disease May Also Tackle Cancer – NBCNews.com

August 28th, 2017 1:41 am

Researchers say theyve proven a long-held theory about heart disease: that lowering inflammation may be nearly as important as cutting cholesterol levels.

They showed that using a targeted drug to reduce inflammation cut the risk of heart attacks, strokes and other events in patients who had already suffered one heart attack independent of any other treatment they got.

A bonus side-effect the treatment also appeared to have reduced rates of lung cancer diagnosis and death.

The studies, being presented at a meeting in Barcelona this weekend, are just a first step and do not yet open a door to a new way of treating heart patients.

And they dont necessarily apply to everybody. But Dr. Paul Ridker of Brigham and Womens Hospital and Harvard Medical School, who led the research team, thinks the findings will lead to ways to help people most at risk of dying of heart disease and stroke.

This plays beautifully into the whole idea of personalized medicine and trying to get the right drug to the right patient, Ridker said.

Novartis, which makes the drug, said it would ask the Food and Drug Administration for permission to market the drug as a way to prevent heart attacks and would start further tests on its effect in lung cancer.

Ridkers team tested 10,000 patients who had suffered one heart attack already and thus were at very high risk of having a second one. The patients all had high levels of high sensitivity C-reactive protein or CRP, a measure of inflammation in the body.

Related: FDA Approves Pricey New Cholesterol Drug

They were already taking a basket of medications for their heart disease, from cholesterol-lowering statins to blood pressure drugs.

On top of that, the team added a drug called canakinumab, a monoclonal antibody or magic bullet agent that targets a specific cause of inflammation called interleukin 1 beta.

Volunteers got either a placebo, or injections every three months of low, medium or high doses of canakinumab.

After three to four years, people who got the highest dose of the drug were the least likely to have had another heart attack, stroke or to have died of heart disease.

Those who got the two highest doses of canakinumab had a 15 percent lower chance of having a heart attack, stroke or other major cardiovascular event, the team found. Patients were also less likely to need a heart bypass or angioplasty to clear out clogged arteries.

For the first time, weve been able to definitively show that lowering inflammation independent of cholesterol reduces cardiovascular risk, Ridker said.

Dr. Steven Nissen, chairman of the Department of Cardiovascular Medicine at the Cleveland Clinic, who was not involved in the study, said the results were impressive. It shows us that people with high levels of inflammation - if you target the inflammation - you can reduce the risk of heart attack stroke and death, Nissen said.

Related: Here's How Stress Might Cause Heart Attacks, Strokes

The results are being presented at the European Society of Cardiology meeting in Barcelona, and also published in the New England Journal of Medicine and the Lancet medical journal.

Its been long known that both inflammation and cholesterol buildup are involved in heart and artery disease.

Inflammation is part of the bodys immune process, and the patients in the trial were more likely to suffer serious infections, including pneumonia. The same thing happens to people taking immune-suppressing drugs to fight rheumatoid arthritis.

Physicians would have to be cautious, Ridker said.

But the researchers found some other side-effects. People taking the higher doses of canakinumab had lower rates of cancer, especially lung cancer, as well as lower rates of arthritis and gout.

This makes sense to Ridker.

If you smoke a pack of cigarettes, you chronically inflame the lung. If you are a long-haul truck driver breathing in diesel, you are chronically inflaming the lung, he said. Inflammation can drive cancer as well as heart disease, he said.

These are fascinating, human findings that open a potential new class of therapies for cancer, said Dr. Laurie Glimcher, president and CEO of the Dana-Farber Cancer Institute.

Ridker does not believe the drug prevents cancer. He thinks inflammation may fuel the growth of some tumors.

The tumors were obviously already there. They were just small and undiagnosed, he said.

Related: Heart Attacks, Strokes, Fell After Trans-Fat Ban

The findings will not immediately mean new treatments for heart disease patients. For one thing, like any medical finding, theyll have to be replicated by other researchers. Ridkers testing another drug, methotrexate, thats also used to treat rheumatoid arthritis.

While canakinumab has already been approved by the FDA, it is a so-called orphan drug used to treat a very rare genetic condition. Sold under the brand name Ilaris, it costs about $200,000 a year.

We look forward to submitting the ... data to regulatory authorities for approval in cardiovascular and initiating additional phase III studies in lung cancer," said Vas Narasimhan, who heads drug development for Novartis.

Ridker says he is pressing Novartis to try something different, perhaps offering the first dose of the drug free. People whose CRP levels fell more after their first dose also tended to be those who had lower rates of heart attacks and strokes years later.

It might be worth taking one dose and see if you respond. If you dont, well, there is no reason to be on the drug, he said.

This is the way to really focus these treatments on the patients on whom it really works. I think thats just good medicine.

In the end, Ridker believes, some extreme heart disease patients will be helped more by the newest cholesterol-lowering drugs, called PCSK9 inhibitors, while others may be better helped by targeted anti-inflammatory drugs.

Half of heart attacks occur in people who do not have high cholesterol, he said. For the first time, weve been able to definitively show that lowering inflammation independent of cholesterol reduces cardiovascular risk.

Nissen agrees.

I think its a game changer. The only good therapies weve had so far were statins. But now it seems like we have something new in the future, he said.

It opens up pathways to new research and new treatments in the future. There are many other anti-inflammatory activities going on in our body, not just the one thats tackled by canakinumab. There will be so many more studies now to see if other therapies that tackle other pathways will also reduce the risk.

And the findings may offer some common-sense advice to everyone about lowering inflammation, Ridker said.

Theres a lot you can do about it right now, he said.

If your high sensitivity C-reactive protein is elevated, you are a high-risk patient. This is overwhelming evidence that you should go to the gym, throw out the cigarettes, eat a healthier diet, he said.

Because all three of those well-known interventions lower your inflammatory burden.

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5 ways 3D printing could totally change medicine – Futurity: Research News

August 28th, 2017 1:41 am

A new study aims to alert medical professionals to the potential of 3D printings future use in the field.

3D printing technology is going to transform medicine, whether it is patient-specific surgical models, custom-made prosthetics, personalized on-demand medicines, or even 3D printed human tissue, says Jason Chuen, Director of Vascular Surgery at Austin Health and a Clinical Fellow at the University of Melbourne.

Before inserting and expanding a pen-sized stent into someones aorta, the hose-like artery that carries our blood away from the heart, Chuen, a surgeon, likes to practice on the patient first. Not for real of course, but in plastic.

He has a 3D printer in his office and brightly colored plastic aortas line his window sill at the Austin Hospital in Melbourne. They are all modeled from real patients and printed out from CT scans, ultrasounds, and x-rays.

By using the model I can more easily assess that the stent is the right size and bends in exactly the right way when I deploy it, says Chuen.

At the moment 3D printing is at the cutting edge of medical research, but in the future the technology will be taken for granted by all of us in healthcare, he says.

At its core 3D printing is the use of computer guidance technology to create 3D objects from digital plans by applying layers of material, such as heated plastic, or powders in the case of metals and ceramics. It is being used to print out anything from toys and food, to warships producing on-demand spare parts and even drones. Medicine is just another frontier.

The new paper, coauthored by Chuen and Jasamine Coles-Black, from the Austin Hospital in Melbourne, appears in the Medical Journal of Australia.

Here are the top five areas in which 3D printing is set to change medicine, according to the Chuen and Coles-Black:

It sounds like something out of Frankenstein, but could we eventually 3D print human organs? Not exactly, says Chuen. But hes convinced that in the future we will be able to 3D print human tissue structures that can perform the basic functions of an organ, replacing the need for some transplants.

Scientists are already using 3D printing to build organoids that mimic organs at a tiny scale and can be used for research. They are built using stem cells that can be stimulated to grow into the functional unit of a particular organ, such as a liver or kidney. The challenge he says is to scale up organoids into a structure that could boost a failing organ inside a patient.

we are moving towards a world where if you can imagine it, you will be able to print it

Such bioprinting involves using a computer-guided pipette that takes up cell cultures suspended in nutrient rich solution and prints them out in layers suspended in a gel. Without the gel the cells would simply become a watery mess.

The problem, says Chuen, is that once inside the gel, cells can die in a matter of minutes. This isnt a problem for small structures like organoids that can be built quickly and then transferred back into a nutrient solution. But it is a problem when attempting to make something larger like an organ because the initial layers of cells will die before the organ is completed.

Unless there is some breakthrough that enables us to keep the cells alive while we print them, then I think printing a full human organ will remain impossible. But where there is potential is in working out how to reliably build organoids or components that we could then bind together to make them function like an organ, says Chuen.

People suffering from a range of ailments, such as the elderly, are often dependent on taking multiple pills throughout the day. But imagine if one pill could replace the ten pills your doctor has prescribed?

According to Chuen, 3D printing is on the way to making this possible, opening up a whole new world of customized medicines.

Rather than simply embedding a single drug in a pill that is designed to dissolve and release the drug at a set time, the precision of 3D printing means pills can be designed to house several drugs, all with different release times. A 3D printed polypill that contains three different drugs has already been developed for patients with diabetes and hypertension.

It maybe that in the future instead of a prescription your doctor will be giving you a digital file of printing instructions.

Studies of surgeons using 3D printed models to rehearse procedures have shown that operations can be completed faster and with less trauma for patients. The potential cost savings alone are considerable. As Chuenpoints out, running an operating theatre can cost AUD$2,000 an hour. That is over AUD$30 a minute.

Chuen and Coles-Black themselves have begun printing out copies of patient kidneys to help surgeons at the Austin in planning the removal of kidney tumors. Such hard plastic models can be made more realistic by printing them in more expensive flexible material such as thermoplastic polyurethane. The material cost of the hard plastic aortas in Chuens office is about AUD$15 (less than $12 in the United States), whereas if printed in soft plastic the cost can rise to AUD$50 (less than $40 USD).

The real cost in 3D printing biological models is not just materials or printers, but also the software used to translate the scans into files for the printer. The 3D segmentation software Chuen uses costs about AUD$20,000 a year (under $16,000 USD).

As soon as 3D printing began to take off people were quick to see the opportunity for creating amateur prosthetics for their petsfrom puppies to geese, and even tortoises. Unlike for humans, there was no mass-supply chain of prosthetics for pets. But mass-supplied prosthetics are likely to be a thing of the past as 3D printing is increasingly used to manufacture prosthetics that are exactly tailored to a patients needs.

For example, with hip replacements, surgeons have to cut and ream a patients bone to fit the prosthetic, but in the future, it will be normal to 3D print a prosthetic to fit a patient, says Chuen.

Just as 3D printing is allowing customized production of medicines and devices, the production itself is likely to become localized. The warehouses that are full of packaged medicines and prosthetics will in the future likely be replaced by digital files of designs that hospitals and pharmacies will be able to download and print on demand using stored raw materials, says Chuen.

Such distributed manufacturing, he says, could make medicines and devices more equitably available across the world so long as a local hospital for instance has the printing technology in place and access to raw materials.

However, Chuen warns distributed production will present new risks for ensuring the quality control of end products. It will need a fundamental shift in responsibility from the supplier to wherever the medicines or devices are manufactured. That represents a huge shift and we have to work out how it could work. But if we get the regulation right then it will transform access to medical products.

But for Chuen, the immediate overall challenge in medical 3D printing is ensuring that medical professionals themselves are up to speed with the technology because it is their clinical experience that will be needed to drive its successful application.

It is a revolutionary technology that will make medical care better and faster, and more personalized. But what we need is for more medical professionals to start exploring and experimenting with what this new technology can do, because many things that we thought of as impossible are now becoming possible.

I think we are moving towards a world where if you can imagine it, you will be able to print itso we need to start imagining, Chuen says.

Source: University of Melbourne

Original Study DOI: 10.5694/mja16.01073

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WISH researcher contributes to book on oral cancer – Gulf Times

August 28th, 2017 1:41 am

Dr Walid Qoronfleh, director of research and policy at the World Innovation Summit for Health (WISH), has co-authored a chapter of a book that takes an in-depth look at cancers of the mouth, known as human oral cancer.The book, Development of Oral Cancer: Risk Factors and Prevention Strategies, identifies different aspects of human oral cancer as a step toward the alleviation and prevention of the disease.Oral cancer is one of the most common non-communicable diseases worldwide with an estimated 300,000 new cases and 145,000 deaths in 2012.Dr Qoronflehs contribution, a chapter entitled Novel Developments in the Molecular Genetic Basis of Oral Squamous Cell Carcinoma, is co-authored with Dr Nader al-Dewik from the Qatar Medical Genetics Centre, part of Hamad Medical Corporation.The chapter examines the most common molecular genetic alterations of cancer cells and the role of these cells in the development of oral cancer, with a view to help develop targeted therapeutic approaches to the disease.Oral health and tobacco cessation are key health areas for the Ministry of Public Health, as per the Qatar Public Health Strategy 2017-2022.Dr Qoronfleh said: Early stage detection not only improves prognosis but also increases the survival rate and enhances a patients quality of life. Advances in the understanding of the molecular basis of oral cancer should help in the identification of new biomarkers and open new horizons for therapy, especially targeted therapy, which is likely to be more successful in the long run.Another way to combat oral cancer is education. Public awareness programmes are necessary tools to fight oral cancer at all levels in terms of diagnosis, risk management, and treatment monitoring.The greatest challenge related to oral cancer is that the disease is often not detected early enough for successful treatment. The World Health Organisation has reported that oral cancer malignancies and mortality are increasing, with an alarming rise in incidence among young people in the Arab world due to various tobacco habits.Development of Oral Cancer: Risk Factors and Prevention Strategies is published by Springer International Publishing and is edited by Ala-Eddin al-Moustafa, a professor at the College of Medicine at Qatar University and adjunct professor of the oncology department of McGill University, Canada.

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Genetic and epigenetic epidemiology of chronic widespread pain – Dove Medical Press

August 28th, 2017 1:41 am

Jasmine I Kerr,1 Andrea Burri,13

1Department of Psychology, University of Zurich, Zurich, Switzerland; 2Department of Physiotherapy, Health and Rehabilitation Research Institute, Auckland University of Technology, 3Waitemata Pain Service, Department of Anesthesia and Perioperative Medicine, North Shore Hospital, Auckland, New Zealand

Abstract: The etiology underlying chronic widespread pain (CWP) remains largely unknown. An integrative biopsychosocial model seems to yield the most promising explanations for the pathogenesis of the condition, with genetic factors also contributing to disease development and maintenance. Here, we conducted a search of studies investigating the genetic and epigenetic epidemiology of CWP through electronic databases including Web of Science, Medline, PubMed, EMBASE, and Google Scholar. Combinations of keywords including CWP, chronic pain, musculoskeletal pain, genetics, epigenetics, gene, twins, single-nucleotide polymorphism, genotype, and alleles were used. In the end, a total of 15 publications were considered relevant to be included in this review: eight were twin studies on CWP, six were molecular genetic studies on CWP, and one was an epigenetic study on CWP. The findings suggest genetic and unique environmental factors to contribute to CWP. Various candidates such as serotonin-related pathway genes were found to be associated with CWP and somatoform symptoms. However, studies show some limitations and need replication. The presented results for CWP could serve as a template for genetic studies on other chronic pain conditions. Ultimately, a more in-depth understanding of disease mechanisms will help with the development of more effective treatment, inform nosology, and reduce the stigma still lingering on this diagnosis.

Keywords: chronic widespread pain, CWP, epigenetics, genetics, twin studies, environment, aetiology

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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First TEDx event held in Duhok ‘gives people an opportunity to think’ – Rudaw

August 28th, 2017 1:41 am

DUHOK, Kurdistan Region It took approximately five months and 75 volunteers of all ages to finalize everything needed to host the first ever TEDx event in Duhok, a mountainous city and a tourist spot located in the northern part of the Kurdistan Region.

For the organizers, it is about giving motivated speakers an opportunity to share their life journey, like Wahid Chicho who was born a dwarf and is married with two children but was once told he will never have a family of his own.

A group of entrepreneurs, inventors, IT experts, medical professionals and other talented motivational speakers came together on Saturday to share their experiences and knowledge with locals and foreign nationals alike in the event.

Salih said the organizers first started the process to host the event in Duhok almost a year ago and after licensing and sponsorship were approved, they were able to put it together.

A total of 11 speakers were each allowed between 15-18 minutes to share their personal stories of life experiences and education to help inspire hundreds of people who joined the event become motivated to create a better future for themselves.

The speakers were mostly from Duhok, but also came from other parts of Iraq and the Kurdistan region such as Sulaimani, Zakho, Bashiqa, Mosul and even as far as Los Angeles, California in the United States.

Here we are trying to look for, promote and bring ideas on stage where they [the speakers] can express their feelings, their ideas freely, Executive Producer, Hussam Mohammed said. I think there are not many places to do this, so TEDx Duhok gives us the platform, the frame where we can bring and motivate young people to bring their ideas.

Mohammed believes it is important for young, creative thinkers to deliver their ideas to others which will encourage and motivate others to move forward in their lives. This was one of the main reasons to bring TEDx to Duhok, he said.

Plus, we think that Duhok people deserve the best and weve tried to bring the best here to Duhok, Muhammad added.

One speaker, Wahid Chicho, age 31 from Duhok, spoke of the struggles and difficulties he had being born as a dwarf. Regardless of the discrimination he faced growing up; he completed his studies and went on to establish the Kurdistan Dwarf Association Duhok Branch.

Wahid Chicho delivers his speech at Duhok's first TEDx event on August 26, 2017. Photo by author.

He had been told that he would never be able to have a family, but today he is married and has two children. Chicho also went on to establish the Kurdistan Paralympic Committee/Duhok Representative Office and the Duhok Disabled Network.

Hezha Khan, age 26, from Sulaimani was another speaker who became Founder/CEO of APC for Youth Empowerment that encourages economically disadvantaged Kurdish youth to become change makers in their local communities. She is also a Country Representative who travels the world encouraging peace in the Middle East and Africa through speeches and workshops.

Khan believes that the government as well as todays youth play a crucial role in bringing about social change and women equality in their communities, especially with the upcoming Kurdish referendum for independence on September 25. Khan encourages people to challenge themselves and to follow their dreams.

Levi Clancy, age 26 from Los Angeles is currently a software developer and freelance journalist living in Erbil. Clancy, who began university when he was 13-years-old and graduated with a major in Microbiology, Immunology and Molecular Genetics and a minor in Mesopotamian History was drawn to the Kurdistan region after visiting as a tourist in 2010.

Clancy spoke about the Kurdistan region as being a safe, tolerant and diverse state in a region torn by war and instability.

He also highlighted the acceptance of the diverse ethnic and religious groups living here.

Clancy described Kurdistan as, It is its own country but for now and against all odds, a country inside of another country.

Because even though the map says Iraq, but the reason that I as an American, as a Jew, with no security or guards or anything, can call this home is because I am in Kurdistan, he added.

Clancy said that as an American he cant say that Kurds should vote yes or no in the upcoming referendum. However, he did say that Kurdistan is a sort of example for the world in the issues of the future.

Video:Levi Clancy, age 26 from Los Angeles is currently a software developer and freelance journalist living in Erbil. He shared his thoughts on Kurdistan and its bid to hold independence referendum.

The event also brought together a diverse group of volunteers of all ages who worked for several months in the planning and physical preparation of hosting a world famous event.

Aryan, age 21, a medical student at the University of Duhok volunteered by helping with photography. She said the group worked well together to bring a meaningful event to their community.

This was the first great step if we are thinking of becoming a great country, Aryan said. TEDx Duhok was the first step towards changing our society. I saw people in the audience getting affected by such great, bright ideas that the speakers were talking about and especially when they introduced Kurdistan to other nations.

When Executive Producer Mohammed was asked if they would bring TEDx back to Duhok again, he responded, This is the end of the beginning. The journey has to continue and well try to do our best to make better results."

I urge the communities around the world to bring TEDx to their communities because communities have ideas and are creative and can do great things, but they need a platform. TEDx can be their platform.

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Introduction to genetics – Wikipedia

August 28th, 2017 1:40 am

This article is a non-technical introduction to the subject. For the main encyclopedia article, see Genetics.

A long molecule that looks like a twisted ladder. It is made of four types of simple units and the sequence of these units carries information, just as the sequence of letters carries information on a page.

They form the rungs of the DNA ladder and are the repeating units in DNA. There are four types of nucleotides (A, T, G and C) and it is the sequence of these nucleotides that carries information.

A package for carrying DNA in the cells. They contain a single long piece of DNA that is wound up and bunched together into a compact structure. Different species of plants and animals have different numbers and sizes of chromosomes.

A segment of DNA. Genes are like sentences made of the "letters" of the nucleotide alphabet, between them genes direct the physical development and behavior of an organism. Genes are like a recipe or instruction book, providing information that an organism needs so it can build or do something - like making an eye or a leg, or repairing a wound.

The different forms of a given gene that an organism may possess. For example, in humans, one allele of the eye-color gene produces green eyes and another allele of the eye-color gene produces brown eyes.

The complete set of genes in a particular organism.

When people change an organism by adding new genes, or deleting genes from its genome.

An event that changes the sequence of the DNA in a gene.

Genetics is the study of geneswhat they are, what they do, and how they work. Genes inside the nucleus of a cell are strung together in such a way that the sequence carries information: that information determines how living organisms inherit various features (phenotypic traits). For example, offspring produced by sexual reproduction usually look similar to each of their parents because they have inherited some of each of their parents' genes. Genetics identifies which features are inherited, and explains how these features pass from generation to generation. In addition to inheritance, genetics studies how genes are turned on and off to control what substances are made in a cellgene expression; and how a cell dividesmitosis or meiosis.

Some phenotypic traits can be seen, such as eye color while others can only be detected, such as blood type or intelligence. Traits determined by genes can be modified by the animal's surroundings (environment): for example, the general design of a tiger's stripes is inherited, but the specific stripe pattern is determined by the tiger's surroundings. Another example is a person's height: it is determined by both genetics and nutrition.

Chromosomes are tiny packages which contain one DNA molecule and its associated proteins. Humans have 46 chromosomes (23 pairs). This number varies between speciesfor example, many primates have 24 pairs. Meiosis creates special cells, sperm in males and eggs in females, which only have 23 chromosomes. These two cells merge into one during the fertilization stage of sexual reproduction, creating a zygote. In a zygote, a nucleic acid double helix divides, with each single helix occupying one of the daughter cells, resulting in half the normal number of genes. By the time the zygote divides again, genetic recombination has created a new embryo with 23 pairs of chromosomes, half from each parent. Mating and resultant mate choice result in sexual selection. In normal cell division (mitosis) is possible when the double helix separates, and a complement of each separated half is made, resulting in two identical double helices in one cell, with each occupying one of the two new daughter cells created when the cell divides.

Chromosomes all contain DNA made up of four nucleotides, abbreviated C (cytosine), G (guanine), A (adenine), or T (thymine), which line up in a particular sequence and make a long string. There are two strings of nucleotides coiled around one another in each chromosome: a double helix. C on one string is always opposite from G on the other string; A is always opposite T. There are about 3.2 billion nucleotide pairs on all the human chromosomes: this is the human genome. The order of the nucleotides carries genetic information, whose rules are defined by the genetic code, similar to how the order of letters on a page of text carries information. Three nucleotides in a rowa tripletcarry one unit of information: a codon.

The genetic code not only controls inheritance: it also controls gene expression, which occurs when a portion of the double helix is uncoiled, exposing a series of the nucleotides, which are within the interior of the DNA. This series of exposed triplets (codons) carries the information to allow machinery in the cell to "read" the codons on the exposed DNA, which results in the making of RNA molecules. RNA in turn makes either amino acids or microRNA, which are responsible for all of the structure and function of a living organism; i.e. they determine all the features of the cell and thus the entire individual. Closing the uncoiled segment turns off the gene.

Heritability means the information in a given gene is not always exactly the same in every individual in that species, so the same gene in different individuals does not give exactly the same instructions. Each unique form of a single gene is called an allele; different forms are collectively called polymorphisms. As an example, one allele for the gene for hair color and skin cell pigmentation could instruct the body to produce black pigment, producing black hair and pigmented skin; while a different allele of the same gene in a different individual could give garbled instructions that would result in a failure to produce any pigment, giving white hair and no pigmented skin: albinism. Mutations are random changes in genes creating new alleles, which in turn produce new traits, which could help, harm, or have no new effect on the individual's likelihood of survival; thus, mutations are the basis for evolution.

Contents

Genes are pieces of DNA that contain information for synthesis of ribonucleic acids (RNAs) or polypeptides. Genes are inherited as units, with two parents dividing out copies of their genes to their offspring. This process can be compared with mixing two hands of cards, shuffling them, and then dealing them out again. Humans have two copies of each of their genes, and make copies that are found in eggs or spermbut they only include one copy of each type of gene. An egg and sperm join to form a complete set of genes. The eventually resulting offspring has the same number of genes as their parents, but for any gene one of their two copies comes from their father, and one from their mother.[1]

The effects of this mixing depend on the types (the alleles) of the gene. If the father has two copies of an allele for red hair, and the mother has two copies for brown hair, all their children get the two alleles that give different instructions, one for red hair and one for brown. The hair color of these children depends on how these alleles work together. If one allele dominates the instructions from another, it is called the dominant allele, and the allele that is overridden is called the recessive allele. In the case of a daughter with alleles for both red and brown hair, brown is dominant and she ends up with brown hair.[2]

Although the red color allele is still there in this brown-haired girl, it doesn't show. This is a difference between what you see on the surface (the traits of an organism, called its phenotype) and the genes within the organism (its genotype). In this example you can call the allele for brown "B" and the allele for red "b". (It is normal to write dominant alleles with capital letters and recessive ones with lower-case letters.) The brown hair daughter has the "brown hair phenotype" but her genotype is Bb, with one copy of the B allele, and one of the b allele.

Now imagine that this woman grows up and has children with a brown-haired man who also has a Bb genotype. Her eggs will be a mixture of two types, one sort containing the B allele, and one sort the b allele. Similarly, her partner will produce a mix of two types of sperm containing one or the other of these two alleles. When the transmitted genes are joined up in their offspring, these children have a chance of getting either brown or red hair, since they could get a genotype of BB = brown hair, Bb = brown hair or bb = red hair. In this generation, there is therefore a chance of the recessive allele showing itself in the phenotype of the childrensome of them may have red hair like their grandfather.[2]

Many traits are inherited in a more complicated way than the example above. This can happen when there are several genes involved, each contributing a small part to the end result. Tall people tend to have tall children because their children get a package of many alleles that each contribute a bit to how much they grow. However, there are not clear groups of "short people" and "tall people", like there are groups of people with brown or red hair. This is because of the large number of genes involved; this makes the trait very variable and people are of many different heights.[3] Despite a common misconception, the green/blue eye traits are also inherited in this complex inheritance model.[4] Inheritance can also be complicated when the trait depends on interaction between genetics and environment. For example, malnutrition does not change traits like eye color, but can stunt growth.[5]

Some diseases are hereditary and run in families; others, such as infectious diseases, are caused by the environment. Other diseases come from a combination of genes and the environment.[6]Genetic disorders are diseases that are caused by a single allele of a gene and are inherited in families. These include Huntington's disease, Cystic fibrosis or Duchenne muscular dystrophy. Cystic fibrosis, for example, is caused by mutations in a single gene called CFTR and is inherited as a recessive trait.[7]

Other diseases are influenced by genetics, but the genes a person gets from their parents only change their risk of getting a disease. Most of these diseases are inherited in a complex way, with either multiple genes involved, or coming from both genes and the environment. As an example, the risk of breast cancer is 50 times higher in the families most at risk, compared to the families least at risk. This variation is probably due to a large number of alleles, each changing the risk a little bit.[8] Several of the genes have been identified, such as BRCA1 and BRCA2, but not all of them. However, although some of the risk is genetic, the risk of this cancer is also increased by being overweight, drinking a lot of alcohol and not exercising.[9] A woman's risk of breast cancer therefore comes from a large number of alleles interacting with her environment, so it is very hard to predict.

The function of genes is to provide the information needed to make molecules called proteins in cells.[1] Cells are the smallest independent parts of organisms: the human body contains about 100 trillion cells, while very small organisms like bacteria are just one single cell. A cell is like a miniature and very complex factory that can make all the parts needed to produce a copy of itself, which happens when cells divide. There is a simple division of labor in cellsgenes give instructions and proteins carry out these instructions, tasks like building a new copy of a cell, or repairing damage.[10] Each type of protein is a specialist that only does one job, so if a cell needs to do something new, it must make a new protein to do this job. Similarly, if a cell needs to do something faster or slower than before, it makes more or less of the protein responsible. Genes tell cells what to do by telling them which proteins to make and in what amounts.

Proteins are made of a chain of 20 different types of amino acid molecules. This chain folds up into a compact shape, rather like an untidy ball of string. The shape of the protein is determined by the sequence of amino acids along its chain and it is this shape that, in turn, determines what the protein does.[10] For example, some proteins have parts of their surface that perfectly match the shape of another molecule, allowing the protein to bind to this molecule very tightly. Other proteins are enzymes, which are like tiny machines that alter other molecules.[11]

The information in DNA is held in the sequence of the repeating units along the DNA chain.[12] These units are four types of nucleotides (A,T,G and C) and the sequence of nucleotides stores information in an alphabet called the genetic code. When a gene is read by a cell the DNA sequence is copied into a very similar molecule called RNA (this process is called transcription). Transcription is controlled by other DNA sequences (such as promoters), which show a cell where genes are, and control how often they are copied. The RNA copy made from a gene is then fed through a structure called a ribosome, which translates the sequence of nucleotides in the RNA into the correct sequence of amino acids and joins these amino acids together to make a complete protein chain. The new protein then folds up into its active form. The process of moving information from the language of RNA into the language of amino acids is called translation.[13]

If the sequence of the nucleotides in a gene changes, the sequence of the amino acids in the protein it produces may also changeif part of a gene is deleted, the protein produced is shorter and may not work any more.[10] This is the reason why different alleles of a gene can have different effects in an organism. As an example, hair color depends on how much of a dark substance called melanin is put into the hair as it grows. If a person has a normal set of the genes involved in making melanin, they make all the proteins needed and they grow dark hair. However, if the alleles for a particular protein have different sequences and produce proteins that can't do their jobs, no melanin is produced and the person has white skin and hair (albinism).[14]

Genes are copied each time a cell divides into two new cells. The process that copies DNA is called DNA replication.[12] It is through a similar process that a child inherits genes from its parents, when a copy from the mother is mixed with a copy from the father.

DNA can be copied very easily and accurately because each piece of DNA can direct the creation of a new copy of its information. This is because DNA is made of two strands that pair together like the two sides of a zipper. The nucleotides are in the center, like the teeth in the zipper, and pair up to hold the two strands together. Importantly, the four different sorts of nucleotides are different shapes, so for the strands to close up properly, an A nucleotide must go opposite a T nucleotide, and a G opposite a C. This exact pairing is called base pairing.[12]

When DNA is copied, the two strands of the old DNA are pulled apart by enzymes; then they pair up with new nucleotides and then close. This produces two new pieces of DNA, each containing one strand from the old DNA and one newly made strand. This process is not predictably perfect as proteins attach to a nucleotide while they are building and cause a change in the sequence of that gene. These changes in DNA sequence are called mutations.[15] Mutations produce new alleles of genes. Sometimes these changes stop the functioning of that gene or make it serve another advantageous function, such as the melanin genes discussed above. These mutations and their effects on the traits of organisms are one of the causes of evolution.[16]

A population of organisms evolves when an inherited trait becomes more common or less common over time.[16] For instance, all the mice living on an island would be a single population of mice: some with white fur, some gray. If over generations, white mice became more frequent and gray mice less frequent, then the color of the fur in this population of mice would be evolving. In terms of genetics, this is called an increase in allele frequency.

Alleles become more or less common either by chance in a process called genetic drift, or by natural selection.[17] In natural selection, if an allele makes it more likely for an organism to survive and reproduce, then over time this allele becomes more common. But if an allele is harmful, natural selection makes it less common. In the above example, if the island were getting colder each year and snow became present for much of the time, then the allele for white fur would favor survival, since predators would be less likely to see them against the snow, and more likely to see the gray mice. Over time white mice would become more and more frequent, while gray mice less and less.

Mutations create new alleles. These alleles have new DNA sequences and can produce proteins with new properties.[18] So if an island was populated entirely by black mice, mutations could happen creating alleles for white fur. The combination of mutations creating new alleles at random, and natural selection picking out those that are useful, causes adaptation. This is when organisms change in ways that help them to survive and reproduce. Many such changes, studied in evolutionary developmental biology, affect the way the embryo develops into an adult body.

Since traits come from the genes in a cell, putting a new piece of DNA into a cell can produce a new trait. This is how genetic engineering works. For example, rice can be given genes from a maize and a soil bacteria so the rice produces beta-carotene, which the body converts to Vitamin A.[19] This can help children suffering from Vitamin A deficiency. Another gene being put into some crops comes from the bacterium Bacillus thuringiensis; the gene makes a protein that is an insecticide. The insecticide kills insects that eat the plants, but is harmless to people.[20] In these plants, the new genes are put into the plant before it is grown, so the genes are in every part of the plant, including its seeds.[21] The plant's offspring inherit the new genes, which has led to concern about the spread of new traits into wild plants.[22]

The kind of technology used in genetic engineering is also being developed to treat people with genetic disorders in an experimental medical technique called gene therapy.[23] However, here the new gene is put in after the person has grown up and become ill, so any new gene is not inherited by their children. Gene therapy works by trying to replace the allele that causes the disease with an allele that works properly.

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UNL partners with University of Montana to study plant adaptation genetics – Daily Nebraskan

August 28th, 2017 1:40 am

A new research partnership at the University of Nebraska-Lincoln will focus on how genetic adaptations in plants and animals have helped animals evolve and withstand environmental challenges.

A four-year, $4 million National Science Foundation study will partner UNL with the University of Montana.

Species of both plants and animals can be present in vastly different local conditions, and learn to adapt to their conditions, said Jay Storz, a UNL Susan J. Rosowski professor of biological sciences.

Were looking at ways to figure out the causal connections between information encoded in the genome and the traits involved in those adaptations, he said.

The team will analyze genomes of animals and plants that have shown they can adapt to different conditions. Researchers will compare the genomes to those of the same species and of species that do not adapt to other climates to establish a link between genetic changes and environment-specific traits.

It might help you narrow down your search of the whole genome to a more targeted set of candidate genes, said Kristi Montooth, associate professor of biological sciences at UNL. If you can kind of back track from the physiology and try to match physiological changes to changes in gene expression, then you may be able to better localize in the genome what changes might be responsible for that [trait].

Colin Meiklejohn, an assistant professor of biological sciences at UNL, said this will give them the potential to help populations that are going extinct and give them the ability to survive. If there is a closely related species, scientists could breed the two species together and save a population while also potentially giving the species the ability to adapt better than before.

A yearly meeting will give researchers a chance to discuss their progress and debate questions they find during their research. Each institution will be hiring four postdoctoral researchers and full-time research assistants to help with the project. The positions will be funded by the project.

Montooth said a majority of the money from the project fund will be used toward training the next generation of evolutionary geneticists.

news@dailynebraskan.com

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Warnings over shock dementia revelations from ancestry DNA tests – The Guardian

August 28th, 2017 1:40 am

People who use genetic tests to trace their ancestry only to discover that they are at risk of succumbing to an incurable illness are being left to suffer serious psychological problems. Dementia researchers say the problem is particularly acute for those found to be at risk of Alzheimers disease, which has no cure or effective treatment. Yet these people are stumbling upon their status inadvertently after trying to find their Viking, Asian or ancient Greek roots.

These tests have the potential to cause great distress, said Anna Middleton, head of society and ethics research at the Wellcome Genome Campus in Cambridge. Companies should make counselling available, before and after people take tests. The issue is raised in a paper by Middleton and others in the journal Future Medicine.

A similar warning was sounded by Louise Walker, research officer at the Alzheimers Society. Everyone has a right to know about their risk if they want to, but these companies have a moral responsibility to make sure people understand the meaning and consequences of this information. Anyone considering getting genetic test results should do so with their eyes open.

Alzheimers is linked to the build-up in the brain of clumps of a protein called amyloid. This triggers severe memory loss, confusion and disorientation. One gene, known as ApoE, affects this process and exists in three variants: E2, E3 and E4. Those possessing the last of these face an increased chance of getting the disease in late life.

About 3% of the population has two copies of the E4 variant one inherited from each parent, Professor John Hardy, of University College London, said. They have about an 80% chance of getting Alzheimers by the age of 80. The average person has a 10% risk.

The gene test company has made its profit and walks away. They should be made to pay for their customers' counselling

The link with ApoE was made in 1996 and Hardy recalled the reaction in his laboratory. We went around testing ourselves to see which variant we possessed. I found I have two low-risk E3 versions on my genome. But if I had found two E4 versions? By now, having reached my 60s, I would be facing the prospect that I had a serious chance of getting Alzheimers disease in 10 years. I would be pretty fed up.

The ability to find a persons ApoE status has become even easier as a result of the development of genetic tests that provide information about a persons ancestry, health risks and general traits. Dozens of companies offer such services and adverts portray happy individuals learning about their roots 43% African or 51% Middle Eastern often to the sound of Julie Andrews singing Getting to Know You or a similarly happy-sounding track. All you have to do is provide a sample of spittle.

The resulting information about predilections to disease is not stressed but it is given. Kelly Boughtflower, from London, took a gene test with the company 23andMe because she wanted to prove her mothers family came from Spain. The results provided no evidence of her Iberian roots but revealed she carried one E4 version of the ApoE gene, which increases her chances of getting Alzheimers, though not as drastically as a double dose.

I didnt think about it at the time, said Boughtflower. Then, when I took up work as an Alzheimers Society support worker, I learned about ApoE4 and the information has come to sit very heavily with me. Did I inherit the ApoE4 from my mother? Is she going to get Alzheimers very soon? Have I passed it on to my daughter? I have tried to get counselling on the NHS but that is not available for a person in my particular predicament, I was told.

Other examples appear on the ApoE4 Info site, a forum for those whose gene tests show an Alzheimers susceptibility. Have stumbled upon my 4/4 ApoE status. Im still in shock, writes one. Another states: I got paid a $50 Amazon gift-card to take part in a genetic study. I was naive and unprepared.

There is no drug or treatment for Alzheimers and although doctors advise that having a healthy lifestyle will help, the baseline risk for E4 carriers remains high. That is a real problem, said Middleton. Genetic test companies say they offer advice about counselling but that usually turns out to be a YouTube video outlining your risks. Affected people needed one-to-one counselling.

For their part, gene test companies say results about Alzheimers and other such as breast cancer and Parkinsons are often hidden behind electronic locks. A person has to answer several questions to show they really want to open these and is informed of potential risks. But Middleton dismissed these precautions. You know there is medical information about you online and so you will go and find it. It is human nature.

Margaret McCartney, a GP and author of The Patient Paradox, agreed. What worries me is the aggressive way these tests are marketed. People are told all the benefits but there is no mention of the downsides. The NHS is expected to mop these up.

Meanwhile, the gene test company has made its profit and walks away from the mess they have created. I think that is immoral. They should be made to pay for counselling for their customers.

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