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What is arthritis? Separate the facts from the fiction – The Guardian

August 19th, 2017 7:43 am

There are more than 200 different kinds of arthritis, with symptoms not limited to joint pain and swelling but also including, for some people, fatigue, psoriasis, or even mouth ulcers, depending on the type of arthritis. Its often thought of in terms of painful hands and creaky knees, but the true impact of arthritis on daily life is all too often misunderstood, underestimated and ignored.

The two main types of arthritis are osteoarthritis and inflammatory conditions, such as rheumatoid arthritis. The most common symptom in all forms of arthritis is pain.

According to research firm Revealing Reality, who carried out a study for Arthritis Research UK, for many people living with arthritis, dealing with pain is an ongoing battle: eight out of 10 (78%) report experiencing pain most days and almost six out of 10 (57%) suffer with it every day.

As a result, many people have to give up careers or reduce working hours. Likewise, family life can be affected, with fatigue and pain making it difficult to look after children or enjoy moments of intimacy with a partner. The pain and impact caused by arthritis can also lead to mental health issues, such as anxiety or depression.

Its not a problem associated with any one group of people either: while some types of the condition are more common in older people, others can strike at any age. The word arthritis itself just means joint pain, explains Dr Tom Margham, a GP and clinical adviser to Arthritis Research UK. Its not a diagnosis in itself, its a symptom, he says. While there are effective treatments, work to find a cure for the condition is still ongoing.

Osteoarthritis is by far the most common form of arthritis, affecting at least 8 million people in the UK. Though almost anyone can get it, its more common among people who are in their late 40s or older, among women, and in people who are overweight.

It happens when the surfaces within joints become damaged, so the joint doesnt move as smoothly as it should. Joints are living tissue, Margham explains, constantly adapting in the face of stresses and strains. Its about wear and repair: if the balance of wear is bigger than the repair, thats when you start to get symptoms.

In the worst cases of osteoarthritis, cartilage becomes so thin that it no longer covers the ends of the bones, leaving them to rub against each other and wear away. This not only causes considerable pain and stiffness, it affects mobility and dexterity, seriously limiting day-to-day life, for example by making something as simple as getting out of bed, sitting down or climbing the stairs into an arduous task.

But the idea that osteoarthritis is just an inevitable consequence of ageing that cant be helped is a myth, says Margham. Its not a condition that progresses inevitably: there are definitely lots of things that can help, he says. Its largely about trying to restore and maintain normal joint function.

That means exercising and moving the joint to strengthen it and the muscle around it, for instance by doing squats or lunges, even if it seems counter intuitive. One of the things we push really hard for people with osteoarthritis to do is to go against the natural tendency to think: I better not move it, because thats the best way to protect the area. In fact, hurt doesnt necessarily mean harm to the joint, he says.

If people stop moving when they have pain they very quickly become less fit. A colleague of mine says: If you rest, you rust, adds Margham. It doesnt take a gym or any special equipment, you just use your body weight and gravity.

Any doctor will be happy to discuss pain-management options, and its important to do so.

Treatments for osteoarthritis include steroid injections into the joint, occupational or physiotherapy and in severe cases joint replacement surgery. Painkillers, such as paracetamol, and non-steroidal anti-inflammatory drugs can reduce stiffness and swelling, as well as relieving pain, making it easier to stay active.

Inflammatory conditions are treated by suppressing the immune system a specialist treatment thats usually provided in a hospital outpatient department. Rheumatoid arthritis, estimated to affect more than 400,000 people in the UK, is a common example, with symptoms other than pain and swelling including fatigue, depression, and flu like symptoms.

The thing you need to treat is the pain, adds Margham. We would always say to people: Dont suffer in silence.

Olivia Belle, director of external affairs at Arthritis Research UK, comments: Arthritis, and its effect on individuals, is not well understood. Far from being just inevitable aches and pains, it can actually have a huge impact on peoples lives at any age. But because arthritis is invisible, the condition is underestimated and dismissed by wider society, and so people are not getting the help that they need. At Arthritis Research UK, we are committed to revealing the reality of living with arthritis to help improve the support available.

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Knee Arthritis Has Doubled… And It’s Not Because of Running – Runner’s World

August 19th, 2017 7:43 am

The methodology of the study was fascinating. One of the researchers traveled around the country to examine collections of old and new skeletons, looking for signs of eburnation, which is a polished surface on the bones of the knee joint that occurs when the bones rub against each other because of the loss of cartilage associated with osteoarthritis.

RELATED: Marathon Training Doesnt Harm Knees, Even in Beginners

In total, he examined almost 2,500 skeletons from three distinct time periods:

The results showed that knee osteoarthritis occurred with roughly similar frequency in the prehistoric and early industrial skeletons, but was much more common in the postindustrial skeletons.

Of course, thats exactly what youd expect if you subscribe to the old-age-and-obesity theory. Fortunately, in many of the early industrial and postindustrial skeletons, age and body mass index (BMI) at death were recorded, which allowed the researchers include those factors in their analysis. The surprising result: Even accounting for age and BMI, knee osteoarthritis was still roughly twice as common for people born after World War II than it was for people born before it.

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So if its not obesity or age, what explains the apparent rise in osteoarthritis rates? This study cant answer that, but the researchers do float a few hypotheses in their discussion.

One possibility is that walking around on hard, paved surfaces all the time isnt good for our knees. In support of that possibility, they cite a 1982 paper in which sheep spent 2.5 years living either on concrete and tarmac or on wood chips and pastures. The sheep in the concrete jungle had noticeable changes in the cartilage and bone of their knee joints, and maybe we do too.

Another possibility is shoesand theyre not talking about trainers. They cite a 1998 study showing that high-heeled shoes generate abnormally high forces on the knee joint, and note that, in their analysis, women were about 50 percent more likely to have knee osteoarthritis than men.

But the biggest factor, they suspect, may be physical inactivity. Joints, like muscles, have a use-it-or-lose-it aspect. If you sit at a desk all day, you end up with thinner, lower-quality cartilage in your joints, and weakness in the muscles that would otherwise take some of the load off your joints. The problem, in other words, isnt too much running; its not enough running.

In real life, of course, things are never that neat and tidy. As the authors are careful to point out, theres lots of work remaining to explore some of these hypotheses. And even if the theories are confirmed, the fact remains that some runners, despite doing everything right, will still get osteoarthritis.

Still, the results are significant because they join a growing body of evidence that argues against osteoarthritis as a wear-and-tear disease, in which your knee are delicate instruments that will wear out if you use them too much. Your knees were made to be used, and are healthiest when used regularly. So use them!

***

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Kahn Longevity Center

August 19th, 2017 7:43 am

Concierge medicine. You have heard about it. Another name for it is direct patient care or DPC. The most common perception about concierge medicine is access to longer appointments and the ability to reach a doctor easier. Well, what if..Kahn-cierge was access to longer appointments, access to Dr. Joel Kahn, Americas Holistic Heart Doc.AND the MOST advanced detection and treatment center for measuring and treating heart disease at ANY stage with a goal of optimal LONGEVITY. Not just extra time but extra expertise from the worlds first physician to be Certified by a major University medical center in Metabolic Cardiology. A Summa Cum Laude medical school graduate, author, TV personality, and speaker. Are you seeking Healthy Aging? More Energy? Fewer Medications? Early Disease Detection? Strategies for Disease Reversal? Natural Cardiology? Nutritional Cardiology? Are these of interest to you? Feeling better, looking better, sleeping better, more Kahn-fident, and enjoying and following a plan for your best health and energy! Science is advancing rapidly, and it is possible to live longer and better free of dis-ease, dis-stress, and dis-comfort. The future of healthy aging is so exciting. Dr. Kahns personalized medicine offers a plan for you, based on your individual health, nutritional profile, genetic profile, preferences, and abilities. One size does not fit all when it comes to living your most enjoyable and healthiest life. So become one of a few select members of the Kahn Center for Cardiac Longevity and lets walk together, preparing for a bright and joyful future without the worry about Americas #1 killer, heart disease.

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Media’s Anti-Aging Agenda without the Benefit of Scientific Evidence, Fact or Common Sense – Anti Aging News

August 19th, 2017 7:43 am

Allure Magazine announces it's intention to ban the term "anti-aging," and wipe it from the internet. Another veiled political attack against the successes of anti-aging sciences, but longevity medicine cannot be stopped.

First of all let us applaud the 29 celebrities in the Allure Magazine online article on August 15, 2017 (https://www.allure.com/gallery/celebrities-against-anti-aging) for what appears to be living and eating healthy, adhering to Anti-aging Medical Principles (preventative medicine), getting the proper amount of exercise, possibly buying all natural, Non-GMO foods, and being blessed with great genetics.

Unfortunately, being blessed with great genetics alone does not always help someone stay beautiful as they circle the sun more than 40 times. You have to believe that, all though age is inevitable, it is not the only factor that causes your body to deteriorate and grow older.

WorldHealth.net thinks its horrible that some people misuse terms, or that in many cases the wrong message gets attached to good philosophies. WHN doesnt believe in unnecessary plastic surgery, hormonal therapies that are not physician supervised and medically legal, stem cell therapies at the beauty shop, overzealous and sometimes completely fake claims by advertisers such as anti-aging miracle skin creams, nor does WHN or any of its affiliates believe a buzz word or coined term should be used to influence potential consumers. WHN believes that credible non-commercial information should be used as a tool to combat ignorance and protect consumers.

If you are truly interested in the mission of anti-aging medicine, subscribe to the Longevity Now newsletter here at WorldHealth.net and go to A4M.com and read about this 25-year-old revolution. Anti-aging medicine, said Dr. Ronald Klatz, President of the A4M, who is accredited with coining the Term anti-aging more than 25 years ago, for the most part is all about inner beauty, it isnt about cosmetic surgery, solely enhancing your appearance, or even living forever. Its about living healthy, growing older with a better quality of life, and slowing down or defeating diseases such as Macular Degeneration, Alzheimer's, Diabetes, disease associated with hormone inadequacies, and a host of other ailments that affect our bodies from gravity to normal wear and tear. No matter how new or old your car is you have to change the oil at regular intervals or your car simply wont last. I know this is a simple analogy, but our bodies are basically the same. anti-aging is basically preventative medicine that looks and takes advantage of natural remedies mixed with scientific gains to help the 100,000 plus doctors the A4M has trained, help their patients live happier and healthier lives.

Dr. Ronald Klatz went on further to point out, magazines such as Allure hardly focus on or promote inner beauty. They focus on outward appearance, pushing cosmetic goods, promote unbelievably attractive celebrities and models, and then they have the gall to take shots at Botox for helping many millions of people try to look and feel a little better. Unfortunately, Allure type magazines give young women unrealistic expectations on a daily basis that you need to look like Hale Berry, or Jennifer Anniston to be beautiful. Thats simply not true, but you do need to live the anti-aging lifestyle so as you advance in years youdont suffer, and decay as old folks, but rather enjoy life to your last breath. Thats the true anti-aging message.

WHN would like to recognize bias, and WHN is a proponent of anti-aging medicine so therefore WHN is slightly biased. WHN is an opponent of the abuse of the term anti-aging by advertisers, product peddlers, and financially motivated journalists. For example, WHN can only make guesses as to the intentions of Allure Magazines position on the term anti-aging. Allure could be talking about skin cream. However, WHN can use the quotes actually published by Allure titled 29 Celebrities That Are Against The Term Anti-Aging to let WHNs readers draw their own conclusions as to the intentions of Allure. If you read the quotes exactly as they appear at https://www.allure.com/gallery/celebrities-against-anti-aging, you will notice that only 3 of 29 beautiful celebrities even mentioned anti-aging.

WHN prefers to be honest and avoid Fake News. WHN would like you to know that Jamie Lee-Curtis almost mentioned the term anti-aging. Instead Jamie refers to anti-aging as anti referencing aging in the same sentence before the term anti which is the word that ends the sentence. Jamie starts the next sentence with aging with the sentence before ending in anti. This is simply journalistic dishonesty by a publications editor. This example of lack of journalistic integrity can be seen underlined below in Jamies quote:

I am appalled that the term we use to talk about aging is 'anti' (end of sentence). Aging (Start of new sentence to create anti-aging) is as natural as a baby's softness and scent. Aging is human evolution in its pure form. Death, taxes, and aging." fromThe Huffington Post

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The Entire Medical Industry Is About To Change – ValueWalk

August 19th, 2017 7:42 am

The doctor straightened and pulled the stethoscope from her ears. I dont hear anything on the right side.

Sometimes silence is a good sign. When it comes to listening to my husband breathing, its not.

One quick X-ray later and we discover that his right lung had collapsed. There was also air putting pressure on his left lung.

The fix was easy. The doctor inserted a slender tube into his chest, sucking out the air. His lung reinflated in a matter of minutes.

I caught the doctor later and asked her why this had happened. When the pain started, hed been watching TV.

She shrugged and admitted that sometimes it was just something that happened to men who are tall and thin.

Of course, the answer to the question of How do we avoid this? was dont be tall and thin.

Not the most satisfying answer. Modern medicine at times can feel vague and frustrating.

But there is a new, growing segment that specializes in pinpointing the exact problem and the treatment that works best.

The companies in this sector stand to make enormous profits if you know where to look

No one likes going to the doctor. Its not just the expense or the waiting.

Its not knowing precisely whats wrong. And then getting a treatment that has maybe a 50% chance of working.

Precision medicine stands to completely revolutionize the health care industry.

Through closely examining our individual DNA and trillions of bytes of collected data, doctors can precisely identify what is wrong with a patient. Whats more, the doctor can tailor the patients treatment to their specific strain of an ailment.

Precision medicine aims to end the broad, one-size-fits-all medicine that weve suffered under for centuries.

And were just at the beginning of this revolution.

Global Market Insights released a report revealing that precision medicine was a $39 billion industry in 2015. By 2023, precision medicine should grow to $87.7 billion.

Credence Research expects precision medicine to swell to $98 billion by 2023, with a compounded annual growth rate of 12.3% from 2016 through 2023.

Cancer treatment has dominated precision medicine over the last several years, accounting for roughly 30% of the sector. It will continue to drive demand for personalized medicine.

In 2015, the global market for cancer treatment was $107 billion. Its expected to reach $161 billion by 2021.

As spending for cancer treatment expands, so will spending in precision medicine as it proves to be a more effective course for beating this disease.

In addition, new advancements in health care technology will push spending in precision medicine.

Precision medicine is largely divided into different technologies such as:

Companies are developing tools that will work through massive amounts of data. These tools locate commonalities between patients with similar ailments and their reaction to specific treatment options.

Pharmaceutical companies are focusing on treating patients with specific genetic markers for improved results.

In fact, precision medicine has the potential to touch nearly every facet of the health care industry.

With this explosive growth underway, its important to know which companies are poised to lead the charge forward within the precision medicine sector.

Thats why Paul Mampilly, editor of Profits Unlimited, has pulled together a special report identifying the next company that is set to skyrocket on the back of massive growth within precision medicine. If you would like to get a copy of this report, click here.

Weve already witnessed revolutions hit industries with the creation of the combustion engine.

And then again with the advent of the internet.

Precision medicine stands to change the entire medical industry. You dont want to miss your chance to take part.

Regards,

Jocelynn Smith

Sr. Managing Editor, Sovereign Investor Daily

P.S. Pauls new video report explains why precision medicine will be more important for your health than every drug, vaccination and medical device combined. To watch Pauls shocking video, click here.

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Bacteria May Rig Their DNA to Speed Up Evolution – WIRED

August 19th, 2017 7:42 am

In 1944, a Columbia University doctoral student in genetics named Evelyn Witkin made a fortuitous mistake. During her first experiment in a laboratory at Cold Spring Harbor, in New York, she accidentally irradiated millions of E. coli with a lethal dose of ultraviolet light. When she returned the following day to check on the samples, they were all deadexcept for one, in which four bacterial cells had survived and continued to grow. Somehow, those cells were resistant to UV radiation. To Witkin, it seemed like a remarkably lucky coincidence that any cells in the culture had emerged with precisely the mutation they needed to surviveso much so that she questioned whether it was a coincidence at all.

Original story reprinted with permission from Quanta Magazine, an editorially independent publication of the Simons Foundation whose mission is to enhance public understanding of science by covering research developments and trends in mathematics and the physical and life sciences.

For the next two decades, Witkin sought to understand how and why these mutants had emerged. Her research led her to what is now known as the SOS response, a DNA repair mechanism that bacteria employ when their genomes are damaged, during which dozens of genes become active and the rate of mutation goes up. Those extra mutations are more often detrimental than beneficial, but they enable adaptations, such as the development of resistance to UV or antibiotics.

The question that has tormented some evolutionary biologists ever since is whether nature favored this arrangement. Is the upsurge in mutations merely a secondary consequence of a repair process inherently prone to error? Or, as some researchers claim, is the increase in the mutation rate itself an evolved adaptation, one that helps bacteria evolve advantageous traits more quickly in stressful environments?

The scientific challenge has not just been to demonstrate convincingly that harsh environments cause nonrandom mutations. It has also been to find a plausible mechanism consistent with the rest of molecular biology that could make lucky mutations more likely. Waves of studies in bacteria and more complex organisms have sought those answers for decades.

The latest and perhaps best answerfor explaining some kinds of mutations, anywayhas emerged from studies of yeast, as reported in June in PLOS Biology. A team led by Jonathan Houseley, a specialist in molecular biology and genetics at the Babraham Institute in Cambridge, proposed a mechanism that drives more mutation specifically in regions of the yeast genome where it could be most adaptive.

Its a totally new way that the environment can have an impact on the genome to allow adaptation in response to need. It is one of the most directed processes weve seen yet, said Philip Hastings, professor of molecular and human genetics at Baylor College of Medicine, who was not involved in the Houseley groups experiments. Other scientists contacted for this story also praised the work, though most cautioned that much about the controversial idea was still speculative and needed more support.

Rather than asking very broad questions like are mutations always random? I wanted to take a more mechanistic approach, Houseley said. He and his colleagues directed their attention to a specific kind of mutation called copy number variation. DNA often contains multiple copies of extended sequences of base pairs or even whole genes. The exact number can vary among individuals because, when cells are duplicating their DNA before cell division, certain mistakes can insert or delete copies of gene sequences. In humans, for instance, 5 to 10 percent of the genome shows copy number variation from person to personand some of these variations have been linked to cancer, diabetes, autism and a host of genetic disorders. Houseley suspected that in at least some cases, this variation in the number of gene copies might be a response to stresses or hazards in the environment.

Jonathan Houseley leads a team that studies genome change at the Babraham Institute in Cambridge. Based on their studies of yeast, they recently proposed a mechanism that would increase the odds for adaptive mutations in genes that are actively responding to environmental challenges.

Jon Houseley/QUANTA MAGAZINE

In 2015, Houseley and his colleagues described a mechanism by which yeast cells seemed to be driving extra copy number variation in genes associated with ribosomes, the parts of a cell that synthesize proteins. However, they did not prove that this increase was a purposefully adaptive response to a change or constraint in the cellular environment. Nevertheless, to them it seemed that the yeast was making more copies of the ribosomal genes when nutrients were abundant and the demand for making protein might be higher.

Houseley therefore decided to test whether similar mechanisms might act on genes more directly activated by hazardous changes in the environment. In their 2017 paper, he and his team focused on CUP1, a gene that helps yeast resist the toxic effects of environmental copper. They found that when yeast was exposed to copper, the variation in the number of copies of CUP1 in the cells increased. On average, most cells had fewer copies of the gene, but the yeast cells that gained more copiesabout 10 percent of the total population became more resistant to copper and flourished. The small number of cells that did the right thing, Houseley said, were at such an advantage that they were able to outcompete everything else.

But that change did not in itself mean much: If the environmental copper was causing mutations, then the change in CUP1 copy number variation might have been no more than a meaningless consequence of the higher mutation rate. To rule out that possibility, the researchers cleverly re-engineered the CUP1 gene so that it would respond to a harmless, nonmutagenic sugar, galactose, instead of copper. When these altered yeast cells were exposed to galactose, the variation in their number of copies of the gene changed, too.

The cells seemed to be directing greater variation to the exact place in their genome where it would be useful. After more work, the researchers identified elements of the biological mechanism behind this phenomenon. It was already known that when cells replicate their DNA, the replication mechanism sometimes stalls. Usually the mechanism can restart and pick up where it left off. When it cant, the cell can go back to the beginning of the replication process, but in doing so, it sometimes accidentally deletes a gene sequence or makes extra copies of it. That is what causes normal copy number variation. But Houseley and his team made the case that a combination of factors makes these copying errors especially likely to hit genes that are actively responding to environmental stresses, which means that they are more likely to show copy number variation.

The key point is that these effects center on genes responding to the environment, and that they could give natural selection extra opportunities to fine-tune which levels of gene expression might be optimal against certain challenges. The results seem to present experimental evidence that a challenging environment could galvanize cells into controlling those genetic changes that would best improve their fitness. They may also seem reminiscent of the outmoded, pre-Darwinian ideas of the French naturalist Jean-Baptiste Lamarck, who believed that organisms evolved by passing their environmentally acquired characteristics along to their offspring. Houseley maintains, however, that this similarity is only superficial.

What we have defined is a mechanism that has arisen entirely through Darwinian selection of random mutations to give a process that stimulates nonrandom mutations at useful sites, Houseley said. It is not Lamarckian adaptation. It just achieves some of the same ends without the problems involved with Lamarckian adaptation.

Ever since 1943, when the microbiologist Salvador Luria and the biophysicist Max Delbrck showed with Nobel prize-winning experiments that mutations in E. coli occur randomly, observations like the bacterial SOS response have made some biologists wonder whether there might be important loopholes to that rule. For example, in a controversial paper published in Nature in 1988, John Cairns of Harvard and his team found that when they placed bacteria that could not digest the milk sugar lactose in an environment where that sugar was the sole food source, the cells soon evolved the ability to convert the lactose into energy. Cairns argued that this result showed that cells had mechanisms to make certain mutations preferentially when they would be beneficial.

Budding yeast (S. cerevisiae) grow as colonies on this agar plate. If certain recent research is correct, a mechanism that helps to repair DNA damage in these cells may also promote more adaptive mutations, which could help the cells to evolve more quickly under harsh circumstances.

Jon Houseley/QUANTA MAGAZINE

Experimental support for that specific idea eventually proved lacking, but some biologists were inspired to become proponents of a broader theory that has come to be known as adaptive mutation. They believe that even if cells cant direct the precise mutation needed in a certain environment, they can adapt by elevating their mutation rate to promote genetic change.

The work of the Houseley team seems to bolster the case for that position. In the yeast mechanism theres not selection for a mechanism that actually says, This is the gene I should mutate to solve the problem, said Patricia Foster, a biologist at Indiana University. It shows that evolution can get speeded up.

Hastings at Baylor agreed, and praised the fact that Houseleys mechanism explains why the extra mutations dont happen throughout the genome. You need to be transcribing a gene for it to happen, he said.

Adaptive mutation theory, however, finds little acceptance among most biologists, and many of them view the original experiments by Cairns and the new ones by Houseley skeptically. They argue that even if higher mutation rates yield adaptations to environmental stress, proving that the higher mutation rates are themselves an adaptation to stress remains difficult to demonstrate convincingly. The interpretation is intuitively attractive, said John Roth, a geneticist and microbiologist at the University of California, Davis, but I dont think its right. I dont believe any of these examples of stress-induced mutagenesis are correct. There may be some other non-obvious explanation for the phenomenon.

I think [Houseleys work] is beautiful and relevant to the adaptive mutation debate, said Paul Sniegowski, a biologist at the University of Pennsylvania. But in the end, it still represents a hypothesis. To validate it more certainly, he added, theyd have to test it in the way an evolutionary biologist wouldby creating a theoretical model and determining whether this adaptive mutability could evolve within a reasonable period, and then by challenging populations of organisms in the lab to evolve a mechanism like this.

Notwithstanding the doubters, Houseley and his team are persevering with their research to understand its relevance to cancer and other biomedical problems. The emergence of chemotherapy-resistant cancers is commonplace and forms a major barrier to curing the disease, Houseley said. He thinks that chemotherapy drugs and other stresses on tumors may encourage malignant cells to mutate further, including mutations for resistance to the drugs. If that resistance is facilitated by the kind of mechanism he explored in his work on yeast, it could very well present a new drug target. Cancer patients might be treated both with normal courses of chemotherapy and with agents that would inhibit the biochemical modifications that make resistance mutations possible.

We are actively working on that, Houseley said, but its still in the early days.

Original story reprinted with permission from Quanta Magazine, an editorially independent publication of the Simons Foundation whose mission is to enhance public understanding of science by covering research developments and trends in mathematics and the physical and life sciences.

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Science Intrigues Her, Fulfills Her, Propels Her – Patch.com

August 19th, 2017 7:42 am

DAVIS, CA -- UC chemist Amelia Amy Ann Rand talks about omega-6 fatty acids as enthusiastically and passionately as nutritionists talk about salmon, broccoli and spinach.

Science intrigues her, fulfills her, and propels her.

Rand, who is drawing widespread recognition for her work with omega-6 fatty acids as a postdoctoral researcher in Bruce Hammock's biological analytical lab at UC Davis, says science is both exciting and rewarding.

Science and chemistry were my two favorite subjects in school, said Rand, who was born in Bermuda but grew up in Nova Scotia, Canada. I had excellent teachers that really fueled my interest. It was their enthusiasm. I remember my eighth grade math teacher leaping up on a table to get her point across about the Pythagorean theorem, and my 11th grade chemistry teacher used memorable metaphors to explain challenging concepts. Both my parents were biologists, and growing up in Eastern Canada we went on many outdoor trips. The combination of motivational teachers and exploring the natural world fueled my interest to continue in science professionally.

Rand thinks of science as a way to connect with the world in many ways, by working to understand it better, collaborating with a network of scientists, and communicating science to the public. Science matters because of its diversity: it heals, transforms, innovates, and understands, all of which globally shape our world.

Rand, who holds a bachelor of science degree in chemistry from Mount Allison University, Canada and a doctorate in environmental chemistry at the University of Toronto, joined the Hammock lab in 2013 and was named a fellow on the Oncogenic Signals and Chromosome Biology T32 Training Grant, Department of Microbiology and Molecular Genetics.

In the Hammock lab, Rand studies omega-6 fatty acids, or technically, the regulation of cancer angiogenesis from the metabolism of epoxy omega-6 fatty acids.

I've thought a lot about translating why my science matters to people outside the field, she said. It helps since what I study is what we eat - the omega-6 fatty acids. While there's much information already informing the public about these fats, there's still so much we don't know about how they affect our health. I talk about the uncertainty and the challenges we still face, and what I'm doing to help fill these gaps.

"Amy took on one of the most demanding projects in the laboratory in asking how a group of natural compounds regulate angiogenesis," said Hammock, a distinguished professor of entomology who holds a joint appointment with the UC Davis Department of Entomology and the UC Davis Comprehensive Cancer Center.

In April of 2016, Rand drew international accolades when she received a prestigious career development award from the American Association for Cancer Researchthe two-year $100,000 Judah Folkman Fellowship for Angiogenesis Research. She won the highly competitive international award for her proposal, Regulation of Cancer Angiogenesis from the Metabolism of Epoxy Omega-6 Fats.

Cancer researchers praised her for her potential as a future leader in the field of angiogenesis research.

We're so proud of her, said Hammock, who directs the campuswide Superfund Research Program, National Institutes of Health Biotechnology Training Program, and the National Institute of Environmental Health Sciences (NIEHS) Combined Analytical Laboratory.

Hammock and Rand collaborate with Harvard Medical School professor Dipak Panigrahy, former researcher in the Hammock lab and a fellow in the late Professor Judah Folkman's angiogenesis research lab. Folkman, the father of angiogenesis research, is best known for pioneering the concept of blocking angiogenesis or the development of blood vessels, to control cancer growth.

"This concept has resulted in a number of anti-cancer drugs and has had a major impact on cancer treament," Hammock said. Of course blood vessel development is also critical for survival."

Looking back, Rand related that her Ph.D research focused on our exposure to fluorinated commercial materials, their resulting metabolism, and how the metabolites might affect our health. While my Ph.D training was heavily focused on analytical chemistry and metabolic characterization, I wanted more formal training on the biological and biochemical mechanisms associated with disease. I've always been interested in research that combines chemistry and biology to enhance our understanding of human health.

Rand encourages students to follow their dreams, to pursue what interests them, if they're able, regardless the subject. I wouldn't be where I am without balancing science with other parts of my life, like performing music during graduate school, which allowed me to come back to the lab with fresh inspiration for next steps. But we need to motivate people, especially minorities, to continue in science, because people from different backgrounds and experiences are necessary for creating a collective mind that does effective scientific research and innovation.

When she started her postdoctoral research, moving across the continent to Davis, she knew few people. Within a short time, I fell into a great community of people at the local climbing gym, that have sparked many outdoor adventures - climbing, backpacking, swimming, and skiing - over the past 3 years. Living in Northern California has been a real treat!

She also has a soft spot for entomology. Growing up, I used to swim insects to shore if I found them floating far from it - I was alarmed to see them nearly drowning, and did my part to help. That might have been what initiated my future role as lifeguard and swimmer.

Hammock says his own long-term interest in nature and biology was fostered by a wonderful scoutmaster who thought kids should be wandering in the woods, and a great biology teacher who provided a microscope to me in high school and said 'go discover.' The move to entomology was further stimulated when I realized that the big cause of human suffering in the world was starvation caused in part by insects eating crops. It was also stimulated by realizing that insect-borne diseases dwarf cancer, heart disease, etc., in terms of human suffering. It is hard to know where science leads.

As for where science leads, Rand has just accepted a position as assistant professor of organic toxicology in the chemistry department, Carleton University in Ontario. She starts her position Sept. 1.

We really hate to lose her, Hammock said, but we're happy for her; this is a really nice position. And, we'll still be collaborating.

"I hope we collaborate for the next 80 years or so," he quipped.

--By Kathy Keatley Garvey, UC Davis Department of Entomology and Nematology

(Photo by Kathy Keatley Garvey)

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Originally published August 18, 2017.

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First geneticist at IU School of Medicine-Northwest-Gary retires after 32 years – IU Newsroom

August 19th, 2017 7:42 am

In 1985, Janice Zunich was hired by Indiana University to fill a medical void in Northwest Indiana.

She is believed to be the region's first geneticist. Before she began her tenure, residents had to travel as far as Chicago or Indianapolis for any type of genetics care. At the time, she said, Indiana was in the midst of moving to a regionalized system to best serve residents. In addition, the administration at IU School of Medicine wanted to bring genetics education to the Northwest campus.

These two factors came together in the "perfect storm" that led to Zunich finding her home at IU School of Medicine-Northwest-Gary, and on Sept. 3 she will retire after 32 years of service.

She is on staff at eight hospitals and serves an area spanning nine counties, so she has spent much of her last 32 years being on-call 24/7.

"This location is the perfect place to put a geneticist, and I have been able to really serve the population," she said.

A bulletin board in her office hallway is covered with photos of infants, children and families whom her work has touched over the years. As a clinical geneticist, Zunich has diagnosed and discovered syndromes; witnessed families lose a baby and then welcome a healthy baby years later; and equipped prospective parents with the information to understand their genetic concerns. All of these families have taken the time to send her a card with photos and thank her for her help.

"Through all of these years, that board is truly the one thing that will bring both tears to my eyes and a smile to my face," she said.

In addition to her placement at the surrounding hospitals, Zunich is a clinical associate professor of medical and molecular genetics at IU School of Medicine-Northwest-Gary.

But she took very seriously her responsibility as the genetics presence in Northwest Indiana, so she also found room to volunteer her time and knowledge to the community. She joined nearly every possible health group, committee and team in the area over the years. Currently, she serves on the breast leadership team and cancer committees of Community Hospital and Methodist Hospital; the board of Mental Health America of Lake County; the advisory board of Lake County's Healthy Families program; the Lake County Child Protection Team; and the Lake County Child Fatality Review Board.

"I wanted to make sure there was a presence for genetic-related conversations, but it was also a wonderful way to give voice to the School of Medicine and represent IU well," she said. "I wanted to show that we were more than just some place on the hill. I wanted to be a part of and provide service to the community."

As someone who holds tremendous passion for her work and who hasn't taken much time to rest since she began her career, Zunich isn't fully hanging up her genetics coat. She is transitioning to part-time work at an area hospital, where she will be focusing on cancer risk assessment.

She thinks she might be ready to give up medicine altogether someday, at which point she dreams of putting her zoology degree to use as a volunteer for the Field Museum in Chicago.

And while she admits she needs a break from the long, on-call hours, she is very thankful for her career at IU and the impact it has allowed her to make.

"I've loved being a member of this community as a representative of the university, the medical school and the genetics specialty," Zunich said.

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Modern genetic sequencing tools give clearer picture of how corals … – UW Today

August 19th, 2017 7:42 am

Environment | News releases | Research | Science

August 16, 2017

The documentary Chasing Coral, released on Netflix in July, is a cinematic warning about how the bleaching of coral reefs may foreshadow how these marine animals will respond to climate change. Corals are key to ocean health because they support the densest, most diverse ecosystems harboring species from turtles to algae to reef fish.

University of Washington scientists are looking at the burgeoning field of coral genetics to better predict, and maybe even prepare for, corals future threats. Their new study uses modern genetic-sequencing tools to reveal the relatedness of three similar-looking corals.

Porites porites can have spindlier branches (upper right) or thicker, knobbier branches (lower images). Scientists have debated whether or not they are the same species.James Dimond/University of Washington

This coral appears to be three different species, but its been debated whether its really three separate species or whether its one thats really variable in its appearance, said first author James Dimond, a UW doctoral student in aquatic and fishery sciences.

Defining a species matters for conservation, because you cant monitor and protect a species if you dont know it exists.

In the past weve relied on physical characteristics, like the coral skeleton, to determine what constitutes a coral species, Dimond said. But the problem with that is that corals can vary their skeletal architecture. So disentangling whether you have two different species or just a single species thats varying itself due to environmental conditions can be really tricky.

Biologists had originally assumed that the widespread Atlantic corals were three species. Then a 2014 genetic study found that they were the same.

The new study, to appear in an upcoming issue of Molecular Ecology, finds new genetic evidence that they may, in fact, be three species. It also provides a glimpse into the epigenetics, a more mysterious form of genetic expression.

Its the most in-depth analysis of coral epigenetics to date, said co-author Steven Roberts, a UW associate professor of aquatic and fishery sciences. It may also prompt a thorough re-evaluation of these corals family trees.

James Dimond snorkeling to collect coral in Belize. He collected 27 coral samples from different environments and with a range of branch thicknesses.Julie Barber

The study examined Porites porites, one of the more common types of corals. It is not among the roughly two dozen coral species listed as endangered. If it were to be listed in the future, biologists would need to know what constitutes a species.

The study used new tools to look at more than 1,000 single-letter changes in the genetic code, a marker of genetic diversity. The previous genetic study had looked at just 10 or 11 of these markers and found them to be the same in all three forms of coral.

It appears to be a matter of looking more deeply into the genome, which is something weve only been able to do for the last couple of years, Dimond said. Molecular biology technology is changing so rapidly, and this is just an example of that.

To definitively conclude that the three forms are, in fact, different species would mean using the same sequencing technique on more samples from across these corals range, which includes the Gulf of Mexico, the Caribbean, the western Atlantic Ocean and off the coast of West Africa.

The authors also looked at epigenetics, which is any process that affects how the genetic code plays out in real life. Dimonds research focuses on the epigenetic process of DNA methylation, in which a carbon-based methyl molecule can bind to the DNA strand and thus affect how it gets translated into a protein that acts in the body.

The studys epigenetic analysis didnt show any consistent pattern among the different coral branch sizes, so was inconclusive. But the authors believe it provides a step forward in understanding this process in corals.

It just gives a glimpse of the epigenetic variation within this group, Dimond said.

Scientists are interested in coral genetics and epigenetics because it could help them predict how corals will adapt to continued changes in the ocean environment.

Coral genetics and epigenetics could also aid in the process of selective breeding, a topic of current interest that could help corals deal with potentially rapid changes in the ocean environment.

Selective breeding involves finding individuals that are more tolerant of high temperatures and, in some cases, finding specific genes that confer resistance to higher temperatures, Dimond said. Once youre identified those genes and identified individuals that have those genes, then you can breed them, and seed reefs with those organisms.

The new study, he said, is part of the fundamental research that could help toward achieving those goals.

The research was funded by a Hall Conservation Genetics Research Award from the UW College of the Environment, the ARCS Foundation Seattle Chapter, the John E. Halver Fellowship to the UW School of Aquatic & Fishery Sciences and the National Science Foundation. The other co-author is Sanoosh Gamblewood at Western Washington University in Bellingham.

###

For more information, contact Dimond at jldimond@uw.edu and 360-650-7400 x253 or Roberts at sr320@uw.edu or 206-866-5141.

NSF Grant: OCE-1559940

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Love of Nature Fuels #DukeTimeOff Photo Winners – Duke Today

August 19th, 2017 7:42 am

Audra Ang moved to North Carolina in 2012. Ever since, shes been falling in love with the state and its natural places.

One of the things I really like doing is exploring the area and discovering the things that make it special, said Ang, a senior public relations specialist for University Development.

One day after work this summer, she and a friend visited the Neuse River Greenway Trail in Raleigh and snapped photos of sunflowers around sunset.

We immediatelyfelt the magic of the area, Ang said. It was the golden hour, the sun was setting and there were a ton of people there. It just felt like a great community event.

One of herpictures, below, resulted in Ang winning the grand prize - a night at the JB Duke Hotel - in the 2017 #DukeTimeOff photo campaign.

Angs photo was selected from approximately 430photos shared by Duke staff and faculty, including pictures from six different continents. The 2017 #DukeTimeOff campaign, which ran from May 26 to August 11, highlighted the hobbies, excitement, and big and small summer adventures of University and Health System employees.

The other grand prize photo, below, came from Katie Donahue, a clinical nurse in Duke Health System. Donahue earned dinner for two at the Washington Duke Inn.

Donahue spent part of June visiting a friend in Jackson Hole, Wyoming. She spent a week exploring, hiking, camping and visiting Yellowstone National Park. This picture, taken during a drive back from Grand Teton National Park, captured Donahue on top of a car, soaking in Wyomings wide open spaces.

It was kind of a spur-of-the-moment picture, Donahue said. We were driving back and the road was empty. It was a really pretty view, so we stopped. It was a fun moment.

While pictures were being shared over the summer, a few employees kept popping up. Here are selections from four employees who routinely shared beautiful images of their #DukeTimeOff. As the campaigns most active participants, they each receive a $25 card to Duke University Stores.

Informatics Educator with Duke Health Technology Solutions Michael Palko kept his photographic eye open all summer. But this shot of a quiet beach at Surf City was a favorite.

Among the photos Kara Bonneau, a database analyst with the Center for Child and Family Policy, shared, this one taken during a hike near Blowing Rock was particularly majestic.

Lindsay Gordon-Faranda, a public relations specialist for Duke Childrens Hospital, had a busy summer. This shot from her trip to St. Kitts and Nevis captures the excitement of an adventure about to begin.

Jacqueline Rimmler, a clinical research analyst at Duke Cancer Institute, kept her camera busy during many walks in nature. This picture taken during a hike in Duke Forest illustrates the peace and quiet she found on those outings.

Finally, over the course of the campaign, there were many photos that captured the value of time away from work. Here are 11 that the Working@Duke editorial staff found particularly amazing.

Medical Lab Scientist Jessica Robertson took a trip of a lifetime to Israel in June. She shared this photo of floating in the Dead Sea with her husband. She said it was one of our very favorite memories.

Kathryn Kreider and her husband, Jon, spent part of their time off traveling to Rocky Mountain National Park, where they snapped this photo during a hike that featured this view from 12,000 feet up.

Time off is critical to recharge your mind, body and spirit, she said. It provides perspective and a renewed sense of purpose.

Associate Director of Student Affairs Kyle Fox shared this photo from a trip to Asheville. He and his son enjoyed the pop-up waterpark dubbed Splashville, which comes to life in the summer in the citys Pack Square.

In early June, LeTeya Robinson and her family and friends gathered a Lake Lynn Park in Raleigh to celebrate the birthdays of her son Casey and her husband Kenny.

Time off is important so one can spend time with those who mean the most, she said.

Mike Tuggle, an exercise physiologist at Duke Health and Fitness Center, posted this photo of a day off that began with a run with his doghter.

Took the day off to spend with family, he said.

Critical Care Clinical Pharmacist Morgan Trammel spent part of her summer hiking the remote Faroe Islands. She shared this photo of a spot along the cliffs above Lake Srvgsvatn where she stopped for lunch and enjoyed the view.

The optical illusion is so incredible, but the picture makes the massive cliffs look small, she said.

Samantha Shaltz, a lab research analyst in Dukes Department of Molecular Genetics and Microbiology, and her husband Brad provided one of the campaigns most inventive photos. Taken with a drone, this shot features the pair taking a moment to relax during a June kayak trip to Falls Lake.

Shaltz said the image captures her #DukeTimeOff, which normally consists of crazy kayaking adventures with my husband every weekend in the summer, rain or shine!

Simone Pitre, a program coordinator with the Global Health Innovation Center, visited her sister in Australia earlier this summer. She shared this image of her attempt at zip-lining over the Crystal Cascades Watering Hole near Cairns, Australia.

She wrote that she enjoyed my #DukeTimeOff by trading a cubicle for a waterfall!

Tim Pennigar, a project manager with Duke Health Systems, snapped this photo on July 5 at the border between Alaska and Canadas Yukon Territory. At that point, he was on the home stretch of an epic 11,000-mile motorcycle journey from Durham to Alaska and back.

Personally, hitting the road for a long-distance motorcycle ride creates space for solitude and reflection basically time to work things out while going really fast, he wrote.

Clinical nurse Victoria Yap shared this photo from her July trip to Sunset Beach.

Sun, sand and serenity, my idea of Duke Time off, she wrote.

Natalie King, an embryologist with Duke Fertility, shared this photo during a trip to Grandfather Mountain she took in late June. This photo was taken from the mountain itself, showcasing some of the stunning views of western North Carolina.

Thank you to all Duke staff and faculty who participated this year.

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Why fasting can help, or hurt, your chances of longevity and weight loss – WRVO Public Media

August 19th, 2017 7:41 am

Not eating, deliberately, has been a way to make a political statement for centuries. And for even longer, its been a normal part of some religious practice. But far more recent uses of fasting are for weight loss and other health benefits -- scientifically proven benefits like lowered cholesterol and reducing systemic inflammation.

Dr. Valter Longo joins us on Take Care this week to discuss the benefits, challenges and problems associated with fasting. Longo is a professor of gerontology and biological science at the University of Southern California Leonard Davis School of Gerontology. Hes also director of the USC Longevity Institute.

There are three major fasting practices, according to Longo.

Short term effects of fasting

When you begin to fast, your body makes a metabolic switch.

There is no more sugar basically coming into the body, Longo says. "There are no more proteins coming in, so the body switches from a mode in which carbohydrates are the main source of fuel to fats. So the body starts breaking down the fats.

Autophagy can also occur, where cells start to destroy themselves, only to replace them later.

Theres also breaking down of entire cells, so killing of entire cells, and then eventually the regeneration of the cells that have been killed during fasting when we return to the normal food, Longo says.

Long term effects of fasting

Longo says the idea of fasting should be respected, because it has large consequences. He says that within just five days of fasting the brain switches from using just sugar to make fuel to using both sugar and ketone bodies at a 50:50 ratio.

Just like you dont take drugs because they worked for someone else, you shouldnt try fasting without the guidance of a medical practitioner, Longo says. Water only fasting, for example, should only be attempted at a clinic with nurses and doctors on staff.

Longo does cite fasting-mimicking diets as a safe way to achieve positive, long-term effects (diets that mimic fasting usually allow you to eat between 100 and 750 calories per fasting day). These effects include:

What you can do

Keeping in mind compliance, I would say there are three major things that can be done, Longo says.

He says for those who have problems with weight, the first two options are best. Time restrictive eating is a good option for many people, allowing them to eat for a certain period of time, say 12 hours and then restricting eating for the following 12 hours.

Most people can do it. Most people around the world who get to 100 years of age -- that was normal [for] them, Longo says.

Another option is to just cut back on the number of meals you eat per day, he says.

You can go from lets say three, four, five, six meals a day, reduce it to two major meals per day and one snack, Longo says If you look around the world, its very common for people to have two meals a day.

A periodic fasting mimicking diet also can reap most of the benefits associated with the practice. A normal, healthy person, who exercises regularly can eat a restricted calorie diet of 750 to 1,100 calories a day for five days in a row, according to Long0, and can do this once or twice a year.

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Diet diary: From Andes to Japanese islands, lessons in longevity – The Indian Express

August 19th, 2017 7:41 am

Written by Ishi Khosla | Published:August 19, 2017 2:23 am Scientific studies and research have shown that besides genetic factors, longevity is strongly linked to food and exercise habits.

Immortality is impossible but living a long life isnt. Some cultures like the Vilcabambans of the Ecuadorian Andes, the Hunza of Pakistan and the centenarians of the Okinawa island in Japan are known for their long lives and may help scientists dealing with life expectancy.

Okinawa, for instance, is home to the worlds healthiest elderly with the longest recorded life expectancies. Scientific studies and research have shown that besides genetic factors, longevity is strongly linked to food and exercise habits.

Low-calorie healthy diets and high physical activity in these extraordinarily healthy societies are the secrets for their extended lifespans with virtually no reported incidence of diseases like high blood pressure, heart disease, cancer, diabetes and other degenerative diseases such as rheumatism, osteoporosis, Alzheimers and vision problems.

So what are the dietary secrets to longevity? Eating less has been found to be critical and seems to be the centrepiece of longevity. In animal experiments, researchers have demonstrated that calorie restriction has now been clearly proven to be effective and up to 30 per cent calorie restriction leads to extended years in a manner believed to be similar to genetic modification. Additionally, high intake of vegetables, fruits, whole grains, soy, fish and eating less fat along with healthy lifestyle seems to explain protection from diseases and increased lifespan.

A study reported that healthy older Okinawans eat an average of seven servings of vegetables, seven servings of whole grains, two servings of soy products; fish twice or thrice a week and very little sugar and added fats. Their diets include little meat and no margarines, hydrogenated fats or trans fat.

Although the impact of good nutrition on health and disease begins very early in life, its never too late to make changes. According to researchers, at age 65 men and women in high- income countries still have a life expectancy of a further 15 and 19 years respectively. The older one becomes, the longer one is likely to live, and thus, by the time men and women reach age 75, life expectancy is still 9 and 11 years, respectively. This dispels the common assumption that changes in lifestyle to improve health are no longer worthwhile in old age. In fact, the prevalence of heart disease, diabetes, hypertension, obesity and arthritis is highest in the older population. Studies demonstrate that it is still worthwhile for older people to make lifestyle changes like diet modification, weight reduction, sodium restriction, saturated fat restriction smoking cessation and that these changes make life in later years healthier, more active and less dependent.

Clearly, living long is not a coincidence. It is a result of many factors and when it comes to health and longevity, the sum of the dietary components is greater than its individual elements. The important thing to be remembered is that these scientifically proven secrets of the worlds healthiest and long-lived people are simple to say the least. Adopting them with common sense can certainly extend your later years with vibrancy and vitality.

Super-centenarian diet

* Eat less and eat well- low calories and nutrient dense foods.

*Choose a diet particularly rich in phyto-chemicals (antioxidants), vitamin B6, B12, folic acid, zinc, calcium, iron, chromium, vitamin D & E and omega-3 fats.

* Eat good carbohydrates, good fat, high-quality proteins and fibre.

* Include plenty of whole grains, fruits and vegetables into your dietary plans.

*Include protein-rich foods such as fish, soy, legumes peas and beans, seeds, nuts, fermented milk products, buttermilk & fermented foods.

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Putting off retirement may benefit your brain, health, and longevity – Harvard Health

August 19th, 2017 7:41 am

The purpose and engagement of a job you love can keep you healthy and connected.

Published: September, 2017

Image: monkeybusinessimages/Thinkstock

While many women dream of kicking back and relaxing into retirement, there's increasing evidence that in some cases, it's better for your brain and your health to keep your nose to the grindstone a little longer.

"The research to date is mixed, but it tends toward the positive that is, for many people, there are health benefits to working longer," says Dr. Nicole Maestas, associate professor of health care policy at Harvard Medical School.

The right job, she says, can keep you connected socially; it can help you stay physically active; and it can give you a purpose, a challenge, or a creative outlet. These factors have all been shown to contribute to health over the long term.

One 2016 study in the Journal of Epidemiology and Community Health suggests that retiring early may actually increase your risk of dying early. Findings showed that healthy people who postposed retirement and chose to retire a year later than those in a comparison group had an 11% lower risk of dying from any cause during the study period (1992 to 2010). Retirees with health problems also lived longer when they postponed retirement. Another study, by the French government's health research agency, linked a later retirement to a reduced risk of Alzheimer's disease and other forms of dementia.

Working longer may also help you retire more comfortably when you do decide it's time. Women who stay on the job longer can earn back income lost during breaks they took earlier in their careers. In one recent study, Dr. Maestas found that women gain more financial return than men do from continuing to work through their 50s and 60s. "And it has the added benefit of boosting their Social Security benefits," she says.

However, it's important to note that while the research may be leaning in favor of working longer for better health, not all studies show benefits or even a connection. In a study in the Journal of Health Economics, Australian researchers concluded that it's actually your overall health not your retirement agethat affects longevity.

The variation in findings may reflect two challenges inherent in this area of study. First, it's difficult for researchers to determine which came first, health problems or retirement. "While work may affect your health, at the same time your health affects your ability to work," says Dr. Maestas. A second challenge is that existing research has studied the effects of retirement on different groups of people. Some may benefit from retiring sooner, others from working longer. "Researchers haven't figured out yet who gets the benefits and who doesn't," says Maestas.

These mixed findings make sense when you think about how the job you do and the environment you work in can influence your health. While a positive work environment may improve your health, the opposite may be true for women who work in hostile environments that cause them physical or psychological stress, involve physical risks, or are monotonous and uninspiring, says Dr. Maestas. "So, if there is one message to women, it is to continue to work if you experience the work environment in a positive way; otherwise, you might consider transitioning to a new positionperhaps even within the same company," she says.

The good news is that today women have more flexibility than ever when mulling whether to retire or stay at work a few years longer. "One helpful trend in this regard is that 'retirement' is no longer an all-or-nothing decision like it used to be," says Dr. Maestas. In some cases, women reshape their jobs rather than leave them altogether. "Many people reduce hours, change jobs, downshift to less demanding positions, or change occupations. Some people take short breaks to reboot skills or take a trip," says Dr. Maestas. "Some people will later upshift for a period of time if a great opportunity comes along. They may even start a business."

Ultimately, for most women, the decision about when to retire will depend on a variety of considerations, from family needs to health and future plans. "But it is worth placing more weight on the long view working longer can enhance financial security and, under some circumstances and for some people, may even boost your health," says Dr. Maestas. "In my opinion, women should try to maintain engagement in the workforce for as long as possible."

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Longevity Lifestyle Preparation: What advisors need to know to prepare female clients for living well to and through … – InvestmentNews

August 19th, 2017 7:41 am

« Back to Webcasts Index

Featuring Mary Beth Franklin from InvestmentNews

Your clients are living longer and spending more time in retirement than ever before especially female clients, who often outlive their spouses or partners.

This live, interactive webcast will arm you with strategies and data for understanding your female clients' life expectancies as well as their retirement and financial scenarios. Research from Great-West Financial in collaboration with the Stanford Center on Longevity focused on how you can incorporate longevity planning into your practice will also be presented.

Register Now

Featuring Mary Beth Franklin from InvestmentNews

Your clients are living longer and spending more time in retirement than ever before especially female clients, who often outlive their spouses or partners.

This live, interactive webcast will arm you with strategies and data for understanding your female clients' life expectancies as well as their retirement and financial scenarios. Research from Great-West Financial in collaboration with the Stanford Center on Longevity focused on how you can incorporate longevity planning into your practice will also be presented.

Attendees may submit questions before and during the live event. This free and invaluable resource will help you, your current clients and prospects.

Sponsored by:

Continuing Education Credits: For all webcasts approved for CE credit by the CFP Board, credit will be reported one week after the live event. For on-demand viewers, CE credit will be reported 30 days after the live event. After 30 days, webcasts are available until December 31 in the calendar year for on-demand viewing and are not eligible for CE credit.

For all webcasts approved by IMCA for CIMA/CIMC/CPWA CE credits, email info_cecredits@investmentnews.com for the IMCA program ID to self-report for CE credit. Program IDs will be provided up to 30 days after the live event. After 30 days, webcasts are available until December 31 in the calendar year for on-demand viewing and are not eligible for CE credit.

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Voices The role of advisors in longevity planning – Financial Planning

August 19th, 2017 7:41 am

Perspective and timing is everything.

In 1930, five years before Social Security legislation was passed, the average life expectancy of U.S. citizens was 59.7 years. Thus, the math worked out somewhat favorably for a program designed to pay workers a continuing income after retirement at age 65. The number of people who could statistically expect to live long enough to actually collect was pretty limited, and the percentage of people older than 65 was less than 6%.

What it means to be elderly has undergone a dramatic shift.

Today, those aged 65 and above make up around 12% of the U.S. population. That number is expected to hit 19% by the year 2030. And the average life expectancy in the US has gone up to almost 80 years.

Our perspective on what it means to be elderly has undergone a dramatic shift. Indeed, the World Health Organization estimates that a typical 60-year-old today can reasonably expect not only to survive for many more years, but also to enjoy a healthy, active lifestyle for two decades or more. As technology and medical science continue to advance, we may soon receive a longevity dividend of 30 or even 40 years beyond that available to our great-grandparents. Some researchers even suggest that half of the babies born in todays industrialized countries will live to an age of 100.

When 80 becomes the new 60Think about this prospect: The seniors of the future are likely to enjoy two, three or even four decades of life beyond what we now consider retirement age. What possibilities does this open up? Will it change the way we think about work? About education? About health care?

Another factor to consider is that the baby boomers entering retirement today are more educated, more technically savvy and more connected to the information universe than any prior generation of retirees. They are accustomed to asking questions, looking things up and digging for answers. They also have more information available to them than ever before. A recent Merrill Lynch study reported, for example, that boomers were four times more likely to do their own research on health matters than their parents. These retirees want more than just access to expertise; they want to participate in evaluating the data relevant to their decisions.

Start Slideshow

For clients considering long-term care options, a move may be appealing if they find care options in other states that can help them save down the road.

Joseph Coughlin, director of MITs AgeLab, suggests that increasingly, people entering retirement are outcome-focused. Employing a metaphor first suggested by marketing theorist Theodore Levitt, Coughlin says that more and more, retirees just want the tools needed to accomplish the goals they desire. They dont want to own a drill because they want to have a drill around the house; what they really want is a tool to create hole in the wall.

Similarly, boomers dont really want stocks, bonds, mutual funds or insurance; they want the means to live their desired lifestyle when they are no longer actively employed. They want to solve the problems that come with longevity, and those problems, more and more, go beyond simply funding their retirement accounts.

Use the right toolsThe key to longevity planning, then, is to be positioned as a provider of the necessary tools. Consider some of the problems that todays retirees will face:

In order to position themselves to adequately respond to the longevity needs of an aging clientele, advisors will increasingly be called upon to provide not just transaction-based assistance, but also to serve as facilitators of the relationships required to address these and other problems. We will fall short helping our aging clients if we stay in our financial silos; instead, we will need to become conduits for leading them to the solutions they require.

Financial advisors now stand at a frontier: the new business of longevity, says Joseph Coughlin, president of MITs AgeLab.

Certainly, it isnt reasonable to expect advisors to also become experts in gerontology, physical therapy, or occupational counseling. Our deep knowledge of our clients situations and our ability to help them make wise choices about their financial resources will continue to be crucial. We must still be their tool for the important job of maintaining financial security.

But as the longevity trend continues, our clients will need other tools as well. Working from the foundation of our commitment to know them thoroughly, we can provide vital connections for our clients to the other tools they will need. We can form relationships with trusted, thoroughly vetted professionals in industries including housing, construction, home care and employment to help them and their children solve their problems. As AgeLabs Coughlin notes, Financial advisors now stand at a frontier: the new business of longevity. That business will provide them with opportunities to engage with their clients over a lifetime, on more topics, more often, and with greater intimacy.

In many ways, this is the logical extension of the financial advisors mantra of Know your client. As our clients travel farther down the road of the longevity revolution, it will be up to us advisors to help keep their vehicle in top running condition.

Kimberly Foss, CFP, CPWA, is a Financial Planning columnist and founder of Empyrion Wealth Management in California and New York. Shes also the New York Times best-selling author of Wealth by Design. Follow her on Twitter at @KimberlyFossCFP.

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Friday the 13th’s Longevity is More Than Just This 80s Bikini – Game Revolution

August 19th, 2017 7:41 am

As with any popular multiplayer game, the community of Friday the 13th: The Game is a passionate one, and passionate communities are quick to express that passion, be it laudatory, constructive or even outright negative. Just a few weeks ago, when fans figured out that IllFonic, one of the game's two development teams, was also working on another game, they were quick to doom and gloom how they had abandoned Friday the 13th.

Of course, this wasn't the case, and IllFonic released a strongly worded statement to that effect, but anyone who still wasn't convinced should be more than satisfied by yesterday's series of announcements regarding Friday the 13th, including a clothing pack, a new full-size map, new counselors and new playable Jasons. But, for the first time since release, Friday the 13th: The Game has revealed a strategy for longevity that is about more than just the frills (even though the frills in this case are particularly easy on the eyes).

Yes, many people will be more than satisfied with the announcement of the Spring Break 1984 clothing pack, which features in its header image the counselor Tiffany in an unbelievably skimpy bikini. When I first saw this image, I assumed it was a fan-made joke, and then I assumed that bikini's in the 1980s couldn't have possibly looked like that. Of course, I was wrong on both assumptions. But as eye-popping as these new counselor outfits may be, we've gotten new outfits before in Friday the 13th: The Game. As an apology for launch issues, they released a Retro Jason Skin, and a new clothing pack with two new outfits for each counselor.

That said, this particular counselor skin is certainly capturing the cheesier tropes of the 80s horror movie, with the scantily clad counselors being killed by Jason Voorhees. But again, these are just frills, and they won't sustain a game by themselves. But this upcoming update, for several reasons is much different than Content Update 1. Beyond just visuals, the upcoming changes will actually enhance how we play and enjoy Friday the 13th: The Game.

You have to mention the new counselors, which, if handled correctly, should each bring a new playstyle to the table, offering new strategies to which players will have to adjust. Likewise, the new playable Jason should feel like he brings his own strengths and weaknesses to the table. Meanwhile, all of these strategies can play out on the upcoming new full map. But, more than anything else, you have to admire Gun Media's and IllFonic's continued commitment to improving stability.

While their lack of expediency in this matter has frustrated even the most devoted fans, it's nice to know that it's still happening. Better yet, Gun Media nearly fully detailed the upcoming patch that purports to fix several game-ruining bug fixes, such as key objects falling through the ground upon death and ensuring Perks that start you with items actually work (imagine that). Sure, we don't know the timeline just yet, but when have we ever been able to nail Friday the 13th: The Game to a specific date? Beyond that, it's just refreshing to see that the future of Friday the 13th is secure and goes beyond superficial additions (sexy, though they may be).

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Friday the 13th's Longevity is More Than Just This 80s Bikini - Game Revolution

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Ask SAM: How will Winston-Salem Open handle eclipse? | Ask SAM … – Winston-Salem Journal

August 19th, 2017 7:41 am

Q: With the solar eclipse looming Monday afternoon, I notice the Winston-Salem Open is scheduled to start play at 3 p.m. Are any adjustments being considered for the players participating at that time?

Answer: Play will go on as normal, according to organizers of the Winston-Salem Open. The eclipse will start at 1:12 p.m., reach its maximum at 2:41, and end at 4:03 p.m. But there will be some special commemorations of the event at the Open:

Q: If someone normally wears vision glasses, do the eclipse safety glasses go over, or under, your glasses, or should no other glasses be worn at all? I havent seen this addressed anywhere. What is the protocol for eyeglass wearers?

Answer: If you normally wear eyeglasses, keep them on while wearing eclipse glasses put eclipse glasses on over them, said Dr. Rajiv Shah, assistant professor of opthalmology at Wake Forest Baptist Medical Center.

Its also important to note that even when wearing eclipse glasses, you should not look at the sun through a camera, telescope, binoculars or other optical device. The concentrated solar rays will damage the filter and enter the eyes, Shah said.

He added that you should always supervise children using solar filters and inspect the glasses before use. If the glasses are scratched, punctured, torn or otherwise damaged, they should be discarded.

And to repeat a frequent warning: Dont try to use ordinary sunglasses, even very dark ones. Wear solar eclipse glasses and use handheld solar viewers that are compliant with the International Organization for Standardizations ISO 12312-2 standard. Failing to use proper precautions could lead to irreparable eye damage.

And dont wear eclipse glasses while driving.

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Ask SAM: How will Winston-Salem Open handle eclipse? | Ask SAM ... - Winston-Salem Journal

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Eclipse safety glasses hard to find in Capital Region – The Daily Gazette

August 19th, 2017 7:41 am

People can't look at Monday's solar eclipse without solar eclipse glasses.

This weekend, sun and moon lovers may look all over the Capital Region for the safety-tested, black-filmshades.

But they will have trouble finding them.

Stores have exhausted their supplies. There were none at Toys "R" Us in Clifton Park, none at Wal-Mart in Amsterdam, none at Lowe's in Glenville.

Lowe's in Niskayuna -- no. Walmart in Rotterdam -- no. Local hardware stores -- no.

"We are all sold out," said one store representative on Friday. "Every store around is sold out."

Places all over the country have sold out. And online sales may now be tricky;even rush orders may not arrive by early Monday afternoon, when the "Great American Eclipse" will begin.

The rare event will darken skies from Oregon to South Carolina along a 70-mile stretch. People in the "path of totality" will see the moon completely block the sun and cast a shadow on the surface of the Earth.

In the Capital Region, astronomy fans will see a partial eclipse -- 66 percent of the sun will be covered by the moon. The show will start at 1:22 p.m. and end at 3:56 p.m. The best time to check out the cosmic conference will be about 2:45 p.m.

Libraries around the U.S. have the shades, whichresemble old-fashioned, 3-D movie glasses. According to the American Astronomical Society, 6,900 libraries have been given solar eye wear through a program supported by NASA, Google and the Gordon and Betty Moore Foundation.

At the Schenectady County Public Library's eclipse gathering, which begins at noon and runs until 4 p.m., glasses will be available outside the building. People who attend the library party won't even have to examine the heavens to see the lunar-solar team-up; a live NASA stream of the celestial event will be held in the McChesney Room.

The glassessold out at miSci -- Schenectady's Museum of Innovation and Science. Valerie Rapson, outreach astronomer at the Dudley Observatory at miSci, said the museum's gift store had nearly 4,000 pairs in stock.

People must have the protection if they'regoing to watch the skies. Sunglasses with tough-sounding names such as "Solar Shields" are not going to work. They will not be safe.

The American Optometric Association added that smoked glass, unfiltered telescopes or magnifiersand polarizing filters will also be unsafe for eclipse viewing.

The American Academy of Opthalmology has also issued a warning:"Looking directly at the sun, even while it's partially eclipsed, can permanently damage vision or blind you."

According to Rapson, "The special glasses block 99.99 percent of the light, which is way more than a regular pair of sunglasses. That's the main thing to stress. Sunglasses are not enough. They really have to have those safety glasses."

The eclipse glasses must come from reputable vendors -- theAmerican Astronomical Society has composed a page of legitimate manufacturers and authorized dealers of eclipse glasses and handheld solar viewers, all verified to be compliancewith the ISO 12312-2 international safety standard.

Angela Strong, assistant library director for operations at the Schenectady County Public Library, is expecting a large crowd for the eclipse party. She said glasses will be distributed outside the building, with a limit of four pairs per family.

"We're going to encourage people to share the glasses," Strong said. "It's recommended people limit their viewing to three minutes at a time."

People without glasses at miSci will be able to "watch" the show with "sun spotters," devices that will project images of the sun on white paper. Telescopes equipped with safe solar filters will also be on the grounds.

Reach Gazette reporter Jeff Wilkin at 395-3124 at at wilkin@dailygazette.com or @jeffwilkin1 on Twitter.

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Eclipse safety glasses hard to find in Capital Region - The Daily Gazette

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Shire PLC (SHP): Looking To Captalise On Unmet Needs In Eye Care – Simply Wall St

August 19th, 2017 7:41 am

Irish biotech giantShire plc (LON:SHP) received a validation fromthe UK, in the capacity of the Reference Member State, for its marketing authorization application forlifitegrast. If approved, lifitegrast would be the first and only treatment in a new class of drugs (LFA-1 antagonist) to address the signs and symptoms of dry eye disease in adults in Europe, said the company.

Shire submitted the application for marketing authorization (MAA) through a Decentralized Procedure toDenmark, Norway, Sweden, Finland, the UK, Germany, the Netherlands, France, Italy, Portugal, Spain and Greece.This submission is another important milestone for lifitegrast and the millions of patients living with dry eye disease, which can impact a persons vision-related quality of life, affecting daily activities such as reading and using computers, commented Shires head of clinical department Howard Mayer.

Opthalmology hasnt been at the core of Shires growth agenda historically, but its acquisition of SARcode Bioscience in 2013 marked an official entry into the medical field, where Shire expects to capitalise on unmet needs in eye care through a multi-faceted approach targeting rare diseases and specialty conditions.

Shires MAA forlifitegrast is backed by what the company claims to be the largest development program to date for an investigational stage dry eye disease candidate. The program involves five clinical trials with 2,500 patients. In four safety and efficacy studies, lifitegrast improved symptoms as measured by patient reported eye dryness score (EDS), and in three of the four studies improved the objective signs of dry eye disease (measured using corneal staining), said Shire.

Nearly a year ago, llifitegrast received the US FDA approval as Xiidra for dry eye treatment. Out of more than US$14 billion in sales over the past year, Xiidra accounted for just over $50 million (representing a more than 20% market share in the US) with opthalmology contributing 2% to overall sales, which largely comprises of five therapeutic areas: Hemtology, Genetic Diseases, Immunology, Neuroscience and Internal Medicine.

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Shire PLC (SHP): Looking To Captalise On Unmet Needs In Eye Care - Simply Wall St

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Bangladesh successfully reduces child blindness over the last 14 years – Dhaka Tribune

August 19th, 2017 7:41 am

Bangladesh has successfully reduced around 50% of child blindness in last the 14 years, which has come down to 25,000 from 48,000 as estimated in the year 2000.

Dr AHM Enayet Hussain, head of paediatric ophthalmology at the National Institute of Opthalmology and Hospital and program manager of national eye care program, made the announcement while presenting his keynote paper at an orientation on childhood blindness for journalist at the National Press Club yesterday.

Orbis International and Bangladesh Nari Sangbadik Kendra jointly organised the orientation under National Childhood Blindness Reduction Program at Orbis and the National Eye Care.

Presenting his keynote speech, Enayet said although no national survey was conduction on child blindness in the country, the World Health Organisation (WHO) estimated the number of child blindness patients using Under-5 child mortality rate.

Currently, the Under-5 child mortality rate is at 53, so it can be said that the estimated number of child blindness patients would be around 25,000, he added.

He also added: We had conducted cataract surgery of more than 10,000 children between 2005 and 2010. When we reviewed the success of these operations, we observed that many of the operation did not give satisfactory outcomes as the patient did not come for treatment at an earlier age.

He urged the people to bring their children, who are suffering from eyesight problem, for treatment and informed that the government will be providing all kinds of eye care treatment, including surgery, free of cost.

When asked, Dr Munir Ahmed, country director of Orbis International for Bangladesh, told the Dhaka Tribune: I will not disagree with him [Enayet] but before using this data it should be validated in some way.

However, the number of child blindness patients had definitely reduce in number. But, a large number of children continue to suffering from avoidable childhood illnesses.

He further said early detection of the problem, quality of treatment and post-treatment care can prevent avoidable blindness or restore the sight of the children.

Child eye experts said avoidable child blindness and visual impairment is a significant health issue in Bangladesh and its impact fuels poverty and worsens socio-economic inequality.

They also added that children of Bangladesh have been suffering of different eye related issues, such as cataract, refractive error, strabismus, rop (retinopathy of prematurity), ptosis and eye injury.

Quoting WHO, global estimates of childhood blindness show that the prevalence of childhood blindness in Bangladesh is at 0.75 per 1,000 children.

They said approximately 1.3 million children have refractive errors and around 1,53,600 have low vision problems, of which around 78,336 can be avoided.

Without intervention, blind or visually-impaired children are likely to experience low educational achievement, lack of productive employment opportunities, social isolation and increased poverty.

Among others, Mohammed Alauddin, director program of Orbis, Dr Nahid Ferdousi, co-ordinator of National Childhood Blindness Reduction Program, Dr. Lutful Husain, staff optholmologist at Orbis, and Parvin Sultana Jhuma, general secretary of Bangladesh Nari Sangbadhik Kendra, also addressed the program.

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Bangladesh successfully reduces child blindness over the last 14 years - Dhaka Tribune

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