U.S. Army Commissions $2M Study for Shots Treating PTSD

https://goo.gl/4pzgd6

The U.S. Army has commissioned a $2 million study to test a commonly used injection for treating symptoms of post-traumatic stress disorder, in a medical trial that could pave the way for the treatment to get official endorsement. While the neck injections—called stellate ganglion blocks—have already received praise from doctors who say the treatment is effective, the military has been reluctant to endorse the injections without a controlled trial. 

The injections have previously been used to treat arm pain and shingles, and for PTSD patients they are used to control the fight-or-flight response by interrupting messages sent between nerve fibers. Military doctors who have used the injections say their effect is obvious, with relief for symptoms like anxiety, hypervigilance, and social withdrawal. Col. Jim Lynch, command surgeon at the joint Special Operations Command-Africa, told The Wall Street Journal, “Once people have the shot, they get dramatically better immediately.” Researchers hope to enroll 240 patients in the trial, and they said 45 people had already volunteered to take part.


AI That Can Shoot Down Fighter Planes Helps Treat Bipolar Disorder

https://goo.gl/LMIYTm

The artificial intelligence that can blow human pilots out of the sky in air-to-air combat accurately predicted treatment outcomes for bipolar disorder, according to a new medical study by the University of Cincinnati.

The findings open a world of possibility for using AI, or machine learning, to treat disease, researchers said.

David Fleck, an associate professor at the UC College of Medicine, and his co-authors used artificial intelligence called “genetic fuzzy trees” to predict how bipolar patients would respond to lithium.

Bipolar disorder, depicted in the TV show “Homeland” and the Oscar-winning “Silver Linings Playbook,” affects as many as six million adults in the United States or 4 percent of the adult population in a given year.

The study authors found that even the best of eight common models used in treating bipolar disorder predicted who would respond to lithium treatment with 75 percent accuracy. By comparison, the model UC researchers developed using AI predicted how patients would respond to lithium 100 percent of the time. Even more impressively, the UC model predicted the actual reduction in manic symptoms after lithium treatment with 92 percent accuracy.


Eating a low carb breakfast may make you a more tolerant person

https://goo.gl/fyVfBs

A low-carb diet might do more than affect your health – it could make you a more tolerant person. People who ate fewer carbohydrates for breakfast made more forgiving decisions in a money-sharing game they played a few hours later.

“Extreme [low-carb] diets might be influencing people’s behaviour,” says Soyoung Park of the University of Lübeck in Germany. This could be because less starchy meals tend to have more protein, which boosts levels of dopamine in the brain, involved in decision making.

Standard advice is that we should base our meals around starchy carbohydrates, such as bread, potatoes and pasta. Low-carbers tend to have a higher protein intake because they replace these foods with protein-rich meat, dairy and nuts.

Dietary protein affects the levels of an amino acid that is a precursor to dopamine in our blood. Since increasing the amino acid increases dopamine, and dopamine affects decision-making,  Park wondered if a low-carb diet might change people’s behaviour. To find out, her team asked people to participate in the “ultimatum game”, in which you are split into pairs and your partner is given some money and they decide how much to share with you. If you accept the offer, both of you get the cash, but if you reject it, no one gets anything.


In Focus: Using Technology to Find Blind Spots in the Care of the Elderly

Excuse the ableist headline......

https://goo.gl/Uo5AEb

Starting next year, a team led by Jeffrey Kaye, M.D., a professor of neurology and biomedical engineering at Oregon Health and Science University, will begin tracking the activities of 360 older adults using a network of sensors they’ve agreed to place in their homes. With research partners in other parts of the country, his team will be monitoring the vital signs, medication use, mobility, activities, sleep patterns, and phone and computer use of a cross-section of Americans, including African Americans in Chicago, Latinos in Miami, public housing residents in Portland, Ore., and veterans in rural communities. One of his goals in tracking older adults who are still relatively healthy is to identify the early signs of physical and cognitive decline—generating insights that may guide medical care and enable patients to retain their independence.

Kaye began developing the platform, known as Life Lab, more than 10 years ago and with a team of researchers, statisticians, and software developers has been analyzing data from over 700 volunteers. Early findings have been surprising. For one, patients' own reports—which doctors rely on to help determine diagnoses and treatment plans—aren’t entirely reliable.1  Asked to explain what they did in the last two hours, a quarter were wrong and another third were only partially right. "They knew we had the data on what they were doing, and they weren’t cognitively impaired," Kaye says." "They just couldn’t remember accurately what they’d done.'Another finding was that patterns in movement and behavior seemed to track cognitive impairment. For example, variable walking speed, less time spent away from home, and less time spent on computers “individually and together create a very strong signal that the person is in the early stages of cognitive decline," he says.

Breakthrough research gives hope to bipolar patients

https://goo.gl/XYybT8

Treating bipolar patients is a trial-and-error process that can often take months or years of prescribing medication, monitoring side effects, and adjusting dosages before an effective therapy is found. About one-third of bipolar patients respond to lithium but no one has been sure why. Other patients are typically treated with a range of pharmaceuticals that may or may not work, or that may have adverse side effects. Even lithium comes with side effects that can be intolerable — nausea, tremors, emotional numbing, irregular heartbeat, weight gain and birth defects — so much so that some patients stop taking the medicine altogether.

This breakthrough means that by assessing the CRMP2 ratio for a given patient we may be able to confirm the diagnosis of bipolar disease and decide whether the patient should be started on lithium (or any modulator of the CRMP2 pathway), and allow the progress of the patient to be followed. Ultimately, finding drugs that alter this pathway would allow us to discover new drugs that are much more selective, safer and less toxic than lithium.


Artificial intelligence can now predict suicide with remarkable accuracy

https://goo.gl/VnmlCX

When someone commits suicide, their family and friends can be left with the heartbreaking and answerless question of what they could have done differently. Colin Walsh, data scientist at Vanderbilt University Medical Center, hopes his work in predicting suicide risk will give people the opportunity to ask “what can I do?” while there’s still a chance to intervene.

Walsh and his colleagues have created machine-learning algorithms that predict, with unnerving accuracy, the likelihood that a patient will attempt suicide. In trials, results have been 80-90% accurate when predicting whether someone will attempt suicide within the next two years, and 92% accurate in predicting whether someone will attempt suicide within the next week.

The prediction is based on data that’s widely available from all hospital admissions, including age, gender, zip codes, medications, and prior diagnoses. Walsh and his team gathered data on 5,167 patients from Vanderbilt University Medical Center that had been admitted with signs of self-harm or suicidal ideation. They read each of these cases to identify the 3,250 instances of suicide attempts.

This set of more than 5,000 cases was used to train the machine to identify those at risk of attempted suicide compared to those who committed self-harm but showed no evidence of suicidal intent. The researchers also built algorithms to predict attempted suicide among a group 12,695 randomly selected patients with no documented history of suicide attempts. It proved even more accurate at making suicide risk predictions within this large general population of patients admitted to the hospital.

Walsh’s paper, published in Clinical Psychological Science in April, is just the first stage of the work. He’s now working to establish whether his algorithm is effective with a completely different data set from another hospital. And, once confidant that the model is sound, Walsh hopes to work with a larger team to establish a suitable method of intervening. He expects to have an intervention program in testing within the next two years. “I’d like to think it’ll be fairly quick, but fairly quick in health care tends to be in the order of months,” he adds.

'Social Jet Lag' Called Potentially Hazardous

https://goo.gl/LPQYxj

If you're a weekday early riser, sleeping in on weekends could be hazardous to your health, researchers reported here.

Going to bed and waking up later on weekends than weekdays -- the common sleep pattern recently dubbed social jet lag -- was associated with a host of poor health outcomes, including chronic fatigue, poor mood and even an increased risk for heart disease in a preliminary analysis reported this week at SLEEP 2017, the joint annual meeting of the American Society of Sleep Medicine and the Sleep Research Society.

Sleeping in on weekends is a luxury that seemingly would translate to a net positive for health, rather than a negative. But Sierra B. Forbush, of the University of Arizona in Tucson, said the disruption to the body's circadian clock caused by late-night bedtimes followed by later weekend wake times appears to be an independent risk factor for poorer health.

"These results indicate that sleep regularity, beyond sleep duration alone, may play a significant role in overall health," she told MedPage Today, adding that keeping a regular sleep schedule throughout the week may prove to be an effective intervention for reducing cardiovascular risk and the risk of other health problems.

The misalignment of biological and social time that defines social jet lag has been suggested in earlier studies to be associated with a higher risk for substance use, especially smoking, and for obesity. But Forbush said the previous research on social jet lag has typically not controlled for shorter overall sleep and insomnia.


DEA warns first responders of accidental overdose risk

An entirely new take on the idea of universal precautions.....
https://goo.gl/YS5gsw

Accidental opioid overdose is an alarming phenomenon being seen more frequently among first responders, including police officers and paramedics, which is why the US Drug Enforcement Administration issued a warning to them this week.

Illicit fentanyl, a synthetic opioid, can be 50 to 100 times stronger than morphine. It's also 30 to 50 times more powerful than heroin. That potency is what can cause police officers or paramedics to overdose if they encounter only a small amount of the drug.

The new DEA recommendations highlight the best ways to avoid accidental exposure to fentanyl-related substances. First, responders must be trained and equipped to recognize the hazard, and know how to put on personal protective equipment such as gloves, dust masks, safety glasses, paper suits and shoe covers. The level of the equipment may need to be increased or decreased depending on the situation.

The agency also recommended that first responders always have naloxone, the opioid overdose antidote, on hand. Additionally, the guide provides an overview of the methods for responding to a situation in which fentanyl may be present, how to identify and treat an overdose victim, and the ways drugs and other evidence should be collected.


Could artificial sweeteners be bad for your brain?

This is from the Harvard Medical School Blog and it is really scary......

https://goo.gl/4Yjfl1

Researchers analyzed health data from nearly 3,000 adults who had filled out diet surveys and determined their incidence of stroke or dementia over 10 years. The findings were alarming.

Compared with people who said they didn’t consume diet drinks, those who had at least one per day suffered three times more strokes and were three times more likely to develop dementia. Consumption of regular (non-diet) soft drinks was not linked to a higher risk of these brain problems. And the results were unchanged when accounting for other important factors such as gender, diet, smoking, and physical activity.

Study identifies an enzyme inhibitor to treat Gulf War illness symptoms

When I was in Vietnam, I spent three weeks of "Mosquito Spray Duty", using malathion and a homemade spray apparatus in a Huey. By the end of the 3 weeks, I had all the Gulf War symptoms and had stopped eating. Malathion is an organophosphate insecticide, the same class of chemicals as most nerve agents, including the ones that cause concern in Gulf War Syndrome. Malathion's safety claim is that it is supposed to break down entirely over 30 days. Even now, 48 years after my last significant exposure, I can still detect Malathion specifically even in low doses.......

https://goo.gl/9eA5IZ

At least 100,000 military veterans who served in the 1990-1991 Gulf War were exposed to chemical weapons, released into the air after the United States bombed an ammunition depot in Khamisiyah, Iraq. Today, many are still suffering from Gulf War Illness, a mysterious, multi-symptom disease that experts believe is linked to organophosphate nerve agents sarin and cyclosarin.

A new paper by researchers at Drexel University sheds light on the neurological consequences of exposure to low-levels of these nerve agents and suggests that drugs like tubacin could treat some of the toxins' neurological effects. The results were recently published in the journal Traffic.

To model Gulf War Illness, the researchers treated cultures of human and rat neurons with an organophosphate called diisopropyl flurophosphate, which is an analog of sarin. They also pretreated the neurons with stress hormones to better mimic the stressors of war.

Within the neurons, the research team was looking for deficits in the activity of microtubules, hollow cylinders that act as the cell's conveyor belt, which the investigators believe might go awry in Gulf War Illness patients. Organophosphates can affect a variety of proteins and pathways in cells, and the impacts on microtubules and microtubule-related proteins are likely to be many. The researchers wanted to find whether particular microtubule-related deficits could be identified and corrected pharmacologically to improve Gulf War Illness symptoms.

"In addition to being an architectural element that helps to shape the cell, the microtubule also acts as a railway, which transport organelles throughout the cytoplasm," said Peter Baas, PhD, a professor in the Department of Neurobiology and Anatomy at Drexel's College of Medicine. "We hypothesized that toxins would change the typical way microtubules are chemically modified in neurons and that a drug like tubacin could restore those modifications to normal, thereby treating the disease."

Once treated with tubacin, which makes the microtubules more chemically modified, the researchers observed a restoration in everything that went wrong with the microtubules due to the toxin and stressor treatments.

Surprisingly, they also found that once they corrected the microtubule deficit, defects in dopamine release also markedly improved. Fluctuations in dopamine are thought to be connected to many of the neurological symptoms that Gulf War Illness sufferers face, including insomnia, cognitive problems and headaches. This study's results suggest that dopamine alterations after toxin exposure are in part due to changes in microtubules, and restoring microtubule function to a more normal state could help to alleviate symptoms.