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Somnia Anesthesia: 3rd Study Confirms Anesthesia Improves Outcomes In Colonoscopies
More pre-cancerous polyps were found in colonoscopies performed with deep sedation primarily using Propofol than with milder sedation in which patients remained conscious, according to a recent study conducted by Katherine Hoda, M.D. of Oregon Health and Science University. This improvement in cancer detection will save lives and reduce the number of patients requiring surgery and chemotherapy.
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New Communication Technologies Help Cardiac Patients Improve Their Prognosis
The use of phone and internet between patients and healthcare providers is an effective way to reduce risk factors for coronary heart disease and the risk of further events after a heart attack, according to new research published today in the June issue of the European Journal of Cardiovascular Prevention & Rehabilitation.(1) The study"s senior investigator, Professor Ben Freedman from the Department of Cardiology at Concord Repatriation General Hospital, Sydney, Australia, says that the provision of "telehealth" models could help increase the uptake of coronary prevention activities by those without access to cardiac rehabilitation, and "narrow the gap between evidence and practice".
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Study Reports Early Diagnosis Of Mental Disorders From New Computer Test
A group of doctors in Pittsburgh have developed the Computer Assessment of Mild Cognitive Impairment (CAMCI) to identify cognitive difficulties easily and reliably. In an article in the March issue of Postgraduate Medicine entitled "Computer Assessment of Mild Cognitive Impairment," the program creators detail the procedures and the benefits of the new test, which they claim is sensitive enough to notice the smallest amount of forgetfulness. By conducting a controlled study with 524 people >60 years old, they were able to demonstrate the ease and effectiveness of the testing system.
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USC Researchers Identify DNA Mutation That Occurs At Beginning Point Of T-Cell Lymphoma

Researchers at the Keck School of Medicine of the University of Southern California (USC) have identified a key mechanism that causes chromosomes within blood cells to break - an occurrence that marks the first step in the development of human lymphoma. The study provides researchers with the clearest insight yet into why these breakages - called chromosomal translocations - occur at a specific points in the chromosome, says principal investigator Michael R. Lieber, M.D., Ph.D., Rita and Edward Polusky Professor in Basic Cancer Research at the Keck School of Medicine. The study appears as the featured cover article in the June 12 issue of the journal Molecular Cell. The study is the second led by Lieber to appear on the cover of a Cell journal in the past six months. "The new findings go to the heart of why cancers begin. This is an opportunity to see the very beginning step of human lymphoma," Lieber says. "With this information, we can now begin to look at ways to interfere with this process in order to stop the lymphoma and to develop more targeted therapies for treatment." There are two types of lymphoma: B cell lymphomas and T cell lymphomas. Both B cells and T cells perform vital functions in the immune system by creating antibodies and destroying virus-infected cells. However, the beginning point, or inception, of most human lymphomas occurs when two chromosomes break and the resulting fragments are reassembled in an exchange. Researchers specifically looked at T cell acute lymphoblastic lymphomas (ALL). ALL accounts for half of all childhood cancers under the age of five, and T cell ALL represents about 10 percent of ALL. The USC scientists identified a specific enzyme known as the RAG complex that occasionally cuts the chromosome at an off-target site, causing lymphocyte (blood) cells to proliferate uncontrollably. They showed that the RAG complex selects the wrong target largely because the proteins in which the wrong chromosome is wrapped (called chromatin) lures the RAG complex to the wrong site. "The immune system is very good at its job," Lieber says. "More than ninety-nine percent of the time it gets it right, but it only takes one mistake in one of a hundred million cells to cause a problem. " The paper follows a similar study, published in the December issue of the journal Cell, in which Lieber and colleagues determined how the most common chromosomal translocation in B cell lymphoma occurs. Researchers at USC have been working for many years to understand the underlying mechanisms that cause blood cancers. "The goal is to understand translocations in various different forms of lymphoma," Lieber says. "The two papers cover more than half of all human lymphomas. That represents a major step forward in understanding this disease." The study was funded by the National Institutes of Health. Noriko Shimazaki, Albert G. Tsai and Michael R. Lieber. "H3K4me3 Stimulates the V(D)J Rag Complex for Both Nicking and Hairpinning in trans in Addition to Tethering in cis: Implications for Translocations." Molecular Cell. June 12, 2009. DOI: 10.1016/j.molcel.2009.05.011. Meghan Lewit University of Southern California


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