Health24.com | Smoking while pregnant sends sudden infant death syndrome risk soaring

Smoking during pregnancy is never a good idea, but new research shows it might double the risk of a baby dying from sudden infant death syndrome (SIDS).

“Any maternal smoking during pregnancy – even just one cigarette a day – doubles the risk of sudden unexpected infant death [SUID, another term for unexplained infant deaths],” said lead researcher Tatiana Anderson. She is a fellow at Seattle Children’s Research Institute, Center for Integrative Brain Research.

Each cigarette increases risk

Doctors should strongly encourage women to give up smoking during pregnancy, or if they can’t quit, to smoke less, she said. Each cigarette smoked increases the risk of SIDS, Anderson added.

If women didn’t smoke during pregnancy, the rate of SIDS in the United States could be cut by 22%, preventing some 800 infant deaths a year, according to the new report published online in the journal Pediatrics.

Although 55% of the women in the study who smoked didn’t stop or cut back during pregnancy, those who did markedly reduced the risk of SIDS, Anderson said.

Specifically, women who cut down on their smoking by the third trimester reduced the risk of SIDS by 12%. Women who quit by the third trimester reduced the risk by 23%, the researchers found.

For the study, Anderson and her colleagues collected data on more than 19 000 SUID cases. SUID cases include sudden infant death syndrome and other unknown causes of death, as well as suffocation and strangulation in bed of infants under age one.

Deprivation of oxygen

It’s not just smoking, said Dr Rahul Gupta, chief medical and health officer at the March of Dimes. But the more women smoke, the greater the risk for SUID becomes, he said.

Women should stop smoking before pregnancy and certainly during pregnancy, Gupta advised.

Smoking during pregnancy can impair the baby’s brain development. In addition, women who smoke are depriving their baby of oxygen, as smoking decreases the amount of oxygen in the blood and, therefore, in the placenta, he explained.

“Smoking also causes preterm birth, decreases in development of the brain and respiratory system of the baby,” Gupta said. “Nicotine has also been linked with an important part of the development of the brainstem in the infant.”

Gupta explained that if an infant stops breathing during sleep, a mechanism in the brain senses the lack of oxygen and triggers breathing to start. This is called auto-resuscitation.

‘Nicotine and babies do not match’

Nicotine, however, alters this response, he said. “That baby may not be able to auto-resuscitate, and as a result, we end up with sudden infant death syndrome,” Gupta said.

Because e-cigarettes are a nicotine delivery device, they are not a safe alternative to cigarettes, he added.

“Nicotine is in the vaping device, so all the impacts we are talking about are still harmful when nicotine is delivered, regardless of the device,” Gupta said. “Nicotine and babies do not match.”

In addition, flavourings and other ingredients in e-cigarettes may be harmful to developing babies, he noted.

“Quitting smoking is one of the most effective actions you can take to protect yourself and your baby,” Gupta said.

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Alligator study reveals insight into dinosaur hearing

To determine where a sound is coming from, animal brains analyze the minute difference in time it takes a sound to reach each ear — a cue known as interaural time difference. What happens to the cue once the signals get to the brain depends on what kind of animal is doing the hearing.

Scientists have known that birds are exceptionally good at creating neural maps to chart the location of sounds, and that the strategy differs in mammals. Little was known, however, about how alligators process interaural time difference.

A new study of American alligators found that the reptiles form neural maps of sound in the same way birds do. The research by Catherine Carr, a Distinguished University Professor of Biology at the University of Maryland, and her colleague Lutz Kettler from the Technische Universität München, was published in the Journal of Neuroscience on March 18, 2019.

Most research into how animals analyze interaural time difference has focused on physical features such as skull size and shape, but Carr and Kettler believed it was important to look at evolutionary relationships.

Birds have very small head sizes compared with alligators, but the two groups share a common ancestor — the archosaur — which predates dinosaurs. Archosaurs began to emerge around 246 million years ago and split into two lineages; one that led to alligators and one that led to dinosaurs. Although most dinosaurs died out during the mass extinction event 66 million years ago, some survived to evolve into modern birds.

Carr and Kettler’s findings indicate that the hearing strategy birds and alligators share may have less to do with head size and more to do with common ancestry.

“Our research strongly suggests that this particular hearing strategy first evolved in their common ancestor,” Carr said. “The other option, that they independently evolved the same complex strategy, seems very unlikely.”

To study how alligators identify where sound comes from, the researchers anesthetized 40 American Alligators and fitted them with earphones. They played tones for the sleepy reptiles and measured the response of a structure in their brain stems called the nucleus laminaris. This structure is the seat of auditory signal processing. Their results showed that alligators create neural maps very similar to those previously measured in barn owls and chickens. The same maps have not been recorded in the equivalent structure in mammal brains.

“We know so little about dinosaurs,” Carr said. “Comparative studies such as this one, which identify common traits extending back through evolutionary time add to our understanding of their biology.”

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Materials provided by University of Maryland. Note: Content may be edited for style and length.

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Key discovery on how alpine streams work

An EPFL study has prompted scientists to rethink a standard approach used to calculate the velocity of gas exchange between mountain streams and the atmosphere. Research conducted in streams in Vaud and Valais indicate that equations used to predict gas exchange based on data from lowland streams undershoots the actual gas exchange velocity in mountain streams on average by a factor of 100.

This discovery — appearing in Nature Geoscience — will enable scientists to develop more accurate models of the role that mountain streams play in global biogeochemical fluxes. Considering that more than 30% of the Earth’s surface is covered by mountains, the ramifications of this discovery are considerable.

The study was conducted at EPFL’s Stream Biofilm and Ecosystem Research Laboratory (SBER), within the School of Architecture, Civil and Environmental Engineering (ENAC).

More turbulence

In aquatic ecosystems, such as the world’s oceans, streams and lakes, numerous aquatic organisms, ranging from bacteria to fish, respire oxygen and exhale CO2. These gases must therefore be continually “exchanged” from the atmosphere to the water and vice-versa. Because mountain streams often flow over steep drops and rugged terrain, this creates a lot of turbulence and causes air bubbles to be trapped in the water, appearing white (aka ‘white water’).

These bubbles accelerate the gas exchange. Strikingly, the same mechanism is at work when white-capped waves appear on the surface of rough seas. Until now, scientists have ignored the contribution from air bubbles and have used the same approach to calculate gas exchange velocities in mountain streams than in calm lowland streams.

More precise calculations

It is intuitive that the rugged terrain would influence gas exchange in mountain streams, but no evidence had been collected to test this hypothesis until 2016. That’s when EPFL researchers installed more than 130 environmental sensors in mountain streams in Vaud and Valais to study this physical phenomena and related biogeochemical fluxes. To measure gas exchange velocity as accurately as possible, one of the SBER scientists and first author of the study — Amber Ulseth — along with others, added small amounts of argon as a tracer gas to the streams. Argon is a naturally occurring gas that is harmless to aquatic ecosystems.

Using cutting-edge analytical methods in the laboratory, Amber Ulseth and colleagues were able to quantify loss of argon from the streamwater. Next, they modeled the gas exchange velocity from the downstream loss of the tracer gas in the streamwater. Their results reveal that the gas exchange velocity in mountain streams is on average 100 times higher than predicted from equations developed from similar tracer gas experiments in low-land streams.

Major implications

“Our findings have major implications. They suggest that we have been underestimating the effects of all the small but abundant mountain streams in our biogeochemical models. This opens up a new research avenue,” says Tom Battin, Director of SBER and coauthor of the study. His lab is already looking into extensions of this research, such as developing a new model to predict CO2 emissions from mountain streams worldwide.

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Materials provided by Ecole Polytechnique Fédérale de Lausanne. Note: Content may be edited for style and length.

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Health24.com | Limpopo can’t afford to renew community service contracts

Democratic Nursing Organisation of South Africa (DENOSA) in Limpopo is confident that it will be able to convince Department of Health officials to renew employment contracts for community service pharmacists, intern-nurses and other professionals.

These 586 professionals found their work ended abruptly when their employment contracts ended in January. The department cited budget constraints when it informed the workers that their 12-month contracts would not be renewed.

Budget constraints

Denosa provincial organiser Jacob Molepo said his organisation is confident that the matter will be resolved by the next financial year because the ongoing employment challenges are negatively affecting patients as clinics are struggling to operate 24 hours a day.

“We are trying to get the department to sit around the table to discuss about the matter as the new financial year is close, and they haven’t confirmed the date of the meeting yet,” said Molepo.

“The department’s last position was that they would reappoint community health workers in the next financial year. However at the moment we want to push them to give us an undertaking that when they speaking about the new financial year, and specifically when are they going to have the budget, so that all processes and formalities will be followed and by April 1 all workers be reappointed.

“This affects communities negatively through the services rendered at the health facilities. Most of the clinics that were earmarked to operate 24 hours cannot provide such service due to a shortage of nurses,” he said.

During a press briefing in January Health MEC Dr Phophi Ramathuba indicated that community service health workers recruited in 2018 had been given 12 month contracts, which meant that when their contracts ended they could seek employment in both private and public sectors. She said her department would need an additional R330-million per financial year to absorb all 586 personnel concerned, and was something provincial treasury had advised against due to budget constraints. – Health-e News.

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Health24.com | Woman with fatal allergy to the cold speaks out after people think it’s a joke

Warning: Graphic content

A woman from Cleveland in Oklahoma, US, has spoken out after people thought that her potentially fatal allergy to cold weather was a joke.

Alysha McEntire (26) suffers from cold-induced urticaria – a reaction causing histamine and other chemicals to be released into the bloodstream – which makes her body erupt in hives.

She initially believed the itchy blotches were caused by black elderberry tablets, but after quitting them her symptoms only intensified.

She realised that the spots occurred when she’d been exposed to cold.

Anything from being outside to sitting on a cold floor and even rain can cause a reaction for Alysha, and it could turn deadly if she goes into anaphylactic shock.

Alysha says people don’t believe her allergy is real and have often dismissed it as “bed bugs” or “dry skin”.

“I mostly get reactions of people being shocked to know that being allergic to the cold is a real thing. Most people think I’m joking,” she said.

Alysha, who works as a nurse aid, is forced to wrap up in numerous layers to avoid her skin ever becoming exposed to the cold.

“I have noticed if I get into my car when it’s not warmed-up, my ankles will get hives or if I have holes in my jeans they’ll appear there too,” she added.

“It can take five to 10 minutes for a reaction to happen, my allergist advised that I avoid the cold as any allergy can lead to anaphylactic shock.”

Alysha McEntire
Alysha McEntire

The mom-of-three says it gets frustrating during winter when she can’t play outside in the snow with her children.

She says the hives can get as big as the size of a US 25c piece (2,26cm).

“The biggest I would say were around the size of a quarter, but they all welt on top of each other – so I’m getting hives on top of hives.

“When I stopped taking the meds, I started getting them all over again.

Alysha has to take three allergy medications twice a day to manage her symptoms.

Source: Magazine Features

Pictures: CATERS/WWW.MAGAZINEFEATURES.CO.ZA

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Novel electrocardiogram uses signals from ear and hand to check heart rhythm

A novel electrocardiogram (ECG) method which uses signals from the ear and hand to check heart rhythm is revealed today at EHRA 2011 a European Society of Cardiology (ESC) congress. The ECG does not require two hands and could be used by drivers, athletes, and the military.

Study author Dr Raffaele De Lucia, of the University Hospital of Pisa, Italy, said: “Mobile ECG devices present a major opportunity to detect atrial fibrillation, the most common heart rhythm disorder, and thereby prevent strokes and reduce hospitalisations. All commercially available portable ECG devices require both hands, but what if symptoms happen while driving?”

This is the first study to show that the ear can be used for ECG signal detection. The study included 32 consecutive healthy volunteers (cardiology students and nurses). An ECG was first performed by the standard method, which uses the index and middle finger of each hand. A second ECG was conducted using the index and middle finger of the left hand and a clip attached to the left ear.

All ECGs were printed and analysed by the device and by two cardiologists who were blinded to which method had been used. No differences were detected in the ECG results obtained by the two methods.

Dr De Lucia said: “We have shown how the ear can be used as an innovative anatomical site for ECG signal detection in healthy adults. We are now conducting further studies to validate this method in patients with cardiac arrhythmias.”

The authors said the findings pave the way for a new kind of single lead ECG wearable device which leaves one hand free, making it easier to use. In addition to detecting previously undiagnosed atrial fibrillation, the device could be used to evaluate physical performance during exercise, prevent fainting, and check the heart during symptoms including dizziness and breathlessness. Patients already diagnosed with cardiac conditions such as atrial fibrillation could also use it to monitor their condition.

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Materials provided by European Society of Cardiology. Note: Content may be edited for style and length.

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World’s oldest semen still viable

Semen stored since 1968 in a laboratory in Sydney has been defrosted and successfully used to impregnate 34 Merino ewes, with the resulting live birth rate as high sperm frozen for just 12 months.

“This demonstrates the clear viability of long-term frozen storage of semen. The results show that fertility is maintained despite 50 years of frozen storage in liquid nitrogen,” said Associate Professor Simon de Graaf from the Sydney Institute of Agriculture and School of Life and Environmental Sciences at the University of Sydney.

“The lambs appear to display the body wrinkle that was common in Merinos in the middle of last century, a feature originally selected to maximise skin surface area and wool yields. That style of Merino has since largely fallen from favour as the folds led to difficulties in shearing and increased risk of fly strike,” Associate Professor de Graaf said.

His colleague on this project, Dr Jessica Rickard, said: “We believe this is the oldest viable stored semen of any species in the world and definitely the oldest sperm used to produce offspring.”

Associate Professor de Graaf said that it was the reproductive biology and genetic aspects of these as-yet unpublished findings that were of most interest to him.

“We can now look at the genetic progress made by the wool industry over past 50 years of selective breeding. In that time, we’ve been trying to make better, more productive sheep,” he said. “This gives us a resource to benchmark and compare.”

Dr Rickard is a post-doctoral McCaughey Research Fellow in the Sydney Institute of Agriculture. She is continuing the strong animal reproduction research tradition in veterinary and biological sciences at the University of Sydney through her work in the Animal Reproduction Group.

Dr Rickard did the original work to determine if the stored semen was viable for artificial insemination. This involved thawing the semen, which is stored as small pellets in large vats of liquid nitrogen at -196 degrees. She and her colleagues then undertook in vitro tests on the sperm quality to determine the motility, velocity, viability and DNA integrity of the 50-year-old sperm.

“What is amazing about this result is we found no difference between sperm frozen for 50 years and sperm frozen for a year,” Dr Rickard said.

Out of 56 ewes inseminated, 34 were successfully impregnated. This compares to recently frozen semen from 19 sires used to inseminate 1048 ewes, of which 618 were successfully impregnated. This gives a pregnancy rate of 61 percent for the 50-year-old semen against 59 percent for recently frozen sperm, a statistically equivalent rate.

The original semen samples were donated in the 1960s from sires owned by the Walker family. Those samples, frozen in 1968 by Dr Steven Salamon, came from four rams, including ‘Sir Freddie’ born in 1963, owned by the Walkers on their then property at Ledgworth.

The Walkers now run 8000 sheep at ‘Woolaroo’, at Yass Plains, and maintain a close and proud relationship with the animal breeding program at the University of Sydney.

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Materials provided by University of Sydney. Note: Content may be edited for style and length.

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