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Category Archives: Mind Building
Tax junk food high in sugar and salt, says top doctor
The food industry is “failing the public” and must do more, England’s chief medical officer says.
‘Drunk tanks’ to ease NHS pressure
It is hoped that providing supervised units for revellers who have over-indulged will free up A&E staff.
AIDS: An approach for targeting HIV reservoirs
Current HIV treatments need to be taken for life by those infected as antiretroviral therapy is unable to eliminate viral reservoirs lurking in immune cells. Institut Pasteur scientists have identified the characteristics of CD4 T lymphocytes that are preferentially infected by the virus — it is their metabolic (or energy-producing) activity that enables the virus to multiply. Thanks to metabolic activity inhibitors, the researchers have managed to destroy these infected cells, or “reservoirs,” ex vivo. Their findings were published in the journal Cell Metabolism on December 20, 2018.
The antiretroviral treatment used today is designed to block HIV infection but it is not able to eliminate the virus from the body. The virus remains in reservoirs — the CD4 T lymphocyte immune cells, the main targets of HIV. However, the virus does not infect all types of CD4 cell and until now the reason for this was not well known. In this study, scientists from the HIV, Inflammation and Persistence Unit at the Institut Pasteur and colleagues have identified the characteristics of the different CD4 subpopulations, which are associated with HIV infection.
The more the CD4 cells are differentiated, or experienced, the more they need to produce energy to perform their function. Experiments have shown that it is the metabolic activity of the cell, and in particular its glucose consumption, that plays a key role in susceptibility to HIV infection. The virus primarily targets cells with high metabolic activity. To multiply, it hijacks the energy and products provided by the cell.
This requirement constitutes a weakness for the virus and could be exploited to tackle infected cells. Scientists succeeded in blocking the infection ex vivo thanks to metabolic activity inhibitors that have already been investigated in cancer research.
“We have observed ex vivo that, thanks to certain metabolic inhibitors, the virus is no longer able to infect cells and amplification is halted in reservoirs of patients receiving antiretroviral treatment.”
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For gait transitions, stability often trumps energy savings
A dog’s gait, according to the American Kennel Club, is “the pattern of footsteps at various rates of speed, each distinguished by a particular rhythm and footfall.” When dogs trot, for example, the right front leg and the left hind leg move together. This is an intermediate gait, faster than walking but slower than running.
In the December 12, 2018 issue of the Proceedings of the Royal Society B, a multi-institutional team of researchers based at the University of Chicago Medicine take a novel and wide-ranging approach to understanding such speed-related gait transitions. The generally accepted approach has long focused on reducing locomotor costs, essentially finding the least taxing way to ramp up from one gait to a faster one without wasting energy.
The researchers, however, uncovered a different explanation. They chose to focus less on energy conservation and more on locomotor instability — in layman’s terms, reducing the risk of stumbling or toppling over. Their findings suggest that gait transitions represent “predictive, anticipatory switching of movements to minimize unstable dynamic states.”
“We found that gait transitions occur when the stability of a gait decreases so much that switching to a new gait improves stability,” said Michael Granatosky, PhD, lead author of the study and a post-doctoral student in the department of Organismal Biology and Anatomy at the University of Chicago. “The mammals and birds we studied tend to make gait transitions at critical points to provide a more rhythmic, less unstable locomotor state.”
These transitions, he added, can minimize “high inter-stride variation and unstable dynamic states, reducing the risk of inter-limb interference, such as tripping or falling.”
This wide-ranging study focused on gait transitions in nine animal models — seven mammals and two birds. The researchers started with Virginia opossums, tufted capuchins (“organ grinder” monkeys) and domestic dogs.
They subsequently found similar data on gait transitions in six additional species: American minks, Australian water rats, brush-tailed bettongs (small marsupials also known as rat kangaroos), ostriches, North American river otters and the Svalbard rock ptarmigan.
All of the initial animals — dogs, monkeys and opossums — were trained to exercise at a range of speeds on a treadmill within a plexiglass metabolic chamber. This familiarized the animals with the treadmills while improving their physical fitness. By the end of the training period, all of the animals could sustain six to ten minutes of vigorous running at “speeds required for metabolic movements.”
Once the training was completed, the researchers began testing. They monitored oxygen uptake, carbon-dioxide production, temperature, moisture levels, barometric pressure and air flow. Each animal ran in the chamber two to five times a day. From these metrics it was possible to determine the energetic costs of running at a particular speed.
These energetic costs were collected over a range of speeds during walking and running. Variations in stride cycle duration were collected for each speed interval.
Based on the data collected from this broad phylogenetic range of species, the authors determined that the assumptions of the energetic minimization hypothesis for gait transitions were rarely met.
Instead, most animals choose not to switch gaits when it was most energetically efficient. In this study, dogs, ptarmigans, ostriches and otters, showed no significant change in the energy cost of transport while switching from a walk to a faster mode. In contrast, almost all of the other species demonstrated high variability near gait transitions. They subsequently reduced variability after switching to a new more stable gait.
“Energy savings do not predict gait transition patterns,” the authors conclude. Instead, gait transitions “maintain dynamic stability across a range of speeds.”
“Our data,” the authors conclude, “suggest that gait transitions represent predictive, anticipatory switching of movement types to minimize high variability and avoid unstable dynamic states.” Birds and mammals, they added, appear to have evolved sensorimotor mechanisms for monitoring inter-stride stability during locomotion and for triggering gait transitions at critical levels of variation.

World’s smallest tic-tac-toe game board made with DNA
Move over Mona Lisa, here comes tic-tac-toe.
It was just about a year ago that Caltech scientists in the laboratory of Lulu Qian, assistant professor of bioengineering, announced they had used a technique known as DNA origami to create tiles that could be designed to self-assemble into larger nanostructures that carry predesigned patterns. They chose to make the world’s smallest version of the iconic Mona Lisa.
The feat was impressive, but the technique had a limitation similar to that of Leonardo da Vinci’s oil paints: Once the image was created, it could not easily be changed.
Now, the Caltech team has made another leap forward with the technology. They have created new tiles that are more dynamic, allowing the researchers to reshape already-built DNA structures. When Caltech’s Paul Rothemund (BS ’94) pioneered DNA origami more than a decade ago, he used the technique to build a smiley face. Qian’s team can now turn that smile into a frown, and then, if they want, turn that frown upside down. And they have gone even further, fashioning a microscopic game of tic-tac-toe in which players place their X’s and O’s by adding special DNA tiles to the board.
“We developed a mechanism to program the dynamic interactions between complex DNA nanostructures,” says Qian. “Using this mechanism, we created the world’s smallest game board for playing tic-tac-toe, where every move involves molecular self-reconfiguration for swapping in and out hundreds of DNA strands at once.”
Putting the Pieces Together
That swapping mechanism combines two previously developed DNA nanotechnologies. It uses the building blocks from one and the general concept from the other: self-assembling tiles, which were used to create the tiny Mona Lisa; and strand displacement, which has been used by Qian’s team to build DNA robots.
Both technologies make use of DNA’s ability to be programmed through the arrangement of its molecules. Each strand of DNA consists of a backbone and four types of molecules known as bases. These bases — adenine, guanine, cytosine, and thymine, abbreviated as A, T, C, and G — can be arranged in any order, with the order representing information that can be used by cells, or in this case by engineered nanomachines.
The second property of DNA that makes it useful for building nanostructures is that the A, T, C, and G bases have a natural tendency to pair up with their counterparts. The A base pairs with T, and C pairs with G. By extension, any sequence of bases will want to pair up with a complementary sequence. For example, ATTAGCA will want to pair up with TAATCGT.
However, a sequence can also pair up with a partially matching sequence. If ATTAGCA and TAATACC were put together, their ATTA and TAAT portions would pair up, and the nonmatching portions would dangle off the ends. The more closely two strands complement each other, the more attracted they are to each other, and the more strongly they bond.
To picture what happens in strand displacement, imagine two people who are dating and have several things in common. Amy likes dogs, hiking, movies, and going to the beach. Adam likes dogs, hiking, and wine tasting. They bond over their shared interest in dogs and hiking. Then another person comes into the picture. Eddie happens to like dogs, hiking, movies, and bowling. Amy realizes she has three things in common with Eddie, and only two in common with Adam. Amy and Eddie find themselves strongly attracted to each other, and Adam gets dumped — like a displaced DNA strand.
Eddie and Amy have more in common and their bond is stronger. As in DNA strand displacement, Amy leaves with Eddie
The other technology, self-assembling tiles, is more straightforward to explain. Essentially, the tiles, though all square in shape, are designed to behave like the pieces of a jigsaw puzzle. Each tile has its own place in the assembled picture, and it only fits in that spot.
In creating their new technology, Qian’s team imbued self-assembling tiles with displacement abilities. The result is tiles that can find their designated spot in a structure and then kick out the tile that already occupies that position. Whereas Eddie merely bonded with one person, causing another to be kicked to the curb, the tiles are more like an adopted child who connects so strongly with a new family that they take the title of “favorite” away from biological offspring.
“In this work, we invented the mechanism of tile displacement, which follows the abstract principle of strand displacement but occurs at a larger scale between DNA origami structures,” says Qian’s former graduate student Philip Petersen (PhD ’18), lead author of the study. “This is the first mechanism that can be used to program dynamic behaviors in systems of multiple interacting DNA origami structures.”
Let’s Play
To get the tic-tac-toe game started, Qian’s team mixed up a solution of blank board tiles in a test tube. Once the board assembled itself, the players took turns adding either X tiles or O tiles to the solution. Because of the programmable nature of the DNA they are made from, the tiles were designed to slide into specific spots on the board, replacing the blank tiles that had been there. An X tile could be designed to only slide into the lower left-hand corner of the board, for example. Players could put an X or and O in any blank spot they wanted by using tiles designed to go where they wanted. After six days of riveting gameplay, player X emerged victorious.
Obviously, no parents will be rushing out to buy their children a tic-tac-toe game that takes almost a week to play, but tic-tac-toe is not really the point, says Grigory Tikhomirov, senior postdoctoral scholar and co-first author of the study. The goal is to use the technology to develop nanomachines that can be modified or repaired after they have already been built.
“When you get a flat tire, you will likely just replace it instead of buying a new car. Such a manual repair is not possible for nanoscale machines,” he says. “But with this tile displacement process we discovered, it becomes possible to replace and upgrade multiple parts of engineered nanoscale machines to make them more efficient and sophisticated.”

Pharmacy chain leaks personal details of 24,000 workers
The UK’s biggest independent pharmacy chain admits leaking personal details of more than 24,000 employees.
Obama plays Santa at children’s hospital in Washington
Former US President Barack Obama plays Santa – delivering gifts, singing and greeting patients.
Health24.com | Violence at Limpopo health facilities on the rise
After the recent attacks and robberies at its facilities, the Limpopo Health Department continues to face a spate of violence attacks on health officials on duty.
Recently the department reported that a patient was arrested for assaulting an on-duty nurse at Siloam Hospital, in the Vhembe district. The incident took place just a day after health MEC, Dr Phophi Ramathuba had welcomed the arrest of a man who had assaulted another on duty nurse at Vaalwater Clinic last week. The incident of the man harassing and assaulting a nurse was captured on camera which prompted the MEC to visit the clinic to address the issue.
Responsibility to protect staff and facilities
According to the statement released by the department, the arrested man at Vaalwater Clinic became furious when the nursing staff refused go against health department policy by complying with his demands that they re-issue his companion with a second birth notification form. The department said that birth and death notification forms are issued once only for every individual case to avoid corruption and collusion. During her visit to Vaalwater, Ramathuba reassured the employees that her department is committed to protecting them under any circumstances.
“Community members have a responsibility to protect our staff and facilities, even where they think there are misunderstandings. If they are not satisfied with the kind of service they receive, they need to escalate complaints to us as the authorities so that we deal with them. If someone from the public dares assault them, we will have to have them arrested,” she said.
In recent weeks, several medical doctors have been attacked and robbed in their residences at various hospitals in the province. Some of the clinics in the province have since stopped operating after hours for safety reasons, believing they are vulnerable to attack after hours.
It is still not clear what led to the recent alleged assault against an on-duty nurse at Siloam. -Health-e News.
Image credit: iStock
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Health24.com | How to deal with a stomach bug if you’re afraid of vomiting
A stomach bug is caused by a viral infection, spreads easily and often involves unpleasant symptoms such as nausea, vomiting diarrhoea and abdominal cramps. As nasty as it is, catching a stomach bug (often caused by the norovirus) is a common occurrence that usually passes in a couple of days.
Unfortunately, for those with severe emetophobia (a fear of vomiting or vomit) the mere thought or anticipation of a stomach bug can be petrifying to the extent that they are scared of living their life.
“But no-one likes getting sick!” people with severe emetophobia are often told. According to Psychology Today, emetophobia is common, especially among children. It involves severe anxiety connected to the anticipation of vomiting, and is associated with a fear of losing control of the body.
Many people who suffer from emetophobia are in a constant quest to avoid stomach bugs. They battle to avoid restaurants, avoid alcohol and are extremely germophobic. They often throw away food well before the expiry date and constantly panic about the health of family, friends and colleagues in case they might be sick.
But being hypervigilant will never entirely eliminate the chance of contracting a stomach bug or a foodborne illness. It tends to happen from time to time. Vomiting is a normal bodily response to rid the gut of toxins, and making peace with the possibility of it happening is the best course of action. Here’s how to go about it:
1. Tackle the phobia first
According to the Anxiety and Depression Association of America (ADAA), emetophobia, like any other phobia, is best treated with cognitive behavioural therapy (CBT) and exposure and response prevention (ERP). During these treatments, you will be giving practical coping mechanisms to deal with the fear of vomiting. Acknowledge your fear and don’t be embarrassed about it – many people suffer from emetophobia.
Also try to figure out what exactly triggers your emetophobia, whether it’s scenes of vomiting on TV, the smells, the sound or hearing about stomach illness in your immediate area. Discuss your treatment option with your doctor or visit the South African Depression and Anxiety Group (SADAG) for helpful guides and contacts.
2. Keep medication at hand
Emetophobia can often cause actual nausea because of the body’s response to fear. Talk to your doctor about prescribing an anti-emetic, which can help prevent nausea in a panic situation and anti-anxiety medication, such as alprazolam, citalopram or lorazepam, to help you deal with the fear. Even though these don’t target the stomach bug, they might help in a situation where you are sick and constantly apprehensive of vomiting.
3. Eat bland foods and drink clear liquids
As soon as you feel the onset of a stomach condition, you can ease your gut by following the BRAT diet (bananas, rice, apple sauce and toast). As these will settle your stomach when you already feel rough, you can rest assure that you are in control of the illness and not allowing anything to aggravate your symptoms.
Stay hydrated and stick to clear fluids such as water, herbal tea and ginger ale. Ginger is a great natural remedy to combat nausea – strain a knob of ginger in warm water or keep ginger tea in the kitchen cupboard.
4. Practice good hygiene
When there is a particularly bad strain of the norovirus going around, the office might not be the best place to be. Gain control by washing your hands frequently and wiping your desk and shared spaces with antibacterial wipes.
Now is the time to put any therapy that you might have received in use. Apart from practical measures, bear in mind that getting sick is normal and that illnesses usually don’t last that long.
5. Keep your gut strong
The microbes in the lower intestinal tract help you to digest your food and also help to keep your immune system strong. When the gut becomes unbalanced, probiotics can help restore a healthy balance, according to the Harvard Medical School. Probiotics can help to prevent disease-causing pathogens from gaining a foothold.
You can also ingest probiotics through fermented foods such as yoghurt or fermented vegetables (pickles, kimchi or sauerkraut).
Image credit: iStock



