Health24.com | From a hole in her heart to the New York stage

At two years old, Tabitha Ellis was required to wear a face mask over her nose and mouth for 15 to 20 minutes, long enough for medicine and water vapour to flow through her compromised body.

And she had to endure this three times a day, sometimes plugging into an outlet wherever her family was when it was time for her treatment.

“It’s amazing the strength of a kid who doesn’t want that,” said her father, Todd Ellis.

Todd had little choice but to force his daughter to stick with the schedule.

While 8 in 1 000 babies have a heart defect at birth, some heal on their own or aren’t problematic. Tabitha was among the unfortunate. A hole between her two main heart chambers never closed, causing a myriad of health problems – and logistics issues.

Her family lived on a military base and moved every 10 months to 3 years. They couldn’t find a childcare centre that would take Tabitha and her breathing machine, so her mother quit working to care for the girl full time.

Cardiologists monitored her frequently, as Tabitha struggled to grow. Around 2 1/2, doctors noticed a problem in a V-shaped part of the aorta known as the aortic arch. There was an aneurysm, a weakening in her artery that caused it to bulge, likely due to her heart working harder than usual to pump blood.

Doctors in Texas performed a surgery that patched the hole. They also replaced a heart valve leading to her lungs that had been leaking.

Tabitha came out of the surgery a new person.

The quiet girl couldn’t stop talking. The low-energy girl was active and playful.

Great as it sounds, this presented new challenges. Because, at this point, doctors said she was still fragile. She tired more easily than other kids and had to be careful not to get hit in the chest.

“I remember not being able to play outside or have recess,” Tabitha said. “I couldn’t do all the stuff that other kids could do.”

Freed from the shackles of the breathing machine, the Ellis family began living a more normal life, including hiking and camping. Sometimes Tabitha tired and Todd had to carry her on his shoulders; it was a tradeoff he gladly made.

Doctors finally loosened the reins in high school, clearing her for normal activities unless she experienced problems. That’s all it took for Tabitha. If there was an extracurricular activity she couldn’t do before, she signed up.

She joined the cheerleading team as their “flier,” the one on top of the pyramid who gets thrown in the air.

She swam competitively for four years; she ran track for two years, before realising that her decreased stamina held her back.

She joined the boys’ lacrosse team, winning the coach’s award for her attitude, improvement and effort.

All was going well until her senior year.

While watching a movie in psychology class, she noticed tingling in her arm. Soon, it extended down the side of her body. She suddenly felt she couldn’t move, like a boulder weighed her down, and she couldn’t talk. While it felt like it lasted for hours, it was only a few minutes.

At the hospital, all indications were that she probably had a mini stroke. But tests showed no evidence of it. There was nothing for the doctors to do but advise her to watch for future symptoms. A decade later, Tabitha is grateful she hasn’t had a recurrence.

Tabitha, now 27, is an actress in New York City, and has worked with composer David Foster and director Garry Marshall.

“I’m not sure she would have done half the things she’s done if not for (her heart problem). It made her fearless,” Todd said. “A lot of kids might not try something, but Tabitha always said, ‘Let’s try it – the worst thing that can happen is I fail.’ “

Tabitha’s heart condition taught her that every day is a gift and everybody has their own problems. She’s been volunteering for the American Heart Association since she was 10, helping at runs in her younger years, and speaking at events as an adult.

She recently shared her story and advocated for global healthcare access at the United Nations.

“A lot of people are affected by cardiac issues like mine,” she said. “It’s nice to meet others who have similar stories.”

Share Button

HIV/Aids: China reports 14% surge in new cases

The vast majority of new cases were transmitted through sex. not blood transfusion as in the past.

Share Button

Health24.com | Smoking and drinking a double whammy for teen arteries

Teens who drink or smoke already have stiffening arteries, and the risk is highest for those who are both heavy smokers and heavy drinkers, a new study reports.

Arterial stiffening is a sign of blood vessel damage that increases the chances for heart attack and stroke later in life. The good news is that teens can reverse this damage if they stop smoking and drinking, the researchers said.

‘Binge drinking’ more harmful

The British researchers looked at the smoking and drinking habits of 1 300 teens in the United Kingdom at ages 13, 15 and 17. The youths also underwent tests of arterial stiffness.

Those who said they had ever smoked at least 100 cigarettes had 3.7% more arterial stiffening than those who reported smoking 20 cigarettes or less.

The study was published in the European Heart Journal.

Among teens who drank alcohol, those who preferred beer over wine or spirits, and those who tended to “binge drink” (more than 10 drinks in a typical drinking day) had 4.7% more stiffening of their arteries compared to light drinkers.

Teens who were the heaviest smokers and drinkers had 10.8% more stiffening of their arteries than those who had never smoked and who never or rarely drank, according to the study.

Damage can be reversed

The findings show that “drinking and smoking in adolescence, even at lower levels compared to those reported in adult studies, is associated with arterial stiffening and atherosclerosis progression,” said senior author Dr John Deanfield. He is a professor of cardiology at the Institute of Cardiovascular Science at University College London.

“However, we also found that if teenagers stopped smoking and drinking during adolescence, their arteries returned to normal, suggesting that there are opportunities to preserve arterial health from a young age,” Deanfield added in a college news release.

Marietta Charakida is a clinical senior lecturer at King’s College London who worked on the study while at the Institute of Cardiovascular Science.

“Injury to the blood vessels occurs very early in life as a result of smoking and drinking and the two together are even more damaging,” she said in the release.

“Although studies have shown teenagers are smoking less in recent years, our findings indicated approximately one in five teenagers were smoking by the age of 17. In families where parents were smokers, teenagers were more likely to smoke,” Charakida said.

Share Button

EpiPen users told they can use some devices past normal expiry date

People with severe allergies are advised they can extend their use of certain devices by four months.

Share Button

Health24.com | Coming soon, computers that will read your heart tests

Tapping into the technology behind facial recognition programs and self-driving cars, researchers in a new study have taught computers key elements of assessing echocardiograms.

The advance might simplify an otherwise extensive process now done by humans.

Researchers created algorithms to recognise images and potential heart problems that echocardiograms commonly capture, including enlarged chambers, diminished pumping function and even some uncommon diseases.

The computers accurately identified thousands of echocardiogram images and came up with measurements on them that were “comparable with or superior to manual measurements,” according to authors of the study, published Monday in the journal Circulation.

Echocardiograms help doctors evaluate heart function by using sound waves to create snapshots of every part of the organ.

Because they don’t give off radiation and can be given easily in a medical office, they’re a popular imaging choice to diagnose heart disease.

But, Dr Rahul Deo, the study’s senior author, said they’re not done enough because the process of assessing results is long and taxing.

“It can be tedious to collect everything and interpret all that information. You need specialists on both ends, both to acquire the data and to interpret it, so it often becomes a tool that’s used when there are already symptoms or when (heart) disease has sort of already progressed,” said Deo, chief data scientist at One Brave Idea, an organisation centered on finding new ways to fight heart disease. It is partially funded by the American Heart Association.

Conditions such as diabetes and high blood pressure, risk factors for cardiovascular disease, often change the structure and function of the heart muscle years before the onset of any symptoms, he said.

“We wanted to figure out how to get studies done at an earlier level… picking up severe cases earlier on, even when people don’t have any symptoms.”

Looking at 14 035 echocardiograms, collected over 10 years from a University of California San Francisco database, researchers fed 23 views of each heart chamber from every test into a computer algorithm.

They also provided labels for every specific, identifiable image captured.

The result was a set of programs that, ultimately, independently identified images, provided measurements and spotted potential problems.

Deo said automating echocardiogram interpretation could help “democratise” the tests, allowing them to be conducted in more settings, such as primary care offices or rural areas that lack cardiologists and other medical specialists.

An estimated 7.7 million echocardiograms were performed in US hospitals from 2001 to 2011, a period that saw the use of the tests grow at an average annual rate of 3.41%, according to one study.

The process of assessing echocardiograms is still a long way off before there’s no longer a need for human expertise, said Dr Mario Garcia, chief of cardiology at Montefiore Medical Center in New York City.

“To arrive at a diagnosis and decide upon a treatment, you need not only the interpretation of the images, but you need to know the patient’s symptoms and incorporate that with other medical information that’s available – like what’s the patient’s blood pressure, and what have other tests that have been conducted show?” said Garcia, who was not part of the study.

Garcia, who estimates his hospital conducts anywhere between 25 000 to 30 000 echocardiograms a year, said the accuracy of the automated measurements in the study demonstrate “a real advancement” in technology, but disease detection isn’t foolproof.

“You may have the diagnosis being made correctly 85% of the time, but what do you do in the other 15% if you are wrong?” he said. “A 15% error in medicine is not an acceptable rate.”

Garcia compared it to the automation of the stock market over the past several decades.

“The development of computers was important for getting data in the stock market,” he said, “but deciding whether to use that data to actually make an investment still requires a human being.”

Share Button

Health24.com | 6 ways to a healthy heart

The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. If you are experiencing symptoms or need health advice, please consult a healthcare professional. See additional information.

Share Button

Bacterial protein mimics DNA to sabotage cells’ defenses

Infections with Salmonella bacteria, often caused by eating or handling undercooked meat or eggs, affect about 100 million people a year worldwide. The suffering the infection causes — abdominal cramps, fever and diarrhea — is the result of an extremely precise set of molecular interactions between the bacterium and the infected human’s cells. In a new study published in the Journal of Biological Chemistry, researchers at Imperial College London and the Francis Crick Institute report some of the details of how Salmonella shuts down an immune pathway after infection.

When a pathogen like Salmonella enterica infects a cell, the cell activates a series of signals, culminating in certain genes being turned on to activate protective immune responses. One group of proteins that turn on immune-related genes is known as the NF-kappaB transcription factors. Salmonella, however, produces its own set of proteins that stop this from happening.

“These (bacterial proteins) function as a molecular pair of scissors, cutting up NF-kappaB transcription factors and thereby sabotaging the infected cells’ immune response,” said Teresa Thurston, the investigator at Imperial who oversaw the work.

These sabotage proteins, collectively called zinc metalloprotease effector proteins, act surprisingly delicately for saboteurs. In the human cells that Salmonella enterica infects, there are five different types of NF-kappaB proteins, but the Salmonella effectors cut up only three of them, leaving the other two untouched.

“The interaction between the host and the pathogen is very complex,” Thurston said. “So what I think this selectivity means is that (the bacterial proteins) are able to affect a particular arm of the immune response while keeping other arms untouched. And, in that way, they’re really fine-tuning the host immune response rather than having a blanket bomb-out effect.”

Thurston’s team, led by graduate student Elliott Jennings, wanted to understand how these bacterial proteins were able to behave so accurately on a molecular level. To do so, the team produced a detailed 3-D structure of one of them, both alone and in complex with a human NF-kappaB protein.

They found a sophisticated mechanism of molecular sabotage. The NF-kappaB transcription factors do their job of turning on immune system genes by binding to DNA at specific locations. The Salmonella effector proteins take on the approximate shape and electrical charge of the DNA backbone, essentially tricking NF-kappaB proteins to stick to them instead; once this happens, the Salmonella protein cuts up the NF-kappaB protein.

The precision with which this occurs — targeting only three out of five NF-kappaB proteins — is strongly determined by the way the bacterial effectors interact with a single amino acid in the targeted NF-kappaB proteins.

“With a single change in the amino acid sequence, we could create a target that could no longer be cut,” Thurston said. “Also vice versa: After changing just one amino acid, (the effector) was then able to cleave a protein that was not normally targeted.”

In other words, the bacterial proteins distinguish between the human proteins based on just one specific amino acid.

Together, these findings contribute to a complex picture of how Salmonella runs roughshod over its human host by carefully breaking key molecules in immune signaling pathways.

“Maybe once we have a complete picture of how bacteria get one over their hosts, we can shift the balance in favor of the host,” Thurston said. “In the case of Salmonella infection, this could be important, as many of the fatalities are associated with immune-compromised patients.”

Share Button

Experimental Martian dirt: $20 a kilogram, plus shipping

The University of Central Florida is selling Martian dirt, $20 a kilogram plus shipping.

This is not fake news. A team of UCF astrophysicists has developed a scientifically based, standardized method for creating Martian and asteroid soil known as simulants.

The team published its findings this month in the journal Icarus.

“The simulant is useful for research as we look to go to Mars,” said Physics Professor Dan Britt, a member of UCF’s Planetary Sciences Group. “If we are going to go, we’ll need food, water and other essentials. As we are developing solutions, we need a way to test how these ideas will fare.”

For example, scientists looking for ways to grow food on Mars — cue the Martian movie — need to test their techniques on soil that most closely resembles the stuff on Mars.

“You wouldn’t want to discover that your method didn’t work when we are actually there,” Britt said. “What would you do then? It takes years to get there.”

UCF’s formula is based on the chemical signature of the soils on Mars collected by the Curiosity rover. Britt built two calibration targets that were part of Curiosity rover. Researchers currently use simulants that aren’t standardized, so any experiment can’t be compared to another in an apples-to-apples kind of way, Britt said.

As a geologist and a physicist, he knows his dirt. Like a recipe, the ingredients can be mixed in different ways to mimic soil from various objects, including asteroids and planets. And because the formula is based on scientific methods and is published for all to use, even those not ordering through UCF can create dirt that can be used for experiments, which reduces the uncertainty level.

Kevin Cannon, the paper’s lead author and a post-doctoral researcher who works with Britt at UCF, says there are different types of soil on Mars and on asteroids. On Earth, for example, we have black sand, white sand, clay and topsoil to name a few. On other worlds, you might find carbon-rich soils, clay-rich soils and salt-rich soils, he added.

“With this technique, we can produce many variations,” Cannon said. “Most of the minerals we need are found on Earth although some are very difficult to obtain.”

Cannon is in Montana to collect ingredients for a moon simulant this week. Moon and asteroid materials are rare and expensive on Earth since they arrived via meteorites in small amounts. That’s why asteroid and moon simulants are also on the list of items that can be ordered. The UCF team can mimic most ingredients and will substitute for any potentially harmful materials. All simulants produced in the lab, meet NASA’s safety standards.

Britt and Cannon believe there is a market for the simulant. At $20 a kilogram, plus shipping, it may be easier to send UCF an order, than to try and make it in labs across the nation.

The team already has about 30 pending orders, including one from Kennedy Space Center for half a ton.

“I expect we will see significant learning happening from access to this material,” Britt said.

Cannon believes it will help accelerate the drive to explore our solar system as demonstrated by investments already being made by Space X, Blue Origin and other private companies.

For Cody Schultz, a mechanical engineering senior, getting to work on the experimental soil has been “very cool.”

“For someone who has always loved space science, this is the ultimate cool,” he said. “And the experience is fantastic in terms of the real world … out-of-this-world experience.”

Story Source:

Materials provided by University of Central Florida. Original written by Zenaida Gonzalez Kotala. Note: Content may be edited for style and length.

Share Button

Did key building blocks for life come from deep space?

All living beings need cells and energy to replicate. Without these fundamental building blocks, living organisms on Earth would not be able to reproduce and would simply not exist.

Little was known about a key element in the building blocks, phosphates, until now. University of Hawaii at Manoa researchers, in collaboration with colleagues in France and Taiwan, provide compelling new evidence that this component for life was found to be generated in outer space and delivered to Earth in its first one billion years by meteorites or comets. The phosphorus compounds were then incorporated in biomolecules found in cells in living beings on Earth.

The breakthrough research is outlined in “An Interstellar Synthesis of Phosphorus Oxoacids,” authored by UH Manoa graduate student Andrew Turner, now assistant professor at the University of Pikeville, and UH Manoa chemistry Professor Ralf Kaiser in the September issue of Nature Communications.

According to the study, phosphates and diphosphoric acid are two major elements that are essential for these building blocks in molecular biology. They are the main constituents of chromosomes, the carriers of genetic information in which DNA is found. Together with phospholipids in cell membranes and adenosine triphosphate, which function as energy carriers in cells, they form self-replicating material present in all living organisms.

In an ultra-high vacuum chamber cooled down to 5 K (-450°F) in the W.M. Keck Research Laboratory in Astrochemistry at UH Manoa, the Hawaii team replicated interstellar icy grains coated with carbon dioxide and water, which are ubiquitous in cold molecular clouds, and phosphine. When exposed to ionizing radiation in the form of high-energy electrons to simulate the cosmic rays in space, multiple phosphorus oxoacids like phosphoric acid and diphosphoric acid were synthesized via non-equilibrium reactions.

“On Earth, phosphine is lethal to living beings,” said Turner, lead author. “But in the interstellar medium, an exotic phosphine chemistry can promote rare chemical reaction pathways to initiate the formation of biorelevant molecules such as oxoacids of phosphorus, which eventually might spark the molecular evolution of life as we know it.”

Kaiser added, “The phosphorus oxoacids detected in our experiments by combination of sophisticated analytics involving lasers, coupled to mass spectrometers along with gas chromatographs, might have also been formed within the ices of comets such as 67P/Churyumov-Gerasimenko, which contains a phosphorus source believed to derive from phosphine.” Kaiser says these techniques can also be used to detect trace amounts of explosives and drugs.

“Since comets contain at least partially the remnants of the material of the protoplanetary disk that formed our solar system, these compounds might be traced back to the interstellar medium wherever sufficient phosphine in interstellar ices is available,” said Cornelia Meinert of the University of Nice (France).

Upon delivery to Earth by meteorites or comets, these phosphorus oxoacids might have been available for Earth’s prebiotic phosphorus chemistry. Hence an understanding of the facile synthesis of these oxoacids is essential to untangle the origin of water-soluble prebiotic phosphorus compounds and how they might have been incorporated into organisms not only on Earth, but potentially in our universe as well.

Turner and Kaiser worked with Meinert and Agnes Chang of National Dong Hwa University (Taiwan) on this project.

Story Source:

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

Share Button

New way to control meandering electrons and generate extreme-ultraviolet emissions

A team at the Center for Relativistic Laser Science, within the Institute for Basic Science (IBS), has found a completely new way to generate extreme-ultraviolet emissions, that is light having a wavelength of 10 to 120 nanometers. Published in Nature Photonics, this method is expected to find applications in imaging with nanometer resolution, next-generation lithography for high precision circuit manufacturing, and ultrafast spectroscopy.

Until recently, the motion of electrons at the atomic scale was inscrutable and inaccessible. Lasers with ultrafast pulses have provided tools to monitor and control electrons with sub-atomic resolution, and has allowed scientists to get familiar with real-time electron dynamics. One of the new possibilities is to use these laser pulses to generate customized emissions.

Emission are the outcome of meandering excited electrons. When a strong laser light shines on helium atoms, their electrons are free to temporarily escape from their parent atoms. As the laser is turned off, on the way back, these meandering electrons could either recombine with their parents straight away, or keep on “floating” nearby. The fast return of electrons is part of the high-harmonic generation, while the “floating” is called frustrated tunneling ionization (FTI). In both cases, the net result is the emission of light with a specific wavelength. In this study, IBS researchers have produced coherent extreme-ultraviolet radiation via FTI for the first time.

IBS researchers were able to control the trajectory of electrons by manipulating characteristics of the laser pulse. In FTI, the electrons travel a much longer trajectory than in high harmonic generation, and thus are more sensitive to variations of the laser pulse. For example, the team were able to control the direction of the emitted radiation by playing with the wavefront rotation of the laser beam (using spatially chirped laser pulses).

“We used IBS’ state-of-the-art laser technology to control the movement of the meandering electrons. We could identify a completely new coherent extreme-ultraviolet emission that was generated. We understood the fundamental mechanism of the emission, but there are still many things to investigate, such as phase matching and divergence control issues. These issues should be solved to develop a strong extreme-ultraviolet light source. Also, it is an interesting scientific issue to see whether the emission is generated from molecules, as it could provide information on the molecular structure and dynamics,” explains the group leader, KIM Kyung Taec.

Story Source:

Materials provided by Institute for Basic Science. Original written by Letizia Diamante. Note: Content may be edited for style and length.

Share Button