Alison Abbott Two years ago, Jennifer Li and Drew Robson were trawling through terabytes of data from a zebrafish-brain experiment when they came across a handful of cells that seemed to be psychic. The two neuroscientists had planned to map brain activity while zebrafish larvae were hunting for food, and to see how the neural chatter changed. It was their first major test of a technological platform they had built at Harvard University in Cambridge, Massachusetts. The platform allowed them to view every cell in the larvae’s brains while the creatures — barely the size of an eyelash — swam freely in a 35-millimetre-diameter dish of water, snacking on their microscopic prey. Out of the scientists’ mountain of data emerged a handful of neurons that predicted when a larva was next going to catch and swallow a morsel. Some of these neurons even became activated many seconds before the larva fixed its eyes on the prey1. Something else was strange. Looking in more detail at the data, the researchers realized that the ‘psychic’ cells were active for an unusually long time — not seconds, as is typical for most neurons, but many minutes. In fact, more or less the duration of the larvae’s hunting bouts. “It was spooky,” says Li. “None of it made sense.” Li and Robson turned to the literature and slowly realized that the cells must be setting an overall ‘brain state’ — a pattern of prolonged brain activity that primed the larvae to engage with the food in front of them. The pair learnt that, in the past few years, other scientists using various approaches and different species had also found internal brain states that alter how an animal behaves, even when nothing has changed in its external environment. © 2020 Springer Nature Limited

Keyword: Attention; Learning & Memory
Link ID: 27417 - Posted: 08.12.2020

Jon Hamilton The Food and Drug Administration has approved a variant of the anesthetic and party drug ketamine for suicidal patients with major depression. The drug is a nasal spray called Spravato and it contains esketamine, a chemical cousin of ketamine. In 2019, the FDA approved Spravato for patients with major depressive disorder who hadn't responded to other treatments. Now, the agency is adding patients who are having suicidal thoughts or have recently attempted to harm themselves or take their own lives. "Spravato is the first approved antidepressant medication that's been able to demonstrate a reduction in symptoms of major depressive disorder within 24 hours after the first dose," says Dr. Michelle Kramer, a psychiatrist and vice president of U.S. neuroscience, medical affairs at Janssen Pharmaceuticals, which makes the drug. Janssen is part of Johnson & Johnson. The drug's quick action is potentially important for suicidal patients because "existing drugs typically can take weeks or longer before you really get noticeable clinical benefit," says Dr. Gerard Sanacora, a professor of psychiatry at Yale University and director of Yale's depression research program. He was involved in the studies leading to the FDA approval and has consulted for Janssen. So a dose of esketamine "could potentially get a person out of a difficult, horrible situation when they're feeling so overwhelmed," says Dr. Charles Conway, a professor of psychiatry at Washington University School of Medicine in St. Louis who wasn't involved in the study. "This could be a significant improvement in how we can help people who have intense suicidal thinking." © 2020 npr

Keyword: Depression; Drug Abuse
Link ID: 27416 - Posted: 08.12.2020

Children wearing multifocal contact lenses had slower progression of their myopia, according to results from a clinical trial funded by the National Eye Institute, part of the National Institutes of Health. The findings support an option for controlling the condition, also called nearsightedness, which increases the risk of cataracts, glaucoma and retinal detachment later in life. Investigators of the Bifocal Lenses In Nearsighted Kids (BLINK) Study published the results August 11 in JAMA(link is external). “It is especially good news to know that children as young as 7 achieved optimal visual acuity and got used to wearing multifocal lenses much the way they would a single vision contact lens. It’s not a problem to fit younger kids in contact lenses. It’s a safe practice,” said BLINK study chair, Jeffrey J. Walline, O.D., Ph.D., associate dean for research at the Ohio State University College of Optometry Myopia occurs when a child’s developing eyes grow too long from front to back. Instead of focusing images on the retina—the light-sensitive tissue in the back of the eye—images of distant objects are focused at a point in front of the retina. As a result, people with myopia have good near vision but poor distance vision. Single vision prescription glasses and contact lenses are used to correct myopic vision but fail to treat the underlying problem. Multifocal contact lenses – typically used to improve near vision of people over the age of 40 years – correct myopic vision in children while simultaneously slowing myopia progression by slowing eye growth.

Keyword: Vision
Link ID: 27415 - Posted: 08.12.2020

Elizabeth Landau Carmen Sandi recalls the skepticism she faced at first. A behavioral neuroscientist at the Swiss Federal Institute of Technology in Lausanne, she had followed a hunch that something going on inside critical neural circuits could explain anxious behavior, something beyond brain cells and the synaptic connections between them. The experiments she began in 2013 showed that neurons involved in anxiety-related behaviors showed abnormalities: Their mitochondria, the organelles often described as cellular power plants, didn’t work well — they produced curiously low levels of energy. Those results suggested that mitochondria might be involved in stress-related symptoms in the animals. But that idea ran contrary to the “synapto-centric” vision of the brain held by many neuroscientists at the time. Her colleagues found it hard to believe Sandi’s evidence that in anxious individuals — at least in rats — mitochondria inside key neurons might be important. “Whenever I presented the data, they told me, ‘It’s very interesting, but you got it wrong,’” Sandi said. Yet a growing number of scientists have joined her during the past decade or so in wondering whether mitochondria might be fundamental not just to our general physical well-being but specifically to our mental health. In particular, they have explored whether mitochondria affect how we respond to stress and conditions like anxiety and depression. Carmen Sandi, a behavioral neuroscientist at the Swiss Federal Institute of Technology in Lausanne, suspected that a deficit in cellular energy might explain the lack of motivation that anxiety-prone people experience. © 2020 Simons Foundation

Keyword: Stress; Depression
Link ID: 27414 - Posted: 08.11.2020

By Laura Sanders When your brain stops working — completely and irreversibly — you’re dead. But drawing the line between life and brain death isn’t always easy. A new report attempts to clarify that distinction, perhaps helping to ease the anguish of family members with a loved one whose brain has died but whose heart still beats. Brain death has been a recognized concept in medicine for decades. But there’s a lot of variation in how people define it, says Gene Sung, a neurocritical care physician at the University of Southern California in Los Angeles. “Showing that there is some worldwide consensus, understanding and agreement at this time will hopefully help minimize misunderstanding of what brain death is,” Sung says. As part of the World Brain Death Project, Sung and his colleagues convened doctors from professional societies around the world to forge a consensus on how to identify brain death. This group, including experts in critical care, neurology and neurosurgery, reviewed the existing research on brain death (which was slim) and used their clinical expertise to write the recommendations, published August 3 in JAMA. In addition to the main guidelines, the final product included 17 supplements that address legal and religious aspects, provide checklists and flowcharts, and even trace the history of relevant medical advances. “Basically, we wrote a book,” Sung says. © Society for Science & the Public 2000–2020.

Keyword: Consciousness; Brain imaging
Link ID: 27413 - Posted: 08.11.2020

By Chimamanda Ngozi Adichie My daughter and I were playing tag, or a kind of tag. Before that, we traced the letter P and we danced to James Brown’s “I feel good,” a song she selected from the iPod. We laughed as we danced, she with a natural rhythm striking for a 4-year-old, and I with my irretrievable gracelessness. Next on our plan was “Sesame Street.” It was about 2 p.m. on May 28. A day complacent with the promise of no surprises, like all the other days of the lockdown, shrunken days with shriveled routines. “When coronavirus is over,” my daughter often said, words filled with yearning for her preschool, her friends, her swimming lessons. And I, amid snatches of joy and discovery, often felt bored, and then guilty for feeling boredom, in this expanded boundless role of parent-playmate. My daughter picked up a green balloon pump, squirted the air at me, and ran off, around the kitchen counter. When I caught her, squealing, it was her turn to chase me. I was wearing white slippers, from some hotel somewhere, back when international travel was normal. They felt soft and thin-soled. I recall all these clearly, because of all the things I will be unable to recall later. I turned away from the kitchen to make the chase longer and something happened. I slipped or I tripped or my destiny thinned and I fell and hit my head on the hardwood floor. At the beginning of the stay-at-home order, plagued by amorphous anxieties, I taught my daughter how to call my doctor husband at work. Just in case. My daughter says that after I fell I told her, “Call Papa.” My husband says I spoke coherently. I told him that I fell and that the pain in my head was “excruciating,” and when I said “excruciating,” I seemed to wince. He says he asked my daughter to get me the ice pack in the freezer and that I said, “Thank you, baby,” when she gave it to me. I do not remember any of this.

Keyword: Learning & Memory; Brain Injury/Concussion
Link ID: 27412 - Posted: 08.11.2020

By Simon Makin New research could let scientists co-opt biology's basic building block—the cell—to construct materials and structures within organisms. A study, published in March in Science and led by Stanford University psychiatrist and bioengineer Karl Deisseroth, shows how to make specific cells produce electricity-carrying (or blocking) polymers on their surfaces. The work could someday allow researchers to build large-scale structures within the body or improve brain interfaces for prosthetic limbs. In the medium term, the technique may be useful in bioelectric medicine, which involves delivering therapeutic electrical pulses. Researchers in this area have long been interested in incorporating polymers that conduct or inhibit electricity without damaging surrounding tissues. Stimulating specific cells—to intervene in a seizure, for instance—is much more precise than flooding the whole organism with drugs, which can cause broad side effects. But current bioelectric methods, such as those using electrodes, still affect large numbers of cells indiscriminately. The new technique uses a virus to deliver genes to desired cell types, instructing them to produce an enzyme (Apex2) on their surface. The enzyme sparks a chemical reaction between precursor molecules and hydrogen peroxide, infused in the space between cells; this reaction causes the precursors to fuse into a polymer on the targeted cells. “What's new here is the intertwining of various emerging fields in one application,” says University of Florida biomedical engineer Kevin Otto, who was not involved in the research but co-authored an accompanying commentary in Science. “The use of conductive polymers assembled [inside living tissue] through synthetic biology, to enable cell-specific interfacing, is very novel.” © 2020 Scientific American

Keyword: Development of the Brain; Epigenetics
Link ID: 27411 - Posted: 08.11.2020

by Laura Dattaro Extra repeating bits of DNA may account for nearly 3 percent of the genetic architecture of autism, according to a new study1. The work is the first to examine such genetic variants in autism on a large scale. About half of the identified repeating sections occur in genes that have not been previously linked to autism, suggesting new lines of inquiry for geneticists. “These genes are involved in autism, absolutely,” says study investigator Steve Scherer, professor of medicine at the University of Toronto in Canada. “Those [genes] will become diagnostic tests for the autism screening panel.” The researchers looked at areas of the genome with tandem repeats — stretches of 2 to 20 nucleotides, which are the ‘building blocks’ of DNA, that are repeated two or more times in one spot. These repeats can expand when they are passed down from parents to children: If a nucleotide, or combination of them, is repeated 10 times in a parents’ DNA, it may be repeated hundreds of times in their child, for example. The more a repeat expands, the more likely it is that it will disrupt the gene’s function. Some specific repeats are already associated with autism: About 5 percent of autistic people have fragile X syndrome, which is nearly always caused by the expansion of a particular repeat in the FMR1 gene. But less than a quarter of people with autism have a known genetic cause, even though twin studies suggest that autism is highly heritable2. © 2020 Simons Foundation

Keyword: Autism; Genes & Behavior
Link ID: 27410 - Posted: 08.11.2020

By Priyanka Runwal Everyone needs to cool off on a scorching summer day, even chimpanzees. Where do the primates go on sizzling days when woodlands and forests don’t provide respite from the heat? But not just any chimps. New research shows that on Senegal’s savannas, home to a population of chimpanzees that has long fascinated scientists for their distinct behaviors, you’re more likely to find mama chimps than adult males or non-lactating females hiding out in cool caves. Their visits coincided with the hottest times of day and became more frequent during the hottest months of the year, according to the study published last month in the International Journal of Primatology. They also made these visits despite the risks of encounters with predators, showing how important the locations are for helping them survive and bring up babies in a challenging landscape that is threatened by human activities. In southeastern Senegal, temperatures spike to 110 degrees Fahrenheit and fires burn large parts of the landscape over a seven-month dry season. Several natural cave formations pock the terrain, and they can be up to 55 degrees cooler than the surrounding grasslands. The region is also home to the northernmost population of western chimpanzees, a critically endangered subspecies that mostly lives in large swathes of open grasslands and woodlands in this area. In 2001, Jill Pruetz, a primatologist then at Iowa State University, gathered evidence of western chimpanzees using caves in the area, suspecting that they used them to escape the heat and possibly avoid heat stroke and other ill health effects of the dry season. But she reached few conclusions about whether all of the chimps used the caves as often as others. Kelly Boyer Ontl, a primatologist at Ball State University in Indiana and lead author of the new study, said, “I was really interested in finding out what chimpanzees are doing in caves, when are they using it and who’s going in there.” © 2020 The New York Times Company

Keyword: Evolution
Link ID: 27409 - Posted: 08.08.2020

By Hannah Sparks For communities with a low rate of depression and suicide, there may be something in the water, according to a new study. A comprehensive analysis of findings from previous studies has revealed that regions where the public drinking water contains a high level of naturally occurring lithium — a mineral used most often for the treatment of depression and bipolar disorder — also boast a lower rate of suicide than other areas. The review included all prior research on the effects of lithium, as well as regional water samples and suicide data from 1,286 locales in Austria, Greece, Italy, Lithuania, the UK, Japan and the United States. “Naturally occurring lithium in drinking water may have the potential to reduce the risk of suicide and may possibly help in mood stabilization, particularly in populations with relatively high suicide rates and geographical areas with a greater range of lithium concentration in the drinking water,” the authors concluded in their report. Denoted as “Li” on the periodic table, the element is found in varying concentrations in crops, rocks, soil and ground water — thus how it seeps into our water supply. In a statement on the King’s College London website, lead study author and chairman of epidemiology and public health at Brighton and Sussex Medical School Anjum Memon said, “It is promising that higher levels of trace lithium in drinking water may exert an anti-suicidal effect and have the potential to improve community mental health.” The results, published in the British Journal of Psychiatry, “are also consistent with the finding in clinical trials that lithium reduces suicide and related behaviors in people with a mood disorder,” said Allan Young, a professor at King’s College’s Institute of Psychiatry, Psychology & Neuroscience.

Keyword: Depression; Schizophrenia
Link ID: 27408 - Posted: 08.08.2020

Viviana Gradinaru Despite the wealth and quality of basic neuroscience research, there is still little we can do to treat or prevent most brain disorders. Industry efforts, meanwhile, have shied away from this field, particularly after a series of major drug candidates for the treatment of Alzheimer's disease failed to meet expectations (1). My previous research, which entailed developing and using optogenetics (2, 3) to understand how deep brain stimulation works in Parkinson's disease (PD) (4, 5), resulted in two key insights: We need to look and intervene earlier in brain disease progression, and we need to be able to access relevant cell populations with noninvasive yet precise tools to investigate, prevent, contain, or even reverse the course of disease. Accumulating evidence has highlighted a third insight: We may need to look beyond the brain to fully understand brain disorders (6, 7). My goal has been to develop an effective toolkit for neuromodulation so we can start to bridge the gap between what we know and what we can do to treat the brain. To achieve minimally invasive optogenetic-mediated modulation, we need to be able to penetrate the blood–brain barrier (BBB) so that vectors can be delivered systemically rather than through intracranial injections and address the poor reach of visible light through tissue so that large tissue volumes can be recruited without implantation of optical fibers. For early intervention, we need to get past the neuronal and brain-centric view of neurological disease. © 2020 American Association for the Advancement of Science

Keyword: Schizophrenia; Depression
Link ID: 27407 - Posted: 08.08.2020

By Nicholas Bakalar The incidence of hip fracture has decreased steadily over the past 40 years, but a new analysis suggests that new osteoporosis drugs have made only a small contribution to the trend. The report, published in JAMA Internal Medicine, included 10,552 men and women and their offspring followed since 1970. Every five years through 2010, the researchers recorded the number of hip fractures in people over 60. They found that the incidence of hip fractures decreased by 67 percent over those years, and rates were lower in people born later. The bone-strengthening bisphosphonates, like Fosamax (introduced in 1995) and Boniva (introduced in 2003), cut the fracture incidence by about 4.8 percent, the researchers estimate. But smoking decreased to 15 percent of participants in 2010, from 38 percent in 1970, and heavy drinking declined to 4.5 percent, from 7 percent. Both are significant risk factors for fracture. Other risk factors, like being underweight and early menopause, were stable over the years. “Smoking cessation accounts for about 90 percent of the decline in the age-adjusted decrease,” said the lead author, Dr. Timothy Bhattacharyya, an orthopedic surgeon with the National Institutes of Health. Other factors that may have played a role included estrogens, which were approved for osteoporosis treatment in 1988, and bone mineral density testing, which first became available in the 1990s. But “we didn’t observe any effect from estrogens or bone mineral density testing,” Dr. Bhattacharyya said. © 2020 The New York Times Company

Keyword: Drug Abuse
Link ID: 27406 - Posted: 08.08.2020

Abby Carney Shortly after relocating to Texas from California three years ago, Cheryl Webster started hosting a game night at her home as a way of meeting new people. They stopped meeting due to Covid-19, and Webster has only heard from one person in the group in the months since they were able to play. Eventually, she decided to pick up the phone herself – but nobody called back. “I think that’s the hardest part about loneliness,” she said. “Is it my fault? Am I not a very nice person? Or is there something wrong with me?” End of the office: the quiet, grinding loneliness of working from home Read more Webster, 65, is a proactive doer who volunteers regularly and has even helped finance the education of several friends’ children. She sits on the board of the Austin housing authority and the chamber of commerce, and is sure the Christian business leaders’ group she meets with monthly would say flattering things about her. Though divorced and childless, Webster is not a Havisham spinster – putting herself “out there” comes naturally. And so she supposes many people in her life would be surprised to learn that she’s lonely. Despite following the advice of experts to ward off the feeling, her heart still aches. Advertisement Webster is not alone. A growing number of people share her affliction – so much so that some governments are incorporating loneliness into their health public policy. To help people like her, a number of scientists are researching medical solutions, such as pills and nasal sprays. But will treating loneliness like a disease, rather than an existential question, work to ease their pain? © 2020 Guardian News & Media Limited

Keyword: Pain & Touch; Hormones & Behavior
Link ID: 27405 - Posted: 08.06.2020

By Gina Kolata Despite the lack of effective treatments or preventive strategies, the dementia epidemic is on the wane in the United States and Europe, scientists reported on Monday. The risk for a person to develop dementia over a lifetime is now 13 percent lower than it was in 2010. Incidence rates at every age have steadily declined over the past quarter-century. If the trend continues, the paper’s authors note, there will be 15 million fewer people in Europe and the United States with dementia than there are now. The study is the most definitive yet to document a decline in dementia rates. Its findings counter warnings from advocacy groups of a coming tsunami of Alzheimer’s disease, the most common form of dementia, said Dr. John Morris, director of the Center for Aging at Washington University in St. Louis. It is correct that there are now more people than ever with dementia, but that is because there are more and more older people in the population. The new incidence data are “hopeful,” Dr. Morris said. “It is such a strong study and such a powerful message. It suggests that the risk is modifiable.” Researchers at Harvard University in Cambridge, Mass., reviewed data from seven large studies with a total of 49,202 individuals. The studies followed men and women aged 65 and older for at least 15 years, and included in-person exams and, in many cases, genetic data, brain scans and information on participants’ risk factors for cardiovascular disease. The data also include a separate assessment of Alzheimer’s disease. Its incidence, too, has steadily fallen, at a rate of 16 percent per decade, the researchers found. Their study was published in the journal Neurology. © 2020 The New York Times Company

Keyword: Alzheimers
Link ID: 27404 - Posted: 08.06.2020

Lenny Bernstein The Centers for Disease Control and Prevention warned parents and caregivers Tuesday to watch out for an uncommon, polio-like condition that mostly strikes children, usually between August and November. Acute flaccid myelitis, which may be caused by any of several viruses, is marked by a sudden weakness or paralysis of the limbs. Since surveillance began in 2014, prevalence of the ­syndrome has spiked in even-numbered years, often afflicting children about 5 years old. The disease is very rare, but a quick response is critical once the weakness sets in; the disease can progress over hours or days and lead to permanent paralysis or respiratory failure, according to a report issued Tuesday by the CDC. Among 238 cases in 2018 reviewed by the CDC, 98 percent of patients were hospitalized, 54 percent required intensive care, and 23 percent were placed on ventilators to help them breathe. Most patients were hospitalized within a day of experiencing weakness, but about 10 percent were not hospitalized until four or more days later, possibly because of failure to recognize the syndrome, the report said. Limb weakness, difficulty walking and limb pain are often preceded by fever or respiratory illness, usually by about six days, the CDC said. Hundreds of U.S. children have been affected, and many do not fully recover. A number of viruses — including West Nile virus, adenovirus and non-polio enteroviruses — are known to produce the symptoms in a small number of people who become infected by those pathogens. But enterovirus, particularly one dubbed EV-D68, appears to be the most common cause, the CDC said. The National Institute of Allergy and Infectious Diseases is working on a vaccine for EV-D68. © 1996-2020 The Washington Post

Keyword: Movement Disorders; Muscles
Link ID: 27403 - Posted: 08.06.2020

by Chloe Williams A new atlas lays bare how neuronal connections, or synapses, change from birth to old age in mice1. The ‘synaptome’ may help researchers investigate how mutations linked to autism affect these connections at different stages of life. Synapses are the junctions where information is transferred between cells, and they are integral to functions such as learning, behavior and movement. Autism is linked to several mutations that alter synaptic proteins. In 2018, researchers created the first synaptome of the mouse brain, mapping billions of synapses and sorting them into types based on their size, shape and composition2. The map revealed that synapse subtypes have distinct distributions in the brain, suggesting they have specific functions. This synaptome mapped the mouse brain only at one point in time, however. In the new work, the team charted five billion synapses in mice at 10 different ages, revealing how synapses change in number, structure and molecular makeup throughout life. “It’s the first time anybody’s ever done that in any species,” says Seth Grant, professor of molecular neuroscience at the University of Edinburgh in Scotland, who led the research. To create the atlas, the team engineered mice to express fluorescent markers of different colors on two proteins — PSD95 and SAP102 — that frequently line the signal-receiving end of excitatory synapses, which make up the preponderance of synapses in the brain. Mutations in these proteins have been linked to autism, schizophrenia and intellectual disability. © 2020 Simons Foundation

Keyword: Development of the Brain
Link ID: 27402 - Posted: 08.06.2020

Craig W. Stevens Even as the COVID-19 pandemic cripples the economy and kills hundreds of people each day, there is another epidemic that continues to kill tens of thousands of people each year through opioid drug overdose. Opioid analgesic drugs, like morphine and oxycodone, are the classic double-edged swords. They are the very best drugs to stop severe pain but also the class of drugs most likely to kill the person taking them. In a recent journal article, I outlined how a combination of state-of-the-art molecular techniques, such as CRISPR gene editing and brain microinjection methods, could be used to blunt one edge of the sword and make opioid drugs safer. I am a pharmacologist interested in the way opioid drugs such as morphine and fentanyl can blunt pain. I became fascinated in biology at the time when endorphins – natural opioids made by our bodies – were discovered. I have been intrigued by the way opioid drugs work and their targets in the brain, the opioid receptors, for the last 30 years. In my paper, I propose a way to prevent opioid overdoses by modifying an opioid user’s brain cells using advanced technology. Opioid receptors stop breathing Opioids kill by stopping a person from breathing (respiratory depression). They do so by acting on a specific set of respiratory nerves, or neurons, found in the lower part of the brain that contain opioid receptors. Opioid receptors are proteins that bind morphine, heroin and other opioid drugs. The binding of an opioid to its receptor triggers a reaction in neurons that reduces their activity. Opioid receptors on pain neurons mediate the pain-killing, or analgesic, effects of opioids. When opioids bind to opioid receptors on respiratory neurons, they slow breathing or, in the case of an opioid overdose, stop it entirely. © 2010–2020, The Conversation US, Inc.

Keyword: Drug Abuse
Link ID: 27401 - Posted: 08.06.2020

Obesity should be defined by a person's health - not just their weight, says a new Canadian clinical guideline. It also advises doctors to go beyond simply recommending diet and exercise. Instead, they should focus on the root causes of weight gain and take a holistic approach to health. The guideline, which was published in the Canadian Medical Association Journal on Tuesday, specifically admonished weight-related stigma against patients in the health system. "The dominant cultural narrative regarding obesity fuels assumptions about personal irresponsibility and lack of willpower and casts blame and shame upon people living with obesity," the guideline, which is intended to be used by primary care physicians in diagnosing and treating obesity in their daily practice, states. Ximena Ramos-Salas, the director of research and policy at Obesity Canada and one of the guideline's authors, said research shows many doctors discriminate against obese patients, and that can lead to worse health outcomes irrespective of their weight. "Weight bias is not just about believing the wrong thing about obesity," she told the BBC. "Weight bias actually has an effect on the behaviour of healthcare practitioners." The rate of obesity has tripled over the past three decades in Canada, and now about one in four Canadians is obese according to Statistics Canada. The guideline had not been updated since 2006. The new version was funded by Obesity Canada, the Canadian Association of Bariatric Physicians and Surgeons and the Canadian Institutes of Health Research through a Strategy for Patient-Oriented Research grant. Although the latest advice still recommends using diagnostic criteria like the body mass index (BMI) and waist circumference, it acknowledges their clinical limitations and says doctors should focus more on how weight impacts a person's health. Small reductions in weight, of about 3-5%, can lead to health improvements and an obese person's "best weight" might not be their "ideal weight" according to BMI, the guideline says. It emphasises that obesity is a complex, chronic condition that needs lifelong management. © 2020 BBC.

Keyword: Obesity
Link ID: 27400 - Posted: 08.06.2020

By Jennifer Couzin-Frankel Athena Akrami’s neuroscience lab reopened last month without her. Life for the 38-year-old is a pale shadow of what it was before 17 March, the day she first experienced symptoms of the novel coronavirus. At University College London (UCL), Akrami’s students probe how the brain organizes memories to support learning, but at home, she struggles to think clearly and battles joint and muscle pain. “I used to go to the gym three times a week,” Akrami says. Now, “My physical activity is bed to couch, maybe couch to kitchen.” Her early symptoms were textbook for COVID-19: a fever and cough, followed by shortness of breath, chest pain, and extreme fatigue. For weeks, she struggled to heal at home. But rather than ebb with time, Akrami’s symptoms waxed and waned without ever going away. She’s had just 3 weeks since March when her body temperature was normal. “Everybody talks about a binary situation, you either get it mild and recover quickly, or you get really sick and wind up in the ICU,” says Akrami, who falls into neither category. Thousands echo her story in online COVID-19 support groups. Outpatient clinics for survivors are springing up, and some are already overburdened. Akrami has been waiting more than 4 weeks to be seen at one of them, despite a referral from her general practitioner. The list of lingering maladies from COVID-19 is longer and more varied than most doctors could have imagined. Ongoing problems include fatigue, a racing heartbeat, shortness of breath, achy joints, foggy thinking, a persistent loss of sense of smell, and damage to the heart, lungs, kidneys, and brain. © 2020 American Association for the Advancement of Science.

Keyword: Stroke; Stress
Link ID: 27399 - Posted: 08.03.2020

By Aimee Cunningham Heavy drinking is robbing Americans of decades of life. From 2011 to 2015, an average of 93,296 deaths annually could be tied to excessive alcohol use, or 255 deaths per day. Excessive drinking brought death early, typically 29 years sooner than would have been expected. All told, the United States saw 2.7 million years of potential life lost each year, researchers report in the July 31 Mortality and Morbidity Weekly Report. The researchers used a program developed by the U.S. Centers for Disease Control and Prevention that estimates annual deaths and years of potential life lost due to an individual’s own or another’s excessive drinking. The tool takes into account whether the cause of death is fully attributable to alcohol, such as alcoholic liver cirrhosis, or whether excessive drinking can partially contribute to a condition, such as breast cancer. Annually, about 51,000 of the deaths were from chronic conditions. The rest were sudden demises such as poisonings that involved another substance along with alcohol or alcohol-related car crashes. The CDC defines excessive alcohol use as binging — drinking five or more drinks at a time for men, four or more for women — or drinking heavily over the course of the week. Men qualify at 15 or more drinks per week; for women, it’s eight or more. The numbers of deaths and years of life extinguished due to excessive drinking have gone up since the last report. That assessment covered 2006 to 2010 and reported close to 88,000 deaths and 2.5 million lost years annually. Recommendations from the Community Preventive Services Task Force, made up of public health and prevention experts, to stem excessive drinking include raising taxes on alcohol and regulating the number of places that sell alcoholic beverages (SN: 8/9/17). © Society for Science & the Public 2000–2020.

Keyword: Drug Abuse
Link ID: 27398 - Posted: 08.03.2020