Showing posts with label Medical. Show all posts
Showing posts with label Medical. Show all posts

I believe - I do not believe - being treated

Jan 14, 2011

Experimentally proved that the placebo effect, in some measure, will appear even when the patient is notified that the pills that he takes it just a useless and harmless drugs (dummy pill). The placebo effect - a method of treating a patient, where as a medicinal drug use is completely safe and useless products (dummy pill), and the patient is convinced that taking the right medication and expects a positive effect from treatment. "Positive Thinking" - the basis on which underlies this effect. Get rid of a serious illness in the treatment using the placebo effect is very difficult, but still the cases are different. Widespread use of the placebo effect is when new developments come pharmacological drugs.

The statistics in the U.S. half of all specialists regularly prescribe useless reception of drugs, while patients did not suspect, and convinced that taking the right medication to cure. This fact is evidence that the placebo effect is really effective in the treatment of diseases. Recently, Professor Ted Kapchuk (Ted Kaptchuk) with his group of experimenters conducted the study: patients treated with placebo, while patients are aware that taking drugs disinterested. The results showed that even if patients knew about the pill-dummy, treatment effect did not disappear. For the experiment, selected group of patients, about 80 people, with a very common disease - irritable bowel syndrome (a pain), which has an unknown etiology. Patients were divided into two groups. The first group did not recognize any of the drugs. The second group of people assigned placebo, on a regular basis - 2 times a day. In this case, they were warned that any medical ingredients, tablets contain no data. On the package with the drug in large letters printed - "placebo". Patients were warned that rely on the placebo effect is useless, you just need to take medications provided.
The study lasted for three weeks. At the end of the experiment was the following fact: the number of patients emerged from irritable bowel syndrome with a "placebo" was 59%, with the group, whose products do not apply to rid itself of disease 35% of patients. The professor said that he did not realize that using the placebo effect can be achieved such results. The authors themselves, who conducted an experiment, consider that the data collected is not quite claim therapeutic properties "placebo effect" because the duration of the experiment was not large, since the number of people selected for the experiment. In order to finally bring the therapeutic effect of the pill, pacifiers, require more extensive research. Also, the authors are inclined to believe that in addition to the placebo effect, a significant contribution to the recovery of patients makes contact with the patient's physician.

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Robot first made man operation

Nov 18, 2010

The Moscow Institute of Surgery named after Vishnevsky first time in human history had surgery to remove a lobe of the liver, in which was used robotic surgical center. Most likely the operation will be the most important step in the history of medicine.

Performed robotic intervention, pre-made five small punctures in the anterior abdominal wall of the body. Since the surgery surgical dissection is not performed, the patient on the day after surgery could not even move independently. In addition, physical activity of the patient within two days after removal of the liver was restored to normal levels, as well as missing completely the need for medicines. Employees of the Institute of Surgery named after Vishnevsky watched over the health of a patient who underwent surgery using the robotic surgical complex.

In the process of observation, they found that after this surgery recovery period runs a lot easier and faster than after conventional surgery. According to doctors, after the robotic surgery is much easier and quicker recovery. "The patient was two days longer in need of medicines, besides physical activity during this period was restored to certain standards - so specified staff assistant robotic surgical complex.

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A new read on DNA sequencing

Nov 14, 2010

A new technique for reading the DNA code relies on a fundamental property of matter known as quantum tunneling, which operates at the subatomic scale. The current paper shows that single bases inside a DNA chain can indeed be read with tunneling, without interference from neighboring bases, pointing the way to low cost, rapid DNA sequencing.

The twisting, ladder-like form of the DNA molecule—the architectural floor plan of life—contains a universe of information critical to human health. Enormous effort has been invested in deciphering the genetic code, including, most famously, the Human Genome Project. Nevertheless, the process of reading some three-billion nucleotide "letters" to reveal an individual's full genome remains a costly and complex undertaking.

Now biophysicist Stuart Lindsay, of the Biodesign Institute at Arizona State University, has demonstrated a technique that may lead to rapid, low cost reading of whole genomes, through recognition of the basic chemical units—the nucleotide bases that make up the DNA double helix. An affordable technique for DNA sequencing would be a tremendous advance for medicine, allowing routine clinical genomic screening for diagnostic purposes; the design of a new generation of custom-fit pharmaceuticals; and even genomic tinkering to enhance cellular resistance to viral or bacterial infection.

Lindsay is an ASU Regents' Professor and Carson Presidential Chair of Physics and Chemistry as well as director of the Biodesign Institute's Center for Single Molecule Biophysics. His group's research appears in the current issue of the journal Nature Nanotechnology.

Lindsay's technique for reading the DNA code relies on a fundamental property of matter known as quantum tunneling, which operates at the subatomic scale. According to quantum theory, elementary particles like electrons can do some very strange and counter-intuitive things, in defiance of classical laws of physics. Such sub-atomic, quantum entities possess both a particle and a wave-like nature. Part of the consequence of this is that an electron has some probability of moving from one side of a barrier to the other, regardless of the height or width of such a barrier.

Remarkably, an electron can accomplish this feat, even when the potential energy of the barrier exceeds the kinetic energy of the particle. Such behavior is known as quantum tunneling, and the flow of electrons is a tunneling current. Tunneling is confined to small distances—so small that a tunnel junction should be able to read one DNA base (there are four of them in the gentic code, A,T,C and G) at a time without interference from flanking bases. But the same sensitivity to distance means that vibrations of the DNA, or intervening water molecules, ruin the tunneling signal. So the Lindsay group has developed "recognition molecules" that "grab hold" of each base in turn, clutching the base against the electrodes that read out the signal. They call this new method "recognition tunneling."

The current paper in Nature Nanotechnology shows that single bases inside a DNA chain can indeed be read with tunneling, without interference from neighboring bases. Each base generates a distinct electronic signal, current spikes of a particular size and frequency that serve to identify each base. Surprisingly, the technique even recognizes a small chemical change that nature sometimes uses to fine-tune the expression of genes, the so called "epigenetic" code. While an individual's genetic code is the same in every cell, the epigenetic code is tissue and cell specific and unlike the genome itself, the epigenome can respond to environmental changes during an individual's life.

To read longer lengths of DNA, Lindsay's group is working to couple the tunneling readout to a nanopore—a tiny hole through which DNA is dragged, one base at a time, by an electric field. The paper in Nature Nanotechnology has something to say about this problem too. "It has always been believed that the problem with passing DNA through a nanopore is that it flies through so quickly that there is no time to read the sequence" Lindsay says. Surprisingly, the tunneling signals reported in the Nanture Nanotechnology paper last for a long time—nearly a second per base read.

To test this result, Lindsay teamed with a colleague, Robert Ros, to measure how hard one has to pull to break the complex of a DNA base plus the recognition molecules. They did this with an atomic force microscope. "These measurements confirmed the long lifetime of the complex, and also showed that the reading time could be speeded up at will by the application of a small additional pulling force" says Ros. "Thus the stage is set for combining tunneling reads with a device that passes DNA through a nanopore" says Lindsay.

Sequencing through recognition tunneling, if proven successful for whole genome reading, could represent a substantial savings in cost and hopefully, in time as well. Existing methods of DNA sequencing typically rely on cutting the full molecule into thousands of component bits, snipping apart the ladder of complementary bases and reading these fragments. Later, the pieces must be meticulously re-assembled, with the aid of massive computing power. "Direct readout of the epigenetic code holds the key to understanding why cells in different tissues are different, despite having the same genome" Lindsay adds, a reference to the new ability to read epigenetic modifications with tunneling.

Lindsay stresses much work remains to be done before the application of sequencing by recognition can become a clinical reality. "Right now, we can only read two or three bases as the tunneling probe drifts over them, and some bases are more accurately identified than others," he says. However, the group expects this to improve as future generations of recognition molecules are synthesized.

"The basic physics is now demonstrated" Lindsay says, adding "perhaps it will soon be possible to incorporate these principles into mass produced computer chips." The day of the "genome on a lap-top" might be coming sooner than previously thought possible.

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