Parkinson’s Gene

Parkinson’s Gene

For the first time, scientists have pinpointed the location of a gene they believe is responsible for some cases of Parkinson’s disease. Their discovery provides strong evidence that a genetic alteration is capable of causing the disease.

The impact of the current finding is to show that a single gene alteration can cause the disease. The next step will be to find and identify the specific gene involved, which is located somewhere within a region of DNA on the long arm of chromosome 4. Learning the gene’s exact location and isolating it may eventually lead to genetic testing that will help early diagnosis and treatment. Learning what the gene is and how it works may help researchers design treatments for all forms of Parkinson’s disease–not only inherited cases, but also those with no familial link

“We don’t know that this gene affects all people with Parkinson’s disease, since we’ve only found it in one family,” says Dr. Duvoisin. “But this is a very important step. We now know what we have to do to understand what causes the disease.”

Until recently, most scientists believed the disease was due almost exclusively to environmental factors such as drugs or toxic chemicals, although in most cases, no environmental cause has been identified. But many people appear to have an inherited susceptibility to the disease.

The researchers identified the gene region by studying the DNA of 28 members of a large Italian family containing almost 600 people. People in this family, some of whom migrated to the United States between 1890 and 1920, can trace their ancestry to a single couple who lived in Italy in the 18th century. More than 60 family members on both sides of the Atlantic have been diagnosed with Parkinson’s disease.

The gene mutation in this family is inherited in a dominant fashion, meaning that people who possess the mutation have a 50 percent chance of passing it on to their children. Only one parent must carry the mutation for the disease to appear in a couple’s offspring. The symptoms of familial Parkinson’s are identical to those in families with no history of the disease, except that the inherited form sometimes develops earlier in life.

Parkinson’s Disease

Test for Alzheimer's Disease

7 minutes Test for Alzheimer’s Disease

Alzheimer’s disease till now is diagnosed mainly after death with a brain biopsy. Dr. P Soloman, from Willians College , Williamstown, MA, and colleagues recruited 60 elderly with memory problems and asked them to take a series of tests involving date and time, remembering items on flash cards, and naming different animals all in a specified amount of time.

The test took an average of 7 minutes and 42 seconds. Those diagnosed Alzheimer’s later scored worse on the short battery of tests than those free of the disease. This 7 minute screening appears to be highly sensitive to Alzheimer’s and may be useful in helping to make distinction between those experiencing cognitive changes related to normal aging and those with cognitive deficits from Alzheimer’s. Before recommending this test as a routine procedure it needs to be tested on a larger group of people and then field tested in doctors’ clinics.

Alzheimer’s disease

Artificial Sweeteners

Artificial Sweeteners

Artificially sweeteners are typically between 200 and 2000 times sweeter than sugar (sucrose).

  • Aspartame is 200 times sweeter
  • Acesulfame-K is 300 times sweeter
  • Alitame is 2000 times sweeter than sugar.

Fact is that sugar is not the primary concern when considering causes of obesity.

• Thus replacing sugar with artificial sweeteners does not dramatically affect weight control compared with a reduction in fat intake.

Appropriate use of artificial sweeteners may help control energy intake and bodyweight in the short-term, but little is known about the long-term impact of artificial sweetener consumption on energy intake and body weight

• Thus, current evidence suggests that, although artificial sweeteners may be helpful in the short-term, there is little long-term benefit of in people of normal, body weight.

It is suggested by some that consumption of artificial sweeteners or low-energy foods tends to be followed by an increase in energy intake to make up for the lost energy in people of a normal bodyweight.

A lower intake of energy relative to energy expenditure promotes weight loss.

However, the science is not as straight forward as it may seem. The body is capable of sensing and adapting to a reduced energy intake, and as a result people may compensate for this by eating more later.

People who exercise dietary restraint (i.e. watch what they eat carefully) may benefit from artificial sweeteners as they tend not to compensate for energy intake.

Rabies Transmission by Oral and Other Non-bite Routes

Rabies Transmission by Oral and Other Non-bite Routes

Rabies transmission by oral route is a queer mode of infection. Reports of oral transmission are infrequent and hence need elaborate discussion. Evidences of such transmission have been well documented in men. Transmission of rabies virus to humans by ingestion of milk from a rabid mother has been reported. A woman in early stage of rabies transmitted the disease to her nursing baby.

Transplacental transmission is another unique mode of spread of this disease. Transplacental transmission was observed in an infant born of a Turkish woman who died of rabies following dog bite. Authentic reports of airborne infection are available. In 1956 an entomologist who frequently visited bat infested caves in USA for research studies developed laboratory proven rabies after aerosol inhalation. Out of two instances of rabies transmitted to laboratory workers by aerosol inhalation, one recovered after intensive therapy but the other died.

Rabies virus has been isolated from several body fluids like saliva, tracheal and nasal secretions, tear, CSF, urinary sediment, etc, from laboratory proved case of human rabies. None the less rabies transmission from human patients to healthy contacts is extremely rare.One important mode of non-bite transmission from man to man is by corneal transplantation from unrecognised infected donor. Several cases have been observed since the first case was reported in 1979. Public health importance of oral and other non-bite routes of infection is worth considering. Consumption of infected milk from a rabid cow is not uncommon because consumers become aware of disease in an animal only after using milk for several days. However, reported instances of rabies among cow milk consumers are rare because boiling of milk is a common practice in endemic countries, which is adequate to destroy the virus. None the less under certain circumstances such as wrestlers in the Northern India and for worship purpose in Eastern States only raw milk is used when comsumers are exposed to the risk of infection. In such a situation rabies prophylaxis is mandatory.

Under no circumstances should a cornea be transplanted from a donor, who died of an undiagnosed neurological disorder. Medical, nursing personnels, laboratory workers, and other attendants should use gowns, gloves, goggles for personal protection. In the event of unavoidable exposure immunisation against rabies must not be omitted.

Rabies Vaccination

Rabies Transmission by Oral and Other Non-bite Routes

Avoid Herbs Before Surgery

Avoid Herbs Before Surgery

Popping some herbal supplements before going on the operating table may not be a good idea.
Some popular herbs appear to prolong anesthesia, increase bleeding during surgery and cause changes in blood pressure, researchers report at the American Society for Anesthesiologists meeting in Dallas. The report is based on a survey of 979 patients about to undergo surgery. Dr. Charles McLeskey, an anethesiologist at Scott & White Memorial Hospital in Temple, Pa., found 17 percent took at least one herbal product.
Anethesiologists and researchers recommend patients tell their surgeons about all herbal products they use, including prescription and over-the-counter remedies. The most common herbal remedies used by patients were Gingko Biloba, Garlic, Ginger and Ginseng, which all appear to prevent blood clotting and may lead to more blood loss during surgery.
St. John’s Wort and Kava may extend the effects of anesthesia.

Herbal supplements may cause dangerous complications during Plastic Surgery
A large number of people use natural herbs for various medical problems. Although natural herbs are supposed to enhance immune system, they may prove dangerous in some situations.

A study in February’s Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS), states that many of the so called harmless herbs may cause dangerous side effects during plastic surgery.

Usually when a patient is asked by a doctor about his medication before a surgery it is often assumed by the patient that these herbal products are harmless and thus fail to  mention them to the doctor.

Substances often used by patients are:-

Chondroitin is one substance which is often used to treat osteoarthritis. People using chondroitin may suffer from bleeding complications during surgery, particularly when used in combination with doctor-prescribed blood-thinning medications.

Ephedra is used for asthma and bronchitis. It is now banned in US for its complications such as raised BP, palpitation, heart attacks.

Echinacea is often used for the prevention and treatment of viral, bacterial and fungal infections, as well as chronic wounds, ulcers and arthritis. However, it can trigger immunosuppression, causing poor wound healing and infection.

Glucosamine, often offered in conjunction with chondroitin, contains chemical elements that mimic human insulin, and may artificially cause hypoglycemia during surgery.

Other common supplements taken by patients that may cause dangerous side effects included gingko biloba, goldenseal, milk thistle, ginseng, kava and garlic.