Medicine

Some Athletes are Trying the Psychedelic Ibogaine to Treat Brain Injuries (yahoo.com) 57

"As awareness grows around the dangers of head trauma in sports, a small number of professional fighters and football players are turning to a psychedelic called ibogaine for treatment," reports the Los Angeles Times.

They note that the drug's proponents "tout its ability to treat addiction, post-traumatic stress disorder and traumatic brain injury, or TBI. " Ibogaine, which is derived from a West African shrub, is a Schedule 1 drug in America with no legal medical uses, and experts urge caution because of the need for further studies. But the results, several athletes say, are "game-changing".... Although athletes are just discovering ibogaine, the drug is well known within the veteran community, which experiences high rates of brain injury and PTSD. In Stanford's study on the effects of ibogaine on special forces veterans, participants saw average reductions of 88% in PTSD symptoms, 87% in depression symptoms and 81% in anxiety symptoms. They also exhibited improvements in concentration, information processing and memory.

"No other drug has ever been able to alleviate the functional and neuropsychiatric symptoms of traumatic brain injury," Dr. Nolan Williams, a professor of psychiatry and behavioral sciences, said in a statement on the results. "The results are dramatic, and we intend to study this compound further...."

States can work faster than the federal government by carving out exemptions for supervised ibogaine therapy programs, similar to what Oregon has done with psilocybin therapy. Many states have also opted to legalize marijuana for medicinal or recreational use... In June, Texas approved a historic $50-million investment in state funding to support drug development trials for ibogaine, inspired by the results seen by veterans. Arizona legislators approved $5 million in state funding for a clinical study on ibogaine in March, and California legislators are pushing to fast-track the study of ibogaine and other psychedelics.

Biotech

Scientists Develop 'Glue Gun' That 3D Prints Bone Grafts Directly Onto Fractures (livescience.com) 17

"Researchers have modified a standard glue gun to 3D print a bone-like material directly onto fractures," reports LiveScience, "paving the way for its use in operating rooms." The device, which has so far been tested in rabbits, would be particularly useful for fixing irregularly shaped fractures during surgery, the researchers say.

"To my knowledge, there are virtually no previous examples of applying the technology directly as a bone substitute," study co-author Jung Seung Lee, a biomedical engineer at Sungkyunkwan University in South Korea, told Live Science in an email. "This makes the approach quite unique and sets it apart from conventional methods...."
"Further studies in larger animal models are needed before the technology can be used on humans," the article points out.

Thanks to long-time Slashdot reader fahrbot-bot for sharing the article.
NASA

NASA Introduces 10 New Astronaut Candidates (cbsnews.com) 59

NASA has unveiled 10 new astronaut candidates drawn from over 8,000 applicants. The diverse group includes four men and six women -- pilots, scientists, and medical professionals -- who will train for future missions to the ISS, the moon, and eventually Mars. CBS News reports: This is NASA's first astronaut class with more women than men. It includes six pilots with experience in high-performance aircraft, a biomedical engineer, an anesthesiologist, a geologist and a former SpaceX launch director. Among the new astronaut candidates is 39-year-old Anna Menon, a mother of two who flew to orbit in 2024 aboard a SpaceX Crew Dragon as a private astronaut on a commercial, non-NASA flight. [...]

The other members of the 2025 astronaut class are:
- Army Chief Warrant Officer 3 Ben Bailey, 38, a graduate of the Naval Test Pilot School with more than 2,000 hours flying more than 30 different aircraft, including recent work with UH-60 Black Hawk and CH-47F Chinook helicopters.
- Lauren Edgar, 40, who holds a Ph.D. in geology from the California Institute of Technology, with experience supporting NASA's Mars exploration rovers and, more recently, serving as a deputy principal investigator with NASA's Artemis 3 moon landing mission.
- Air Force Maj. Adam Fuhrmann, 35, an Air Force Test Pilot School graduate with more than 2,100 hours flying F-16 and F-35 jets. He holds a master's degree in flight test engineering.
- Air Force Maj. Cameron Jones, 35, another graduate of Air Force Test Pilot School as well as the Air Force Weapons School with more than 1,600 hours flying high-performance aircraft, spending most of his time flying the F-22 Raptor.
- Yuri Kubo, 40, a former SpaceX launch director with a master's in electrical and computer engineering who also competed in ultimate frisbee contests.
- Rebecca Lawler, 38, a former Navy P-3 Orion pilot and experimental test pilot with more than 2,800 hours of flight time, including stints flying a NOAA hurricane hunter aircraft. She was a Naval Academy graduate and was a test pilot for United Airlines at the time of her selection.
- Imelda Muller, 34, a former undersea medical officer for the Navy with a medical degree from the University of Vermont's Robert Larner College of Medicine; she was completing her residency in anesthesia at Johns Hopkins University School of Medicine in Baltimore at the time of her astronaut selection.
- Navy Lt. Cmdr. Erin Overcash, 34, a Naval Test Pilot School graduate and an experienced F/A-18 and F/A-18F Super Hornet pilot with 249 aircraft carrier landings. She also trained with the USA Rugby Women's National Team.
- Katherine Spies, 43, a former Marine Corps AH-1 attack helicopter pilot and a graduate of the Naval Test Pilot School with more than 2,000 hours flying time. She was director of flight test engineering for Gulfstream Aerospace Corp. at the time of her astronaut selection.

Medicine

Permanent Standard Time Could Cut Strokes, Obesity Among Americans (usnews.com) 191

A new Stanford-led study finds that switching permanently to standard time could prevent 300,000 strokes and reduce obesity in 2.6 million Americans by better aligning circadian rhythms with natural light. Researchers argue that the twice-yearly clock changes are the worst option for public health, while permanent daylight saving time would offer two-thirds of the benefits. From a report: "We found that staying in standard time or staying in daylight saving time is definitely better than switching twice a year," senior researcher Jamie Zeitzer said in a news release. He's a professor of psychiatry and behavioral sciences at Stanford University in California. For the study, researchers estimated how different national time policies might affect American's circadian rhythms -- the body's innate clock that regulates many physiological processes. The human circadian cycle isn't exactly 24 hours, researchers noted. It's about 12 minutes longer for most people, and it can be changed based on a person's exposure to light.

"When you get light in the morning, it speeds up the circadian cycle. When you get light in the evening, it slows things down," Zeitzer said. "You generally need more morning light and less evening light to keep well synchronized to a 24-hour day." An out-of-sync circadian cycle has been linked with many different poor health outcomes, researchers said. "The more light exposure you get at the wrong times, the weaker the circadian clock," Zeitzer said. "All of these things that are downstream -- for example, your immune system, your energy -- don't match up quite as well." Most people would experience the least circadian burden under permanent standard time, which prioritizes morning light, researchers found.

The research team then linked its analysis of circadian rhythms to county-level data from the U.S. Centers for Disease Control and Prevention (CDC) to see how each time policy might affect people's health. Their models showed that permanent standard time would reduce obesity nationwide by 0.78% and stroke by 0.09%. Those seemingly small percentage changes, when played out across the national population, would mean 2.6 million fewer people with obesity and 300,000 fewer cases of stroke. Permanent daylight savings time would result in a 0.51% drop in obesity -- around 1.7 million people -- and a 0.04% reduction in strokes, or 220,000 cases. Either move would help American health. "You have people who are passionate on both sides of this, and they have very different arguments," Zeitzer said.
The findings have been published in the Proceedings of the National Academy of Sciences.
NASA

'Dragonfly' Mission to Saturn's Moon Titan: Behind Schedule, Overbudget, Says NASA Inspector General (nasa.gov) 30

After its six-year journey to Saturn's moon Titan, Dragonfly's rotorcraft lander "will fly like a large drone," explains its web page, spending three years sampling multiple landing sites to characterize Titan's habitability and look for "precursors of the origin of life." "However, the project has undergone multiple replans impacting cost and schedule, resulting in a life-cycle cost increase of nearly $1 billion and over 2 years of delays," according to an announcement from NASA's Inspector General.

From the Inspector General's report: The cost increase and schedule delay were largely the result of NASA directing [Johns Hopkins University] Applied Physics Laboratory to conduct four replans between June 2019 and July 2023 early in Dragonfly's development. Justifications for these replans included the COVID-19 pandemic, supply chain issues, changes to accommodate a heavy-lift launch vehicle, projected funding challenges, and inflation."
But its higher-than-expected life-cycle cost over $3 billion "will continue to absorb an increasing proportion of the Planetary Science Division's total budget," meaning Dragonfly's increased cost (and "additional budget constraints") have "contributed to a gap of at least 12 years in New Frontiers [planetary science] mission launches, and will jeopardize future priorities outlined in the National Academies of Sciences, Engineering, and Medicine's (National Academies) decadal surveys."

Yet a NASA press release notes the mission "has cleared several key design, development and testing milestones and remains on track toward launch in July 2028." Its software-defined radio has been completed, and the part of the spectrometer which analyzes Titan's chemical components for "potentially biologically relevant" compounds (as well as structural and thermal testing of the lander's insulation).

"The mission is scheduled to launch in July 2028 on a SpaceX Falcon Heavy launch vehicle from NASA's Kennedy Space Center in Florida."

Thanks to long-time Slashdot reader schwit1 for spotting this news on the space/science blog "Behind the Black".
Science

A Single Exercise Session May Slow Cancer Cell Growth, Study Finds (msn.com) 14

The Washington Post notes that past research "indicates that exercise helps some cancer survivors avoid recurrence of their disease."

But a new study "offers an explanation of how, showing that exercise changes the inner workings of our muscles and cells, although more study is still needed..." The study, published last month, involved 32 women who'd survived breast cancer. After a single session of interval training or weightlifting, their blood contained higher levels of certain molecules, and those factors helped put the brakes on laboratory-grown breast cancer cells. "Our work shows that exercise can directly influence cancer biology, suppressing tumor growth through powerful molecular signals," said Robert Newton, the deputy director of the Exercise Medicine Research Institute at Edith Cowan University in Perth, Australia, and senior author of the new study. His group's experiment adds to mounting evidence that exercise upends the risks of not only developing but also surviving cancer...

Scientists know contracting muscles release a slew of hormones and biochemicals, known as myokines, into our bloodstreams and have long suspected these myokines fight cancer. In some past studies with mice and healthy people, blood drawn after exercise and added to live cancer cells killed or suppressed the cancer's growth... [The new study tested cancer cells in high-tech petri dishes with blood drawn from cancer survivors.] Drenched in plasma from either the interval trainers or the lifters, many cancer cells quit growing. Quite a few died. (The blood drawn before exercise had no effects.) The cancer-fighting impacts were greatest with the blood drawn after interval training. Why? Additional testing showed this blood contained the highest concentrations of certain, beneficial myokines, especially IL-6, a protein that affects immune responses and inflammation...

What these results mean, Newton said, is that "exercise doesn't just improve fitness and well-being" in people who've had cancer. "It also orchestrates a complex biological response that includes direct anticancer signals from muscles..." Questions remain, of course. Can any type of exercise fight cancer? Newton and other researchers have doubts. The exercise in this study was strenuous, by design. "Earlier studies suggested that the stronger the exercise stimulus, the greater the release of anticancer myokines," Newton said... Even the weight training in this study was less potent than the intense intervals. But Newton believes weight training remains key to cancer fighting. "People with cancer who increase their muscle mass through resistance training also experience greater rises in circulating myokines," he said. More muscle means more myokines.

AI

AI-generated Medical Data Can Sidestep Usual Ethics Review, Universities Say (nature.com) 38

An anonymous reader shares a report: Medical researchers at some institutions in Canada, the United States and Italy are using data created by artificial intelligence (AI) from real patient information in their experiments without the need for permission from their institutional ethics boards, Nature has learnt.

To generate what is called 'synthetic data', researchers train generative AI models using real human medical information, then ask the models to create data sets with statistical properties that represent, but do not include, human data.

Typically, when research involves human data, an ethics board must review how studies affect participants' rights, safety, dignity and well-being. However, institutions including the IRCCS Humanitas Research Hospital in Milan, Italy, the Children's Hospital of Eastern Ontario (CHEO) in Ottawa and the Ottawa Hospital, both in Canada, and Washington University School of Medicine (WashU Medicine) in St. Louis, Missouri, have waived these requirements for research involving synthetic data.

The reasons the institutions use to justify this decision differ. However, the potential benefits of using synthetic data include protecting patient privacy, being more easily able to share data between sites and speeding up research, says Khaled El Emam, a medical AI researcher at the CHEO Research Institute and the University of Ottawa.

United States

As World Gets Hotter, Americans Are Turning To More Sugar, Study Finds 116

An anonymous reader quotes a report from NBC News: Global warming in the United States is amping up the country's sweet tooth, a new study found. When the temperature rises, Americans -- especially those with less money and education -- drink lots more sugary beverages and a bit more frozen desserts. That amounts to more than 100 million pounds of added sugar (358 million kilograms) consumed in the nation a year, compared to 15 years earlier, according to a team of researchers in the U.S. and United Kingdom.

When temperatures go between 54 and 86 degrees (12 and 30 degrees Celsius), the amount of sugar the average American consumes goes up by about 0.4 grams per degree Fahrenheit (0.7 grams per degree Celsius) per day, based on researchers tracking of weather conditions and consumers' purchases. At 54 degrees, the amount of added sugar for the average American is a little more than 2 grams. At 86 degrees, it's more than 15 grams. Beyond that, appetites lessen and added sugar falls off, according to the study in Monday's Nature Climate Change.

"Climate change is shaping what you eat and how you eat and that might have a bad effect on your health," said study co-author Duo Chan, a climate scientist at the University of Southampton. "People tend to take in more sweetened beverages as the temperature is getting higher and higher," Chan said. "Obviously under a warming climate that would cause you to drink more or take in more sugar. And that is going to be a severe problem when it comes to health."
The findings have been published in the journal Nature Climate Change.
Advertising

White House Asks FDA To Review Pharma Advertising On TV (whitehouse.gov) 64

President Trump on Tuesday issued a memorandum directing the FDA and HHS to crack down on misleading direct-to-consumer prescription drug ads, requiring clearer disclosure of risks and ensuring that promotions don't overstate benefits or push costly drugs over generics. Longtime Slashdot reader sinij shares an excerpt from the memorandum: The Secretary of Health and Human Services shall therefore take appropriate action to ensure transparency and accuracy in direct-to-consumer prescription drug advertising, including by increasing the amount of information regarding any risks associated with the use of any such prescription drug required to be provided in prescription drug advertisements, to the extent permitted by applicable law. The Commissioner of Food and Drugs shall take appropriate action to enforce the Federal Food, Drug, and Cosmetic Act's prescription drug advertising provisions, and otherwise ensure truthful and non-misleading information in direct-to-consumer prescription drug advertisements. "Advertising dollars is a major avenue for pharmaceutical companies to influence news and attempt to shape public opinion," comments sinij. "Advertising was a major contributor to painkiller addiction, where networks were hesitant to cover early reports of addictiveness. It is likely directly contributing today to lack of critical coverage of Ozempic. It is just too big of a conflict of interest to allow to stand."
Biotech

Scientists Discuss Next Steps to Prevent Dangerous 'Mirror Life' Research (msn.com) 90

USA Today has an update on the curtailing of "mirror life" research: Kate Adamala had been working on something dangerous. At her synthetic biology lab, Adamala had been taking preliminary steps toward creating a living cell from scratch with one key twist: All the organism's building blocks would be flipped. Changing these molecules would create an unnatural mirror image of a cell, as different as your right hand from your left. The endeavor was not only a fascinating research challenge, but it also could be used to improve biotechnology and medicine. As Adamala and her colleagues talked with biosecurity experts about the project, however, grave concerns began brewing. "They started to ask questions like, 'Have you considered what happens if that cell gets released or what would happen if it infected a human?'" said Adamala, an associate professor at the University of Minnesota. They hadn't.

So researchers brought together dozens of experts in a variety of disciplines from around the globe, including two Nobel laureates, who worked for months to determine the risks of creating "mirror life" and the chances those dangers could be mitigated. Ultimately, they concluded, mirror cells could inflict "unprecedented and irreversible harm" on our world. "We cannot rule out a scenario in which a mirror bacterium acts as an invasive species across many ecosystems, causing pervasive lethal infections in a substantial fraction of plant and animal species, including humans," the scientists wrote in a paper published in the journal Science in December alongside a 299-page technical report...

[Report co-author Vaughn Cooper, a professor at the University of Pittsburgh who studies how bacteria adapt to new environments] said it's not yet possible to build a cell from scratch, mirror or otherwise, but researchers have begun the process by synthesizing mirror proteins and enzymes. He and his colleagues estimated that given enough resources and manpower, scientists could create a complete mirror bacteria within a decade. But for now, the world is probably safe from mirror cells. Adamala said virtually everyone in the small scientific community that was interested in developing such cells has agreed not to as a result of the findings.

The paper prompted nearly 100 scientists and ethicists from around the world to gather in Paris in June to further discuss the risks of creating mirror organisms. Many felt self-regulation is not enough, according to the institution that hosted the event, and researchers are gearing up to meet again in Manchester, England, and Singapore to discuss next steps.

Medicine

LSD Shows Promise For Reducing Anxiety In Drugmaker's Midstage Study 56

An anonymous reader quotes a report from the Associated Press: LSD reduced symptoms of anxiety in a midstage study published Thursday, paving the way for additional testing and possible medical approval of a psychedelic drug that has been banned in the U.S. for more than a half century. The results from drugmaker Mindmed tested several doses of LSD in patients with moderate-to-severe generalized anxiety disorder, with the benefits lasting as long as three months. The company plans to conduct follow-up studies to confirm the results and then apply for Food and Drug Administration approval. [...]

For the study, researchers measured anxiety symptoms in nearly 200 patients who randomly received one of four doses of LSD or a placebo. The main aim was to find the optimal dose of the drug, which can cause intense visual hallucinations and occasionally feelings of panic or paranoia. At four weeks, patients receiving the two highest doses had significantly lower anxiety scores than those who received placebo or lower doses. After 12 weeks, 65% of patients taking the most effective LSD dose -- 100 micrograms -- continued to show benefits and nearly 50% were deemed to be in remission. The most common side effects included hallucinations, nausea and headaches.

Patients who got dummy pills also improved -- a common phenomenon in psychedelic and psychiatric studies -- but their changes were less than half the size those getting the real drug. The research was not immune to problems seen in similar studies. Most patients were able to correctly guess whether they'd received LSD or a dummy pill, undercutting the "blinded" approach that's considered critical to objectively establishing the benefits of a new medicine. In addition, a significant portion of patients in both the placebo and treatment groups dropped out early, narrowing the final data set. It also wasn't clear how long patients might continue to benefit.
If the two trials are successful, Mindmed will submit them for FDA approval.

"It's possible that some people may need retreatment," said Dr. Maurizio Fava of Mass General Brigham Hospital, the study's lead author and an adviser to Mindmed. "How many retreatments, we don't know yet, but the long-lasting effect is quite significant."

The study has been published in the Journal of the American Medical Association.
Medicine

Common Pesticide Linked To Widespread Brain Abnormalities In Children (sciencealert.com) 46

alternative_right shares a report from ScienceAlert: The insecticide chlorpyrifos is a powerful tool for controlling various pests, making it one of the most widely used pesticides during the latter half of the 20th century. Like many pesticides, however, chlorpyrifos lacks precision. In addition to harming non-target insects like bees, it has also been linked to health risks for much larger animals -- including us. Now, a new US study suggests those risks may begin before birth. Humans exposed to chlorpyrifos prenatally are more likely to exhibit structural brain abnormalities and reduced motor functions in childhood and adolescence.

Progressively higher prenatal exposure to chlorpyrifos was associated with incrementally greater deviations in brain structure, function, and metabolism in children and teens, the researchers found, along with poorer measures of motor speed and motor programming. [...] This supports previous research linking chlorpyrifos with impaired cognitive function and brain development, but these findings are the first evidence of widespread and long-lasting molecular, cellular, and metabolic effects in the brain.
"The disturbances in brain tissue and metabolism that we observed with prenatal exposure to this one pesticide were remarkably widespread throughout the brain," says first author Bradley Peterson, a developmental neuroscientist at the University of Southern California's Keck School of Medicine. Senior author Virginia Rauh added: "It is vitally important that we continue to monitor the levels of exposure in potentially vulnerable populations, especially in pregnant women in agricultural communities, as their infants continue to be at risk."

The report notes that the EPA banned residential use of chlorpyrifos in 2001 but the pesticide is still used in agriculture around the world.

The findings have been published in the journal JAMA Neurology.
Bug

Frostbyte10 Bugs Put Thousands of Refrigerators At Major Grocery Chains At Risk (theregister.com) 43

An anonymous reader quotes a report from The Register: Ten vulnerabilities in Copeland controllers, which are found in thousands of devices used by the world's largest supermarket chains and cold storage companies, could have allowed miscreants to manipulate temperatures and spoil food and medicine, leading to massive supply-chain disruptions. The flaws, collectively called Frostbyte10, affect Copeland E2 and E3 controllers, used to manage critical building and refrigeration systems, such as compressor groups, condensers, walk-in units, HVAC, and lighting systems. Three received critical-severity ratings. Operational technology security firm Armis found and reported the 10 bugs to Copeland, which has since issued firmware updates that fix the flaws in both the E3 and the E2 controllers. The E2s reached their official end-of-life in October, and affected customers are encouraged to move to the newer E3 platform. Upgrading to Copeland firmware version 2.31F01 mitigates all the security issues detailed here, and the vendor recommends patching promptly.

In addition to the Copeland updates, the US Cybersecurity and Infrastructure Security Agency (CISA) is also scheduled to release advisories today, urging any organization that uses vulnerable controllers to patch immediately. Prior to these publications, Copeland and Armis execs spoke exclusively to The Register about Frostbyte10, and allowed us to preview an Armis report about the security issues. "When combined and exploited, these vulnerabilities can result in unauthenticated remote code execution with root privileges," it noted. [...] To be clear: there is no indication that any of these vulnerabilities were found and exploited in the wild before Copeland issued fixes. However, the manufacturer's ubiquitous reach across retail and cold storage makes it a prime target for all manner of miscreants, from nation-state attackers looking to disrupt the food supply chain to ransomware gangs looking for victims who will quickly pay extortion demands to avoid operational downtime and food spoilage.

Science

Our Preoccupation With Protein Intake (substack.com) 108

A review of published meta-analyses examining protein supplementation found no evidence supporting intake beyond 1.6 grams per kilogram of body weight daily, according to an analysis by cardiologist Eric Topol. The review examined multiple randomized controlled trials encompassing thousands of participants. The most widely cited Morton study, which included 1,863 participants across 49 trials, showed no statistically significant benefit at higher protein levels, with a p-value of 0.079.

Recent research from Washington University identified the essential amino acid leucine as activating mTOR in macrophages, promoting atherosclerosis progression. The mechanism was demonstrated in both mouse models and human studies measuring circulating monocyte changes following acute high-protein challenges increasing dietary protein from 22% to 50% of energy intake. Current USDA data indicates 55% of American men and 35% of women already exceed the 0.8 g/kg/day recommendation from the National Academy of Medicine. The protein supplement industry, exemplified by David bars containing 28 grams of protein in 150 calories using a modified plant fat called EPG, projects $180 million in 2025 sales.
Medicine

Beta Blockers for Heart Attack Survivors: May Have No Benefit for Most, Could Actually Harm Women (cnn.com) 126

"A class of drugs called beta-blockers — used for decades as a first-line treatment after a heart attack — doesn't benefit the vast majority of patients," reports CNN. And in fact beta-blockers "may contribute to a higher risk of hospitalization and death in some women but not in men, according to groundbreaking new research..." Women with little heart damage after their heart attacks who were treated with beta-blockers were significantly more likely to have another heart attack or be hospitalized for heart failure — and nearly three times more likely to die — compared with women not given the drug, according to a study published in the European Heart Journal and also scheduled to be presented Saturday at the European Society of Cardiology Congress in Madrid... The findings, however, only applied to women with a left ventricular ejection fraction above 50%, which is considered normal function, the study said. Ejection fraction is a way of measuring how well the left side of the heart is pumping oxygenated blood throughout the body. For anyone with a score below 40% after a heart attack, beta-blockers continue to be the standard of care due to their ability to calm heart arrhythmias that may trigger a second event...

The analysis on women was part of a much larger clinical trial called REBOOT — Treatment with Beta-Blockers after Myocardial Infarction without Reduced Ejection Fraction — which followed 8,505 men and women treated for heart attacks at 109 hospitals in Spain and Italy for nearly four years. Results of the study were published in Mem>The New England Journal of Medicine and also presented at the European Society of Cardiology Congress. None of the patients in the trial had a left ventricular ejection fraction below 40%, a sign of potential heart failure. "We found no benefit in using beta-blockers for men or women with preserved heart function after heart attack despite this being the standard of care for some 40 years," said Fuster, former editor-in-chief of the Journal of the American College of Cardiology and past president of the American Heart Association and the World Health Federation... In fact, most men and women who survive heart attacks today have ejection fractions above 50%, Ibáñez said [Dr. Borja Ibáñez, scientific director for Madrid's National Center for Cardiovascular Investigation]. "Yet at this time, some 80% of patients in the US, Europe and Asia are treated with beta-blockers because medical guidelines still recommend them...."

While the study did not find any need to use beta-blockers for people with a left ventricular ejection fraction above 50% after a heart attack, a separate meta-analysis of 1,885 patients published Saturday in The Lancet did find benefits for those with scores between 40% and 50%, in which the heart may be mildly damaged. "This subgroup did benefit from a routine use of beta-blockers," said Ibáñez, who was also a coauthor on this paper. "We found about a 25% reduction in the primary endpoint, which was a composite of new heart attacks, heart failure and all-cause death."

Medicine

Study: Young Children Diagnosed with ADHD Often Prescribed Medication Too Quickly (cbsnews.com) 198

"A new study released Friday found that young children diagnosed with attention-deficit/hyperactivity disorder, or ADHD, are often prescribed medication too quickly," reports CBS News: The study, led by Stanford Medicine and published in JAMA Network Open, examined the health records of nearly 10,000 preschool-aged children ages 3 to 5 between 2016 and 2023 who were diagnosed with ADHD... The Stanford study found that about 68% of those children who were diagnosed with ADHD were prescribed medications before age 7, most often stimulants such as Ritalin, which can help children focus their attention and regulate their emotions. The turn to medication often came quickly, according to the study. About 42% of the children who were diagnosed with ADHD were prescribed drugs within 30 days of diagnosis, the study found.

"We don't have concerns about the toxicity of the medications for 4- and 5-year-olds, but we do know that there is a high likelihood of treatment failure, because many families decide the side effects outweigh the benefits," Dr. Yair Bannett, assistant professor of pediatrics at Stanford Medicine and the lead author of the study, said in a statement. Those side effects can include irritability, aggressiveness and emotional problems, according to Bannett. "The high rate of medication prescriptions among preschool-age children with ADHD and the lack of delay between initial diagnosis and prescription require further investigation to assess the appropriateness of early medication treatment," the researchers concluded.

The study also found that the vast majority of the young children diagnosed with ADHD, about 76%, were boys.

CBS News interviewed Jamie Howard, senior clinical psychologist from the Child Mind Institute (who was not involved in the study). Howard said when treating ADHD in young children, clinical guidelines call for starting with "behavioral intervention...."

"I think that people have an association with ADHD and stimulant medication... But there is actually a lot more than that. And we want to give kids the opportunity to use these other strategies first, and then if they need medication, it can be incredibly helpful for a lot of kids."
Books

Reading For Fun Is Plummeting In the US, and Experts Are Concerned (sciencealert.com) 128

alternative_right shares a report from ScienceAlert: When's the last time you settled down with a good book, just because you enjoyed it? A new survey shows reading as a pastime is becoming dramatically less popular in the U.S., which correlates with an increased consumption of other digital media, like social media and streaming services. The survey was carried out by researchers from the University of Florida and the University of London, and charts a 40 percent decrease in daily reading for pleasure across the years 2003-2023, based on responses from 236,270 US adults.

"This is not just a small dip -- it's a sustained, steady decline of about 3 percent per year," says Jill Sonke, director for the Center for the Arts in Medicine at the University of Florida. "It's significant, and it's deeply concerning." The number of US people reading for pleasure every day peaked in 2004 at 28 percent, the researchers found, but by 2023 this was down to 16 percent. There was a silver lining though: those people who are still reading are reading for slightly longer on average.

Reading habits aren't changing across the board. The drops in reading for pleasure were higher in Black Americans, especially those with lower income, education levels, and who lived outside of cities. That speaks to problems beyond the rise of smartphones, tablets, and other screens, according to the researchers. Different life situations are leading to disparities in accessibility that don't help promote reading as a pastime. "Our digital culture is certainly part of the story," says Sonke. "But there are also structural issues -- limited access to reading materials, economic insecurity and a national decline in leisure time. If you're working multiple jobs or dealing with transportation barriers in a rural area, a trip to the library may just not be feasible."
The findings have been published in the journal iScience.
Medicine

Pig Lung Transplanted Into a Human In Major Scientific First (sciencealert.com) 44

An anonymous reader quotes a report from ScienceAlert: A genetically modified pig lung transplanted into a brain-dead human patient functioned for nine days in a new achievement that reveals both the promise and significant challenges of xenotransplantation. Over the course of the experiment, the patient showed increasing signs of organ rejection before scientists at the First Affiliated Hospital of Guangzhou Medical University in China terminated the experiment, allowing the recipient to pass away. It's the first time a pig lung has been transplanted into a human patient, demonstrating a significant step forward, and giving scientists new problems to solve as they develop this emerging medical technique further. [...]

The goal of the experiment was not to achieve a successful transplantation on the first try -- that would have been pretty incredible, but not a realistic expectation. Rather, the researchers wanted to observe how the patient's immune system responded to the transplanted organ. The patient was a 39-year-old man who was declared brain-dead by four separate clinical assessments after undergoing a brain hemorrhage. His family provided written informed consent for the experiment. The donor pig is what is known as a six-gene-edited pig, a Bama miniature pig with six CRISPR gene edits, housed in an isolated facility with rigorous disinfection protocols. These edits are all focused on minimizing the immune and inflammatory responses of the patient.

In a careful surgical procedure, the pig's left lung was placed into the patient's chest cavity, and connected to their airways, arteries, and veins. The paper does not explain the fate of the pig, but donor pigs do not typically survive the removal of a major organ. The patient was also treated with a number of immunosuppressants that the researchers adjusted according to changes observed in the patient's body over time. Initially, all seemed well, with none of the immediate signs of hyperacute rejection in the critical few hours following the procedure. However, by 24 hours after the transplant had taken place, severe swelling (edema) was observed, possibly as a result of blood flow being restored to the area of the transplant. Antibody-mediated rejection damaged the tissue further on days three and six of the experiment. The result of the damage was primary graft dysfunction, a type of severe lung injury occurring within 72 hours of a transplant, and the leading cause of death in lung transplant patients. Some recovery was taking place by day nine, but the experiment had run its course.
The research has been published in Nature Medicine.
Biotech

Could Recreating a Rare Mutation Grant Almost Universal Virus Immunity For Days? (columbia.edu) 55

"For a few dozen people in the world, the downside of living with a rare immune condition comes with a surprising superpower — the ability to fight off all viruses..." notes an announcement from Columbia University. "At first, the condition only seemed to increase vulnerability to some bacterial infections. But as more patients were identified, its unexpected antiviral benefits became apparent." Columbia immunologist Dusan Bogunovic discovered the individuals' antiviral powers about 15 years ago, soon after he identified the genetic mutation that causes the condition... Bogunovic, a professor of pediatric immunology at Columbia University's Vagelos College of Physicians and Surgeons, soon learned that everyone with the mutation, which causes a deficiency in an immune regulator called ISG15, has mild, but persistent systemic inflammation... "In the back of my mind, I kept thinking that if we could produce this type of light immune activation in other people, we could protect them from just about any virus," Bogunovic says.

Today, Bogunovic is closing in on a therapeutic strategy that could provide that broad-spectrum protection against viruses and become an important weapon in next pandemic. In his latest study, published August 13 in Science Translational Medicine, Bogunovic and his team report that an experimental therapy they've developed temporarily gives recipients (hamsters and mice, so far) the same antiviral superpower as people with ISG15 deficiency. When administered prophylactically into the animals' lungs via a nasal drip, the therapy prevented viral replication of influenza and SARS-CoV-2 viruses and lessened disease severity. In cell culture, "we have yet to find a virus that can break through the therapy's defenses," Bogunovic says...

Bogunovic's therapeutic turns on production of 10 proteins that are primarily responsible for the broad antiviral protection. The current design resembles COVID mRNA vaccines but with a twist: Ten mRNAs encoding the 10 proteins are packaged inside a lipid nanoparticle. Once the nanoparticles are absorbed by the recipient's cells, the cells generate the ten host proteins to produce the antiviral protection. "We only generate a small amount of these ten proteins, for a very short time, and that leads to much less inflammation than what we see in ISG15-deficient individuals," Bogunovic says. "But that inflammation is enough to prevent antiviral diseases...."

"We believe the technology will work even if we don't know the identity of the virus," Bogunovic says. Importantly, the antiviral protection provided by the technology will not prevent people from developing their own immunological memory to the virus for longer-term protection.

"Our findings reinforce the power of research driven by curiosity without preconceived notions," Bogunovic says in the announcement. "We were not looking for an antiviral when we began studying our rare patients, but the studies have inspired the potential development of a universal antiviral for everyone."

More coverage from ScienceAlert.
AI

Gates Funds $1 Million AI Alzheimer's Prize (ft.com) 59

Bill Gates is funding a $1 million competition to spur the use of AI to find innovative treatments for Alzheimer's disease, the latest effort to deploy the promising technology to find cures for humanity's toughest illnesses. From a report: The Alzheimer's Insights AI prize will be awarded to the team that comes up with the most original way to program AI-powered agents that are "capable of independent planning, reasoning, and action to accelerate breakthrough discoveries from existing Alzheimer's data."

 The winning tool will be released for free on the Alzheimer's Disease Data Initiative's cloud "workbench" to be used by scientists globally, the organisation said on Tuesday. The prize is being financed by Gates Ventures, the family office of the billionaire philanthropist and Microsoft co-founder.

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