Showing posts with label Research. Show all posts
Showing posts with label Research. Show all posts

Saturday, 28 September 2013

Discussion: How could the NHS better embrace research?

Clinical research drives improvements in healthcare and leads to the development of more effective treatments for patients. The government has said it wants to encourage health research, recognising that - at a time when demand on the NHS is high and finances are strained - being innovative can help improve productivity.

However data suggests that clinical research is not always embedded in NHS 'core business'. A lack of funding, time, expertise and resources are perceived to be the main barriers to clinical research by health professionals.

In our next online discussion we will ask if the NHS is really embracing research and whether it could it do this better. How can the barriers be overcome and how can trusts be encouraged to embed research into their core business? Is research seen as an extra burden rather than something that is integral to improving patient care, and should NHS leaders try to change this perception? How do we build a research active NHS? We will also explore how research can help the NHS meet the challenges of the future.

Join our expert panel on Thursday 26 September between noon and 2pm when we'll be discussing these issues. If you have a question you'd like to ask the panel, you can email it to healthcare@theguardian.com. You can can also tweet us your questions at @GdnHealthcare.

• Stephen Smye, director of research and development at Leeds Teaching Hospitals NHS trust and director of the NIHR Comprehensive Clinical Research Network
• Sharmila Nebhrajani, chief executive of the Association of Medical Research Charities
• Sara Osborne, head of policy at Cancer Research UK
• Ben Bray, quality improvement fellow, Royal College of Physicians
• Emma Munro, trust lead research nurse, Portsmouth Hospitals NHS trust
• Brian Thomson, director of research and innovation at Nottingham University Hospitals NHS trust
• Catherine Elliott, director, clinical research interests Medical Research Council
• Saul Faust, active in infectious disease research at University Hospitals Southampton NHS foundation trust


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Saturday, 21 September 2013

NeoStem: Understanding Research And Its Implications To Clinical Trials

On September 11, a report published in the European Heart Journal Advance Access essentially validated the workings of NeoStem's (NBS) Phase II AMR-001, or at least the approach that NeoStem is using. The report flew somewhat under-the-radar, because a few days later, a negative article on Seeking Alpha questioned AMR-001, and caused NeoStem's stock to fall drastically. As a result, I reached out to NeoStem's Chief Medical Officer and CD34+ cell specialist Dr. Douglas Losordo who clarified the controversy quite nicely and completely tore down the author's argument in this Instablog post.

However, the report in European Heart Journal was quite important to NeoStem, yet no one seemed to notice. One reason is likely because these research reports are written in a way that very few retail investors (or analysts) can understand. Therefore, once more, I reached out to the company, hoping that this seemingly positive research report can be summarized for investors to understand. Hence, here is a short Q&A with the company's PCT segment's CMO Dr. Andrew Pecora, and his take on the report.

Note: I have added a few notes (in bold) for clarification and for important points.

Nichols

How do the results of this study compare with other related studies that have released either final or interim data? From a size, safety, and efficacy point of view.

Dr. Pecora

Pretty much the same. All studies have shown that if an adequate number of CD34 cells are administered (either isolated or admixed with marrow) during the window phase after inflammation has subsided (days 5-12 post acute myocardial infarction (AMI) there is a consistent finding of increased LVEF, preservation of heart muscle function and less adverse remodeling. One study also showed significantly fewer clinical events. (Essentially, Dr. Pecora is saying that when trials are done correctly, and the threshold dose is used, the outcome is consistent, which also goes hand-in-hand with NeoStem's goal in its Phase II trial)

Nichols

Can you elaborate on the significance of this statement within the research report?

"There was no difference in LVEF improvement between patients treated with cell infusion ,7 days from primary PCI compared with =7 days (1.46%, 95% CI: 0.41 to 2.51 vs. 2.69%, 95% CI: 1.80 to 3.58, P 1/4 0.08). Furthermore, we found no difference in LVEF improvement comparing patients with number of injected mono- nuclear BMC of ,108 compared with = 108 (2.80%, 95% CI: 0.79 to 4.80 vs. 0.58%, 95% CI: 20.44 to 1.59, P 1/4 0.05), Table 2. Studies, using MRI as LV function assessment had a smaller treatment effect in LVEF when compared with non-MRI studies (0.16% 95% CI: 20.88 to 1.20 vs. 4.67%, 95% CI: 3.69 to 5.66, P, 0.001)."

Dr. Pecora

This is a meta-analysis so data of this kind will not pick up small differences and probably cannot be used to conclude this fine a point. In regard to the days post PCI we know there is no difference in effect if cells are given day 5 vs. day 8 but there is no effect if given day 3 so one would need to know how the actual day of delivery is weighted in the cut they did (the day administered is very important to outcome). There is no good correlation between the number of mononuclear cells infused which is irrelevant and the number of CD 34 cells which are a constituent of the mononuclear cells and the cells that cause the effect. In addition further confounding this analysis is that the more mononuclear cells infused the more cells there are to get in the way of the CD34 cells. MRI has less variability than standard echo and what is important is not effect size (i.e. how much the LVEF goes up) it is the percentage of patients that do not have a drop in LVEF that matters. What matters is preservation of heart muscle function (preservation of heart muscle function was shown, and is the goal of NeoStem's Phase II study).

Nichols

Can you expand on the importance of the trial size and impact it has on being able to analyze subgroup data?

Dr. Pecora

It is more than adequate for the general effect assessment and conclusion that bone marrow derived cells administered after an AMI via the coronary artery preserve heart muscle function and prevent adverse remodeling

Nichols

From an investor's perspective, what do you feel is the single most important take away from this report?

Dr. Pecora

In regard to AMR-001, in our study we are administering a much greater number of CD34 cells than prior studies and not admixed with mononuclear cells. In our study we have limited entry to patients with persistent cardiac dysfunction (LVEF <48% on day 4), which would indicate that most of our patients fall into the <40% category in this analysis (because the LVEF is taken before day 4 in these studies and tends to improve by day 4). Thus if an effect is observed in most studies used for this meta analysis than our study should result in a similar effect at minimum and could be greater because we are giving a greater number of potent cells to a sicker population.

Final Thoughts

Now, hopefully Dr. Pecora's response made this study easier to follow/understand. Unfortunately, retail investors tend not to pay attention to reports such as this, and only show interest at the end of Phase III trials when a study either "met" or "did not meet" primary and secondary endpoints. However, reports such as this can give you, as an investor, a better idea of future success, or a lack thereof. Then, you aren't as likely to respond to the daily volatility that is created with such stocks, and will feel better about your investment.

Disclosure: I am long NBS. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article. (More...)


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Tuesday, 20 August 2013

Research shows how females choose the 'right' sperm

Main Category: Biology / Biochemistry
Also Included In: Pregnancy / Obstetrics
Article Date: 20 Aug 2013 - 0:00 PDT Current ratings for:
Research shows how females choose the 'right' sperm
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University of East Anglia scientists have revealed how females select the 'right' sperm to fertilize their eggs when faced with the risk of being fertilized by wrong sperm from a different species. Researchers investigated salmon and trout, which fertilize externally in river water. The two species occasionally hybridize in the wild, but since hybrid offspring become reproductive dead-ends, females of both species are under selection to avoid hybrid fertilizations, and instead promote external fertilization by their own species' sperm.

Findings published in the journal Evolution show that when eggs from each species are presented with either salmon or trout, they happily allow complete fertilization by either species' sperm. However, if eggs are given a simultaneous choice of both species' sperm, they clearly favour their own species' sperm.

Lead researcher Prof Matt Gage (pictured), from UEA's School of Biological Sciences, said: "The salmon-trout system is ideal for studying sperm-egg compatibilities because we are able to conduct controlled fertilization experiments and measure sperm behaviour under conditions to which the gametes are naturally adapted. Although we found almost 100% interfertility between salmon and trout sperm and eggs, when we mixed equal amounts of sperm from both species together, we found that sperm from their own species won 70 per cent of the fertilizations."

"Since we are conducting in vitro fertilizations without interference or control from males or females, this provides clear evidence that eggs favour the sperm of their own species, but only when given a choice."

The team then went on to investigate what mechanisms allow female eggs to encourage the right sperm to fertilize by examining two key components of reproduction in female fish - the egg, and the ovarian fluid that coats the egg. Ovarian fluid is a protein-rich solution that bathes the eggs and released at spawning - but little has been known about its function.

Prof Gage said: "We ran further sperm competition trials but this time we rinsed eggs of their ovarian fluid and then added back either their own fluid, or that from the other species. Remarkably, we found that the egg itself plays no significant role in promoting fertilization precedence by their own species' sperm. Instead, it is actually the ovarian fluid that controls which species' sperm wins the fertilizations, which was very unexpected. If we put salmon ovarian fluid onto salmon eggs, then salmon sperm win, but if we put trout ovarian fluid onto eggs from that same salmon female, trout sperm now win."

The researchers then used Video Tracking Analysis to analyse how salmon and trout sperm behave in ovarian fluid.

"We found that activating sperm in ovarian fluid makes them live about twice as long as in river water. Importantly, both species' sperm also switch from swimming in tight elliptical circles in river water, to swimming in straightened trajectories in ovarian fluid. This behaviour allows sperm to navigate towards the egg by following a chemical cue."

"So what we're seeing is that ovarian fluid gives a specific chemical signal to the sperm of its own species, causing changes in the way their tails beat, so that they swim in a straighter trajectory, and therefore guided more effectively towards the site of fertilization."

To establish that this was the mechanism which promoted fertilization precedence by their own species' sperm, the research team ran a final experiment in which they measured sperm migration across a membrane permeated with tiny pores mimicking the single entrance into the egg. They found that many more sperm swam through the membrane into their own ovarian fluid, compared with numbers crossing into the other species' ovarian fluid or water.

"These findings allow us to establish that females have indeed evolved mechanisms of 'cryptic choice' at the intimate level of the sperm and egg. The results also give us a valuable insight into why female salmon mate so promiscuously - typically being fertilized by eight, and up to 16, males in one nest. By promoting sperm competition, females provide their eggs with greater choice, allowing ovarian fluid to avoid potentially hybridizing sperm, and instead encourage fertilization by the right sperm."

'Cryptic Choice of Conspecific Sperm Controlled by the Impact of Ovarian Fluid on Sperm Swimming Behaviour' * is published by the journal Evolution.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our biology / biochemistry section for the latest news on this subject.

The research was funded by the Natural Environment Research Council (NERC) and a collaboration between UEA, the Norwegian Institute for Nature Research, and the Institute of Zoology.

* CRYPTIC CHOICE OF CONSPECIFIC SPERM CONTROLLED BY THE IMPACT OF OVARIAN FLUID ON SPERM SWIMMING BEHAVIOR

Article first published online: 12 AUG 2013; DOI: 10.1111/evo.12208

University of East Anglia

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Saturday, 17 August 2013

Research 'backs watchful waiting' in prostate cancer

Featured Article
Academic Journal
Main Category: Prostate / Prostate Cancer
Also Included In: Cancer / Oncology;  Men's Health
Article Date: 16 Aug 2013 - 8:00 PDT Current ratings for:
Research 'backs watchful waiting' in prostate cancer
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Prostate cancer researchers publishing in the Cancer Research journal argue for more watchful waiting to manage the disease, rather than moving straight to aggressive treatment or surgery.

"Radical prostatectomy or radiation therapy, the usual treatments for prostate cancer, can have negative side-effects such as impotence and incontinence," the lead researcher said.

Kathryn Penney ScD, instructor in medicine at the Harvard Medical School, added:

"Choosing active surveillance could prevent this decline in quality of life."

The research paper analyzes data from two sets of research - one study with 420 physicians recruited to it, and the other involving 787 health professionals. All had been treated with surgery following diagnosis made between the years 1982 and 2004.

The findings from these studies were divided up according to when the men received their disease diagnosis and treatment.

Correlations between the participants' grade of cancer disease (Gleason score) were drawn against the increasing use of PSA screening by doctors to help identify prostate cancer, which has risen "from 42% in 1994 to 81% in 2000."

The PSA test to detect prostate cancer is a means of screening that gives doctors clues as to whether a man has the disease.

The American Cancer Society (ACS) says most healthy men have levels of PSA (prostate-specific antigen) in their blood of under 4 nanograms per milliliter (ng/mL) and that the diagnostic test indicates a higher chance of prostate cancer the more the result rises above this level.

The PSA level is not completely reliable though - it does not always suggest cancer and does not necessarily show level of malignancy. The oncology experts for ACS list numerous other factors that can influence levels of prostate-specific antigen, including, among other possibilities:?

An enlarged prostate (benign prostatic hyperplasia, BPH, for example)Prostatitis (infection or inflammation of the gland)And simply age - levels are likely to rise slowly in older men.

Dr. Kathryn Penney, also associate epidemiologist at Brigham and Women's Hospital in Boston, MA, said:

"Over time, because of PSA screening, men have been more likely to be diagnosed with prostate cancer at an earlier stage, before the disease has had an opportunity to grow and spread."

The analysis by the researchers was designed to find out if the prostate screening test had succeeded in bringing about a reduction in severity of cancers.

Kathryn Penney
Dr. Kathryn Penney, lead author, says her study calls for more patience in the treatment of prostate cancer

But Dr. Kathryn Penney, said of the results:

"We were surprised by just how constant the incidence of high-grade disease has been over time."

"If Gleason grade also progressed over time, we would expect a similar decrease in high Gleason grade disease over time," Dr. Penney continued, adding:

"Men with low-grade disease at diagnosis should seriously consider talking with their doctors about active surveillance."

Written by Markus MacGill


Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today Visit our prostate / prostate cancer section for the latest news on this subject. Gleason grade progression is uncommon, Kathryn Penney, Meir Stampfer, Jaquelyn Jahn and others, Cancer Res: 73; 5163. Published August 15, 2013. Please use one of the following formats to cite this article in your essay, paper or report:

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Friday, 16 August 2013

International research team identifies top risk factors for children during influenza pandemic

Main Category: Pediatrics / Children's Health
Also Included In: Flu / Cold / SARS
Article Date: 15 Aug 2013 - 2:00 PDT Current ratings for:
International research team identifies top risk factors for children during influenza pandemic
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An international team of pediatric specialists, representing the world's five major pediatric emergency medicine research networks, has identified several crucial risk factors for alerting clinicians to children most susceptible to life-threatening infections from the H1N1 influenza (flu). It is the first study to detail which clinical factors at hospital arrival in children with influenza-like illness and H1N1 infection are associated with the progressive risk to either severe infection or death.

In a study now on online in the prestigious British Medical Journal, researchers examined pediatric cases from dozens of emergency departments in hospitals around the world during the global influenza pandemic of 2009. The results enabled the team to pinpoint several clinical risk factors for severe infections in youngsters who arrive at a hospital with influenza-like illnesses due to H1N1 infections. The information would be invaluable during a pandemic, when emergency departments and primary-care facilities experience large surges of young patients who arrive with flu-like symptoms.

The study, which assessed each patient's clinical history and physical examination, identified the following predictors of severe H1N1 infection and potentially fatal outcomes in children:

History of chronic lung diseaseHistory of cerebral palsy/developmental delaySigns of chest retractions (difficulty breathing)Signs of dehydrationRequires oxygen to keep blood levels normalHeart rate that exceeds normal range (tachycardia) relative to age

"The basic question clinicians face when they are in the middle of an influenza epidemic like H1N1 is whether their patient is at risk of severe complications," said Stuart Dalziel, lead author of the study and a pediatrician at New Zealand's Starship Children's Hospital and The University of Auckland, and vice-chair of the Paediatric Research in Emergency Departments International Collaborative (PREDICT) network. "One of the key strengths of this study is that it provides clinicians with meaningful and more precise information that can enable them to identify those children with fever and flu-like symptoms who are at greater risk of severe complications."

The findings stem from 265 pediatric cases culled from 79 emergency departments of hospitals associated with the Pediatric Emergency Research Networks (PERN) in 12 countries.

"Having a more accurate idea of what to look for in pediatric cases, especially during a pandemic, would be especially important to clinicians because it provides crucial guidance for those who would be trying to direct the appropriate levels of treatment for many patients in a short time," said Nathan Kuppermann, professor and chair of emergency medicine at the University of California, Davis, one of the study's senior authors and a principal investigator in the Pediatric Emergency Care Applied Research Network (PECARN).

Because of its unparalleled global network of hospitals and patient data, the PERN study also added weight to the efficacy and use of the anti-viral drug oseltamivir (trade name Tamiflu) to treat the children with H1N1 influenza virus infections to reduce the severity of infection. Researchers noted there was good evidence of an association between oseltamivir treatment and a reduced frequency of death in children admitted to an intensive care unit for assisted ventilation.

"This study shows the incredible power of PERN, bringing together five pediatric emergency research networks and many emergency departments from around the world, to produce this very significant study which has the power to identify the most at-risk children in a future influenza pandemic," said Terry P. Klassen, the study's senior author, CEO and scientific director at the Manitoba Institute of Child Health in Canada and a site investigator with Pediatric Emergency Research Canada (PERC).

The global research collaborative is comprised of the five major pediatric networks, which are located in Europe and the Middle East (Research in European Paediatric Emergency Medicine, or REPEM), North America (PECARN, PERC and the Pediatric Emergency Medicine Collaborative Research Committee), and in Australia and New Zealand (PREDICT). Together, the five networks have access to data from more than three million pediatric emergency department cases annually from more than 100 hospitals, which are located in four of the six World Health Organization (WHO) regions.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our pediatrics / children's health section for the latest news on this subject.

Funding: PECARN is supported by HRSA/MCHB/EMSC through the following cooperative agreements: U03MC00001, U03MC00003, U03MC00006, U03MC00007, U03MC00008, U03MC22684, and U03MC22685. Stuart Dalziel is supported by the Health Research Council of New Zealand. John M.D. Thompson received funding from the Logan Campbell Trust, Auckland, New Zealand, to attend an investigator meeting, with time funded by CureKids, New Zealand. Investigators’ time was funded by their host institutions and/or research networks. No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Predictors of severe H1N1 infection in children presenting within Pediatric Emergency Research Networks (PERN): retrospective case-control study

BMJ 2013; 347 doi: 10.1136/bmj.f4836

Stuart R Dalziel, John MD Thompson, Charles G Macias, Ricardo M Fernandes, David W Johnson, Yehezkel Waisman, Nicholas Cheng, Jason Acworth, James M Chamberlain, Martin H Osmond, Amy Plint, Paolo Valerio, Karen JL Black, Eleanor Fitzpatrick, Amanda S Newton, Nathan Kuppermann, Terry P Klassen

UC Davis Health System

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Thursday, 15 August 2013

Research suggests neural stem cells may regenerate after anti-cancer treatment

Main Category: Cancer / Oncology
Also Included In: Neurology / Neuroscience;  Radiology / Nuclear Medicine
Article Date: 14 Aug 2013 - 1:00 PDT Current ratings for:
Research suggests neural stem cells may regenerate after anti-cancer treatment
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Scientists have long believed that healthy brain cells, once damaged by radiation designed to kill brain tumors, cannot regenerate. But new Johns Hopkins research in mice suggests that neural stem cells, the body's source of new brain cells, are resistant to radiation, and can be roused from a hibernation-like state to reproduce and generate new cells able to migrate, replace injured cells and potentially restore lost function.

"Despite being hit hard by radiation, it turns out that neural stem cells are like the special forces, on standby waiting to be activated," says Alfredo Quiñones-Hinojosa, M.D., a professor of neurosurgery at the Johns Hopkins University School of Medicine and leader of a study described online in the journal Stem Cells. "Now we might figure out how to unleash the potential of these stem cells to repair human brain damage."

The findings, Quiñones-Hinojosa adds, may have implications not only for brain cancer patients, but also for people with progressive neurological diseases such as multiple sclerosis (MS) and Parkinson's disease (PD), in which cognitive functions worsen as the brain suffers permanent damage over time.

In Quiñones-Hinojosa's laboratory, the researchers examined the impact of radiation on mouse neural stem cells by testing the rodents' responses to a subsequent brain injury. To do the experiment, the researchers used a device invented and used only at Johns Hopkins that accurately simulates localized radiation used in human cancer therapy. Other techniques, the researchers say, use too much radiation to precisely mimic the clinical experience of brain cancer patients.

In the weeks after radiation, the researchers injected the mice with lysolecithin, a substance that caused brain damage by inducing a demyelinating brain lesion, much like that present in MS. They found that neural stem cells within the irradiated subventricular zone of the brain generated new cells, which rushed to the damaged site to rescue newly injured cells. A month later, the new cells had incorporated into the demyelinated area where new myelin, the protein insulation that protects nerves, was being produced.

"These mice have brain damage, but that doesn't mean it's irreparable," Quiñones-Hinojosa says. "This research is like detective work. We're putting a lot of different clues together. This is another tiny piece of the puzzle. The brain has some innate capabilities to regenerate and we hope there is a way to take advantage of them. If we can let loose this potential in humans, we may be able to help them recover from radiation therapy, strokes, brain trauma, you name it."

His findings may not be all good news, however. Neural stem cells have been linked to brain tumor development, Quiñones-Hinojosa cautions. The radiation resistance his experiments uncovered, he says, could explain why glioblastoma, the deadliest and most aggressive form of brain cancer, is so hard to treat with radiation.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our cancer / oncology section for the latest news on this subject.

The research was supported by grants from the National Institutes of Health's National Institute of Neurological Disorders and Stroke (RO1 NS070024), the Maryland Stem Cell Research Fund, the Robert Wood Johnson Foundation, the Howard Hughes Medical Institute, the PROMETEO grant, the Red de Terapia Celular (TerCel) from Instituto de Salud Carlos III, and the Consejo Nacional de Ciencia y Tecnología.

Other Johns Hopkins researchers involved in the study include Vivian Capilla-Gonzalez, Ph.D.; Hugo Guerrero-Cazares, M.D., Ph.D.; Janice Bonsu; Oscar Gonzalez-Perez, M.D.; Pragathi Achanta, Ph.D.; John Wong, Ph.D.; and Jose Manuel Garcia-Verdugo, Ph.D.

Johns Hopkins Medicine

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Wednesday, 14 August 2013

University of East Anglia research could contain infectious disease outbreaks

Main Category: Bird Flu / Avian Flu
Also Included In: Infectious Diseases / Bacteria / Viruses
Article Date: 14 Aug 2013 - 14:00 PDT Current ratings for:
University of East Anglia research could contain infectious disease outbreaks
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Researchers at the University of East Anglia (UEA) have identified a rapid response which could help halt infectious diseases such as bird flu, swine flu and SARS before they take hold.

Focusing on the avian flu virus strain H5N1, research published in the journal PLOS ONE identifies key stages in the poultry trade chain which lead to its transmission to other birds, animals and humans.

High risk times for the disease to spread include during transportation, slaughter, preparation and consumption. It is hoped that the findings and recommendations will help stop the spread of other infectious diseases.

The H5N1 avian flu strain has been responsible for the deaths of millions of poultry, as well as 375 confirmed human deaths. Areas of Southeast Asia have been hardest hit with more than 2,500 reported outbreaks among domestic poultry in Vietnam alone. The disease has also spread rapidly from Southeast Asia into Europe. However the way that the virus transmits from poultry to humans has been poorly understood.

The UEA research team adopted a system widely used in the food production industry, known as Hazard Analysis of Critical Control Points (HACCP), and investigated whether it could be used as a rapid response to emerging outbreaks.

They investigated Vietnam's poultry trade system and identified four key stages within the poultry trade chain which pose high risks for the transmission of HPAI viruses in human and poultry populations:

Contact within poultry flocks which act as viral 'mixing pots'. Examples include at markets which act as huge reservoirs for the virus, at bird vaccination centres, and at cock fighting contests.Transportation and sale of poultry and eggs.Purchase and slaughter of poultry from markets.Preparation of poultry for consumption - particularly in unhygienic conditions and when meat is raw or undercooked.Preventative measures outlined in the report include isolating and quarantining flocks, using protective equipment such as masks, gloves and sterile utensils when slaughtering and preparing carcases for consumption, and using social media to promote good hygiene standards.

The research was led by Dr Diana Bell and Dr Kelly Edmunds from UEA's school of Biological Sciences.

Dr Bell said: "Since 1980 an average of one new infectious disease emerges in humans every eight months - representing a substantial global threat to human health.

"Diseases which originate in birds and mammals such as SARS and bird flu represent 60 per cent of outbreaks. As well as representing a significant global health threat, they also create a burden to public health systems and the global economy.

"We identified poultry transportation, slaughter, preparation and consumption as critical control points in response to HPAI H5N1 outbreaks in Vietnam."

Dr Edmunds added: "We also showed that adopting the Hazard Analysis of Critical Control Points (HACCP) system, which is already used in the food production industry, could work very effectively as a precursor to more time-consuming quantitative data collection and biomedical testing."

The research was conducted as part of a three year interdisciplinary study of the impact of H5N1 on mechanisms of transmission, local livelihoods and food security. It was funded by the Economic and Social Research Council (ESRC) and the Natural Environment Research Council (NERC).

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our bird flu / avian flu section for the latest news on this subject.

PLOS ONE - 'Hazard Analysis of Critical Control Points Assessment as a Tool to Respond to Emerging Infectious Disease Outbreaks'

Kelly L. Edmunds, Paul R. Hunter, Roger Few and Diana J.Bell

University of East Anglia

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US consumers don't understand health insurance, Carnegie Mellon research shows

Main Category: Health Insurance / Medical Insurance
Article Date: 03 Aug 2013 - 0:00 PDT Current ratings for:
US consumers don't understand health insurance, Carnegie Mellon research shows
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This fall, as part of the 2010 Affordable Care Act (ACA), Americans will have a greater range of health care insurance options to choose from, including, for many, state-based plans. But will they make the right decisions? That's doubtful, according to a new study led by Carnegie Mellon University's George Loewenstein.

Previous research has shown that competition at the consumer level is only likely to result in reduced prices and improved quality when sufficient numbers of consumers make informed decisions. The study led by Loewenstein shows that consumers do not understand health insurance and therefore casts doubt on whether they will make the best decisions under the ACA.

Published in the Journal of Health Economics, the researchers report findings from two surveys of representative samples of Americans between the ages of 25 and 64 who have private health insurance and are the primary or shared decision maker for their own or their families' health care. Behavioral economists at the University of Pennsylvania, Stanford, Harvard and Yale universities and the University of Chicago, as well as professionals at a health insurance company participated in the research.

The first survey was designed, in part, to uncover how well the insurance holders understand four basic traditional health insurance concepts - deductible, copay, co-insurance and out-of-pocket maximum - as well as how well they believe they understand them. Analysis of responses revealed that while insured Americans felt confident about their own understanding of these concepts, their actual understanding was much lower; only 14 percent of all respondents accurately understood all four concepts.

The first survey also found that only 11 percent of respondents presented with a traditional insurance plan incorporating all four of these elements were able to compute the cost of a four-day hospital stay when given the information that should have enabled them to do so. Finally, the survey revealed that a simplified insurance plan that eliminated deductibles and copays - the two least well understood elements of insurance plan design - would appeal to consumers.

"It is strange, in my opinion, that the insurance market has evolved so, that so few individuals understand the fundamentals of the medical insurance plans they are insured under," said Loewenstein, the Herbert A. Simon University Professor of Economics and Psychology in CMU's Dietrich College of Humanities and Social Sciences. "Insurance plans incorporate all sorts of incentives designed to encourage customers to make specific types of decisions. What is the likelihood that they are going to respond to these incentives if they can't understand the most basic elements of plan design?"

Based on the finding that consumers had trouble understanding deductibles and co-insurance, the researchers then collaborated with the insurance professionals on the team to design a simplified insurance plan using only copays (no deductibles), which was later marketed to the insurer's customers. The second survey then compared the ability of respondents to compute costs under the simplified plan as compared with a traditional plan with similar copays. The survey also asked respondents to make hypothetical health care decisions based on the simplified and traditional insurance plans, such as whether to go to the emergency room or to an urgent care clinic with an earache. Half of the participants gave responses first using the traditional plan, then using the simplified plan, while the other half were exposed to the two plans in the reverse order. Finally, the second survey elicited respondents' preferences between the two plans. Both plans had the same premium.

Analysis of survey responses revealed that respondents were somewhat more likely to make lower cost choices, such as going to an urgent care clinic under the simplified plan, and were much better able to understand the cost ramifications of these decisions under the simplified plan. Examining consumer preferences, the researchers found that respondents were initially relatively indifferent between the two plans, but after attempting to compute costs of services under the two plans, their preferences shifted sharply in favor of the simplified plan.

"The ACA deals with the problem of consumer misunderstanding by requiring insurance companies to publish standardized and simplified information about insurance plans, including what consumers would pay for four basic services," noted lead author Loewenstein. "However, presenting simplified information about something that is inherently complex introduces a risk of 'smoothing over' real complexities. A better approach, in my view, would be to require insurance companies to offer truly simplified insurance products that consumers are capable of understanding."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our health insurance / medical insurance section for the latest news on this subject.

In addition to Loewenstein, the research team included the University of Pennsylvania's Joelle Y. Friedman, Jonathan Kolstad and Kevin G. Volpp; Colchester Consulting Group's Barbara McGill; Stanford University's John Beshears; Yale University's James Choi; Harvard University's David Laibson and Brigitte Madrian; the University of Chicago's John List, and employees of the insurance company.

For more information, visit http://www.cmu.edu/dietrich/sds/people/faculty/george-loewenstein.html.

Carnegie Mellon University

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'US consumers don't understand health insurance, Carnegie Mellon research shows'

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Monday, 5 August 2013

US consumers don't understand health insurance, Carnegie Mellon research shows

Main Category: Health Insurance / Medical Insurance
Article Date: 03 Aug 2013 - 0:00 PDT Current ratings for:
US consumers don't understand health insurance, Carnegie Mellon research shows
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This fall, as part of the 2010 Affordable Care Act (ACA), Americans will have a greater range of health care insurance options to choose from, including, for many, state-based plans. But will they make the right decisions? That's doubtful, according to a new study led by Carnegie Mellon University's George Loewenstein.

Previous research has shown that competition at the consumer level is only likely to result in reduced prices and improved quality when sufficient numbers of consumers make informed decisions. The study led by Loewenstein shows that consumers do not understand health insurance and therefore casts doubt on whether they will make the best decisions under the ACA.

Published in the Journal of Health Economics, the researchers report findings from two surveys of representative samples of Americans between the ages of 25 and 64 who have private health insurance and are the primary or shared decision maker for their own or their families' health care. Behavioral economists at the University of Pennsylvania, Stanford, Harvard and Yale universities and the University of Chicago, as well as professionals at a health insurance company participated in the research.

The first survey was designed, in part, to uncover how well the insurance holders understand four basic traditional health insurance concepts - deductible, copay, co-insurance and out-of-pocket maximum - as well as how well they believe they understand them. Analysis of responses revealed that while insured Americans felt confident about their own understanding of these concepts, their actual understanding was much lower; only 14 percent of all respondents accurately understood all four concepts.

The first survey also found that only 11 percent of respondents presented with a traditional insurance plan incorporating all four of these elements were able to compute the cost of a four-day hospital stay when given the information that should have enabled them to do so. Finally, the survey revealed that a simplified insurance plan that eliminated deductibles and copays - the two least well understood elements of insurance plan design - would appeal to consumers.

"It is strange, in my opinion, that the insurance market has evolved so, that so few individuals understand the fundamentals of the medical insurance plans they are insured under," said Loewenstein, the Herbert A. Simon University Professor of Economics and Psychology in CMU's Dietrich College of Humanities and Social Sciences. "Insurance plans incorporate all sorts of incentives designed to encourage customers to make specific types of decisions. What is the likelihood that they are going to respond to these incentives if they can't understand the most basic elements of plan design?"

Based on the finding that consumers had trouble understanding deductibles and co-insurance, the researchers then collaborated with the insurance professionals on the team to design a simplified insurance plan using only copays (no deductibles), which was later marketed to the insurer's customers. The second survey then compared the ability of respondents to compute costs under the simplified plan as compared with a traditional plan with similar copays. The survey also asked respondents to make hypothetical health care decisions based on the simplified and traditional insurance plans, such as whether to go to the emergency room or to an urgent care clinic with an earache. Half of the participants gave responses first using the traditional plan, then using the simplified plan, while the other half were exposed to the two plans in the reverse order. Finally, the second survey elicited respondents' preferences between the two plans. Both plans had the same premium.

Analysis of survey responses revealed that respondents were somewhat more likely to make lower cost choices, such as going to an urgent care clinic under the simplified plan, and were much better able to understand the cost ramifications of these decisions under the simplified plan. Examining consumer preferences, the researchers found that respondents were initially relatively indifferent between the two plans, but after attempting to compute costs of services under the two plans, their preferences shifted sharply in favor of the simplified plan.

"The ACA deals with the problem of consumer misunderstanding by requiring insurance companies to publish standardized and simplified information about insurance plans, including what consumers would pay for four basic services," noted lead author Loewenstein. "However, presenting simplified information about something that is inherently complex introduces a risk of 'smoothing over' real complexities. A better approach, in my view, would be to require insurance companies to offer truly simplified insurance products that consumers are capable of understanding."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our health insurance / medical insurance section for the latest news on this subject.

In addition to Loewenstein, the research team included the University of Pennsylvania's Joelle Y. Friedman, Jonathan Kolstad and Kevin G. Volpp; Colchester Consulting Group's Barbara McGill; Stanford University's John Beshears; Yale University's James Choi; Harvard University's David Laibson and Brigitte Madrian; the University of Chicago's John List, and employees of the insurance company.

For more information, visit http://www.cmu.edu/dietrich/sds/people/faculty/george-loewenstein.html.

Carnegie Mellon University

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3 Aug. 2013. APA

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'US consumers don't understand health insurance, Carnegie Mellon research shows'

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Tuesday, 30 July 2013

Investing in cardiovascular research benefits economy

Main Category: Cardiovascular / Cardiology
Also Included In: Public Health
Article Date: 30 Jul 2013 - 2:00 PDT Current ratings for:
Investing in cardiovascular research benefits economy
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Investing in cardiovascular disease research in Canada provides economic and societal benefits to Canadians, according to new research published in CMAJ Open.

"Our main goal was to understand how much "bang" we were getting from our research "buck" and whether investing in cardiovascular disease research is worthwhile from a population health perspective," writes Dr. Claire de Oliveira, scientist and health economist with the Centre for Addiction and Mental Health (CAMH), Toronto, with coauthors.

Cardiovascular disease is the number one cause of hospitalization and death in Canada. For every $69 spent on cardiovascular health care in the country, $1 was spent on research through public and charitable sector funding.

"We found an internal rate of return of 20.6% for investment in cardiovascular disease research by the public and charitable sectors," the authors write. "Thus, for every $1 spent on public or charitable sources, Canadians receive an income stream of about $0.21 per year in perpetuity. Considering a minimum acceptable rate of return of 12%, this investment is quite attractive."

The internal rate of return is "the annual monetary benefit to the economy for each dollar invested in cardiovascular disease research."

Spending on cardiovascular disease research in Canada has increased from roughly $13 million in 1975 to $41 million in 1990 and $96 million in 2005.

The authors hope this study will help funders determine the return on investment and whether they are spending appropriately.

"Our estimates provide evidence that investing in cardiovascular disease research is valuable and that investments in medical research are returned many times over in societal benefits," conclude the authors.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our cardiovascular / cardiology section for the latest news on this subject.

Estimating the payoffs from cardiovascular disease research in Canada: an economic analysis

CMAJ Open - doi: 10.9778/cmajo.20130003

Authors: Claire de Oliveira, MA, PhD, Hai V. Nguyen, PhD, Harindra C. Wijeysundera, MD, PhD, William W.L. Wong, PhD, Gloria Woo, PhD, Paul Grootendorst, PhD, Peter P. Liu, MD, MSc, Murray D. Krahn, MD, MSc

CMAJ Open

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'Investing in cardiovascular research benefits economy'

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Monday, 29 July 2013

Robots taking over to help medical research

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Main Category: Medical Devices / Diagnostics
Also Included In: Pharma Industry / Biotech Industry
Article Date: 29 Jul 2013 - 0:00 PDT Current ratings for:
Robots taking over to help medical research
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It has been a long and stealthy takeover, but robots now dominate many leading bioscience laboratories, doing in just hours what once took days or weeks. Now the convergence of automation with nanotechnologies, biomedics and advanced algorithms promises to take robotization of medical research much further.

In May of this year, Ross King, professor of machine intelligence at the UK's University of Manchester, traveled east to talk to students at the University of Nottingham campus in Ningbo, China. His paper "Robot scientists: Automating biology and chemistry" was a vindication of theories he and colleagues first proposed almost a decade ago.

In a 2004 letter to the journal Nature, they asked whether it might be possible to automate the actual "discovery" process of observation, deduction and conclusion. This would use a physically implemented robotic system that applied techniques from artificial intelligence (AI) to carry out cycles of scientific experimentation.

In China, as he had earlier at Brunel University in London, Prof. King named the two "robot scientists" Adam and Eve, constructed at the University of Aberystwyth in Wales. These robots form hypotheses, select efficient experiments to discriminate between them, execute the experiments using laboratory automation equipment, and then analyze the results.

Both Adam and Eve have made actual discoveries.

Adam was developed to investigate the functional genomics of yeast (Saccharomyces cerevisiae) and the robot succeeded in autonomously identifying the genes that encode locally "orphan" enzymes in yeast.

Adam the robot Prof. Ross King at the controls for Adam the robot, Aberystwyth University

In biblical fashion, Adam was followed by Eve using similar techniques to create a machine tasked toward automation and integration of drug discovery: screening, hit conformation, and quantitative structure-activity relationship (QSAR) development. Eve uses novel synthetic biology screens that combine the advantages of computational, target-based, and cell-based assays.

Prof. Ross King says:

"Our focus has been on neglected tropical disease, and using Eve, we have discovered lead compounds for malaria, Chagas, African sleeping sickness and other conditions."

Analytical robots like Adam, Eve or the more advanced products now being developed at centers of excellence - such as at the Fraunhofer Institute for Factory Operation and Automation (IFF) in Magdeburg, Germany - are a far cry from the robotic systems that first entered the lab some three decades ago.

The history of a leading company in the field - Hamilton Robotics - demonstrates the progression:

From precision syringes in the 1940sThrough the first semi-automated diluter in 1970To the first fully automated workstation for sample preparation in 1980.

Such workstations, which mechanically handle samples under full computer control, meet the core dictionary definition of a robot as "a machine capable of carrying out a complex series of actions automatically." Their actual mechanical or physical "work" component also satisfies Karel Capek's original "forced labor" definition in his 1920 play R.U.R.. This is the play that introduced the word "robot" to the world.

Liquid handling is one of the four core applications for robotics in the laboratory. The others are:

Microplate handling: using robots to move plates around a workcell, between stacks and other devices (liquid handlers, readers, incubators, and so on). Advanced microplate robots integrate with third-party instruments to create work cells that automate applications and protocols to almost any level of complexity.

Automated biological research systems: robots provide automated handling and reading for various aspects of biological and biochemical research, ranging from flow cytometers to specific molecular biology applications such as PCR preparation and purification, colony picking or cell culture development.

Drug discovery screening: the most recent mainstream robotics application allows researchers to run a wide range of cell-based, receptor-based and enzyme-based assays typically used in high throughput screening (HTS).

The laboratory advantages of using robotics seem obvious, starting with the ergonomic benefits of automating tasks that would be tedious, repetitive, injurious or even hazardous for a human.

A robot makes no distinction between the backbreaking low rack a few centimeters off the floor and the one up high, for which a human would need to stand on a chair. Robots can also safely handle toxins, biohazards or operate in sealed or climate-controlled areas that we would find unbearable.

Laboratories originally embraced robotics because it seemed to offer an escape from the "quantity or quality" dilemma - the constant need to trade off speed for accuracy.

By contrast, it seemed robots could perform infinitely repeated operations to a supreme degree of precision that never varied and was infinitely controllable.

However, in practice, and particularly with high throughput screening, some limitations began to emerge. These included:

Long design and implementation timeProtracted transfer from manual to automated methodsUnstable robotic operation, andLimited error recovery abilities.

Furthermore, the need to reduce steps in robotic processes tended to encourage the use of less accurate homogenous assays over the heterogenous ones that most companies would prefer.

Early 21st century adoption of Allegro and other technologies based on assembly-line techniques overcame many of these problems by passing microplates down a line to consecutive processing modules, each performing just one step of the assay. Speed could be multiplied into the process by making each step bigger, with the 96-well microplate giving way to 384 and now 1,536-well plates.

The new capability of robots to screen such enormous plates unsupervised paved the way for the quantitative high-throughput screening (qHTS) paradigm that can test each library compound at multiple concentrations.

Maximum efficiency and miniaturization gave qHTS the theoretical capacity to carry out cell-based and biochemical assays across libraries of more than 100,000 compounds, testing between 700,000 and 2 million sample wells within a few hours.

However, few companies actually need to screen that many compounds in-house each day, with the associated costs of consumables such as assay reagents, cell cultures, microplates, and pipet tips, as well as the cost of data handling and analysis time.

When you add in the investment overheads for associated infrastructure, robotics can seem like a rich kid's toy.

During the first decade of the 21st century, growing numbers of contract companies doing high-throughput screening (HTS) offered assay development and screening, data analysis, and other library support.

The use of such contract robotics labs became a lot more popular after they stopped demanding royalty payments on any discovery. Such labs trade on the ability to offer ultra-fast turnaround times, running 24/7 on high-capacity HTS robotic workstations.

Some pharma and biotech companies began to outsource primary screening, keeping the higher-value, more proprietary secondary screening in-house, to enable higher hit rates for their teams. However, even these approaches are becoming redundant with new technology.

Essentially, high-throughput screening is the shotgun approach to research - using robotics to throw many thousands of chemical compounds against a target pathogen to see if its cell growth accelerates, stops, or is eliminated. The capacity is awesome, but the costs are high and the unit-to-success ratio is low.

A more sophisticated robotics-enabled paradigm is high-content screening (HCS) - a "rifle" approach that applies molecular specificity based on fluorescence and takes advantage of more sophisticated reagent classes.

High-content screening has the ability to multiplex, along with image analysis coupled to data management, data mining, and data visualization. All these help researchers focus on biological and genomic information and make far more targeted decisions on which assays to run.

Latest technology takes this targeting still further. Hudson Robotics recently announced what it terms high-efficiency screening (HES) for small molecules and antibodies.

High-efficiency screening uses a proprietary algorithm to compile a shortlist of library samples that will be screened. This is then passed on to a robotic workstation where the molecules are cherry-picked and screened in the appropriate assay.

Any molecules found to be active are used to enhance the model and the process is repeated until the user has both a list of active molecules, as well as the final model that can be used to search additional compound collections and guide synthesis of optimized analogs.

In preliminary testing against known compound databases, Hudson says its high-efficiency screening consistently identified the majority of known inhibitors of ten different biological targets after screening under 10% of a library containing some 80,000 diverse molecules.

Three decades in from the first laboratory use of robotics, it seems clear that the technology is still in its infancy. Robots may seem pervasive in today's biomedical research, but they have a long way to evolve.

For one thing, robots cannot easily coexist with humans, needing to work in safely enclosed areas. The Fraunhofer Institute has been studying this aspect and developed LISA, a prototype mobile lab assistant with touch sensitive "skin" and heat sensors to stop her bumping into humans and vice versa.

Meet Lisa the robot Meet LISA. She's the one on the left...

But even LISA is likely to look as clunky as the Wright Flyer once biomedics, 3D printing and nanotechnologies really come into play. A glimpse of the possibilities is offered by the robotic inchworm pioneered by Columbia University.

Biobots like these, or the DNA spiders developed at New York University and the University of Michigan are little more than fascinating, if rather scary, toys at the moment. But they point to a future where robotics moves beyond the research lab into the operating room - or even down into the molecular realm.

Written by Nick Valentine


Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today Visit our medical devices / diagnostics section for the latest news on this subject.

"High-throughput screening: The hits and leads of drug discovery - an overview," Journal of Applied Pharmaceutical Science 01 (01); 2011: 02-10. Full text

"A robotic platform for quantitative high-throughput screening," Assay and Drug Development Technologies 2008 October; 6(5): 637–657. Full text

"A Personal Perspective on High-Content Screening (HCS)," J Biomol Screen August 2010 vol. 15 no. 7 720-725. Full text "Application of chemistry-based functional proteomics to screening for novel drug targets," Comb Chem High Throughput Screen 2010 Jun;13(5):414-21. Abstract/summary Please use one of the following formats to cite this article in your essay, paper or report:

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29 Jul. 2013. APA

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'Robots taking over to help medical research'

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Wednesday, 24 July 2013

Clinical Research A Second Career for Health and Science Professionals

Clinical Research A Second Career for Health and Science ProfessionalsWho will you reasonably anticipate finding signed up for clinical research courses? Whether in Toronto or Tokyo, japan, wherever you're, the reply is prone to incorporate a number of scholars who originate from health or sciences.

Actually, one recent paid survey recognized "clinical research connect" being an ideal second career for individuals 50 and also over. How can this be this kind of attractive career option for individuals this age group? You will find a lot of reasons.

1. Highly developed feeling of responsibility

The graduates of clinical research training safeguard the security in our food and drug supply. They have to blend legal understanding with laboratory know-how good recording abilities with higher business abilities. In some instances, they might be responsible for a whole team. They might be exposed for an audit. They have to have the ability to contact co-workers, clients and government authorities. They require the motivation to remain current on developments within their area.

2. Among the marketplaces for clinical research training is companies

A good reason that clinical research courses abound is the fact that there's a requirement on their behalf, which demand originates from companies who would like well-trained employees. By signing up their employees in related programs, companies make sure that employees have sufficient learning such clinical cornerstones as:

- pharmacology

- biopharmaceuticals

- medical products

- biotech

- pathology

- anatomy

- physiology

- calculating costs

- allocating assets

- development methods

- guidelines

- developing items

So, if you're already utilized by a pharmaceutical firm or food producer, you might want to make use of the connections that you have to segue right into a second career within the laboratory.

3. Competitive salary

Like a experienced professional, a clinical research connect can get to create a good earnings, around $80,000 annually, by a few estimations. This really is great news at any stage of existence, but even more in order the retirement years draw closer, when you wish to make certain you have enough money to last before the finish of the existence.

4. Interest in affiliates

Should you lookup jobs for graduates of on job boards, everyone will likely show exactly the same factor: posts in abundance. Obviously the amount of posts which come in searching is dependent available on the market (both generally and in your area) however it may be beneficial to start looking when for brand new openings.

Intrigued? If you're already employed, discover in case your employer offers any re-training programs. Otherwise, look in your area for clinical research courses. Most major metropolitan areas should offer them. Have fun with starting your next career!


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Health Tips & Info : Analysis And Synthesis In Cancer Research.

Consider a medical phenomenon, cancer. Which of the following do you think true?A. Cancer is essentially a genetic disease.B. Cancer is a disorder of unregulated proliferation of abnormal cells.C. Smoking accounts for roughly 30 percent of all cancer deaths in the United States, overweight and obesity  account for 15-20 percent.D. Inherited genetic dispositions contribute significantly to 5-10 percent of breast cancer and 5-13 percent of colon cancer incidences.E. In the industrialized nations, roughly 7 percent of cancer deaths are attributable to viral infections; 4 percent to occupational hazards; 2 percent to sunlight; 2 percent to pollutions of air, water, and soil; and less than 1 percent to food additives and industrial products.It is F, according to available scientific data, although some people reject any answer that does not conform to their pet ideology. Statements A to E describe cancer from the perspectives of different organizational levels: molecular, cellular, personal, familial, and environmental. A major achievement in cancer research is the introduction of a framework that accommodates phenomena in these levels and roughly explains their interrelationships. Its center of gravity lies on the molecular and cellular levels. Nevertheless, its explanations of how certain viruses, chemicals, and radiations contribute to cancer suggest links to environmental and social researches on people’s exposure to these carcinogens.Cancer research underscores the systematic approach that makes natural science and modern engineering so powerful. Faced with a complex phenomenon, scientists analyze or reduce it to components and simpler factors that can be investigated thoroughly, for instance analyzing cancer development into cellular dynamics and gene mutations. The fruitfulness of the reductive approach is apparent when one compares the abundant solid knowledge it yields to the empty rhetoric of mystical holism that insists all is a seamless web impervious to analysis.To analyze, however, is not to analyze away. Reducing cancer to genes is not subscribing to a dogmatic reductionism that regards a patient as nothing but a bag of genes. Despite the success and glamour of genetics and molecular biology in disease research, few if any researcher would disagree with the editors of a recent segment on complex diseases in Science: “It’s not just the genes.”Holism that reviles analysis and reductionism that reviles synthesis are both detrimental to science, in which analysis and synthesis are complementary. For scientific research, reduction of a phenomenon into elements is incomplete if not followed by integration of relevant elements for the goal of explaining the original phenomenon. Socrates recommended the methods of division and collection. Galileo’s methods were described as resolution and composition. Newton explained the effects of analysis and synthesis in scientific investigations. Descartes followed a similar vein and went further to combine analysis and synthesis as two steps of a single method.Perhaps the most comprehensive articulation comes from engineers. In designing complex systems such airplanes, engineers must ensure the functions of the airplane as an integral whole and specify minute details of its ten thousand parts that must work together. To rationalize design processes, they have developed systems engineering, in which analysis and synthesis are graphically depicted as the letter “V.” The downward stroke of the V represents the decomposition of a system into smaller and smaller parts and the upward stroke the assemblage of the parts into the system as a whole.The systems-engineering V model can be extrapolated to science. Twentieth century biology mainly follows the downward stroke as it anatomizes organisms into organs and cells and molecules. Now that molecular biology has completely cataloged the genes for human and many other species, biology is turning the corner of the V. Centers of systems biology, which begin to appear in Harvard and other places, turn to study how molecular dynamics contributes to life phenomena on higher levels.From : Sunny Y. Auyang Journal

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