Multiple sclerosis: 'Resetting' immune system may achieve long-term remission

https://goo.gl/pJxuyB

Relapsing-remitting multiple sclerosis (RRMS) is the most common form of multiple sclerosis (MS), accounting for around 85 percent of all diagnoses.

There is no cure for RRMS, but there are a number of medications that can help patients to manage relapses and symptoms.

However, the results of the new study suggest that one-time high-dose immunosuppressive therapy (HDIT), followed by autologous hematopoietic cell transplantation (HCT), may lead to long-term remission for patients with RRMS.

The goal of HDIT/HCT is to remove all MS-causing cells from the body.

The therapy involves collecting a patient's blood-forming stem cells, before treating them with high-dose chemotherapy to destroy their immune system. The blood-forming stem cells are then returned to the patient, effectively "resetting" their immune system.

In 2014, Dr. Nash and colleagues reported the 3-year results of their phase II clinical trial for HDIT/HCT. The trial involved 24 patients with RRMS aged between 26 and 52. All patients were using currently available medications for their condition, but none were experiencing a reduction in relapses or disease progression.

For the trial - funded by the National Institute of Allergy and Infectious Diseases (NIAID) - each patient received HDIT/HCT. The team found that almost 80 percent of patients experienced no relapses, worsening of disability, or new brain lesions in the 3 years following treatment.

In the new study, the researchers assessed the same group of patients 5 years after HDIT/HCT. They found that 69 percent of patients had still not experienced relapses, disability progression, or new brain lesions since the treatment.

Importantly, none of the patients had used any RRMS medications since treatment with HDIT/HCT.

Reported side effects of HDIT/HCT included cytopenias (a reduction in blood cells) and infections. Three patients died during the 5-year follow-up, but the researchers say that their deaths were not related to their treatment.


Aging in place: Experts say design choices can help Alzheimer's patients stay in homes

https://goo.gl/XntLvR

Two weeks ago, Mary McCreesh got the kind of news that makes your heart sink: Her 82-year-old father was officially diagnosed with Alzheimer's.

So McCreesh, of Wayne, Pa., spent that Friday afternoon at, of all places, the Philadelphia Home Show. She figured she can't change her father's diagnosis, but she can make it easier for him to stay at home, in the house McCreesh grew up in.

"We can see the house through his eyes and find ways to make it easier for him, not knowing what's ahead."

She was there for a presentation by Theresa Clement, an Ambler designer and aging-in-place specialist whose own father succumbed to Alzheimer's disease in September. Clement learned along the way that her line of work was surprisingly relevant to managing certain symptoms of the disease.

"If I had known at the start what I know now, my dad would have been able to live at home with my mom a year or so longer than he did," Clement said. So, consulting with experts including Dylan Wint, a neurologist and psychiatrist at the Cleveland Clinic, she's developed what she calls Design Prescription.


Soccer: Heading the ball linked to concussion symptoms

https://goo.gl/giEJfu

Whether in practice games or competition, soccer players who frequently head the ball are three times more likely to have concussion symptoms than players who don't rack up high numbers of headers, according to a study published Wednesday in the journal Neurology.
When a bump, blow or jolt to the head or a hit to the body causes the head and brain to move rapidly back and forth, this can lead to concussion, a type of traumatic brain injury. The brain bouncing or twisting in the skull creates chemical changes in the brain and sometimes damages cells, according to the Centers for Disease Control and Prevention.
Dr. Michael L. Lipton, senior author of the study and a professor of radiology and of psychiatry and behavioral sciences at the Albert Einstein College of Medicine, noted one important reason why he conducted the research: "There's like over a quarter of a billion people in the world who play soccer, and most of those people are the kind of people we study," he said of adults in recreational leagues.
    "It's a huge number of people. So if there is an effect on the brain -- and as the data comes in, it's increasingly looking like there is -- that's potentially a big public health issue."


    Acupuncture boosts effectiveness of standard medical care for chronic pain and depression

    https://goo.gl/tDxeyH

    Health specialists at the University of York have found than acupuncture treatment can boost the effectiveness of standard medical care, lessening the severity of chronic pain and depression.

    In a report published in the National Institute for Health Research (NIHR) Journals Library, the researchers showed that there is significant evidence to demonstrate that acupuncture provides more than a placebo effect.

    Professor of Acupuncture Research, Hugh MacPherson, working with a team of scientists from the UK and US, brought together the results of 29 high quality clinical trials focused on patients treated with acupuncture and standard medical care.

    In the majority of these trials, patients with chronic pain treated with acupuncture and standard medical care were tested against those who were provided with standard medical care alone, such as anti-inflammatory drugs and physiotherapy. The trials involved approximately 18,000 patients diagnosed with chronic pain of the neck, lower back, head, and knee.

    The report shows that the addition of acupuncture compared to standard medical care alone significantly reduced the number of headaches and migraine attacks and reduced the severity of neck and lower back pain. It also showed that acupuncture reduced the pain and disability of osteoarthritis, which led to patients being less reliant on anti-inflammatory tablets to control pain.


    Link Between Sleep and Cognitive Impairment in Elderly

    https://goo.gl/UQEgYw

    In an editorial in the current issue of Neurology, a Boston University School of Medicine (BUSM) researcher stresses that it is now time for physicians to consider the association between these sleep conditions and cognitive impairment in the elderly.

    In the same issue of the journal, researchers of the “HypnoLaus Study” investigated an older population (over the age of 65), with and without cognitive impairment. They performed sleep studies on these groups and found that the group with cognitive impairments had more sleep disturbances attributed to SDB.

    “Although this does not necessarily mean that sleep apnea causes cognitive impairment in the elderly, it does highlight the association,” explained corresponding author Sanford Auerbach, MD, associate professor of neurology and psychiatry at BUSM and director of the Sleep Disorders Center at Boston Medical Center.

    According to Auerbach the causal link between SDB /obstructive sleep apnea (OSA) and cognitive impairment in the elderly is not entirely clear. “Nevertheless, it does raise the issue that clinicians evaluating OSA in the elderly should screen for cognitive impairments. Furthermore, clinicians evaluating cognitive impairment in the elderly should also screen their patients for sleep disturbance and OSA.”


    Troops Who Cleaned Up Radioactive Islands Can’t Get Medical Care

    https://goo.gl/WgRX3R

    A military film crew snapped photos and shot movies of Mr. Snider, a 20-year-old Air Force radiation technician, in the crisp new safety gear. Then he was ordered to give all the gear back. He spent the rest of his four-month stint on the islands wearing only cutoff shorts and a floppy sun hat.

    “I never saw one of those suits again,” Mr. Snider, now 58, said in an interview in his kitchen here as he thumbed a yellowing photo he still has from the 1979 shoot. “It was just propaganda.”

    Today Mr. Snider has tumors on his ribs, spine and skull — which he thinks resulted from his work on the crew, in the largest nuclear cleanup ever undertaken by the United States military.

    Roughly 4,000 troops helped clean up the atoll between 1977 and 1980. Like Mr. Snider, most did not even wear shirts, let alone respirators. Hundreds say they are now plagued by health problems, including brittle bones, cancer and birth defects in their children. Many are already dead. Others are too sick to work.

    The military says there is no connection between these illnesses and the cleanup. Radiation exposure during the work fell well below recommended thresholds, it says, and safety precautions were top notch. So the government refuses to pay for the veterans’ medical care.

    Congress long ago recognized that troops were harmed by radiation on Enewetak during the original atomic tests, which occurred in the 1950s, and should be cared for and compensated. Still, it has failed to do the same for the men who cleaned up the toxic debris 20 years later. The disconnect continues a longstanding pattern in which the government has shrugged off responsibility for its nuclear mistakes.

    On one cleanup after another, veterans have been denied care because shoddy or intentionally false radiation monitoring was later used as proof that there was no radiation exposure.


    Anti-inflammatory diet reduces bone loss, hip fracture risk in women

    https://goo.gl/TqSP9l

    It used to be believed that osteoporosis was a natural part of aging, but most medical experts now agree that the condition can and should be prevented.

    New research from the Ohio State University found a link between nutrition and osteoporosis. The study was led by Tonya Orchard, an assistant professor of human nutrition at the Ohio State University, and the findings were published in the Journal of Bone and Mineral Density.

    The scientists found an association between highly inflammatory diets and fracture - but only in younger Caucasian women.

    Specificallly, higher scores on the DII correlated with an almost 50 percent higher risk of hip fracture in white women younger than 63 years old. By contrast, women with the least inflammatory diets lost less bone density during the 6-year period than their high DII counterparts, even though they had overall lower bone mass when they enrolled in the study.

    As the authors note, these findings suggest that a high-quality, anti-inflammatory diet - which is typically rich in fruit, vegetables, fish, whole grains, and nuts - may be especially important for younger white women.

    "[Our study] suggests that as women age, healthy diets are impacting their bones. I think this gives us yet another reason to support the recommendations for a healthy diet in the Dietary Guidelines for Americans."

    Tonya Orchard

    Rebecca Jackson, the study's senior author and director of Ohio State's Center for Clinical and Translational Science, adds that their findings confirm previous studies, which have shown inflammatory factors to increase osteoporosis risk.

    "By looking at the full diet rather than individual nutrients, these data provide a foundation for studying how components of the diet might interact to provide benefit and better inform women's health and lifestyle choices," Jackson says.

    However, it is worth noting that the study did not associate a more inflammatory diet with a higher risk of fracture overall. On the contrary, lower-arm and total fracture risk were found to be slightly lower among women with higher DII scores.

    Although the study was observational and could not establish causality, a possible explanation ventured by the authors is that women with lower inflammatory diets may exercise more and have a higher risk of falls as a consequence.


    Two Infants Treated with Universal Immune Cells Have Their Cancer Vanish

    https://goo.gl/j3ypr0

    The ready-made approach could pose a challenge to companies including Juno Therapeutics and Novartis, each of which has spent tens of millions of dollars pioneering treatments that require collecting a patient’s own blood cells, engineering them, and then re-infusing them.

    Both methods rely on engineering T cells—the hungry predator cells of the immune system—so they attack leukemic cells.

    The British infants, ages 11 and 16 months, each had leukemia and had undergone previous treatments that failed, according to a description of their cases published Wednesday in Science Translational Medicine. Waseem Qasim, a physician and gene-therapy expert who led the tests, reported that both children remain in remission.

    Although the cases drew wide media attention in Britain, some researchers said that because the London team also gave the children standard chemotherapy, they failed to show the cell treatment actually cured the kids. “There is a hint of efficacy but no proof,” says Stephan Grupp, director of cancer immunotherapy at the Children’s Hospital of Philadelphia, who collaborates with Novartis. “It would be great if it works, but that just hasn’t been shown yet.”


    The Cancer Killing Ratio…How 100:1 of Vitamin C and K3 Is Changing The Way We Fight Cancer!

    https://goo.gl/66e47Z

    But we now have a new hope the combination of intravenous Vitamin C and K3 in 100:1 ratio. This specific combination has been causing of form of cell necrosis called autoschizis…it is KILLING cancer. Researchers started playing around with a combination of vitamin C and Vitamin K3 and watched what it did to cancer cells…it killed them.

    The Science

    Before we can get into how the specific combination of Vitamin CK3 kills the cancer, we must first get a better understanding of cancer cells.

    From a biochemical point of view, cancer cells have some remarkable features:

    • They are deficient in DNase activity
    • They have low activities of antioxidant enzymes
    • They show high rates of glycolysis
    • And most of cancer cells accumulate Vitamin C

    The inhibition of both alkaline DNase and acid DNase has been reported in non-necrotic cancer cells at early stages of experimental carcinogenesis. On the other hand, the reactivation of these enzymes has also been seenin the early stages of spontaneous and/or induced tumor cell death. Therefore, the use of compounds able to activate such endonucleases opens the possibility of a new therapeutic approach for cancer treatment…Vitamins C and K3 reactivate acid and alkaline DNases!

    The big question is can that combination work with cancer?