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What You Should Know About Stem Cell Research

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Camouflaged in the politics, controversy, and hype surrounding stem cells have been two stunning and unexpected dividends: the ability to study diseases in a petrie dish and a new way to think about cancer. This is separate from the most well-publicized stem cell story: the potential of embryonic stem cells to morph into any cell in the body and replace injured or defective cells — for example in diabetes, Parkinson’s, and spinal cord injury.

Human embryonic stem cells (HES cells) are collected from unused embryos created by in-vitro fertilization. About two years ago, scientists figured out a way to turn ordinary skin cells into stem cells. This was a huge deal.  These cells — called “induced pluripotents stem cells” (IPS cells) — are not identical to HES cells and may not be quite as nimble in morphing into other cells. But they are electrifying the field because diseases can now be studied outside the body – in a petrie dish. For example, researchers have taken skin from patients with ALS (Lou Gehrig’s disease), turned them into stem cells, then turned the stem cells into the kind of nerve cells (motor neurons) damaged in the disease. Read more »

Steroid Use, BMI, And Risk Of Death

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You might already be aware of this week’s finding if you’ve watched baseball in the past decade or so and noticed that Mark McGwire’s arms are about the circumference of the average ballplayer’s waist in the 70s. But just to be sure, researchers recently compared the BMIs of professional baseball players from 1876 to 2007 to find that, like serving sizes and master bathrooms, they’ve gotten bigger.

Clear, right? But in taking the next step, drawing conclusions from this study, this article from HealthDay gets about as confused as a science article can be. The study authors are concerned because they correlated the ballplayers’ “increased BMIs with an increased risk of death.” (We’re assuming that’s a risk of premature death, since it seems pretty certain that the 1876 team would be dead regardless of their % body fat.)

But a critic of the study argued first that ballplayers’ increasing size is not a health risk, and then that the players might be dying early because they’re using steroids. Um, we’re not scientists, but mightn’t there be a relationship (even a causal one, perhaps?) between steroid use and increased BMI?

*This blog post was originally published at ACP Internist*

Is Acupuncture Valuable In Treating Depression?

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One of the basic principles of science-based medicine is that a single study rarely tells us much about any complex topic. Reliable conclusions are derived from an assessment of basic science (i.e prior probability or plausibility) and a pattern of effects across multiple clinical trials. However the mainstream media generally report each study as if it is a breakthrough or the definitive answer to the question at hand. If the many e-mails I receive asking me about such studies are representative, the general public takes a similar approach, perhaps due in part to the media coverage.

I generally do not plan to report on each study that comes out as that would be an endless and ultimately pointless exercise. But occasionally focusing on a specific study is educational, especially if that study is garnering a significant amount of media attention. And so I turn my attention this week to a recent study looking at acupuncture in major depression during pregnancy. The study concludes: Read more »

*This blog post was originally published at Science-Based Medicine*

Belly Fat Is A Risk Factor For Dementia

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One of the great fears we all have is to lose our mental ability as we grow old. No one wants to end their life with dementia (such as Alzheimer’s Disease). We all should be highly motivated to do things to avoid this tragic outcome. We already know that regular exercise is good for the mind and may reduce the risk of dementia. Recent evidence shows that the use of statin medications to lower cholesterol may help reduce dementia risk. Now we have evidence that the roll of fat around your waist may be a marker for increased dementia risk.

The University of California, Berkeley Wellness Letter (February, 2010) reports on a study published in the journal Neurology that followed 1500 Swedish women for 30 years. Those with more fat around the waist were twice as likely to have dementia by age 70 compared with thinner women. A 2008 study from Kaiser Permanente that included men and women showed similar results. Read more »

*This blog post was originally published at eDocAmerica*

Optimal Laser Variables Required To Remove Tattoos

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In the January issue of the Archives of Dermatology, there is a short article (full reference below) in which the authors have attempted to use in vitro lab techniques to improve in vivo techniques for tattoo removal.

Fragmentation of the tattoo particles by the laser leads to small pigment particles, unknown decomposition products, and newly generated chemical compounds that may then be removed from the skin by means of the lymphatic system, leading to  a noticeable lightening of a colored tattoo. Read more »

*This blog post was originally published at Suture for a Living*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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