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Scientists seek to engineer chatter among cells

Researchers at Rice University and the University of Houston are developing mathematical models to understand how cells in large colonies of bacteria communicate with each other. Their goal is to design colonies that can perform computations and make sophisticated decisions, mimicking the ability of tissues to maintain homeostasis.

Machine-learning techniques unlock benefit of weight loss for type 2 diabetes patients

A study applying machine learning techniques to the Look AHEAD Trial data found that 85% of participants experienced a clinically meaningful reduction in cardiovascular mortality and morbidity through intensive weight loss intervention. However, 15% of subjects had an increased risk of cardiovascular events due to weight loss.

SourceThe Mount Sinai Hospital / Mount Sinai School of Medicine·JournalThe Lancet Diabetes & Endocrinology·DateJul 12, 2017

Ancient antiviral defense system could revolutionize a new class of RNA-based medicine

Researchers discovered an ancient antiviral defense system in human cells that could be used to deliver targeted therapies using engineered viruses or simple self-replicating RNAs. This system, which dates back billions of years, was originally designed to defend against viral infection and may hold the key to new treatments for diseases.

Brain signals deliver first targeted treatment for world's most common movement disorder

Researchers at the University of Washington have developed a new deep brain stimulation system that uses electrodes on top of the brain to sense movement and deliver targeted stimulation only when needed. This approach has shown promising results in reducing tremor symptoms, extending battery life, and improving patient performance.

SourceUniversity of Washington·JournalIEEE Transactions on Neural Systems and Rehabilitation Engineering·DateJun 27, 2017

Early stress confers lifelong vulnerability causing alterations in a specific brain region

Researchers identify early stress as a molecular basis for lifelong depression susceptibility, revealing a critical role for the developmental transcription factor Otx2. Mice stressed in early life exhibit suppressed Otx2 levels and increased depression-like behavior in adulthood, highlighting a sensitive period for brain development.

'Harder, better, faster, stronger'-tethered soft exosuit reduces metabolic cost of running

Researchers developed a tethered soft exosuit that reduces the metabolic cost of running on a treadmill by 5.4% compared to not wearing the exosuit. The study tested two different assistance profiles, one based on human biology and another based on simulation, with the latter outperforming the former in reducing metabolic cost.

Stroke, MS patients walk significantly better with neural stimulation

Researchers at Case Western Reserve University have developed a neural stimulation system that improves walking ability for stroke and MS patients. Functional electrical stimulation (FES) significantly helped patients walk more effectively, with one patient covering nearly a mile and another gaining balance and confidence.

SourceCase Western Reserve University·JournalAmerican Journal of Physical Medicine & Rehabilitation·DateMay 10, 2017

Greater life expectancy in patients with recommended mitral valve operations from high-volume surgeons

Patients operated on by high-volume mitral valve surgeons experience lower one-year mortality and reoperation rates compared to those performed by lower-volume surgeons. High-volume surgeons are more likely to perform durable repairs, with repair rates ranging from 77% for 51+ cases to 48% for fewer than 10 cases.

SourceThe Mount Sinai Hospital / Mount Sinai School of Medicine·JournalJournal of the American College of Cardiology·DateMay 2, 2017

Biology's need for speed tolerates a few mistakes

A new paper reveals that evolution has optimized two fundamental biological processes, DNA replication and protein translation, to prioritize speed over accuracy. The research suggests that a few mistakes are tolerable as long as the majority of biopolymers produced are correct, and energy savings can be significant.

SourceRice University·JournalProceedings of the National Academy of Sciences·DateMay 2, 2017

Electronic health records improve weekend surgery outcomes

A Loyola Medicine study found that electronic health record (EHR) systems can mitigate the weekend effect in urgent general surgery patients. Patients at hospitals with high-speed EHR connectivity and electronic bed management systems experienced lower hospital stays and mortality rates, with reductions of up to 35%.

SourceLoyola Medicine·JournalJAMA Surgery·DateMar 29, 2017

Temple-led team: Sex-based differences in utilization & outcomes for CDT in DVT patients

A Temple University Health System research team identified sex-based differences in the utilization and safety outcomes of catheter-directed thrombolysis (CDT) for treatment of deep vein thrombosis (DVT). Female patients were less likely to receive CDT, while males experienced more bleeding complications, but with similar mortality rates.

SourceTemple University Health System·JournalVascular Medicine·DateMar 20, 2017

Transcatheter aortic valve replacement as effective as surgery in intermediate patients

The SURTAVI trial shows that TAVR is comparable to surgical aortic valve replacement for intermediate-risk patients, with similar all-cause mortality rates and better mean aortic valve gradient at two years. Near-term results also indicate improved outcomes for TAVR patients, including lower stroke rates and quicker hospital discharge.

SourceHouston Methodist·JournalNew England Journal of Medicine·DateMar 17, 2017

A blood test for autism

Researchers at Rensselaer Polytechnic Institute developed an algorithm that accurately predicts whether a child is on the Autism spectrum of disorder based on levels of metabolites found in a blood sample. The algorithm, which uses big data techniques, correctly identified 96.1% of neurotypical participants and 97.6% of children with ASD.

SourceRensselaer Polytechnic Institute·JournalPLOS Computational Biology·DateMar 16, 2017

Mount Sinai to present clinical findings at American College of Cardiology Scientific Sessions 2017

Researchers from Mount Sinai Health System will present their study on the predictive value of the Fuster-BEWAT score for predicting the extent of subclinical atherosclerosis in healthy individuals, and another study exploring determinants of subclinical atherosclerosis in the absence of cardiovascular risk factors.