Are There Any Viable Treatments For Age Related Macular Degeneration?

Stem cells seem to offer an alternative venue for treating many cell related diseases, such as age-related macular degeneration (ARMD). ARMD is a progressive neurodegenerative medical condition, which primarily affects the retinal pigmented epithelium (RPE), resulting in degeneration of photoreceptors. Scientists have been successful in implanting stem cells into the eyes of rats. These injected cells sustained visual function and photoreceptor integrity without any cancerous cell formation. There are numerous treatments available to slow down the progression of ARMD. Depending on the type of ARMD, doctors may either recommend leading a healthier lifestyle or that one should undergo surgery. Numerous risk factors can increase one’s chances of getting ARMD depending on one’s age and race. Bad habits, such as cigarette smoking, can contribute to the progression of ARMD. It is important to get a comprehensive dilated eye exam periodically. Many eye diseases that don’t have any warning signs can be detected with such an eye exam

Parent-Reported Usability of a Patient Portal-Based Asthma Care Tool for Parents of Children With Asthma.

INTRODUCTION: This study evaluates our new EHR-integrated patient portal for asthma care (PAC) management module for parents of children with asthma. The module includes a previsit asthma intake questionnaire via the portal. The parent answers are integrated into the providers clinic progress note to support clinical decision-making. Our goals were to measure the functionality and usability of the PAC module and to understand facilitators and barriers to its use for parents. METHODS: Parents of children ages 0-11 years old (n = 45) completed the PAC modules asthma intake questionnaires prior to their upcoming pediatric pulmonology clinic visit. To assess functionality, provider progress notes were manually reviewed to measure the amount of key asthma-related data captured. Differences in percent data captured with and without the PAC module were compared. Electronic surveys capture demographics, usability data (the System Usability Scale [SUS]), and open-ended experiential feedback about the module. Analysis included descriptive statistics for demographics and usability, as well as the constant comparative method for open-ended feedback. RESULTS: The PAC module at this early stage of design significantly improved the capture of key asthma data in physician notes, increasing from 77% to 92% (p < 0.001). The average SUS score (83.8) indicated high usability. Favorable aspects of the module that were identified included time savings and ease of use. CONCLUSION: Our PAC module enhanced data capture of key asthma management elements and demonstrated high parental usability. We will continue to refine the module through an iterative approach based on end-user feedback, with future expansion planned for broader patient populations

Low expression of gamma-glutamyl hydrolase mRNA in primary colorectal cancer with the CpG island methylator phenotype

The CpG island methylator phenotype (CIMP+) in colorectal cancer (CRC) is defined as concomitant and frequent hypermethylation of CpG islands within gene promoter regions. We previously demonstrated that CIMP+ was associated with elevated concentrations of folate intermediates in tumour tissues. In the present study, we investigated whether CIMP+ was associated with a specific mRNA expression pattern for folate- and nucleotide-metabolising enzymes. An exploratory study was conducted on 114 CRC samples from Australia. mRNA levels for 17 genes involved in folate and nucleotide metabolism were measured by real-time RT-PCR. CIMP+ was determined by real-time methylation-specific PCR and compared to mRNA expression. Candidate genes showing association with CIMP+ were further investigated in a replication cohort of 150 CRC samples from Japan. In the exploratory study, low expression of γ-glutamyl hydrolase (GGH) was strongly associated with CIMP+ and CIMP+-related clinicopathological and molecular features. Trends for inverse association between GGH expression and the concentration of folate intermediates were also observed. Analysis of the replication cohort confirmed that GGH expression was significantly lower in CIMP+ CRC. Promoter hypermethylation of GGH was observed in only 5.6% (1 out of 18) CIMP+ tumours and could not account for the low expression level of this gene. CIMP+ CRC is associated with low expression of GGH, suggesting involvement of the folate pathway in the development and/or progression of this phenotype. Further studies of folate metabolism in CIMP+ CRC may help to elucidate the aetiology of these tumours and to predict their response to anti-folates and 5-fluorouracil/leucovorin.K. Kawakami, A. Ooyama, A. Ruszkiewicz, M. Jin, G. Watanabe, J. Moore, T. Oka, B. Iacopetta and T. Minamot

Imaging systems for biomedical applications. Final report

Many of the activities of the human body manifest themselves by the presence of a very weak magnetic field outside the body, a field that is so weak that an ultra-sensitive magnetic sensor is needed for specific biomagnetic measurements. Superconducting QUantum Interference Devices (SQUIDs) are extremely sensitive detectors of magnetic flux and have been used extensively to detect the human magnetocardiogram, and magnetoencephalogram. and other biomagnetic signals. In order to utilize a SQUID as a magnetometer, its transfer characteristics should be linearized. This linearization requires extensive peripheral electronics, thus limiting the number of SQUID magnetometer channels in a practical system. The proposed digital SQUID integrates the processing circuitry on the same cryogenic chip as the SQUID magnetometer and eliminates the sophisticated peripheral electronics. Such a system is compact and cost effective, and requires minimal support electronics. Under a DOE-sponsored SBIR program, we designed, simulated, laid out, fabricated, evaluated, and demonstrated a digital SQUID magnetometer. This report summarizes the accomplishments under this program and clearly demonstrates that all of the tasks proposed in the phase II application were successfully completed with confirmed experimental results