Tag Archives: medicine

Teenager granted the right to “die with dignity”

Over here in the UK the current big front-page story is Hannah Jones, a thirteen-year-old girl who has a hole in her heart as a result of childhood leukaemia medication. The actual news is the about-face made by her local healthcare authority, which was planning to force her to have a heart transplant against her own wishes; intervention by a child protection officer encouraged them to drop their court case and let Hannah stay with her family as she wished.

The “right to die” is still a very contentious issue (and will doubtless remain one for some time to come) but Hannah’s case is complicated by her age; I think it’s a safe assumption that had her parents not agreed with her decision, things might have gone very differently. Which brings us to the perennial question – at what age should the law permit you to make life-changing decisions like this for yourself? And to what degree should the religious beliefs of your family be taken into account, if at all?

The common cold: The immune system overreacts

Infect a small study group with rhinovirus-16, the source of the common cold. Scrape cells from inside their noses; repeat for a control group that got a sham inoculation. Then use gene-chip technology to see how more than 6,000 of the symptom sufferers’ genes express themselves.

…[R]hinovirus infection triggered a massive immune response in the nasal mucosa. Because rhinovirus is not as destructive as other more serious viral infections, this response appears to be disproportionate to the threat…. “This study shows that after rhinovirus infection, cold symptoms develop because parts of our immune system are in overdrive,” said Lynn Jump, principal researcher at Procter & Gamble and study author. “The findings are important because they provide us a blueprint for developing the ideal cold treatment: one that maintains the body’s natural antiviral response while normalizing the inflammatory response.”

An antiviral compound called viperin, produced by the epithelial cells, seems to fight the influenza virus, too.

[Rhinovirus: actual microscopic image! by hey mr glen]

Are antisocial kids just cortisol deficient?

Research at Cambridge University has found a link between delinquent behaviour in children and reduced levels of the so-called stress hormone, cortisol, which “enhances memory formation and is thought to make people behave more cautiously and to help them regulate their emotions, particularly their temper and violent impulses.”

First of all, I find this a little worrying, as it seems to be part of a trend to reduce all psychiatric problems (especially in kids) to phenomena that can be regulated with the correct cocktail of chemicals. Secondly, assuming for a moment that the link is confirmed, is this a recent development? In other words, have low-cortisol brains evolved as a response to an increasingly stressful world, or is the cause environmental?

And thirdly, has anyone thought of doing cortisol level testing on politicians? [story via FuturePundit]

Universal ‘flu vaccine enters clinical trials

701px-Influenza_virus_particle_color It’s that time of year again, when doctors recommend everyone from children to old folks get jabbed with the latest influenza vaccine that may or may not actually be effective against this year’s strain. And it’s that time of year again when people start worrying about the presumably inevitable next great ‘flu pandemic, which many fear could be coming as avian influenza continues to mutate.

Wouldn’t it be great if you could just get a single shot that would protect against multiple types…including the possible bird ‘flu pandemic?

Clinical trials of just such a vaccine have begun at Oxford University, led by Dr. Sarah Gilbert of the Jenner Institute. (Via PhysOrg.)

Existing flu vaccines work by inducing protective antibodies to proteins on the outer surface of the influenza virus. These proteins differ between strains and change over time, so each vaccine only works against a specific strain.

The Oxford scientists led by Dr Gilbert are taking a new approach. They have developed a novel vaccine that targets internal proteins essential to the flu virus that change very little over time or between strains.

‘By targeting the internal proteins of the virus, we can come up with a universal flu jab,’ explains Dr Gilbert. ‘The same vaccine would work against all seasonal flu and protect against bird flu.’

Such a universal vaccine would not change from year to year, removing the need for annual immunisations. All ages could receive the injection at any time of year, and manufacturers would be able to produce supplies continuously at a sufficient level.

***

The vaccine…induces T cells, part of the body’s immune system, to kill any cells infected by the flu virus, so controlling the infection. The body maintains a low-level T cell response to flu from previous flu infections which the vaccine should boost to levels high enough to protect against subsequent infection.

The vaccine is just entering a Phase 1 clinical trial, in which 12 healthy volunteers will receive a single injection, then have their immune response monitored over time. If the Phase 1 trial is successful, further clinical trials will follow.

Meanwhile…time to book that annual ‘flu shot. After all, it might work.

(Photo Credit: Cynthia Goldsmith, Centers for Disease Control, via Wikimedia Commons.)

[tags]influenza, vaccinaton, disease, medicine[/tags]