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New anesthesia dosing models may increase safety of remifentanil for obese patients and children

Current models for remifentanil dosing are based on more average-sized adult patients, which can result in inaccurate dosing for some patients. If a child receives too little remifentanil, the result could be needless pain, while an obese patient receiving too much could be at risk of an overdose, resulting in life-threatening depression of breathing and circulation. "Providing accurate anesthesia dosing guidelines for obese patients is becoming increasingly important as the obesity epidemic grows and more of these patients require surgery," said Talmage D. Egan, M.D., chair in the Department of Anesthesiology at the University of Utah Health Sciences Center, Salt Lake City. "The percentage of American adults who are seriously overweight has dramatically increased. The question we wanted to answer in our study was how to personalize therapy for obese patients so that we give them just the right dose." Traditionally, physician anesthesiologists have based dosin...

Zoning in on specifics of Mediterranean diet for colorectal health

Now a new study, presented today at the ESMO 19th World Congress on Gastrointestinal Cancer suggests loading up on fish and fruit, and cutting back on soft drinks are the three most important things. "We found that each one of these three choices was associated with a little more than 30% reduced odds of a person having an advanced, pre-cancerous colorectal lesion, compared to people who did not eat any of the MD components. Among people who made all three healthy choices the benefit was compounded to almost 86% reduced odds," said Naomi Fliss Isakov, PhD fromTel-Aviv Medical Center, in Tel Aviv, Israel. Colorectal cancer (CRC) develops from intestinal polyps and has been linked to a low-fibre diet heavy on red meat, alcohol and high-calorie foods, said Fliss Isakov. And while the Mediterranean diet has been associated with lower rates of colorectal cancer, the definition of what elements in the diet are the most beneficial, has not always been clear. Using dietary ...

High-fat diet in pregnancy increases breast cancer risk over generations in animal study

Their study, published online today in  Breast Cancer Research , suggests a research direction for examining the diet of pregnant women, says the study's senior author, Leena Hilakivi-Clarke, PhD, professor of oncology at Georgetown Lombardi. "It is believed that environmental and life-style factors, such as diet, plays a critical role in increasing human breast cancer risk, and so we use animal models to reveal the biological mechanisms responsible for the increase in risk in women and their female progeny," says Hilakivi-Clarke. A high-fat diet is linked to excess inflammation, and a number of epidemiological studies have made the connection between inflammation and risk of cancer, she says. Hilakivi-Clarke has found in earlier studies that mice that eat a high fat diet when they are pregnant have "daughters" that are at excess risk of the cancer. This study, however, found that if pregnant mice were switched to a high fat diet during their second trim...

Muscles can 'ask' for the energy they need

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That is Jason Karpac. Credit score: Texas A&M Well being Science Heart Muscular tissues require power to carry out all the actions that we do in a day, and now, for the primary time, researchers on the Texas A&M Faculty of Medication have proven how muscle tissue "request" extra power from fats storage tissues in fruit fly fashions. In addition they found that this circuit relies on circadian rhythms, which might have implications for weight problems in people. Their findings revealed in the present day within the journal  Present Biology . "That is required for diurnal regulation of blood lipid ranges," stated Jason Karpac, PhD, assistant professor on the Faculty of Medication and principal investigator on the venture. "In different phrases, through the day when our muscle tissue are shifting and requiring power, this communication is vital to ensure lipids are maintained for greater power demand, and at night time, once we...