InfocusRx

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Taking higher-than-recommended doses of vitamin D for five years reduced the risk of atrial fibrillation

A five-year study conducted at the University of Eastern Finland found that higher-than-recommended doses of vitamin D reduced the risk of atrial fibrillation in older men and women. Atrial fibrillation is a common arrhythmia associated with an increased risk of stroke, heart failure, and mortality. The study involved 2,495 participants aged 60 or older (men) and 65 or older (women) who were randomly assigned to placebo or two vitamin D3 supplementation groups. Those taking 40 micrograms per day had a 27% lower risk, and those taking 80 micrograms per day had a 32% lower risk of atrial fibrillation compared to the placebo group. However, further confirmation is needed before recommending higher vitamin D doses for preventing atrial fibrillation.

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Lack of sleep lessens cognitive benefits of physical activity

Regular physical activity may help protect against cognitive decline in older adults, but this benefit may be compromised if individuals do not get enough sleep, as per a study by UCL researchers. The research, published in The Lancet Healthy Longevity, followed 8,958 individuals aged 50 and over in England for 10 years, examining the relationship between sleep, physical activity, and cognitive function. Participants who were physically active but had short sleep durations (less than six hours) experienced faster cognitive decline compared to those who engaged in less physical activity. The study underscores the importance of considering both sleep and physical activity in maintaining cognitive health as we age.

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Schizophrenia is associated with somatic mutations occurring in utero

Schizophrenia, a psychiatric disorder with adult onset, is influenced by both environmental factors and genetics. A study published in Cell Genomics reveals a correlation between schizophrenia and somatic copy-number variants (mutations occurring after genetic material is inherited). The research examined genotype-marker data from over 20,000 blood samples, identifying two genes, NRXN1 and ABCB11, associated with schizophrenia when disrupted in utero. NRXN1, linked to schizophrenia before, was now associated with somatic, not inherited, mutations. ABCB11, known for encoding a liver protein, was unexpectedly found to be expressed in specific dopamine-carrying neurons related to schizophrenia drug targets. This study expands the understanding of psychiatric disorders and opens new avenues for research into acquired mutations’ roles in various disorders.

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Study uncovers gut bacteria differences in children who later develop juvenile idiopathic arthritis

Scientists have discovered that differences in gut bacteria are linked to the development of juvenile idiopathic arthritis (JIA) in children, even years before symptoms appear. The research analyzed stool samples from one-year-old children participating in a long-term study. Children with gut bacteria known to cause inflammation were nearly seven times more likely to develop JIA, while those with bacteria promoting a healthy gut lining were reduced. The findings offer potential for early disease risk indicators and alternative approaches for JIA treatment. Researchers aim to understand how these bacteria contribute to the disease and explore microbial differences associated with other childhood conditions. 

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How dietary restraint could significantly reduce effects of genetic risk of obesity

New research from the University of Exeter, Exeter Clinical Research Facility, and the University of Bristol reveals that obesity risk genes can heighten feelings of hunger and lack of control overeating. However, the study suggests that practicing dietary restraint, such as both flexible strategies (conscious eating and smaller servings) and rigid approaches (calorie counting), can mitigate the effects of these genes by up to half. The research, conducted on 3,780 adults from two UK cohorts, found that high genetic risk scores were associated with higher BMI due to increased disinhibition and hunger. By understanding these gene influences, restraint-based interventions could be developed to address obesity risk in genetically susceptible individuals. 

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Deep-sleep brain waves predict blood sugar control

New findings from the University of California, Berkeley suggests that deep-sleep brain waves at night play a role in regulating the body’s sensitivity to insulin, improving sugar control the following day. The combination of two brain waves, sleep spindles and slow waves, increases the body’s sensitivity to insulin, leading to lower glucose levels. This discovery could potentially be used as a therapeutic treatment for individuals with high sugar or Type 2 diabetes. Additionally, these deep-sleep brain waves could serve as an indicator of a person’s next-day sugar levels, making them a valuable tool for mapping and predicting sugar control. The research, published in Cell Reports Medicine, reveals a new role for deep-sleep brain waves in managing sugar and complements previous studies that showed their role in learning and memory. The researchers analyzed sleep data from 600 individuals and found that the coupling of deep-sleep brain waves predicted next-day glucose control better than sleep duration or quality.

Gut bacteria linked to fatty deposits in heart arteries

A major study in Sweden has found a connection between specific gut bacteria and the development of coronary atherosclerotic plaques, which can lead to heart attacks. The study analyzed gut bacteria and cardiac imaging in nearly 9,000 participants without previously known heart disease. The researchers discovered that certain oral bacteria, particularly from the Streptococcus genus, were associated with an increased occurrence of atherosclerotic plaques in the small arteries of the heart when present in the gut. The study also found that the same bacteria were linked to levels of inflammation markers in the body. The findings highlight the need for further research on the relationship between gut bacteria and cardiovascular health.

Social isolation linked to lower brain volume

A study in Neurology suggests that limited social contact in older people may increase the risk of brain shrinkage and damage in dementia-affected areas. However, the study does not prove causation. It highlights the concern of social isolation among seniors and proposes that supporting social connections could potentially prevent brain atrophy and dementia. The research involved nearly 9,000 participants, revealing lower brain volume and memory-related area volume in those with the least social contact. Factors like age, diabetes, smoking, and exercise were considered, and socially isolated individuals had more white matter lesions. Symptoms of depression partly explained the relationship. Prior studies indicate that exposure to socially stimulating groups might reverse brain volume and cognitive declines in older people. Notably, this study focused on older Japanese individuals, so generalization to other populations requires further research.

Oracle Health Collaborates with Transform SSO of Ontario

Oracle Health and TransForm Shared Service Organization have collaborated to launch the Ontario eHub HIE, facilitating secure sharing of patient data among hospitals and care facilities in Ontario. Initially, 16 long-term care facilities and five hospitals will be integrated, enabling caregivers to access comprehensive patient information. The platform aims to streamline administrative processes, enhance patient care coordination, and eventually include all Ontario healthcare facilities and long-term care partners by the end of 2024. This initiative aligns with Ontario’s goal of creating an integrated healthcare system by implementing data exchange policies and standards, ultimately improving patient outcomes and healthcare coordination.

Testing Integration of Government Data with Service Delivery in US Virgin Islands

The U.S. Virgin Islands has signed a letter of intent with CRISP Shared Services to participate in a data and interoperability pilot program. The program aims to connect healthcare and services-related data collected by the government, improve identification and delivery of services, and enhance care for residents. The partnership will provide key information to healthcare professionals, agencies, and community organizations, leading to quicker decisions and improved treatments. The pilot phase will establish legal structures, data agreements, and integration milestones to create a fully operational Health Information Exchange (HIE). The U.S. Virgin Islands sees an opportunity for rapid modernization of its public health infrastructure through this initiative.

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