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Friday, February 24. 2012

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Friday, February 24. 2012

Fountain of Youth

        

Fountain of youth found – in mice

By JUDY SIEGEL-ITZKOVICH 02/23/2012 01:59

Mice have a gene that extends their life expectancy; same likely to be discovered in human gene, meaning men could live longer.

Mouse By Courtesy of American Friends of TAU

Mice, at least, have found a fountain of youth: a gene that extends their life expectancy. If the same discovery is made in a human gene – which is likely – men could eventually enjoy a longer life as well.

A Bar-Ilan University team led by Dr. Haim Cohen of the Goodman Faculty of Life Sciences, together with colleagues at the Hadassah University Medical Center, the Hebrew University of Jerusalem and Carnegie Mellon University in Pennsylvania, have discovered a gene that increases survival in mammals. Their study was published on Wednesday in the prestigious journal Nature.

Many recently discovered genes that affect the lifespan of laboratory animals are part of a group called sirtuins, which can be found in every species that developed over the course of evolution. They are found in both single-celled organisms, such as yeast, and complex organisms, such as humans.

The most highly researched gene in this group, SIR2 (Sirtuin 2), has been found to prolong life in yeast, worms and flies. If this gene is removed from yeast cells, the cells age faster and live a shorter life. But if a copy of the gene is transplanted into the yeast, their life expectancy increases. Similar phenomena also occur in worms and flies.

About seven decades ago, it was discovered that if the calorie intake of animals is restricted by about 30 percent, their life expectancy increases, and they live a healthier life. This treatment, it was found, delays the development of diseases connected with aging and is now the only treatment that has proven effective in prolonging life.

More in-depth studies have shown that caloric restriction activates the SIR2 gene. Its presence is critical and, without it, there is no life extension.

Since extreme diets are not practical in humans, researchers looked for substances that could activate the gene similar to the way a diet could. They discovered some activators, including resveratrol, a substance found in red wine and produced by plants in stressful situations. Scientists agree about the positive effect of resveratrol, although the degree of its influence on the SIR2 gene is controversial.

Preservation of the SIR2 family of genes throughout evolution indicates the importance of these genes in critical life processes. In each organism in which SIR2 has been found, the gene regulates lifespan, but this was not yet proven in mammals.

Last year there were many reports in scientific literature on the extent of the genes’ involvement in the lifespan.

More than 30 research groups debated the issue in the pages of the leading scientific journals Nature and Science, but no conclusion was reached.

Cohen also examined SIRT6 (gene number six from the sirtuin group) in mice using two groups. In the first group he removed SIRT6, and in the second group he created an overexpression of the gene.

“Originally in mice without the gene, researchers saw premature aging,” Cohen said.

“They suffered spinal curvature, calcium deficiency and osteoporosis, immune system problems and diabetes – well-known conditions in man.”

“We called the second group, which we created in the lab, the MOSES mice [an acronym for mice over-expressing exogenous SIRT6], and compared their lifespan to that of wildtype mice, which possess a normal amount of SIRT6,” he continued.

Cohen and his team fed the two groups a high-fat diet containing 60% more fat calories than average.

The wild mice developed the diseases associated with aging, while the MOSES mice remained healthy. MOSES bodies contained 30% less fat, about 40% fewer triglycerides (which increase cholesterol) and 30% less diabetes compared to the MOSES mice.

Additionally, wild strain female mice usually live longer than males, but in Cohen’s tests they found that with normal diets, the MOSES male mice lived 15% longer than the wild males. However, among the MOSES females, no change was recorded.

“We found that the rise in life expectancy among males is based on the calorie restriction known to us as a basic mechanism of life extension,” Cohen said. “There is overlap between these pathways, and the SIRT6 gene is involved in it.”

“Females from the very beginning have a longer life expectancy than males,” he continued. “[This is] because the basic mechanism is already active, so the engineered males just catch up to females,” Cohen concluded.

In the current study, he said, the team made a huge evolutionary leap in the transition from yeast cells to mice, becoming the first to show that the sirtuin genes regulate lifespan in mammals. The research was conducted in laboratory animals under very sterile conditions, he says, and it is not clear if this could be duplicated for humans.

However, as the human SIRT6 gene is very similar to that in mice, there is a distinct possibility that drugs designed to activate the gene could have a positive impact on treatment of agerelated diseases.

Tuesday, February 21. 2012

Thursday, February 16. 2012

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Thursday, February 16. 2012

The Whole Body Approach and Acupuncture

 

How Dr. John J. Kim uses Acupuncture to balance physical, emotional, and spiritual well being.

Recently I had the pleasure of meeting Dr. John Kim and discuss his approach to a healthy and balanced living. I strongly urge my patients to read more about him and his unique approach:

www.renumi.com

We are currently discussing a possible collaboration and client hours for Dr. Kim here at our Los Angeles facility.

Dr. A. David Rahimi,MD,FAAD,FAACS.

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Thursday, February 16. 2012

Cosmetic Surgery under local Anesthesia- the evidence is clear.

Combination Cosmetic Surgeries, General Anesthesia Drive AEs

Laura Newman, MA

 

February 9, 2012 — The use of general anesthesia, the performance of liposuction under general anesthesia, and a combination of surgical procedures significantly increase the risk for adverse events (AEs) in office-based surgery, according to reviews of statewide mandatory AE reporting in Florida and Alabama. More than two thirds of deaths and three quarters of hospital transfers were associated with cosmetic surgery performed under general anesthesia, according to an article published in the February issue of Dermatologic Surgery.

The study, derived from 10-year data from Florida and 6-year data from in Alabama, "confirms trends that have been previously identified in earlier analyses of this data," write the authors, led by John Starling III, MD, from the Skin Cancer Center, Cincinnati, and the Department of Dermatology, University of Cincinnati, Ohio.

In a companion commentary, C. William Hanke, MD, from the Laser and Skin Surgery Center of Indiana, Indianapolis, presses for 3 patient safety practices: "(1) Keep the patient awake!... 2) Think twice before supporting a patient's desire for liposuction that is to be done in conjunction with abdominoplasty under general anesthesia.... 3) "[B]e advocates for prospective, mandatory, verifiable adverse event reporting...[that] should include data from physician offices, ambulatory surgical centers, and hospitals to define and quantify problems that can be largely prevented and eliminated."

The authors and editorialist are especially critical of liposuction performed under general anesthesia. The study revealed that although liposuction is perhaps one of the most common cosmetic surgical procedures, no deaths occurred in the setting of local anesthesia. "Liposuction under general anesthesia accounted for 32% of cosmetic procedure-related deaths and 22% of all cosmetic procedure-related complications," the researchers write.

The researchers analyzed mandatory physician AE reports in ambulatory surgery submitted to their respective states, encompassing 10-year data in Florida and 6-year data in Alabama. A total of 309 AEs were reported during an office-based surgery during the 10-year period in Florida, including 46 deaths and 263 reportable complications or transfers to hospital. Cosmetic surgeries performed under general anesthesia accounted for the vast majority of deaths in Florida, with liposuction and abdominoplasty the most frequent procedures.

Six years' worth of data from Alabama revealed 52 AEs, including 49 complications or hospital transfers and 3 deaths. General anesthesia was implicated in 89% of reported incidents; 42% were cosmetic surgeries. Pulmonary complications, including pulmonary emboli and pulmonary edema, were implicated in many deaths in both states.

Plastic surgeons were linked to nearly 45% of all reported complications in Florida and 42.3% in Alabama, write the researchers. Office accreditation, physician board certification, and hospital privileges all revealed no clear pattern.

One limitation acknowledged by the authors is that case logs of procedures performed under general and intravenous sedation are required in Florida, but are not public domain, and so were unavailable for analysis. In addition, investigators were not able to obtain data on the total number of liposuction procedures performed in either state. The lack of those data prevented them from calculating the overall fatality rate.

The authors and the editorialist have disclosed no relevant financial relationships.

Dermatol Surg. 2012;38:171-179. Authors and Disclosures

Journalist

Laura Newman, MA

Laura Newman is a freelance writer for Medscape.

Disclosure: Laura Newman, MA, has disclosed no relevant financial relationships.

Wednesday, February 1. 2012

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Wednesday, February 1. 2012

Latisse Shampoo grows hair; Now This Is News...

I have several female patients on a Shampoo that contains Sprinolactone, Rogaine, and Latisse. It is prescription compound and expensive but the results are good.

Here is a recent article on cnbc about Latisses and its use in hair loss:

http://today.msnbc.msn.com/id/45259102/ns/today-today_health/t/latisse-your-dome-eyelash-enhancer-also-thickens-thin-hair/

Dr. David Rahimi