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只看该作者 70 发表于: 2006-12-03
70、"Biologic" rheumatoid drugs safe for heart
Fri Dec 1, 2006 5:22pm ET

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NEW YORK (Reuters Health) - Treating rheumatoid arthritis with "biologic" immunosuppressive drugs, such as TNF-blockers, neither increases nor decreases the risk of heart attack or stroke compared with use of methotrexate, the most commonly prescribed drug for rheumatoid arthritis, new research indicates.

However, steroid use does increase the likelihood of heart attack and stroke.

Rheumatoid arthritis patients are at increased risk for cardiovascular disease, presumably because of widespread inflammation, Dr. Daniel H. Solomon, from Harvard Medical School in Boston, and colleagues note in their article in the journal Arthritis and Rheumatism.

For their study, the researchers assessed immunosuppressant use for 946 RA patients who experienced a heart attack or stroke and 9460 similar patients who did not. Methotrexate was selected as the comparison drug.


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As noted, the biologic anti-rheumatoid agents appeared to have no effect on the risk of heart attack and stroke. Steroids, by contrast, raised the risk by 50 percent.

The researchers call for further studies to investigate the cardiovascular effects of rheumatoid arthritis drugs.

SOURCE: Arthritis and Rheumatism, December 2006.
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只看该作者 71 发表于: 2006-12-03
Home > News > Health > Article
71、
AIDS Deaths Rising Among Hispanic Americans Fri Dec 1, 7:02 PM ET




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FRIDAY, Dec. 1 (HealthDay News) -- World     AIDS Day 2006 finds U.S. Hispanics carrying much more than their share of the     HIV epidemic, according to data from the National Alliance for Hispanic Health.


The Washington, D.C.-based group notes that even though Hispanics make up just 14 percent of the U.S. population, they account for 19 percent of the nearly 1 million U.S. AIDS cases diagnosed since the epidemic began more than 25 years ago.


Hispanic-Americans are also getting tested and diagnosed far too late, on average. According to U.S. Centers for Disease Control and Prevention data, more than a third (39 percent) of Hispanics were diagnosed with full-blown AIDS within a year of testing positive -- meaning they only discovered their infection late in their illness.


Overall, the number of Hispanic-Americans who died of AIDS rose by 7 percent from 2000-2004, compared to a 19 percent decline in AIDS deaths among U.S. whites.


Other key statistics:

Nearly all (89 percent) of Hispanic-American AIDS cases are clustered in Puerto Rico and nine states -- California, Connecticut, Florida, Illinois, Massachusetts, New Jersey, New York, Pennsylvania and Texas.
Hispanic women made up 21 percent of Hispanic AIDS cases diagnosed in 2004. In comparison, women represented 16 percent of AIDS cases diagnosed among whites during the same year.
About one-fourth (24 percent) of Hispanics living with HIV/AIDS have no health insurance, compared to 17 percent of non-Hispanic whites.

The situation is even more grim globally and getting worse. A study released Thursday found that, due to HIV/AIDS, 15-year-olds in South Africa now have a 56 percent chance of dying before they reach age 60, compared to a 29 percent chance for 15-year-olds in 1990, the Associated Press reported.


"The youth of today are facing a bleak future, and much still needs to be done to protect and support this vulnerable group," said Leigh Johnson, one of the authors of the report released by the Actuarial Society of South Africa and the Medical Research Council.


As of mid-2006, an estimated 5.4 million people in South Africa (population 48 million) were infected with HIV, the virus that causes AIDS. The report said that 950 people died each day in 2006 from AIDS-related causes, and 1,400 were newly-infected by HIV each day, the AP reported.


More information


Find out much more about HIV/AIDS at the U.S. Centers for Disease Control and Prevention.
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只看该作者 72 发表于: 2006-12-03
72、 AIDS said cuts S.Africa teens' life span By CLARE NULLIS, Associated Press Writer
Thu Nov 30, 3:56 PM ET



CAPE TOWN, South Africa - Fewer than half of South Africa's 15-year-olds will live to see their 60th birthday because of     HIV/     AIDS, according to a new report.

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An estimated 950 people died per day during 2006 from AIDS-related diseases and a further 1,400 were infected each day ― a total of 530,000 new infections, said the report by the Actuarial Society of South Africa and the Medical Research Council.

The report, issued every two years and widely used as a model for predicting the course of the disease and its impact, included an estimate that 5.4 million of South Africa's 48 million people were infected with the AIDS virus by the middle of 2006 ― a figure in line with the government's own estimates issued earlier this year.

Only India is believed to have more people infected with HIV than South Africa.

The report said life expectancy dropped from 63 in 1990 to 51 in 2006. In the hardest hit province of KwaZulu-Natal, it was as low as 43.

"The Demographic Impact of HIV/AIDS in South Africa: National and Provincial Indicators for 2006" said that 15-year-olds had a 56 percent chance of dying before the age of 60, compared to a 29 percent chance of dying in 1990.

"The youth of today are facing a bleak future, and much still needs to be done to protect and support this vulnerable group," said Leigh Johnson, one of the authors of the report.

The South African government, long under fire for doing too little to prevent the spread of AIDS and to promote effective treatments, recently revamped its strategy. It gave responsibility to Deputy President Phumzile Mlambo-Ncguka and effectively sidelined Health Minister Manto Tshabalala-Msimang, who has been criticized for praising garlic, lemons and the African potato as remedies while disparaging the benefits of antiretroviral medicines.

Mlambo-Ncguka is due to unveil a plan for prevention, care and treatment of HIV/AIDS in 2007-2011 at World AIDS Day ceremonies on Friday. The final five-year plan will be released in March, to allow time for activist groups, who were previously ignored by the government, to have their say.

The new report said high rates of AIDS mortality will persist in South Africa at least for the next decade, but much depended on the provision of treatment. It forecast that if 50 percent of people with AIDS were given treatment, then by 2010 approximately 388,000 AIDS deaths would occur each year.

This compared to approximately 291,000 deaths if 90 percent of people progressing to AIDS started treatment.

The report said approximately 230,000 HIV-infected individuals were receiving antiretroviral treatment by mid-2006, and a further 540,000 were sick with AIDS but not receiving any therapy.
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只看该作者 73 发表于: 2006-12-03
73、AIDS said cuts S.Africa teens' life span By CLARE NULLIS, Associated Press Writer
Thu Nov 30, 3:56 PM ET



CAPE TOWN, South Africa - Fewer than half of South Africa's 15-year-olds will live to see their 60th birthday because of     HIV/     AIDS, according to a new report.

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An estimated 950 people died per day during 2006 from AIDS-related diseases and a further 1,400 were infected each day ― a total of 530,000 new infections, said the report by the Actuarial Society of South Africa and the Medical Research Council.

The report, issued every two years and widely used as a model for predicting the course of the disease and its impact, included an estimate that 5.4 million of South Africa's 48 million people were infected with the AIDS virus by the middle of 2006 ― a figure in line with the government's own estimates issued earlier this year.

Only India is believed to have more people infected with HIV than South Africa.

The report said life expectancy dropped from 63 in 1990 to 51 in 2006. In the hardest hit province of KwaZulu-Natal, it was as low as 43.

"The Demographic Impact of HIV/AIDS in South Africa: National and Provincial Indicators for 2006" said that 15-year-olds had a 56 percent chance of dying before the age of 60, compared to a 29 percent chance of dying in 1990.

"The youth of today are facing a bleak future, and much still needs to be done to protect and support this vulnerable group," said Leigh Johnson, one of the authors of the report.

The South African government, long under fire for doing too little to prevent the spread of AIDS and to promote effective treatments, recently revamped its strategy. It gave responsibility to Deputy President Phumzile Mlambo-Ncguka and effectively sidelined Health Minister Manto Tshabalala-Msimang, who has been criticized for praising garlic, lemons and the African potato as remedies while disparaging the benefits of antiretroviral medicines.

Mlambo-Ncguka is due to unveil a plan for prevention, care and treatment of HIV/AIDS in 2007-2011 at World AIDS Day ceremonies on Friday. The final five-year plan will be released in March, to allow time for activist groups, who were previously ignored by the government, to have their say.

The new report said high rates of AIDS mortality will persist in South Africa at least for the next decade, but much depended on the provision of treatment. It forecast that if 50 percent of people with AIDS were given treatment, then by 2010 approximately 388,000 AIDS deaths would occur each year.

This compared to approximately 291,000 deaths if 90 percent of people progressing to AIDS started treatment.

The report said approximately 230,000 HIV-infected individuals were receiving antiretroviral treatment by mid-2006, and a further 540,000 were sick with AIDS but not receiving any therapy.
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只看该作者 74 发表于: 2006-12-03
74、Abortion pill thwarts breast cancer gene By LAURAN NEERGAARD, AP Medical Writer
Thu Nov 30, 10:01 PM ET



WASHINGTON - Scientists used the abortion drug     RU-486 to keep tumors at bay in mice bred with a gene destined to give them breast cancer.

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No one is suggesting women use the abortion pill that way. But the provocative experiment helped illustrate how the notorious breast cancer gene BRCA1 does its dirty work, by spurring a hormone called progesterone that RU-486 happens to block.

If researchers could create a safer hormone blocker, it might offer a long-awaited alternative for women with the bad gene. They have few good options today to prevent breast cancer.

"All of us have to be cautious," said cell biologist Eva Lee of the University of California, Irvine, who led the research published in Friday's edition of the journal Science. "But I do think if there is a better anti-progesterone available, hopefully there will be other options in the future for these women."

Cancer specialists not involved with the experiment praised the work, even as they cautioned women not to get their hopes up yet.

"This is an avenue worth pursuing on a research level," said Dr. Claudine Isaacs, an oncologist at Georgetown University Hospital who works closely with carriers of BRCA1 and a related gene.

"This is work in a mouse," she said. "It's clearly too early to start recommending use of this agent."

Dr. Len Lichtenfeld, the     American Cancer Society's deputy chief medical officer, said researchers and patients will "take interest in this topic and explore it further."

He called the paper "elegant research," but stressed that "it would not be appropriate in any way, shape or form that women start taking RU-486 for this purpose."

Long-term use of RU-486 could suppress the immune system and cause other side effects.

Some 212,000 women in the United States will be diagnosed with breast cancer this year. Only 5 percent to 10 percent will have a hereditary form. Women who inherit mutations in the BRCA1 gene are at far greater risk of cancer than the average woman. By age 70, more than half of those gene carriers develop either breast or ovarian cancer.

Their options today include:

_Frequent cancer screening, in hopes of catching it early.

_Removing both breasts while they are still healthy.

_Taking the anticancer drug tamoxifen, which helps some women.

_Removing the ovaries before age 50, cutting the risk of both cancers.

These are anxiety-provoking options. Hence the push to determine exactly how BRCA1 triggers tumors, so maybe doctors and women could fight its bad effects more easily.

Particularly puzzling, BRCA1 mutations occur in every cell of the body, raising questions about why the defect would trigger cancer just in reproductive organs.

In their research, Lee and colleagues created mice whose mammary glands only harbor the BRCA1 mutation.

The scientists found that the bad gene caused breast tissue to have too-high levels of progesterone receptors. That means the hormone sticks around longer than it should, in turn sparking excess cell growth. In fact, the mice's breast tissue looked like it should have during pregnancy, when temporarily high progesterone levels cause breast growth as the gland prepares to make milk.

The final evidence came from RU-486, also called mifepristone. It causes human abortions by suppressing progesterone, a hormone crucial to sustaining pregnancy.

Instead of a human pill, Lee implanted some of the cancer-prone mice with an RU-486 pellet designed to slowly emit the drug into their bodies over two months.

By 8 months of age, each of the untreated gene-defective mice had developed tumors. But none of the mice given RU-486 had developed tumors by 12 months, when the study stopped.

Lee cautioned that RU-486 is not a good candidate for such long-term use in people. She said more targeted progesterone blockers already are being developed.
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只看该作者 75 发表于: 2006-12-03
75、Blood Levels of Uric Acid Predict Hypertension in Blacks Fri Dec 1, 11:47 PM ET



FRIDAY, Dec. 1 (HealthDay News) -- Higher levels of uric acid in the blood are associated with an increased risk of high blood pressure in black Americans, a new study finds.

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The findings suggest that a simple blood test could help predict the risk of high blood pressure in blacks. It also suggests that medications to reduce uric acid levels may help lower hypertension-related health problems.


In the study, a team from Wake Forest University Baptist Medical Center in Winston-Salem, N.C., tracked over 9,100 people, ages 45 to 64, who did not have high blood pressure at the start of the study. The participants' blood pressure was checked every three years over four examinations.


The researchers found that, overall, people with uric acid levels in the highest 25 percent (quartile) had about a 15 percent increased risk of high blood pressure.


The link between high uric acid levels and hypertension was especially strong in black men. Those with uric acid levels in the highest quartile had a two-fold increased risk of hypertension than black men in the lowest quartile.


The association was also strong in black women. Those in the highest quartile were 30 percent more likely to develop high blood pressure than those in the lowest quartile.


The study was published online in the journal Hypertension. More research needs to be done to determine the health effects of high uric acid, especially in blacks, the study authors said.


Uric acid levels are influenced by diet. Most uric acid is eliminated in urine. Very high levels of uric acid can cause gout.


More information


The U.S. National Library of Medicine has more about uric acid.
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只看该作者 76 发表于: 2006-12-03
76、 By DEB RIECHMANN, Associated Press Writer Fri Dec 1, 8:45 PM ET       WASHINGTON -   President Bush"     President Bush marked Worlds   AIDS"     AIDS Day on Friday by declaring: "The pandemic of   HIV"     HIV/AIDS can be defeated." Bush and first lady   Laura Bush"     Laura Bush met in the Roosevelt Room with Health and Human Services Secretary Michael Leavitt, U.S. Global AIDS Coordinator Mark Dybul and community leaders from the U.S. and Africa. "It's a day for the world to recognize the fact that there are 39 million people living with HIV/AIDS," Bush said. "And a day to remember the fact that 25 million people have died of AIDS." Bush's AIDS initiative, announced in 2003, is the largest international health initiative dedicated to a single disease. It targets 15 countries that are home to about half of the world's 39 million people who are HIV-positive. The countries are: Botswana, Cote d'Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Vietnam and Zambia. The Bush initiative committed $15 billion over five years to support treatment for 2 million people, prevention for 7 million and care for 10 million. The White House says that today, more than 800,000 people are receiving lifesaving drugs. Adding the 770,000 people treated with the drugs through the Global Fund to Fight AIDS, Tuberculosis and Malaria means that more than 1 million people living with AIDS are being treated worldwide. The Global Fund is a public-private partnership that has committed $6.8 billion to fight the three diseases in 136 countries. "Four years ago, almost nobody in Africa and elsewhere in the developing world was receiving treatment," said Richard Feachem, director of the Global Fund. "That well over 1 million people with AIDS are on now on treatment through the support of Global Fund and PEPFAR is a remarkable achievement. We must now build on this progress to reach the millions more who are still in urgent need." While the president's treatment program is widely praised, critics of Bush's initiative complain that not enough is being done to prevent people from contracting HIV. Richard Holbrooke, former U.S. ambassador to the   United Nations"     United Nations who now leads the Global Business Coalition on HIV/AIDS, said the treatment program might not be sustainable, because the number of people with HIV continues to grow. According to the U.N. agency on AIDS, there will be 4.3 million new infections this year. Proponents of the Bush initiative argue that a three-pronged HIV prevention strategy ; emphasizing abstinence, fidelity and condom use ; offers people the best options to protect themselves from AIDS. Democrats in Congress have condemned a provision in the Bush initiative that requires that 33 percent of all money committed to prevention programs be spent to promote abstinence. That restriction, they say, has more to do with conservative ideology than scientifically proven programs. Bush also urged Congress to reauthorize the $2.1 billion Ryan White Care Act, the largest federal program specifically for people with HIV/AIDS. Supporters say changes are needed in the act because AIDS has moved beyond urban centers into rural areas. But in September, they failed to overcome objections from senators in New York and New Jersey, states that stand to lose AIDS money under proposed revisions to the act. Senate Democratic Leader Harry Reid said that in America, infection rates are skyrocketing in minority communities. HIV/AIDS is the leading cause of death for African American women ages 25-34 and the fourth leading cause of death for both African American and Hispanic women ages 45-54, he said. "We can ; and we must ; do more to address this ongoing crisis," Reid said.
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只看该作者 77 发表于: 2006-12-03
77、Calif. stem cell center releases funds By PAUL ELIAS, AP Biotechnology Writer
Fri Dec 1, 1:53 PM ET



SAN FRANCISCO - California voters, wooed by an aggressive, multimillion dollar campaign that promised cures to myriad diseases, overwhelmingly approved the nation's most ambitious stem cell research center two years ago.

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Now, $181 million is set to flow to cash-starved scientists struggling in a field financially and politically hamstrung by Bush administration opposition and lawsuits filed by conservative organizations against the center.

The California Institute for Regenerative Medicine managed to push out $14 million in "training grants" for young researchers last year, but much of the money it doles out in 2007 will finally go to senior scientists eager to push stem cell research out of the lab and into patients.

But don't expect those promised cures anytime soon. The research is in such a nascent stage that even fundamental questions such as what defines a human embryonic stem cell remain unanswered.

When the committee that runs the center meets to adopt a 10-year scientific plan Thursday it is expected to acknowledge that routine, widespread stem-cell treatments are unlikely to arise within a decade.

"Our aspirational goal is to cure disease," said Zach Hall, the institute's president and top scientist. "But you can't snap your fingers and have that done."

Hall said the institute's immediate goal is to bring "new ideas and people into the field."

Voters passed Proposition 71 in 2004 to create the institute and give it authority to borrow and spend $3 billion over 10 years. Lawsuits, however, have prevented it from going to the Wall Street bond market for its money.

So the institute will fund the next rounds of grant-giving with a $150 million loan from the state and another $31 million in loans from philanthropic organizations such as the Gordon and Betty Moore Foundation, which chipped in $10 million.

A grant-review committee led by 15 scientists from outside of California last week sifted through 232 applications from state researchers vying for 30 grants worth a combined $24 million. Many of the grants will go to scientists getting into stem cell research for the first time and will be formally awarded in February.

In March, another round of 25 grants worth about $80 million will go to established stem cell scientists.

The most ambitious goal of the center's 150-page plan is to move the research out of the laboratory and into preliminary tests on people within 10 years. No known researcher has yet tested human embryonic stem cells in patients as scientists continue to puzzle out whether the cells will work properly when implanted into the body and not turn into tumors.

The plan concedes the agency probably won't fund larger-scale, pivotal trials required for     Food and Drug Administration approval.

"That really stands in contrast to the rhetoric used during the campaign," said Jesse Reynolds, a longtime agency critic at the politically liberal Center for Genetics and Society in Oakland. "The expectations and the timeline in the strategic plan are realistic, but it shows how the institute has had to engage in expectation management since Proposition 71's passage."

Proposition backers spent more than $40 million during the 2004 campaign that included television advertisements featuring actors Michael J. Fox and the paraplegic Christopher Reeve, who died days after filming his spot.

"People were left with the impression that Superman would walk again," said John Simpson, another critic at the Foundation for Taxpayer and Consumer Rights in Los Angeles.

Human embryonic stem cells are created in the first days after conception and give rise to all the organs and tissues in the human body. Scientists hope they can someday use stem cells to replace diseased tissue, but many social conservatives, including     President Bush, oppose the work because embryos are destroyed during research. The microscopic embryos are days old and usually donated by fertility clinics.

Proposition 71 came as a reaction to the Bush administration's 2001 decision to cap federal funding for stem cell research at about $25 million annually and impose strict research guidelines that scientists say limit advances.

Five states have also skirted federal restrictions with stem cell research funding schemes of their own: Connecticut has a 10-year, $100 million initiative; Illinois spent $10 million last year; Maryland has approved a $15 million budget; and New Jersey has spent about $25 million in two years.

None approach California's ambition of spending about $300 million a year for the next decade, which California voters overwhelmingly approved two years ago when they passed the California Stem Cell Research and Cures Initiative.

The institute's chairman, Robert Klein, who led the Proposition 71 campaign and donated $3 million to it, said the fruits from the state-funded research will go beyond creating new medicines.

Researchers will now have the money to create realistic disease models in the laboratory, which will give them better insight into illness and allow them to test more experimental drugs for toxicity in test tubes rather than humans.

"That's a tremendous benefit to the public," Klein said.

On Thursday, the 29-member committee that oversees the institute will also consider draft rules on how to ensure the state gets a slice of any profits made from products created with institute grants.

The new awards were made possible by $181 million in state and private loans as two lawsuits challenging the institute's constitutionality block borrowing $3 billion from traditional bond markets.

A superior court judge earlier this year ruled in the institute's favor, but it is still shut out of the bond market until appeals are exhausted sometime next year.

"Stem cell research is in its infancy and we may not realize its full promise for many years," said banking billionaire Marion Sandler after announcing a $5 million loan from the Sandler Family Supporting Foundation last week. "By supporting the institute now, we hope to see that promise fulfilled as quickly as possible."

___

On the Net:

California Institute for Regenerative Medicine: http://www.cirm.ca.gov
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只看该作者 78 发表于: 2006-12-03
78、Cause of leukemia cluster still unknown Fri Dec 1, 5:13 PM ET



TUCSON, Ariz. - A three-year study into a cluster of childhood leukemia cases in Sierra Vista detected no toxic exposures that could have caused the illnesses, federal health officials said.

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"We don't know why this cluster occurred. We really wish we had the answer, but we don't," Beverly Kingsley, an epidemiologist with the federal Centers for Disease Control and Prevention, said Thursday.

At least a dozen Sierra Vista children have developed this cancer of the blood and bone-marrow system since 1997 and two have died of it.

That's nearly triple the childhood leukemia rate expected in a town of 40,000 during that time period.

"We find nothing to indicate that any action needs to be taken in Sierra Vista," Kingsley said.

The     CDC report said most of the 128 substances measured in the bodies of these children and their families "were low, and often lower than levels usually detected in the U.S. population."

However, the CDC did find a variation in a gene that controls how the body converts an unsafe chemical to a safe one in all of the leukemia-stricken children and almost half of the healthy children in the study.

Investigators said they didn't know what effect this might have on the risk of leukemia.

Stressing that this is a new finding, CDC officials said they will launch larger studies of the gene variance.

"I've been in Sierra Vista for a long time and I've been watching both kids and adults die of leukemia since 1974," said Sue Ivory, a close friend of two families who lost children to this cancer. "We just keep attending these funerals. There's something wrong here. Everyone knows someone who has leukemia or cancer. This has been going on for a long time."

Ivory and several others at a public meeting the CDC held Thursday night in the military town southeast of Tucson expressed concern that the study didn't include enough victims, didn't span a long enough period of time and didn't include environmental testing for toxins.

In 2004, the CDC decided to draw and analyze bio-samples of blood, urine and cheek swabs from the surviving leukemia victims and their families, test them for 128 contaminants ― including toxic chemicals, metals, pesticides and volatile organic compounds ― and compare them with samples from healthy Sierra Vista children. The samples also underwent genetic testing.

Environmental toxins long have been suspected as a cause of trigger for leukemia, although only one ― the solvent benzene ― has ever been proved to cause it, authorities said.

___

Information from: Arizona Daily Star, http://www.azstarnet.com
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只看该作者 79 发表于: 2006-12-03
79、 Clinical Trials Update: Dec. 1, 2006 Fri Dec 1, 7:02 PM ET



(HealthDay News) -- Here are the latest clinical trials, courtesy of Thomson CenterWatch:

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Osteoarthritis


If you have osteoarthritis (OA) pain of the knee or hip, you may be eligible for a research study of an investigational pain medication. Volunteers 21-80 who are taking pain medication for osteoarthritis may be eligible.


The research sites are located across the United States.


More information


Please see http://www.centerwatch.com/patient/studies/cat109.html.


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Menstrual Disorders


If you have periods with heavy menstrual bleeding, you may qualify to participate in this study evaluating a non-hormonal investigational medication. Women 18-49 who are generally healthy, experiencing regular heavy menstrual periods, and willing to use an acceptable form of birth control during the study may be eligible.


The research site is in San Diego, Calif.


More information


Please see http://www.centerwatch.com/patient/studies/cat299.html.


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Pneumonia


This study will evaluate treatment options for hospital acquired pneumonia, with an emphasis on treating people with infections from methicillin-resistant Staphylococcus aureus. Volunteers who contracted pneumonia after 48 hours of continuous stay in an inpatient facility, who do not have known or suspected pulmonary disease that would adversely affect study results, and who do not have Legionella Pneumophila may qualify.


The research site is in Fort Lauderdale, Fla.


More information


Please see http://www.centerwatch.com/patient/studies/cat167.html.

-----

Copyright 2006 Thomson CenterWatch. All rights reserved.
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