UVA Discovery Suggests Potential New Treatment for Deadly Blood Cancer – University of Virginia

A drug used to treat certain advanced breast cancers may offer a new treatment option for a deadly blood cancer known as myelofibrosis, new research from UVA Cancer Center suggests.

The drug, palbociclib, may be able to prevent the scarring of bone marrow that existing treatments for myelofibrosis cannot. This scarring disrupts the marrows production of blood cells and causes severe anemia that leaves patients weak and fatigued. The scarring also reduces the number of platelets in the blood, making clotting difficult, and often causes an enlarged spleen.

Current therapies only provide symptomatic relief without offering significant improvement of bone marrow fibrosis. So, there is a critical need to develop more effective therapy for myelofibrosis, said senior researcher Golam Mohi of the University of Virginia School of Medicines Department of Biochemistry and Molecular Genetics. We have identified CDK6, a regulator of cell cycle, as a new therapeutic target in myelofibrosis. We demonstrate that CDK4/6 inhibitor palbociclib, in combination with ruxolitinib, markedly inhibits myelofibrosis, suggesting this drug combination could be an effective therapeutic strategy against this devastating blood disorder.

Myelofibrosis is a form of leukemia. It occurs in approximately 1 to 1.5 of every 100,000 people, primarily those who are middle-aged or older. Patients with intermediate or high-risk cases typically survive only 16 to 35 months.

Existing treatments for myelofibrosis do not address the bone marrow scarring that is a hallmark of the disease. The drug ruxolitinib is used to relieve patients symptoms, but Mohis new research suggests that pairing the drug with palbociclib may make a far superior treatment.

Palbociclib, by itself, reduced bone marrow scarring in two different mouse models of myelofibrosis. It also decreased the abnormally high levels of white blood cells seen in myelofibrosis and shrank the mices enlarged spleens.

Combining the drug with ruxolitinib offered even more benefits, restoring the bone marrow and white blood cell counts to normal and dramatically reducing the size of the mices enlarged spleens.

Additional research is needed to determine if the findings will hold true in human patients, but Mohi and his team are hopeful. They note that palbociclib is known to quiet the activity of bone marrow in patients with metastatic breast cancer (cancer that has spread to other parts of the body), and they hope there will be beneficial effects in patients with myelofibrosis.

A combinatorial therapeutic approach involving palbociclib and ruxolitinib will enable lowering the doses of each of the inhibitors and thus reducing toxicities while enhancing the therapeutic efficacy, they write in a new scientific paper outlining their findings.

New treatments for myelofibrosis are particularly needed because ruxolitinib treatment does not offer significant reduction in bone marrow fibrosis and often loses its effectiveness with prolonged use, the researchers note.

The findings from this study are very exciting, and they support the clinical investigation of palbociclib and ruxolitinib combination in patients with myelofibrosis, Mohi said.

Mohi and his team havepublished their findings in the journal Cancer Research. The research team consisted of Avik Dutta, Dipmoy Nath, Yue Yang, Bao T. Le and Golam Mohi.

The work was supported by the National Institutes of Health grants R01 HL095685, R01 HL149893 and R21 CA235472.

To keep up with the latest medical research news from UVA, subscribe to theMaking of Medicineblog.

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UVA Discovery Suggests Potential New Treatment for Deadly Blood Cancer - University of Virginia

Food Addiction: A Disorder To Watch – Outlook India

Food addiction, although controversial, has recently gained attention in scientific literature and falls into the realm of atypical eating disorders. It has been implicated in craving, bingeing and obesity. Its recognition may be useful in management of complications like diabetes, obesity, heart disease and other chronic conditions.

Food addiction implies there is a biochemical condition in the body that creates a physiological craving for specific foods. This craving, and its underlying biochemistry, is comparable to an alcoholic's craving for alcohol" (a refined carbohydrate). Just as alcohol is the substance that triggers the alcoholic's disease, there are substances that trigger a food addict's out-of-control eating.

It suggests that specific foods, especially those which are rich in fat and /sugar and/or salt are capable of promoting addiction- like behaviour and neural changes under certain conditions. These foods seem to affect the same addictive brain pathways that are influenced by alcohol and drugs.Perhaps, eating carelessly, loading up on high fat, high carbohydrate and salt can also trigger hormonal imbalance, mood swings and lethargy, ultimately leading to chronic food addiction and piled pounds. These foods although highly palatable are not addictive per se but become addictive following prolonged restriction / bingeing. These could be as diverse as refined carbohydrates, processed foods, cheese, chocolates, sugars and milk proteins. Such eating behaviour has been associated with increased risk of obesity, early weight gain, depression, anxiety, and substance abuse as well as with relapses in treatment. Relevance of food addiction may be path- breaking in the treatment of overeating and obesity, which so-far have been associated with eating disorders caused from emotional problems that could be treated by psychotherapy or counseling. While, this may be true for many individuals who have used food to manage their emotions or deal with stress, the problem is more complex for the true food addict.

The key feature of any addiction is loss of control. In food addiction, loss of control is manifested by either more frequent and / larger meals. Although anecdotal reports are abundant, few studies have been able to document addictive properties of foods meeting rigorous scientific criteria. While some may argue, that all foods are addictive, it is proposed that some foods are more addictive than others.

However, recent findings suggest that it may also be the way in which foods are consumed (e.g., alternating access and restriction) rather than their sensory (taste, smell etc.) properties that leads to an addictive eating pattern. In other words, palatable foods alone are not responsible, because even non-palatable foods can come to be desired and potentially overconsumed.

In animal studies, withdrawal from high fat diets leads to neuro-chemical changes like those induced by withdrawal from drugs. There is also convincing evidence that bingeing on sugar induces behaviour and neural changes similar to those induced by drugs. Studies have further revealed that external stimuli such as cues, good or great smelling, looking, tasting, and reinforcing food stimulate seeking that food and modifying intake similar to that of drugs of abuse.

Recognising and identifying food addiction may help treatment modalities for chronic food cravings, compulsive overeating, and binge eating that may represent a phenotype of obesity. Screening for food addiction has the potential to identify people with eating difficulties that seriously compromise weight management efforts. Future research should include a focus on human food addiction.

Ms. Ishi Khosla is a practicing clinical nutritionist, columnist, author, an entrepreneur and researcher.

She is actively involved in clinical practice at the Centre for Dietary Counseling in Delhi, where she deals with a wide range of nutrition related health problems including obesity, diabetes, cardio-vascular disease, digestive disorders, food allergies etc. To scale up her practice and reach out to a global audience Ms. Khosla has founded a unique score-based nutrition app, which has helped people across the world to not only lose weight scientifically but also understand the science and art of eating right.

Passionate about nutrition and a strong believer in the power of foods, she spearheaded, the first of its kind, a health food company in India 'Whole Foods', in the business of producing and retailing health foods and operating Health Cafe's.

As part of her commitment towards public health and community nutrition, Ms. Khosla founded 'The Celiac Society Of India', the first of its kind in India, to spread awareness about gluten related disorders in India and Internationally. She is also involved in community service through the All India Womens Association and Delhi Commonwealth Womens Association. Ms Khosla has been listed among the 25 most powerful women in the country by the India Today Group.

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Food Addiction: A Disorder To Watch - Outlook India

Dibutyl Itaconate (Cas 2155-60-4) Market 2021 Global Future Growth, Leading Players and Forecast to 2027| HANERCHEM, Zhejiang Guoguang Biochemistry,…

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Resilient researchers: UW-La Crosse students adapt their research amid COVID-19 – University of Wisconsin System

Nico Lang and Cullen Schull, both May 2021 graduates, found success adapting their biochemistry research amid COVID-19.

A pair of UW-La Crosse biochemistry students didnt let COVID-19 stand in the way of their research.

Cullen Schull and Nico Lang, who each graduated with abachelors degree in biochemistryin May, had spent the past couple years researching greener routes of synthesis for high-purity curcumin, a powdery orange chemical produced by certain plants. Curcumin, the active ingredient in turmeric, has been used as a cooking ingredient and alternative medicine for centuries but also has numerous biological applications as a wonder drug.

Lang had been working on the synthesis and isolation of curcumin compounds using a green methodology and microwave energy. Typical industrial synthesis and isolation procedures are based on a report from the 1960s, taking a greater toll on the environment.

Unable to work in the lab due to COVID-19, Lang demonstrated the effectiveness of his greener approach using recently developed software the Environmental Assessment Tool for Organic Synthesis. He also completed a bibliography on the synthesis of curcumin and similar chemicals, placing his green methodology in perspective.

Schull had been working on a combinatory study to develop a simple and versatile method to obtain curcuminoids (analogues of curcumin) using a blend of synthetic and computational modeling.

From a biomedical standpoint, curcuminoids are shown to be even more effective than curcumin. However, a lack of knowledge about curcuminoid synthesis has resulted in a limited commercial availability of curcuminoids, as well as high prices.

Schulls synthetic work was put on hold during COVID-19. Instead, he used molecular modeling to better understand the mechanism of curcuminoid synthesis, gaining valuable data and experience conducting online research.

This summer, Schull is finishing his project and hoping to publish his manuscript.

His work helped earn a WiSys Spark grant, which was funded for the spring 2021 semester and summer 2021.

It is particularly remarkable that these two students felt the substantial impact of COVID-19 on their research but were able to use the forced online transition as an opportunity to take their research to a new level, saysValeria Stepanova, an assistant professor of chemistry and biochemistry and the students research advisor.

Lang has been accepted into the University of Utahs graduate chemistry program. Schull plans to pursue a doctorate in organic chemistry at Northwestern University.

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Resilient researchers: UW-La Crosse students adapt their research amid COVID-19 - University of Wisconsin System

What We Think We Know About Metabolism May Be Wrong – The New York Times

Everyone knows conventional wisdom about metabolism: People put pounds on year after year from their 20s onward because their metabolisms slow down, especially around middle age. Women have slower metabolisms than men. Thats why they have a harder time controlling their weight. Menopause only makes things worse, slowing womens metabolisms even more.

All wrong, according to a paper published Thursday in Science. Using data from nearly 6,500 people, ranging in age from 8 days to 95 years, researchers discovered that there are four distinct periods of life, as far as metabolism goes. They also found that there are no real differences between the metabolic rates of men and women after controlling for other factors.

The findings from the research are likely to reshape the science of human physiology and could also have implications for some medical practices, like determining appropriate drug doses for children and older people.

It will be in textbooks, predicted Leanne Redman, an energy balance physiologist at Pennington Biomedical Research Institute in Baton Rouge, La., who also called it a pivotal paper.

Rozalyn Anderson, a professor of medicine at the University of Wisconsin-Madison, who studies aging, wrote a perspective accompanying the paper. In an interview, she said she was blown away by its findings. We will have to revise some of our ideas, she added.

But the findings implications for public health, diet and nutrition are limited for the moment because the study gives a 30,000-foot view of energy metabolism, said Dr. Samuel Klein, who was not involved in the study and is director of the Center for Human Nutrition at the Washington University School of Medicine in St. Louis. He added, I dont think you can make any new clinical statements for an individual. When it comes to weight gain, he says, the issue is the same as it has always been: People are eating more calories than they are burning.

Metabolic research is expensive, and so most published studies have had very few participants. But the new studys principal investigator, Herman Pontzer, an evolutionary anthropologist at Duke University, said that the projects participating researchers agreed to share their data. There are more than 80 co-authors on the study. By combining efforts from a half dozen labs collected over 40 years, they had sufficient information to ask general questions about changes in metabolism over a lifetime.

All of the research centers involved in the project were studying metabolic rates with a method considered the gold standard doubly labeled water. It involves measuring calories burned by tracking the amount of carbon dioxide a person exhales during daily activities.

The investigators also had participants heights and weights and percent body fat, which allowed them to look at fundamental metabolic rates. A smaller person will burn fewer calories than a bigger person, of course, but correcting for size and percent fat, the group asked, Were their metabolisms different?

It was really clear that we didnt have a good handle on how body size affects metabolism or how aging affects metabolism, Dr. Pontzer said. These are basic fundamental things youd think would have been answered 100 years ago.

Central to their findings was that metabolism differs for all people across four distinct stages of life.

Theres infancy, up until age 1, when calorie burning is at its peak, accelerating until it is 50 percent above the adult rate.

Then, from age 1 to about age 20, metabolism gradually slows by about 3 percent a year.

From age 20 to 60, it holds steady.

And, after age 60, it declines by about 0.7 percent a year.

Once the researchers controlled for body size and the amount of muscle people have, they also found no differences between men and women.

As might be expected, while the metabolic rate patterns hold for the population, individuals vary. Some have metabolic rates 25 percent below the average for their age and others have rates 25 percent higher than expected. But these outliers do not change the general pattern, reflected in graphs showing trajectory of metabolic rates over the years.

The four periods of metabolic life depicted in the new paper show there isnt a constant rate of energy expenditure per pound, Dr. Redman noted. The rate depends on age. That runs counter to the longstanding assumptions she and others in nutrition science held.

The trajectories of metabolism over the course of a lifetime and the individuals who are outliers will open a number of research questions. For instance, what are the characteristics of people whose metabolisms are higher or lower than expected, and is there a relationship with obesity?

One of the findings that most surprised Dr. Pontzer was the metabolism of infants. He expected, for example, that a newborn infant would have a sky-high metabolic rate. After all, a general rule in biology is that smaller animals burn calories faster than larger ones.

Instead, Dr. Pontzer said, for the first month of life, babies have the same metabolic rate as their mothers. But shortly after a baby is born, he said, something kicks in and the metabolic rate takes off.

The group also expected the metabolism of adults to start slowing when they were in their 40s or, for women, with the onset of menopause.

But, Dr. Pontzer said, we just didnt see that.

The metabolic slowing that starts around age 60 results in a 20 percent decline in the metabolic rate by age 95.

Dr. Klein said that although people gain on average more than a pound and a half a year during adulthood, they can no longer attribute it to slowing metabolisms.

Energy requirements of the heart, liver, kidney and brain account for 65 percent of the resting metabolic rate although they constitute only 5 percent of body weight, Dr. Klein said. A slower metabolism after age 60, he added, may mean that crucial organs are functioning less well as people age. It might be one reason that chronic diseases tend to occur most often in older people.

Even college students might see the effects of the metabolic shift around age 20, Dr. Klein said. When they finish college they are burning fewer calories than when they started.

And around age 60, no matter how young people look, they are changing in a fundamental way.

There is a myth of retaining youth, Dr. Anderson said. Thats not what the biology says. In and around age 60, things start to change.

There is a time point when things are no longer as they used to be.

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What We Think We Know About Metabolism May Be Wrong - The New York Times

Expert in reproductive physiology becomes newest TTU SVM faculty Member – KLBK | KAMC | EverythingLubbock.com

LUBBOCK, Texas (PRESS RELEASE) The following is a press release from Texas Tech University:

ForJohn Gibbons, growing up in a military family and moving from place to place is etched in his memories. However, it was his familys summer vacations away from military activities that changed his life forever.

During those visits to East Texas, where his uncle raised beef cattle, Gibbons first gained experience in animal agriculture that would spark his interest in animal science.

That spark eventually turned into three decades of distinguished academic research, and the development of novel reproductive techniques and protocols across six different continents. He now brings his expertise and knowledge to the Texas Tech School of Veterinary Medicine in Amarillo (SVM) as an associate professor of reproductive physiology. In this role, he will continue what he enjoys the most, training graduate and veterinary students, and watching them develop into successful scholars and veterinarians.

I am excited to be involved with the inaugural class of theTexas Tech UniversitySchool of Veterinary Medicine, Gibbons said. I look forward to the opportunity to be a part of the team here at Texas Tech, which has an obvious and dedicated interest in veterinary education and research that will benefit the people of Texas and beyond.

Reproductive physiology is so vitally important for our animal industries, saidGuy Loneragan, dean of the School of Veterinary Medicine. Whether it be horses, pigs or cattle, everything starts with reproduction. Advances in reproductive physiology help add to the sustainability and resiliency of so many producers. But discoveries can also directly benefit society by helping families who may be struggling to have children. The students of our School, whether they be focused on becoming a veterinarian or earning a Ph.D., will benefit so very much from Dr. Gibbons. We are thrilled he is part of this wonderful program.

Prior to joining the SVM, Gibbons spent the last three years as an associate and assistant professor of physiology at the DeBusk College of Osteopathic Medicine and was on joint appointment in the College of Veterinary Medicine at Lincoln Memorial University in Harrogate, Tennessee. He was heavily involved in the program at DeBusk by being part of many service activities such as a faculty adviser to the Anesthesia Club and co-director for Boehringer Ingelheim Summer Scholars Program at Lincoln Memorial. He also was Lincoln Memorials representative for both the International Embryo Transfer Society and American Embryo Transfer Association in 2019.

Currently, Gibbons is collaborating individually with undergraduate and graduate students at Lincoln Memorial, the Colorado Center for Reproductive Medicine and the National Foundation for Fertility Research on several different research projects.

Gibbons earned his bachelors degree in animal science from Texas A&M University in 1988 and, in 1989, found himself working as a laboratory technician for Granada, a cattle embryo transfer and cloning company in Marquez, Texas. While there, he realized a desire to focus his research on the reproductive anatomy and physiology of cattle and develop reproductive techniques.

As his research developed, he earned his masters degree in dairy science at Virginia Polytechnic Institute & State University in 1994 and his doctorate in endocrinology-reproductive physiology program at the University of Wisconsin-Madison in 1998.

Gibbons is a member of the American Embryo Transfer Association, International Embryo Technologies Society and American Society of Animal Sciences.

I have had the pleasure of working with John at a previous university. He is very student-focused, always willing to help, and a great researcher, saidJohn Dascanio, senior associate dean for academic and student affairs. Dr. Gibbons has a research focus in bovine reproduction working with oocytes and embryos. His work will bring together many partners in industry and local agriculture to improve reproductive efficiency.

Gibbons joins a growing and vibrant team of faculty and staff at the School of Veterinary Medicine. Additional team members will continue to be added as the school prepares to welcome its inaugural class.

Thanks to the generosity of Amarillo and communities across Texas, and the commitment of legislators from around the state, the Texas Tech University School of Veterinary Medicine in Amarillo was established in 2018. In March 2021, the school was granted the all-important status of Provisional Accreditation, from the American Veterinary Medical Association (AVMA) Council on Education (COE) and is set to welcome its first class of students in August.

The School of Veterinary Medicine will recruit and select students with a passion to serve rural and regional communities. Its curriculum is focused on the competencies and skills necessary for success in practice types that support these communities. Texas Techs innovative and cost-efficient model partners with the wider community of veterinary practices across the state to provide clinical, real-world experiential learning.

(Press release from Texas Tech University)

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Expert in reproductive physiology becomes newest TTU SVM faculty Member - KLBK | KAMC | EverythingLubbock.com

Policing the Bodies of Women Athletes Is Nothing New – JSTOR Daily

In 1891, Dr. James Naismith invented the game of basketball. A year later, physical education teacher Senda Berenson Abbott of Smith College decided to adapt the game for the nineteenth-century woman, complete with a set of modified rules. Each player was confined to a small zone on the court. She was not allowed to bounce the ball more than three times. Otherwise, she might risk overexerting herselfor potentially dislodging her uterus.

Anxiety about female exercise is at least a century old in the United States, writes historian Martha Verbrugge. The early twentieth century saw the emergence of a new culture of active womanhood. Organized sports flourished in blue-collar industries, nonwhite communities, and some Black colleges and training schools. Schools introduced mandatory physical education. Upper- and middle-class white women regularly took part in non-competitive mixed-gender recreation.

During this time, there was also a growing interest in the science of exercise. Researchers from the fields of physiology, biomechanics, clinical medicine, and physical educationwhom Verbrugge refers to as body expertsanalyzed physical activity and applied that knowledge in everyday settings. Without pause, Verbrugge writes, these experts assumed that sex was a relevant factor, even the primary one, in the relationships between anatomy, physiology, movement, and skill, as well as an individuals attitudes during play or competition.

And, in the grand tradition of scientific essentialism, these experts immediately homed in on the uterus. Body experts regarded reproductive systems as the most salient difference between males and females, Verbrugge writes. But they struggled to reach consensus, as every frantic report of menstrual dysfunction, miscarriage and even sterility attributed to exercise and sports was countered by equally fervent claims that physical activity during menstruation was safe, even beneficial, and that athletic women experienced normal pregnancies.

In the early 1900s, intense exercise was thought to put young women at risk of infertility. Physical education teachers taught young girls to be active within the limits of their fragile form. No teacher doubted that strenuous exercise during menstruation was risky, writes Verbrugge. Or, conversely, that a womans period limited her physical vitality and skill.

The latter half of the twentieth century saw a fitness and sports boom in the United States. The science of fitness had become a veritable cottage industry. Specialists warned about new health problems associated with exercise and training. In the 1980s and 90s, concerns about menstrual irregularities, like athletic amenorrhoea, escalated sharply. The roster of suspect activities and high-risk females now included skiers, rowers, fencers, volleyball players, and even occasional joggers, writes Verbrugge.

These new anxieties also extended to pregnancy and childbirth, as well as non-reproductive health, writes Verbrugge. Scientists observed the co-morbidity of eating disorders, premature osteoporosis and amenorrhoea among young athletes. In 1992, the American College of Sports Medicine labeled these three conditions the Female Athlete Triad.

Even during the 2020 Olympics, the most gender-balanced games in history, the bodies of elite athletes were still subject to intense scrutiny (especially the bodies of Black women athletes). One might assume that doubts about female exercise persisted because scientific analysis remained ambiguous or incomplete, writes Verbrugge. In reality, she argues, these concerns are rooted more in cultural developments than in biomedical discoveries.

Support JSTOR Daily! Join our new membership program on Patreon today.

JSTOR is a digital library for scholars, researchers, and students. JSTOR Daily readers can access the original research behind our articles for free on JSTOR.

By: H. Grace Shymanski

Indiana Magazine of History, Vol. 114, No. 1 (March 2018), pp. 39-59

Indiana University Press

By: Martha H. Verbrugge

Health and History, Vol. 4, No. 1 (2002), pp. 52-72

Australian and New Zealand Society of the History of Medicine, Inc

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Policing the Bodies of Women Athletes Is Nothing New - JSTOR Daily

Telehealth enabled NASA to care for astronauts in orbit, but agency is eyeing the moon and beyond – Healthcare Finance News

Dr. Shannan Moynihan, left, and Michelle Frieling of NASA speak during the HIMSS21 conference in Las Vegas on Wednesday.

Photo: Jeff Lagasse/Healthcare Finance News

LAS VEGAS - Space: It's the final frontier not just for humans, but telehealth as well.

The benefits of telehealth have become widely known here on Earth, and it's been an increasingly accepted treatment modality for patients during the pandemic. Remote virtual care has been a lifeline for scores of people with their feet planted on the ground.

But it's also become a lifeline for astronauts inside the International Space Station, and in some ways, low-Earth orbit has been ground zero for telehealth. NASA began treating space-goers remotely as early as 2002, a necessity given that astronauts are uniquely isolated from the world. The lessons learned in that time will be a launchpad for the future as NASA contemplates sending humans beyond low-Earth orbit, and further into the depths of the solar system.

Michelle Frieling, program manager for human health and performance contract at NASA, and Dr. Shannan Moynihan, deputy chief medical officer at the NASA Lyndon B. Johnson Space Center, were on hand at HIMSS21 in Las Vegas to talk about that future in their session, "Caring for Astronauts in Space: NASA's Experience With Telemedicine."

Of course, the treatment of people in space looks a bit different than the terrestrial version, since astronauts experience maladies that are unique to space travel. In addition to the usual sicknesses and injuries that can occur on Earth, these astronaut-specific conditions are linked to the adaptations the body makes in response to low-gravity environments.

"We send up very healthy people," said Moynihan. "That's always the goal. (But) normal physiology is being put into an abnormal environment. It works well while you're up there, but when you come back, those adaptive changes are not always a positive thing."

One of the big adaptive changes that can occur is SANS, or Spaceflight Associated Neuro-ocular Syndrome, an optic disc anemia that can cause temporary vision issues among people who have been on prolonged space missions.

"We don't have a corollary here on Earth," said Moynihan. "It teaches us a lot about the physiology that happens here in space, and my hope is that it helps us understand physiological issues here on Earth."

Other issues include neurovestibular ailments, which can affect an astronaut's balance and posture, causing them to sway while walking when they're back on solid ground. It's a condition that can last for up to two weeks after returning from a flight. Then there are fluid shifts, in which the body's fluids, generally pulled toward the feet by gravity, settle instead around the chest and head. Not a problem for those in space, but certainly an issue for the newly earthbound.

How to treat those conditions, or any other, when a human being is 250 nautical miles away?

Ultrasound machines are the primary imaging devices used on the ISS, according to Frieling. With no CT or MRI machines, the ultrasound machines are used in novel ways, able to give clinically relevant exams in space with the ability to send that information to people on the ground.

These people on the ground who NASA refers to as "remote guiders" are the key. In most other respects, telehealth in space looks like telehealth on the ground: video or audio encounters in which a patient consults with a medical expert. What the remote guiders do is direct astronauts through procedures, in layman's terms, to ensure that clinical robust data is being collected and relevant procedures performed aboard the space station.

"We don't always have a physician on board the space station," said Frieling. "So we're asking somebody who's had maybe 45 minutes of training on the ultrasound device and asking them to get clinically relevant results while learning other stuff too, like ISS systems and the science experiments and activities they're going to do. The remote guiders come in. They walk the crew through various procedures. They're on the ground talking to the crew in real time in order to get the images we need on the ground for clinical diagnoses, or research studies as well."

Ophthalmologists and other specialists examine the data as it's coming down and give tips and techniques to the remote guiders. An important thing for the remote guiders to consider is their own disposition. Since many of these interactions take place via video, the crew onboard the ISS can pick up on smiles and frowns, and these indicators of a person's mood can have an effect on those traversing the vacuum of space.

What telehealth does, essentially, is free astronauts from having to undergo hours of medical training. Instead, they can focus their time and attention on the mission.

Equipment considerations are unique, though, since there's a lot of planning and logistics involved in certifying a medical device to be flown up to the space station. Data needs have to be considered carefully, as well as the compatibility with other devices and technology aboard the ISS. Since the space station is a closed environment, crews have to take into account how something like an ultrasound machine will affect the atmosphere.

For now, the telehealth approach works well as intended. But there are future challenges. Low-Earth orbit is one thing, but plans are already underway to land the first woman and the first person of color on the moon. Beyond that, humanity is eyeing Mars, a mission that could take an astronaut into space for as long as three years.

That will result not only in significant physiological changes for the astronauts, but a rethinking of how telehealth communication will take place. The further away from the planet a crew is, the longer it takes to send and receive data, meaning communications will no longer be in real time.

These will be challenges, but NASA understands these issues and has a rough game plan for how to address them.

"We're going to think about how we do these medical conferences very differently," said Frieling. "We need to develop things like software systems that help make diagnosis and treatment decisions for the crew. We need real-time training videos. We really need an integrated architecture that provides us with advanced analytics so we can put the power in the crew's hands."

Twitter:@JELagasseEmail the writer:jeff.lagasse@himssmedia.com

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Telehealth enabled NASA to care for astronauts in orbit, but agency is eyeing the moon and beyond - Healthcare Finance News

LI knife-thrower cut path from teacher, preacher and pool hall owner – Newsday

Job jokes fly fast and furiously when youre a professional knife thrower. "He aims to miss!" is the most common zinger.

David Adamovich, 74, a gleaming star of the impalement arts a term for hurling knives near, not at, a human target has heard that one before.

The Great Throwdini, as Adamovich calls himself on stage, has told it, too.

"It goes with the territory," said the Freeport resident who was 50 when he discovered, to his surprise and delight, his near-superpower knack for knives.

By then hed already received a doctorate in education from Teachers College at Columbia University and taught graduate classes in exercise physiology at schools including LIU Post. Hed also pursued emergency medicine management and dipped into theology.

"Its a clich, but David is like an onion," according to Dix Hills magician TJ Tana, 28, who has shared a bill with Throw and become a friend. "He has so many layers."

"People say Im a Renaissance man," said Adamovich, whose onstage banter, like a LinkedIn bio, deftly tells his story.

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Heres his spiel: "My name is Rev. Dr. David Adamovich, a retired professor with a doctorate in exercise physiology, a paramedic, a professionally trained chef, an ordained minister and in my spare time I throw knives. My friends call me Throw."

Adamovich smiled while reciting that on a Sunday afternoon in his backyard overlooking Woodcleft Canal. He chills out here chatting with his eclectic group of friends and fishing for striped bass.

The spacious deck is as colorful as he is. A Wheel of Death, a wooden spinning disk painted red and white thats used in his act, occupies one space.

A life-size cow sculpture bows toward his boat gently bobbing in the canal. Adamovich saw the bovine wonder in a shop in the Hamptons and had to have it; he custom-colorized it in red, gold and black.

Across the way an airy gazebo surrounded by benches that seat 30 is where he performs weddings. "Ive done thousands," he insisted, adding that hed performed one days earlier.

After getting laid off from managing a medical practice in his late 40s, "I did the most logical thing," he said. "I opened a pool hall Docs Billiard Emporium in Bay Shore."

"One night a customer came in with a throwing knife," said Adamovich, who took to it instantly. "Nine months later," he added, "I was winning world championships."

And breaking records now more than a few dozen of them, by his count. "Competitions pay you in bragging rights, not big cash prizes," he said. In the early 2000s, after five years in the national competition circuit, he carved a path into performing.

At Adamovichs request, "Wild West" performer Chris McDaniel, a former East Hampton resident now living in New Orleans, showed him the ropes about putting together a show.

McDaniel shared videotapes of notable names in the impalement arts. "A couple of weeks later, David sent me a videotape of him throwing knives at a knife board with a volunteer standing in front of it," McDaniel told Newsday. "He was doing everything he had seen in the tapes. His skill is incredible.

"Hes very calm, and thats worked well for him," McDaniel said. "I helped him map out the basics of what to say in his act."

For the most part, Throw lets his sharp instruments knives, axes, machetes, tomahawks do the talking. "Chriss advice was to be myself," said Adamovich, whose first performing gig was in 2002. It was a small art space in Williamsburg, Brooklyn.

Hes fuzzy on the name of the place, but he recalls what he wore a black tuxedo, his go-to costume ever since. "Ive worn a tux and tails since my first day of performing," Adamovich said.

He added that years of teaching had prepared him for being in front of an audience, whether in a club, sideshow, a theater or on TV.

On Aug. 5, 2002, after a recommendation by McDaniel, Adamovich debuted at "Monday Night Magic," a long-running off-Broadway production. Since then he has performed in it 85 more times, most recently just before the COVID-19 outbreak.

"Im hopeful hell be back," said Michael Chaut, founding producer of the magic showcase currently set to reopen on Sept. 20 at the Players Theater in Manhattan. "Hes got sheer and amazing skill. Hes also a go-getter."

While Adamovich, whos self-taught in knife-throwing, makes tossing blades that land within inches of a person look easy-peasy, its perilous doings.

"My partner said, Make sure you get a copy of his insurance," recalled Chaut. Adamovich assured that hes covered by required liability insurance.

A memorable appearance came in 2007, when Adamovich made the cut in the early rounds of Season 2 of "Americas Got Talent." Before being eliminated, he was christened a "dangerous creepy reverend" by judge Piers Morgan.

"The judges were trying to make fun of me," said Adamovich. "Thats their style. I took it in stride."

Throwdinis flesh-and-blood targets have taken minor mishaps in stride over the years. "Ive never hit someone in the sense of impaling them, but I have scraped them on the arm or the leg," he said.

Lynn Wheat, 37, confirmed that. "Thereve been scrapes," she said. "The worst is when the knife hits a knot and doesn't actually stick into the board. Thats when it'll bounce down. It can land between my toes."

Wheat recalled meeting Adamovich when she was managing the theater scene shop at Hofstra University. She needed an expert to create a knife illusion for a stage production and sought him out. They became a couple. Wheat, whose work as a technical director for corporate events dried up amid the pandemic, has lived with Adamovich for 10 years. She is also one of his targets.

"Throwdini Centrale" is the nickname for the third floor of their home, where the dcor is best described as Contemporary Knives Out.

Walls here are crammed with photographs from past performances, a poster for "Girl on the Bridge," a film about a knife thrower, plus cherished certificates and awards.

Adamovich has won a Merlin Award, an Oscar in the world of magic, which is among his proudest achievements. He holds a Guinness World Record for the most knives 102 of them thrown in 2007 around a human target in one minute. He later beat that record and threw 144 in 60 seconds, as certified by Record Holders Republic.

Adamovich called hurling knives "a source of intermittent income." Like many performers, he was sidelined by the pandemic for a year and a half. Last November in Los Angeles he shot an episode of "Game of Talents," a TV guessing game that aired on Fox in May.

When host Wayne Brady exclaimed, "David, show us your talent," Throw obliged. Last month, he wowed the crowd at the Coney Island Circus Sideshow. "I was thrilled to do it," said Adamovich, who spent his childhood in Brooklyn and Queens before moving to Long Island as an adult.

In "Throwdini Centrale," reached by climbing a ladder from a second-floor bedroom, Adamovich eyeballed a 6-by-4-foot pine impalement board stippled with gouges from where knives have stuck.

His signature diamond-headed blades, which he maintains to keep sharp and are marked with a telltale "TGT," measure 14 inches long and weigh 12 ounces. Replicas made by Western Trade Props sell for $44 apiece.

Wheat backed up to the board, centered herself, raised an arm Statue of Liberty-style, smiled and froze. Adamovich tossed knives around her. She never flinched. He never paused.

Wheat rotated 90 degrees, then pursed a drinking straw with a frilly end facing out tight between her lips. In a flash, Adamovich chucked a blade and nipped off the frill. His aim was true.

"Im never afraid. Its exciting," Wheat said. "I trust him completely, and he trusts himself."

Adamovichs wish for his 75th birthday in December? Performing as The Great Throwdini.

"Its just a natural skill for me," he said. And thats no joke.

By Joe Dziemianowicz Special to Newsday

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LI knife-thrower cut path from teacher, preacher and pool hall owner - Newsday

Resistance training helps in burning fat? Here’s what a new study says – Hindustan Times

Findings from a new University of Kentucky College of Medicine and College of Health Sciences study add to growing evidence that resistance exercise has unique benefits for fat loss.

The Department of Physiology and Centre for Muscle Biology study published in the FASEB Journal found that resistance-like exercise regulates fat cell metabolism at a molecular level.

The study results in mice and humans show that in response to mechanical loading, muscle cells release particles called extracellular vesicles that give fat cells instructions to enter fat-burning mode.

Extracellular vesicles were initially understood as a way for cells to selectively eliminate proteins, lipids and RNA. Recently, scientists discovered that they also play a role in intercellular communication.

The study adds a new dimension to how skeletal muscle communicates with other tissues by using extracellular vesicles, says John McCarthy, Ph.D., study author and associate professor in the UK Department of Physiology.

"To our knowledge, this is the first demonstration of how weight training initiates metabolic adaptations in fat tissue, which is crucial for determining whole-body metabolic outcomes," McCarthy said. "The ability of resistance exercise-induced extracellular vesicles to improve fat metabolism has significant clinical implications."

McCarthy's research team was led by post-doc Ivan Vechetti, now at the University of Nebraska, in collaboration with the Center for Muscle Biology, directed by Joseph Hamburg Endowed Professor Charlotte Peterson, Ph.D.

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Resistance training helps in burning fat? Here's what a new study says - Hindustan Times