Tag Archives: brown university

Lecture or Listen: When Patients Waver on Meds

*According to a new analysis of hundreds of recorded office visits, doctors and nurse practitioners typically issued orders and asked closed or leading questions when talking to their HIV-positive patients about adherence to antiretroviral therapy. Attempts at problem-solving with patients who had lapsed occurred in less than a quarter of visits.*

PROVIDENCE, R.I. [Brown University] — Take your medicine, Doctor’s orders. It’s a simple idea that may seem especially obvious when the pills are the antiretroviral (ARV) drugs that add decades to the lives of HIV-positive patients. But despite the reality that keeping up with drug regimens is not easy for many patients, a new analysis of hundreds of recorded doctor’s office visits finds that physicians and nurse practitioners often still rely on lecturing, ordering, and scolding rather than listening and problem solving with their patients. (more…)

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In Lab, Pannexin1 Restores Tight Binding of Cells Lost in Cancer

*By studying tumor cell behavior in a novel “scaffold-free” 3-D system, researchers have determined that the protein Pannexin1 may play an important biomechanical role in binding tissues together, an effect that is lost in cancerous cells.*

PROVIDENCE, R.I. [Brown University] — First there is the tumor and then there’s the horrible question of whether the cancerous cells will spread. Scientists increasingly believe that the structural properties of the tumor itself, such as how tightly the tumor cells are packed together, play a decisive role in the progression of the disease. In a new study, researchers show that the protein Pannexin1, known to have tumor-suppressive properties, plays an important role in keeping the cells within a tissue closely packed together, an effect that may be lost with cancer.

“In healthy tissues, the recently discovered protein Pannexin1 may be playing an important role in upholding the mechanical integrity of the tissue,” said first author and Brown University M.D./Ph.D. student Brian Bao. “When we develop cancer, we lose Pannexin1 and we lose this integrity.” (more…)

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Biochip Measures Glucose in Saliva, Not Blood

*Engineers at Brown University have designed a biological device that can measure glucose concentrations in human saliva. The technique could eliminate the need for diabetics to draw blood to check their glucose levels. The biochip uses plasmonic interferometers and could be used to measure a range of biological and environmental substances. Results are published in Nano Letters.*

PROVIDENCE, R.I. [Brown University] — For the 26 million Americans with diabetes, drawing blood is the most prevalent way to check glucose levels. It is invasive and at least minimally painful. Researchers at Brown University are working on a new sensor that can check blood sugar levels by measuring glucose concentrations in saliva instead.

The technique takes advantage of a convergence of nanotechnology and surface plasmonics, which explores the interaction of electrons and photons (light). The engineers at Brown etched thousands of plasmonic interferometers onto a fingernail-size biochip and measured the concentration of glucose molecules in water on the chip. Their results showed that the specially designed biochip could detect glucose levels similar to the levels found in human saliva. Glucose in human saliva is typically about 100 times less concentrated than in the blood. (more…)

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North American Mammal Evolution Tracks with Climate Change

*Climate changes profoundly influenced the rise and fall of six distinct, successive waves of mammal species diversity in North America over the last 65 million years, shows a novel statistical analysis led by Brown University evolutionary biologists. Warming and cooling periods, in two cases confounded by species migrations, marked the transition from one dominant grouping to the next.*

PROVIDENCE, R.I. [Brown University] — History often seems to happen in waves — fashion and musical tastes turn over every decade and empires give way to new ones over centuries. A similar pattern characterizes the last 65 million years of natural history in North America, where a novel quantitative analysis has identified six distinct, consecutive waves of mammal species diversity or “evolutionary faunas.” What force of history determined the destiny of these groupings? The numbers say it was typically climate change.

“Although we’ve always known in a general way that mammals respond to climatic change over time, there has been controversy as to whether this can be demonstrated in a quantitative fashion,” said Christine Janis, professor of evolutionary biology at Brown University. “We show that the rise and fall of these faunas is indeed correlated with climatic change — the rise or fall of global paleotemperatures — and also influenced by other more local perturbations such as immigration events.” (more…)

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Novel Device Removes Heavy Metals From Water

*Engineers at Brown University have developed a system that cleanly and efficiently removes trace heavy metals from water. In experiments, the researchers showed the system reduced cadmium, copper, and nickel concentrations, returning contaminated water to near or below federally acceptable standards. The technique is scalable and has viable commercial applications, especially in the environmental remediation and metal recovery fields. Results appear in the Chemical Engineering Journal.*

PROVIDENCE, R.I. [Brown University] — An unfortunate consequence of many industrial and manufacturing practices, from textile factories to metalworking operations, is the release of heavy metals in waterways. Those metals can remain for decades, even centuries, in low but still dangerous concentrations.

Ridding water of trace metals “is really hard to do,” said Joseph Calo, professor emeritus of engineering who maintains an active laboratory at Brown. He noted the cost, inefficiency, and time needed for such efforts. “It’s like trying to put the genie back in the bottle.” (more…)

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Chinese Health Coverage Improves With Government Efforts

*A new study of health insurance in nine Chinese provinces shows that individual coverage surged within a two-year time frame, from 2004-2006, coinciding with new government interventions designed to improve access to health care. The changes were most dramatic in rural areas.*

PROVIDENCE, R.I. [Brown University] — Health care coverage increased dramatically in parts of China between 1997 and 2006, a period when government interventions were implemented to improve access to health care, with particularly striking upswings in rural areas, according to new research by Brown University sociologist Susan E. Short and Hongwei Xu of the University of Michigan. The findings appear in the December issue of Health Affairs.

Led by Xu, a former Brown graduate student, the study analyzed data from the China Health and Nutrition Survey, which follows households in nine provinces that are home to more than 40 percent of China’s population. Xu and Short specifically focused on patterns of coverage among rural and urban residents. (more…)

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Infectious Fungus, Thought to Be Asexual, Isn’t

*Candida tropicalis turns out to have sex, making it the second medically important member of the genus to be capable of mating. Sex may improve the survival of the species, particularly when it’s under pressure. It may also mean the species can achieve greater virulence or drug resistance more quickly than previously thought.*

PROVIDENCE, R.I. [Brown University] — The fungi of the Candida genus, known to millions of patients worldwide for their ability to cause serious infections, were once all thought to be asexual. Even after scientists discovered that the mating habits of Candida albicans were many and varied, they remained convinced that many of the more infectious ones did not mate. Now with the first report that Candida tropicalis can mate sexually as well, the chastity of the whole genus comes into further doubt. (more…)

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New Study to Test Unusual Hypothesis on Beta Brainwaves

Beta oscillations are tightly linked to Parkinson’s disease and the ability to process sensory information, such as touch. Two neuroscientists have brought their collaboration to Brown University and won funding from the National Science Foundation to see if they can finally provide a definitive, if unorthodox, explanation for beta brainwaves.

Before she could seek to convince the world that her computer model of a key brain circuit explains a fundamental, 80-year-old mystery of neuroscience with potential relevance to Parkinson’s disease, Stephanie Jones sought to convince Christopher Moore. The new Brown neuroscience professors are now close collaborators, but when they first started talking about the beta oscillations of the cortex, Moore thought Jones was plain wrong, if not a bit nuts. (more…)

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