AI

Californians Sue Over AI Tool That Records Doctor Visits (arstechnica.com) 34

An anonymous reader quotes a report from Ars Technica: Several Californians sued Sutter Health and MemorialCare this week over allegations that an AI transcription tool was used to record them without their consent, in violation of state and federal law. The proposed class-action lawsuit, filed on Wednesday in federal court in San Francisco, states that, within the past six months, the plaintiffs received medical care at various Sutter and MemorialCare facilities.

During those visits, medical staff used Abridge AI. According to the complaint, this system "captured and processed their confidential physician-patient communications. Plaintiffs did not receive clear notice that their medical conversations would be recorded by an artificial intelligence platform, transmitted outside the clinical setting, or processed through third-party systems." The complaint adds that these recordings "contained individually identifiable medical information, including but not limited to medical histories, symptoms, diagnoses, medications, treatment discussions, and other sensitive health disclosures communicated during confidential medical consultations."

In recent years, Abridge's software and AI service have been rapidly deployed across major health care providers nationwide, including Kaiser Permanente, the Mayo Clinic, Duke Health, and many more. When activated, the software captures, transcribes, and summarizes conversations between patients and doctors, and it turns them into clinical notes. Sutter Health began partnering with Abridge two years ago. Sutter spokesperson Liz Madison said the company is aware of the lawsuit. "We take patient privacy seriously and are committed to protecting the security of our patients' information," Madison said. "Technology used in our clinical settings is carefully evaluated and implemented in accordance with applicable laws and regulations."

The Almighty Buck

Mount Everest Climbers 'Poisoned' By Guides In Insurance Fraud Scheme (kathmandupost.com) 47

schwit1 shares a report from the Kathmandu Post: In Nepal, helicopter rescue on high altitude is, by any measure, a genuine lifesaving operation. At high altitude, where oxygen thins and weather changes without warning, the ability to airlift a stricken trekker to Kathmandu within hours has saved countless lives. But threaded through that legitimate system, exploiting its urgency, its opacity, and its distance from oversight, is one of the most sophisticated insurance fraud networks in the world. Nepal's fake rescue scam is not new. The Kathmandu Post first exposed it in 2018. Months later, the government convened a fact-finding committee, produced a 700-page report, and announced reforms. In February 2019, The Kathmandu Post published a long investigative report. Last year, Nepal Police's Central Investigation Bureau reopened the file, and what they found is that the fraud did not stop -- instead it was growing.

The mechanics of the fake rescue racket are straightforward: stage a medical emergency, call in a helicopter, check a tourist into a hospital, and file an insurance claim that bears little resemblance to what actually happened. But the sophistication lies in how each link in the chain is compensated, and how difficult it is for a foreign insurer -- operating from Australia and the United Kingdom -- to verify events that occurred at 3,000 metres in a remote Himalayan valley. The CIB investigation identifies two primary methods for manufacturing an "emergency." The first involves tourists who simply don't want to walk back. After completing a demanding trek -- an Everest Base Camp trek, for instance, can take up to two weeks on foot -- guides offer an alternative: pretend to be sick, and a helicopter will come. The guide handles the rest. The second method is more troubling. At altitudes above 3,000 meters, mild symptoms of altitude sickness are common. Blood oxygen saturation can drop, hands and feet tingle, headaches develop. In most cases, rest, hydration or a gradual descent is all that is needed. But guides and hotel staff, according to the CIB investigation, have been trained to terrify trekkers at precisely this moment. They tell them they are at risk of dying, that only immediate evacuation will save them. In some cases, investigators found that Diamox (Acetazolamide) tablets, used to prevent altitude sickness, were administered alongside excessive water intake to induce the very symptoms that would justify a rescue call.

In at least one case cited in the investigation, baking powder was mixed into food to make tourists physically unwell. Once a "rescue" is called, the financial choreography begins. A single helicopter carries multiple passengers. But separate, full-price invoices are submitted to each passenger's insurance company, as if each had their own dedicated flight. A $4,000 charter becomes a $12,000 claim. Fake flight manifests and load sheets are fabricated. At the hospital, medical officers prepare discharge summaries using the digital signatures of senior doctors who were never involved in the case. In some cases, these are done without those doctors' knowledge. Fake admission records are created for tourists who were, in some documented instances, drinking beer in the hospital cafeteria at the time they were supposedly receiving treatment. In one case, an office assistant at Shreedhi Hospital admitted that he had provided his own X-ray report taken about a year ago at a different hospital, to be used as a case for treatment of foreign trekkers to claim insurance. The commission structure that holds the network together was described in detail during police interrogations. Hospitals pay 20 to 25 percent of the insurance payment to trekking companies and a further 20 to 25 percent to helicopter rescue operators in exchange for patient referrals. Trekking guides and their companies benefit from inflated invoices. In some cases, tourists themselves are offered cash incentives to participate.

Medicine

Thousands of Americans Treated With Psilocybin in 2025 (cnn.com) 27

In a new 4,000-word article, CNN tells the story of a retired appellate paralegal and grandmother in her early 70s who was treated for depression with psilocybin. CNN notes there's now retreats featuring psilocybin in a few countries — and while psilocybin is illegal under United States federal law, "In Oregon, 5,935 clients received psilocybin services through Oregon's state-regulated program in 2025." High doses of psilocybin are effective in treating depression, a growing body of research suggests, with promise for other conditions, like PTSD and addiction, said Dr. Albert Garcia-Romeu, associate director of the Center for Psychedelic and Consciousness Research at Johns Hopkins University... Some researchers suggest it disrupts entrenched traffic patterns in the brain or grows new neuron connections to change thinking. Others say the results from psilocybin could have to do with its anti-inflammatory effect, Garcia-Romeu said...

Colorado became the second state to make psilocybin legal with a 2023 law and issued its first healing center" last year. A law adopted in New Mexico last year established that state's Medical Psilocybin Program, now in development... Psilocybin seems to be "knocking on the door of FDA approval," said Dr. Lynn Marie Morski, president of the Psychedelic Medicine Association, which educates health care providers on the therapeutic use of psychedelics so they can answer patients' questions through the lenses of clinical evidence and harm reduction. Psilocybin therapy first received a "breakthrough therapy" designation for treatment-resistant depression from the US Food and Drug Administration in 2018, and now psilocybin drug products are on track to be submitted to the FDA for possible approval in the not-too-distant future.

While psilocybin is illegal under United States federal law, more states are creating their own paths for legal use under state laws.


Medicine

Japan Approves Stem-Cell Treatments For Parkinson's, Heart Failure In World Firsts (france24.com) 21

Long-time Slashdot reader fjo3 shared this report from Agence France-Presse: Japan has approved ground-breaking stem-cell treatments for Parkinson's and severe heart failure, one of the manufacturers and media reports said Friday, with the therapies expected to reach patients within months.

Pharmaceutical company Sumitomo Pharma said it received the green light for the manufacture and sale of Amchepry, its Parkinson's disease treatment that transplants stem cells into a patient's brain. Japan's health ministry also gave the go-ahead to ReHeart, heart muscle sheets developed by medical startup Cuorips that can help form new blood vessels and restore heart function, media reports said. The treatments could be on the market and rolled out to patients as early as this summer, reports said, citing the health ministry, becoming the world's first commercially available medical products using induced pluripotent stem cells...

In a statement, Sumitomo Pharma said it had obtained "conditional and time-limited approval" for the manufacture and marketing of Amchepry under a system which is reportedly designed to get these products to patients as quickly as possible. The approval is a kind of "provisional license", the Asahi newspaper said, after the safety and efficacy of the treatment was judged based on data from fewer patients than in ordinary clinical trials for drugs.

A trial led by Kyoto University researchers indicated that the company's treatment was safe and successful in improving symptoms. The study involved seven Parkinson's patients aged between 50 and 69, with each receiving a total of either five million or 10 million cells implanted on both sides of the brain... The patients were monitored for two years and no major adverse effects were found, the study said. Four patients showed improvements in symptoms.

The article notes that "Worldwide, about 10 million people have the illness, according to the Parkinson's Foundation," while also notes that today's current therapies "improve symptoms without slowing or halting the disease progression..."
Science

Exercise is as Effective as Medication in Treating Depression, Study Finds (npr.org) 79

A major new review by the Cochrane collaboration -- an independent network of researchers -- evaluated 73 randomized controlled trials involving about 5,000 people with depression and found that exercise matched the effectiveness of both pharmacological treatments and psychological therapies.

The biological mechanisms overlap considerably with antidepressants. "Exercise can help improve neurotransmitter function, like serotonin as well as dopamine and endorphins," said Dr. Stephen Mateka, medical director of psychiatry at Inspira Health. Dr. Nicholas Fabiano of the University of Ottawa added that exercise triggers the release of brain-derived neurotrophic factor, or BDNF, which he calls "Miracle-Gro for the brain."

Exercise has been adopted as a first-line treatment in depression guidelines globally, though Fabiano noted it remains underutilized. The meta-analysis found that combining aerobic exercise and resistance training appeared more effective than aerobic exercise alone, and that 13 to 36 workouts led to improvements in depressive symptoms. Light to moderate exercise proved as beneficial as vigorous workouts, at least initially.
ISS

Medical Evacuation from Space Station Next Week for Astronaut in Stable Condition (space.com) 43

It will be the first medical evacuation from the International space station in its 25-year history. The Guardian reports: An astronaut in the orbital laboratory reportedly fell ill with a "serious" but undisclosed issue. Nasa also had to cancel its first spacewalk of the year... The agency did not identify the astronaut or the medical problem, citing patient privacy. "Because the astronaut is absolutely stable, this is not an emergent evacuation," [chief health and medical officer Dr. James] Polk said. "We're not immediately disembarking and getting the astronaut down, but it leaves that lingering risk and lingering question as to what that diagnosis is, and that means there is some lingering risk for that astronaut onboard."
"SpaceX says it's Dragon spacecraft at the International Space Station is ready to return its four Crew-11 astronauts home in an unprecedented medical evacuation on Jan. 14 and 15," reports Space.com: The SpaceX statement came on the heels of NASA's announcement that the Crew-11 astronauts were scheduled to undock from the space station on Jan. 14 and splashdown off the coast of California early on Jan. 15. The Crew-11 Dragon spacecraft will return NASA astronauts Zena Cardman and Mike Fincke to Earth alongside Japanese astronaut Kimiya Yui and Russian cosmonaut Oleg Platanov... NASA officials opted for a "controlled medical evacuation" in order to provide the astronaut better treatment on the ground, NASA chief Jared Isaacman has said...

Dr. James Polk, NASA's chief medical officer, has said the medical issue is not an injury to the astronaut afflicted, but rather something related to the prolonged exposure to weighlessness by astronauts living and working on the International Space Station. "It's mostly having a medical issue in the difficult areas of microgravity and the suite of hardware that we operate in," Polk said.

AI

OpenAI Launches ChatGPT Health, Encouraging Users To Connect Their Medical Records 38

OpenAI has unveiled ChatGPT Health, a sandboxed health-focused mode that lets users connect medical records and wellness apps for more personalized guidance. The company makes sure to note that ChatGPT Health is "not intended for diagnosis or treatment." The Verge reports: The company is encouraging users to connect their personal medical records and wellness apps, such as Apple Health, Peloton, MyFitnessPal,Weight Watchers, and Function, "to get more personalized, grounded responses to their questions." It suggests connecting medical records so that ChatGPT can analyze lab results, visit summaries, and clinical history; MyFitnessPal and Weight Watchers for food guidance; Apple Health for health and fitness data, including movement, sleep, and activity patterns"; and Function for insights into lab tests.

On the medical records front, OpenAI says it's partnered with b.well, which will provide back-end integration for users to upload their medical records, since the company works with about 2.2 million providers. For now, ChatGPT Health requires users to sign up for a waitlist to request access, as it's starting with a beta group of early users, but the product will roll out gradually to all users regardless of subscription tier. [...]

In a blog post, OpenAI wrote that based on its "de-identified analysis of conversations," more than 230 million people around the world already ask ChatGPT questions related to health and wellness each week. OpenAI also said that over the past two years, it's worked with more than 260 physicians to provide feedback on model outputs more than 600,000 times over 30 areas of focus, to help shape the product's responses. "ChatGPT can help you understand recent test results, prepare for appointments with your doctor, get advice on how to approach your diet and workout routine, or understand the tradeoffs of different insurance options based on your healthcare patterns," OpenAI claims in the blog post.
It's funny.  Laugh.

South Korea's President Identifies a New Enemy: Baldness (msn.com) 32

South Korea's President Lee Jae Myung asked at a televised policy meeting last month whether the country's state-run healthcare plan could cover hair-loss treatment, framing it as a question about whether hair loss qualifies as a disease. The health minister told Lee that baldness is generally considered an aesthetic problem and therefore covered out-of-pocket, but the 61-year-old president -- who himself has a full head of hair -- pushed back, arguing that young people experiencing thinning hair view their situation as a "matter of survival."

The proposal has divided the country. South Korea is known for a cultural phenomenon called "lookism," where physical appearance carries significant weight in professional and social settings. The expression "your appearance is also a credential" is common, and nearly all job applications require a photograph, including those for part-time barista positions.

Lee first made the pledge to cover hair-loss treatment during his unsuccessful 2022 presidential campaign but dropped it when he ran again. He won a snap election in June and has now resurrected the idea as a way to appeal to younger voters who have grown more dissatisfied with him. The Korean Medical Association has called the proposal "questionable" given the health system's stretched finances. The health ministry is currently reviewing whether the treatments are appropriate for coverage. More than three in four South Koreans believe everyone has concerns about hair loss, according to a recent Embrain Trend Monitor poll.
Medicine

Utah Allows AI To Renew Medical Prescriptions 34

sinij shares a news release from the Utah Department of Commerce: The state of Utah, through the Utah Department of Commerce's Office of Artificial Intelligence Policy, today announced a first-of-its-kind partnership with Doctronic, the AI-native health platform, to give patients with chronic conditions a faster, automated way to renew medications. This agreement marks the first state-approved program in the country that allows an AI system to legally participate in medical decision-making for prescription renewals, an emerging model that could reshape access to care and ultimately improve care outcomes. Politico provides additional context in its reporting: In data shared with Utah regulators, Doctronic compared its AI system with human clinicians across 500 urgent care cases. The results showed the AI's treatment plan matched the physicians' 99.2 percent of the time, according to the company. "The AI is actually better than doctors at doing this," said Dr. Adam Oskowitz, Doctronic co-founder and an associate professor of surgery at the University of California San Francisco. "When you go see a doctor, it's not going to do all the checks that the AI is doing."

Oskowitz said the AI is designed to err on the side of safety, automatically escalating cases to a physician if there's any uncertainty. Human doctors will also review the first 250 prescriptions issued in each medication class to validate the AI's performance. Once that threshold is met, subsequent renewals in that class will be handled autonomously. The company has also secured a one-of-a-kind malpractice insurance policy covering an AI system, which means the system is insured and held to the same level of responsibility as a doctor would be.

Doctronic also runs a nationwide telehealth practice that directs patients to doctors after an AI consultation. In Utah, patients who use the system will visit a webpage that verifies they are physically in the state. Then the system will pull the patient's prescription history and offer a list of medications eligible for renewal. The AI walks the patient through the same clinical questions a physician would ask to determine whether a refill is appropriate. If the system clears the renewal, the prescription is sent directly to a pharmacy. The program is limited to 190 commonly prescribed medications. Some medications -- including pain management and ADHD drugs as well as injectables -- are excluded for safety reasons.
Biotech

Scientists Edit Gene in 15 Patients That May Permanently Reduce High Cholesterol (cnn.com) 21

A CRISPR-based drug given to study participants by infusion is raising hopes for a much easier way to lower cholesterol, reports CNN: With a snip of a gene, doctors may one day permanently lower dangerously high cholesterol, possibly removing the need for medication, according to a new pilot study published Saturday in the New England Journal of Medicine.

The study was extremely small — only 15 patients with severe disease — and was meant to test the safety of a new medication delivered by CRISPR-Cas9, a biological sort of scissor which cuts a targeted gene to modify or turn it on or off. Preliminary results, however, showed nearly a 50% reduction in low-density lipoprotein, or LDL, the "bad" cholesterol which plays a major role in heart disease — the No.1 killer of adults in the United States and worldwide. The study, which will be presented Saturday at the American Heart Association Scientific Sessions in New Orleans, also found an average 55% reduction in triglycerides, a different type of fat in the blood that is also linked to an increased risk of cardiovascular disease.

"We hope this is a permanent solution, where younger people with severe disease can undergo a 'one and done' gene therapy and have reduced LDL and triglycerides for the rest of their lives," said senior study author Dr. Steven Nissen, chief academic officer of the Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute at Cleveland Clinic in Ohio.... Today, cardiologists want people with existing heart disease or those born with a predisposition for hard-to-control cholesterol to lower their LDL well below 100, which is the average in the US, said Dr. Pradeep Natarajan, director of preventive cardiology at Massachusetts General Hospital and associate professor of medicine at Harvard Medical School in Boston...

People with a nonfunctioning ANGPTL3 gene — which Natarajan says applies to about 1 in 250 people in the US — have lifelong levels of low LDL cholesterol and triglycerides without any apparent negative consequences. They also have exceedingly low or no risk for cardiovascular disease. "It's a naturally occurring mutation that's protective against cardiovascular disease," said Nissen, who holds the Lewis and Patricia Dickey Chair in Cardiovascular Medicine at Cleveland Clinic. "And now that CRISPR is here, we have the ability to change other people's genes so they too can have this protection."

"Phase 2 clinical trials will begin soon, quickly followed by Phase 3 trials, which are designed to show the effect of the drug on a larger population, Nissen said."

And CNN quotes Nissen as saying "We hope to do all this by the end of next year. We're moving very fast because this is a huge unmet medical need — millions of people have these disorders and many of them are not on treatment or have stopped treatment for whatever reason."
Medicine

Focused Sound Energy Holds Promise For Treating Cancer, Alzheimer's and Other Diseases (theconversation.com) 11

An anonymous reader quotes a report from the Conversation: Sound waves at frequencies above the threshold for human hearing are routinely used in medical care. Also known as ultrasound, these sound waves can help clinicians diagnose and monitor disease, and can also provide first glimpses of your newest family members. And now, patients with conditions ranging from cancer to neurodegenerative diseases like Alzheimer's may soon benefit from recent advances in this technology.

I am a biomedical engineer who studies how focused ultrasound -- the concentration of sound energy into a specific volume -- can be fine-tuned to treat various conditions. Over the past few years, this technology has seen significant growth and use in the clinic. And researchers continue to discover new ways to use focused ultrasound to treat disease. [...] Research on focused ultrasound has primarily focused on the most devastating and prevalent diseases, such as cancer and Alzheimer's disease. However, I believe that further developments in, and increased use of, focused ultrasound in the clinic will eventually benefit patients with rare diseases.

One rare disease of particular interest for my lab is cerebral cavernous malformation, or CCM. CCMs are lesions in the brain that occur when the cells that make up blood vessels undergo uncontrolled growth. While uncommon, when these lesions grow and hemorrhage, they can cause debilitating neurological symptoms. The most common treatment for CCM is surgical removal of the brain lesions; however, some CCMs are located in brain areas that are difficult to access, creating a risk of side effects. Radiation is another treatment option, but it, too, can lead to serious adverse effects.

We found that using focused ultrasound to open the blood-brain barrier can improve drug delivery to CCMs. Additionally, we also observed that focused ultrasound treatment itself could stop CCMs from growing in mice, even without administering a drug. While we don't yet understand how focused ultrasound is stabilizing CCMs, abundant research on the safety of using this technique in patients treated for other conditions has allowed neurosurgeons to begin designing clinical trials testing the use of this technique on people with CCM. With further research and advancements, I am hopeful that focused ultrasound can become a viable treatment option for many devastating rare diseases.

Medicine

Some Athletes are Trying the Psychedelic Ibogaine to Treat Brain Injuries (yahoo.com) 57

"As awareness grows around the dangers of head trauma in sports, a small number of professional fighters and football players are turning to a psychedelic called ibogaine for treatment," reports the Los Angeles Times.

They note that the drug's proponents "tout its ability to treat addiction, post-traumatic stress disorder and traumatic brain injury, or TBI. " Ibogaine, which is derived from a West African shrub, is a Schedule 1 drug in America with no legal medical uses, and experts urge caution because of the need for further studies. But the results, several athletes say, are "game-changing".... Although athletes are just discovering ibogaine, the drug is well known within the veteran community, which experiences high rates of brain injury and PTSD. In Stanford's study on the effects of ibogaine on special forces veterans, participants saw average reductions of 88% in PTSD symptoms, 87% in depression symptoms and 81% in anxiety symptoms. They also exhibited improvements in concentration, information processing and memory.

"No other drug has ever been able to alleviate the functional and neuropsychiatric symptoms of traumatic brain injury," Dr. Nolan Williams, a professor of psychiatry and behavioral sciences, said in a statement on the results. "The results are dramatic, and we intend to study this compound further...."

States can work faster than the federal government by carving out exemptions for supervised ibogaine therapy programs, similar to what Oregon has done with psilocybin therapy. Many states have also opted to legalize marijuana for medicinal or recreational use... In June, Texas approved a historic $50-million investment in state funding to support drug development trials for ibogaine, inspired by the results seen by veterans. Arizona legislators approved $5 million in state funding for a clinical study on ibogaine in March, and California legislators are pushing to fast-track the study of ibogaine and other psychedelics.

Medicine

LSD Shows Promise For Reducing Anxiety In Drugmaker's Midstage Study 56

An anonymous reader quotes a report from the Associated Press: LSD reduced symptoms of anxiety in a midstage study published Thursday, paving the way for additional testing and possible medical approval of a psychedelic drug that has been banned in the U.S. for more than a half century. The results from drugmaker Mindmed tested several doses of LSD in patients with moderate-to-severe generalized anxiety disorder, with the benefits lasting as long as three months. The company plans to conduct follow-up studies to confirm the results and then apply for Food and Drug Administration approval. [...]

For the study, researchers measured anxiety symptoms in nearly 200 patients who randomly received one of four doses of LSD or a placebo. The main aim was to find the optimal dose of the drug, which can cause intense visual hallucinations and occasionally feelings of panic or paranoia. At four weeks, patients receiving the two highest doses had significantly lower anxiety scores than those who received placebo or lower doses. After 12 weeks, 65% of patients taking the most effective LSD dose -- 100 micrograms -- continued to show benefits and nearly 50% were deemed to be in remission. The most common side effects included hallucinations, nausea and headaches.

Patients who got dummy pills also improved -- a common phenomenon in psychedelic and psychiatric studies -- but their changes were less than half the size those getting the real drug. The research was not immune to problems seen in similar studies. Most patients were able to correctly guess whether they'd received LSD or a dummy pill, undercutting the "blinded" approach that's considered critical to objectively establishing the benefits of a new medicine. In addition, a significant portion of patients in both the placebo and treatment groups dropped out early, narrowing the final data set. It also wasn't clear how long patients might continue to benefit.
If the two trials are successful, Mindmed will submit them for FDA approval.

"It's possible that some people may need retreatment," said Dr. Maurizio Fava of Mass General Brigham Hospital, the study's lead author and an adviser to Mindmed. "How many retreatments, we don't know yet, but the long-lasting effect is quite significant."

The study has been published in the Journal of the American Medical Association.
Medicine

Beta Blockers for Heart Attack Survivors: May Have No Benefit for Most, Could Actually Harm Women (cnn.com) 126

"A class of drugs called beta-blockers — used for decades as a first-line treatment after a heart attack — doesn't benefit the vast majority of patients," reports CNN. And in fact beta-blockers "may contribute to a higher risk of hospitalization and death in some women but not in men, according to groundbreaking new research..." Women with little heart damage after their heart attacks who were treated with beta-blockers were significantly more likely to have another heart attack or be hospitalized for heart failure — and nearly three times more likely to die — compared with women not given the drug, according to a study published in the European Heart Journal and also scheduled to be presented Saturday at the European Society of Cardiology Congress in Madrid... The findings, however, only applied to women with a left ventricular ejection fraction above 50%, which is considered normal function, the study said. Ejection fraction is a way of measuring how well the left side of the heart is pumping oxygenated blood throughout the body. For anyone with a score below 40% after a heart attack, beta-blockers continue to be the standard of care due to their ability to calm heart arrhythmias that may trigger a second event...

The analysis on women was part of a much larger clinical trial called REBOOT — Treatment with Beta-Blockers after Myocardial Infarction without Reduced Ejection Fraction — which followed 8,505 men and women treated for heart attacks at 109 hospitals in Spain and Italy for nearly four years. Results of the study were published in Mem>The New England Journal of Medicine and also presented at the European Society of Cardiology Congress. None of the patients in the trial had a left ventricular ejection fraction below 40%, a sign of potential heart failure. "We found no benefit in using beta-blockers for men or women with preserved heart function after heart attack despite this being the standard of care for some 40 years," said Fuster, former editor-in-chief of the Journal of the American College of Cardiology and past president of the American Heart Association and the World Health Federation... In fact, most men and women who survive heart attacks today have ejection fractions above 50%, Ibáñez said [Dr. Borja Ibáñez, scientific director for Madrid's National Center for Cardiovascular Investigation]. "Yet at this time, some 80% of patients in the US, Europe and Asia are treated with beta-blockers because medical guidelines still recommend them...."

While the study did not find any need to use beta-blockers for people with a left ventricular ejection fraction above 50% after a heart attack, a separate meta-analysis of 1,885 patients published Saturday in The Lancet did find benefits for those with scores between 40% and 50%, in which the heart may be mildly damaged. "This subgroup did benefit from a routine use of beta-blockers," said Ibáñez, who was also a coauthor on this paper. "We found about a 25% reduction in the primary endpoint, which was a composite of new heart attacks, heart failure and all-cause death."

Medicine

ADHD Drugs Have Wider Life Benefits, Study Suggests (bbc.com) 83

An anonymous reader quotes a report from the BBC: Drug treatment can help people newly diagnosed with ADHD (attention deficit hyperactivity disorder) to reduce their risk of substance misuse, suicidal behavior, transport accidents and criminality, a study suggests. These issues are linked to common ADHD symptoms such as acting impulsively and becoming easily distracted. Some 5% of children and 2.5% of adults worldwide are thought to be affected by the disorder -- and growing numbers are being diagnosed. The findings, published in the British Medical Journal (BMJ), confirm the wider potential benefits of drug treatment and could help patients decide whether to start medication, the researchers say. The researchers found taking ADHD medication was linked to reductions of first-time instances of:
- suicidal behavior - 17%
- substance misuse - 15%
- transport accidents - 12%
- criminal behavior - 13%

When recurrent events were analyzed, the researchers found ADHD medication was linked to reductions of:
- 15% for suicide attempts
- 25% for substance misuses
- 4% for accidental injuries
- 16% for transport accidents
- 25% for criminal behavior
Science

Frequent Nightmares Predict Early Death More Strongly Than Smoking or Obesity, Study Finds (economist.com) 59

People who experience nightmares weekly or more frequently face three times higher risk of dying before age 70 compared to those having nightmares less than monthly, according to research by Dr. Abidemi Otaiku at Imperial College London. His analysis of six long-term studies covering more than 180,000 adults and 2,500 children found frequent nightmares predict early death more strongly than smoking, obesity, poor diet, or physical inactivity.

Among 174 people who died prematurely, 31 experienced at least weekly nightmares. Otaiku's research shows chromosomes of nightmare-prone individuals display accelerated aging patterns linked to stress hormones, accounting for roughly 40% of their increased mortality risk. Effective nightmare treatment options are currently limited and require more medical research, the report adds.
Medicine

An Inventor Is Injecting Bleach Into Cancerous Tumors - and Wants to Bring the Treatment To the US (wired.com) 110

A Chinese inventor with no medical training is charging cancer patients $20,000 to inject highly concentrated chlorine dioxide -- a toxic bleach solution -- directly into their tumors, and is working with a former pharmaceutical executive to bring the unproven treatment to the United States, Wired reports.

Xuewu Liu uses injections containing 20,000 parts per million of chlorine dioxide, significantly higher than the 3,000 ppm concentrations typically found in oral bleach solutions peddled by pseudoscience promoters. One patient told WIRED her tumor grew faster after Liu's injections and suspects the treatment caused her cancer to spread to her skin.
Biotech

UK Scientists Plan to Construct Synthetic Human Genetic Material From Scratch (theguardian.com) 22

"Researchers are embarking on an ambitious project to construct human genetic material from scratch," reports the Guardian, "to learn more about how DNA works and pave the way for the next generation of medical therapies." Scientists on the Synthetic Human Genome (SynHG) project will spend the next five years developing the tools and knowhow to build long sections of human genetic code in the lab. These will be inserted into living cells to understand how the code operates.

Armed with the insights, scientists hope to devise radical new therapies for the treatment of diseases. Among the possibilities are living cells that are resistant to immune attack or particular viruses, which could be transplanted into patients with autoimmune diseases or with liver damage from chronic viral infections. "The information gained from synthesising human genomes may be directly useful in generating treatments for almost any disease," said Prof Jason Chin, who is leading the project at the MRC's Laboratory of Molecular Biology (LMB) in Cambridge...

For the SynHG project, researchers will start by making sections of a human chromosome and testing them in human skin cells. The project involves teams from the universities of Cambridge, Kent, Manchester, Oxford and Imperial College London... Embedded in the project is a parallel research effort into the social and ethical issues that arise from making genomes in the laboratory, led by Prof Joy Zhang at the University of Kent. "We're a little way off having anything tangible that can be used as a therapy, but this is the time to start the discussion on what we want to see and what we don't want to see," said Dr Julian Sale, a group leader at the LMB.

IT

Amazon's Return-to-Office Mandate Sparks Complaints from Disabled Employees (yahoo.com) 85

An anonymous reader shared this report from Bloomberg: Amazon's hard-line stance on getting disabled employees to return to the office has sparked a backlash, with workers alleging the company is violating the Americans with Disabilities Act as well as their rights to collectively bargain. At least two Amazon employees have filed complaints with the Equal Employment Opportunity Commission (EEOC) and the National Labor Relations Board, federal agencies that regulate working conditions. One of the workers said they provided the EEOC with a list of 18 "similarly situated" employees to emphasize that their experience isn't isolated and to help federal regulators with a possible investigation.

Disabled workers frustrated with how Amazon is handling their requests for accommodations — including exemptions to a mandate that they report to the office five days a week — are also venting their displeasure on internal chat rooms and have encouraged colleagues to answer surveys about the policies. Amazon has been deleting such posts and warning that they violate rules governing internal communications. One employee said they were terminated and another said they were told to find a different position after advocating for disabled workers on employee message boards. Both filed complaints with the EEOC and NLRB.

Amazon has told employees with disabilities they must now submit to a "multilevel leader review," Bloomberg reported in October, "and could be required to return to the office for monthlong trials to determine if accommodations meet their needs." (They received calls from "accommodation consultants" who also reviewed medical documentation, after which "another Amazon manager must sign off. If they don't, the request goes to a third manager...")

Bloomberg's new article remembers how several employees told them in November. "that they believed the system was designed to deny work-from-home accommodations and prompt employees with disabilities to quit, which some have done. Amazon denied the system was designed to encourage people to resign." Since then, workers have mobilized against the policy. One employee repeatedly posted an online survey seeking colleagues' reactions, defying the company's demands to stop. The survey ultimately generated feedback from more than 200 workers even though Amazon kept deleting it, and the results reflected strong opposition to Amazon's treatment of disabled workers. More than 71% of disabled Amazon employees surveyed said the company had denied or failed to meet most of their accommodation requests, while half indicated they faced "hostile" work environments after disclosing their disabilities and requesting accommodations.

One respondent said they sought permission to work from home after suffering multiple strokes that prevented them from driving. Amazon suggested moving closer to the office and taking mass transit, the person said in the survey. Another respondent said they couldn't drive for longer than 15-minute intervals due to chronic pain. Amazon's recommendation was to pull over and stretch during their commute, which the employee said was unsafe since they drive on a busy freeway... Amazon didn't dispute the accounts and said it considered a range of solutions to disability accommodations, including changes to an employee's commute.

Amazon is also "using AI to parse accommodation requests, read doctors' notes and make recommendations based on keywords," according to the article — another policy that's also generated internal opposition (and formed a "key element" of the complaint to the Equal Employment Opportunity Commission).

"The dispute could affect thousands of Amazon workers. An internal Slack channel for employees with disabilities has 13,000 members, one of the people said..."
Medicine

The Medical Revolutions That Prevented Millions of Cancer Deaths (vox.com) 76

Vox publishes a story about "the quiet revolutions that have prevented millions of cancer deaths....

"The age-adjusted death rate in the US for cancer has declined by about a third since 1991, meaning people of a given age have about a third lower risk of dying from cancer than people of the same age more than three decades ago... " The dramatic bend in the curve of cancer deaths didn't happen by accident — it's the compound interest of three revolutions. While anti-smoking policy has been the single biggest lifesaver, other interventions have helped reduce people's cancer risk. One of the biggest successes is the HPV vaccine. A study last year found that death rates of cervical cancer — which can be caused by HPV infections — in US women ages 20-39 had dropped 62 percent from 2012 to 2021, thanks largely to the spread of the vaccine. Other cancers have been linked to infections, and there is strong research indicating that vaccination can have positive effects on reducing cancer incidence.

The next revolution is better and earlier screening. It's generally true that the earlier cancer is caught, the better the chances of survival... According to one study, incidences of late-stage colorectal cancer in Americans over 50 declined by a third between 2000 and 2010 in large part because rates of colonoscopies almost tripled in that same time period. And newer screening methods, often employing AI or using blood-based tests, could make preliminary screening simpler, less invasive and therefore more readily available. If 20th-century screening was about finding physical evidence of something wrong — the lump in the breast — 21st-century screening aims to find cancer before symptoms even arise.

Most exciting of all are frontier developments in treating cancer... From drugs like lenalidomide and bortezomib in the 2000s, which helped double median myeloma survival, to the spread of monoclonal antibodies, real breakthroughs in treatments have meaningfully extended people's lives — not just by months, but years. Perhaps the most promising development is CAR-T therapy, a form of immunotherapy. Rather than attempting to kill the cancer directly, immunotherapies turn a patient's own T-cells into guided missiles. In a recent study of 97 patients with multiple myeloma, many of whom were facing hospice care, a third of those who received CAR-T therapy had no detectable cancer five years later. It was the kind of result that doctors rarely see.

The article begins with some recent quotes from Jon Gluck, who was told after a cancer diagnosis that he had as little as 18 months left to live — 22 years ago...

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