Picturing Our Past

Evarts A. Graham, M.D., performs one of his many experiments on cigarettes and their link to lung cancer. In 1953, Graham and colleague Ernst L. Wynder were the first to establish the correlation between the two. Graham, installed as the Bixby Professor of Surgery and chair of the department in 1919, was surgeon-in-chief at Barnes […]

Supersized servings and bigger beverages build bulging bellies

A major factor contributing to Americans’ increasing body sizes appears to be increasing portion sizes.Obesity puts people at risk for heart disease, diabetes, stroke, high blood pressure and cancer. It also decreases quality of life. But that’s not stopping Americans from eating and drinking more than ever before. Almost two-thirds of Americans are either overweight or obese, and a major factor contributing to increasing body sizes appears to be increasing portion sizes. Obesity researcher Samuel Klein, M.D., the Danforth Professor of Medicine and Nutritional Science at Washington University School of Medicine in St. Louis, says the obesity epidemic continues to get worse in spite of a great deal of research about the dangers of being overweight and increasing numbers of people who are trying to lose weight. Part of the problem is that many people tend to eat what is put in front of them, and serving sizes are larger than ever before.

Countering Crohn’s Disease

Patients treated in the GM-CSF pilot study showed a decrease in inflammation: an inflamed colon before treatment (top) and after, showing no pathologic abnormality.Researchers at Washington University School of Medicine in St. Louis continue to make progress in finding a potential treatment for Crohn’s disease, a chronic and serious inflammatory disease of the gastrointestinal tract that affects about half a million people in the United States. Later this month, the research team of Joshua Korzenik, M.D., assistant professor of medicine, and Brian Dieckgraefe, M.D., Ph.D., also an assistant professor of medicine in the division of gastroenterology, will present preliminary data from patients with moderate to severe Crohn’s disease who were treated at 33 centers around the United States. Patients who received daily injections of a drug called GM-CSF (granulocyte macrophage colony stimulating factor), which stimulates the activity of certain cells in the immune system, tended improve. And although the data have not yet been presented, the results from the placebo-controlled phase II treatment study were positive.

Improving survival in sepsis

Patients in intensive care units are kept alive with breathing machines, dialysis, tube feeding and other extraordinary measures until their bodies can begin to recover from critical illness or traumatic injury.Sepsis, sometimes called blood poisoning, is the leading cause of death among critically ill patients in the United States. For many years, scientists believed it was the result of an uncontrolled inflammatory response, but several studies that involved anti-inflammatory drugs were not successful at improving survival. Now, a research team led by Richard S. Hotchkiss, M.D., professor of anesthesiology and of medicine and associate professor of surgery and of molecular biology and pharmacology, and Irene E. Karl, Ph.D., research professor of medicine at Washington University School of Medicine in St. Louis have found that how immune cells die in sepsis might be a key to whether patients survive. When immune cells die through a process known as programmed cell death, or apoptosis, a patient’s chance of survival appears to be much lower than if cells die through a different mechanism called necrosis.

Brain changes in Alzheimer’s disease

At the time of the first MRI scans, the turquoise color shows areas of the hippocampus in patients with mild Alzheimer’s disease that are shaped differently than in healthy older people. Two years later, even more changes have occurred, represented by the purple color.Even when people have no symptoms, their brains already may be dotted with the plaques and tangles that characterize Alzheimer’s disease. As treatments to halt the progress of Alzheimer’s disease appear on the horizon, scientists are looking for new ways to identify Alzheimer’s-associated changes in the brain before cognitive decline begins. By examining brain images, researchers, led by John G. Csernansky, M.D., the Gregory B. Couch Professor of Psychiatry, and Lei Wang, Ph.D., research associate in psychiatry, both at Washington University’s Silvio Conte Center for Neuroscience Research, found that the volume and shape of certain brain structures change in different patterns during Alzheimer’s disease than in healthy aging. They believe that someday using these imaging techniques may allow for earlier diagnosis of Alzheimer’s disease, preferably before the most devastating symptoms appear.

Study lifts veil on brain’s executive function

Photo courtesy of Vanderbilt UniversityThe “CEO” in your brain appears to be concerned more about the consequences of your actions than how hard they are to produce. That is the implication of a detailed study of the neuronal activity in a critical area of the brain, called the anterior cingulate cortex (ACC), published in the Oct. 3 issue of the journal Science. The finding is important because the ACC plays a key role in disorders such as schizophrenia and obsessive-compulsive disorder in humans, suggests Joshua Brown, study co-author and WUSTL research associate in psychology.

Be prepared to deal with parents’ aging before a crisis hits

U.S. Administration on AgingAging is a women’s issue because women provide the bulk of care and support to older adults.An aging parent wants to keep the car keys, while his adult daughter thinks he is a hazard to himself and others on the road. Or a widow who has lived in her home for 55 years refuses to move out, although her children worry that she’s too frail to manage the stairs. As more and more adult children face caring for their aging parents in the coming decades, an expert on the clinical psychology of aging says the key to dealing with these types of situations is to discuss them before they become a reality. “Don’t procrastinate,” says Brian D. Carpenter, Ph.D., an assistant professor of psychology in Arts & Sciences at Washington University in St. Louis. “Start the process of talking to your aging parents early — before a crisis.”

Tips for controlling children’s candy consumption

Nutritionist offers tips on controlling Halloween candy consumption.Halloween is just around the corner, and most kids can’t wait. When else can you dress up in funny — or frightening — costumes, go door to door, and collect all the free candy you can fit in your bag? And with many kids opting to carry pillowcases instead of cutely decorated trick or treat sacks, that’s a lot of candy! While Halloween is a kid’s dream, it can be a nightmare for parents who struggle all year to get their children to eat enough fruits and vegetables and avoid excessive sugars and saturated fat. So how can parents keep their kids from gobbling down all that they bring home from a night of trick or treating — and from eating it all in one sitting? A registered dietician at Washington University in St. Louis offers some helpful tips.

Foster youth desire college, study shows, but face roadblocks to learning

Mary Butkus/WUSTL PhotoFoster care teens have a desire to attend college, study shows.A solid education is considered the foundation for a productive future, but for teens in foster care, education beyond high school is rarely a reality. In fact, a Westat study found that only 44 percent of 18-year-olds leaving the independent living program of the foster care system completed high school. But despite common thought, this dismal percentage is not due to a lack of educational aspirations among teens in foster care. According to a recent study at the George Warren Brown (GWB) School of Social Work at Washington University in St. Louis, a surprisingly high percentage — 70 percent — of teens in the foster care system have a desire to attend college.

For quantum confinement, size matters, but so does shape

Courtesy photoWashington University chemists have shown that the shape of nanowires such as this one can affect its electronic and optical properties.Size matters, but so does shape, at least in the world of semiconducting nanocrystals, report chemists at Washington University in St. Louis. Their findings, published in the August 2003 issue of Nature Materials, demonstrate experimentally that the shape of a semiconductor nanocrystal can affect its electronic and optical properties.
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