The Guardian’s health editor, Sarah Boseley, answers some of the most common and pressing questions surrounding the recent coronavirus outbreak in Wuhan, China
Category Archives: Medicine
Research: Scientists Find Protein To Regulate Immune Attacks, Reduce Rheumatoid Arthritis
From a New Atlas online article:
Scientists have just discovered a new mechanism that can be key in regulating these immune attacks, raising new hopes of drugs that can protect against joint inflammation and the ailments it can bring.
Through the use of the CRISPR gene-editing tool, the Karolinska Institutet scientists have now shed further light on the role they play in inflammation. The technology enabled the team to make adjustments to a set of hand-picked immune cell genes as a way of learning how those tweaks can impact the behavior of the cells.
“The results we obtained using CRISPR were key to quickly understanding how the system under study is regulated,” says Dr Wermeling. “I have high hopes that the experimental use of CRISPR will be hugely important to our understanding of how immune-cell behavior is regulated, and that this can guide us in the development of new efficacious drugs.”
World Economic Forum: “Building Resilient Health Systems” (Davos 2020)
The World Economic Forum is the International Organization for Public-Private Cooperation. The Forum engages the foremost political, business, cultural and other leaders of society to shape global, regional and industry agendas. We believe that progress happens by bringing together people from all walks of life who have the drive and the influence to make positive change.
Medical Procedures: Inside Look At “Total Hip Replacement” Surgery
Head “Inside the OR” with Michael D. Stover, MD, and see what it takes to tackle a total hip replacement. Sound on for this one!
Medical Procedures: How “Gamma Knife” Surgery Treats Brain Tumors
It’s called gamma knife surgery, but there’s no cutting involved. It’s been used at Mayo Clinic for 30 years as an alternative to open brain surgery.
The patient’s head is held still during the procedure with a headframe, which also serves as a map for the radiation. Using 3D imaging — typically an MRI — as a guide, the gamma knife is targeted directly at the tumor. And with no hospital stay and minimal side effects, it’s a procedure that is efficient and can be lifesaving.
Digital Medicine: Apps For Smartphones, Machine Learning To Treat Kidney Disease (The Lancet)
From a The Lancet online article (January 18, 2020):
Smartphone app-based platforms for urine testing could improve adherence to albumin creatinine ratio (ACR) testing. One study showed screening of at-risk patients almost doubled with a home urine test kit that uses a smartphone camera to easily and accurately quantify ACR from a user-performed urine dipstick. If independently validated in a large, diverse population, this low-cost strategy could change the often dim trajectory for individuals with declining kidney function. 
In the outpatient setting, a Japanese team used machine learning and natural language processing to predict disease progression and need for dialysis over 6 months in patients with diabetic nephropathy. And while the increased risk of contrast-induced acute kidney injury has been long appreciated, a machine learning algorithm trained and tested on 3 million adults effectively quantified the degree of kidney injury on the basis of the volume of contrast used and individual patient-level characteristics.
Health: Characteristics Of Neurodegenerative Diseases (Mayo Clinic)
Dr. Nilüfer Ertekin-Taner, neurogeneticist and behavioral neurologist, discusses characteristics of neurodegenerative diseases such as dementia, Alzheimer’s disease, and movement disorders. She also discusses her research on the complex genetics of Alzheimer’s disease, including identifying therapeutic targets and biomarkers. She highlights Mayo Clinic’s unique approach to patient care.
Medical Case Studies: Identifying Metastatic Colorectal Cancer (Johns Hopkins Video)
A Chinese patient initially diagnosed with lung cancer traveled to Johns Hopkins for a second opinion. Noticing inconsistencies in the scans, experts at #JohnsHopkins brought her case to the gastrointestinal tumor board. Working as a team, these experts deduced her condition is actually metastatic colorectal cancer and recommended a new, more targeted treatment plan.
Aortic Stenosis: Early Aortic-Valve Replacement Surgery Lowers Mortality

CONCLUSIONS
Among asymptomatic patients with very severe aortic stenosis, the incidence of the composite of operative mortality or death from cardiovascular causes during the follow-up period was significantly lower among those who underwent early aortic-valve replacement surgery than among those who received conservative care.
Physician Profiles: Best-Selling Author Abraham Verghese MD (JAMA Video)
In this video, best-selling author Abraham Verghese, MD, discusses the origins of the study he coauthored identifying 5 practices that foster meaningful connections between physicians and patients.