Tag Archives: training

Thailand wins praise for AIDS vaccine trial

74200983643A

Thailand wins praise for AIDS vaccine trial

An experimental AIDS vaccine that appears to be the first to protect people was mired for years in controversy, and credit for its success must go to Thailand where the trial was conducted, experts said.

The trial was criticised five years ago by 22 prominent U.S. scientists who doubted it would have any effect. Washington was accused of wasting more than a $100 million by funding it.

But Thai health authorities and their U.S. partners at the National Institutes of Health and the Walter Reed Army Institute of Research pressed on with the trial involving 16,000 volunteers in a country at the forefront of the battle against HIV.

“It was a tough decision. I am glad we made it,” said Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, who defied the criticism and continued the trial.

The trial vaccine was made using two failed products — Sanofi-Pasteur’s ALVAC canary pox/HIV vaccine and AIDSVAX, made by a San Francisco company called VaxGen and now owned by the non-profit Global Solutions for Infectious Disease.

Donald Burke, dean of the University of Pittsburgh’s Graduate School of Public Health, said the trial was controversial from the start and had been dismissed by prominent U.S. scientists because of the failure of previous vaccine tests.

“But given the importance of the AIDS epidemic, the decision was made to go forward regardless of these criticisms. It was a difficult choice, but a courageous choice,” said Burke, who was head of AIDS research at Walter Reed before retiring in 1997.

Burke isolated the AIDS virus taken from a young HIV-infected Thai soldier in 1989 after Thai army doctors discovered an HIV outbreak among young recruits in Chiang Mai in northern Thailand. That virus sample went on to become one of the seed viruses in the experimental vaccine, Burke said.

To their credit the Thais did a remarkable job on this,” Dr. Eric Schoomaker, the Surgeon General of the U.S. Army, told reporters. “They did remarkable job of recruiting volunteers and conducting this trial almost flawlessly.”

The $105 million trial was sponsored and paid for by the U.S. government and results showed it cut the risk of infection by 31.2 percent among 16,402 volunteers over three years.

THAI TRIUMPH

Those results mark a triumph for Thailand, a country of 67 million people where a booming sex industry had stoked fears of a major epidemic. Local authorities battled hard against a disease that threatened to spiral out of control some 20 years ago.

Experts had predicted that 4 million people would be infected by 2000 if nothing was done to slow the spread of HIV. But a massive government-led Aids education and prevention campaign in the early 1990s had an enormous effect.

HIV prevalence among injecting drug users in Thailand was as high as 30-50 percent in 1991, and 33.2 percent among female sex workers in 1994, according to UNAIDS. The number of infections has since been reduced to 20,000 annually from 140,000 in 1991.

Billboards and airwaves were bombarded with safe sex messages while health workers promoted condom use in the country’s notorious sex trade. Leading the campaign was “Mr Condom,” family planner-turned Public Health Minister, Meechai Viravaidya.

Health check-ups were made available to sex workers for free. Men were discouraged from visiting prostitutes and condom usage in Bangkok’s brothels rose from 15 percent in the early 1990s to 98 percent by 2000.

Infection rates fell and the exercise remains widely cited as a model in disease prevention among health experts — although numbers have shown signs of creeping up in the last few years among some high risk groups, such as gay and bisexual men.

Thailand wins praise, Thailand wins praise Health, Thailand wins praise Health Latest, Thailand wins praise Health Information, Thailand wins praise Health information, Thailand wins praiseHealth Photo,Thailand wins praise for Weight Health photo, Thailand wins praise Health Latest, Thailand wins praiseHealth latest, Thailand wins praise for Weight  Health Story, Healthy Minnesota  Health story, Thailand wins praise Video, Thailand wins praise video, Thailand wins praise Health History, Thailand wins praise Health history, Thailand wins praiseover Picture, history, Thailand wins praise Asia,  Healthy Minnesota  asia, Thailand wins praise Gallery, Thailand wins praise for Weight  gallery, Thailand wins praise Photo Gallery, Healthy Minnesota  photo gallery, Thailand wins praise Picture, Thailand wins praise picture, Thailand wins praise Web, Malaysia Health, web Health, web Health picture, video photo, video surgery, gallery, laparoscopy, virus, flu, drug, video, Health Health, calories, photo, nutrition, health video, symptoms, cancer, medical, beating, diet, physical, Training, organic, gym, blister, exercise, weightloss, surgery, spiritual, eating, tips, skin, operation, bf1, Thailand, wins, praise,for, AIDS, vaccine, trial

New prostate surgery not necessarily better: study

sam2

New prostate surgery not necessarily better: study

Men who have less invasive prostate cancer surgery — often done robotically — are more likely to be incontinent and have erectile dysfunction than men who have conventional open surgery, U.S. researchers said on Tuesday.

Many men, especially those who are wealthy and highly educated, favor minimally invasive surgery because they assume the high-tech approach will yield better results, but the evidence on that is mixed, the team reported in the Journal of the American Medical Association.

“We found men undergoing minimally invasive versus open surgery were more likely to have a diagnosis of incontinence and erectile dysfunction,” Dr. Jim Hu of Brigham and Women’s Hospital in Boston said in a telephone briefing.

Hu said use of minimally invasive surgery has taken off since the introduction and heavy marketing of robot-assisted surgery, such as the da Vinci system made by Intuitive Surgical Inc.

The system consists of robotic arms, controlled from a console, that allow surgeons to perform less invasive surgeries. Hospitals advertise the systems as being able to reduce trauma, blood loss, risk of infection, scarring and often pain.

Hu said so far, there have been few studies that compare minimally invasive surgery with open surgery.

To do that, he and colleagues used billing data from the Medicare insurance program for the elderly on procedures done from 2003 to 2007. During that time, use of minimally invasive surgery for prostate cancer increased fivefold.

While both approaches fared equally well as a cancer treatment, they found that men who got the minimally invasive approach had shorter hospital stays, were less likely to need blood transfusions, and had fewer breathing problems after surgery than those who got conventional surgery.

New prostate , New prostate Health, New prostate Health Latest, New prostate Health Information, New prostate Health information, New prostate  Health Photo,New prostate   for Weight Health photo, New prostate  Health Latest, New prostate  Health latest, Choreography for Weight  Health Story, New prostate  Video, New prostate  video, New prostate  Health History, New prostate    Health history, New prostate   over Picture, history, New prostate  Asia, New prostate  asia, New prostate   Gallery, New prostate   for Weight gallery, New prostate   Photo Gallery, New prostate    Picture, New prostate  picture, New prostate    Web, Malaysia Health, web Health, web Health picture, video photo, video surgery, gallery, laparoscopy, virus, flu, drug, video, Health Health, calories, photo, nutrition, health video, symptoms, New prostate, medical, beating, diet, physical, Training, organic, gym, blister, exercise, weightloss, surgery, spiritual, eating, tips, skin, operation, bf1,

More kids have autism than thought: U.S. study

in.reuters.com

More kids have autism than thought: U.S. study

You may have heard the oft-quoted statistic that autism affects 1 in 150 US children. Turns out it’s more like 1 in 91 — and about 1 in 58 boys, according to new figures released Sunday.

That’s an estimated 673,000 US children — or approximately 1 percent of all U.S. kids, the researchers from the U.S. Centers for Disease Control and Prevention, Atlanta, and Harvard Medical School, Boston report in the journal Pediatrics.

Bob Wright, co-founder of the autism advocacy group Autism Speaks, told Reuters Health he’s not at all surprised by the new figures. “We’ve been screaming about the numbers going up; now there is a relatively complete recognition of it.”

“The statistical aspect of autism is just staggering,” he said, and not enough is being done about it. “If we had 1 in 58 boys getting swine flu, the country would be crazy,” Wright said.

Autism is a brain disorder characterized by problems with social interaction, repetitive behavior and other symptoms. People with a mild version called Asperger’s syndrome usually function relatively well in society, although they have problems relating to others. People with the most extreme symptoms may be unable to speak and may also suffer severe mental illness and retardation.

No one knows what causes autism — it’s generally thought to have genetic and environmental triggers — and there is currently no good treatment.

Autism is “an urgent public health concern,” Dr. Ileana Arias, deputy director of CDC, told reporters on a conference call Friday ahead of public release of the data.

kids autism, kids autism Health, kids autism Health Latest, kids autism Health Information, kids autism Health information, kids autism Health Photo,kids autismfor Weight Health photo, kids autism Health Latest, kids autism Health latest, Choreography for Weight  Health Story, kids autism Video, kids autismvideo, kids autism   Health History, kids autism Health history, kids autismover Picture, history, kids autism Asia, kids autism asia, kids autism  Gallery, kids autism for Weight gallery, kids autism  Photo Gallery, kids autism Picture, kids autism picture, kids autism Web, Malaysia Health, web Health, web Health picture, video photo, video surgery, gallery, laparoscopy, virus, flu, drug, video, Health Health, calories, photo, nutrition, health video, symptoms, cancer, medical, beating, diet, physical, Training, organic, gym, blister, exercise, weightloss, surgery, spiritual, eating, tips, skin, operation, bf1,