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New Drug Application For Exenatide Once Weekly Accepted For Review By FDA
Amylin Pharmaceuticals, Inc., (Nasdaq: AMLN), Eli Lilly and Company (NYSE: LLY) and Alkermes, Inc. (Nasdaq: ALKS) announced that the New Drug Application (NDA) for exenatide once weekly has been accepted for review by the U.S. Food and Drug Administration (FDA).
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More Camden, N.J., Residents Using Needle Exchange Programs
A pilot needle exchange program in Camden, N.J., - one of four in the state - "was off to a slow start" when it began 18 months ago, but "now, 976 drug users have registered with the program - more people than those at the other pilot sites in Atlantic City, Newark or Paterson," the Cherry Hill Courier-Post reports. "In Camden, 854 people are living with HIV/AIDS, the eighth-highest number among New Jersey municipalities, according to the latest data from the state Department of Health and Senior Services. About a third of them were infected by dirty needles," the Courier-Post reports. Bob Baxter, who oversees Newark"s program, said needle exchanges provide "the most immediate benefit at the cheapest cost," in reducing the spread of blood-borne diseases. "While there"s no way to count the number of people who are no longer sharing needles because of the program, organizers say they hope to see their success correlate to lowered communicable disease rates," the article states (Hirsch, 7/20).
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Hospital Room Design Can Have Effect On Patient Care, Outcomes, Studies Show
Hospital room design can help reduce medical errors, infections and falls, as well as patient stress, according to results emerging from more than 1,500 studies, the New York Times reports. For instance, a study at Bronson Methodist Hospital found that hospital-acquired infection rates dropped by 11% when more single-patient rooms were added, with well-located sinks and better air-flow designs. In addition, research from the Pebble Project -- an effort by the Center for Health Design -- found that lowering noise levels around patients improved self-reported sleep quality by nearly 50%, from 4.9 on a scale of 10 to 7.3. Other studies have suggested that natural light can help with patient depression and that nature scenes can help lower reported pain levels, the Times reports. Anjali Joseph, director of research at the Center for Health Design, said that many new hospitals also are replacing centralized nurses" stations with smaller ones located near patients. Insurance companies want some assurance that upgrades and new features will do more than just attract patients, the Times reports. Susan Pisano, a spokesperson for America"s Health Insurance Plans, said, "When a hospital makes a change -- buys a new machine, builds a new building -- they need to be prepared to discuss those changes with the people purchasing their services," adding, "They have to make the case that these changes will improve quality and safety and efficiency" (Campbell, New York Times, 5/19).
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Eating Fewer Calories Linked To Delayed Disease And Longer Life, Animal Study

US scientists found that when rhesus monkeys were kept on a nutritious but reduced calorie diet for 20 years they led a longer and healthier life with delayed onset of diseases of aging such as cancer, diabetes, cardiovascular disease and brain atrophy. The study was the work of lead author Ricki J Colman from the Wisconsin National Primate Research Center, University of Wisconsin (UW) in Madison, and colleagues and is published online in the 10 July issue of Science. Previous research on rodents, yeast and roundworms has already shown that these species live longer when they eat fewer calories. But this is the first study to show this effect in primates, and is the closest so far to suggest that the same could be true of humans. Co-author Richard Weindruch, who leads the National Institute on Aging-funded study and is a professor of medicine in the UW-Madison School of Medicine and Public Health, said the study shows that calorie restriction without malnutrition "can slow the aging process in a primate species" and "reduced the risk of developing an age-related disease by a factor of three and increased survival". "There is a major effect of caloric restriction in increasing survival if you look at deaths due to the diseases of aging," he explained. Half of the animals that were allowed to eat unrestricted have survived while 80 per cent of those that ate the same diet but limited to 30 per cent fewer calories, have survived. For this study, which started in 1989, Colman and colleagues used rhesus macaques and focused on the relationship between diet and aging, by monitoring what they called the "bottom-line indicators of aging: the occurrence of age-associated disease and death". They started with 30 rhesus macaques and then added 46 more 5 years later. All the animals joined the study when they were between 7 and 14 years old. Half the animals were allowed to eat freely while the other half were fed a calorie restricted diet that limited their calorie intake to 30 per cent less of what they would normally eat. The researchers also gave the restricted monkeys vitamin and mineral supplements so they did not become malnourished and they treated any animals that fell sick. At the end of the study 33 monkeys were still alive, the oldest is 29 years old. 20 of the monkeys continue to be on a calorie restricted diet. Rhesus macaques have an average life span of about 27 years in captivity. The results showed that: *In terms of overall animal health, the calorie restricted diet led to longer lifespan and improved quality of life in old age. *Calorie restriction delayed the onset of age-associated pathologies: specifically it reduced the incidence of diabetes, cancer, cardiovascular disease, and brain atrophy. *Incidence of cancerous tumors and cardiovascular disease in monkeys on a restricted diet was under half that seen in those allowed to eat freely. *None of the monkeys on the calorie restricted diet developed diabetes, whereas the monkeys allowed to eat freely developed impaired glucose regulation or diabetes at the expected rate. *Calorie restriction appeared to "preserve the volume of the brain in some regions," said co-author Sterling Johnson, a neuroscientist in the UW-Madison School of Medicine and Public Health. *In particular, it preserved thos regions used in motor control and executive functions, such as working memory and problem solving to be better preserved in the calorie restricted monkeys. Johnson suggested that calorie restriction may have an effect on reducing the loss of brain cells. He said motor speed and mental speed usually slow down with aging, but these were the areas of the brain that were better preserved in the calorie restricted monkeys. However, he cautioned that: "We can"t yet make the claim that a difference in diet is associated with functional change because those studies are still ongoing." All they can say is that "there are regional differences in brain mass that appear to be related to diet," said Johnson. But Weindruch points out that this in itself is a new discovery: "The atrophy or loss of brain mass known to occur with aging is significantly attenuated in several regions of the brain. That"s a completely new observation," he said. There has been a mixed reaction to the study. A molecular biologist at the Massachusetts Institute of Technology in Cambridge, Leonard Guarente, who has studied aging in yeast, told ScienceNOW that not enough monkeys have died yet to be able to make definitive comparisons between the restricted and non-restricted groups. "The gap [in survival rates] may separate more, but it"s still too early to tell," he said. However, molecular biologist Matthew Kaeberlein of the University of Washington, Seattle said the difference in survival between the two groups was already compelling. He said the difference in age-related deaths between the two groups is the most important statistic and the fact it is already statistically significant suggests the effect will be even more "robust" by the time they finish the study. The researchers hope to continue the study for at least another decade. Weindruch told ScienceNOW: "If we reach the 40-year-old life span, the study could continue for another 15 years." "That would probably round out my career," he added. "Caloric Restriction Delays Disease Onset and Mortality in Rhesus Monkeys." Ricki J. Colman, Rozalyn M. Anderson, Sterling C. Johnson, Erik K. Kastman, Kristopher J. Kosmatka, T. Mark Beasley, David B. Allison, Christina Cruzen, Heather A. Simmons, Joseph W. Kemnitz, and Richard Weindruch. Science 10 July 2009 325: 201-204. DOI: 10.1126/science.1173635 s: University of Wisconsin-Madison, ScienceNOW Daily News. Written by: Catharine Paddock, PhD Copyright: Medical News Today Not to be reproduced without permission of Medical News Today


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