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Washington Post Details Six Senators To Watch On Health Care; Politics Of Fear Gain Prominence
The battle over health care reform will happen in the Senate, even though President Obama keeps getting all the attention, The Washington Post"s The Fix reports.
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Misdiagnosis Of Disorders Of Consciousness Still Commonplace
A sixteen-month study of consensus-based diagnosis of patients with disorders of consciousness has shown that 41% of cases of minimally conscious state (MCS) were misdiagnosed as vegetative state (VS), a condition associated with a much lower chance of recovery. Researchers writing in the open access journal BMC Neurology have demonstrated that standardized neurobehavioral assessment is more sensitive than diagnoses determined by clinical consensus.
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Nineteen House Dems Plan To Vote Against Health Reform If Abortion Funding Is Included
Nineteen House Democrats recently sent a letter to House Speaker Nancy Pelosi (D-Calif.) stating that they will not vote for health care reform legislation "unless it explicitly excludes abortion funding from the scope of any government-defined or subsidized health insurance plan," CongressDaily reports. In the letter, the lawmakers wrote that they want to ensure that the Health Benefits Advisory Committee cannot recommend that abortion services be included as part of benefits packages. They wrote, "Without an explicit exclusion, abortion could be included in a government-subsidized health care plan under general health care." The letter was signed by Reps. Dan Boren (Okla.), Bobby Bright (Ala.), Travis Childers (Miss.), Jerry Costello (Ill.), Lincoln Davis (Tenn.), Kathleen Dahlkemper (Pa.), Steve Driehaus (Ohio), Tim Holden (Pa.), Paul Kanjorski (Pa.), Marcy Kaptur (Ohio), Mike McIntyre (N.C.), Charlie Melancon (La.), John Murtha (Pa.), James Oberstar (Minn.), Solomon Ortiz (Texas), Collin Peterson (Minn.), Heath Shuler (N.C.), Bart Stupak (Mich.) and Gene Taylor (Miss.) (CongressDaily, 6/30).
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Mice With Parkinson's Disease Gene May Point The Way To New Treatments

Scientists at Weill Cornell Medical College have developed a new mouse model of Parkinson"s disease (PD) that successfully reproduces the impairments of movement and the degenerative brain changes that occur in the human disease. Their research, performed in collaboration with investigators at Columbia University Medical Center, appears in the June 7 issue of the journal Nature Neuroscience. "Because this new mouse model replicates the pathogenesis of human Parkinson"s disease so closely, it promises to be a major boon to Parkinson"s research, both in terms of basic science and drug development," says Dr. M. Flint Beal, study co-author and professor of neurology and neuroscience at Weill Cornell Medical College. "While there are many treatments for the symptoms of PD, no current therapies prevent the inevitable progression of the disease. One reason for the inability to develop such therapies is that there has been no truly workable animal model of the human disease. This new model will now address this critical need." Earlier attempts to create a mouse model for Parkinson"s continually fell short due to technological limitations. Using a new transgenesis technology called BAC (bacterial artificial chromosome) that allows researchers to insert large DNA fragments into the genome, senior author Dr. Chenjian Li, assistant professor of neurology at Weill Cornell Medical College, and his colleagues were able to introduce into the mouse"s genome a mutant form of the LRRK2 gene -- the most common genetic cause of PD. The Weill Cornell team observed that the mice expressing the mutant form of the gene became very slow to move as they became older, just like human PD patients. Remarkably, the mice became able to move normally when treated with levodopa, the same drug that is commonly used to treat human patients. Further research by Drs. Beal and Li and their labs revealed that the mice with impaired movement also had impaired release of the brain neurotransmitter dopamine, just as it occurs in the human disease. Dr. Robert Burke, the Alfred and Minnie Bressler Professor of Neurology (in Pathology) at Columbia University Medical Center, and his colleague Ms. Tinmarla Francis Oo, senior staff associate at Columbia University Medical Center, further discovered that the dopamine deficit came from disintegration, not of the dopamine neurons themselves, but of their axons, the long, filament-like structures responsible for transmitting dopamine to distant targets in the brain. Their insights, says Dr. Li, are helping us understand the disease at a deeper level -- something that will lead us to better treatments and possibly even a cure for Parkinson"s disease. There are currently two standard types of treatment for Parkinson"s: medication and a surgical technique called deep brain stimulation, which achieves similar results for some patients. Neither approach, however, stops the progression of the disease as it lays waste to the brain"s dopamine system and inexorably erodes key physical, cognitive and psychological functions. Says Dr. Li: "The new model will provide scientists with an appropriate "stage" on which to screen for effective medications. It will also show us the disease in real time, allowing us to track its progression at a cellular and molecular level. What we learn will then feed back into the drug development process. "From a longer-term perspective, this also gives us a picture-window into normal biology," he continues. "The new mouse model will provide an opportunity to investigate the brain"s dopaminergic system, a brain circuit critical to movement, emotions and drug addition." The study"s co-first authors were Yanping Li and Wencheng Liu of Weill Cornell Medical College. Additional co-authors included Kindiya Geghman and Yi Tang of Weill Cornell; Lei Wang and Mikhail Bogdanov of Weill Cornell and Bedford VA Medical Center, Bedford, Mass.; and Vernice Jackson-Lewis, Chun Zhou and Serge Przedborski of Columbia University Medical Center. The study was supported by the National Institute of Neurologic Disorders and Stroke, the Michael J. Fox Foundation and the Parkinson"s Disease Foundation. Parkinson"s is the second most common neurodegenerative disease after Alzheimer"s. In its later stages, it can be extremely disabling, both physically and mentally. The disorder not only impairs the ability to initiate and sustain movement, but affects cognition and mood as well. Aging, genetics, and environmental toxins are the main risk factors for a disease whose prevalence is slated to rise dramatically as the population ages. About 90 percent of the time, Parkinson"s is sporadic in origin, meaning its cause is unknown. But 10 percent of cases run in families. Weill Cornell Medical College


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