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Obama Says He Supports 'Robust' Protections For Health Workers With Moral, Religious Objections
President Obama on Friday said that although he intends to reverse the Bush administration"s provider "conscience" rule, he still favors a "robust" federal policy that would enhance the rights of health care workers to refuse to perform certain procedures because of moral or religious objections, the Washington Post reports. In a session with reporters one week before his first meeting with Pope Benedict XVI, Obama said that he is a "believer in conscience clauses." He added that a new policy from his administration "may not meet the criteria of every possible critic of our approach, but it certainly will not be weaker than what existed before the changes were made." According to the Post, Obama"s comments aimed to reassure Roman Catholic health care workers that they would still be able to refuse to perform abortions and other procedures that go against the Church"s teachings. Several federal laws in place since the 1970s protect the rights of health care workers with moral or religious objections (Salmon, Washington Post, 7/3). Nancy Berlinger, deputy director of the Hastings Center, said that conscience laws also "are on the books in almost every state." She added, "The idea was that when abortion moved from being an illegal procedure, therefore something that you did not offer in a hospital, to being a legal procedure, therefore something that you might offer in a hospital, there was a move to protect providers ... from having to participate in abortions." However, not all conscience laws are specific to abortion, NPR"s "Morning Edition" reports. For example, some allow providers to refuse to provide birth control, in vitro fertilization or end-of-life care (Rovner, "Morning Edition," NPR, 7/6).The Bush administration said its 2008 policy was designed to ensure that the federal laws are enforced. The policy would cut off federal funding to health care facilities and other entities that did not accommodate workers who refused to participate in certain procedures (Washington Post, 7/3). Joxel Garcia, the assistant secretary for health in the Bush administration who helped write the policy, said that it is necessary because few health care workers are aware of the protections. He added that the policy gives health workers "a mechanism to seek help" through HHS.However, critics of the Bush administration"s policy contend that it would widely expand the scope of health care covered by the policy and the type of health care workers who could object to procedures. Berlinger said, "Words like belief, when you talk about them in the context of health care, aren"t just anything you might think of." She noted that a "false belief about science or the promotion of ambiguity where things can be disambiguated," such as the claim that birth control is equivalent to abortion, "is not ethical" ("Morning Edition," NPR, 7/6).Obama"s plan to replace the policy has stoked concern from Catholic health care providers that they would be forced to perform abortions, sterilizations and other procedures that go against Catholic teachings (Washington Post, 7/3). A recent survey conducted for the Christian Medical Association found that 90% of doctors surveyed said that "they will quit their practices before violating their conscience," according to David Stevens, executive director of CMA. Stevens said that repealing the Bush administration"s rule "sends a clear message: It"s open season on health care professionals of conscience -- discriminate at will" ("Morning Edition," NPR, 7/6).Obama on Friday also said that although he and the pope have areas of "deep agreement ... there are going to be some areas where we"ve got some disagreements," such as abortion rights and embryonic stem cell research. The president will meet with the pope on July 10, while he is in Europe for a summit of the Group of Eight industrialized nations. Obama Addresses Catholic Concerns on Pregnancy PreventionObama also discussed opposition to the inclusion of comprehensive sex education and contraception in any legislative pac
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Two Fred Hutchinson Cancer Research Center Scientists Receive Presidential Early Career Award

President Obama has announced that two Fred Hutchinson Cancer Research Center investigators have been awarded the nation"s highest honor for scientists at the beginning of their independent research careers. Basic scientist Harmit Singh Malik, Ph.D., and cancer-prevention researcher Ulrike "Riki" Peters, Ph.D., are among 100 researchers to receive the prestigious 2008 Presidential Early Career Award for Scientists and Engineers (PECASE). Each will be honored in a ceremony this fall at the White House. Since 1996 the annual PECASE awards have honored the most promising young researchers in the United States whose early accomplishments show the greatest promise for strengthening America"s leadership in science. The awards are coordinated by the Office of Science and Technology Policy within the Executive Office of the President. Nine federal departments and agencies join together annually to nominate the candidates. Selection for the award is based on two criteria: innovative research at the frontiers of sciences and technology that is relevant to the mission of the sponsoring organization or agency, and community service demonstrated through scientific leadership, education or community outreach. An evolutionary biologist, Malik is an associate member of the Hutchinson Center"s Basic Sciences Division and an affiliate assistant professor of genome sciences at the University of Washington School of Medicine. He was nominated for the honor by the National Science Foundation, which supports his work. Earlier this year he also was appointed a Howard Hughes Medical Institute Early Career Scientist. Malik studies genetic conflict. He sees battles raging within a cell"s nucleus as genes jockey for evolutionary dominance. These clashes can have a long-term impact on organisms, as they sometimes alter the function of essential genes. Malik uses biochemistry and genomics to study the causes and consequences of these genetic conflicts in yeast, fruit flies and other model organisms. His work has offered novel explanations for host-pathogen interactions and for the evolution of structural DNA elements (centromeres) that are critical for proper cell division. Recently, Malik and colleagues have turned their attention to the phenomenon of "viral mimicry," in which viral proteins can resemble host proteins to hijack important cellular functions. His lab showed that host proteins can evolve to defeat viral mimicry, providing yet another nuance to a never-ending "arms race" between hosts and viruses. The National Science Foundation funded a project of Malik"s that will study and identify cases of "reverse mimicry," in which host genomes hijack viral proteins to protect themselves against viral infections. In particular he will focus on such a gene that he discovered while a postdoctoral fellow in the laboratory of Hutchinson Center basic scientist Steven Henikoff, Ph.D. "Harmit thinks creatively and fearlessly about his research," said colleague Mark T. Groudine, M.D., Ph.D., deputy director of the Hutchinson Center and former director of the Center"s Basic Sciences Division. "His thinking really pushes the envelope, and his ideas have had an enormous impact on the field." In addition to his research, Malik is dedicated to educating the general public about the role that evolutionary biology plays in the current understanding and practice of medicine. To this end, he and his colleagues make presentations to the Seattle community. His lab is also in the initial stages of developing a course in bioinformatics to be used by high-school science teachers. Malik, a native of India, received his undergraduate degree in chemical engineering from the Indian Institute of Technology in Mumbai. He completed his doctoral work in molecular evolutionary biology at the University of Rochester in Rochester, N.Y., where, under the mentorship of Tom Eickbush, Ph.D., he first became intrigued by the study of genetic conflict. Malik joined the Hutchinson Center faculty in 2003. Peters, who was nominated for the PECASE by the National Institutes of Health, which supports her work, is an associate member of the Cancer Prevention Program within the Hutchinson Center"s Public Health Sciences Division. She is also a research associate professor of epidemiology at the UW School of Public Health and Community Medicine. A nutritional and genetic epidemiologist, Peters studies the link between nutrition and cancer prevention - particularly how the interplay of genetics and nutrition can impact cancer risk. Analyzing blood, DNA and tissue samples from large study populations, her work focuses on integrating genetic and molecular methods to better understand the role selenium, vitamin D, calcium and other dietary components may play in preventing prostate and colorectal cancer. Selenium, for example, found in grains, bread, eggs, meat and fish, plays a key role in activating a small number of enzymes called selenoenzymes, which can protect cells against DNA damage that can lead to cancer. Peters and colleagues are studying whether genetic variations in selenoenzymes are associated with risk for prostate cancer, and whether such genetic variations alter the association between selenium intake and prostate-cancer risk. Selenium represents only one aspect of Peters" research. Incorporating molecular and genetic approaches, she also studies vitamin D and calcium in the prevention of colon cancer, the second leading cause of cancer death in the United States. Peters also studies genetic variants across the entire genome and is currently conducting genomewide association studies for colon and breast cancer. The goal is to identify new genetic markers that can be used to develop better ways to detect, treat and prevent these diseases. As part of this work, she leads a large international consortium for genomewide association studies of colorectal cancer that combines data from several well-characterized population-based studies. The consortium aims to determine whether genetic variants affect colorectal cancer and whether environmental factors, including diet, drug use and smoking, modify the impact of genetic variations associated with colorectal cancer. "This award is richly deserved. We at the Hutchinson Center are gratified, but not surprised, that Riki has been recognized for both her extraordinary accomplishments to date and the potential for her significant scientific contributions yet to come," said Polly Newcomb, Ph.D., M.P.H., head of the Center"s Cancer Prevention Program. Prior to joining the Hutchinson Center faculty in 2004, she worked at the National Cancer Institute on the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial. This experience provided Peters with a wealth of collaborative projects, giving her broad-based experience in nutritional and genetic epidemiology. A native of Germany, Peters received her master"s and doctoral degrees in nutrition at the University of Kiel, and she received her master"s in public health in epidemiology from the University of Carolina at Chapel Hill. In addition to Peters and Malik, the Hutchinson Center is home to three other Presidential Early Career Award recipients: basic scientist Cecilia Moens, Ph.D., who studies the zebrafish as a model of vertebrate developmental biology; clinical researcher William Grady, M.D., who studies the mechanisms of colorectal-cancer development; and human immunogenetics researcher Effie Wang Petersdorf, M.D., whose work has helped refine the tissue-typing process, which enables bone-marrow or stem-cell transplant patients to find suitably matched donors. Kristen Lidke Woodward Fred Hutchinson Cancer Research Center


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