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Medtronic Clinical Trial Evaluating The Industry's First Cryoballoon Technology Designed For Paroxysmal Atrial Fibrillation Completes Follow Up
Medtronic, Inc. (NYSE: MDT) announced completion of a 12-month follow up in the STOP-AF (Sustained Treatment of Paroxysmal Atrial Fibrillation) clinical trial evaluating the first cryoballoon catheter technology designed to treat paroxysmal atrial fibrillation - the Medtronic Arctic Front® CryoAblation Catheter System. Atrial fibrillation (AF) is the most common arrhythmia affecting more than 3 million Americans and 7 million people worldwide.1 After the study data are analyzed and filed with regulatory authorities, the results will be shared at an upcoming medical meeting. The system is approved for use in Europe, Australia and Hong Kong and is under investigational use in the United States.
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Investigation Urgently Needed Into Treatment Of Mentally Ill Immigration Detainees At California Facility, Editorial States
"Although the number of mentally ill immigration detainees" at the La Mesa, Calif.-based private psychiatric hospital Alvarado Parkway Institute "at any one time seems to range from as few as two to only five or so, their situation needs to be addressed quickly," a San Diego Tribune editorial states (San Diego Tribune, 5/19). Some disability rights lawyers and advocates for the mentally ill say that conditions at many of the private facilities, including API, violate state and federal laws governing treatment of mentally ill people. Ann Menasche, a lawyer with the legal advocacy group Disability Rights California, last month sent a letter to the U.S. Immigration and Customs Enforcement claiming that after visiting API and interviewing detainees, she found that the conditions are "excessive, unjustifiable and punitive" (Kaiser Health Disparities Report, 5/18).According to the Tribune, "California"s strict patients" rights laws specify that psychiatric patients can have daily visitors, use the telephone, exercise, socialize and be free from restraint unless the chief of the facility determines that a specific individual is a threat to himself or others," but, according to Menasche, patients at API are being denied those rights. The editorial adds that the conditions Menasche describes "may sound appalling, but it is unclear whether they are proper for the circumstances," and an "independent probe by the state Department of Public Health ... is needed to determine whether the detainees are being treated properly" (San Diego Tribune, 5/19).
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Death Notification Forms Should Ask If Deceased Smoked, Australia
Death notification forms should include voluntary questions about whether the deceased was a smoker, according to an article published in the Medical Journal of Australia.
Mental Health

Changes In Brain Architecture May Be Driven By Different Cognitive Challenges

Scientists trying to understand how the brains of animals evolve have found that evolutionary changes in brain structure reflect the types of social interactions and environmental stimuli different species face. The study is the first to compare multiple species of related animals, in this case social wasps, to look at how roles of individuals in a society might affect brain architecture. The research looks at brain structure differences between species, asking how the size of different brain regions relates to each species" social complexity and nest architecture. The results are being published Wednesday (June 24) in the British journal Proceedings of the Royal Society B. The Royal Society is the United Kingdom"s national academy of sciences. "It looks as if different brain regions respond to specific challenges. It is important to find these relationships because they can tell us which challenges guide brain evolution," said Sean O"Donnell, a University of Washington associate professor of psychology and co-author of the study. O"Donnell and lead author Yamile Molina, who just completed work on her doctorate at the UW, looked at the brains of eight New World social wasp species from Costa Rica and Ecuador. "One idea is that social interactions themselves put on demands for advanced cognitive abilities. We are interested in finding out exactly which social and environmental factors favor an increase in a given brain region," said Molina. The UW researchers captured queens and female workers from colonies of the eight wasp species and examined their brains. For the most part, males usually don"t play an important behavioral role in a social wasp colony"s labor and other activities, according to O"Donnell. However, a follow-up study will look at the male wasp brain structure. In examining the female wasps, the researchers found strong evidence that queens, rather than workers, have distinct brain structure that matches the species" cognitive challenges. Social wasps form colonies differently and build two types of nests. In more primitive wasps, a queen mates and flies away separately to establish a small colony. Among the more advanced social wasps, several young queens and a group of workers leave a colony as a swarm to establish a new colony that has a much larger population. Independent founders and a few swarm founders build open-comb nests, while most swarm founders build enclosed nests with interiors that are much darker. Molina and O"Donnell found that queens from open-comb nests had larger central brain processing regions that are devoted to vision than queens from closed-nest colonies. Queens from enclosed nests, where vision isn"t as important and where they rely on chemical communication through pheromones, had larger antennal lobes to process chemical messages than queens from open nests. Among independent-founding wasps, where queens regulate the behavior of a colony, queens had larger vision-processing regions (called mushroom body collars) than their workers. But among swarm-founders, which have a decentralized form of colony regulation, workers had larger mushroom body collars and larger optic lobes than queens. "We can learn things about ourselves from a whole variety of animals. When neurobiologists use animal models they often look to rodents and primates," said Molina. "I would argue social insects like wasps are like us in some ways and should be an important model as well. In this study we found that it"s not being social, but how you are social that explains brain architecture. The brain can be a mirror reflecting what an animal is using it for." Co-author of the paper is Robin Harris, a UW doctoral student in neurobiology. The Society for Comparative and Integrative Biology and the National Science Foundation funded the research. Joel Schwarz University of Washington


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