Can vendors use the word “telepathology”?

 

Can vendors use the word "telepathology" in marketing materials?  Few do out of concern due to lack of FDA clearance for the scanning device.  Companies based overseas are particularly reluctant and dare say the term.  Even some of the newer vendors to the space are careful to point out that their devices are for "research purposes only" and disclaimers to the effect that the devices have not been cleared by the FDA for primary interpretation are nearly universal among vendors.  

So, manufacturers do not make a claim that their device can be used for primary H&E reads.

Enter AccelPath which I mentioned a couple of weeks ago in a post.  Since that post, courtesy of Laboratory Economics (subscription required) they recently reported that:

"AccelPath LLC (Westwood, MA) has partnered with the in-office lab consulting firm Triangle Biomedical Sciences (TBS-Durham, NC) and begun marketing digital pathology services to urology, gastroenterology and dermatology groups. Under the partnership, TBS will help specialty groups build in-office labs and AccelPath will install digital slide scanners. Digitized slide images will be sent electronically to AccelPath, which has contracted with the Pathology Department at the Lahey Clinic (Burlington, MA) for professional interpretations."

 On AccelPath's website they mention specifically "primary interpretations" as one of the many uses with these added value propositions:

  • Eliminate the cost, delays and logistics of shipping slides and blocks
  • Eliminate the need to recruit, hire and retain pathologists
  • Enjoy full access to AccelPath's prestigious team of U.S. based pathologists
  • Receive fastest slide-to-report service
  • Obtain 24/7 access to digital archives of all reports, requisitions and images
  • Maintain control by keeping all slides on site at all times
  • Implement our program easily with support from trained professionals

All of this is both encouraging and a real threat with continued commoditization of pathology services.

Laboratory Economics notes that the transaction has created the first publicly-traded company focused on two key trends in anatomic pathology (i.e., digital pathology and in-office histology labs).

This means clinicians in-source histology for the technical component and out-source the professional component in lieu of an in-office pathologist or local pathology group.

Apparently, they are comfortable with primary reads although I am not clear what scanner(s) are being used and how they have addressed the issue.  Presumably they have validated the technology internally and are confident in their ability to offer fast, accurate diagnoses. 

?The encouraging part is that this marriage between in-office labs and digital pathology with a validated system allows for other groups to replicate the model whether it is a local GI group who is going to bring histology "in house" to referring work to other pathologists from primary laboratories for primary reads.  Unmanned pathology shops with 24/7 MD support. 

?This may provide a completely legitimate way for pathologists to try to "get back" work that has been "lost" to in-office labs with medical director oversight of the laboratory and a TC/PC arrangement where the parties involved get paid for what they are doing rather than having employed pathologists who may not see the full PC for work that he/she has done.

?Is this a threat or opportunity for pathology?

?About AccelPath

AccelPath was formed in October 2008 by Shekhar Wadekar, PhD, chief executive, and H. Lance Evans, MD, head of medical affairs. Wadekar has a PhD in engineering from the University of Delaware and an MBA from New York University. Evans is a board-certified pathologist and practiced hematopathology at Impath (now part of LabCorp/Genzyme Genetics).

AccelPath was recently acquired by Technest Holdings Inc. (Bethesda, MD). Technest is a penny-stock company that trades on the OTC Bulletin Board at a current price of about 8 cents per share (as of March 15). Technest issued 86 million shares valued at roughly $6.5 million to purchase AccelPath. As a result of this reverse-buyout transaction, AccelPath members now own approximately 72.5% of Technest and Wadekar has become chief executive.

Finnish researchers develop giant multi-user microscope

Finnish researchers have created an innovative new microscope that responds to hand and finger gestures on a giant touch screen. Looks like the images are off of a Mirax scanner.

 

More information on MutliTouch (English pdf).

The 'multitouch microscope' is the fruit of collaboration between researchers from the Institute for Molecular Medicine Finland (FIMM), and the Finnish company Multitouch Ltd, who specialise in professional multitouch displays and software platforms that support multi-user environments.

The microscope works like a giant interactive touch screen and can be operated by multiple users, bringing new opportunities to teaching and research.

'The giant size, minimum 46 inch screen looks somewhat like an iPad on steroids,' says researcher Johan Lundin, one of the developers of the microscope. 'The sample viewing experience is like a combination of Google Maps and the user interface from the movie Minority Report.'

The resulting user experience is an entirely new way of performing microscopy. By simply touching a giant screen, in the form of a table or even a wall-mounted screen, the user can navigate and zoom within a microscope sample in the same way as with a conventional microscope. However, using the touch control it is possible to move from the natural size of the sample to a 1,000-fold magnification, at which cells and even subcellular details can be seen.

The microscope works by digitising biological samples using a microscopy scanner and storing them on an image server. Samples displayed on the screen are then continuously read from the server over the Internet and the size of a single sample can be up to 200 gigabytes (GB).

It is hoped that the accessibility of the format will encourage more students to engage with microscopy. The developers think that the method will revolutionise microscopy teaching as a group of students can stand around the display together with the teacher and examine the same sample. The multitouch function of the microscope means that a whole class of students can work on one biological sample at the same time, improving student engagement.

'The multitouch microscope brings a new dimension into interactive teaching and the learning curve is practically zero when compared to conventional microscopy which can be quite challenging for students,' explains Lundin.

Lundin also points out that the microscope will be invaluable for scientific meetings or any 'situation where a group of users need to simultaneously view a microscopy sample, for example when a consensus needs to be reached concerning a new disease entity or a rare case.'

The multitouch microscope builds on the success of another Finnish innovation - web-based virtual microscopy or the 'WebMicroscope', which was developed a few years ago by researchers from the University of Helsinki and the University of Tampere. This has been well received among students and is used at more than 10 European universities and in many countries for laboratory quality assurance.

In virtual microscopy a digital copy of a sample on a glass slide is created. A virtual slide can consist of up to 50,000 separate digital images aligned into a mosaic representing the whole sample at high magnification. The image mosaic can be viewed over the Internet using a common web browser and the user can select any area or magnification as in conventional microscopy.

The FIMM is an international research institute focusing on building a bridge from discovery to medical applications. FIMM investigates molecular mechanisms of disease using genomics and medical systems biology in order to promote human health. FIMM is a multidisciplinary institute combining high-quality science with unique patient materials, and state-of-the-art technologies.

For more information, please visit:

Institute for Molecular Medicine Finland (FIMM):
http://www.fimm.fi

To view a presentation on the multitouch microscope click here:
http://www.youtube.com/user/multitouchfi?feature=mhum#p/u/12/ihaM3DvyUHE

Category: Miscellaneous
Data Source Provider: Institute for Molecular Medicine Finland (FIMM)
Document Reference: Based on information provided by the Institute for Molecular Medicine Finland (FIMM)
Subject Index: Education, Training; Innovation, Technology Transfer; Life Sciences; Medicine, Health; Scientific Research

Naming the Animals Exhibition Opening, Curious Matter, Jersey City, Sunday April 3


I have a photograph--sneak preview above--included in the upcoming Naming the Animals exhibition at Curious Matter gallery in Jersey City, New Jersey. The opening--which us free and open to the public--will take place this Sunday, April 3rd, from 3-6.

Full details follow for both this opening at the related opening later in the month at Proteus Gowanus. Hope very much to see you there!

Please join us for two artist receptions to celebrate our special two-part exhibition

NAMING THE ANIMALS
Curious Matter, April 3 to May 15, 2011
Proteus Gowanus, April 16 to July 17, 2011

Sunday, April 3, 2011
3:00 to 6:00 pm
at CURIOUS MATTER
272 Fifth Street, Jersey City, NJ
&
Saturday, April 16, 2011
7:00 to 10:00 pm
at PROTEUS GOWANUS for Paradise III
& Naming the Animals
543 Union Street, Brooklyn, NJ

THE ARTISTS

CURIOUS MATTER: Lasse Antonsen • Julia Whitney Barnes • Jill Marleah Bell • John Bell • Arthur Bruso • Travis Childers • Matthew Cox • Joanna Ebenstein • Veronica Frenning • Patti Jordan • Heather Layton • Ross Bennett Lewis • Carrie Lincourt • Eric Lindveit • Colette Male • Marianne McCarthy • Florence Alfano McEwin • Hans van Meeuwen • Raymond E. Mingst • Elizabeth Misitano • R. Wayne Parsons • Inna Razumova • Debra Regh • Andrew Cornell Robinson

PROTEUS GOWANUS: Kristi Arnold • William Brovelli • Christian Brown • Ryan Browning • Travis Childers • Clair Chinnery • Eileen Ferara • Richard Haymes • Ellie Irons • Katherine McLeod • Suzanne Norris • Melissa Stern • Jennie Suddick • Tricia Zimic

CURIOUS MATTER is an exhibition venue for contemporary visual art located in downtown Jersey City. Curious Matter exhibitions and publications evidence the pursuit to understand and articulate our individual and collective experience of the world, real or imagined. We examine fantastic notions, confounding ideas and audacious thoughts. Curious Matter strives to foster dialogue among artists at all career stages with a calendar of regular exhibitions. Our commitment extends to our audience as we endeavor to open a door to appreciating contemporary art in an atmosphere that encourages engagement and curiosity. Curious Matter is a sponsored project of Fractured Atlas, a non-profit arts service organization.
For more info: [w] curiousmatter.blogspot.com [e] curiousmatter@comcast.net [t] 201-659-5771

DRIVING FROM MANHATTAN: Take the Holland Tunnel. When you exit the tunnel turn left onto Marin Blvd. Turn right onto 6th Street, then left onto Coles Street and left onto Fifth. Street. (It’s about 5 minutes out of the Tunnel.)

PATH FROM NYC: Take the Newark/Journal Square bound PATH train from 33rd, 23rd, 14th or 9th Streets (all at 6th Ave.) or from Christopher Street or WTC. (Note: on weekends the train stops in Hoboken before continuing to Jersey City.) Get off at

GROVE STREET station. Exit and walk West on Newark Ave. When you reach Jersey Ave. make a right and continue to 5th Street. The gallery is to the left at 272 Fifth Street.

PROTEUS GOWANUS is a gallery and reading room located on the Gowanus Canal in Brooklyn, NY. A collaborative project, the gallery develops exhibits of art, artifacts and books and hosts events that revolve around a yearlong theme linking the arts to other disciplines and to the community. In adjacent spaces, seven additional projects-in-residence have grown out of thematic exhibitions and partnerships. This year’s theme is PARADISE, an exploration of the light and dark sides of spiritual ascent and sensual escape, in which we invite artists and workers in other disciplines to respond to the siren song of that which is easy to imagine but
difficult to attain.
For more info: [w] proteusgowanus.com [e] info@proteusgowanus.com [t] 718-243-1572

DRIVING FROM MANHATTAN: (There is usually easy parking on weekends.) Continue straight off Brooklyn Bridge to Atlantic Avenue, take left on Atlantic. Go four blocks to Nevins St and take a right. Follow Nevins several blocks til you come to Sackett. Park on the next block (just before Union) and go down the alley off Nevins through the large black gates, second door on the left.

SUBWAY, R or M train to Union Street in Brooklyn: Walk two long blocks on Union (towards the Gowanus Canal) to Nevins Street. 543 Union Street is the large red brick building on right. Go right on Nevins and left down alley through large black gates. Gallery is the second door on the left.

F or G train to Carroll Street: Walk one block to Union. Turn right, walk two long blocks on Union towards the Gowanus Canal, cross the bridge, take left on Nevins, go down the alley to the second door on the left.

To see much more of the work in the exhibition, you can download a digital version of their beautifully designed catalog--the hard copy of which will eventually be available for sale on Lulu--by clicking here.

Image: Joanna Ebenstein, Natural History Museum Storage Area, 2010

Anatomical Obscura Day Events, 2011


As many of you already know, my upcoming exhibition--The Great Coney Island Spectacularium--will be launching with an Obscura Day event on Saturday April 9th (more on that here.) If you are not in New York for Obscura Day, or are in the mood for more anatomical fare, I have just been alerted to a bunch of anatomical-themed events that might be up your alley. All events take place on Saturday, April 9th.

Details follow:

  • At the Dittrick Museum where Jim, the Dittrick's Chief Curator, will present a selection of amazing and rare anatomy atlases and surgical works, and Jenny, the Registrar and Archivist, will share a sampling of strange and wonderful objects from the Dittrick artifact collections, with special emphasis upon the history of contraception, a premier collection at the Dittrick. (http://obscuraday-dittrick.eventbrite.com/)
  • At the International Museum of Surgical Science, in Chicago the Museum’s curator will present 3D stereoscopic photos, chromolithographs, and a magic lantern show depicting skin diseases in gorgeous, gruesome detail. Visitors can take a look at what lies beneath the surface of the skin in a special exhibition of actual human bodies. (http://obscuraday-imss.eventbrite.com/)
  • In Florence, Itlay take an expert tour of La Specola Anatomical Collection. Art and social-historian Sheila Barker, who researches science and medicine in Renaissance Florence, will lead the visit of some of the most spectacular and beautiful anatomical artwork in the world. (http://obscuraday-laspecola.eventbrite.com/)
  • In Sydney, Australia go to the Museum of Human Disease, where on Obscura Day you can ask questions of academics and researchers from the University, and participate in discussions and workshops and hear the stories of patients, medical professionals, and loved ones of those with disease." (http://obscuraday-museumhumandisease.eventbrite.com/)

To find out more about these events, and to purchase tickets, click the link following each description.

Image: "Anatomical Venus" Wax wodel with human hair and pearls in rosewood and Venetian glass case, "La Specola" (Museo di Storia Naturale), Florence, Italy " Probably modeled by Clemente Susini (around 1790); From The Secret Museum exhibition.

Armed Forces Institute of Pathology Mission Ends; Joint Pathology Center to Open

In Beyond Good and Evil, not the PlayStation or Xbox game, but rather the completely unrelated book by Friedrich Nietzsche, he writes, "Digressions, objections, delight in mockery, carefree mistrust are signs of health; everything unconditional belongs in pathology."

If true and everything unconditional does belong in pathology that at some point in time between 1862 and the end of March 2011 it probably was first described or studied, analyzed, demonstrated, photographed, archived, taught and/or catalogued with like and compared with similar and dissimilar forms of itself at the Armed Forces Institute of Pathology (AFIP) in Washington, DC.   

Readers will know that I have been following the closing of AFIP since the 2005 Base Realignment and Closure (BRAC) Commission recommended disestablishment of the AFIP.  Since the report was released in May of 2005 after multiple political wranglings the AFIP will disestablish and permanently close by mid-September this year. The Institute ceased all education programs on October 1, 2010. Additionally on Oct. 1, the AFIP stopped accepting nonfederal civilian consultation cases. This action was followed by cessation of all research on December 15, 2010.  And on March 31 what remains of their consultation mission will come to a close when the AFIP ceases accepting cases for military members and veterans. All three AFIP missions, and the DoD Tissue Repository mission, will then become the responsibility of DOD’s new Joint Pathology Center.

The AFIP will soon release a book detailing the legacy of the AFIP.  You can see portions of it in the last AFIP Letter recently published.

On April 1, the newly formed DOD Joint Pathology Center (JPC) will beginning receiving miltary and VA cases for consultation to carry on that role performed by AFIP.  The JPC will also have oversight over the vast tissue repository and add its research and educational offerings as staffing allows.  Perhaps they may one day begin to accept civilian consultations as well.

The museum that was housed in the AFIP building will also move to a new location over the next several months and plans on re-opening in the fall.  Check out their Facebook page to see when the exhibits will re-open in their new home.

"How to Conquer Your Fear of Doctors"

The term "content farm" describes a company that employs large numbers of often freelance writers to generate large amounts of textual and/or video content which is specifically designed to satisfy algorithms for maximal retrieval by search engines. Their main goal is to generate advertising revenue through attracting reader page views (source: Wikipedia).
This is what the content farms are producing nowadays:
How to Conquer Your Fear of Doctors (HowCast video). A mix of good and bad advice, don't take it seriously:

"How to Live to Be 100" (HowCast video). Some tips in the video may fall in the category "Do not try this at home":

Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook.


Towards the automated discovery of useful solubility applications

Last week, I came across (via David Bradley) a paper by an MIT group regarding the desalination of water using a very clever application of solubility behavior:

Anurag Bajpayee, Tengfei Luo, Andrew Muto and Gang Chen, Energy Environ. Sci., 2011 Very low temperature membrane-free desalination by directional solvent extraction (article, summary)

The technique simply involves the heating of saltwater with molten decanoic acid to 40-80 C. Some water dissolves into the decanoic acid, leaving the salt behind. The layers are then separated and, upon cooling to 34C, sufficiently pure water separates out. Any traces of decanoic acid are inconsequential since this compound is already present in many foods at higher levels.

From a technological standpoint, I can't think of a reason why this solution could not have been discovered and implemented 100 years ago. It makes you wonder how many other elegant solutions to real problems could be uncovered by connecting the right pieces together.

To me, this is where the efforts of Open Science and the automation of the scientific process will pay off first. For this to happen on a global level, two key requirements must be met:

1) Information must be freely available, optimally as a web service (measurements if possible - otherwise a predicted value, preferably from an Open Model)
2) There has to be a significantly automated way of identifying what is important enough to be solved.

Since we have been working on fulfilling the first requirement for solubility data, I first looked at our available services to see if there was anything there that could have pointed towards this solution.

Although we have a measured (0.0004 M) and predicted (0.001 M) room temperature solubility of decanoic acid in water, our best prediction service can't do the opposite: the solubility of water in decanoic acid. For that we would need the Abraham descriptors for decanoic acid as a solvent and those are not yet available as far as I'm aware.

Also, we use a model to predict solubility at different temperatures - but it assumes that the solute is miscible with the solvent at its melting point. This is probably a reasonable assumption for the most part but it fails when the solute and the solvent are too radically dissimilar (e.g. water/hydrophobic organic compounds). In this particular application, decanoic acid melts at 31C and the process occurs in the 34-80 C range.

But even if we had the necessary models (and corresponding web services) for the decanoic acid/water/NaCl system, could it have been flagged in an automated way as being potentially "useful" or even "interesting"?

For utility assessment, humans are still the best source. Luckily, they often record this information tagged with common phrases in the introductory paragraphs of scientific documents. (In fact, this is the origin of the UsefulChem project). For example, if we search for "there is a pressing need for" AND solubility in a Google search, most of the results provide reasonable answers to the question of what a useful application of solubility might be. I have summarized the initial results in this sheet.

The first result is:
"there is a pressing need for new materials for efficient CO2 separation" from a Macromolecules article in 2005. The general problem needing solving would correspond to "global warming/CO2 sequestration" and the modeling challenge would be "gas solubility".

Analyzing the first 9 results in this way gives us the following problem types:

  1. global warming/CO2 sequestration
  2. fire control
  3. global warming/refrigeration fluid
  4. AIDS prevention
  5. Iron absorption in developing countries
  6. agriculture/making phosphate from rock bioavailable
  7. water treatment/flocculation
  8. natural gas purification/environmental
  9. waste water treatment

and the following modeling challenges:

  1. gas solubility
  2. polymer solubility
  3. hydrofluoroether solubility
  4. solubility of drug in gels
  5. inorganics
  6. inorganics/pH dependence of solubility
  7. polymer solubility/flocculation/colloidal dispersions
  8. gas solubility
  9. inorganics

These preliminary results are instructive. The problem types are broad and varied - and I think they will be helpful for keeping in mind as we continue to work on solubility. The modeling challenges can be compared directly with our existing services - and none of them overlap at this time! All of these involve either gasses, polymers, gels, salts, inorganics or colloids while our services are strictly for small, non-ionic organic compounds in liquid solvents.

Part of the reason for our focus on these types of compounds relates to our ulterior objective of assessing and synthesizing drug-like compounds. But a more important consideration is what type of information is available and what can be processed related to cheminformatics. Currently most cheminformatics tools deal only with organic chemicals, with essential sources such as ChemSpider and the CDK providing measurements, models, descriptors, etc.

Even though some inorganic compounds are on ChemSpider, most of the properties are unavailable. Consider the example of sodium chloride:


This doesn't mean that the situation is hopeless but it does make the challenge much more difficult. Solubility measurements and models for inorganic salts do exist (for example see Abdel-Halim et al.) but they are much more fragmented.

With the feedback we obtain from this search phrase approach - and hopefully help from experts in the chemistry community - we can piece together a federated service to provide reasonable estimates for most types of solubility behavior.

I think that this desalination solution will prove to
be a good test for automated (or at least semi-automated) scientific discovery in the realm of open solubility information. In order to pass the test, the phrase searching algorithm should eventually identify desalination as a "useful problem to solve" and should connect with the predicted behavior of water/NaCl/decanoic acid (or other similar compound).

Luckily we have Don Pellegrino on board. His expertise on automated scientific discovery should prove quite valuable for this approach.

Naming the Animals Exhibition Opening, Curious Matter, Jersey City, Sunday April 3


I have a photograph--sneak preview above--included in the upcoming Naming the Animals exhibition at Curious Matter gallery in Jersey City, New Jersey. The opening--which us free and open to the public--will take place this Sunday, April 3rd, from 3-6.

Full details follow for both this opening at the related opening later in the month at Proteus Gowanus. Hope very much to see you there!

Please join us for two artist receptions to celebrate our special two-part exhibition

NAMING THE ANIMALS
Curious Matter, April 3 to May 15, 2011
Proteus Gowanus, April 16 to July 17, 2011

Sunday, April 3, 2011
3:00 to 6:00 pm
at CURIOUS MATTER
272 Fifth Street, Jersey City, NJ
&
Saturday, April 16, 2011
7:00 to 10:00 pm
at PROTEUS GOWANUS for Paradise III
& Naming the Animals
543 Union Street, Brooklyn, NJ

THE ARTISTS

CURIOUS MATTER: Lasse Antonsen • Julia Whitney Barnes • Jill Marleah Bell • John Bell • Arthur Bruso • Travis Childers • Matthew Cox • Joanna Ebenstein • Veronica Frenning • Patti Jordan • Heather Layton • Ross Bennett Lewis • Carrie Lincourt • Eric Lindveit • Colette Male • Marianne McCarthy • Florence Alfano McEwin • Hans van Meeuwen • Raymond E. Mingst • Elizabeth Misitano • R. Wayne Parsons • Inna Razumova • Debra Regh • Andrew Cornell Robinson

PROTEUS GOWANUS: Kristi Arnold • William Brovelli • Christian Brown • Ryan Browning • Travis Childers • Clair Chinnery • Eileen Ferara • Richard Haymes • Ellie Irons • Katherine McLeod • Suzanne Norris • Melissa Stern • Jennie Suddick • Tricia Zimic

CURIOUS MATTER is an exhibition venue for contemporary visual art located in downtown Jersey City. Curious Matter exhibitions and publications evidence the pursuit to understand and articulate our individual and collective experience of the world, real or imagined. We examine fantastic notions, confounding ideas and audacious thoughts. Curious Matter strives to foster dialogue among artists at all career stages with a calendar of regular exhibitions. Our commitment extends to our audience as we endeavor to open a door to appreciating contemporary art in an atmosphere that encourages engagement and curiosity. Curious Matter is a sponsored project of Fractured Atlas, a non-profit arts service organization.
For more info: [w] curiousmatter.blogspot.com [e] curiousmatter@comcast.net [t] 201-659-5771

DRIVING FROM MANHATTAN: Take the Holland Tunnel. When you exit the tunnel turn left onto Marin Blvd. Turn right onto 6th Street, then left onto Coles Street and left onto Fifth. Street. (It’s about 5 minutes out of the Tunnel.)

PATH FROM NYC: Take the Newark/Journal Square bound PATH train from 33rd, 23rd, 14th or 9th Streets (all at 6th Ave.) or from Christopher Street or WTC. (Note: on weekends the train stops in Hoboken before continuing to Jersey City.) Get off at

GROVE STREET station. Exit and walk West on Newark Ave. When you reach Jersey Ave. make a right and continue to 5th Street. The gallery is to the left at 272 Fifth Street.

PROTEUS GOWANUS is a gallery and reading room located on the Gowanus Canal in Brooklyn, NY. A collaborative project, the gallery develops exhibits of art, artifacts and books and hosts events that revolve around a yearlong theme linking the arts to other disciplines and to the community. In adjacent spaces, seven additional projects-in-residence have grown out of thematic exhibitions and partnerships. This year’s theme is PARADISE, an exploration of the light and dark sides of spiritual ascent and sensual escape, in which we invite artists and workers in other disciplines to respond to the siren song of that which is easy to imagine but
difficult to attain.
For more info: [w] proteusgowanus.com [e] info@proteusgowanus.com [t] 718-243-1572

DRIVING FROM MANHATTAN: (There is usually easy parking on weekends.) Continue straight off Brooklyn Bridge to Atlantic Avenue, take left on Atlantic. Go four blocks to Nevins St and take a right. Follow Nevins several blocks til you come to Sackett. Park on the next block (just before Union) and go down the alley off Nevins through the large black gates, second door on the left.

SUBWAY, R or M train to Union Street in Brooklyn: Walk two long blocks on Union (towards the Gowanus Canal) to Nevins Street. 543 Union Street is the large red brick building on right. Go right on Nevins and left down alley through large black gates. Gallery is the second door on the left.

F or G train to Carroll Street: Walk one block to Union. Turn right, walk two long blocks on Union towards the Gowanus Canal, cross the bridge, take left on Nevins, go down the alley to the second door on the left.

To see much more of the work in the exhibition, you can download a digital version of their beautifully designed catalog--the hard copy of which will eventually be available for sale on Lulu--by clicking here.

Image: Joanna Ebenstein, Natural History Museum Storage Area, 2010

Anatomical Obscura Day Events, 2011


As many of you already know, my upcoming exhibition--The Great Coney Island Spectacularium--will be launching with an Obscura Day event on Saturday April 9th (more on that here.) If you are not in New York for Obscura Day, or are in the mood for more anatomical fare, I have just been alerted to a bunch of anatomical-themed events that might be up your alley. All events take place on Saturday, April 9th.

Details follow:

  • At the Dittrick Museum where Jim, the Dittrick's Chief Curator, will present a selection of amazing and rare anatomy atlases and surgical works, and Jenny, the Registrar and Archivist, will share a sampling of strange and wonderful objects from the Dittrick artifact collections, with special emphasis upon the history of contraception, a premier collection at the Dittrick. (http://obscuraday-dittrick.eventbrite.com/)
  • At the International Museum of Surgical Science, in Chicago the Museum’s curator will present 3D stereoscopic photos, chromolithographs, and a magic lantern show depicting skin diseases in gorgeous, gruesome detail. Visitors can take a look at what lies beneath the surface of the skin in a special exhibition of actual human bodies. (http://obscuraday-imss.eventbrite.com/)
  • In Florence, Itlay take an expert tour of La Specola Anatomical Collection. Art and social-historian Sheila Barker, who researches science and medicine in Renaissance Florence, will lead the visit of some of the most spectacular and beautiful anatomical artwork in the world. (http://obscuraday-laspecola.eventbrite.com/)
  • In Sydney, Australia go to the Museum of Human Disease, where on Obscura Day you can ask questions of academics and researchers from the University, and participate in discussions and workshops and hear the stories of patients, medical professionals, and loved ones of those with disease." (http://obscuraday-museumhumandisease.eventbrite.com/)

To find out more about these events, and to purchase tickets, click the link following each description.

Image: "Anatomical Venus" Wax wodel with human hair and pearls in rosewood and Venetian glass case, "La Specola" (Museo di Storia Naturale), Florence, Italy " Probably modeled by Clemente Susini (around 1790); From The Secret Museum exhibition.

We Age Because the World Changes

Aging is an inevitability, or so we have to assume: the processes of evolution blindly but efficiently explore the space of possible living creatures, and have been doing so for a very, very long time. Surely a very long-lived or ageless species would have a great advantage in evolutionary competition, its individual members able to produce descendants for far longer than their competitors in a short-lived species that ages. Yet virtually all species – with only a very few exceptions – age in easily measured ways. The species that age are also the species that have won in evolutionary terms, and therefore prospered and spread. Why is this?

A recent open access paper (in PDF format) explores one of the approaches used to answer this question, and does so in a very readable fashion:

Living organisms shouldn’t age, at least if that could be helped (many of use would certainly like that, but our wishes are not a valid argument). Evolution works in a way that any species whose representatives have any distinct disadvantage will be driven to extinction. It makes sense then to assume that, if aging could be avoided, species that showed senescence as the individuals grow older should be replaced by others where aging does not happen (or happens at a much slower rate). Senescence increases mortality and an individual who dies of old age will leave, in average, a smaller number of descendants than another individual that does not age and manages to live and reproduce for a longer time. And yet many known living organisms show senescence. The time it takes for an individual to show signs of old age varies greatly among species, but aging seems so natural that many people fail to realize there is an apparent contradiction between senescence and evolution.

Understanding why we age is a long-lived open problem in evolutionary biology. Aging is prejudicial to the individual and evolutionary forces should prevent it, but many species show signs of senescence as individuals age. Here, I will propose a model for aging based on assumptions that are compatible with evolutionary theory: i) competition is between individuals; ii) there is some degree of locality, so quite often competition will between parents and their progeny; iii) optimal conditions are not stationary, mutation helps each species to keep competitive.

When conditions change, a senescent species can drive immortal competitors to extinction. This counter-intuitive result arises from the pruning caused by the death of elder individuals. When there is change and mutation, each generation is slightly better adapted to the new conditions, but some older individuals survive by random chance. Senescence can eliminate those from the genetic pool. Even though individual selection forces always win over group selection ones, it is not exactly the individual that is selected, but its lineage. While senescence damages the individuals and has an evolutionary cost, it has a benefit of its own. It allows each lineage to adapt faster to changing conditions.

We age because the world changes.

And there is illustrated one of the present competing viewpoints on the origins of aging.

An Update on Germ Cells and Longevity

Researchers continue to investigate the link between germ cells and longevity in lower animals. In this open access paper, changes to fat metabolism are implicated as an important mechanism: “Removing the germ line of Caenorhabditis elegans extends its lifespan by approximately 60%. Eliminating germ cells also increases the lifespan of Drosophila, suggesting that a conserved mechanism links the germ line to longevity … Reproduction and aging are two processes that seem to be closely intertwined. Experiments in Caenorhabditis elegans and Drosophila have shown that depletion of the germ line increases lifespan and that this process depends on insulin and lipophilic-hormone signaling. Recently, it was demonstrated that when germline stem cells (GSCs) cease to proliferate, fat metabolism is altered and this affects longevity. In this study, we have identified a nuclear hormone receptor, NHR-80, that mediates longevity through depletion of the germ line by promoting fatty acid desaturation. … Our results reinforce the notion that fat metabolism is profoundly altered in response to GSC proliferation, and the data contribute to a better understanding of the molecular relationship between reproduction, fat metabolism, and aging.”

Link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057950/

Immune Therapy Versus Pancreatic Cancer

An example of the sort of immune system engineering that is presently taking place in the laboratory: “Until this research, we thought the immune system needed to attack the cancer directly in order to be effective. Now we know that isn’t necessarily so. Attacking the dense tissues surrounding the cancer is another approach, similar to attacking a brick wall by dissolving the mortar in the wall. Ultimately, the immune system was able to eat away at this tissue surrounding the cancer, and the tumors fell apart as a result of that assault. These results provide fresh insight to build new immune therapies for cancer. … pancreatic cancer patients received standard gemcitabine chemotherapy with an experimental antibody [that] binds and stimulates a cell surface receptor called CD40, which is a key regulator of T-cell activation. The team initially hypothesized that the CD40 antibodies would turn on the T cells and allow them to attack the tumor. The treatment appeared to work, with some patients’ tumors shrinking substantially and the vast majority of tumors losing metabolic activity after therapy, although all of the responding patients eventually relapsed. When the researchers looked at post-treatment tumor samples, obtained via biopsy or surgical removal, there were no T cells to be seen. Instead, they saw an abundance of another white blood cell known as macrophages. … When the investigators treated mice that developed pancreatic cancer with gemcitabine in combination with CD40 antibodies, the results looked like those of the human trial. Some mouse tumors shrank and were found to be loaded with macrophages but contained few or no T cells. Closer inspection showed that the macrophages were attacking what is known as the tumor stroma, the supporting tissue around the tumor. Pancreatic tumors secrete chemical signals that draw macrophages to the tumor site, but if left to their own devices, these macrophages would protect the tumor. However, treating the mice (or patients) with CD40 antibodies seemed to flip that system on its head. … It is something of a Trojan horse approach. The tumor is still calling in macrophages, but now we’ve used the CD40 receptor to re-educate those macrophages to attack – not promote – the tumor.”

Link: http://www.eurekalert.org/pub_releases/2011-03/uops-pru031611.php

An Approach to Step One of the Vegas Group: Bootstrapping the Codex

The Vegas Group: a so far fictional community of the next ten years that will merge the longevity advocacy and open biotech communities in order to (a) reverse engineer the most promising life-span-enhancing techniques demonstrated in the laboratory, (b) translate that work into human rejuvenation biotechnologies, and (b) make these therapies available for use via medical tourism to Asia-Pacific region clinics.

So I have been pondering how best to make the vision of the Vegas Group a reality: what steps do we take so that we wake up six or seven years from now to an open source biotech community whose members are working on enabling the best longevity therapies produced by the formal research community – and who have the overseas connections to enable responsible use of resulting therapies in a clinical setting.

The path to this future involves networking and community building in a whole new and different direction from that taken by much of the longevity advocacy community – and the construction of a codex of information, a how-to manual of recipes for replicating specific products of the formal research community in longevity science. Networking makes the world go round, and that is the most important part of any attempt to create the Vegas Group, or indeed any human endeavor: making relationships and persuading people to join in. But this is not where I can be the most effective.

So any step one for me will involve considering the codex: what it is, and how it will be constructed, maintained, and made useful to the seeds of what will be the Vegas Group – however that organization ultimately comes about, and whatever form it ultimately takes. It is very clear to me that open biotechnology will grow into a massive semi-professional sphere of activity, exactly like the open source software community today. I want to take advantage of the wave that is coming, and produce a work that will both aid that wave and in turn be aided by it.

When thinking about the way in which contributions of content are made voluntarily to any given community or site – such as Wikipedia, or blogs such as this one, or the documentation repository at your workplace – it is self-evident that very, very few people step up to produce good content. Wikipedia works because a great many people each contribute just a little, a continual process of polishing, one grain of sand at a time, applied to the bulk outlines contributed by the motivated few. But for smaller groups, you don’t get polishing, you just get next to nothing in the way of contributions.

So I’m fairly certain that for the Vegas Group codex, while a wiki model may be helpful as an adjunct to a motivated community further down the line, it isn’t a way to get things written at the outset – it’s not a way to provide the corpus of work that a community can later polish. There are few biotechnologists in the world in comparison to, say, football fans. Look at the number of science bloggers as compared with other topics, for example. Despite this, there are still initiatives out there, however, working on pulling together repositories of techniques and knowledge: OpenWetWare for example. So the concept of producing an open collection of techniques and recipies is not a foreign one to the biotechnology community – it’s just not very advanced at this stage, at least not in comparison to the bodies of knowledge associated with larger communities.

Thus I think that a larger seed, a bigger online repository of freely available and reliable recipes for longevity-related biotechnology, would act as an attractor for people willing to tinker and help out. The same class of supporters and advocates who produced initiatives like OpenWetWare will contribute to help polish its contents. Overall, the concept of a codex seems to me to be where a comparatively small amount of money could be leveraged to good effect. Consider this:

  • Creating an initial repository website and content management system isn’t a significant cost given the present state of open source content management software – it’s almost something I could undertake myself.
  • People with significant knowledge of biotechnology are remarkable cheap to engage at the post-graduate level. Consider that a few thousand dollars of post-graduate time can net you a long and well-informed analysis, or detailed explanation of a specific methodology.
  • It wouldn’t be a good piece of writing of course – no offense is intended when I say that few post-graduate scientists can write well. Writing well is hard, and just as much a specialty as is becoming a scientist; few people have the time and inclination to specialize in more than a few things, and why should one of them be writing?
  • Fortunately, people who can write well are always in supply, desperate for work, and inexpensive. It is a buyer’s market.

So I can envisage a guiding council of advisors putting together a plan for the hierarchy of topics they would like to see in the Vegas Group codex, from basic methods in biotechnology through to best attempt reverse engineering of things we know to be possible and that have been published: such as Cuervo’s work on restoring youthful levels of autophagy, or protofection to replace mitochondrial DNA. The end result of that process might look something like a distillation of Fight Aging! mixed with the very elegant materials produced by the Science for Life Extension Foundation.

Codex project volunteers would then run an ongoing process of hiring post-graduates and interested researchers to write, and passing the results to starving authors who improve the output to a quality suitable for the open biotechnology community. There would of course be some back and forth between the post-graduates and the starving authors in order to reduce the inevitable translation errors, but I see this as a viable way to produce a body of knowledge that is sufficiently good to begin with – not perfect, not even necessarily very good, but sufficient.

Since only a comparatively limited reach of biotechnology is under consideration, the cost of bootstrapping such a project might be less than a few hundred thousand dollars. The things I would need to understand before getting seriously underway on a Vegas Group codex are largely related to validating that price tag. A few hundred thousand dollars would mean that it is worth starting with ten thousand dollars, some volunteers, spare time, and raising funds as we go based on the quality of work exhibited. That would be true bootstrapping, but I’d have to give thought in advance to:

  • The actual cost of generating the materials – something that I suspect won’t be clear until the project is at least twenty articles in. I have a fair grasp on the range of costs for writing for hire, in fields that range from very specialist (pricey) and completely generalist (a few cents a word), but I’ve no idea where this market falls in that spread of values, nor how much management and general cat-herding of writers would be required.
  • The predicted size of a sufficiently large body of information, as set out by guiding experts. Is it a hundred articles, a hundred videos, a thousand images, or half that, or ten times that?
  • How to make this project attractive to the existing open biotechnology community even in its earliest stages. There is no such thing as “build it and they will come” – if anything building in isolation guarantees that you’ll have few visitors.

Which comes right back around to networking and relationships: as I said, they make the world go round. On that topic, I am sadly lacking in a knowledge of the current state of the open biotechnology community – something that will have to change as I give more thought to the Vegas Group idea. No sense in reinventing the wheel if there is a wheel out there already … or even a half-built wheel, a project where lessons were learned.

Nuclear DNA Damage, Aging, and Stem Cells

Nuclear DNA damage accumulates with age, but is it a cause of aging? This open access paper illustrates why there is a question – as for many studies, the results do not point unambiguously in one direction or another. “Accumulation of DNA damage leading to adult stem cell exhaustion has been proposed to be a principal mechanism of aging. Here we tested this hypothesis in healthy individuals of different ages by examining unrepaired DNA double-strand breaks (DSBs) in hematopoietic stem/progenitor cells matured in their physiological microenvironment. … The highest inter-individual variations for non-telomeric DNA damage were observed in middle-aged donors, [where] the individual DSB repair capacity appears to determine the extent of DNA damage accrual. However, analyzing different stem/progenitor subpopulations obtained from healthy elderly (>70 years), we observed an only modest increase in DNA damage accrual, [but] sustained DNA repair efficiencies, suggesting that healthy lifestyle may slow down the natural aging process. … Based on these findings we conclude that age-related non-telomeric DNA damage accrual accompanies physiological stem cell aging in humans. Moreover, aging may alter the functional capacity of human stem cells to repair DSBs, thereby deteriorating an important genome protection mechanism leading to exceeding DNA damage accumulation. However, the great inter-individual variations in middle-aged individuals suggest that additional cell-intrinsic mechanisms and/or extrinsic factors contribute to the age-associated DNA damage accumulation.” Meaning that nuclear DNA damage may or may not be a primary cause of aging, and may or may not be important in comparison to other factors.

Link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3049780/

Towards Stem Cell Therapy for Macular Degeneration

Small steps: “The notion of transplanting adult stem cells to treat or even cure age-related macular degeneration has taken a significant step toward becoming a reality. … researchers have demonstrated, for the first time, the ability to create retinal cells derived from human-induced pluripotent stem cells that mimic the eye cells that die and cause loss of sight. Age-related macular degeneration (AMD) [gradually] destroys sharp, central vision needed for seeing objects clearly and for common daily tasks such as reading and driving. AMD progresses with death of retinal pigment epithelium (RPE), a dark color layer of cells which nourishes the visual cells in the retina. While some treatments can help slow its progression, there is no cure. The discovery of human induced pluripotent stem (hiPS) cells has opened a new avenue for the treatment of degenerative diseases, like AMD, by using a patient’s own stem cells to generate tissues and cells for transplantation. For transplantation to be viable in age-related macular degeneration, researchers have to first figure out how to program the naïve hiPS cells to function and possess the characteristics of the native retinal pigment epithelium, RPE, the cells that die off and lead to AMD. … This is the first time that hiPS-RPE cells have been produced with the characteristics and functioning of the RPE cells in the eye. That makes these cells promising candidates for retinal regeneration therapies in age-related macular degeneration.”

Link: http://www.eurekalert.org/pub_releases/2011-03/gumc-sct031811.php

An Overview of the Molecular Mechanisms by Which Exercise Impacts Aging

Exercise slows many of the degenerations of aging and – much like calorie restriction – this appears to be the result of changes in a multitude of biological processes and systems. In effect exercise adjusts the operation of your metabolism, moving it into a better configuration.

If you’d like a look under the hood, an overview of what is presently known of the biology that links exercise to improved long term health, you might read this recent open access review paper. It focuses on the heart, but the underlying mechanisms are of general interest:

It is generally accepted that regular exercise is an effective way for reducing cardiovascular morbidity and mortality. Physical inactivity and obesity are also increasingly recognized as modifiable behavioral risk factors for a wide range of chronic diseases, including cardiovascular diseases. Furthermore, epidemiologic investigations indicate that the survival rate of heart attack victims is greater in physically active persons compared to sedentary counterparts. Several large cohort studies have attempted to quantify the protective effect of physical activity on cardiovascular and all cause mortality. Nocon et al. in a meta-analysis of 33 studies with 883,372 participants reported significant risk reductions for physically active participants. All-cause mortality was reduced by 33%, and cardiovascular mortality was associated with a 35% risk reduction. Exercise capacity or cardiorespiratory fitness is inversely related to cardiovascular and all-cause mortality, even after adjustments for other confounding factors.

Physical inactivity is increasingly recognized as modifiable behavioral risk factor for cardiovascular diseases. A partial list of proposed mechanisms for exercise-induced cardioprotection include induction of heat shock proteins, increase in cardiac antioxidant capacity, expression of endoplasmic reticulum stress proteins, anatomical and physiological changes in the coronary arteries, changes in nitric oxide production, adaptational changes in cardiac mitochondria, increased autophagy, and improved function of sarcolemmal and/or mitochondrial ATP-sensitive potassium channels. It is currently unclear which of these protective mechanisms are essential for exercise-induced cardioprotection. … A better understanding of the molecular basis of exercise-induced cardioprotection will help to develop better therapeutic strategies.

Being sedentary appears to be just as self-sabotaging as letting yourself become obese. It will lower your odds of living in good health for as long as you might like – and that is enormously important in this age of biotechnology. Every additional year is another year of progress in the laboratories, of progress in advocacy for longevity science, of progress towards rejuvenation therapies that could arrive in time for those of us reading this today. Failing to take care of your health will shift the odds against you, and it’s already the case that far too many people will die before the advent of repair technologies for the biological damage of aging. Why add to your risk becoming one of them?

A Popular Science Article on Autophagy and Longevity

From Science News: “the cells of organisms from yeast to humans regularly engage in self-cannibalism. Cells chew on bits of their cytoplasm – the jellylike substance that fills their bellies – and dine on their own internal organs … It may sound macabre, but gorging on one’s own innards, a process called autophagy, is a means of self-preservation, cleansing and stress management. … A munch here gets rid of garbage that might otherwise clog the system. A nibble there rids cells of malfunctioning parts. One chomp disposes of invading microbes. In lean times, all that stands between a cell and starvation may be the ability to bite off and recycle bits of itself. And in the last decade or so it has become clear that self-eating can also make the difference between health and disease. … Starvation inhibits an important biological signaling system, known as the mTOR pathway – named for a key protein involved in regulating cell growth and survival, cell movement and protein production. The inhibition of mTOR sets off a cascade of reactions inside the cell that end in autophagy and may be crucial to prolonging cell life and ultimately fending off cancer. A drug that inhibits mTOR, called rapamycin, has been shown to extend life span in mice. It and calorie restriction are [amongst a handful of] methods proven to prolong longevity, suggesting both may work through autophagy to make cells live longer.”

Link: http://www.sciencenews.org/view/feature/id/70887/title/Dining_In

From the SENS Foundation: 2010 Research Report and SENS5 News

The SENS Foundation will be hosting the SENS5 conference in Cambridge, England at the end of August. Registration is open, and this note arrived in my in-box today:

I am writing to inform you that June 15th is the deadline for discounted registration and abstract submission for the fifth Strategies for Engineered Negligible Senescence (SENS) conference … The conference program features 33 confirmed speakers so far, all of them world leaders in their field. As with previous SENS conferences, the emphasis of this meeting is on “applied gerontology” – the design and implementation of biomedical interventions that may, jointly, constitute a comprehensive panel of rejuvenation therapies, sufficient to restore middle-aged or older laboratory animals (and, in due course, humans) to the physical and mental robustness of young adults.

I notice that Caleb Finch will be giving the SENS Lecture, entitled “Regenerative medicine for aging: a new paradigm worth trying” – now there’s an example of progress in winning over the mainstream of aging research to the SENS approach of repair rather than slowing down aging. In this context, “regenerative medicine” means SENS; SENS Foundation founder Aubrey de Grey uses the term more expansively than the general public and media, who use it only in reference to stem cell therapies.

The SENS Foundation also recently issued a research report (in PDF format) for the first ten months of last year, with a year end report to follow. You should find it interesting to see funding amounts listed for the varying strands of SENS research, as well as insight into exactly what the researchers are up to at present:

I’m delighted to be able to share with you our research report, prepared for the first 10 months of 2010, by Tanya Jones (our Director of Research Operations), working with our researchers and my CSO Team. I thought it would be of interest to our supporters, and serve as a precursor to our 2010 Year End Report, which is currently under production as part of our finalizing our 2010 accounts.

SENS Foundation conducts intramural research in its Research Center in Mountain View, California. The primary focus of our intramural work is LysoSENS – investigating novel lysosomal hydrolases against intracellular aggregates that impair cell function – and we recently produced a detailed and comprehensive LysoSENS planning document in collaboration with our extramural project at Rice University.

We have also arranged for research in the MitoSENS strand – obviating mitochondrial DNA deletions – to be conducted at the Research Center, following the negotiation of a transfer agreement with Dr Corral-Debrinski covering materials produced, and used in, previous successful work by her group. Dr Matthew “Oki” O’Connor joined us in September to initiate this project.

The relative amounts devoted to each project clearly illustrate that the Foundation’s primary focus at this time is the LysoSENS project, and I can guess at some of the strategic reasoning there. Much money and many connections with industry might be gained through success in the LysoSENS platform. Not just aging, but many diseases could be effectively treated in their late stages through progress in bioremediation of this sort, and that means that big pharma and big biotech would be very interested in licensing agreements – which in turn would assist the Foundation in greatly expanding its purview and influence.

It is, however, frustrating to see far less funding devoted to MitoSENS, the project aimed at removing the contribution of mitochondrial DNA damage to aging. Everyone has an opinion, and mine (for what it’s worth, which isn’t all that much in this case, and nor should it be) is that mitochondrial repair would make a better primary focus. Irrespective of the methodology chosen, it seems clear that the research community as a whole is frustratingly close to something that will work to completely reverse mitochondrial damage, whether it is through allotopic expression as advocated by the SENS Foundation or periodic whole-body replacement of mitochondrial DNA as demonstrated in mice some years ago.

Yet the funds going towards mitochondrial repair – both here and generally – are in no way proportionate to the degree to which the research community believes mitochondrial DNA damage to be a cause of aging and longevity.

The advice I give myself on this issue is the same as I’ll give to anyone else in the same position: if you believe that too little funding is devoted to any given research goal, then get out there and do something about it. Earn money and donate it, and persuade others to do the same. After all, that’s exactly what Aubrey de Grey did in order to arrive at his present position: helping to direct a Foundation of his own creation where enthusiastic people are now writing annual reports on their progress towards engineering the end of aging.

The Unreliability of Many Studies of Rodent Longevity

As noted in this paper, many researchers still fail to control for calorie intake in their studies – and thus their experimental results are largely worthless, given the impact of even mild calorie restriction on the life spans of laboratory animals: “Much of the literature describing the search for agents that increase the life span of rodents was found to suffer from confounds. One-hundred-six studies, absent 20 contradictory melatonin studies, of compounds or combinations of compounds were reviewed. Only six studies reported both life span extension and food consumption data, thereby excluding the potential effects of caloric restriction. Six other studies reported life span extension without a change in body weight. However, weight can be an unreliable surrogate measure of caloric consumption. Twenty studies reported that food consumption or weight was unchanged, but it was unclear whether these data were anecdotal or systematic. Twenty-nine reported extended life span likely due to induced caloric restriction. Thirty-six studies reported no effect on life span, and three a decrease. The remaining studies suffer from more serious confounds. Though still widely cited, studies showing life span extension using short-lived or ‘enfeebled’ rodents have not been shown to predict longevity effects in long-lived animals. We suggest improvements in experimental design that will enhance the reliability of the rodent life span literature. First, animals should receive measured quantities of food and its consumption monitored, preferably daily, and reported. Weights should be measured regularly and reported. Second, a genetically heterogeneous, long-lived rodent should be utilized. Third, chemically defined diets should be used. Fourth, a positive control (e.g., a calorically restricted group) is highly desirable. … These procedures should improve the reliability of the scientific literature and accelerate the identification of longevity and health span-enhancing agents.”

Link: http://www.ncbi.nlm.nih.gov/pubmed/21424790

Medical Office Position

Job Description:
Electronic and paper data entry
Tracking insurance company submissions
Reconciling insurance company response with charges
Reconciling balances with responsible parent
This will acquaint employee with diagnosis and procedure coding
This will acquaint employee with insurance billing terminology and accounting
General office support
Filing medical record charts
Housekeeping of Chart files
Copying and faxing materials from charts to other offices
Printing medical consult evaluations for chart, family and primary care physician; preparing material for mailing
Shredding confidential materials
Providing family with Follow up Material electronically
This acquaints employee with health care confidentiality policies, with medical record keeping and with a wide range of medical knowledge available within the confidential medical record and from Dr. McDonough-Means about integrative health care and developmental pediatrics.
Other optional duties as time and employee ability allows:
Support for research and publications
Hours: 5-8 hours/week Pay: Hourly rate to be discussed
Qualifications:
Student who is in Honors program or with similar GPA who is planning on applying for Graduate school and/or Medical school.
Preferably a student who will be in Tucson year round – now a Junior; or if a Senior then needing and committed to work during Graduate school.
Able to commit to consistent time each week with some flexibility as to which specific hours negotiable with Dr McDonough-Means – approximate total needed: 5-8 hrs/week.
References requested from Department or prior employers.
Please contact:
Sharon McDonough-Means, MD
Integrative Developmental Pediatrics
2650 North Wyatt Drive
Tucson, Arizona 85712
520-247-0405/322-3665 FAX