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Alternative Medicine

Flawed Trials, Misleading Millions: The Diagnostic Dilemma of Adult ADHD

Researchers reviewing nearly 300 top-tier ADHD drug trials found that half skipped the rigorous, expert-led evaluations needed to rule out other conditions like depression or schizophrenia. With diagnoses often made by unqualified staff—or even by computer—many participants may not have actually had ADHD, casting doubt on study outcomes that shape treatment guidelines.

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The diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) often sparks controversy when it comes to adults. While originally developed for children, the diagnostic criteria can be difficult to apply in grown-ups. This is partly because the criteria are based on child behavior, and when diagnosing adults, these criteria rely heavily on subjective experiences such as difficulty concentrating or being impulsive.

A recent study from the University of Copenhagen and the University of Sao Paulo in Brazil shed light on this issue, examining how 292 credible studies on ADHD diagnosed their adult subjects. The researchers found that half of the studies did not ensure a thorough diagnostic assessment before the trial to rule out other disorders like depression or schizophrenia. This methodological shortfall is problematic because it makes it impossible to know which disorders and symptoms the treatment investigated in these trials potentially had an effect on.

Moreover, over half of the studies included subjects who had already been diagnosed with other mental disorders, making the diagnosis even more challenging. The researchers pointed out that this lack of consistency in diagnostic assessment can make research results from many clinical trials difficult to utilize. Despite being considered particularly trustworthy, the results of these trials may inform guidelines used to treat adult ADHD patients.

The study’s findings emphasize the need for consistent and robust diagnoses in psychiatric research. One of the problems with the diagnostic assessment in many of the clinical trials was that it seemed to have been carried out by individuals without proper training or using methods that were not thorough enough. In some cases, the assessment and diagnosis were made by the subject themselves, or even with the help of a computer.

As Julie Nordgaard highlighted, “In psychiatry, we really need all diagnoses, not just ADHD, to be made with the same uniform criteria and by trained professionals.” This is especially crucial in situations where a diagnosis like adult ADHD is increasing. Without thorough diagnostic assessments, people may receive incorrect diagnoses, and thus, ineffective or unnecessary treatment that can cause side effects.

The study’s conclusion serves as a reminder of the importance of rigorous methodology and consistency in psychiatric research. By prioritizing accurate diagnoses and thorough assessments, researchers can ensure that their findings are reliable and useful for informing guidelines and treatments for patients with complex mental health conditions like adult ADHD.

Alternative Medicine

“Skin in a Syringe”: Breakthrough Technology Heals Burns without Scars

Scientists in Sweden have developed a groundbreaking “skin in a syringe” — a gel packed with live cells that can be applied directly to wounds or even 3D-printed into skin grafts. Designed to help the body build functional dermis rather than scar tissue, the innovation combines fibroblast cells on gelatin beads with a hyaluronic acid gel, held together using click chemistry. In a parallel advance, the team also created elastic hydrogel threads that can form tiny, fluid-carrying channels, paving the way for artificial tissues and organoid development.

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Scientists at Linköping University in Sweden have developed a revolutionary technology that can heal burns without leaving scars. Dubbed “skin in a syringe,” this innovative approach uses 3D-printed skin transplants made from gel containing live cells.

The study, led by researchers Johan Junker and Daniel Aili, aimed to create new skin that doesn’t become scar tissue but a functioning dermis. The dermis is the thicker layer of skin beneath the epidermis, which contains blood vessels, nerves, hair follicles, and other essential structures for skin function and elasticity.

To achieve this, the researchers used click chemistry to connect gelatine beads with hyaluronic acid, creating a liquid that can be applied to wounds using a syringe. The gel becomes gel-like again once applied, making it possible to 3D-print the cells in it.

In the current study, small pucks made from this technology were placed under the skin of mice, showing promising results. The cells survived and produced substances needed to create new dermis, with blood vessels forming in the grafts. This breakthrough has significant implications for burn patients, who often suffer from severe scarring due to traditional transplant methods.

The LiU researchers also developed a method to make threads from hydrogels, which can be used to build mini-tubes or perfusable channels. These tubes can be used to pump fluid through or have blood vessel cells grow in them, potentially solving the problem of blood vessel supply in tissue models.

This research has received funding from various organizations, including the Erling-Persson Foundation and the European Research Council (ERC). The study’s findings were published in Advanced Healthcare Materials.

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Alternative Medicine

A 30-Minute Workout That Could Help Slash Cancer Cell Growth

A vigorous workout can spark anti-cancer proteins, cut cancer cell growth, and help survivors fight recurrence by reducing inflammation and improving body composition.

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The article’s core idea is that a single bout of either resistance or high intensity interval training could help in the cancer battle by increasing levels of myokines, a protein produced by muscles which have anti-cancer effects. Here’s the rewritten article:

A groundbreaking study from Edith Cowan University (ECU) has shed light on the potential benefits of exercise for cancer patients. Researchers found that a single bout of either resistance or high intensity interval training could help reduce cancer cell growth by 20 to 30 per cent.

PhD student Mr Francesco Bettariga led the research, which measured myokine levels in breast cancer survivors before, immediately after, and 30 minutes post-exercise. The results showed that both types of exercise increased myokine levels, a protein produced by muscles with anti-cancer effects.

“The results from this study are excellent motivators to add exercise as standard care in the treatment of cancer,” Mr Bettariga said. His research aimed to investigate whether breast cancer survivors would see similar benefits compared to a healthy population, given the impact that cancer treatments and cancer itself often has on the body.

Further research by Mr Bettariga investigated how changes in body composition, following consistent exercise, could impact inflammation, which plays a key role in breast cancer recurrence and mortality. The study found that reducing fat mass and increasing lean mass through exercise could help decrease inflammation, making it a more supportive environment for cancer survivors.

“Strategies are needed to reduce inflammation which may provide a less supportive environment for cancer progression,” Mr Bettariga said. He stressed the importance of consistent exercise, stating that quick fixes to reduce fat mass would not have the same beneficial effects.

“You never want to reduce your weight without exercising, because you need to build or preserve muscle mass and produce these chemicals that you can’t do through just diet alone.” The long-term implications of elevated myokine levels should be further investigated, particularly in relation to cancer recurrence.

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Alternative Medicine

Breaking Barriers in Diabetic Wound Healing: A Revolutionary “Smart” Gel Accelerates Blood Flow and Restores Tissue Repair

A new gel-based treatment could change the way diabetic wounds heal. By combining tiny healing messengers called vesicles with a special hydrogel, scientists have created a dressing that restores blood flow and helps wounds close much faster. In tests, the treatment healed diabetic wounds far quicker than normal, while also encouraging the growth of new blood vessels. Researchers believe this innovation could one day help millions of people with slow-healing wounds caused by diabetes and possibly other conditions.

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Breaking Barriers in Diabetic Wound Healing: A Revolutionary “Smart” Gel Accelerates Blood Flow and Restores Tissue Repair

Chronic diabetic wounds, particularly diabetic foot ulcers, pose a significant burden for patients due to impaired blood vessel growth and subsequent tissue repair issues. A groundbreaking study has unveiled a novel approach by combining small extracellular vesicles (sEVs) loaded with miR-221-3p and a GelMA hydrogel to target thrombospondin-1 (TSP-1), a protein that suppresses angiogenesis. This innovative bioactive wound dressing not only accelerates healing but also promotes blood vessel formation, offering a promising new approach to treating one of the most challenging complications of diabetes.

The study explores a new method to stimulate angiogenesis and speed up the healing process by targeting TSP-1 with miR-221OE-sEVs encapsulated in GelMA. This engineered hydrogel has shown significant enhancement in wound healing and blood vessel formation in diabetic mice, offering hope for more effective treatments in the future.

Researchers discovered that high glucose conditions commonly found in diabetic wounds lead to increased levels of TSP-1 in endothelial cells, impairing their ability to proliferate and migrate – key processes for angiogenesis. By utilizing miR-221-3p, a microRNA that targets and downregulates TSP-1 expression, they restored endothelial cell function. The engineered miR-221OE-sEVs were encapsulated within a GelMA hydrogel, ensuring a controlled release at the wound site.

In animal trials, this composite dressing dramatically accelerated wound healing, with a notable increase in vascularization and a 90% wound closure rate within just 12 days, compared to slower healing in control groups. This breakthrough has significant implications for diabetic wound care, offering patients more efficient and lasting wound healing solutions.

As further research and clinical trials progress, the promise of combining miRNA-based therapies with biocompatible hydrogels could become a cornerstone in regenerative medicine, opening up possibilities beyond diabetic foot ulcers. The technology could be adapted for use in treating other chronic wounds, such as those caused by vascular diseases, or even in regenerating tissues like bone and cartilage.

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