Monthly Archives: April 2014

Two breath compounds could be associated with larynx cancer

April_Part 2_OtolaryngologyResearchers at the Rey Juan Carlos University and the Alcorcón Hospital (Madrid) have compared the volatile substances exhaled by eleven people with cancer of larynx, with those of another twenty healthy people. The results show that the concentrations of certain molecules, mainly ethanol and 2-butanone, are higher in individuals with carcinoma, therefore they act as potential markers of the disease.

Human breath contains thousands of volatile organic compounds (VOC) and some of them can be used as non-invasive biomarkers for various types of head and neck cancers as well as cancer of the larynx.

This was shown in the experiment carried out by scientists from the Rey Juan Carlos University (URJC) with 31 volunteers: 20 healthy subjects (half of which are smokers) and 11 with cancer of the larynx in various phases of the disease and who are being treated in the Alcorcón Hospital in Madrid.

The results, published in the journal Chromatographia, reveal that the air exhaled by the more seriously ill patients – in a stage called T3 – contains different concentrations of seven compounds compared with the levels of healthy people or even those with a less developed tumour (T1).

Specifically, in the graphics of individuals with advanced cancer, the peaks that represent ethanol (C2H6O) and 2-butanone (C4H8O) are particularly significant. These two compounds therefore become potential markers of laryngeal carcinoma.

“At the moment it is still a preliminary study and a wider sample has to be obtained,” Rafael García, professor of Chemical Engineering at the URJC and co-author of the study told SINC, “but it is a step in the right direction, an alternative with regard to identifying biomarkers, not only for this type of cancer but for other more prevalent and serious ones such as lung cancer, where early detection is key”.

As part of the experiment, the researchers asked the participants to breathe into tedlar bags after fasting for at least eight hours so there was no leftover food or drink on their breath.

The samples were then analysed with solid phase micro-extraction, gas chromatography and mass spectrometry techniques, which enable very small amounts of a substance to be separated and identified. The concentrations are around or slightly above the equipment’s detection limits (40 nanograms/mL), which is equivalent to 40 ppb or parts per billion.

The ultimate aim of the research is to “create an electronic nose that can be used in hospitals and health centres for the early detection of these types of diseases,” concluded Rafael García. This team, together with other Spanish and foreign research groups, is working hard to develop sensors capable of detecting diseases through breath analysis.

Head and neck cancers represent between 5% and 10% of all malignant tumours currently diagnosed in Spain. Every year nearly half a million new cases are detected worldwide, mainly attributed to tobacco and alcohol use and approximately 90% are laryngeal cancer. The study also identified four markers in the exhaled breath that are typical of smokers, such as benzene and furfural.

http://www.medicalnewstoday.com/releases/276057.php

 

Hearing loss affects old people’s personality

April_Part 1_OtolaryngologyAs people approach old age, they generally become less outgoing. New research from the University of Gothenburg shows that this change in personality is amplified among people with impaired hearing. The findings emphasise the importance of acknowledging and treating hearing loss in the elderly population.

The researchers studied 400 individuals 80-98 years old over a six-year period. Every two years, the subjects were assessed in terms of physical and mental measures as well as personality aspects such as extraversion, which reflects the inclination to be outgoing, and emotional stability. The results show that even if the emotional stability remained constant over the period, the participants became less outgoing.

Interestingly, the researchers were not able to connect the observed changes to physical and cognitive impairments or to age-related difficulties finding social activities. The only factor that could be linked to reduced extraversion was hearing loss.

‘To our knowledge, this is the first time a link between hearing and personality changes has been established in longitudinal studies. Surprisingly, we did not find that declining overall health and functional capacity make people less outgoing. But hearing loss directly affects the quality of social situations. If the perceived quality of social interaction goes down, it may eventually affect whether and how we relate to others,’ says Anne Ingeborg Berg, PhD, licensed psychologist and researcher at the Department of Psychology, University of Gothenburg.

The study yields interesting knowledge about personality development late in life, and also points to the importance of acknowledging and treating hearing loss among the elderly.

The utilisation of hearing aids did not affect the correlation found, which suggests that there is a need for support in the use of aids such as hearing devices.

‘Our previous studies have shown that outgoing individuals are happier with their lives. It is hypothesised that an outgoing personality reflects a positive approach to life, but it also probably shows how important it is for most people to share both joy and sadness with others. Even if we can’t conclude anything about causal relationships, we can guess that the link between hearing loss and social withdrawal forms a potential threat to older people’s wellbeing,’ says Berg.

The study, conducted by Anne Ingeborg Berg and Boo Johansson from the ADA – Gero Group, Department of Psychology, University of Gothenburg, was published in Journal of Personality.

http://www.medicalnewstoday.com/releases/274847.php

Picture courtesy of www.dailymail.co.uk