Botox maker unveils new anti-ageing face cream

New York: A new cream, containing a synthetic antioxidant, said to be the most powerful yet, has been launched by US company Allergan.

The price tag of US$110 an ounce has not deterred purchasers who are going on waiting lists for Prevage which contains Idebenone, reportedly one of the most effective antioxidant products available.

Its original use is to protect organs from environmental damage during transplant operations, slows the progress of Alzheimer’s disease, and stimulates nerves in stroke victims.

Antioxidants are substances that protect cells from free radicals – damaging byproducts of environmental stresses such as UV light, smoke and air pollution. Vitamins C and E are also antioxidents.

Allergan has carried out a study involving 21 women aged between 18 and 65, who had moderate premature ageing of the skin and used the cream twice a day for six weeks, found a 29 per cent reduction in the appearance of fine lines and wrinkles, a 26 per cent reduction in skin roughness or dryness, a 37 per cent increase in skin hydration and a 33 per cent overall improvement in the appearance of skin.

Additional research by the University of California in Los Angeles, found that it reduced sunburnt cells (skin cells that die from UV exposure) by 38 per cent, while the use of tocopherol, a form of vitamin E, resulted in only a 31 per cent reduction.

Allergan says that in the US it has decided against over-the-counter sales of Prevage, a non-prescription cream, so that consumers can receive advice on whether it’s the best product for them. It is available in selected outlets elsewhere.

Public supports stem cell and cloning research, poll reveals

New York: A poll commissioned by the Coalition for the Advancement of Medical Research (CAMR) shows a strong majority of Americans solidly support embryonic stem cell and therapeutic cloning research.

A nationwide survey of more than 1,000 adults found that the more respondents learned about the research, the more they supported its use to help treat some of life’s most debilitating diseases and conditions.

“We’ve spent years educating Members of Congress about the benefits of embryonic stem cell and therapeutic cloning research—separating facts from scare-tactic fiction,” said Daniel Perry, President of CAMR. “And the more time we spent, the better result we got. Now we see the same happening with the American public—the more they know the more they support it and understand why it’s critical to move the research forward,” added Perry.

Of the respondents polled 59% strongly or somewhat favored embryonic stem cell research, and only 33% opposed or strongly opposed it. But after a brief description of the research was read, the percentage in favor increased to 68% compared to only 28% opposed.

A question regarding the use of cloning to develop stem cells found that 60% strongly or somewhat favored the research, and only 35% somewhat or strongly opposed it. However, after a more detailed description of what therapeutic cloning research involves was read, the more respondents favored the research, 72% compared with only 23% opposed.

“The American people are clearly ready for a change in policy on stem cell research and therapeutic cloning. The millions of patients who stand to benefit, as well as their loved ones, have a clear message for policy makers: We support this research and we need your help,” stressed Perry. CAMR, comprised of over 90 nationally-recognized patient groups, universities, and scientific societies, led the charge to support federal funding of embryonic stem cell research and has led the efforts opposing a ban on therapeutic cloning.

Of the 1,045 people responding, the specific breakdown of responses was as follows: 59% said they favored medical research that uses stem cells from human embryos, (30% strongly favor, 29% somewhat favor); 33% are opposed, (13% somewhat oppose and 20% strongly oppose), and 8% of respondents answered they did not know. Once a description of embryonic stem cell research was read, 68% said they favored it, (39% strongly favor, and 29% somewhat favor), only 28% opposed the research (11% somewhat oppose, and 16% strongly oppose), and 4% responded they did not know. For therapeutic cloning, 60% of Americans approved the research, (27% strongly approved, 33% somewhat approved), whereas 35% disapproved (12% somewhat, and 23% strongly), and 5% of respondents answered they did not know. Once a description of therapeutic cloning research was read, 72% favored it (30% strongly, 42% somewhat), and roughly 23% opposed the research (11% somewhat, 11% strongly), and 6% of respondents answered they did not know.

Slightly more men than women favor embryonic stem cell and therapeutic cloning research: 71% of men and 66% of women were in favor of embryonic stem cell research, and 75% of men and 68% of women favored therapeutic cloning research after a description was read. Americans who had at least a college degree were more likely to support the research than those with a high school degree, 74% to 67% for embryonic stem cell research, and 79% to 68% for therapeutic cloning. Both of these percentages were after descriptions of the research were read. The poll has a margin of error of plus or minus 3%, and was conducted for CAMR by the Opinion Research Corporation.

The Coalition for the Advancement of Medical Research (CAMR), a non-partisan non-profit, is comprised of nationally-recognized patient organizations, universities, scientific societies, foundations, and individuals with life-threatening illnesses and disorders, advocating for the advancement of breakthrough research and technologies in regenerative medicine – including stem cell research and somatic cell nuclear transfer – in order to cure disease and alleviate suffering. For more information on CAMR, visit the website: www.camradvocacy.org

Exercise slows prostate cancer

Harvard: Regular vigorous physical activity could slow the progression of prostate cancer in older men, a study has found.
The findings suggest working up a real sweat may help prevent men over 65 dying from the disease.

But the team from Harvard School of Public Health found men had to work out vigorously for at least three hours a week for it to have a positive effect.

The 14-year study, reported in the Archives of Internal Medicine, focused on data on 47,620 men in the US.

Regular exercise throughout life has benefits and this could be yet an example where steady and prolonged application is ‘money in the bank’ later in life

Previous research has suggested more physically active men may be at lower risk of prostate cancer. However, the link has never been shown to be particularly strong.

The 47,620 men involved in the latest study were followed from 1986 to 2000.
Each was asked to provide information about how much exercise – such as hiking, jogging, cycling, swimming and racket sports – they took.

During 14 years of the study, 2,892 new cases of prostate cancer were diagnosed, including 482 advanced cases.

The researchers found that older men – aged 65 and over – who did regular, vigorous exercise were at a lower risk – almost 70% – of advanced and fatal cases of the disease.

However, no such association was found in younger men. The researchers say that more work is needed to determine just how vigorous exercise may benefit prostate cancer patients.

Henry Scowcroft, of the charity Cancer Research UK, said it was not clear whether the study had shown a “cause and effect”, or whether men who took more exercise were simply more health conscious.

He said: “This group might be more inclined to report symptoms to their doctor earlier and thus have their disease diagnosed before it becomes advanced.

“Given the well-documented benefits of a healthy lifestyle, we recommend that you take at least 30 minutes of moderate exercise five times a week.

“Having said that, older men should consult with their GP before embarking on any particularly vigorous exercise regime.”

Chris Hiley, of the Prostate Cancer Charity said: “We would caution that men with prostate cancer, many of whom might have other health problems associated with getting older, should seek advice from their GP before suddenly making such a change.

“What is clear is that regular exercise throughout life has benefits and this could be yet another example where steady and prolonged application is ‘money in the bank’ later in life.”

Stem cells used to restore mobility in rats

California: A treatment derived from human embryonic stem cells improves mobility in rats with spinal cord injuries, providing the first physical evidence that the therapeutic use of these cells can help restore motor skills lost from acute spinal cord tissue damage.

Hans Keirstead and his colleagues in the Reeve-Irvine Research Center at UC Irvine have found that a human embryonic stem cell-derived treatment they developed was successful in restoring the insulation tissue for neurons in rats treated seven days after the initial injury, which led to a recovery of motor skills. But the same treatment did not work on rats that had been injured for 10 months. The findings point to the potential of using stem cell-derived therapies for treatment of spinal cord damage in humans during the very early stages of the injury. The study appears in the May 11 issue of The Journal of Neuroscience.

“We’re very excited with these results. They underscore the great potential that stem cells have for treating human disease and injury,” Keirstead said. “This study suggests one approach to treating people who’ve just suffered spinal cord injury, although there is still much work to do before we can engage in human clinical tests.”

Acute spinal cord damage occurs during the first few weeks of the injury. In turn, the chronic period begins after a few months. It is anticipated that the stem cell treatment in humans will occur during spinal stabilization at the acute phase, when rods and ties are placed in the spinal column to restabilize it after injury. Currently, drug treatments are given during the acute phase to help stabilize the injury site, but they provide only a very mild benefit, and they do not foster regeneration of insulation tissue.

For the study, the UCI team used a novel technique they created to entice human embryonic stem cells to differentiate into early-stage oligodendrocyte cells. Oligodendrocytes are the building blocks of myelin, the biological insulation for nerve fibers that is critical for maintenance of electrical conduction in the central nervous system. When myelin is stripped away through disease or injury, sensory and motor deficiencies result and, in some cases, paralysis can occur.

The researchers injected these cells into rats that had experienced a partial injury to the spinal cord that impairs walking ability — one group seven days after injury and another 10 months after injury. In both groups, the early-stage cells formed into full-grown oligodendrocyte cells and migrated to appropriate neuronal sites within the spinal cord.

In the rats treated seven days after the injury, myelin tissue formed as the oligodendrocyte cells wrapped around damaged neurons in the spinal cord. Within two months, these rats began to show significant improvements in walking ability in comparison to injured rats who received no treatment.

In the rats with 10-month-old injuries, though, motor skills did not return. Although the oligodendrocyte cells survived in the chronic injury sites, they could not form myelin because the space surrounding neuron cells had been filled with scar tissue. In the presence of a scar, myelin could not grow.

These studies indicate the importance of myelin loss in spinal cord injury, and illustrate one approach to treating myelin loss. Keirstead and his colleagues are currently working on other approaches using human embryonic stem cells to treat chronic injuries and other disorders of the central nervous system.

In previous studies, Keirstead and colleagues identified how the body’s immune system attacks and destroys myelin during spinal cord injury or disease states. They also have shown that when treated with antibodies to block immune system response, myelin is capable of regenerating, which ultimately restores sensory and motor activity.

Oswald Steward, Gabriel I. Nistor, Giovanna Bernal, Minodora Totiu, Frank Cloutier and Kelly Sharp also participated in the study, which was supported by the Geron Corp., a UC Discovery grant, Research for Cure, the Roman Reed Spinal Cord Injury Research Fund of California and individual donations to the Reeve-Irvine Research Center. Geron provides the human embryonic stem cells for Keirstead’s research.

The Reeve-Irvine Research Center was established to study how injuries and diseases traumatize the spinal cord and result in paralysis or other loss of neurologic function, with the goal of finding cures. It also facilitates the coordination and cooperation of scientists around the world seeking cures for paraplegia, quadriplegia and other diseases impacting neurological function. Named in honor of Christopher Reeve, the center is part of the UCI School of Medicine.

Human eggs made in lab may delay menopause

Knoxville: Scientists at the University of Tennessee have grown human eggs from ovary cells.

The research may lead to improved methods of treating infertility and delaying the menopause. Cells were taken from the surface of the ovaries in women aged between 39 and 52 and grown in a hormone-rich solution.

The researchers say the eggs were capable of being fertilised and could lead to a limitless supply of eggs for IVF treatment.

Professor Antonin Bukovsky, who led the research, said that further trials were needed before the eggs could be made available for use in patients.

Dr Andre Berger, Rejuvalife Institute, Beverly Hills

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Health that shows  – Age that doesn’t!

Andre Berger, MD
A visionary in the emerging field of holistic and anti-aging medicine, Dr. Andre Berger, is the driving force behind Rejuvalife Vitality Institute, a medical, cosmetic and therapeutic practice located in Beverly Hills, CA. With the strong belief that a balance of complementary therapy, traditional medicine and non-surgical cosmetic procedures are the key to our emotional, physical and mental well-being, Dr. Berger is at the forefront of this emerging and innovative specialty.

Focusing on prevention rather than the just the cure, Dr. Berger’s philosophy incorporates a holistic approach to anti-aging therapies, with a special emphasis on customized patient care, education and lifestyle changes. The best of both eastern and western medicines, hormone replacement therapies and weight management programs combined with non-invasive cosmetic enhancement procedures such as Botox, Restylane, IPL, Mesotherapy, Thread Lift, are the foundation of Dr Berger’s comprehensive medical practice.

Drawing on over 26 years of experience in clinical and medical management, pharmacology, neutraceuticals and emergency medicine, Dr. Berger is leading the way with effective evidence-based holistic and anti-aging therapies.

Dr. Berger’s on-going quest to further promote a greater understanding of the rejuvenating and life-enhancing benefits of holistic and anti-aging therapies, make him a sought after speaker at national and international conferences. Popular speaking topics include, among others, “Cosmetic and Anti-Aging Practice of the 21st Century” “The Secrets of Youthful Aging”, and “What You Need to Know About Hormones and Anti-Aging”. He is also an active member of the American Academy of Anti-Aging Medicine, the American College of Nutrition, and the American Academy of Endocrinologists.

Dr. Berger received his Medical Degree from University of Ottawa and completed his residency at McGill University in Internal Medicine and Clinical Pharmacology. Dr. Berger is also Board Certified in Emergency Medicine and Holistic Medicine is an active member of the American Academy of Anti-Aging Medicine, The American College of Nutrition, and the American Association of Clinical Endocrinologists, The American Society of Aesthetic Mesotherapy and the American Academy of Bio-energetic Medicine.

A prolific researcher and writer, Dr. Berger is the author of several publications including, Anti-Aging and Rejuvenation from the Inside Out. His knowledge and experience in the anti-aging field have led to his appointment as contributing editor and medical advisor to Cosmedical Magazine and leading advisor at the Magazine and leading advisor at the Cosmetic Enhancement Expo. Dr. Beger’s work has been written about in several papers such as the Beverly Hills Courier, and the Westside Weekly. He is also president and CEO of Absolute Health Sciences, and a founding member of Productive Living LLC.

An avid reader, tennis player and world traveler, Dr. Berger lives and works in Beverly Hills with Tracy, his wife of 15 years, and their three children, Adam, Joshua and Gabrielle and their dog Bingo.

Dr Andre Berger, Medical Director, Rejuvalife Vitality Insititute, 9400 Brighton Way, Suite 405, Beverly Hills, California 90210. www.rejuvalife.md info@rejuvalife.md

Dr. Andre Berger brings a unique approach to wellness and anti-aging medicine by using an East meets West approach. Dr. Berger uses the most cutting edge technologies that Western Medicine has to offer to scientifically assess the needs of your body. He concentrates on the finding the root of any potential problems by gauging cellular functions and energy levels, and then uses a holistic approach to manage health and/or cosmetic concerns by addressing hormonal, nutritional, metabolic and psychological factors.

Understanding that health, beauty and wellness are inextricably connected, Dr. Berger created Rejuvalife Vitality Institute to bridge the gap between traditional medical practices and medi-spas. Dr. Berger specializes in new, exciting non-surgical procedures including the Thread Lift and Mesotherapy.

The “Face Up” Thread lift is a non-invasive alternative to a face lift that uses suture threads inserted into the subcutaneous fat layers to “lift up” sagging jowls, eyes and neck. One of the premier specialists of this procedure, Dr. Berger holds quarterly training sessions to educate other physicians on how to bring this exciting procedure to their own practices.

Mesotherapy is a non-surgical alternative to liposuction, using a series of tiny injections on various sections of the body to breakdown and remove fat deposits or cellulite.

In addition to the cosmetic enhancement services offered, Dr. Berger also employs a variety of holistic practices to return the body to optimal health and vitality. These services include: weight loss and fitness, hormone replacement therapy, acupuncture, hypnotherapy, chelation therapy and heavy metal detoxification, homeopathy, stress management and disease specific therapies.

Working mums are main Botox fans

New York: Working mothers between the ages of 40 and 55 who want to look more relaxed and less stressed are the most common users of cosmetic Botox injections, according to a survey by the Aesthetic Surgery Education and Research Foundation, the research branch of the American Society of Aesthetic Plastic Surgery (ASAPS).

The findings contradict the popular belief that Botox injections are most commonly used by the rich and famous.

“Many are under the assumption that Botox is used mostly by models, movie stars and the extremely wealthy. The reality is that the majority of users are working mothers, who are juggling their career and family, and are just as likely to be administrative or clerical staff as managers,” said Dr. Leroy Young, chair of the ASAPS non-surgical procedures committee.

“The survey also found that those with annual household incomes of less than $50,000 to $100,000 (44 percent) were more likely to use Botox cosmetic than those with annual incomes of more than $150,000 (36 percent),” he said.

Eighty-six percent of survey respondents said they had Botox injections in the area between the brows in order to treat vertical frown lines.

Female smokers cut years off life

Smoking shortens women’s lives by up to seven years, according to new research in the UK.

It also reveals for the first time that smokers have around twice the risk of dying at any age compared with non-smokers.

And smoking is closing the gap between men and women’s life expectancy – cutting the longenjoyed advantage for women.

The grim toll taken by tobacco on the nation’s health is revealed in authoritative research from the Actuarial Profession.

Based on life insurance data covering millions of Britons, the Continuous Mortality Investigation (CMI) shows that a 30-year-old male smoker can expect to survive 5.5 years less, reaching the age of 76.8, compared with over 82 for a non-smoker.

The outlook for young women smokers is worse – they can expect to have their lives shortened by 6.8 years, reaching 79 rather than 86 years.

The predictions come from four years of data on two-and-a-half million policyholders, of whom half a million smoked. There were 20,000 deaths, including 8,500 smokers. The findings could push insurance premiums higher still for smokers and will increase pressure for workplace tobacco bans.

Brian Ridsdale, chairman of the CMI, said: ‘These important new statistics provide further evidence – if it is needed – that smoking is not only bad for the quality of our lives but their quantity too.’

Deputy chairman, Professor Angus Macdonald, of Heriot-Watt University, said: ‘The historic difference between men and women is being overtaken by smoking. A reduction of more than six years is very significant.’ Since the mid-1980s life insurance proposal forms have asked applicants whether or not they smoke, meaning they are more reliable than information from death certificates which do not record smoking habits.

Mr Ridsdale said the new data probably underestimated the cut in life expectancy from smoking, because the non-smokers category included past smokers. Furthermore, the effects of passive smoking were not recorded.

The CMI data also assesses the chances of dying in any year for smokers and non-smokers.

It found a male smoker has a eight in 10,000 chance of dying at the age of 30 – double that of a non-smoker the same age. The risk continues to be twice as high at the age of 40 (12 versus 7), 50 (33 versus 16) and 60 (106 versus 48).

Women who smoke at the age of 30 have a four in 10,000 chance of dying, compared with a three in 10,000 chance for a non- smoker. The risk rises steadily, more than doubling by the age of 60 to 85 in 10,000 compared with 35 in 10,000 for a non-smoker.

Jean King, Cancer Research UK’s director of tobacco control, said: ‘These statistics are shocking but not surprising. Smoking significantly reduces life expectancy and kills many thousands of people in middle age every year.’

Men in stable relationships are healthier, a study shows

Boston: A man in a stable marriage, has a healthier lifetyle and diet. But things go downhill after divorce or death, researchers at the Harvard School of Public Health have discovered.

After death or divorce men tend to drink too much alcohol, eat packet food and irregular times.

Dr Patricia Mona Eng, in charge of the research which studied 4,000 men aged between 40 and 75 years over eight years said: ‘Marital termination may have an impact by adversely affecting a range of health and dietary behaviours in men.’

They eat far fewer meals requiring ‘preparation skills’ and rely more on convenience foods, she said. There was a ‘substantial decline’ in vegetable intake.

But men who remarry benefit once more from an improved diet. The ‘dietary revival’ effect is strongest in younger men who remarry after the loss of a spouse.

Dr Eng said eating a better diet was a major benefit of remarriage, particularly as it commonly followed a period in which a man’s health may have suffered because of other factors. ‘Increased stress attributable to marital break-up contributed to negative changes, most probably for cigarette and alcohol consumption,’ she said.

Married life, on the other hand, brings regularity to meal patterns and ‘increased food intake through social interaction’.

The one downside to marriage shown in the study, reported today in the Journal of Epidemiology and Community Health, is that the husband tends to do less exercise.

It said this is probably for the simple reason that he gives greater priority to spending time with his wife than he does to going to the gym.

Previous research has shown married men tend to live longer than single men, partly because of the poor diets of many of those living alone. They tend to drink less and are more likely to give up smoking.

But Dr Eng said the well-known link between marriage and longer lives could not be solely explained by diet.

She said other factors like the impact of a settled lifestyle, comfortable homes and having an emotional confidant should be taken into account.

Diet cure for Alzheimer’s

London: New research in the UK has claimed a major breakthrough in the treatment of the debilitating brain disease Alzheimer’s by treating it with a diet rich in anti-oxidants, a combination of nutrients which prevents and even reverses brain cell damage.

The research has discovered that the progression of the disease which causes degeneration of the medial temporal lobe, the part of the brain responsible for memory and decision-making, can be prevented and even halted, by a diet rich in certain nutrients including anti-oxidants.

Patrick Holford, an internationally–renowned nutritionist, told world medical experts at the London Anti-Ageing Conference that he had arrested the progression of Alzheimer’s in a number of patients and completely restored the memory of others with lesser conditions such as poor memory and concentration.

Holford, says his research has found a direct link with Alzheimer’s to high levels of homocysteine in the blood. High levels double the risk of Alzheimers, he says. This amino acid, is already linked to coronary heart disease. The nutrients consumed by the patients reduced levels of this dangerous substance by up to 74% in eight weeks.

Scientists already know that there is a correlation between the build up of amyloid plaques – a protein that clogs up the brain, killing the cells, but this can only be detected after death. In tests on 25 patients with Alzheimer’s raised levels of homocysteine was detected with a simple blood test.

Holford gave his patients a cocktail of homocysteine-reducing anti-oxidants including Vitamins C & E, B6,2, Choline, Phosphatidyl serine, DMAE (found in sardine and salmon), folate and zinc.

One patient, a woman, who developed cognitive impairment which can led to full Alzhemiers, had the condition arrested by the change in diet and lifestyle. Another man not only had his poor memory restored but with the bonus of his libido.

“We are completely denying the role of nutrients in this disease We only have to look to the animal world – intelligent animals are those who eat the brains, organs and eggs of others while in the bird world it is the ones with strong beaks who are most intelligent who eat seeds,” says Holford.

Since the brain is 60% fat, Holford says we should be eating a diet rich in Vitamin E, an oil soluable vitamin (liver and eggs), oily fish (sardines and salmon) and seeds (pumpkin, flax) which contain Omega 3 and 6 essential fatty acids.

One of the signs that you may not be getting these vital brain nutrients, says, Holford, is dry skin.

“Its bad news for your brain if you have dry skin and means that you are not getting enough of the right nutrients,” he said.

He said that there was evidence to suggest that the damage to the brain begins can begin 40 years before the onset of Alzheimer’s and that mild cognitive impairment starts five years before full dementia.

In a recent TV experiment Holford, who runs the Bio Brain Centre in London, where he treats brain disorders, changed the disruptive behaviour of three schoolchildren by changing their diet.

The results of his findings will be unveiled in a new book, The Alzheimer’s Prevention Plan being published next month.

His recommendations to lower your “H” score include:

Eat less fatty meat, more fish and vegetable protein
Eat your greens
Have a clove of garlic every day
Don’t add salt to your food
Cut back on tea and coffee
Limit your alcohol
Reduce your stress
Stop smoking
Correct oestrogen deficiency
Supplement homocysteine lowering nutrients every day

Smokers pass on faulty DNA to future generations

Los Angeles: Women who smoke during pregnancy not only put their babies health at risk but also that of future generations, say researchers at the University of Southern California.

In a recent study, scientists found that smoking may permanently alter DNA, which is inherited by siblings. For example, they discovered that the grandchildren of smokers were more than twice as likely to suffer from asthma.The researchers studied 338 children who had developed asthma before the age of five.

Lasers treat gum disease

London: A laser cure for gum disease is being tested in the UK. In the treatment, a light sensitive drug is injected into the infected area. The laser beam is aimed at the unhealthy cells and activates the drug and it destroys the organisms eating away at gums and teeth.

The treatment is called photodynamic therapy, a technique is already widely used to treat age-related blindness as well some forms of cancer.

Now new research suggests it could also help thousands of people who suffer from periodontitis, a condition in which bacterial infection and a build-up of plaque eventually make the teeth fall out.

Until now, dentists have treated periodontitis through antibiotics, cleaning and scaling and root planning. Laboratory tests have proved the laser technique can wipe out harmful organisms in a test tube and a team at the Eastman Dental Institute, at University College London hopes to repeat the effects in patients.

GM mice may unlock anti-ageing secret

Seattle:Genetically modified mice that live 20 per cent longer than normal have been created by scientists in an experiment that opens approaches to extending the human lifespan.

The new strain of mouse produces more of an antioxidant protein that limits tissue damage caused by highly reactive chemicals called free radicals, which could also be exploited to fight the ageing process in people.

The US research suggests that drugs that protect the body against free-radical damage could cure age-related conditions such as heart disease and help people to live substantially longer.

It also indicates that stimulating the body’s own production of antioxidants is likely to be more effective than using drugs, vitamins or other supplements with similar properties.

The benefits of catalase, a natural antioxidant enzyme, were seen only in mice that made extra quantities in specialised parts of their cells. This suggests that increased production needs to be targeted precisely for maximum effect.

Peter Rabinovitch, Professor of Pathology at the University of Washington School of Medicine in Seattle, who led the research, said that removing free radicals at the source appeared to be the most promising way forward for anti-ageing medicine.

“This study is very supportive of the free-radical theory of ageing,” Professor Rabinovitch said. “It shows the significance of free radicals, and of reactive oxygen species in particular, in the ageing process.

“People used to only focus on specific age-related diseases, because it was believed that the ageing process itself could not be affected. What we’re realising now is that by intervening in the underlying ageing process, we may be able to produce very significant increases in ‘healthspan’, or healthy lifespan.”

Previous research has revealed two methods that can extend the lifespan of mice, but neither of these appears to be practical for human use. Mice that are fed diets that border on starvation rations live substantially longer, as do rodents that lack a genetic growth factor.

The first approach is not suitable for people because it would be virtually impossible to follow for long periods, and the second has the side-effect of provoking dwarfism.

As a result, research into ageing has increasingly focused on the activity of free radicals and antioxidants, which are widely thought to play a critical part in the tissue damage that accumulates as organisms age.

In the new study, details of which are published today in the journal Science, Professor Rabinovitch’s team sought to analyse the effects of catalase, an enzyme made by cells that helps to convert hydrogen peroxide into water and oxygen. Hydrogen peroxide is a waste product of metabolism that is often the precursor of free radicals, particularly reactive forms of oxygen, that can damage cells. This cellular damage itself leads to the production of more free radicals, creating a vicious circle of age-related decline.

Scientists cure blindness with stem cells

London: Scientists based at the Centre for Sight in East Grinstead have become the first UK team to use adult stem cells in treating blindness. Their success mirrors similar work conducted by Indian scientists based at the LV Prasad Eye Institute in Hyderabad.

Twenty British patients have so far benefitted from the new transplantation surgery performed by Sheraz Daya. The scientists first harvested adult stem cells from the limbal region of the eye. These cells were then cultured in the laboratory for several weeks before being implanted into the patients’ eyes.

Daya’s technique involves taking stem cells from dead donors, living relatives or even the patients themselves. The cells are grown in the laboratory for two to three weeks until they form sheets, which are laid on the surface of the eye to help it heal. All the patients had lost vision because they had few or no limbal stem cells as a result of burns, chemical accidents or disease.

These cells, made just under the surface of the eye, are constantly regenerating: they keep the outermost epithelial layer of the eye clear so that it can act as an barrier against germs and dust. Without sufficient limbal cells, the cornea becomes overgrown, and vision becomes impaired.

“Before we transplant, we scrape off the material that has grown over the eye,” says Daya, who this month presented the results of a clinical trial of his technique to an international conference of eye specialists in Washington. “We lay the cultured stem cells on top and then cover them with a biologic dressing made from amniotic membrane which contains growth factors. The patient is given eye drops made from his own blood plasma, which also helps the cells to grow.”

Daya estimates that the procedure might be suitable for up to 1,000 patients in the UK. “The results are quite dramatic and, five years on, seven of the first 10 patients still have good vision,” he says. “We have not seen survival rates like this before.”

Leading transplant surgeon Prof Nadey Hakim of St Mary’s Hospital, Paddington, has welcomed Daya’s findings. “Should we succeed in generating entire new organs using the patient’s own genetic material, this would overcome the likelihood of the patient rejecting the transplanted organ and cancel the need for immunosuppressive drugs. The work of Daya has undoubtedly brought us closer to realising this dream,” he said.

Smoking adds decade to female reproductive age

A new study in the Netherlands has shown that smoking adds ten years to a woman’s reproductive age.

A smoker aged 30 has the fertility of a 40-year-old, says the study, published in the journal Human Reproduction, which looked at 8,500 women, from 20 to over 40, who were having infertility treatment in the Netherlands.

Just one cigarette a day cuts the chances of becoming pregnant and increases the likelihood of a miscarriage.

Although it is accepted that smoking during pregnancy damages the unborn child, its affect on fertility was not totally clear until now. Approximately one in four women smoke and one in six couples has fertility problems.

The researchers looked at the number of successful IVF cycles and discovered that for smokers the chances of getting pregnant was 28 per cent lower than among non-smokers. The miscarriage rate for smokers was also higher – 21 per cent compared with 16 per cent.

Ovrweight women also had a 33 per cent lower rate of giving birth after their first cycle of treatment.

Professor Didi Braat, from Radboud University Nijmegen Medical Centre, who led the new research, said a smoker between 20 and 30 had the same chances of pregnancy as someone a full decade older.

Green tea can help prevent prostate cancer

New York: The polyphenols in green tea can help prevent prostate cancer, says new research published in the Cancer Research Journal.

Polyphenols target the molecular pathways that shut down the proliferation and spread of tumour cells, as well as inhibiting the growth of tumour nurturing blood vessels, say researchers at the University of Wisconsin.

The researchers found that the consumption of green tea polyphenols led to reduced levels of IGF-1, an inulin-like growth factor found in association with several cancers.

It was also found that the substance led to increased levels of one of the binding proteins for IGF-1, the insulin growth factor binding protein-3.

The research which was carried out with mice discovered that feeding them green tea polyphenols blocked the development and progression of prostate cancer.

Prostate cancer normally occurs in men over 50 years of age, but the chemical process that starts it all begins decades earlier.

Drinking up to 12 cups of green tea per day has no known toxic effects on the human body.

Nouveaux Russians seek immortality

Moscow: Wealthy Russians are seeking immortality by spending millions on rejuvenation, including controversial stem cell injections from aborted or miscarried foetuses.

Stem cells, which have the capability to regenerate any part of the body, are taken from the patient’s own fat layers under local anesthetic or from the discarded umbilical cord of babies. But the most potent stem cells are those from aborted or miscarried human foetuses and use of these is banned in most countries for ethical reasons.

But in Moscow the therapy is widely available with doctors charging $10,000-20,000 for the treatment.

Doctor Alexander Teplyashin, one of the most fashionable rejuvenation specialists, has two clinics in Moscow and on the elite Rublyovskoye Shosse and a long list of the rich who want to turn the clock back.

US magazine Forbes recently reported that Russia has the world’s second largest group of billionaires after the U.S. The personal income of 27 Russian citizens is above $1 billion and their total assets are $90.6 billion.

The third man on Forbes Russian rich list is Oleg Deripaska, an aluminum magnate worth $5.5 billion. In a bid to put off the grim ripper he recently gave $120,000 for research into “the youth elixir” at the Institute of Physical and Chemical Biology of Moscow State University.

Professor Vladimir Skulachev, the Institute director and a full member of the Russian Academy of Sciences, received the money.

Ageing is a biological program where oxygen is the main killer of cells, said Skulachev. And any program can be turned off. The idea is to create a powerful antioxidant to protect the organism from destruction.

Russia’s oldest citizen is Pasikhat Dzhukavleva, a Chechen who turned 124.

Election stress for UK MPs can prove fatal, reveals ElixirNews survey

London: In the UK Labour politicians are twice as likely to die of “lifestyle”diseases than their Tory colleagues, reveals a new survey by ElixirNews.com.

And stress-related heart attacks are the biggest killer of politicians whatever their party. MPs from northern constituencies appear to be prone to “lifestyle” illnesses such as heart disease and stress – one in three of the MPs who has died in the last 25 years has come from the north.

The risk of a heart attack and other illness also accelerates at times of stress such as fighting a General Election or by-election, particularly for the incumbent party. Around the time of the 1997 General Election which brought Tony Blair’s Labour Party to power, three Tory MPs died – Sir Michael Shersby (Uxbridge), aged 64, one week after the Election after a heart attack ; Iain Mills (Meriden) , aged 56, who was found dead in his flat. He had been arrested and given a police warning about drunkenness after being found slumped in the street a few months previously and Barry Porter (Wirral South), 57, who had cancer. Both deaths occurred a few months before the Election. Two Labour MPs suffering from cancer also died just months before – Martin Redmond (Don Valley), aged 59 and Terry Patchett, aged 56, who both had cancer.

In 1990 five Labour MPs died in one year – Allen Adams (Paisley North), aged 44; Pat Wall (Bradford North), aged 57; Mike Carr, who had a fatal heart attack aged 43, after holding his Bootle seat for only two months; Sean Hughes (Knowley North) who died of cancer aged, aged 44; Allan Roberts, aged 43, from cancer who was succeeded by Mr Carr.

An analysis, by ElixirNews.com, of the causes of death of nearly 100 MPs and Prime Ministers over the last 25 years reveals that twice as many Labour politicians die from the main degenerative diseases of ageing, as their Tory colleagues.

The main diseases of ageing are of the cardiovascular system (heart and blood vessels) and the immune system – much of which is self-inflicted illness brought about by poor lifestyle choices: overeating and becoming obese, taking too little exercise, smoking cigarettes and drinking too much alcohol. Medical experts also believe that stress can be a trigger for heart attacks and in the case of cancer, can be a trigger for the growth of mutant cells which then turn into tumours.

The survey also discovered that the average age of death of UK MPs is around 69 years – below the average life expectancy in Britain today, which is 75 for men and 80 for women (United Nations statistic). Only 28% of Labour politicians die a “natural” old age compared to 39% of Tories.

Labour MPs also die earlier than Tory MPs by an average of four years. But the degenerative brain disease, Alzheimer’s, has claimed more Tory victims than Labour.

The list of Labour politicians who have died in their 50s from lifestyle/degenerative diseases include: Anthony Crosland, the Labour Foreign Secretary, who died following a stroke in 1977 at the age of 58; Donald Dewar, Scotland’s First Minister, who died of a brain haemorrhage which was preceded by heart surgery, in 2000 aged 63; Bernie Grant, the MP for Tottenham, died of a heart attack in 2000 aged 58 and John Smith, the Labour Party leader at the time, died of a heart attack aged only 55 in May 1994.

The Tory Party still holds the record for the more bizarre cause of death. The Conservative MP for Eastleigh, Stephen Milligan, died aged 45 in 1994. He was found naked wearing stockings and suspenders with an orange in his mouth. The death was thought to be the result of auto-erotic asphyxiation combined with self-bondage and cross-dressing.

The survey examined the causes of death of 95 MPs and Prime Ministers who have died in the last quarter of a century and discovered the following:

The average age of death of a Prime Minister in the 20th century is 80 years as compared to 72 in the 19th century and 65 in the 18th century. The longest living Labour PM was Jim Callaghan who died earlier this year just before his 93rd birthday. The oldest Conservative PM was Sir Alec Douglas-Home who died aged 93 in October 1995.

The average age of death of Labour MPs is 67, Conservative’s 71 years.

In the past 25 years at least 9 Labour MPs have died of heart attacks and heart failure and 9 from cancer. This compares to the figures for Conservative MPs – around 4 have died of heart attacks and 3 from cancer. Two Tory MPs were suffering from Alzheimer’s at death compared to 0 amongst Labour. There has been one Tory death from alcoholic intoxification. Both parties have suffered one death by suicide each.

Politicians who have suffered heart problems include Michael Heseltine, who was President of the Board of Trade when he suffered a heart attack in 1993; Chris Patten, then Governor of Hong Kong, had heart surgery and more recently Tony Blair, aged 53, underwent surgery last year for supraventricular tachycardia, a disturbance of the heart rhythm.

Tory women MPs die earlier than female Labour MPs – 64/79

Harley Street stress and lifestyle counsellor Julie Langton-Smith said: “Stress is one of the biggest problems today, lack of sleep, poor diet and toxin overload contributes to an early demise. For MP’s these problems are far worse due to the speed with which they live their lives, constantly on the go and all hours. Social interaction with members of the public, trying to please everyone, making decisions, worrying about their media image, dealing with masses of paperwork, staying up late and having poor quality of sleep.

“Our bodies, whether you are an MP or Joe Bloggs, can only take a certain amount of pressure. Stress weakens the immune system which is why MPs suffer so many illnesses where the immune system is weakened such as heart disease and cancer. The body’ss correct chemistry has broken down can lead to increased acid levels causing poor digestion, indigestion, heart burn even inflammation of the joints. Health starts at cellular level and if MPs ignore this then it will lead to all sorts of health problems including depression, insomnia, mood swings, palpitations etc.”

Supersonic gun blasts wrinkles

Tel Aviv: Israeli surgeons are using a supersonic gun that fires a mixture of oxygen and salt water at the skin can get rid of scars and improve burn injuries. The device, which blasts the gas and fluid mixture at the skin faster than the speed of sound, has been shown to reduce acne and other scarring and skin damage, and has also been used to tackle stretch marks.

It has been subjected to clinical trials and has already been used in a number of countries, and is also said to help make skin more elastic and can even be used to reduce wrinkles around the eyes.

It could also be used in the future to deliver medication into the body without the use of a needle.

The gun, which is due to be launched in the UK within six months, uses technology borrowed from the aviation industry to create a jet of gas and liquid travelling at supersonic speed. The secret is in the design of the nozzle, which can propel the oxygen and saline solution at a speed of 200 metres a second.

‘The jet spray impacts on the skin, causing forces strong enough to peel back the layers of skin,’ say the team of plastic surgeons at Shaare Zedek Medical Center in Jerusalem, who carried out a trial of the device on 50 patients.

Because the jet is so strong it can remove deep skin layers, which renews facial tissues, say researchers. By peeling back layer after layer, superficial scarring can also be removed.

The gun, which has been developed by Tavtech Ltd, is positioned at a 45 or 90-degree angle to the skin surface and at a distance of one to two inches.

THEN it is attached by tubes to a main unit with a foot switch. When the switch is pressed, the jet is released and the operator moves the nozzle over the skin, controlling the continuous stream of oxygen and fluid. In that way, layer after layer of skin can be removed. The depth of peeling can be finetuned by adjusting the gas pressure and the length of the blasts.

‘The powerful stream is capable of penetrating the skin pores and crevices, as well as acne lesions, and removing tissue debris.

‘Since bacteria-causing infection are anaerobic, they cannot survive the exposure to oxygen. The addition of nutrients, drugs and vitamins to the fluid solution used will increase the benefits,’ says Professor Ella Lindenbaum, who carried out tests on the device.

Plastic surgeons who conducted a clinical trial in Jerusalem say the pure oxygen in the mix helps wounds to heal much faster than normal.

Oxygen is known to speed up wound healing. It is also believed to stimulate development of collagen, which keeps skin supple.

The manufacturers are in talks with two potential distributors in the UK and hope it will be available some time during the next few months.

Researchers who carried out the trial say the device worked well for all 50 patients.

The gun can also tackle stretch marks, which develop when the skin is excessively stretched by pregnancy or weight gain. Collagen-is damaged and blood vessel dilation results in red or purple-coloured stretch marks, which later turn white.

The device is thought to work by improving the collagen in the tissue to make it more supple.

Other uses need to be investigated. One possibility, say researchers, is that it could be used to get medication of various kinds into the body.

Patches are already used to deliver nicotine replacement and testosterone therapies, but many other drugs could be delivered through the skin.

The manufacturer believes this type of transdermal transfer deserves serious investigation and could be a useful way to introduce medication for a variety of therapeutic purposes.

Being overweight can be good for your health, says new CDC study

Being a little overweight is good for you, a study suggests, but being very thin increases the risk of death, according to the research.

The findings are the result of an analysis by the US watchdog, the Centre for Disease Control. Considered the most comprehensive ever undertaken, it agrees with several smaller studies in recent months.

All show that those who are a little overweight have a lower risk of death than those of normal weight.

As a result, U.S. government experts have dramatically cut the annual number of deaths they blame on people being overweight – from 365,000 to just 25,814.

It means that, officially, more people – 34,000 – now die each year in the U.S. because they are underweight rather than overweight.

Most of these are aged 70 or older. The experts say the definition of a desirable weight range is probably now too low.

They emphasise, however, that there is a difference between being overweight, and being obese – obesity is still a major killer.

Researcher Dr David Williamson, who is overweight himself, said: ‘If I had a family history – a father who had a heart attack at 52, or a brother with diabetes – I would actively lose weight. As it is, I’m comfortable with my size.’ The experts have changed their views on fat and thin people because the new study used more recent data and better statistical techniques, including factors such as smoking, age, race and alcohol consumption.

Based on the new calculations, excess weight drops from the second leading cause of preventable death – after smoking – to seventh.

Biostatistician Mary Grace Kovar said the classification for normal weight is now probably set too low. In addition, ‘overweight’ people are eating more healthily, exercising more, and controlling their blood pressure and cholesterol better than they used to.

The current method of defining obesity calculates BMI, or body-mass index, a person’s weight-to-height ratio. It has been criticised for labelling superfit athletes obese because muscle weighs more than fat.

Scientists urge human cloning for stem cell research

Kyoto: An international group of scientists has urged governments to allow human cloning for stem cell research to cure diseases but not for reproduction.

The recommendations were made by the Human Genome Organization’s ethics panel at the group’s annual meeting in the Japanese city of Kyoto.

The panel said that a blanket ban could set back efforts to develop new medical treatments for disorders such as diabetes and Parkinson’s disease. The panel also suggested that stem cells could be effective in bone marrow transplants.

This three-page statement follows a UN resolution urging member nations to outlaw all forms of human cloning “inasmuch as they are incompatible with human dignity and the protection of human life”.

The statement also criticised some nations for only allowing use of embryos produced before an arbitrary timeline and outlawing government funded research but allowing private bodies free reign. Both criticisms apply to current US policy.

Separately, Norio Nakatsuji, a geneticist from Kyoto University, said that researchers from Japan, South Korea, Singapore, China, Taiwan and Australia agreed this week to boost collaboration on stem-cell research and discussed the possibility of freely providing cells to each other.

Heart scan that can spot disease

London: A new scan that can spot heart disease up to ten years before symptoms appear is proving startlingly successful. A quarter of people scanned so far at one UK centre were found to have significant heart disease — despite having no symptoms.

The scan, which detects furring up of the arteries at its earliest stages and which has picked up disease in people as young as 35, allows preventive treatment to be taken before any damage has been done to the heart.

‘The fantastic advantage of this technology,’ says Dr Paul Jenkins, medical director of the European Scanning Centre, ‘is that it picks up disease when you can do something about it, whether it’s lifestyle changes, drugs or surgery.’ The electron beam computed tomography scan, or EBCT, is a sophisticated X-ray that detects coronary calcification — how hardened the arteries are — which is the first sign of heart disease.

Most other tests, such as exercise stress ECG (which measures the rhythm and electrical activity of the heart) or stress thallium (in which a radioactive marker is put into the bloodstream to reveal blood supply to the heart muscles) are reliable indicators only when heart disease is already so advanced that it has stopped the heart from working properly.

The scan, available at only a handful of UK centres, takes a series of images of the heart over a few minutes, while the patient is fully clothed, lying flat on their back. Then a ‘calcium score’ is calculated, which is compared with the scores of other men or women of the same age to determine individual risk of heart disease.

Treatment depends upon the level of calcium found and the age of the patient. For many, it will simply be lifestyle changes involving diet and exercise. For others, it will be statins, the cholesterol-lowering drug, while for a few it will mean angioplasty to open up the arteries, or bypass surgery.

‘The scan is non-invasive with very low-dose radiation,’ says Dr Jenkins, who is also a consultant physician at St Bart’s Hospital in London, ‘and it is an open scanner, so there is no problem for people with claustrophobia.

‘Calcium should be in your bones, not in your arteries. The total cost of heart disease in the UK is £7 billion and a lot of that goes on patching up people.’

Data from the European Scanning Centre shows how effective the scan can be: ‘We picked up many people who had very significant heart disease, before it had caused symptoms,’ says Dr Jenkins.

Although the scan does not calculate the risk of a stroke — which can be caused by furring up of arteries to the brain — the results can be an indicator, as people who have furring of the heart arteries are more likely to have furring up of the head and neck arteries. Ultrasound scans can assess stroke risk more directly.

Advice about just who should have the scan varies. In America, where it has been available for longer, some centres advise that men over 40 and women over 45 should consider an EBCT scan.

The more risk factors you have — high cholesterol, high blood pressure, smoking, diabetes, obesity, sedentary lifestyle, stress, and family history of heart disease — the more important the scan is.

The scan is available privately at the European Screening Centre in Harley Street, London, for £525.

Processed meats linked to colon cancer

Honolulu: Heavy consumption of hot dogs, sausages and luncheon meats, along with other forms of processed meat, was associated with the greatest risk of pancreatic cancer in a large multiethnic study reported today at the 96th Annual Meeting of the American Association for Cancer Research.

“The results suggest that carcinogenic substances related to meat preparation, rather than their inherent fat or cholesterol content, might be responsible for the association,” said Ute Nöthlings, DrPH, MSE, the study’s lead investigator from the Cancer Research Center at the University of Hawaii in Honolulu.

Meat consumption has been linked to pancreatic cancer in several case-control studies in the past, but the results have been inconsistent and data from prospective studies has been lacking.

For this study, researchers from the Cancer Research Center and USC examined the relationship of diet to pancreatic cancer among 190,545 men and women of African-American, Japanese-American, Caucasian, Latino and Native Hawaiian origin who were part of the Multiethnic Cohort Study in Hawaii and Los Angeles. An average follow-up of seven years yielded 482 incident cases of pancreatic cancer.

The researchers found that the heavy consumption of processed meats resulted in the highest risk for pancreatic cancer, after adjusting for age, smoking status, history of diabetes, familial history of pancreatic cancer and ethnicity. Those who consumed the greatest amount of processed meats had a 67 percent increase in risk over those participants with the lowest intake of this food category. A diet rich in pork and red meat also increased pancreatic cancer risk by about 50 percent, compared to their counterparts who ate less meat.

Consumption of poultry, fish, dairy products and eggs showed no link to pancreatic cancer risk, nor did overall intake of total fat, saturated fat, or cholesterol.

“An analysis of fat and saturated fat intakes showed a significant increase in risk for fats from meat, but not from dairy products, indicating that fat and saturated fat are not likely to contribute to the underlying carcinogenic mechanism,” said Nöthlings.

In particular, the scientists suggest that chemical reactions that occur during the preparation of processed meats might be responsible for the association. Such reactions can yield carcinogens including heterocyclic amines or polycyclic aromatic hydrocarbons.

“Our study is the largest of its kind to demonstrate a link between high consumption of processed meats over long periods of time and pancreatic cancer,” said Nöthlings. “The sample size allowed us to obtain statistically significant risk-estimates that support this hypothesis.”

Australians living longer

Sydney: Australians are living longer and getting richer, but paying for it with more greenhouse gas emissions and lower air quality, according to a new report.

The Australian Bureau of Statistics has released Measures of Australia’s Progress: Summary Indicators 2005, which looks at whether life is better now than 10 years ago.

Girls born today are still expected to live longer than boys, but boys are catching up. Life expectancy for girls rose two years to nearly 83 years, while for boys it rose three years to nearly 78.
Australians are also earning more, with real income increasing by an average 3.1 per cent a year.

But greenhouse gas emissions are rising. In 2002 they were 8.8 per cent higher than 10 years ago, with Australians churning out 550 megatonnes of carbon dioxide a year.

Demand for cosmetic surgery in New Zealand doubles

Christchurch: Dr Martin Rees, president of the New Zealand Foundation for Cosmetic Plastic Surgery, said surgeons throughout the country reported a growth in operations of 30 and 50 per cent in the last two years.

The doctors put this dramatic growth down to popular TV programmes such as Nip?Tuck and Extreme Makeover which make cosmetic surgery seem as simple as home improvements.

Rees said surgeons needed to be careful to point out to potential patients that cosmetic surgery was not nearly as instantaneous as it appeared on shows such as Extreme Makeover.

“It’s all condensed. It’s a bit like Mitre 10 Home Improvement with your house fixed in half an hour.”

Christchurch-based Californian plastic surgeon Howard Klein said the industry’s local growth reflected a global increase in cosmetic surgery, and there was no question it was influenced by shows such as Nip/Tuck and Extreme Makeover.

Klein said the programmes were helpful in that they generally portrayed cosmetic surgery in a good light.

“They reflect some people’s genuine satisfaction with cosmetic surgery – that positive `I’m really thrilled, this has changed my life’ thing. That’s how I see cosmetic surgery working in practice.”

Klein thought the programme Nip/Tuck – with its catchphrase “appearance is everything” – helped New Zealanders overcome their long-held ambivalence about plastic surgery.

“It’s not that Kiwis have been less interested than my patients in California, but they were uneasy in admitting the fact they were interested,” he said.

Christchurch now has six cosmetic surgeons and a growing band of less-qualified people – mainly GPs and nurses – offering such things as Botox injections, dermal filling, laser resurfacing and skin peels.

AdvertisementAdvertisementA local dental group advertises in the Yellow Pages under the heading Extreme Dental Makeovers.

Merivale plastic surgeon Stewart Sinclair said he was booked up until July.

Although the number of surgeons in Christchurch had increased, he had not experienced any drop in demand.

“I would have expected my practice to decrease but that hasn’t happened. I can’t get much busier,” he said.

Sinclair did not think highly of the TV programmes.

“That Nip/Tuck thing. It’s not real – all those sexual relationships with the patients.”