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Texas Senate Passes CHIP Expansion Bill, Avoiding Legislative Backlog, Deadlines
The Texas Senate on Wednesday voted to approve a bill that would boost enrollment in the state"s version of CHIP, the Houston Chronicle reports. The bill, sponsored by state Sen. Kip Averitt (R), would raise the income eligibility threshold for the program to 200% of the federal poverty level for a family of four. Families" premiums, copayments and fees would not exceed 5% of their net income, under the bill (Elliott, Houston Chronicle, 5/28).Supporters of the bill say that it could extend CHIP coverage to as many as 80,000 uninsured children statewide (AP/Fort Worth Star-Telegram, 5/28). The bill now moves back to the state House for approval. The House approved legislation last month that would have expanded CHIP to families with annual incomes up to $88,000. Averitt said the measure, which he attached to a House bill on disease screening for newborns, is similar to a bill that passed the Senate in March.According to the Chronicle, the state budget being finalized this week includes $43 million to expand CHIP, which would draw down federal matching funds (Houston Chronicle, 5/28).
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Proteolix Presents Positive Clinical Data For Carfilzomib In Multiple Myeloma At The 2009 ASCO Annual Meeting
Proteolix, Inc. presented results from the company"s most advanced clinical trial of single-agent carfilzomib demonstrating anti-cancer activity and progression-free survival in patients with relapsed and refractory multiple myeloma. Carfilzomib is the first in a new class of selective, irreversible proteasome inhibitors being developed by Proteolix for the treatment of hematologic malignancies and solid tumors.
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California State Senators Join Forces To Promote "Patient Safety Act"
Senator Sam Aanestad (R-Grass Valley) and Senator Gloria Negrete McLeod (D-Chino) are teaming up in an act of bi-partisan cooperation to serve as joint authors for legislation designed to improve patient safety in California by reforming Medical Peer Review. This is the process where a committee of physicians examines the work of a peer and determines whether the physician under review has met accepted standards of care in rendering medical services.
Diagnostics

Practice Makes Perfect - Motor Memory Possible For Neuroprosthetic Control

"Practice makes perfect" is the maxim drummed into students struggling to learn a new motor skill - be it riding a bike or developing a killer backhand in tennis. In order to become proficient in any motor task, all that practice must eventually modify the performer"s nervous system so that stable motor memories of the physical actions are formed. In this week"s issue of PLoS Biology, new research reveals that macaque monkeys can achieve a kind of consolidation of motor memory when using a neuroprosthetic device to complete a motor action. The finding could have a role in increasing the ease with which physically disabled people can master the control of artificial limbs and other disembodied devices. Scientists at the University of California, Berkeley, taught macaque monkeys to use their own brain signals to move a computer cursor to various targets using a prosthetic device, and as the monkeys learned to proficiently use the robotic device, the researchers monitored their brain signals. The scientists learned that the brain develops a mental map of the solution to the task, and that the neural patterns persisted without deviation, much like a driver sticks to a given route commuting to work. "When your own body performs motor tasks repeatedly, the movements become almost automatic," said study principal investigator Jose Carmena. "The profound part of our study is that this is all happening with something that is not part of one"s own body. We have demonstrated that the brain is able to form a motor memory to control a disembodied device in a way that mirrors how it controls its own body. That has never been shown before." Researchers have previously demonstrated that rodents, non-human primates and humans are able to control robotic devices or computer cursors in real time using only brain signals. But what had not been clear before was whether such a skill had been consolidated as a motor memory. The new study suggests that the brain is capable of creating a stable, mental representation of a disembodied device so that it can be controlled with little effort. To demonstrate this, Carmena and Karunesh Ganguly, a post-doctoral fellow in Carmena"s laboratory, used a mathematical model, or "decoder." The decoder, analogous to a simplified spinal cord, translated the signals from the brain"s motor cortex into movement of the cursor. It took about four to five days of practice for the monkeys to master precise control of the cursor. Once they did, they completed the task easily and quickly for the next two weeks. As the tasks were being completed, the researchers were able to monitor the changes in activity of individual neurons involved in controlling the cursor. They could tell which cells were active when the cursor moved in specific directions. The researchers noticed that when the animals became proficient at the task, the neural patterns involved in the "solution" stabilized. There are three major features scientists associate with motor memory; stability - once a motor memory is consolidated it is difficult to change, rapid recall upon demand, and resistance to interference when new skills are learned. All three elements were demonstrated by the macaques in the UC Berkeley study. To test resistance to interference, the researchers presented a new decoder - marked by a different colored cursor - two weeks after the monkeys showed mastery of the first decoder. As the monkeys were mastering the second decoder, the researchers would suddenly switch back to the original decoder and saw that the monkeys could immediately perform the task without missing a beat. The ability to switch back and forth between the two decoders shows a level of neural plasticity never before associated with the control of a prosthetic device. "This is a study that says that maybe one day, we can really think of the ultimate neuroprosthetic device that humans can use to perform many different tasks in a more natural way," said Carmena. "Beyond its clinical applications this line of research sheds light on how the brain assembles and organizes neurons, and how it forms a motor memory to control the prosthetic device," Carmena said. "These are important, fundamental questions about how the brain learns in general." Funding: This work was supported by the American Heart Association and the American Stroke Association to KG and the Christopher and Dana Reeve Foundation to JMC. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests statement: The authors declare that no competing interests exist. Citation: "Emergence of a Stable Cortical Map for Neuroprosthetic Control." Ganguly K, Carmena JM (2009) PLoS Biol 7(7):e1000153. doi:10.1371/journal.pbio.1000153 PLoS Biology


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