Friday, June 30, 2017
Dierbergs Markets Issues Allergy Alert on Undeclared Fish and Milk in Product - FDA Safety Alerts & Drug Recalls
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Federal judge orders New York smoked fish company to stop sales due to food safety violations - FDA Press Releases
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A Cumulative Deficit Laboratory Test–based Frailty Index: Personal and Neighborhood Associations - American Geriatric Society
Objectives
To explore the association between a newly developed cumulative laboratory-based frailty index (FI) and intrinsic (personal) and extrinsic (social, environmental) characteristics.
Design
Cross-sectional longitudinal study.
Setting
The third and fourth waves of the community-representative, five-county, 10-year Duke Established Populations for Epidemiologic Studies of the Elderly study, carried out in a health service-rich area.
Participants
Cognitively intact survivors of the third wave (N = 1,740), who provided blood samples for standard laboratory work.
Measurements
Biomarkers (n = 28) were measured to develop a cumulative deficit laboratory test–based FI (Duke FI) derived from standard laboratory tests: SMAC-24 chemistry panel, high-density lipoprotein cholesterol panel, and complete blood count. Information was gathered on scales assessing intrinsic characteristics (personal locus of control, life satisfaction, self-esteem, depressive symptomatology) and extrinsic characteristics (support received from and provided to family and friends, stressful life events, neighborhood disadvantage).
Results
The newly developed Duke FI had content, construct, concurrent, and predictive validity. In addition to sex, race, and income, the Duke FI was associated at the intrinsic level with locus of control, self-esteem, life satisfaction, and depressive symptomatology (each P < .01) and at the extrinsic level with provision (P < .01) and with receipt of instrumental help (P < .10), social stressors (P < .03), and neighborhood disadvantage (P < .01) in unadjusted analysis; race fully explained neighborhood disadvantage.
Conclusion
Intrinsic (personality) characteristics and personally close extrinsic characteristics (contacts with family and friends, personal stressors) are associated with laboratory test–based frailty, as is neighborhood disadvantage, although in this accessible, health service–rich environment, race fully explained association with neighborhood disadvantage, suggesting that interventions to reduce frailty in residents in such an environment should pay particular attention to characteristics that immediately affect the individual.
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Thursday, June 29, 2017
FDA allows marketing of test to aid in the detection of certain leukemias and lymphomas - FDA Press Releases
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FDA unveils plan to eliminate orphan designation backlog - FDA Press Releases
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Wednesday, June 28, 2017
A novel neutralizing monoclonal antibody targeting the N-terminal domain of the MERS-CoV spike protein
A novel neutralizing monoclonal antibody targeting the N-terminal domain of the MERS-CoV spike protein
Emerging Microbes & Infections 6, e60 (June 2017). doi:10.1038/emi.2017.50
Authors: Yingzhu Chen, Shuai Lu, Hao Jia, Yao Deng, Jianfang Zhou, Baoying Huang, Yueyang Yu, Jiaming Lan, Wenling Wang, Yongliang Lou, Kun Qin & Wenjie Tan
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Tuesday, June 27, 2017
PharMEDium Services Issues Voluntary Nationwide Recall of Specific Lots of Potassium Phosphate and Succinylcholine Chloride Due to a Lack of Sterility Assurance - FDA Safety Alerts & Drug Recalls
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Global Lamsheng Kee Inc. Issues Allergy Alert on Undeclared Egg in Frozen Fish Tofu, Frozen Fried Fish Ball and Frozen White Fish Ball - FDA Safety Alerts & Drug Recalls
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FDA Tackles Drug Competition to Improve Patient Access - FDA Press Releases
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Monday, June 26, 2017
Biosynthetic studies on terpenoids produced by Streptomyces - Journal of Antibiotics
Biosynthetic studies on terpenoids produced by Streptomyces
The Journal of Antibiotics 70, 811 (July 2017). doi:10.1038/ja.2017.12
Author: Tomohisa Kuzuyama
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Cytotoxic rearranged angucycline glycosides from deep sea-derived Streptomyces lusitanus SCSIO LR32 - Journal of Antibiotics
Cytotoxic rearranged angucycline glycosides from deep sea-derived Streptomyces lusitanus SCSIO LR32
The Journal of Antibiotics 70, 819 (July 2017). doi:10.1038/ja.2017.17
Authors: Xiangcheng Zhu, Yanwen Duan, Zhaomeng Cui, Zhen Wang, Zengxia Li, Yun Zhang, Jianhua Ju & Hongbo Huang
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New chlorinated xanthone and anthraquinone produced by a mangrove-derived fungus Penicillium citrinum HL-5126 - Journal of Antibiotics
New chlorinated xanthone and anthraquinone produced by a mangrove-derived fungus Penicillium citrinum HL-5126
The Journal of Antibiotics 70, 823 (July 2017). doi:10.1038/ja.2017.52
Authors: Ke-Yao He, Cheng Zhang, Yi-Ru Duan, Guo-Lei Huang, Chun-Yan Yang, Xing-Rui Lu, Cai-Juan Zheng & Guang-Ying Chen
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Nutritional control of antibiotic production by Streptomyces platensis MA7327: importance of l-aspartic acid - Journal of Antibiotics
Nutritional control of antibiotic production by Streptomyces platensis MA7327: importance of l-aspartic acid
The Journal of Antibiotics 70, 828 (July 2017). doi:10.1038/ja.2017.49
Authors: Maria Falzone, Emmanuel Crespo, Klarissa Jones, Gulaba Khan, Victoria L Korn, Amreen Patel, Mira Patel, Krishnaben Patel, Carrie Perkins, Sana Siddiqui, Drew Stenger, Eileen Yu, Michael Gelber, Robert Scheffler, Vasyl Nayda, Ariela Ravin, Ronica Komal, Jeffrey D Rudolf, Ben Shen, Vincent Gullo & Arnold L Demain
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Synthesis and biological evaluation of indole core-based derivatives with potent antibacterial activity against resistant bacterial pathogens - Journal of Antibiotics
Synthesis and biological evaluation of indole core-based derivatives with potent antibacterial activity against resistant bacterial pathogens
The Journal of Antibiotics 70, 832 (July 2017). doi:10.1038/ja.2017.55
Authors: Wei Hong, Jingyang Li, Zhe Chang, Xiaoli Tan, Hao Yang, Yifan Ouyang, Yanhui Yang, Sargit Kaur, Ian C Paterson, Yun Fong Ngeow & Hao Wang
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Sonochemical synthesis of pyrido[2,3-d:6,5-d′]-dipyrimidines catalyzed by [HNMP]+[HSO4]− and their antimicrobial activity studies - Journal of Antibiotics
Sonochemical synthesis of pyrido[2,3-d:6,5-d′]-dipyrimidines catalyzed by [HNMP]+[HSO4]− and their antimicrobial activity studies
The Journal of Antibiotics 70, 845 (July 2017). doi:10.1038/ja.2017.47
Authors: Hossein Naeimi, Asieh Didar, Zahra Rashid & Zohreh Zahraie
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Aurachin SS, a new antibiotic from Streptomyces sp. NA04227 - Journal of Antibiotics
Aurachin SS, a new antibiotic from Streptomyces sp. NA04227
The Journal of Antibiotics 70, 853 (July 2017). doi:10.1038/ja.2017.50
Authors: Mei Zhang, Cheng Long Yang, Yong Sheng Xiao, Bo Zhang, Xin Zhao Deng, Li Yang, Jing Shi, Yi Shuang Wang, Wei Li, Rui Hua Jiao, Ren Xiang Tan & Hui Ming Ge
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Unique prostate cancer-toxic polyketides from marine sediment-derived fungus Isaria felina - Journal of Antibiotics
Unique prostate cancer-toxic polyketides from marine sediment-derived fungus Isaria felina
The Journal of Antibiotics 70, 856 (July 2017). doi:10.1038/ja.2017.53
Authors: Olga F Smetanina, Anton N Yurchenko, Elena V Ivanets, Anatoly I Kalinovsky, Yuliya V Khudyakova, Sergey A Dyshlovoy, Gunhild von Amsberg, Ekaterina A Yurchenko & Shamil Sh Afiyatullov
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Heterologous expression of diverse propionyl-CoA carboxylases affects polyketide production in Escherichia coli - Journal of Antibiotics
Heterologous expression of diverse propionyl-CoA carboxylases affects polyketide production in Escherichia coli
The Journal of Antibiotics 70, 859 (July 2017). doi:10.1038/ja.2017.38
Authors: Gergana A Vandova, Robert V O'Brien, Brian Lowry, Thomas F Robbins, Curt R Fischer, Ronald W Davis, Chaitan Khosla, Colin JB Harvey & Maureen E Hillenmeyer
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Treatment of Sarcopenia with Bimagrumab: Results from a Phase II, Randomized, Controlled, Proof-of-Concept Study - American Geriatric Society
Objectives
To assess the effects of bimagrumab on skeletal muscle mass and function in older adults with sarcopenia and mobility limitations.
Design
A 24-week, randomized, double-blind, placebo-controlled, parallel-arm, proof-of-concept study.
Setting
Five centers in the United States.
Participants
Community-dwelling adults (N = 40) aged 65 and older with gait speed between 0.4 and 1.0 m/s over 4 m and an appendicular skeletal muscle index of 7.25 kg/m2 or less for men and 5.67 kg/m2 or less for women.
Intervention
Intravenous bimagrumab 30 mg/kg (n = 19) or placebo (n = 21).
Measurements
Change from baseline in thigh muscle volume (TMV), subcutaneous and intermuscular fat, appendicular and total lean body mass, grip strength, gait speed, and 6-minute walk distance (6MWD).
Results
Thirty-two (80%) participants completed the study. TMV increased by Week 2, was sustained throughout the treatment period, and remained above baseline at the end of study in bimagrumab-treated participants, whereas there was no change with placebo treatment (Week 2: 5.15 ± 2.19% vs −0.34 ± 2.59%, P < .001; Week 4: 6.12 ± 2.56% vs 0.16 ± 3.42%, P < .001; Week 8: 8.01 ± 3.70% vs 0.35 ± 3.32%, P < .001; Week 16: 7.72 ± 5.31% vs 0.42 ± 5.14%, P < .001; Week 24: 4.80 ± 5.81% vs −1.01 ± 4.43%, P = .002). Participants with slower walking speed at baseline receiving bimagrumab had clinically meaningful and statistically significantly greater improvements in gait speed (mean 0.15 m/s, P = .009) and 6MWD (mean 82 m, P = .022) than those receiving placebo at Week 16. Adverse events in the bimagrumab group included muscle-related symptoms, acne, and diarrhea, most of which were mild in severity and resolved by the end of study.
Conclusion
Treatment with bimagrumab over 16 weeks increased muscle mass and strength in older adults with sarcopenia and improved mobility in those with slow walking speed.
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Statement from FDA Commissioner Scott Gottlieb, M.D., on the importance of the Drug Quality and Security Act and overseeing the safety of compounded drugs - FDA Press Releases
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Publix Recalls Publix Tropical Medley Mix Due to Possible Contamination with Listeria Monocytogenes - FDA Safety Alerts & Drug Recalls
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Sunday, June 25, 2017
Polypharmacy and Gait Performance in Community–dwelling Older Adults - American Geriatric Society
Objectives
To examine the relationship between polypharmacy and gait performance during simple (normal walk (NW)) and complex (walking while talking (WWT)) locomotion.
Design
Cross-sectional.
Setting
Community.
Participants
Community-dwelling older adults (N = 482).
Measurements
Polypharmacy, defined as use of five or more medications and a cohort-specific alternate definition of eight or more medications, was examined. Velocity (cm/s) measured quantitatively during NW and WWT conditions.
Results
The 164 participants (34%) with polypharmacy of five or more medications were older (77.0 ± 6.6 vs 76.0 ± 6.4) and more likely to have hypertension, congestive heart failure, diabetes mellitus, myocardial infarction, and higher body mass index (BMI) and to have fallen within the last year than the remaining 318 without polypharmacy and walked 6 cm/s slower (P = .004) during NW and 4 cm/s slower during WWT (P = .07), adjusting for age, sex, and education. Group differences were not statistically significant after adjusting for comorbidities. Prevalence of polypharmacy of eight or more medications was 10%. This group walked 11 cm/s slower during NW (P < .001) and 8.6 cm/s slower during WWT (P = .01) than those without polypharmacy, adjusted for age, sex, and education. Participants taking eight or more medications had slower NW (8.5 cm/s; P = .01), and WWT (6.9 cm/s; P = .07), compared to those without polypharmacy, adjusting for comorbidities. Adjustments for BMI, high-risk drugs, falls, and comorbidities yielded slower NW (9.4 cm/s, P = .005) and WWT (7.9 cm/s, P = .04 among those with polypharmacy compared to those without polypharmacy).
Conclusion
These results suggest an association between polypharmacy and locomotion that medical comorbidities only partly explained.
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Friday, June 23, 2017
ADM Animal Nutrition Recalls Rough-N-Ready Cattle Feed A specific lot of product contains elevated levels of monensin, could harm cattle - FDA Safety Alerts & Drug Recalls
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Fagron Sterile Services Issues Voluntary Nationwide Recall of Succinylcholine Chloride Due to Potential For Lack of Sterility Assurance - FDA Safety Alerts & Drug Recalls
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Teleflex’s (TFX) Vascular Solutions, Inc. Issues Recall of Venture® Catheters - FDA Safety Alerts & Drug Recalls
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Thursday, June 22, 2017
FDA approves first subcutaneous C1 Esterase Inhibitor to treat rare genetic disease - FDA Press Releases
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Advanced Pharma, Inc. d/b/a Avella of Houston Issues Voluntary Nationwide Recall of Specific Lots of Potassium Phosphate and Succinylcholine Repacked and/or Compounded at its Houston Location as a Result of Hospira, Inc’s June 15, 2017 Recall of Such Products Due to a Potential Lack of Sterility Assurance - FDA Safety Alerts & Drug Recalls
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Catechol-O-Methyltransferase Genotype and Gait Speed Changes over 10 Years in Older Adults - American Geriatric Society
Objectives
To determine the association between catechol-O-methyltransferase (COMT) genotype and 6-m walk time and to determine whether these associations are quadratic in nature, similar to previously reported U-shaped associations between dopamine and gait and cognition.
Design
Prospective cohort study.
Setting
Health, Aging and Body Composition Study.
Participants
Black (n = 850) and white (n = 1,352) men and women with a mean age of 73.5 ± 2.85 at baseline.
Measurements
Mixed models were used to assess the association between the COMT genotype and 6-m walk time, cross-sectionally and longitudinally over 10 years. Models were assessed unstratified and stratified according to race because allele distributions were different between white and black participants.
Results
There was a significant U-shaped association between COMT genotype and 6-m walk time: those with higher (Val/Val) and lower (Met/Met) dopamine slowed more over 10 years (0.22 ± 0.02 seconds per visit and 0.23 ± 0.02 seconds per visit, respectively) than those with the intermediate (Met/Val) dopamine (0.20 ± 0.02 seconds per visit) (P = .005). Stratified results showed a significant relationship in black (P = .01) but not white (P = .15) participants.
Conclusion
These findings indicate a role of dopaminergic regulation of gait speed in community-dwelling older adults and of prefrontal cortex involvement in gait performance. Future work should investigate the molecular integrity of dopaminergic networks and gait changes over time and structural changes in the brain with COMT and gait decline in older adults.
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Wednesday, June 21, 2017
Functional Impairment: An Unmeasured Marker of Medicare Costs for Postacute Care of Older Adults - American Geriatric Society
Objectives
To assess the effects of preadmission functional impairment on Medicare costs of postacute care up to 365 days after hospital discharge.
Design
Longitudinal cohort study.
Setting
Health and Retirement Study (HRS).
Participants
Nationally representative sample of 16,673 Medicare hospitalizations of 8,559 community-dwelling older adults from 2000 to 2012.
Measurements
The main outcome was total Medicare costs in the year after hospital discharge, assessed according to Medicare claims data. The main predictor was functional impairment (level of difficulty or dependence in activities of daily living (ADLs)), determined from HRS interview preceding hospitalization. Multivariable linear regression was performed, adjusted for age, race, sex, income, net worth, and comorbidities, with clustering at the individual level to characterize the association between functional impairment and costs of postacute care.
Results
Unadjusted mean Medicare costs for 1 year after discharge increased with severity of impairment in a dose-response fashion (P < .001 for trend); 68% had no functional impairment ($25,931), 17% had difficulty with one ADL ($32,501), 7% had dependency in one ADL ($39,928), and 8% had dependency in two or more ADLs ($45,895). The most severely impaired participants cost 77% more than those with no impairment; adjusted analyses showed attenuated effect size (33% more) but no change in trend. Considering costs attributable to comorbidities, only three conditions were more expensive than severe functional impairment (lymphoma, metastatic cancer, paralysis).
Conclusion
Functional impairment is associated with greater Medicare costs for postacute care and may be an unmeasured but important marker of long-term costs that cuts across conditions.
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H-E-B Issues Recall for Undeclared Allergen. H-E-B Creamy Creations Cherry Vanilla Light Churn Style Ice Cream being recalled from five stores for undeclared allergen - FDA Safety Alerts & Drug Recalls
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Using Chief Complaint in Addition to Diagnosis Codes to Identify Falls in the Emergency Department - American Geriatric Society
Objectives
To compare incidence of falls in an emergency department (ED) cohort using a traditional International Classification of Diseases, Ninth Revision (ICD-9) code–based scheme and an expanded definition that included chief complaint information and to examine the clinical characteristics of visits “missed” in the ICD-9-based scheme.
Design
Retrospective electronic record review.
Setting
Academic medical center ED.
Participants
Individuals aged 65 and older seen in the ED between January 1, 2013, and September 30, 2015.
Measurements
Two fall definitions were applied (individually and together) to the cohort: an ICD-9-based definition and a chief complaint definition. Admission rates and 30-day mortality (per encounter) were measured for each definition.
Results
Twenty-three thousand eight hundred eighty older adult visits occurred during the study period. Using the most-inclusive definition (ICD-9 code or chief complaint indicating a fall), 4,363 visits (18%) were fall related. Of these visits, 3,506 (80%) met the ICD-9 definition for a fall-related visit, and 2,664 (61%) met the chief complaint definition. Of visits meeting the chief complaint definition, 857 (19.6%) were missed when applying the ICD-9 definition alone. Encounters missed using the ICD-9 definition were less likely to lead to an admission (42.9%, 95% confidence interval (CI) = 39.7–46.3%) than those identified (54.4%, 95% CI = 52.7–56.0%).
Conclusion
Identifying individuals in the ED who have fallen based on diagnosis codes underestimates the true burden of falls. Individuals missed according to the code-based definition were less likely to have been admitted than those who were captured. These findings call attention to the value of using chief complaint information to identify individuals who have fallen in the ED—for research, clinical care, or policy reasons.
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HIV-1 gp41-targeting fusion inhibitory peptides enhance the gp120-targeting protein-mediated inactivation of HIV-1 virions
HIV-1 gp41-targeting fusion inhibitory peptides enhance the gp120-targeting protein-mediated inactivation of HIV-1 virions
Emerging Microbes & Infections 6, e59 (June 2017). doi:10.1038/emi.2017.46
Authors: Qianqian Qi, Qian Wang, Weizao Chen, Lanying Du, Dimiter S Dimitrov, Lu Lu & Shibo Jiang
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Astroviruses in bats, Madagascar
Astroviruses in bats, Madagascar
Emerging Microbes & Infections 6, e58 (June 2017). doi:10.1038/emi.2017.47
Authors: Camille Lebarbenchon, Beza Ramasindrazana, Léa Joffrin, Sandra Bos, Erwan Lagadec, Gildas Le Minter, Yann Gomard, Pablo Tortosa, David A Wilkinson, Steven M Goodman & Patrick Mavingui
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Primary osteomyelitis caused by an NDM-1-producing K. pneumoniae strain of the highly virulent sequence type 23
Primary osteomyelitis caused by an NDM-1-producing K. pneumoniae strain of the highly virulent sequence type 23
Emerging Microbes & Infections 6, e57 (June 2017). doi:10.1038/emi.2017.43
Authors: Fabrice Compain, Alexis Vandenberghe, Marie Gominet, Nathalie Genel, David Lebeaux, Astrid Ramahefasolo, Isabelle Podglajen & Dominique Decré
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Longitudinal study of Middle East Respiratory Syndrome coronavirus infection in dromedary camel herds in Saudi Arabia, 2014–2015
Longitudinal study of Middle East Respiratory Syndrome coronavirus infection in dromedary camel herds in Saudi Arabia, 2014–2015
Emerging Microbes & Infections 6, e56 (June 2017). doi:10.1038/emi.2017.44
Authors: Maged Gomaa Hemida, Abdulmohsen Alnaeem, Daniel KW Chu, Ranawaka APM Perera, Samuel MS Chan, Faisal Almathen, Emily Yau, Brian CY Ng, Richard J Webby, Leo LM Poon & Malik Peiris
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Differences in sequences between HBV-relaxed circular DNA and covalently closed circular DNA
Differences in sequences between HBV-relaxed circular DNA and covalently closed circular DNA
Emerging Microbes & Infections 6, e55 (June 2017). doi:10.1038/emi.2017.41
Authors: Magda Rybicka, Anna Woziwodzka, Tomasz Romanowski, Piotr Stalke, Marcin Dręczewski & Krzysztof Piotr Bielawski
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An outbreak of echovirus 18 encephalitis/meningitis in children in Hebei Province, China, 2015
An outbreak of echovirus 18 encephalitis/meningitis in children in Hebei Province, China, 2015
Emerging Microbes & Infections 6, e54 (June 2017). doi:10.1038/emi.2017.39
Authors: Xiangpeng Chen, Jingjie Li, Jiayun Guo, Wenbo Xu, Suzhen Sun & Zhengde Xie
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Coronavirus HKU15 in respiratory tract of pigs and first discovery of coronavirus quasispecies in 5′-untranslated region
Coronavirus HKU15 in respiratory tract of pigs and first discovery of coronavirus quasispecies in 5′-untranslated region
Emerging Microbes & Infections 6, e53 (June 2017). doi:10.1038/emi.2017.37
Authors: Patrick CY Woo, Susanna KP Lau, Chi-Ching Tsang, Candy CY Lau, Po-Chun Wong, Franklin WN Chow, Jordan YH Fong & Kwok-Yung Yuen
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Infections of horses and shrews with Bornaviruses in Upper Austria: a novel endemic area of Borna disease
Infections of horses and shrews with Bornaviruses in Upper Austria: a novel endemic area of Borna disease
Emerging Microbes & Infections 6, e52 (June 2017). doi:10.1038/emi.2017.36
Authors: Herbert Weissenböck, Zoltán Bagó, Jolanta Kolodziejek, Barbara Hager, Günter Palmetzhofer, Ralf Dürrwald & Norbert Nowotny
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Tuesday, June 20, 2017
JFC International Inc. Issues Missing English Label and Allergy Alert on Undeclared Wheat, Soybean, and Fish (Bonito) in Futaba Sesame Hijiki Rice Seasoning - FDA Safety Alerts & Drug Recalls
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United Natural Trading LLC Announces Voluntary Recall of Products Containing Organic and Natural Chopped Dates Due to Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Batch of Fat Cat Purry-Purry Sauce Hot Sauce Recalled Due to Undeclared Allergens in Per-Peri Pepper Ingredient - FDA Safety Alerts & Drug Recalls
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U.S. Marshals seize adulterated food from a Minnesota warehouse - FDA Press Releases
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House of Thaller Recalls Selected Pine Nut Hummus Products Because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Recall Expansion in New Jersey on Fewer than 650 units of Ava’s Brand Organic Roasted Unsalted Cashews and Organic Roasted Unsalted Almonds - FDA Safety Alerts & Drug Recalls
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Monday, June 19, 2017
Kabir’s Bakery issues allergy alert on undeclared milk in “Kabir’s Bakery Cinnamon Twist” and “Kabir’s Bakery Cinnamon Raisin Danish” in four ounce plastic packages, all container codes. - FDA Safety Alerts & Drug Recalls
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Rikki USA, Inc. Issues Allergy Alert on Undeclared Milk in Masa’s Gourmet Sweet and Sour Sauce, Masa’s Gourmet Curry Coconut Sauce and Masa’s Gourmet Pulled Pork BBQ Sauce - FDA Safety Alerts & Drug Recalls
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Datascope Corp/MAQUET Issues Worldwide Voluntary Recall of the System CS100, CS100i and CS300 Intra-Aortic Balloon Pumps for Potential Electrical Test Failure Code - FDA Safety Alerts & Drug Recalls
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Discharge Against Medical Advice of Elderly Inpatients in the United States - American Geriatric Society
Discharge against medical advice (DAMA) is associated with greater risk of hospital readmission and higher morbidity, mortality, and costs, but with a rapidly increasing elderly inpatient population, there is a lack of national data on DAMA in this subgroup. The National Inpatient Sample (2003–2013 for trends, 2013 for multivariable analysis, n = 29,290,852) was used to describe trends in DAMA in elderly inpatients, to study diagnosis codes associated with admission, and to assess factors associated with DAMA using multivariable logistic regression. Odds ratios (ORs) and 95% confidence intervals (CIs) are reported for risk factors of interest. Although DAMA rates in individuals aged 65 and older were one fourth of those found in individuals aged 18 to 64, an increasing trend was found in both groups. From 2003 to 2013, rates increased in individuals aged 18 to 64 (from 1.44% to 1.78%) and in those aged 65 and older (from 0.37% to 0.42% (both P < .001). In both age groups, individuals admitted for mental illness had the highest risk of DAMA. Factors associated with higher adjusted odds of DAMA were generally similar between age groups, although risk of DAMA was higher in elderly adults than in those aged 18 to 64 for blacks (OR 1.65, 95% CI 1.49–1.82 vs OR 1.16, 95% CI 1.12–1.20), Hispanics (OR 1.58, 95% CI 1.41–1.77 vs OR 0.83, 95% CI 0.79–0.87), and those in the lowest income quartile (OR 1.57, 95% CI 1.43–1.72 vs OR 1.12, 95% CI 1.08–1.17), suggesting that race/ethnicity and poverty are more pronounced as risk factors for DAMA in elderly inpatients.
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Saturday, June 17, 2017
Update to Voluntary Recall of Eliquis® (apixaban) 5 mg Tablets (#HN0063) - Recall to retail/dispensing level only - FDA Safety Alerts & Drug Recalls
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Friday, June 16, 2017
United Pet Group Expands Voluntary Recall of Multiple Brands of Rawhide Chew Products for Dogs to Also Include Private Label Brands Due to Possible Chemical Contamination - FDA Safety Alerts & Drug Recalls
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Alvogen Issues Voluntary Nationwide Recall of Clindamycin Injection Due to a Potential for a Lack of Sterility Assurance - FDA Safety Alerts & Drug Recalls
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Vitakraft Sun Seed Issues Voluntary Recall of Certain Rabbit and Macaw Diets Due To Listeria Monocytogenes - FDA Safety Alerts & Drug Recalls
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Chic-A-Peas, LLC Recalls Product Because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Willis Ocean Inc Issues Alert on Uneviscerated Scomber Fish - FDA Safety Alerts & Drug Recalls
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NOW Health Group Inc. Expands Voluntary Recall of Ellyndale® Nutty Infusions™ Because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Hospira Issues a Voluntary Nationwide Recall For 8.4% Sodium Bicarbonate Injection, USP, Neut tm (Sodium Bicarbonate 4% Additive Solution), QUELICIN tm (Succinylcholine Chloride Injection, USP) and Potassium Phosphates Injection, USP Due To a Potential For Lack Of Sterility Assurance - FDA Safety Alerts & Drug Recalls
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Thursday, June 15, 2017
Advanced Pharma, Inc. D/B/A Avella of Houston Issues Voluntary Nationwide Recall of All Unexpired Nitroglycerin Injection In 5% Dextrose USP Products Produced At Its Houston Location From March 3, 2017 Through May 31, 2017 Due To Sub-Potency - FDA Safety Alerts & Drug Recalls
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New England Natural Bakers Issues Voluntary Recall Due to Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Teva Pharmaceuticals, USA Extends Voluntary Nationwide Recall to Consumer/User Level for One Lot of Paliperidone Extended-Release Tablets, 3mg, 90 Count Bottles Distributed Under the Actavis Pharma Inc. Label Due to Dissolution Test Failure - FDA Safety Alerts & Drug Recalls
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Statement from FDA Commissioner Scott Gottlieb, M.D., on the 2016 National Youth Tobacco Survey results - FDA Press Releases
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Sonar Products ordered to cease operations, Stratus Pharmaceuticals ordered to cease distributing unapproved drugs - FDA Press Releases
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Kroger Expands Recall of 12 oz. packages of Simple Truth Dry Roasted Macadamia Nuts because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Gomacro Recalls Limited Number of Macrobars and Thrive Bars Because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Bulletproof 360, Inc. Recalls Collagen Protein Bars and Bites Because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Wednesday, June 14, 2017
Wildway LLC Issues Voluntary Recall of Certain Grain-Free Granola Products - FDA Safety Alerts & Drug Recalls
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Loving Pets Voluntarily Recalls Limited Lot Numbers of Air-Puffed Dog Treats Because of Possible Salmonella Health Risk - FDA Safety Alerts & Drug Recalls
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Phillips Company Issues Voluntary Worldwide Recall of All Topical Products Due to Concerns of Manufacturing Practices - FDA Safety Alerts & Drug Recalls
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Tuesday, June 13, 2017
Bristol-Myers Squibb Voluntarily Recalls One Lot of Eliquis (apixaban) 5 mg Tablets - FDA Safety Alerts & Drug Recalls
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Statement from FDA Commissioner Scott Gottlieb, M.D. – FDA is taking new steps to help assess opioid drugs with abuse-deterrent properties - FDA Press Releases
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Monday, June 12, 2017
Giant Eagle Voluntarily Recalls Select Items Due to an Undeclared Milk Allergen - FDA Safety Alerts & Drug Recalls
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Slade Gorton Co. Inc. Issues Allergy Alert On Undeclared Milk - FDA Safety Alerts & Drug Recalls
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CC Kitchens Announces Recall of Limited Number of Salad and Slaw Kits Containing Leafy Greens Due to Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Dietary Pattern Associated with Frailty: Results from Nutrition and Health Survey in Taiwan - American Geriatric Society
Objectives
To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.
Design
Cross-sectional.
Setting
Nutrition and Health Survey in Taiwan (NAHSIT), 2014–2016.
Participants
Noninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923).
Measurements
Dietary intake was assessed using a 79-item food-frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014–15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016.
Results
The derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014–15), the dietary pattern score showed an inverse dose-response relationship with prevalence of frailty and pre-frailty. Individuals in the second dietary pattern tertile were one-third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12−0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01−0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty.
Conclusion
Individuals with a dietary pattern with more phytonutrient-rich plant foods, tea, omega-3-rich deep-sea fish, and other protein-rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults.
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Saturday, June 10, 2017
United Pet Group Voluntary Recalls Multiple Brands of Rawhide Chew Products for Dogs Due to Possible Chemical Contamination - FDA Safety Alerts & Drug Recalls
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Friday, June 9, 2017
Club Chef LLC Announces Recall of Limited Number of Snack Kits - FDA Safety Alerts & Drug Recalls
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Periodontal Disease Associated with Higher Risk of Dementia: Population-Based Cohort Study in Taiwan - American Geriatric Society
Objectives
To determine the magnitude and temporal aspect of the effect of poor dental health and periodontal disease (PD) on dementia.
Design
Retrospective cohort study
Setting
Taiwan National Health Insurance Research Database.
Participants
Individuals with newly diagnosed PD (N = 182,747)
Measurements
Participants were followed from January 1, 2000, to December 31, 2010. Participants were assigned to dental prophylaxis, intensive periodontal treatment, tooth extraction, or no treatment, according to International Classification of Diseases codes and PD treatment codes. The incidence rate of dementia of the groups was compared. The association between PD and dementia was analyzed using Cox regression, with adjustments for age, sex, monthly income, residential urbanicity, and comorbidities.
Results
The incidence of dementia was significantly higher in the group with PD that did not receive treatment (0.76% per year) and in the group that had teeth extracted (0.57% per year) than in the group that underwent intensive PD treatment (0.35% per year) and the group that received dental prophylaxis (0.39% per year) (P < .001). After adjusting for confounders, the Cox proportional hazards model revealed a higher risk of dementia in the group with PD who did not undergo treatment (hazard ratio (HR) = 1.14, 95% confidence interval (CI) = 1.04–1.24) and the group that had teeth extracted (HR = 1.10, 95% CI = 1.04–1.16) than in the group that received dental prophylaxis.
Conclusion
Subjects who had more severe PD or did not receive periodontal treatment were at greater risk of developing dementia.
from Journal of the American Geriatrics Society http://ift.tt/2rItzeH
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Functional Impairment and Risk of Venous Thrombosis in Older Adults - American Geriatric Society
Objectives
To determine the role of age-specific risk factors for thrombosis in older age, such as functional impairment.
Design
Case-control study.
Setting
The Age and Thrombosis—Acquired and Genetic risk factors in the Elderly Study, a two-center study conducted in the Netherlands and the United States from 2008 to 2011.
Participants
Individuals aged 70 and older with a first-time deep venous thrombosis in the leg or pulmonary embolism (n = 401) and controls aged 70 and older (n = 431) without a history of thrombosis. Exclusion criteria were active malignancy and severe cognitive disorders.
Measurements
The thrombotic risk associated with functional impairment, defined as impairment in two or more activities of daily living (ADLs), impaired mobility (inability to walk outside), sedentary lifestyle (≥20 h/d sleeping or sitting), and low handgrip strength (<15th percentile), was assessed. Odds ratios (ORs) adjusted for age, sex, and study center with 95% confidence intervals (95% CI) and population attributable risks (PAR) were calculated.
Results
Risk of venous thrombosis was 2.9 times greater (OR = 2.9, 95% CI = 1.6–5.3) in individuals with impairment in ADLs, three times as great (OR = 3.0, 95% CI = 1.9–4.7) in those with impaired mobility, four times as great (OR = 4.0, 95% CI = 2.5–6.3) in those with a sedentary life style, and 2.3 times as great (OR = 2.3, 95% CI = 1.5–3.4) in those with weak handgrip strength. PARs were 8% for ADL disability, 13% for inability to walk outside for 15 minutes, 29% for sedentary lifestyle, and 13% for weak hand grip strength.
Conclusion
In individuals aged 70 and older, functional impairments are a major risk factor for venous thrombosis. These findings may help providers caring for older people be more aware of venous thrombosis risk.
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Thursday, June 8, 2017
FDA requests removal of Opana ER for risks related to abuse - FDA Press Releases
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Happy Sprout Inc. Recalls Soybean Sprouts Due To Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Wednesday, June 7, 2017
Proton Pump Inhibitors and Risk of Mild Cognitive Impairment and Dementia - American Geriatric Society
Objectives
To examine the risk associated with the use of proton pump inhibitors (PPIs) of conversion to mild cognitive impairment (MCI), dementia, and specifically Alzheimer's disease (AD).
Design
Observational, longitudinal study.
Setting
Tertiary academic Alzheimer's Disease Centers funded by the National Institute on Aging.
Participants
Research volunteers aged 50 and older with two to six annual visits; 884 were taking PPIs at every visit, 1,925 took PPIs intermittently, and 7,677 never reported taking PPIs. All had baseline normal cognition or MCI.
Measurements
Multivariable Cox regression analyses evaluated the association between PPI use and annual conversion of baseline normal cognition to MCI or dementia or annual conversion of baseline MCI to dementia, controlling for demographic characteristics, vascular comorbidities, mood, and use of anticholinergics and histamine-2 receptor antagonists.
Results
Continuous (always vs never) PPI use was associated with lower risk of decline in cognitive function (hazard ratio (HR) = 0.78, 95% confidence interval (CI) =0.66–0.93, P = .005) and lower risk of conversion to MCI or AD (HR = 0.82, 95% CI = 0.69–0.98, P = .03). Intermittent use was also associated with lower risk of decline in cognitive function (HR = 0.84, 95% CI = 0.76–0.93, P = .001) and risk of conversion to MCI or AD (HR = 0.82, 95% CI = 0.74–0.91, P = .001). This lower risk was found for persons with normal cognition or MCI.
Conclusion
Proton pump inhibitors were not associated with greater risk of dementia or of AD, in contrast to recent reports. Study limitations include reliance on self-reported PPI use and lack of dispensing data. Prospective studies are needed to confirm these results to guide empirically based clinical treatment recommendations.
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Comparative epidemiology of Middle East respiratory syndrome coronavirus (MERS-CoV) in Saudi Arabia and South Korea
Comparative epidemiology of Middle East respiratory syndrome coronavirus (MERS-CoV) in Saudi Arabia and South Korea
Emerging Microbes & Infections 6, e51 (June 2017). doi:10.1038/emi.2017.40
Authors: Xin Chen, Abrar Ahmad Chughtai, Amalie Dyda & Chandini Raina MacIntyre
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Human infections with novel reassortant H5N6 avian influenza viruses in China
Human infections with novel reassortant H5N6 avian influenza viruses in China
Emerging Microbes & Infections 6, e50 (June 2017). doi:10.1038/emi.2017.38
Authors: Ye Zhang, Minmei Chen, Yiwei Huang, Wenfei Zhu, Lei Yang, Lidong Gao, Xiaodan Li, Fuyin Bi, Chaoyang Huang, Ning Kang, Hengjiao Zhang, Zi Li, Hong Bo, Dayan Wang & Yuelong Shu
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Additional molecular testing of saliva specimens improves the detection of respiratory viruses
Additional molecular testing of saliva specimens improves the detection of respiratory viruses
Emerging Microbes & Infections 6, e49 (June 2017). doi:10.1038/emi.2017.35
Authors: Kelvin KW To, Lu Lu, Cyril CY Yip, Rosana WS Poon, Ami MY Fung, Andrew Cheng, Daniel HK Lui, Deborah TY Ho, Ivan FN Hung, Kwok-Hung Chan & Kwok-Yung Yuen
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Identification and evaluation of the novel immunodominant antigen Rv2351c from Mycobacterium tuberculosis
Identification and evaluation of the novel immunodominant antigen Rv2351c from Mycobacterium tuberculosis
Emerging Microbes & Infections 6, e48 (June 2017). doi:10.1038/emi.2017.34
Authors: Xuezhi Wang, Shuangshuang Chen, Yongjuan Xu, Huajun Zheng, Tongyang Xiao, Yuqing Li, Xing Chen, Mingxiang Huang, Haifeng Zhang, Xijing Fang, Yi Jiang, Machao Li, Haican Liu & Kanglin Wan
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Mycobacterium tuberculosis Beijing genotype family strain isolated from naturally infected plateau zokor (Myospalax baileyi) in China
Mycobacterium tuberculosis Beijing genotype family strain isolated from naturally infected plateau zokor (Myospalax baileyi) in China
Emerging Microbes & Infections 6, e47 (June 2017). doi:10.1038/emi.2017.33
Authors: Lin Sun, Xiang Chen, Wenhai Zhang, Gencheng Huang, Yuanyuan Zhang, Zhengzhong Xu, Baofa Yin, Wanhong Wei, Xinan Jiao & Kanglin Wan
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T-cell-dependent mechanisms promote Ebola VLP-induced antibody responses, but are dispensable for vaccine-mediated protection
T-cell-dependent mechanisms promote Ebola VLP-induced antibody responses, but are dispensable for vaccine-mediated protection
Emerging Microbes & Infections 6, e46 (June 2017). doi:10.1038/emi.2017.31
Authors: Christopher L Cooper, Karen A Martins, Sabrina M Stronsky, David P Langan, Jesse Steffens, Sean Van Tongeren & Sina Bavari
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Predictors of seropositivity for human herpesvirus type 8 in patients with mild cirrhosis
Predictors of seropositivity for human herpesvirus type 8 in patients with mild cirrhosis
Emerging Microbes & Infections 6, e45 (June 2017). doi:10.1038/emi.2017.32
Authors: Kuo-Chih Tseng, Ming-Nan Lin, Tang-Yuan Chu, Jen-Pi Tsai & Cheng-Chuan Su
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Isolation and characterization of Listeria species from rodents in natural environments in China
Isolation and characterization of Listeria species from rodents in natural environments in China
Emerging Microbes & Infections 6, e44 (June 2017). doi:10.1038/emi.2017.28
Authors: Yan Wang, Liang Lu, Ruiting Lan, Joelle K Salazar, Jingli Liu, Jianguo Xu & Changyun Ye
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Seroprevalence of neutralizing antibodies against adenovirus type 14 and 55 in healthy adults in Southern China
Seroprevalence of neutralizing antibodies against adenovirus type 14 and 55 in healthy adults in Southern China
Emerging Microbes & Infections 6, e43 (June 2017). doi:10.1038/emi.2017.29
Authors: Xuehua Zheng, Xia Rong, Ying Feng, Xikui Sun, Liang Li, Qian Wang, Min Wang, Wenkuan Liu, Chufang Li, Yiyu Yang, Rong Zhou, Jiahai Lu, Liqiang Feng & Ling Chen
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Recombinant feline parvovirus infection of immunized tigers in central China
Recombinant feline parvovirus infection of immunized tigers in central China
Emerging Microbes & Infections 6, e42 (June 2017). doi:10.1038/emi.2017.25
Authors: Xingang Wang, Tongyi Li, Hongying Liu, Jimei Du, Feng Zhou, Yanming Dong, Xiuyuan He, Yongtao Li & Chuanqing Wang
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West Nile virus infection in suspected febrile typhoid cases in Xinjiang, China
West Nile virus infection in suspected febrile typhoid cases in Xinjiang, China
Emerging Microbes & Infections 6, e41 (June 2017). doi:10.1038/emi.2017.27
Authors: Lei Cao, Shihong Fu, Zhi Lv, Chengjun Tang, Shiheng Cui, Xiaolong Li, Xiaoyan Gao, Minghua Li, Yuxi Cao, Wenwen Lei, Ying He, Huanyu Wang & Guodong Liang
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A novel preventive strategy against HIV-1 infection: combinatorial use of inhibitors targeting the nucleocapsid and fusion proteins
A novel preventive strategy against HIV-1 infection: combinatorial use of inhibitors targeting the nucleocapsid and fusion proteins
Emerging Microbes & Infections 6, e40 (June 2017). doi:10.1038/emi.2017.26
Authors: Yu Yang, Jingyu Zhu, Matthew Hassink, Lisa M Miller Jenkins, Yanmin Wan, Daniel H Appella, Jianqing Xu, Ettore Appella & Xiaoyan Zhang
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Tuesday, June 6, 2017
Star Snacks Co. is voluntarily recalling two lots of Southern Grove Cashew Halves and Pieces with Sea Salt due to the potential presence of glass pieces - FDA Safety Alerts & Drug Recalls
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FDA Investigates Findings of Hepatitis A Linked to Frozen Tuna - FDA Safety Alerts & Drug Recalls
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Monday, June 5, 2017
Global Garlic Inc. Recalls "Queso Freso/Whole Milk Cheese" Because of Possible Health Risk - FDA Safety Alerts & Drug Recalls
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Fry’s Food Stores Issues Allergy Alert on Undeclared Pecans and Tree Nuts in Bakehouse Bread Cranberry Orange Bread - FDA Safety Alerts & Drug Recalls
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FDA expands use of Sapien 3 artificial heart valve for high-risk patients - FDA Press Releases
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Naturally Wholesome Products LLC Wholesome Country Creamery LLC Voluntary recall of Half & Half in plastic gallon and pint bottles, due to the presence of Alkaline Phosphatase in samples - FDA Safety Alerts & Drug Recalls
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Gilster-Mary Lee Corp. Issues a Recall For Undeclared Egg Noodles in Western Family Onion Soup Mix - FDA Safety Alerts & Drug Recalls
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Friday, June 2, 2017
Influence of Hospital Type on Outcomes of Individuals Aged 80 and Older with Stroke Treated Using Intravenous Thrombolysis - American Geriatric Society
Objectives
The aim of the study was to confirm the safety and effectiveness of using intravenous thrombolysis (IVT) with individuals aged 80 and older in routine practice in different hospital settings.
Design
Observasional registry.
Setting
Prospective multicenter population-based registry of acute stroke patients treated with reperfusion therapies in Catalonia, Spain (Sistema Online d'Informació de l'Ictus Agut).
Participants
Individuals treated only with IVT (N = 3,231; 1,189 (36.8%) aged ≥80).
Measurements
Symptomatic intracranial hemorrhage, mortality, and favorable outcome (modified Rankin Scale (mRS) score = 0–2) at 3 months were evaluated according to hospital characteristics. Treating hospitals were classified in three categories: comprehensive stroke centers (CSCs), primary stroke centers (PSCs), and community hospitals operating a telestroke system (TS). First individuals aged 80 and older were compared with those younger than 80, and then participants aged 80 and older were focused on.
Results
Participants aged 80 and older had significantly higher baseline National Institute of Health Stroke Scale (NIHSS) scores, longer onset to treatment times, and worse outcomes than younger participants. For participants aged 80 and older, 90-day mortality was 23.2%, with 38.7% having favorable outcomes at 3 months. Symptomatic intracranial hemorrhage (SICH; Safe Implementation of Thrombolysis in Stroke-MOnitoring STudy definition) was observed in 4.7% of subjects. None of the risk factors differed significantly between participants treated in different types of hospitals. Basal stroke severity measured according to NIHSS score was not significantly different either. The three different types of hospitals achieved similar outcomes, although the TS and PSC hospitals had significantly higher proportions of SICH (6.3% and 6.3%, respectively) than the CSC (3.2%).
Conclusion
Older adults with acute stroke treated with IVT had similar outcomes regardless of hospital characteristics.
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Thursday, June 1, 2017
Schnucks Bakery Issues Allergy Alert on Undeclared Walnuts in Cinnamon Pudding Half Cakes and Cake Slices - FDA Safety Alerts & Drug Recalls
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Hannaford Supermarkets Issues Allergy Alert on Undeclared Milk in Taste of Inspirations Greek Pasta Salad Net. Weight 10 oz. (284g) - FDA Safety Alerts & Drug Recalls
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