Thursday, January 11, 2018

Gilster - Mary Lee Corp. Issues a Recall For Undeclared Milk Allergen in Essential Everyday® Chicken Coating - FDA Safety Alerts & Drug Recalls

January 8, 2018 - Gilster-Mary Lee, 520 Old St. Mary’s Road, of Perryville, Missouri, is voluntarily recalling one lot of Essential Everyday® Coat & Bake Original Chicken coating, UPC 41303-01572 at the consumer level because it may contain undeclared milk. People who have an allergy or severe sensitivity to milk run the risk of serious or life-threatening allergic reaction if they consume these products.

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FDA warns Becton Dickinson & Company of significant violations of the law as part of ongoing investigation into lead testing issues - FDA Press Releases

FDA warns Becton Dickinson & Company of significant violations of the law as part of ongoing investigation into lead testing issues

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FDA acts to protect kids from serious risks of opioid ingredients contained in some prescription cough and cold products by revising labeling to limit pediatric use - FDA Press Releases

The U.S. Food and Drug Administration announced today that it is requiring safety labeling changes to limit the use of prescription opioid cough and cold medicines containing codeine or hydrocodone in children younger than 18 years old because the serious risks of these medicines outweigh their potential benefits in this population. After safety labeling changes are made, these products will no longer be indicated for use to treat cough in any pediatric population and will be labeled for use only in adults aged 18 years and older. Labeling for the medications also is being updated with additional safety information for adult use – including an expanded Boxed Warning, the FDA’s most prominent warning ‒ notifying about the risks of misuse, abuse, addiction, overdose and death, and slowed or difficult breathing that can result from exposure to codeine or hydrocodone.

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Wednesday, January 10, 2018

No Expiration Date on the Association Between Physical Activity and Mortality - American Geriatric Society

This editorial comments on the article by LaMonte et al.



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Competing Risks of Fracture and Death in Older Adults with Chronic Kidney Disease - American Geriatric Society

Objectives

To examine whether chronic kidney disease (CKD) at any stage is associated with fracture risk after adjusting for competing mortality and to determine whether age or race modify the relationship between CKD and fracture risk.

Design

Prospective cohort study.

Setting

Department of Veterans Affairs (VA) national healthcare system.

Participants

Men receiving VA primary care aged 65 and older with no history of fracture or osteoporosis therapy (N = 712, 918).

Measurements

We determined CKD stage from baseline estimated glomerular filtration rate (eGFR). Participants were followed for up to 10 years for occurrence of any fracture or death. We ascertained fractures and covariates from VA medical records and Medicare claims.

Results

Of the 356,459 older veterans with CKD (defined as eGFR <60 mL/min per 1.73 m2), 15.7% (n = 56,032) experienced a fracture, and 43.0% (n = 153,438) died over a median time at risk of 5.2 years. Veterans with CKD Stages 3 to 5 had a greater risk of death than those without CKD, which biased estimates from traditional survival models. Competing risk models showed that Stage 3 CKD was associated with greater hazard (adjusted subdistribution hazard ratio (sdHR) = 1.07, 95% confidence interval (CI) = 1.02–1.11) of fracture (than those without CKD) and a trend toward greater hazard for Stage 4 (sdHR = 1.07, 95% CI = 0.94–1.22) and Stage 5 (sdHR = 1.31, 95% CI = 0.97–1.77) CKD. Age, race, and bone mineral density did not modify the relationship between CKD and fracture risk.

Conclusions

In older male veterans, CKD, including Stage 3, is associated with a moderately greater fracture risk irrespective of age, race, or bone mineral density.



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The Benefits of Reviewing - American Geriatric Society



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Association Between Sensory Impairment and Dementia in Older Adults: Evidence from China - American Geriatric Society

Objectives

To determine the association between sensory impairment and dementia in Chinese older adults.

Design

Cross-sectional.

Setting

Older adults in 31 provinces of China.

Participants

Individuals aged 65 and older (N = 250,752).

Measurements

Psychiatrists ascertained dementia based on the International Classification of Diseases, 10th Revision. Sensory impairment was measured as only hearing impairment, only vision impairment, and combined sensory impairment (combined hearing and vision impairment). Hearing impairment was defined as greater than 40 dB loss in the better ear according to the standard of the World Health Organization (WHO) Prevention of Deafness and Hearing Impairment (PDH) standard 97.3. Ophthalmologists assessed vision impairment according to the WHO best-corrected visual acuity (BCVA) criteria (low vision: 0.05≤BCVA ≤0.29; blindness: no light perception ≤ BCVA <0.05, visual field less than 10 degrees; the better-seeing eye).

Results

The prevalence of dementia was 0.41% (95% CI = 0.39–0.44%) without sensory impairment, 0.83% (95% CI = 0.70–0.99%) with only visual impairment, 0.61 (95% CI = 0.53–0.71%) with only hearing impairment, and 1.27% (95% CI = 1.00–1.61%) with combined sensory impairments. After adjusting for sociodemographic characteristics, vision impairment (odds ratio (OR) = 1.58, 95% CI = 1.28–1.96) and combined sensory impairments (OR = 1.64, 95% CI = 1.23–2.20) were associated with greater risk of severe to extremely severe dementia. Hearing impairment was not significantly associated with dementia.

Conclusion

Sensory impairments are associated with greater risk of dementia in Chinese older adults. Studies are needed to further explore the pathway of this association in Chinese elderly adults and to provide suggestions to improve health status for this population.



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