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February 4th, 2012 posted by Paul Rega, MD, FACEP February 4, 2012 @ 6:34 am

Today’s NOAA Map



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 6:15 am

Nine dead & 2500 injured in Egyptian clashes

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CNN, 2/4/12:  “Nine people die in two days of clashes between Egyptian police
and protesters amid reports of inadequate security at a deadly
soccer match……Six deaths occurred in Suez and three in Cairo, the Health Ministry reported. Among the fatalities was an 18-year-old, the ministry said.  More than 2,500 people were injured near the Interior Ministry in Cairo over two days……..”

Link: http://edition.cnn.com/2012/02/03/world/africa/egypt-soccer-deaths/index.html



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 6:11 am

Massacre in Homs?

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CNN, 2/4/12:  “A Syrian opposition activist group says 217 people were killed
in Homs over the past day, as the U.N. Security Council weighs a
draft resolution against the crackdown.”

Link: http://edition.cnn.com/2012/02/04/world/meast/syria-unrest/index.html



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 6:07 am

What’s the best way to treat acute pyelonephritis in kids

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Randomized Trial of Oral Versus Sequential IV/Oral Antibiotic for Acute
Pyelonephritis in Children
Nathalie Bocquet, Aline Sergent Alaoui, Jean-Pierre Jais, Vincent Gajdos,
Vincent Guigonis, Bernard Lacour, and Gerard Cheron
Pediatrics 2012;129 e269-e275
http://pediatrics.aappublications.org/cgi/content/abstract/129/2/e269?etoc

 Although this trial does not statistically demonstrate the noninferiority of oral treatment compared with the sequential treatment, our study confirmed the results of previously published reports and therefore supports the use of an oral antibiotic treatment of primary episodes of acute pyelonephritis in infants and young children.



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 6:03 am

CDC on the Cost of Child Abuse

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http://www.cdc.gov/media/releases/2012/p0201_child_abuse.html

Child abuse and neglect cost the United States $124 billion

Rivals cost of other high profile public health problems

The total lifetime estimated financial costs associated with just one year of confirmed cases of child maltreatment (physical abuse, sexual abuse, psychological abuse and neglect) is approximately $124 billion, according to a report released by the Centers for Disease Control and Prevention, published in Child Abuse and Neglect, The International Journal.

This study looked at confirmed child maltreatment cases, 1,740 fatal and 579,000 non–fatal, for a 12–month period. The lifetime cost for each victim of child maltreatment who lived was $210,012, which is comparable to other costly health conditions, such as stroke with a lifetime cost per person estimated at $159,846 or type 2 diabetes, which is estimated between $181,000 and $253,000. The costs of each death due to child maltreatment are even higher.

“No child should ever be the victim of abuse or neglect – nor do they have to be. The human and financial costs can be prevented through prevention of child maltreatment,” said Linda C. Degutis, Dr.P.H., M.S.N., director of CDC′s National Center for Injury Prevention and Control.

Child maltreatment has been shown to have many negative effects on survivors, including poorer health, social and emotional difficulties, and decreased economic productivity. This CDC study found these negative effects over a survivor′s lifetime generate many costs that impact the nation′s health care, education, criminal justice and welfare systems.

Key findings:

Child maltreatment can also be linked to many emotional, behavioral, and physical health problems. Associated emotional and behavioral problems include aggression, conduct disorder, delinquency, antisocial behavior, substance abuse, intimate partner violence, teenage pregnancy, anxiety, depression, and suicide.

Past research suggests that child maltreatment is a complicated problem, and so its solutions cannot be simple. An individual parent or caregiver′s behavior is influenced by a range inter–related factors such as how they were raised, their parenting skills, the level of stress in their life, and the living conditions in their community. Because of this complexity, it is critical to invest in effective strategies that touch on all sectors of society.

“Federal, state, and local public health agencies as well as policymakers must advance the awareness of the lifetime economic impact of child maltreatment and take immediate action with the same momentum and intensity dedicated to other high profile public health problems –in order to save lives, protect the public′s health, and save money,” said Dr. Degutis.
Several programs have demonstrated reductions in child maltreatment and have great potential to reduce the human and economic toll on our society. Several examples of effective programs include:

The article, “The economic burden of child maltreatment in the United States and implications for prevention,” is available at http://www.sciencedirect.com/science/journal/aip/01452134External Web Site Icon.

CDC′s Injury Center works to prevent injuries and violence and their adverse health consequences. For more information on public health child maltreatment prevention activities and research, please visit http://www.cdc.gov/ViolencePrevention/childmaltreatment.

If you know or suspect a child is being abused, contact the National Child Abuse Hotline at 1–800–4–A–CHILD or visit the ChildhelpExternal Web Site Icon website.

 



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 6:00 am

Massage therapy : Why it works…..

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http://stm.sciencemag.org/content/4/119/119ra13.abstract?

Citation: J. D. Crane, D. I. Ogborn, C. Cupido, S. Melov, A. Hubbard, J. M. Bourgeois, M. A. Tarnopolsky, Massage Therapy Attenuates Inflammatory Signaling After Exercise-Induced Muscle Damage. Sci. Transl. Med. 4, 119ra13 (2012).
 

Massage therapy is commonly used during physical rehabilitation of skeletal muscle to ameliorate pain and promote recovery from injury.

Massage activated the mechanotransduction signaling pathways focal adhesion kinase (FAK) and extracellular signal–regulated kinase 1/2 (ERK1/2), potentiated mitochondrial biogenesis signaling [nuclear peroxisome proliferator–activated receptor γ coactivator 1α (PGC-1α)], and mitigated the rise in nuclear factor κB (NFκB) (p65) nuclear accumulation caused by exercise-induced muscle trauma. Moreover, despite having no effect on muscle metabolites (glycogen, lactate), massage attenuated the production of the inflammatory cytokines tumor necrosis factor–α (TNF-α) and interleukin-6 (IL-6) and reduced heat shock protein 27 (HSP27) phosphorylation, thereby mitigating cellular stress resulting from myofiber injury.

When administered to skeletal muscle that has been acutely damaged through exercise, massage therapy appears to be clinically beneficial by reducing inflammation and promoting mitochondrial biogenesis.



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 5:56 am

WHO: Global Flu Summary

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http://www.who.int/influenza/surveillance_monitoring/updates/latest_update_GIP_surveillance/en/index.html

Summary

• Influenza activity in the temperate regions of the northern hemisphere remains low overall though notable local increases in activity have been reported in North America, the western part of Europe, and northern China.
• Countries in the tropical zone reported low levels of influenza activity with the exceptions of southern China, Colombia, and Ecuador.
• Influenza activity in the temperate countries of the southern hemisphere is at inter-seasonal levels. The low level inter-seasonal transmission of A(H3N2) previously noted in Chile and Australia appears to be diminishing and becoming more sporadic.
• The most commonly detected virus type or subtype throughout the northern hemisphere temperate zone has been influenza A(H3N2) with the exception of China, which is reporting a predominance of influenza type B, and Mexico, where influenza A(H1N1)pdm09 is the predominant subtype circulating. In addition to Mexico, some southern states of the United States of America and Colombia in northern South America have also reported a predominance of A(H1N1)pdm09 in recent weeks.
• Nearly all influenza A viruses characterized are antigenically related to the viruses contained in the current northern hemisphere trivalent vaccine. About half of the small number of influenza type B viruses characterized are of the Yamagata lineage, which is not contained in the current vaccine.
• Oseltamivir resistance has been observed at very low levels and has not increased notably over levels reported in previous seasons.



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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 5:56 am

Recall: “Rely” Sardine Anchovies

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http://www.fda.gov/Safety/Recalls/ucm290067.htm?source=govdelivery

Recall — Firm Press Release

 

FDA posts press releases and other notices of recalls and market withdrawals from the firms involved as a service to consumers, the media, and other interested parties. FDA does not endorse either the product or the company.

 

W & C International Import Inc. Issues an Alert on
Un-eviscerated “Rely” Sardine Anchovies

 

Contact:
Consumer:
Tel: 718-381-2932
Fax: 718-381-2934

Media:
Carmen Mei
718-381-2932

FOR IMMEDIATE RELEASE – February 1, 2012 – W & International Import Inc. is recalling “Rely” Sardine Anchovies because the product was found to be un-eviscerated.

The recalled “Rely” Sardine Anchovies were distributed nationwide in 7.0 oz. plastic packages. The “Rely” Sardine Anchovies are a product of China.

The “Rely” Sardine Anchovies were sampled by a New York State Department of Agriculture Food Inspector during inspection. Subsequent analysis of the product by New York State Food Laboratory personnel confirmed that the “Rely” Sardine Anchovies were not properly eviscerated prior to processing.

The sale of un-eviscerated fish is prohibited under New York State Agriculture and Markets regulations because Clostridium Botulinum spores are more likely to be concentrated in the viscera than any other portion of the fish. Uneviscerated fish have been linked to outbreaks of botulium poisioning.

This product may be contaminated with Clostridium botulinum spores, which can cause Botulism, a serious and potentially fatal food-borne illness. Symptoms of botulism include blurred or double vision, general weakness, poor reflexes, difficulty in swallowing and respiratory paralysis.

No illnesses have been reported to date in connection with this problem.

Consumers that have purchased “Rely” Sardine Anchovies are advised not to eat it and should return it to the place of purchase. Consumer with questions may contact the company at (718) 381-2932.

 

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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 5:55 am

World Map of H5N1 Cases since 2010

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February 4th, 2012 posted by Paul Rega, MD, FACEP @ 12:29 am

FluVu Map, Week 4

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