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Safety and Pharmacokinetic Characterization of Nacubactam, a Novel {beta}-Lactamase Inhibitor, Alone and in Combination with Meropenem, in Healthy Volunteers [Clinical Therapeutics]

Nacubactam is a novel β-lactamase inhibitor with dual mechanisms of action as an inhibitor of serine β-lactamases (classes A and C and some class D) and an inhibitor of penicillin binding protein 2 in Enterobacteriaceae. The safety, tolerability, and pharmacokinetics of intravenous nacubactam were evaluated in single- and multiple-ascending-dose, placebo-controlled studies. Healthy participants received single ascending doses of nacubactam of 50 to 8,000 mg, multiple ascending doses of nacubactam of 1,000 to 4,000 mg every 8 h (q8h) for up to 7 days, or nacubactam of 2,000 mg plus meropenem of 2,000 mg q8h for 6 days after a 3-day lead-in period. Nacubactam was generally well tolerated, with the most frequently reported adverse events (AEs) being mild to moderate complications associated with intravenous access and headache. There was no apparent relationship between drug dose and the pattern, incidence, or severity of AEs. No clinically relevant dose-related trends were observed in laboratory safety test results. No serious AEs, dose-limiting AEs, or deaths were reported. After single or multiple doses, nacubactam pharmacokinetics appeared linear, and exposure increased in an approximately dose-proportional manner across the dose range investigated. Nacubactam was excreted largely unchanged into urine. Coadministration of nacubactam with meropenem did not significantly alter the pharmacokinetics of either drug. These findings support the continued clinical development of nacubactam and demonstrate the suitability of meropenem as a potential β-lactam partner for nacubactam. (The studies described in this paper have been registered at ClinicalTrials.gov under NCT02134834 [single ascending dose study] and NCT02972255 [multiple ascending dose study].)




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Effects of Tenofovir on the Single-Dose Pharmacokinetics of Intravenous Morinidazole in Healthy Chinese Subjects [Pharmacology]

The effects of multiple-dose administration of tenofovir disoproxil fumarate (TDF) on the pharmacokinetics of morinidazole (MOR) were compared in healthy subjects. MOR exposure was similar, with an area under the curve from 0 h to infinity (AUC0-) treatment ratio for MOR+TDF/MOR of 1.01 (90% confidence interval, 0.97 to 1.06). No relevant differences were observed regarding plasma exposure of metabolites. Renal clearances of MOR and its metabolites were not affected by TDF. No unexpected safety or tolerability issues were observed.




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Oral Microbiome Profiling in Smokers with and without Head and Neck Cancer Reveals Variations Between Health and Disease

While smoking is inextricably linked to oral/head and neck cancer (HNSCC), only a small fraction of smokers develop HNSCC. Thus, we have sought to identify other factors, which may influence the development of HNSCC in smokers including microbiology. To determine microbial associations with HNSCC among tobacco users, we characterized oral microbiome composition in smokers with and without HNSCC. 16S rRNA MiSeq sequencing was used to examine the oral mucosa microbiome of 27 smokers with (cases) and 24 without HNSCC (controls). In addition, we correlated previously reported levels of DNA damage with the microbiome data. Smokers with HNSCC showed lower microbiome richness compared with controls (q = 0.012). Beta-diversity analyses, assessed as UniFrac (weighted and unweighted) and Bray–Curtis distances, showed significant differences in oral mucosal microbiome signatures between cases and controls (r2 = 0.03; P = 0.03) and higher interindividual microbiome heterogeneity in the former (q ≤ 0.01). Higher relative abundance of Stenotrophomonas and Comamonadaceae and predicted bacterial pathways mainly involved in xenobiotic and amine degradation were found in cases compared with controls. The latter, in contrast, exhibited higher abundance of common oral commensals and predicted sugar degradation pathways. Finally, levels of DNA damage in the oral cavity were correlated with the microbiome profiles above. Oral microbiome traits differ in smokers with and without HNSCC, potentially informing the risk of eventual HNSCC and shedding light into possible microbially mediated mechanisms of disease. These findings present data that may be useful in screening efforts for HNSCC among smokers who are unable to quit.




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Soft Self-Healing Materials for Robots That Cannot Be Destroyed

It'll take more than having its fingers chopped off to stop this robot hand




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SnotBot Drone Swoops Over Blowholes to Track Whale Health

The SnotBot project uses drones, data, and deep learning to tell us about the health of whales and the oceans




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Ray of hope as Scots armed forces veterans wait two years for a mental health plan

ARMED forces veterans are facing a threat from an enemy they cannot see.




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A round of applause: 10 fashion brands supporting the health services – in pictures

From Stay at Home T-shirts to NHS baseball caps, here’s a selection from small labels donating some or all of their profits to charities helping healthcare workers and the Covid-19 response

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Blueprint to protect the mental health of frontline medical workers

Researchers have developed a set of recommendations to manage the mental health of frontline medical workers during viral outbreaks, such as COVID-19.




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Trial questions benefits of organic nitrates for bone health

A new study found that organic nitrates do not have clinically relevant effects on bone mineral density or bone turnover in postmenopausal women, and the medications caused significant side effects.




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Reuters Health News Summary




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Reuters Health News Summary




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How to get the health benefits of nature when you’re stuck inside

Going out into the natural world is good for your health and mind, and you can still get some of the same benefits even when stuck inside, says Graham Lawton




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Why strength training may be the best thing you can do for your health

Building muscle reduces the risk of cancer and stroke, boosts brainpower, burns through calories and more – it might even be better for you than cardio




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The secret lives of parasites – from killers to healthcare heroes

Parasites are a huge global treat to human life, but some of them could actually help us treat disease. Parasitologist Charlotte Evans explores the secret lives of these frightening organisms.




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How to protect your mental health in the time of coronavirus

From social isolation to working on the front line, the mental health challenges of the pandemic are wide reaching. We ask experts how to protect ourselves




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7 mental health expert tips on how to cope with the covid-19 pandemic

Whether you are at home alone or juggling work and family, those working in mental health share their advice on how to cope with the covid-19 pandemic




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The past can help us deal with the pandemic’s mental health fallout

Lessons learned from natural disasters and the military can help guide our responses to help people's mental health during the covid-19 pandemic




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We must act quickly to avoid a pandemic-related mental health crisis

We are already seeing the pandemic's effects on mental health, and we need to act urgently to avoid a full-blown crisis, says Sam Howells  




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Senior Living: Sunshine is only part of a healthy approach

Decades ago, research in Holland about hours of sunshine in January and old people’s mortality rate found that with lots of sun the rate would drop, and vice versa. So in my 80s I am doubly lucky. Edmonton gets plenty of bright sunshine in January, an average of 101 hours — that’s better than Ottawa’s […]




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John Legend: 'We're just hoping everybody stays safe and stays healthy'

John Legend joins Zane Lowe on Apple Music to run through his ‘At Home With’ playlist. He talks about how he’s coping at home




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Justin Bieber credits sugar-free diet for improving his mental health

Justin Bieber discussed his experiences during the latest episode of his and wife Hailey's Facebook Watch series, The Biebers on Watch.




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Chris Martin and Mike Shinoda set for mental health awareness festival

Fans can check out the event, which kicks off at 8.30am PT each day, on 320 Festival's Facebook Live and YouTube Live pages.





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Bloomberg to pay laid-off staffers' health care through November amid lawsuits, public pressure

Mike Bloomberg is agreeing to pay for health care through November for the more than 2,000 campaign staffers he laid off after suspending his presidential bid as he faces public pressure and multiple lawsuits.




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Dr. Ben Carson: America's economy can reopen 'imminently' by following coronavirus health guidelines, data

America can take its next steps toward reopening by placing an emphasis on emerging health data and closely examining how early states are performing, Housing and Urban Development Secretary Dr. Ben Carson asserted Saturday.



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US national parks cause public health concern as visitors flood in

Parks have remained open amid the coronavirus and become a haven over the past week, prompting fears for staff and large crowds

Even as Broadway shows were shuttered and Disneyland was closed due to the Covid-19, most US national parks were open for business on Tuesday, confounding public health officials and worrying park staff who did not want to be exposed to the virus.

National parks have become a haven over the past week as the public seeks places to go during spring break. One park employee reported on Facebook that a visitor center at Big Bend national park was full on Monday with hundreds of people. Another shared a photo of shoulder to shoulder crowds at Zion national park waiting to board shuttle buses. (The park closed its shuttle bus system later in the day.)

Continue reading...




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The Pioneering Health Officer Who Saved Portland From the Plague

Tasked with curbing a 1907 outbreak, Esther Pohl emphasized the importance of clean, vermin-free environments




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Mental health calls on the rise as Saskatchewan announces new suicide prevention plan

"For people that already have mental health concerns it might be more escalated and others who have not had mental health concerns are now experiencing (them) because of some of the anxiety and stress that's caused by COVID-19."




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COVID-19 live updates: People defying public health orders a concern in north

The ongoing COVID-19 outbreak in La Loche is being attributed to citizens who've ignored physical distancing measures.




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Tesla has not received 'green light' to resume production: California county health official

Tesla Inc has not been allowed to resume operations at its California vehicle factory as local lockdown measures to curb the spread of the coronavirus remain in effect, a county health official said on Friday.




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UK coronavirus lockdown: What impact have restrictions had on health, family life, work and economy so far?

Follow our live Covid-19 updates HERE Coronavirus: The symptoms




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Health Secretary Matt Hancock promises testing of all key NHS and social care workers as he sets out PPE action plan

Read our live coronavirus updates HERE Coronavirus: The symptoms




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World Health Organisation warns that lifting national restrictions could lead to 'deadly resurgence' of coronavirus

Read our live coronavirus updates HERE Coronavirus: The symptoms




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Three hospital workers and two nurses confirmed dead with coronavirus symptoms as death toll of healthcare workers rises

Read our live coronavirus updates HERE




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UK pledges £200m to World Health Organisation in battle against second global wave of coronavirus

Read our live coronavirus updates HERE




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Healthcare worker Donna Campbell among NHS employees to die after contracting coronavirus

Follow our live updates HERE




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Coronavirus hospital admissions in London 'stabilising', health chief says

Follow our live updates HERE




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World Health Organisation warns against lifting lockdown measures 'all at once'

Follow our live Covid-19 updates HERE




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117 million children could miss out on measles vaccine amid Covid-19 crisis, UN health agencies warn

Read our live updates on coronavirus HERE Coronavirus: The symptoms




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Coronavirus vaccine 'won't be ready for a year or longer', World Health Organisation says

Follow our live updates here Coronavirus: the symptoms




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Health Secretary Matt Hancock calls Easter Sunday a 'sombre day' as UK death toll passes grim 10,000 mark

Read our live coronavirus updates HERE Matt Hancock said it was a "sombre day" as the death toll passed 10,000. When pressed to apologise to NHS workers for the lack of PPE, the Heath Secretary became the third minister to avoid saying sorry. Mr Hancock also announce an NHS app for contact tracking.




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The moment coronavirus infects a healthy cell captured under microscope

Read our live updates on coronavirus HERE Coronavirus: The symptoms




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Donald Trump to halt World Health Organisation funding over handling of coronavirus pandemic

Following our live Covid-19 updates HERE




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Patient saved by hospital retrains to return as frontline health carer

Follow our live coronavirus updates here Coronavirus: the symptoms




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UK faces mental health crisis as coronavirus brings 'perfect storm' of problems, experts warn

Increased social isolation, health anxiety and stress over an economic downturn are all factors that could spark a protracted crisis, the group said.




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Angela Merkel praised for 'superb' explanation on how coronavirus infection rates impact healthcare systems

Follow our live coronavirus updates HERE Coronavirus: The symptoms




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One in 11 Covid-19 deaths did not involve underlying health conditions, ONS statistics show

Read our live coronavirus updates HERE Coronavirus: The symptoms




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Donald Trump accuses World Health Organisation of 'horrible, tragic mistake' over early coronavirus guidance

Follow our live coronavirus updates here




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Fiasco of the healthy nurse sidelined for weeks as she waited for test results

… as her GP practice was threatened with closure over staff shortages Follow our live coronavirus updates here Coronavirus: the symptoms




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Prince William says he was 'concerned' about Charles after coronavirus diagnosis as he and Kate launch NHS mental health campaign

The heir to the throne, 71, spent seven days self isolating at his Scottish home Birkhall, when he was told he had contracted the disease late last month.