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Curbing School Bus Pollution Might Reduce Absences

Title: Curbing School Bus Pollution Might Reduce Absences
Category: Health News
Created: 4/29/2015 12:00:00 AM
Last Editorial Review: 4/30/2015 12:00:00 AM




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Rock Climbing Goes Mainstream for Exercise Buffs

Title: Rock Climbing Goes Mainstream for Exercise Buffs
Category: Health News
Created: 5/1/2018 12:00:00 AM
Last Editorial Review: 5/1/2018 12:00:00 AM




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Teens Willing to 'Cash In' on Curbing Cellphone Use While Driving

Title: Teens Willing to 'Cash In' on Curbing Cellphone Use While Driving
Category: Health News
Created: 5/2/2018 12:00:00 AM
Last Editorial Review: 5/2/2018 12:00:00 AM




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VA Doctors Prescribing Unnecessary Antibiotics, Study Says

Title: VA Doctors Prescribing Unnecessary Antibiotics, Study Says
Category: Health News
Created: 4/26/2019 12:00:00 AM
Last Editorial Review: 4/29/2019 12:00:00 AM




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AHA News: Nearly Killed in OKC Bombing, She Vowed to Change Her Life

Title: AHA News: Nearly Killed in OKC Bombing, She Vowed to Change Her Life
Category: Health News
Created: 4/16/2020 12:00:00 AM
Last Editorial Review: 4/17/2020 12:00:00 AM




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Re: Abnormally Low Hemoglobin A1c as Harbinger of Hemoglobinopathy




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Marketing Messages in Continuing Medical Education (CME) Modules on Binge-Eating Disorder (BED)

Background:

In 2015, Vyvanse (lisdexamfetamine) became the first Food and Drug Administration (FDA)-approved treatment for binge-eating disorder (BED), a condition first recognized by the DSM–V in 2013. Because pharmaceutical companies use continuing medical education (CME) to help sell drugs, we explored possible bias in CME modules on BED.

Methods:

We utilized a qualitative thematic analysis research approach to identify and classify patterns in CME activities focusing on BED.

Results:

We identified 27 online CME activities on BED in 2015. All were funded by Shire, which manufactures lisdexamfetamine. Seven of 16 presenters disclosed financial ties with Shire. Twenty-nine slides recurred in at least 2 CME modules, and 12 slides were repeated in 5 or more modules. Diagnosis-related themes included: BED is a real, treatable disease; BED is highly prevalent but often missed; BED can occur in anyone; BED results in poor quality of life; many patients with BED are obese; and BED makes losing weight difficult. Treatment-related themes included: lisdexamfetamine is highly effective; topiramate is limited by substantial adverse effects; and other therapeutic options for BED are inferior to lisdexamfetamine because they do not cause weight loss. Although amphetamines can cause addiction, myocardial infarction, stroke, and death, no module mentioned these serious adverse effects.

Conclusions:

It seems that CME is being used to promote lisdexamfetamine for weight loss (a contraindicated use) and to highlight benefits of lisdexamfetamine while underplaying the risks.




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Correction to "Probing the Assembly of HDL Mimetic, Drug Carrying Nanoparticles Using Intrinsic Fluorescence" [Erratum]




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Proteinase-Activated Receptor 4 Activation Triggers Cell Membrane Blebbing through RhoA and {beta}-Arrestin [Articles]

Proteinase-activated receptors (PARs) are a four-member family of G-protein–coupled receptors that are activated via proteolysis. PAR4 is a member of this family that is cleaved and activated by serine proteinases such as thrombin, trypsin, and cathepsin-G. PAR4 is expressed in a variety of tissues and cell types, including platelets, vascular smooth muscle cells, and neuronal cells. In studying PAR4 signaling and trafficking, we observed dynamic changes in the cell membrane, with spherical membrane protrusions that resemble plasma membrane blebbing. Since nonapoptotic membrane blebbing is now recognized as an important regulator of cell migration, cancer cell invasion, and vesicular content release, we sought to elucidate the signaling pathway downstream of PAR4 activation that leads to such events. Using a combination of pharmacological inhibition and CRISPR/CRISPR-associated protein 9 (Cas9)–mediated gene editing approaches, we establish that PAR4-dependent membrane blebbing occurs independently of the Gαq/11- and Gαi-signaling pathways and is dependent on signaling via the β-arrestin-1/2 and Ras homolog family member A (RhoA) signaling pathways. Together these studies provide further mechanistic insight into PAR4 regulation of cellular function.

SIGNIFICANCE STATEMENT

We find that the thrombin receptor PAR4 triggers cell membrane blebbing in a RhoA–and β-arrestin–dependent manner. In addition to identifying novel cellular responses mediated by PAR4, these data provide further evidence for biased signaling in PAR4 since membrane blebbing was dependent on some, but not all, signaling pathways activated by PAR4.




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Yonder: Oncogeriatrics, binge eating in black women, dissection, and podcasts




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How accurate are GPs at integrating evidence into prescribing decisions?




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Maternity Care and Buprenorphine Prescribing in New Family Physicians [Research Brief]

The American Board of Family Medicine routinely surveys its Diplomates in each national graduating cohort 3 years out of training. These data were used to characterize early career family physicians whose services include management of pregnancy and prescribing buprenorphine. A total of 261 (5.1%) respondents both provide maternity care and prescribe buprenorphine. Family physicians who care for pregnant women and also prescribe buprenorphine represented 50.4% of all buprenorphine prescribers. The family physicians in this group were trained in a small number of residency programs, with only 15 programs producing at least 25% of graduates who do this work.




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Unnecessary antibiotic prescribing in a Canadian primary care setting: a descriptive analysis using routinely collected electronic medical record data

Background:

Unnecessary antibiotic use in the community in Canada is not well defined. Our objective was to quantify unnecessary antibiotic prescribing in a Canadian primary care setting.

Methods:

We performed a descriptive analysis in Ontario from April 2011 to March 2016 using the Electronic Medical Records Primary Care database linked to other health administrative data sets at ICES. We determined antibiotic prescribing rates (per 100 patient–physician encounters) for 23 common conditions and estimated rates of unnecessary prescribing using predefined expected prescribing rates, both stratified by condition and patient age group.

Results:

The study included 341 physicians, 204 313 patients and 499 570 encounters. The rate of unnecessary antibiotic prescribing for included conditions was 15.4% overall and was 17.6% for those less than 2 years of age, 18.6% for those aged 2–18, 14.5% for those aged 19–64 and 13.0% for those aged 65 or more. The highest unnecessary prescribing rates were observed for acute bronchitis (52.6%), acute sinusitis (48.4%) and acute otitis media (39.3%). The common cold, acute bronchitis, acute sinusitis and miscellaneous nonbacterial infections were responsible for 80% of the unnecessary antibiotic prescriptions. Of all antibiotics prescribed, 12.0% were for conditions for which they are never indicated, and 12.3% for conditions for which they are rarely indicated. In children, 25% of antibiotics were for conditions for which they are never indicated (e.g., common cold).

Interpretation:

Antibiotics were prescribed unnecessarily for 15.4% of included encounters in a Canadian primary care setting. Almost one-quarter of antibiotics were prescribed for conditions for which they are rarely or never indicated. These findings should guide safe reductions in the use of antibiotics for the common cold, bronchitis and sinusitis.




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Levothyroxine prescribing and laboratory test use after a minor change in reference range for thyroid-stimulating hormone [Research]

BACKGROUND:

Prescribing of levothyroxine and rates of thyroid function testing may be sensitive to minor changes in the upper limit of the reference range for thyroid-stimulating hormone (TSH) that increase the proportion of abnormal results. We evaluated the population-level change in levothyroxine prescribing and TSH testing after a minor planned decrease in the upper limit of the reference range for TSH in a large urban centre with a single medical laboratory.

METHODS:

Using provincial administrative data, we compared predicted volumes of TSH tests with actual TSH test volumes before and after a planned change in the TSH reference range. We also determined the number of new levothyroxine prescriptions for previously untreated patients and the rate of changes to the prescribed dose for those on previously stable, long-term levothyroxine therapy before and after the change in the TSH reference range.

RESULTS:

Before the change in the TSH reference range, actual and predicted monthly volumes of TSH testing followed an identical course. After the change, actual test volumes exceeded predicted test volumes by 7.3% (95% confidence interval [CI] 5.3%–9.3%) or about 3000 to 5000 extra tests per month. The proportion of patients with newly "abnormal" TSH results almost tripled, from 3.3% (95% CI 3.2%–3.4%) to 9.1% (95% CI 9.0%–9.2%). The rate of new levothyroxine prescriptions increased from 3.24 (95% CI 3.15–3.33) per 1000 population in 2013 to 4.06 (95% CI 3.96–4.15) per 1000 population in 2014. Among patients with preexisting stable levothyroxine therapy, there was a significant increase in the number of dose escalations (p < 0.001) and a total increase of 500 new prescriptions per month.

INTERPRETATION:

Our findings suggest that clinicians may have responded to mildly elevated TSH results with new or increased levothyroxine prescriptions and more TSH testing. Knowledge translation efforts may be useful to accompany minor changes in reference ranges.




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Bombing asteroid Ryugu reveals it is a spritely 9 million years old

The Hayabusa-2 spacecraft bombed the asteroid Ryugu in April. Analysing the crater it left behind suggests Ryugu is a relative youngster at 9 million years old




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Statistics Canada says it is probing leak of April jobs data half an hour before official release

Data leaks of this magnitude are virtually unheard of in Canada




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Shakespearean Stabbings, How to Feed a Dictator and Other New Books to Read

The sixth installment in our weekly series spotlights titles that may have been lost in the news amid the COVID-19 crisis




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Hackney stabbing: Boy, 16, seriously injured in &apos;senseless&apos; attack

A 16-year-old boy has suffered serious injuries after he was stabbed in a "senseless" attack in north-east London.




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Stabbings and violent crime in London have &apos;dropped considerably&apos; since coronavirus lockdown, says Met Police chief

Read our live coronavirus updates HERE Coronavirus: The symptoms




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Croydon stabbing: Police issue CCTV in hunt for man who stabbed eight months pregnant mother Kelly Mary Fauvrelle to death

7.45am update: Tragic pregnant mother's baby loses fight for life




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Notting Hill stabbing: Man in 50s fighting for life after west London attack

A man in his 50s is fighting for his life after a stabbing in Notting Hill.




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Newport stabbing: Attempted murder arrest after police sergeant knifed on duty

The 47-year-old officer was knifed in the abdomen while attending reports of disorder at an address in St Vincent Road, Newport, during the early hours of Thursday.




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Man, 44, charged with attempted murder after officers link him to three stabbings in London

A 44-year-old man has been charged with attempted murder after being allegedly linked to three stabbings in north London.




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Newham &apos;stabbing&apos;: Young man dies after &apos;being stabbed&apos; in east London street

A young man has died after he was found injured in an east London street.




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Ilford stabbings: Mother&apos;s horror as &apos;her baby and toddler die from knife wounds&apos;

A mother ran into the street screaming "help me…it's my children" after a baby and a toddler suffered fatal knife wounds at the family home, neighbours said today.




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Murder probe in Putney after man, 42, dies after stabbing

A murder probe has been launched in Putney after a 42-year-old man died after a stabbing in Putney.




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Newham stabbing: Double tragedy as NHS worker knifed to death in east London days before father&apos;s funeral

A young NHS worker was stabbed to death in east London just days before his father's funeral.




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Ilford stabbing: Toddler and three-year-old boy killed in east London home named

Two young children who were stabbed to death in an attack at their home in east London have been named by police.




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Ilford stabbing: Man arrested on suspicion of murder as children killed in east London pictured

A man has been arrested on suspicion of murder after two children were stabbed to death in Ilford.




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Teenager found guilty of kidnapping and robbing stranger in north London

A north London teenager, 16, has been found guilty of kidnapping a stranger in the street and forcing him to withdraw money from a cash machine.




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Pilbara stabbings: Man shot dead by police after knife attack at shopping centre in Western Australia

"He pushed one of the police officers on the ground and I think he was about to lunge at another one of the police with the knife, that's what it looked like to me.




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Dagenham stabbing: Man and teenager rushed to hospital after east London knife attack

A man and a teenage boy have been stabbed in east London, amid a spate of knife crime in the capital in recent weeks.




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Newham stabbing: Two arrested on suspicion of murder after young NHS worker knifed to death in east London

Two teenagers have been arrested on suspicion of murder after a young NHS worker was stabbed to death in east London.




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Newham stabbing: Two charged with murder after NHS worker David Gomoh fatally knifed in east london

Two teenagers have been charged with the murder of NHS worker David Gomoh in east London.




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Kevin Phillips&apos;s wife Julie released without charge after attempted murder arrest following stabbing

The wife of former Premier League footballer Kevin Phillips has been released without charge after being arrested on suspicion of attempted murder following a stabbing.




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Police break up barbecue and bingo street party in Middlesbrough during coronavirus lockdown

Two 20-year-old men were arrested on suspicion of public order offences




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Woman held on suspicion of murder after elderly man dies and others injured in &apos;stabbing&apos; at shop in South Wales

A woman has been arrested for suspected murder after a reported stabbing outside a shop in South Wales left an elderly man dead and several others injured.




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Murder arrest after man found dead following &apos;stabbing&apos; in Hammersmith

A man has been found dead after suffering suspected stab wounds in west London.




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Police cordon off busy road after double stabbing in Orpington

Police have cordoned off a busy road in south east London after a double stabbing in broad daylight.




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Church warden John Rees, 88, named as victim of &apos;stabbing&apos; at Co-op in South Wales

A family friend described Mr Rees as a 'pillar of the community'




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Danny Pearce death: Man charged with murder after fatal stabbing of young father in Greenwich in 2017




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Zoom To Crack Down on Zoombombing, In Deal With NY Attorney General

The company has agreed to launch a new internal data security program and will take other steps to combat hacker disruptions.




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Poll: Most in US back curbing in-person worship amid virus

While the White House looks ahead to reopening houses of worship, most Americans think in-person religious services should be barred or allowed only with limits during the coronavirus pandemic — and only about a third say that prohibiting in-person services violates religious freedom, a new poll finds. States have taken different approaches to resuming gatherings as the coronavirus continues to spread, raising tough questions for religious leaders and the faithful about the appropriate time to return. Among that group is 54-year-old Andre Harris of Chicago, a onetime Sunday school teacher who has shifted his routine from physical worship to the conference calls his church is holding during the pandemic.





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What to Watch This Weekend: Our Top Binge Picks for May 9-10

Any big weekend plans? Don't worry, we've got you covered. Every weekend, E! is giving you the top binge picks, including new and old TV series, movies and specials. And this...




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Tiger King: Rick Kirkham comes forward with disturbing Joe Exotic story that didn&apos;t make it into documentary

He called Exotic 'unbelievably cruel'




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Grabbing an Uber? Buckle up and bring your face mask to combat coronavirus

As cities and states come out of COVID-19 stay-at-home orders, Uber is working on technologies to ensure both drivers and riders have masks in place.

      




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Coronavirus bingeing: YouTube trends show spike in every-day task tutorials

YouTube has seen a spike in content built on sharing the mundane, often isolating experiences of people's daily lives.

      




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What to Watch This Weekend: Our Top Binge Picks for May 9-10

Any big weekend plans? Don't worry, we've got you covered. Every weekend, E! is giving you the top binge picks, including new and old TV series, movies and specials. And this...




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Sydney news: Truck carrying dog food rolls over on M4, three charged over Cartwright stabbing death

MORNING BRIEFING: A truck carrying dry dog food rolls over on a busy western Sydney road, and two men and a woman have been charged over the death of a man in Cartwright.




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Sydney news: Qantas schedules first flight from New York to Sydney, manhunt after Surry Hills stabbing

MORNING BRIEFING: The first non-stop commercial flight between New York and Sydney will depart shortly, and a man is charged over an alleged $170,000 diamond fraud committed in 2002.