nds High-Pitched Sounds May Trigger Seizures in Cats By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: High-Pitched Sounds May Trigger Seizures in CatsCategory: Health NewsCreated: 4/28/2015 12:00:00 AMLast Editorial Review: 4/29/2015 12:00:00 AM Full Article
nds Few Sickle Cell Patients Receiving Beneficial Drug, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Few Sickle Cell Patients Receiving Beneficial Drug, Study FindsCategory: Health NewsCreated: 4/28/2015 12:00:00 AMLast Editorial Review: 4/29/2015 12:00:00 AM Full Article
nds Half of U.S. Hospitals Could Do More to Prevent Serious Infections, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Half of U.S. Hospitals Could Do More to Prevent Serious Infections, Study FindsCategory: Health NewsCreated: 4/29/2015 12:00:00 AMLast Editorial Review: 4/30/2015 12:00:00 AM Full Article
nds Most Americans Turn to Prayer for Healing, Survey Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Most Americans Turn to Prayer for Healing, Survey FindsCategory: Health NewsCreated: 4/22/2016 12:00:00 AMLast Editorial Review: 4/25/2016 12:00:00 AM Full Article
nds Female Pelvis Widens, Then Shrinks Over a Lifetime, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Female Pelvis Widens, Then Shrinks Over a Lifetime, Study FindsCategory: Health NewsCreated: 4/25/2016 12:00:00 AMLast Editorial Review: 4/26/2016 12:00:00 AM Full Article
nds Babies Fed Rice-Based Cereals Have Higher Arsenic Levels, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Babies Fed Rice-Based Cereals Have Higher Arsenic Levels, Study FindsCategory: Health NewsCreated: 4/25/2016 12:00:00 AMLast Editorial Review: 4/26/2016 12:00:00 AM Full Article
nds U.S. Health Report Card Finds Racial, Ethnic Disparities Persist By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: U.S. Health Report Card Finds Racial, Ethnic Disparities PersistCategory: Health NewsCreated: 4/27/2016 12:00:00 AMLast Editorial Review: 4/27/2016 12:00:00 AM Full Article
nds Young Gay, Bisexual Men May Be at Higher Risk for Suicide, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Young Gay, Bisexual Men May Be at Higher Risk for Suicide, Study FindsCategory: Health NewsCreated: 4/26/2016 12:00:00 AMLast Editorial Review: 4/27/2016 12:00:00 AM Full Article
nds Americans Getting Adequate Water Daily, CDC Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Americans Getting Adequate Water Daily, CDC FindsCategory: Health NewsCreated: 4/26/2016 12:00:00 AMLast Editorial Review: 4/27/2016 12:00:00 AM Full Article
nds Hearing Aids May Help Keep Seniors' Minds Sharp By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Hearing Aids May Help Keep Seniors' Minds SharpCategory: Health NewsCreated: 4/27/2016 12:00:00 AMLast Editorial Review: 4/28/2016 12:00:00 AM Full Article
nds Type 2 Diabetes May Damage Hearing, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Type 2 Diabetes May Damage Hearing, Study FindsCategory: Health NewsCreated: 4/27/2016 12:00:00 AMLast Editorial Review: 4/28/2016 12:00:00 AM Full Article
nds Healthy Heart in Middle Age Delivers Big Dividends By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Healthy Heart in Middle Age Delivers Big DividendsCategory: Health NewsCreated: 5/1/2017 12:00:00 AMLast Editorial Review: 5/2/2017 12:00:00 AM Full Article
nds Thunderstorms Can Trigger Asthma Flares, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Thunderstorms Can Trigger Asthma Flares, Study FindsCategory: Health NewsCreated: 5/1/2017 12:00:00 AMLast Editorial Review: 5/2/2017 12:00:00 AM Full Article
nds More Starring Roles for Booze in Kids' Movies, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: More Starring Roles for Booze in Kids' Movies, Study FindsCategory: Health NewsCreated: 5/4/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
nds U.S. Workplaces Roiled by Post-Election Discord, Poll Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: U.S. Workplaces Roiled by Post-Election Discord, Poll FindsCategory: Health NewsCreated: 5/3/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
nds 4 in 10 People Will Suffer Arthritic Hands Over Lifetime By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: 4 in 10 People Will Suffer Arthritic Hands Over LifetimeCategory: Health NewsCreated: 5/4/2017 12:00:00 AMLast Editorial Review: 5/5/2017 12:00:00 AM Full Article
nds Sex Still Matters to Many Seniors, Survey Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Sex Still Matters to Many Seniors, Survey FindsCategory: Health NewsCreated: 5/3/2018 12:00:00 AMLast Editorial Review: 5/4/2018 12:00:00 AM Full Article
nds Autism Diagnoses Reliable at 14 Months, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Autism Diagnoses Reliable at 14 Months, Study FindsCategory: Health NewsCreated: 4/29/2019 12:00:00 AMLast Editorial Review: 4/30/2019 12:00:00 AM Full Article
nds AHA News: Firefighter In Need of a New Heart Got By With a Little Help From His Friends By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: AHA News: Firefighter In Need of a New Heart Got By With a Little Help From His FriendsCategory: Health NewsCreated: 4/24/2020 12:00:00 AMLast Editorial Review: 4/27/2020 12:00:00 AM Full Article
nds E-Cigarettes as Bad for Arteries as Regular Smokes, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: E-Cigarettes as Bad for Arteries as Regular Smokes, Study FindsCategory: Health NewsCreated: 4/29/2020 12:00:00 AMLast Editorial Review: 4/30/2020 12:00:00 AM Full Article
nds Thousands of Health Care Workers Lack Insurance If COVID-19 Strikes: Study By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Thousands of Health Care Workers Lack Insurance If COVID-19 Strikes: StudyCategory: Health NewsCreated: 4/30/2020 12:00:00 AMLast Editorial Review: 5/1/2020 12:00:00 AM Full Article
nds Trial Finds Acupuncture May Help Prevent Migraines By www.medicinenet.com Published On :: Fri, 27 Mar 2020 00:00:00 PDT Title: Trial Finds Acupuncture May Help Prevent MigrainesCategory: Health NewsCreated: 3/26/2020 12:00:00 AMLast Editorial Review: 3/27/2020 12:00:00 AM Full Article
nds Heavy Drinking Tied to Raised Stroke Risk, Study Finds By www.medicinenet.com Published On :: Wed, 6 May 2020 00:00:00 PDT Title: Heavy Drinking Tied to Raised Stroke Risk, Study FindsCategory: Health NewsCreated: 5/5/2020 12:00:00 AMLast Editorial Review: 5/6/2020 12:00:00 AM Full Article
nds Necklace Spots A-Fib in Just Over 30 Seconds By www.medicinenet.com Published On :: Thu, 7 May 2020 00:00:00 PDT Title: Necklace Spots A-Fib in Just Over 30 SecondsCategory: Health NewsCreated: 5/6/2020 12:00:00 AMLast Editorial Review: 5/7/2020 12:00:00 AM Full Article
nds All That Social Media Hasn't Hurt Kids' Social Skills, Study Finds By www.medicinenet.com Published On :: Fri, 17 Apr 2020 00:00:00 PDT Title: All That Social Media Hasn't Hurt Kids' Social Skills, Study FindsCategory: Health NewsCreated: 4/17/2020 12:00:00 AMLast Editorial Review: 4/17/2020 12:00:00 AM Full Article
nds Thousands of COVID-19 Cases Among Inmates and Staff at U.S. Prisons and Jails: CDC By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Thousands of COVID-19 Cases Among Inmates and Staff at U.S. Prisons and Jails: CDCCategory: Health NewsCreated: 5/7/2020 12:00:00 AMLast Editorial Review: 5/8/2020 12:00:00 AM Full Article
nds Drink Up! Coffee Won't Harm Your Heart, Study Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Drink Up! Coffee Won't Harm Your Heart, Study FindsCategory: Health NewsCreated: 5/7/2020 12:00:00 AMLast Editorial Review: 5/8/2020 12:00:00 AM Full Article
nds Necklace Spots A-Fib in Just Over 30 Seconds By www.webmd.com Published On :: Wed, 06 May 2020 17:32:26 EST A necklace outfitted with a high-tech pendant may be able to screen for signs of an abnormal heart rhythm condition known as atrial fibrillation. Full Article
nds Daily Aspirin Won't Stop Dementia, Study Finds By www.medicinenet.com Published On :: Thu, 26 Mar 2020 00:00:00 PDT Title: Daily Aspirin Won't Stop Dementia, Study FindsCategory: Health NewsCreated: 3/25/2020 12:00:00 AMLast Editorial Review: 3/26/2020 12:00:00 AM Full Article
nds Research Finds Contagious Staph in Lupus-Related Skin Rashes By www.medicinenet.com Published On :: Mon, 2 Mar 2020 00:00:00 PDT Title: Research Finds Contagious Staph in Lupus-Related Skin RashesCategory: Health NewsCreated: 2/28/2020 12:00:00 AMLast Editorial Review: 3/2/2020 12:00:00 AM Full Article
nds 4 in 10 Security Guards Suffer PTSD, Study Finds By www.medicinenet.com Published On :: Wed, 15 Apr 2020 00:00:00 PDT Title: 4 in 10 Security Guards Suffer PTSD, Study FindsCategory: Health NewsCreated: 4/14/2020 12:00:00 AMLast Editorial Review: 4/15/2020 12:00:00 AM Full Article
nds Cuddling Brings Two Minds Together, MRI Study Reveals By www.medicinenet.com Published On :: Mon, 4 May 2020 00:00:00 PDT Title: Cuddling Brings Two Minds Together, MRI Study RevealsCategory: Health NewsCreated: 5/4/2020 12:00:00 AMLast Editorial Review: 5/4/2020 12:00:00 AM Full Article
nds Ask Grandma to Dance to Boost Her Mood And Strengthen Your Bonds By www.medicinenet.com Published On :: Mon, 20 Apr 2020 00:00:00 PDT Title: Ask Grandma to Dance to Boost Her Mood And Strengthen Your BondsCategory: Health NewsCreated: 4/17/2020 12:00:00 AMLast Editorial Review: 4/20/2020 12:00:00 AM Full Article
nds Women Are Much Safer Drivers Than Men, British Study Finds By www.medicinenet.com Published On :: Tue, 7 Apr 2020 00:00:00 PDT Title: Women Are Much Safer Drivers Than Men, British Study FindsCategory: Health NewsCreated: 4/7/2020 12:00:00 AMLast Editorial Review: 4/7/2020 12:00:00 AM Full Article
nds Is the 'Gratitude Movement' Overrated? Study Finds It Has Limits By www.medicinenet.com Published On :: Tue, 17 Mar 2020 00:00:00 PDT Title: Is the 'Gratitude Movement' Overrated? Study Finds It Has LimitsCategory: Health NewsCreated: 3/16/2020 12:00:00 AMLast Editorial Review: 3/17/2020 12:00:00 AM Full Article
nds CO2/HCO3- Accelerates Iron Reduction through Phenolic Compounds By mbio.asm.org Published On :: 2020-03-10T01:30:41-07:00 ABSTRACT Iron is a vital mineral for almost all living organisms and has a pivotal role in central metabolism. Despite its great abundance on earth, the accessibility for microorganisms is often limited, because poorly soluble ferric iron (Fe3+) is the predominant oxidation state in an aerobic environment. Hence, the reduction of Fe3+ is of essential importance to meet the cellular demand of ferrous iron (Fe2+) but might become detrimental as excessive amounts of intracellular Fe2+ tend to undergo the cytotoxic Fenton reaction in the presence of hydrogen peroxide. We demonstrate that the complex formation rate of Fe3+ and phenolic compounds like protocatechuic acid was increased by 46% in the presence of HCO3– and thus accelerated the subsequent redox reaction, yielding reduced Fe2+. Consequently, elevated CO2/HCO3– levels increased the intracellular Fe2+ availability, which resulted in at least 50% higher biomass-specific fluorescence of a DtxR-based Corynebacterium glutamicum reporter strain, and stimulated growth. Since the increased Fe2+ availability was attributed to the interaction of HCO3– and chemical iron reduction, the abiotic effect postulated in this study is of general relevance in geochemical and biological environments. IMPORTANCE In an oxygenic environment, poorly soluble Fe3+ must be reduced to meet the cellular Fe2+ demand. This study demonstrates that elevated CO2/HCO3– levels accelerate chemical Fe3+ reduction through phenolic compounds, thus increasing intracellular Fe2+ availability. A number of biological environments are characterized by the presence of phenolic compounds and elevated HCO3– levels and include soil habitats and the human body. Fe2+ availability is of particular interest in the latter, as it controls the infectiousness of pathogens. Since the effect postulated here is abiotic, it generally affects the Fe2+ distribution in nature. Full Article
nds Bacillus anthracis Responds to Targocil-Induced Envelope Damage through EdsRS Activation of Cardiolipin Synthesis By mbio.asm.org Published On :: 2020-03-31T01:30:58-07:00 ABSTRACT Bacillus anthracis is a spore-forming bacterium that causes devastating infections and has been used as a bioterror agent. This pathogen can survive hostile environments through the signaling activity of two-component systems, which couple environmental sensing with transcriptional activation to initiate a coordinated response to stress. In this work, we describe the identification of a two-component system, EdsRS, which mediates the B. anthracis response to the antimicrobial compound targocil. Targocil is a cell envelope-targeting compound that is toxic to B. anthracis at high concentrations. Exposure to targocil causes damage to the cellular barrier and activates EdsRS to induce expression of a previously uncharacterized cardiolipin synthase, which we have named ClsT. Both EdsRS and ClsT are required for protection against targocil-dependent damage. Induction of clsT by EdsRS during targocil treatment results in an increase in cardiolipin levels, which protects B. anthracis from envelope damage. Together, these results reveal that a two-component system signaling response to an envelope-targeting antimicrobial induces production of a phospholipid associated with stabilization of the membrane. Cardiolipin is then used to repair envelope damage and promote B. anthracis viability. IMPORTANCE Compromising the integrity of the bacterial cell barrier is a common action of antimicrobials. Targocil is an antimicrobial that is active against the bacterial envelope. We hypothesized that Bacillus anthracis, a potential weapon of bioterror, senses and responds to targocil to alleviate targocil-dependent cell damage. Here, we show that targocil treatment increases the permeability of the cellular envelope and is particularly toxic to B. anthracis spores during outgrowth. In vegetative cells, two-component system signaling through EdsRS is activated by targocil. This results in an increase in the production of cardiolipin via a cardiolipin synthase, ClsT, which restores the loss of barrier function, thereby reducing the effectiveness of targocil. By elucidating the B. anthracis response to targocil, we have uncovered an intrinsic mechanism that this pathogen employs to resist toxicity and have revealed therapeutic targets that are important for bacterial defense against structural damage. Full Article
nds Global Trends in Proteome Remodeling of the Outer Membrane Modulate Antimicrobial Permeability in Klebsiella pneumoniae By mbio.asm.org Published On :: 2020-04-14T01:31:22-07:00 ABSTRACT In Gram-negative bacteria, the permeability of the outer membrane governs rates of antibiotic uptake and thus the efficacy of antimicrobial treatment. Hydrophilic drugs like β-lactam antibiotics depend on diffusion through pore-forming outer membrane proteins to reach their intracellular targets. In this study, we investigated the distribution of porin genes in more than 2,700 Klebsiella isolates and found a widespread loss of OmpK35 functionality, particularly in those strains isolated from clinical environments. Using a defined set of outer-membrane-remodeled mutants, the major porin OmpK35 was shown to be largely responsible for β-lactam permeation. Sequence similarity network analysis characterized the porin protein subfamilies and led to discovery of a new porin family member, OmpK38. Structure-based comparisons of OmpK35, OmpK36, OmpK37, OmpK38, and PhoE showed near-identical pore frameworks but defining differences in the sequence characteristics of the extracellular loops. Antibiotic sensitivity profiles of isogenic Klebsiella pneumoniae strains, each expressing a different porin as its dominant pore, revealed striking differences in the antibiotic permeability characteristics of each channel in a physiological context. Since K. pneumoniae is a nosocomial pathogen with high rates of antimicrobial resistance and concurrent mortality, these experiments elucidate the role of porins in conferring specific drug-resistant phenotypes in a global context, informing future research to combat antimicrobial resistance in K. pneumoniae. IMPORTANCE Klebsiella pneumoniae is a pathogen of humans with high rates of mortality and a recognized global rise in incidence of carbapenem-resistant K. pneumoniae (CRKP). The outer membrane of K. pneumoniae forms a permeability barrier that modulates the ability of antibiotics to reach their intracellular target. OmpK35, OmpK36, OmpK37, OmpK38, PhoE, and OmpK26 are porins in the outer membrane of K. pneumoniae, demonstrated here to have a causative relationship to drug resistance phenotypes in a physiological context. The data highlight that currently trialed combination treatments with a carbapenem and β-lactamase inhibitors could be effective on porin-deficient K. pneumoniae. Together with structural data, the results reveal the role of outer membrane proteome remodeling in antimicrobial resistance of K. pneumoniae and point to the role of extracellular loops, not channel parameters, in drug permeation. This significant finding warrants care in the development of phage therapies for K. pneumoniae infections, given the way porin expression will be modulated to confer phage-resistant—and collateral drug-resistant—phenotypes in K. pneumoniae. Full Article
nds Study: Drivers who drink but arent legally impaired cause thousands of deaths By thenationshealth.aphapublications.org Published On :: 2020-05-01T05:00:17-07:00 Drivers with blood-alcohol levels below legal limits cause 15% of all crash deaths that involve alcohol, a study in the March issue of the American Journal of Preventive Medicine finds. Full Article
nds Minnesota association acknowledges states ancestral lands, residents By thenationshealth.aphapublications.org Published On :: 2020-05-01T05:00:17-07:00 In a nod to the people who came before them — and those who still live among them — the Minnesota Public Health Association is acknowledging ancestral lands. Full Article
nds Many people face high risk of PTSD after being injured, research finds By thenationshealth.aphapublications.org Published On :: 2020-05-01T05:00:17-07:00 A significant number of injury survivors experience post-traumatic stress disorder, and better screening practices could help connect them to mental health services. Full Article
nds Moving Upstream to Impact Health: Building a Physician Workforce that Understands Social Determinants By www.ncmedicaljournal.com Published On :: 2020-05-04T06:50:30-07:00 Decades of rallying cries from professional societies, medical education and training programs, and government stakeholders have distilled the conversation of social determinants of health (SDOH) from theoretical proposals into practical solutions [1-3]. No longer standing on the precipice of change, we are now in the trenches. The nation's health care system recognizes SDOH as important drivers of health and is taking steps to address them in the practice environment. More widespread action and attention by the health care system drives the need to train the next generation of physicians in the concepts and actions related to SDOH. This includes SDOH as a core part of the medical curriculum, offering clinical and research experiences and service in the community [4-5]. Unfortunately, to date only a handful of programs have brought this vision to fruition. Across the country, most programs offer educational content that is largely didactic and provided in short or one-time sessions [6]. Though a start, such approaches are insufficient to prepare the next generation of physicians for their important work ahead. In New Orleans, the NOLA Hotspotters are an interdisciplinary group of medical, public health, nursing, and pharmacy students inspired by the work out of Camden, New Jersey, to "hot spot" patients with high utilization, which is often related to social needs [7]. While the results of the Camden program have been widely discussed following publication of their work, we argue the benefit of such a program exists beyond reduced emergency department visits or health care spending [8]. The... Full Article
nds Sometimes You Seek the Spotlight. Sometimes it Finds You. By www.ncmedicaljournal.com Published On :: 2020-05-04T06:50:30-07:00 For decades, government, health systems, universities, foundations, exceptional individuals, and thought leaders across North Carolina have been testing, implementing, modifying, and just plain trying new ways of improving the way we seek, receive, and experience health care. More recently, North Carolina has been striving to not simply address the cost, efficiency, and value that are so frustratingly elusive in health care, but also recognizing that we simply need to improve the health of our residents. We have looked to interventions both compatible with and beyond health care to do this. The National Academy of Medicine, formerly the National Institute of Medicine, since 2016 has boldly laid out Vital Directions in Health Care, focusing on 19 priority issues and recommendations for health policy to better achieve health and well-being for all Americans. They have taken their show on the road, beyond the halls of Congress and think tanks and universities to the people on the ground in states across the country to present, discuss, listen, and learn how policy recommendations come to life. This issue of the journal highlights the National Academy of Medicine bringing its spotlight to North Carolina last November, an acknowledgment that states are often where policy is put into action, and that North Carolina has been a leader in innovating, planning, implementing, and evaluating again and again to get better and better results for our residents. Pull your chair up to the edge of the stage for a good read in the glow of the spotlight. Full Article
nds Very large convergent multi-fluted glacigenic deposits in the NW Highlands, Scotland By sjg.lyellcollection.org Published On :: 2019-11-29T02:21:48-08:00 We describe two large convergent multi-fluted glacigenic deposits in the NW Highlands, Scotland, and point out their resemblance to a number of landforms emerging from presently deglaciating areas of Greenland and Antarctica. We suggest that they all result from locally sourced sediment being deposited by local ice-flow, which was laterally confined by the margins of much larger adjacent glaciers or ice-streams. The NW Highlands features thus seem likely to be the result of processes active during the latter part of the Devensian Glaciation. One of these deposits, on the peninsula between Loch Broom and Little Loch Broom, is evidently sourced from the west-facing Coire Dearg of Beinn Ghobhlach, but was emplaced in a WNW direction rather than along the WSW fall-line. This suggests that the ice that emplaced it was confined by the margins of large glaciers then occupying the adjacent valleys of Loch Broom and Little Loch Broom. The second much larger and more prominent deposit, in Applecross, is composed of bouldery Torridonian sandstone till emplaced on to glacially scoured bedrock; the only feasible source location for this material is about 12 km distant, which requires that the deposit was carried by ice across the trough of Strath Maol Chalum and emplaced while active ice-streams confined it laterally to its present-day location. This, in turn, requires that ice lay in the Inner Sound between Applecross and Skye to an elevation 400–500 m above present-day sea-level. The Wester Ross Re-advance of 15–14 ka left a fragment of lateral moraine against the most easterly flute and buried the distal end of the flutes with hummocky moraine. We hypothesize that the fluted deposits reflect the locations of the ice-stream margins that constrained deposition of locally derived ice-transported sediment, rather than the flow-lines of the ice-stream itself. Full Article
nds Trends in Outpatient Procedural Sedation: 2007-2018 By pediatrics.aappublications.org Published On :: 2020-05-01T01:00:46-07:00 BACKGROUND: Pediatric subspecialists routinely provide procedural sedation outside the operating room. No large study has reported trends in outpatient pediatric procedural sedation. Our purpose in this study was to identify significant trends in outpatient procedural sedation using the Pediatric Sedation Research Consortium. METHODS: Prospectively collected data from 2007 to 2018 were used for trending procedural sedation. Patient characteristics, medications, type of providers, serious adverse events, and interventions were reported. The Cochran–Armitage test for trend was used to explore the association between the year and a given characteristic. RESULTS: A total of 432 842 sedation encounters were identified and divided into 3 4-year epochs (2007–2011, 2011–2014, and 2014–2018). There was a significant decrease in infants <3 months of age receiving procedural sedation (odds ratio = 0.97; 95% confidence interval, 0.96–0.98). A large increase was noticed in pediatric hospitalists providing procedural sedation (0.6%–9.5%; P < .001); there was a decreasing trend in sedation by other providers who were not in emergency medicine, critical care, or anesthesiology (13.9%–3.9%; P < .001). There was an increasing trend in the use of dexmedetomidine (6.3%–9.3%; P < .001) and a decreasing trend in the use of chloral hydrate (6.3%–0.01%; P < .001) and pentobarbital (7.3%–0.5%; P < .001). Serious adverse events showed a nonsignificant increase overall (1.35%–1.75%). CONCLUSIONS: We report an increase in pediatric hospitalists providing sedation and a significant decrease in the use of chloral hydrate and pentobarbital by providers. Further studies are required to see if sedation services decrease costs and optimize resource use. Full Article
nds Landscape analysis of adȷacent gene rearrangements reveals BCL2L14-ETV6 gene fusions in more aggressive triple-negative breast cancer [Genetics] By www.pnas.org Published On :: 2020-05-05T10:31:24-07:00 Triple-negative breast cancer (TNBC) accounts for 10 to 20% of breast cancer, with chemotherapy as its mainstay of treatment due to lack of well-defined targets, and recent genomic sequencing studies have revealed a paucity of TNBC-specific mutations. Recurrent gene fusions comprise a class of viable genetic targets in solid tumors;... Full Article
nds Octopamine mobilizes lipids from honey bee (Apis mellifera) hypopharyngeal glands [RESEARCH ARTICLE] By jeb.biologists.org Published On :: 2020-04-16T04:02:51-07:00 Vanessa Corby-Harris, Megan E. Deeter, Lucy Snyder, Charlotte Meador, Ashley C. Welchert, Amelia Hoffman, and Bethany T. Obernesser Recent widespread honey bee (Apis mellifera) colony loss is attributed to a variety of stressors, including parasites, pathogens, pesticides and poor nutrition. In principle, we can reduce stress-induced declines in colony health by either removing the stressor or increasing the bees' tolerance to the stressor. This latter option requires a better understanding than we currently have of how honey bees respond to stress. Here, we investigated how octopamine, a stress-induced hormone that mediates invertebrate physiology and behavior, influences the health of young nurse-aged bees. Specifically, we asked whether octopamine induces abdominal lipid and hypopharyngeal gland (HG) degradation, two physiological traits of stressed nurse bees. Nurse-aged workers were treated topically with octopamine and their abdominal lipid content, HG size and HG autophagic gene expression were measured. Hemolymph lipid titer was measured to determine whether tissue degradation was associated with the release of nutrients from these tissues into the hemolymph. The HGs of octopamine-treated bees were smaller than control bees and had higher levels of HG autophagy gene expression. Octopamine-treated bees also had higher levels of hemolymph lipid compared with control bees. Abdominal lipids did not change in response to octopamine. Our findings support the hypothesis that the HGs are a rich source of stored energy that can be mobilized during periods of stress. Full Article
nds Both sexes produce sounds in vocal fish species: Testing the hypothesis in the pygmy gourami (Labyrinth fishes) [RESEARCH ARTICLE] By jeb.biologists.org Published On :: 2020-04-16T02:12:45-07:00 Noemie Liesch and Friedrich LadichIn vocal fish species, males possess larger sound-generating organs and signal acoustically with pronounced sex-specific differences. Sound production is known in two out of three species of croaking gouramis (Trichopsis vittata and T. schalleri). The present study investigates sex-specific differences in sonic organs, vocalizing behaviour and sounds emitted in the third species, the pygmy gourami T. pumila, in order to test the hypothesis that females are able to vocalize despite their less-developed sonic organs, and despite contradictory reports. Croaking gouramis stretch and pluck two enhanced (sonic) pectoral fin tendons during alternate fin beating, resulting in a series of double-pulsed bursts termed croaking sound. We measured the diameter of the first and second sonic tendon and showed that male tendons were twice as large as in same-sized females. We also determined the duration of dyadic contests, visual displays, number of sounds and buttings. Sexes differ in all sound characteristics but in no behavioural variable. Male sounds consisted of twice as many bursts, a higher percentage of double-pulsed bursts and a higher burst period. Additionally, male sounds had a lower dominant frequency and a higher sound level. In summary, female pygmy gouramis possessed sonic organs and vocalized in most dyadic contests. The sexual dimorphism in sonic tendons is clearly reflected in sex-specific differences in sound characteristics, but not in agonistic behaviour, supporting the hypothesis that females are vocal. Full Article
nds Reactive dicarbonyl compounds cause Calcitonin Gene-Related Peptide release and synergize with inflammatory conditions in mouse skin and peritoneum [Molecular Bases of Disease] By www.jbc.org Published On :: 2020-05-08T03:41:14-07:00 The plasmas of diabetic or uremic patients and of those receiving peritoneal dialysis treatment have increased levels of the glucose-derived dicarbonyl metabolites like methylglyoxal (MGO), glyoxal (GO), and 3-deoxyglucosone (3-DG). The elevated dicarbonyl levels can contribute to the development of painful neuropathies. Here, we used stimulated immunoreactive Calcitonin Gene–Related Peptide (iCGRP) release as a measure of nociceptor activation, and we found that each dicarbonyl metabolite induces a concentration-, TRPA1-, and Ca2+-dependent iCGRP release. MGO, GO, and 3-DG were about equally potent in the millimolar range. We hypothesized that another dicarbonyl, 3,4-dideoxyglucosone-3-ene (3,4-DGE), which is present in peritoneal dialysis (PD) solutions after heat sterilization, activates nociceptors. We also showed that at body temperatures 3,4-DGE is formed from 3-DG and that concentrations of 3,4-DGE in the micromolar range effectively induced iCGRP release from isolated murine skin. In a novel preparation of the isolated parietal peritoneum PD fluid or 3,4-DGE alone, at concentrations found in PD solutions, stimulated iCGRP release. We also tested whether inflammatory tissue conditions synergize with dicarbonyls to induce iCGRP release from isolated skin. Application of MGO together with bradykinin or prostaglandin E2 resulted in an overadditive effect on iCGRP release, whereas MGO applied at a pH of 5.2 resulted in reduced release, probably due to an MGO-mediated inhibition of transient receptor potential (TRP) V1 receptors. These results indicate that several reactive dicarbonyls activate nociceptors and potentiate inflammatory mediators. Our findings underline the roles of dicarbonyls and TRPA1 receptors in causing pain during diabetes or renal disease. Full Article
nds Weathering history and landscape evolution of Western Ghats (India) from 40Ar/39Ar dating of supergene K-Mn oxides By jgs.lyellcollection.org Published On :: 2020-05-04T02:10:48-07:00 Laterites preserved on both sides of the Western Ghats Escarpment of Peninsular India have formed by long-term lateritic weathering essentially after India–Seychelles continental break-up following Deccan Traps emplacement (c. 63 myr ago). Supergene manganese ores of the Western Ghats were formed on Late Archean manganese protores. Among Mn oxides composing the ores, cryptomelane (K-rich Mn oxide) was characterized and dated by 40Ar/39Ar geochronology. Measured ages complement those previously obtained in other South Indian manganese ores from the hinterland plateau and further document three major weathering periods, c. 53–44, c. 39–22 and c. 14–10 Ma, the last being documented for the first time in India. These periods coincide with global palaeoclimatic proxies and date the lateritic weathering of three successive palaeolandscapes of the Western Ghats that evolved under slow denudation (c. 8 m Ma–1) over the last 44 myr and were mostly incised during the Neogene (<22 Ma). This indicates that the Western Ghats are a relict of a South Indian plateau preserved at the headwaters of very long east-flowing river systems and above the Western Ghats Escarpment. Topography and denudation history of this landscape do not require Neogene tilt of the Peninsula as recently proposed. Supplementary material: Full details of field and sample description, methods and analytical data including electron probe microanalyses of cryptomelane, and isotopic analyses and degassing spectra of irradiated cryptomelane grains are available at https://doi.org/10.6084/m9.figshare.c.4726661 Full Article