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HIV Meds Cut Transmission Risk to Zero, Even Without Condoms: Study

Title: HIV Meds Cut Transmission Risk to Zero, Even Without Condoms: Study
Category: Health News
Created: 5/2/2019 12:00:00 AM
Last Editorial Review: 5/3/2019 12:00:00 AM




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PMC Canada's Manuscript Submission System Goes Live!

The PMC Canada manuscript submission system was released on April 28, 2010. The system will enable researchers funded by the Canadian Institutes of Health Research to deposit their peer-reviewed research publications, in compliance with CIHR's Policy on Access to Research Outputs.




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Helping Seniors Manage Meds After Hospital Reduces Readmission: Study

Title: Helping Seniors Manage Meds After Hospital Reduces Readmission: Study
Category: Health News
Created: 3/3/2020 12:00:00 AM
Last Editorial Review: 3/4/2020 12:00:00 AM




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Intercellular Transmission of a Synthetic Bacterial Cytotoxic Prion-Like Protein in Mammalian Cells

ABSTRACT

RepA is a bacterial protein that builds intracellular amyloid oligomers acting as inhibitory complexes of plasmid DNA replication. When carrying a mutation enhancing its amyloidogenesis (A31V), the N-terminal domain (WH1) generates cytosolic amyloid particles that are inheritable within a bacterial lineage. Such amyloids trigger in bacteria a lethal cascade reminiscent of mitochondrial impairment in human cells affected by neurodegeneration. To fulfill all the criteria to qualify as a prion-like protein, horizontal (intercellular) transmissibility remains to be demonstrated for RepA-WH1. Since this is experimentally intractable in bacteria, here we transiently expressed in a murine neuroblastoma cell line the soluble, barely cytotoxic RepA-WH1 wild type [RepA-WH1(WT)] and assayed its response to exposure to in vitro-assembled RepA-WH1(A31V) amyloid fibers. In parallel, murine cells releasing RepA-WH1(A31V) aggregates were cocultured with human neuroblastoma cells expressing RepA-WH1(WT). Both the assembled fibers and donor-derived RepA-WH1(A31V) aggregates induced, in the cytosol of recipient cells, the formation of cytotoxic amyloid particles. Mass spectrometry analyses of the proteomes of both types of injured cells pointed to alterations in mitochondria, protein quality triage, signaling, and intracellular traffic. Thus, a synthetic prion-like protein can be propagated to, and become cytotoxic to, cells of organisms placed at such distant branches of the tree of life as bacteria and mammalia, suggesting that mechanisms of protein aggregate spreading and toxicity follow default pathways.

IMPORTANCE Proteotoxic amyloid seeds can be transmitted between mammalian cells, arguing that the intercellular exchange of prion-like protein aggregates can be a common phenomenon. RepA-WH1 is derived from a bacterial intracellular functional amyloid protein, engineered to become cytotoxic in Escherichia coli. Here, we have studied if such bacterial aggregates can also be transmitted to, and become cytotoxic to, mammalian cells. We demonstrate that RepA-WH1 is capable of entering naive cells, thereby inducing the cytotoxic aggregation of a soluble RepA-WH1 variant expressed in the cytosol, following the same trend that had been described in bacteria. These findings highlight the universality of one of the central principles underlying prion biology: No matter the biological origin of a given prion-like protein, it can be transmitted to a phylogenetically unrelated recipient cell, provided that the latter expresses a soluble protein onto which the incoming protein can readily template its amyloid conformation.




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No association of COVID-19 transmission with temperature or UV radiation in Chinese cities

The coronavirus disease 2019 (COVID-19) epidemic, which was first reported in December 2019 in Wuhan, China, has caused 80 904 confirmed cases as of 9 March 2020, with 28 673 cases being reported outside of China. It has been declared a pandemic by the World Health Organization (WHO), has exhibited human-to-human transmissibility and has spread rapidly across countries [1]. Although the Chinese government has taken various measures to control city-to-city transmission (e.g. shutting down cities, extending holidays) and many other countries have implemented measures (such as airport screening and testing patients who have reported symptoms), the number of cases is still increasing quickly throughout the world.




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Factors associated with 30-day readmission for patients hospitalized for seizures

Background

We sought to determine the cumulative incidence of readmissions after a seizure-related hospitalization and identify risk factors and readmission diagnoses.

Methods

We performed a retrospective cohort study of adult patients hospitalized with a primary discharge diagnosis of seizure (International Classification of Diseases, Ninth Edition, Clinical Modification codes 345.xx and 780.3x) using the State Inpatient Databases across 11 states from 2009 to 2012. Hospital and community characteristics were obtained from the American Hospital Association and Robert Wood Johnson Foundation. We performed logistic regressions to explore effects of patient, hospital, and community factors on readmissions within 30 days of discharge.

Results

Of 98,712 patients, 13,929 (14%) were readmitted within 30 days. Reasons for readmission included epilepsy/convulsions (30% of readmitted patients), mood disorders (5%), schizophrenia (4%), and septicemia (4%). The strongest predictors of readmission were diagnoses of CNS tumor (odds ratio [OR] 2.1, 95% confidence interval [CI] 1.9–2.4) or psychosis (OR 1.8, 95% CI 1.7–1.8), urgent index admission (OR 2.0, 95% CI 1.8–2.2), transfer to nonacute facilities (OR 1.7, 95% CI 1.6–1.8), long length of stay (OR 1.7, 95% CI 1.6–1.8), and for-profit hospitals (OR 1.7, 95% CI 1.6–1.8). Our main model's c-statistic was 0.66. Predictors of readmission for status epilepticus included index admission for status epilepticus (OR 3.5, 95% CI 2.6–4.7), low hospital epilepsy volume (OR 0.4, 95% CI 0.3–0.7), and rural hospitals (OR 4.8, 95% CI 2.1–10.9).

Conclusion

Readmission is common after hospitalization for seizures. Prevention strategies should focus on recurrent seizures, the most common readmission diagnosis. Many factors were associated with readmission, although readmissions remain challenging to predict.




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Rif1 Functions in a Tissue-Specific Manner To Control Replication Timing Through Its PP1-Binding Motif [Genome Integrity and Transmission]

Replication initiation in eukaryotic cells occurs asynchronously throughout S phase, yielding early- and late-replicating regions of the genome, a process known as replication timing (RT). RT changes during development to ensure accurate genome duplication and maintain genome stability. To understand the relative contributions that cell lineage, cell cycle, and replication initiation regulators have on RT, we utilized the powerful developmental systems available in Drosophila melanogaster. We generated and compared RT profiles from mitotic cells of different tissues and from mitotic and endocycling cells of the same tissue. Our results demonstrate that cell lineage has the largest effect on RT, whereas switching from a mitotic to an endoreplicative cell cycle has little to no effect on RT. Additionally, we demonstrate that the RT differences we observed in all cases are largely independent of transcriptional differences. We also employed a genetic approach in these same cell types to understand the relative contribution the eukaryotic RT control factor, Rif1, has on RT control. Our results demonstrate that Rif1 can function in a tissue-specific manner to control RT. Importantly, the Protein Phosphatase 1 (PP1) binding motif of Rif1 is essential for Rif1 to regulate RT. Together, our data support a model in which the RT program is primarily driven by cell lineage and is further refined by Rif1/PP1 to ultimately generate tissue-specific RT programs.




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Topoisomerases Modulate the Timing of Meiotic DNA Breakage and Chromosome Morphogenesis in Saccharomyces cerevisiae [Genome Integrity and Transmission]

During meiotic prophase, concurrent transcription, recombination, and chromosome synapsis place substantial topological strain on chromosomal DNA, but the role of topoisomerases in this context remains poorly defined. Here, we analyzed the roles of topoisomerases I and II (Top1 and Top2) during meiotic prophase in Saccharomyces cerevisiae. We show that both topoisomerases accumulate primarily in promoter-containing intergenic regions of actively transcribing genes, including many meiotic double-strand break (DSB) hotspots. Despite the comparable binding patterns, top1 and top2 mutations have different effects on meiotic recombination. TOP1 disruption delays DSB induction and shortens the window of DSB accumulation by an unknown mechanism. By contrast, temperature-sensitive top2-1 mutants exhibit a marked delay in meiotic chromosome remodeling and elevated DSB signals on synapsed chromosomes. The problems in chromosome remodeling were linked to altered Top2 binding patterns rather than a loss of Top2 catalytic activity, and stemmed from a defect in recruiting the chromosome remodeler Pch2/TRIP13 to synapsed chromosomes. No chromosomal defects were observed in the absence of TOP1. Our results imply independent roles for Top1 and Top2 in modulating meiotic chromosome structure and recombination.




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Ammonia emission abatement does not fully control reduced forms of nitrogen deposition [Environmental Sciences]

Human activities and population growth have increased the natural burden of reactive nitrogen (N) in the environment. Excessive N deposition on Earth’s surface leads to adverse feedbacks on ecosystems and humans. Similar to that of air pollution, emission control is recognized as an efficient means to control acid deposition. Control...




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Correction for Dietz et al., "2019 Novel Coronavirus (COVID-19) Pandemic: Built Environment Considerations To Reduce Transmission"




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Eliminating Patient Identified Barriers to Decrease Medicaid Inpatient Admission Rates and Improve Quality of Care

Background and Objectives:

The goal of this study was to decrease admission and readmission rate for the 2296 Medicaid patients in our clinic. Our focus was to eliminate patient identified barriers to care that led to decreased quality of care. The identified barriers for our clinic included distance to care, poor same-day access, communication, and fragmented care. A team-based, collaborative approach using members from all aspects of patient care.

Methods:

An initial survey identified which barriers to care our patients felt obstructed their care. With this data, along with a national literature review, our team used biweekly quality team meetings with LEAN methodology and Plan-Do-Study-Act cycles to create a 4-phase quality improvement project. A home-visit program to decrease distance to care, walk-in clinic to improve same-day access, strengthened collaboration with outside care managers and clinic staff to improve communication, and the introduction of an in-house phlebotomist to improve fragmented care were created and studied between June 2015 and December 2018. Admission rate, avoidable readmission rate, as well as other quality of care measurements were assessed with electronic medical record reports and through North Carolina Medicaid data reports.

Results:

Overall Medicaid admissions decreased 32.7% from starting numbers, 40.2% below expected benchmarks. Avoidable readmissions decreased 41.8%, 53.8% below the expected benchmark. Improvements in same-day access numbers and lab completion rate were also seen.

Discussion:

The team-based approach to eliminating patient-identified barriers decreased both admissions and avoidable readmissions for our Medicaid patients. It also improved quality-of-care measures. This approach has been shown to be beneficial at our clinic and can easily be replicated in other settings.




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When and How Do We Need Permission to Help Patients Address Social Risk?




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Trends in Emergency Department Visits and Inpatient Admissions for Hyperglycemic Crises in Adults With Diabetes in the U.S., 2006-2015

OBJECTIVE

To report U.S. national population-based rates and trends in diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) among adults, in both the emergency department (ED) and inpatient settings.

RESEARCH DESIGN AND METHODS

We analyzed data from 1 January 2006 through 30 September 2015 from the Nationwide Emergency Department Sample and National Inpatient Sample to characterize ED visits and inpatient admissions with DKA and HHS. We used corresponding year cross-sectional survey data from the National Health Interview Survey to estimate the number of adults ≥18 years with diagnosed diabetes to calculate population-based rates for DKA and HHS in both ED and inpatient settings. Linear trends from 2009 to 2015 were assessed using Joinpoint software.

RESULTS

In 2014, there were a total of 184,255 and 27,532 events for DKA and HHS, respectively. The majority of DKA events occurred in young adults aged 18–44 years (61.7%) and in adults with type 1 diabetes (70.6%), while HHS events were more prominent in middle-aged adults 45–64 years (47.5%) and in adults with type 2 diabetes (88.1%). Approximately 40% of the hyperglycemic events were in lower-income populations. Overall, event rates for DKA significantly increased from 2009 to 2015 in both ED (annual percentage change [APC] 13.5%) and inpatient settings (APC 8.3%). A similar trend was seen for HHS (APC 16.5% in ED and 6.3% in inpatient). The increase was in all age-groups and in both men and women.

CONCLUSIONS

Causes of increased rates of hyperglycemic events are unknown. More detailed data are needed to investigate the etiology and determine prevention strategies.




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Prolonged treatment-free remission in chronic myeloid leukemia patients with previous BCR-ABL1 kinase domain mutations




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Apex Legends is adding a horde mode-looking PvE mission next week

Season 5 of Respawn Entertainment’s hero-based battle royale kicks off next week and it looks like they’re doing more than just blowing up the map. This new Apex Legends trailer shows off what appears to be a horde mode PvE quest initiated by the newest Legend of the bunch: Loba. It looks like you’ll be […]




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Top-Secret Space Plane Set to Launch on Not-So-Secret Science Mission

X-37B? Sorry, I thought you said your name was X Æ A-12.




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Inside the mission to stop killer asteroids from smashing into Earth

When asteroid Armageddon is upon us, we can't just call Bruce Willis. Meet the people who really do watch the skies – and make detailed plans for our survival




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NASA missions may go to Venus or our solar system’s strangest moons

NASA has selected four potential future missions – to Jupiter’s fiery moon Io, Neptune’s icy moon Triton, and two that would explore the atmosphere and map the surface of Venus




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Five things we have learned about Mars from NASA's InSight mission

NASA’s InSight lander has been on the surface of Mars for over a year now – here are five of its strangest and most fascinating discoveries from the Red Planet




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First private space rescue mission sees two satellites latch together

A private satellite that is low on fuel could survive five more years because another satellite has come to its rescue – a technique that could be used by future service spacecraft




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ESA and Russia delay troubled ExoMars mission launch until 2022

The ExoMars mission, a joint venture between the European and Russian space agencies, will be delayed for two years. It has already been plagued by issues and the coronavirus hasn't helped




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SpaceX mission control to do social distancing for first crewed flight

SpaceX’s first crewed launch is planned for 27 May and will be run from a mission control with desks set six feet apart to comply with social distancing protocols




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Sewage poses potential COVID-19 transmission risk, experts warn

Environmental biologists have warned that the potential spread of COVID-19 via sewage 'must not be neglected' in the battle to protect human health.




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EU Commission calls for state guarantees for vouchers for cancelled travel




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FDA commissioner in self-quarantine after exposure to person with COVID-19

U.S. Food and Drug Administration Commissioner Stephen Hahn is in self-quarantine for a couple of weeks after coming into contact with someone who tested positive for COVID-19, an FDA spokesman told Reuters late on Friday.




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Vande Bharat Mission: TN people stranded in foreign nations return




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Air India Crew Involved in Repatriation Flights Should Stay Back in Delhi, Says Noida Police Commissioner

Noida Police Commissioner has written to national carrier Air India, requesting the airline to ensure that pilots and crew involved in repatriation flights should stay back in Delhi.





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Vande Bharat Mission: TN people stranded in foreign nations return




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Vande Bharat Mission: TN people stranded in foreign nations return




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Vande Bharat Mission: Air India flight carrying Indian nationals from Dhaka arrives in Delhi

New Delhi, May 09 (ANI): An Air India flight carrying 129 passengers from Dhaka, Bangladesh has landed at Delhi airport. The stranded Indian nationals are being brought back to the country through government’s initiative, ‘Vande Bharat Mission’.





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Risk of COVID-19 transmission from wastewater higher than believed, study claims

The novel coronavirus -- which has infected over 3.9 million people worldwide -- has been detected in wastewater, but researchers have been unclear about the transmission risks.




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CFL commissioner: Canceling season most likely scenario

Canadian Football League Commissioner Randy Ambrosie said the most likely scenario is to cancel the season because of the coronavirus pandemic.




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Coronavirus deaths to continue to rise 'for two weeks' even after intensive care admissions start to drop, top Government adviser says

Read our live coronavirus updates HERE Coronavirus: The symptoms




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

Follow our live updates HERE




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Primary school admissions 2020: When will I find out and what can I do if my child doesn't get a place?

Parents should receive updates today on whether their child has a place




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Dominic Raab issues warning over relaxing UK lockdown as he points to increased transmission rate in Germany

Dominic Raab has warned against relaxing the UK lockdown, saying the number of Covid-19 infections in Germany grew when restrictions were eased.




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Government should not reopen schools too early as Covid-19 transmission is not fully understood, NHS chief warns

The Government should avoid reopening schools too early as scientists do not fully understand coronavirus transmission between children, an NHS chief warned.




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Prince William grants permission for air ambulances to land and refuel at Kensington Palace during pandemic

Air ambulances will be able to touch down at Kensington Palace for refuelling during the coronavirus pandemic after the Duke of Cambridge gave permission for them to use a private lawn.




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Food For London Now: Fleabag star Phoebe Waller-Bridge hits road on Standard's 'rescue mission' for London

In a bustling depot in north London filled with donated food, Phoebe Waller-Bridge compared the work of The Felix Project to "a rescue mission".




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Nasa names companies to develop Moon landers for human missions

The space agency announces the companies that will work on landers to return astronauts to the Moon.





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Apollo 13: What happened on Nasa's dramatic moon mission 50 years ago

Mission is remembered as perhaps Nasa's finest, and most desparate, hour




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Apollo 13: Enhanced photos show ill-fated moon mission in unprecedented detail

Imaging specialist produces clearest pictures yet from dramatic Nasa mission




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Coronavirus: Experts unable to confirm or deny airborne transmission as multiple studies fail to reach verdict

'We propose that Sars-Cov-2 may have the potential to be transmitted via aerosols,' researchers say





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Big East commissioner: 'If our campuses aren't open, we will not have athletes coming back'

Big East commissioner Val Ackerman discussed the hurdles for sports to return to her league in 2020-21.




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Passionate Mayor In Brazil Is On A Mission To Save Lives From COVID-19

With hospitals and cemeteries overwhelmed by the coronavirus, the mayor of Manaus, Brazil's hardest hit city, has appealed to world leaders, including President Trump, for help.




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CFL's 2020 season likely to be wiped out, commissioner Randy Ambrosie says

CFL commissioner Randy Ambrosie says the most likely scenario for the league is a cancelled 2020 season during the COVID-19 pandemic.



  • Sports/Football/CFL

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NBA commissioner says games without fans could happen next season: report

With major sports leagues preparing for the eventuality of restarting behind closed doors amid the coronavirus pandemic, NBA commissioner Adam Silver reportedly took the concept to the next level on Friday.



  • Sports/Basketball/NBA

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Coronavirus: Cancellation of CFL season is ‘most likely scenario’, commissioner says

"Our best-case scenario for this year is a drastically truncated season," Randy Ambrosie said. "And our most likely scenario is no season at all.''




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Canada's privacy commissioners offer guidance on COVID-19 contact-tracing apps

As New Brunswick and other provincial governments contemplate launching COVID-19 contact-tracing apps, privacy watchdogs from across the country have issued joint guidelines on what they are describing as an "extraordinary" measure, urging transparency and accountability.



  • News/Canada/New Brunswick