Saturday, December 31, 2011
Researchers Find Bacteria Lurking In Unused Paper Towels.
WebMD 
(12/29, Goodman) reports, "Grabbing a paper towel in a public restroom
may leave more on your hands than you bargained for," according to a
study published in the American Journal of Infection Control.
Investigators "say they've found bacteria, including some that are known
to make people sick, in unused paper towels." According to WebMD,
"Experts say the findings are probably most important for people in
hospital isolation units and those with weakened immune function who
need to be extra cautious about contact with germs."
Enoxaparin Plus Compression Stockings May Not Reduce Mortality In Severely Ill Patients.
HealthDay 
(12/29, Mann) reports, "Severely ill hospital patients are at high
risk for developing potentially fatal blood clots, and often wear
compression stockings and/or take blood thinners to help lower this
risk. However, adding the blood thinner Lovenox (enoxaparin) to the mix
does not reduce their chances of dying from a blood clot, according to research 
appearing in the Dec. 29 issue of the New England Journal of
Medicine." For patients who "were given Lovenox, the risk of death from
any cause was 4.9 percent," while "this risk was 4.8 percent among those
participants who were given a placebo."
According to MedPage Today 
(12/29, Walsh), researchers "noted that, while thromboprophylaxis in
surgical patients has been shown to decrease the rate of lethal
pulmonary embolism, acutely ill medical patients may be at risk for
death from many causes other than pulmonary embolism, 'thus diminishing
the ability of pharmacologic prophylaxis to improve the overall clinical
outcome.'" In addition, the study took place in "193 centers, most of
which were in India or China," and "rates of
pulmonary embolism have been reported to be lower in Asia than in
Western countries." Other explanations include "that the use of
compression stockings alone was sufficient to prevent the development of
the venous clots that can ultimately lead to pulmonary embolism" or
"that their study population may have been at a lower risk for
thromboembolism than in other studies, by being younger and less likely
to be obese, as well as in having low rates of previous thromboembolic
events."
Red, Grilled, Barbequed Meat May Be Linked To Kidney Cancer.
Reuters 
(12/29, Pittman) reports a study 
in the American Journal of Clinical Nutrition suggesting that people
who eat high amounts of red, grilled, or barbequed meat may be at higher
risk of kidney cancer. In a study of 500,000 US adults, it was found
that eating the most red meat was linked with papillary cancers, but not
clear-cell kidney cancers. Participants who ate high amounts of
well-done
grilled and barbecued meat likewise had an increased risk of kidney
cancer. Researchers said the reason for the association is unclear and
emphasized that the data do not prove causation.
Laboratory generated blood successfully injected into human subject.
The Chicago Tribune (12/29) reports that according to a study
in published in the journal Blood, "red blood cells generated in a lab
have been successfully injected into a human volunteer for the first
time." French researchers extracted "hematopoetic stem cells
from a volunteer's bone marrow" and used various growth factors to
induce the cells to differentiate into red blood cells (RBC). "After
five days, 94 to 100 percent of the cells remained in circulation, while
after 26 days, 41 to 63 percent remained -- a survival rate comparable
to normal red blood cells. The cultured blood cells also gave every
indication of being safe to use. ... They behaved like normal red blood
cells, binding to oxygen and releasing it." While this result is
promising, researchers note that "next challenge is to scale up
production to a point where the cultured blood
cells can be made quickly and cheaply in sufficient quantities for blood
transfusions."
Australia warns of oseltamivir-resistant H1N1.
The Los Angeles Times
(12/29, Kaplan) "Booster Shots" blog reports that in Australia, which
has "wrapped up its flu season months ago," public health officials are
concerned by the finding that "in and around the Australian city of
Newcastle, the Tamiflu [oseltamivir]-resistant H1N1 virus was spreading
more easily among humans, according to a report
being published in Thursday's edition of the New England Journal of
Medicine." In a sample of 182 patients, 29 (16%) were resistant.
"Genetic analysis of the flu samples revealed that all of the 29
patients were infected with a single strain," but experts are unsure how
the strain was spread, since many patients "had no known epidemiologic
link." Researchers "warned flu experts in the Northern Hemisphere to be
on the lookout for this flu strain – or any other strain that is
resistant to Tamiflu – this winter."
HealthDay
(12/29, Mozes) reports that the resistant virus was also resistant to
"an older class of adamantine treatments (rimantadine and amantadine)."
However, "the resistant strains remained 'fully sensitive' to treatment
with another drug, Relenza (zanamivir)." Researcher Aeron C. Hurt, of
the World Health Organization, noted that in 2007/2008, when "the
pandemic 2009 A(H1N1) flu strain" developed resistance, "within 12
months
the virus had spread globally, such that virtually every A(H1N1) virus
around the world was resistant to [Tamiflu]." He expressed concern that
a similar situation will occur with this strain.
Lidless toilets contaminate surrounding areas with clostridium difficile.
Medscape
(12/30, Laidman) reports, "Put a lid on it. That is the conclusion of
research examining the amount of Clostridium difficile that flies into
the air and contaminates surrounding surfaces with the flush of a
lidless toilet." The study,
published in online
Dec. 2 in the International Journal of Hospital Infection, "measured
airborne suspension of the bacteria in addition to surface contamination
by the bacteria after flushing of both lidless and lidded toilets" and
found that "air samples 25 cm above the commode, which is about the
height of the handle, contained C difficile, with the highest numbers
coming from samples taken immediately after flushing." In addition, the
"researchers also found the number of viable bacteria to be 12-fold
higher from open toilets compared with the same toilet when the lid was
closed."
Silent Strokes May Be Linked To Memory Loss In Older Patients Without Dementia.
ABC World News (12/29, story 7, 1:45, Muir) reported that
"silent strokes" may "explain that increasing memory loss over the
years," according to a new study 
.
On its website, ABC News 
(12/30) reports that investigators "looked at 658 participants with an
average age of 79 who had no history of dementia." Participants "were
administered a test that gauged their memory, language skills and
thinking abilities." The "researchers also measured the size of the
participants' hippocampus, crucial to the regulation of memory and
emotion, and they also administered an MRI brain scan."
HealthDay 
(12/30, Mozes) reports, "The brain scans revealed that 174 of the
participants had experienced silent strokes, and the investigators found
that these seniors did not perform as well on the memory exams." The
"finding held regardless of whether the part of the patient's brain
responsible for memory (the hippocampus) was found to be relatively
small or not." The research was published online in the journal
Neurology.
MedPage Today 
(12/30, Phend) reports, "Just 66 of the participants reported having
had a clinical stroke, suggesting that 'brain infarction is largely a
silent injury.'" WebMD 
(12/30, Doheny) also covers the story.
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