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Obesity may be risk factor for severe H1N1 illness

first_imgJul 10, 2009 (CIDRAP News) – In a series of 10 cases of severe illness with the pandemic H1N1 virus in Michigan, nine patients were obese, suggesting that very overweight people may be particularly vulnerable to life-threatening H1N1 infections, the Centers for Disease Control and Prevention (CDC) reported today.Seven of the nine obese patients were considered extremely obese, and three of the nine patients died, according to the report, published as an MMWR Dispatch.”Clinicians should be aware of the potential for severe complications of novel influenza (H1N1) virus infection, particularly in extremely obese patients,” the CDC report says.The report is not the first time that obesity has been cited as an unexpectedly common finding in patients with severe H1N1 illness, but good data on the topic are scarce, said Dr. Anthony Fiore, a medical epidemiologist in the CDC Influenza Division and a coauthor of the report.”It’s been noted in some of the data that’s been received by the WHO [World Health Organization],” Fiore told CIDRAP News. “It’s been a phenomenon that other people have noticed, but I don’t think in a quantitative sort of way.”Series profileThe 10 patients described in the report were referred to the surgical intensive care unit (SICU) at the University of Michigan Health System between May 26 and Jun 18. The unit specializes in treating patients with acute respiratory distress syndrome (ARDS).The patients ranged from 21 to 53 years old, with a median age of 46, and all but one were men. Nine were classified as obese on the basis of a body mass index over 30, and seven of them had an index of 40 or over, classified as extremely obese. Two of the obese patients—one of them a smoker—had asthma, and a third had chronic lung disease.All 10 patients required advanced mechanical ventilation, and two were treated with extracorporeal membrane oxygenation (ECMO). Six of them also needed treatment for acute renal failure. Nine had multiorgan dysfunction syndrome when admitted to the SICU, and nine suffered from septic shock. Five patients were found to have pulmonary emboli at the time of admission or later.All the patients received antiviral treatment, but the authors estimated that it was started a median of 8 days after symptom onset—well beyond the recommended 2-day window for greatest effectiveness.As of Jul 8, two patients were still receiving ECMO or mechanical ventilation, five had been transferred back to the referring hospitals in stable condition, and three had died, the report says.No evidence of bacterial infection was found in any of the patients, all of whom received antibiotic treatment before and after they were admitted to the SICU. But the authors say they couldn’t exclude the possibility of undetected bacterial infectionThe report says the overall findings suggest that the patients’ lung damage was caused by primary viral pneumonia, but their own intense immune responses might have contributed as well.Obesity prevalence called striking”The high prevalence of obesity in this case series is striking,” the report states.It says it is unknown whether obesity is an independent risk factor for severe complications of H1N1 infection. Obesity has not been tagged as a risk factor for severe seasonal flu. However, one study showed that mice with diet-induced obesity were more likely to die of seasonal flu infections than lean mice were, the report states.Also, it notes that extremely obese flu patients, compared with normal weight patients, have a higher prevalence of other health conditions that increase the risk of flu complications, including heart, lung, liver, and metabolic diseases.”It might actually be an issue that this [obesity] is a marker of other underlying chronic illnesses,” rather than an independent risk factor for H1N1 complications, said Fiore.He said it’s possible that obesity also confers a risk for severe complications in seasonal flu, but it just hasn’t been identified before.Fiore said the CDC is studying the issue further. “We’re certainly going to look at the information in our hosptalization data from a national perspective. It’s challenging because it’s not the usual sort of medical risk factor that people check off. It doesn’t show up in the usual codes like asthma or congestive heart failure.””There’s a large prevalence of obesity in the country right now, and of severe obesity, so we’d expect some flu patients to have those conditions, but we don’t have a national figure,” he commented. On the basis of telephone surveys, the CDC reported this week that 26.1% of Americans were obese in 2008, up from 25.6% in 2007.CDC officials have previously mentioned obesity as a finding in some patients with severe H1N1 infections. In a May 19 press conference, Dr. Anne Schuchat commented, “We were surprised by the frequency of obesity among the severe cases that we′ve been tracking. I do think it′s an important result. The question of whether people with obesity need to be treated differently in terms of antiviral treatment or seasonal flu vaccinations is one we′re looking into.”Today’s report notes that the 10 patients received oseltamivir treatment in higher doses and over a longer period than normal. It says that until more is known, increased oseltamivir regimens can be considered for severely ill H1N1 patients.CDC. Intensive-care patients with severe novel influenza A (H1N1) virus infection—Michigan, June 2009. MMWR Dispatch 2009 Jul 10;58:1-4 [Full text]See also: Transcript of May 19 CDC press briefinglast_img read more

Home in “thriving” suburb appeals to local buyers

first_img63 Goondoola St, Redbank Plains.A five-bedroom, two-bathroom home at Redbank Plains has sold for $400,000 with the drawcard the overall size of the home. Ray White – Redbank Plains selling agent Adam Vasiliou said the new owners, owner-occupiers, may look at adding a shed on the property, at 63 Goondoola St.The home, on a 1028sq m block of land, is close to shops, transport, schools and day care facilities.The two-storey home features a carpeted internal staircase leading to a living area with cathedral ceilings. There is a huge fully covered upper deck area for entertaining and great side access to the rear of the property.More from newsDigital inspection tool proves a property boon for REA website3 Apr 2020The Camira homestead where kids roamed free28 May 2019Two of the five bedrooms are located downstairs. One has a walk-in wardrobe.Plenty of storage under the stairwell is available.Mr Vasiliou said the Redbank Plains real estate market was thriving at the moment.“The infrastructure is definitely providing the boost,” he said.“Affordability wise it is helping not only the owner-occupier but also the interstate investor. “We are seeing genuine growth in this section across the board,” he said.last_img read more

Boys Golf Regionals Results @ Muncie Central

first_imgBoys Golf Regionals results at Muncie Central on Friday (6-12).Hamilton Southeastern won the team title followed by Noblesville and Oak Hills.  Franklin County finished 13th.2015 Golf Regionals @ Muncie CentralCourtesy of the IHSAA.last_img

Mancini: ‘Balotelli throwing talent away’

first_img The striker has probably played his final game in a Brescia jersey, as the club is suing him and agent Mino Raiola for ‘slander’, while the player is taking legal action claiming the club excluded him from training. “I care for him, regardless of all the things he does,” Mancini told RAI Sport.Advertisement “I trained him when he was still just a kid, I played him and he was extraordinary for any years. My hope is that he will do something to change all this, as he’s still only 30 years old and would be at the peak of his football maturity. read also:Mancini tells Balotelli to ‘wake up’ before his career sinks “I hope one day he wakes up and realises he’s still throwing his talent away. Mario is an extraordinary lad, so kind and polite. I have explained to him many times that he is throwing his talent away, because his potential is remarkable.” FacebookTwitterWhatsAppEmail分享 Italy coach Roberto Mancini confesses he is running out of patience with Mario Balotelli. ‘I hope one day he wakes up and realises he’s throwing his talent away.’center_img Loading…last_img read more

Door open for Balotelli exit

first_img “I am not surprised by Italy’s failure. In Europe our clubs no longer win so how could the national team perform a miracle?” Raiola also criticised the defensive-minded tactics of Italian coach Cesare Prandelli. Prandelli resigned from his post after the Azzurri’s 1-0 defeat to Uruguay on Tuesday, a loss that saw the Italians eliminated in the group stages for a second straight World Cup. “I don’t judge people and I don’t know Prandelli,” Raiola said. “But his tactical plan was a losing one. How can you win playing just with one striker on the pitch? “Even Costa Rica played with three strikers.” Balotelli has scored 30 goals in 54 matches for Milan since his move from Manchester City in January 2013. Milan will not compete in Europe next season after finishing a disappointing eighth in Serie A in the 2013-14 campaign. While AC Milan vice-president Adriano Galliani has defended the 23-year-old striker for his performances in Brazil, another club vice-president Barbara Berlusconi hinted at the possibility of a Balotelli transfer this summer by saying he is “replaceable”. Balotelli, who still has four years left on his contract with the Rossoneri, has been linked with a return to the Premier League with Arsenal reportedly keen to acquire his services. “Mario is sad, desperate,” Balotelli’s agent Mino Raiola told Gazzetta dello Sport. “Only Galliani has defended him while the FIGC (Italian football federation) remains absolutely silent. “I appreciate Galliani’s comments but now I want to respond to Barbara Berlusconi. “If for her Mario is replaceable, she should set up a meeting in the club’s headquarters and we will find a solution, just as I am used to doing. “I remember that Mario had other important offers. He (Balotelli) is at Milan because of his heart – her (Berlusconi), I don’t know.” A lot of disappointed Italy fans have vented their frustrations at Balotelli, who scored just one goal in three appearances in Brazil. “It’s disgraceful to point the finger at Balotelli,” Raiola said. “This is the mirror of a country whose football is dead. “But did anyone really think Italy would win the World Cup? Press Association Arsenal may be the team to benefit from Italy’s early exit from the World Cup with under-fire Mario Balotelli prepared to consider a move away from AC Milan, according to his agent.last_img read more

Bucksport on top of Class C

first_img Latest posts by Taylor Vortherms (see all) Part 2: When the injury is inside your head, some “don’t get it” – July 26, 2016 Latest Posts Bio Taylor VorthermsSports Editor at The Ellsworth AmericanTaylor Vortherms covers sports in Hancock County. The St. Louis, Missouri native recently graduated from the Missouri School of Journalism and joined The Ellsworth American in 2013.center_img Part 1: Invisible, incapacitating concussions are sidelining high school athletes – July 19, 2016 Bucksport’s Madysen Robichaud hits a home run for the Golden Bucks in their 13-0 win at Sumner on Wednesday. (ELLSWORTH AMERICAN PHOTO BY TAYLOR VORTHERMS)SULLIVAN — The Bucksport softball team improved its record to 9-1 with a shutout at Sumner on Wednesday.Samantha Goode pitched a five-hitter, striking out 10 and walking only one, to lead the Golden Bucks to the 13-0 win.Madysen Robichaud homered, doubled and singled for Bucksport, and Darian Jellison had three singles.Brittney Dyer had two singles for Sumner (4-4).This is placeholder textThis is placeholder textThe Golden Bucks remain first in the Class C standings.Ellsworth 9, John Bapst 3Callie Hammer had a triple, two doubles, two RBIs and two runs scored to lead Ellsworth (5-6) past John Bapst (3-9) on Monday at home.Caitlin Bean contributed a triple and a single and scored two runs.Orono 14, GSA 7At George Stevens Academy (4-6) on Monday, Vicki Goodwin posted a triple and four RBIs to lead Orono (4-6) to a win.Orono took the lead with a six-run first inning.For GSA, Olivia Stevens knocked in three runs with a triple and a single.Searsport 12, Sumner 1Brittany Ward struck out 12 Sumner batters en route to Searsport’s (7-1) home victory on Monday.For Sumner (4-4), Amie O’Hara doubled and scored a run.Ellsworth 17, Caribou 2 and Ellsworth 12, Caribou 1 (doubleheader)Abby Lynch led Ellsworth to its fist home victory for the day over Caribou (3-7) on Saturday by going 4-for-4 with a homer and four runs batted in and by scoring four times.Also for Ellsworth, Caitlin Bean went 3-for-3 with two RBIs and four scored runs. Hannah Sargent had a triple and a single with four RBIs, and pitcher Mariah Brown allowed just two hits and struck out eight.In the second game of the doubleheader sweep, Ellsworth’s Ariana Peterson had three hits and drove in two runs. Callie Hammer and Emily Berry each had two hits and two RBIs. Caitlin Bean scattered five hits to pick up the win.DI-S 9, Katahdin 7 and DI-S 11, Katahdin 7 (doubleheader)Natalie Knowlton struck out 14 batters to help Deer Isle-Stonington (3-5) prevail in the first game of a home doubleheader against Katahdin (3-5) on Saturday.DI-S rallied for eight runs in the sixth to earn the win. Morgan Shepard sparked the offense with a double, two singles and two RBIs. Baleigh Johnson added two singles, a double and an RBI while Ally Eaton blasted a base-loaded triple.In game two, DI-S completed the sweep with solid pitching from Natalie Knowlton, who struck out eight and aided her cause with four singles and an RBI.Also for DI-S, Morgan Shepard and Baleigh Johnson each recorded three singles and two RBIs, and Ally Eaton added two singles, a double and an RBI.Sumner 12, Orono 4Sumner won at Orono on Friday.DI-S 25, Bangor Christian 7Baileigh Johnson registered four hits, including a double and a triple with five RBIs to earn DI-S its first win of the season in a home matchup with Bangor Christian (0-10) on Thursday.For DI-S, Morgan Shepard had three hits, with a two-run home run in the fourth inning as well as four RBIs. Logan Eaton had a double, three singles and four RBIs. Holly Boyce hit two singles with two RBIs.Hermon 6, Ellsworth 4At Ellsworth, Kylie Kennedy led Hermon (7-2) to victory with a double, a home run and three RBIs on Thursday.For Ellsworth, Katie Bagley had an RBI triple and scored a run. Shelby Cote tripled, and Emily Berry had an RBI double and a scored run. EHS names new boys’ soccer coach – July 13, 2016last_img read more

Candidates square off at USG debate

first_imgCovering issues including sustainability, the surrounding community and academic schedules, the Undergraduate Student Government presidential debate Wednesday gave each presidential candidate the chance to better explain their platform to students.Head-to-head · Undergraduate Student Government presidential candidates (left to right) Chris Cheng, Andrew Matson, Dylan Dann and Jonathan Munoz-Proulx discussed their platforms and stances on important issues at Wednesday night’s debate. – David Ji | Daily Trojan The debate was moderated by Kate Cagle, the executive producer of Annenberg T.V. News, Kate Mather, online editor for the Daily Trojan and Dan Schnur, director of the Jesse M. Unruh Institute of Politics. The event, which ran about an hour and a half long, was attended by about 100 students, some of them wearing apparel and support buttons for the different candidates.The candidates were asked specific questions based on their platforms. Each candidate was asked two questions and had a chance to give closing statements to reiterate their opinions.The candidates shared similar opinions regarding improving the neighborhood around USC, agreeing that improved road paving and better leadership in terms of carrying out policies is needed.“Our reputation is affected by what the surrounding area looks like,” said Dylan Dann, currently a Greek senator and one of the presidential candidates.Candidates disagreed, however, when it came to issues about tuition.Although the candidates agreed that lower tuition would not be a bad thing, opinions differed as to whether a change is necessary right now.“Honestly, when students come into USC, you get what you’re paying for,” said Andrew Matson, currently the director of academic affairs and one of the presidential candidates. “One of my main goals is to make students more aware of scholarships, we really want to connect students better with USG.”The candidates agreed that philanthropic events need to be expanded to encompass more students, beyond members of the Greek community. Some hoped to do this by uniting various smaller philanthropic groups.“One improvement that could be made is the collaboration and communications between these different [community services] groups,”  said Jonathan Munoz-Proulx, one of the presidential candidates. “The money may be going to a different place but they are working towards a similar goal.”The candidates all had different ideas as to how to improve sustainability, from providing more recycling bins to installing solar panels on different buildings.“Being green should start before students even get on campus,” said Munoz-Proulx, who then outlined a plan to create a workshop during orientation to educate students about USC’s sustainability efforts.One of the most important issues that was brought up during the debate was the feasibility of a longer Thanksgiving break. Many of the candidates voiced concerns about diminishing academic quality by removing instructional days.“Academic days are set,” Chris Cheng, currently the director of external relations at USG and one of the presidential candidates, said. “We’ve talked to teachers and they like the way it is.”Matson disagreed, saying he had actually gotten varying responses from faculty members, some of whom were open to changing the schedule.Candidates also discussed a possible entertainment center on campus, including a bowling alley. The candidates all agreed that an on-campus entertainment center for students would improve safety by allowing students to stay on campus and would boost the quality of weekends on campus.“USC doesn’t have a place where people can meet and hang out, and we want to provide more places on campus where students can be entertained,” Cheng said.Some of the candidates, however, pointed out that there may be other, more pressing issues that deserve more immediate attention.Overall, the candidates generally agreed that the issues facing students are similar, but each ticket had different plans to go about serving the needs of students.“We all love the university here,” Cheng said. “We just want to make the university better.”Schnur said the annual debate is an important opportunity for students to learn about the future of their university and its potential leaders.“I thought it was tremendous,” Schnur said. “The candidates have very well-thought out platforms and they were also extremely well-prepared and presented very well.”Rohan Venkataramakrishnan contributed to this report.last_img read more

Seniors set for home finale

first_imgJEFF SCHORFHEIDE/Herald photoThe Wisconsin softball team hosts border rival Minnesota for what should be an emotional two-game series this weekend. The Badgers (15-38, 3-15 Big Ten) — who failed to qualify for the Big Ten tournament — will be playing the last two games of their season, and for seniors Joey Daniels and Lynn Anderson, the last two games of their careers.“We have been having some talks in the locker room,” pitcher Letty Olivarez said. “We just want to come together for these last two games and do it for one another. Especially for the seniors who aren’t going to be here next year and deserve to go out with a win.”Anderson and Daniels have both enjoyed very successful careers at UW. Daniels leads the team in batting average and on-base percentage and has started all 53 games at catcher this year. Anderson leads the team in home runs and slugging percentage and is second on the team in batting average and RBIs.“I am just trying not to think of it as ‘the last game,’” Anderson said. “I am going to try and go out and have fun. Just play ball.”Contributing to the excitement of the weekend is a chance to play the rival Gophers one last time. Like most Badger teams, the softball team has developed a heated rivalry with the Gophers over the years, and the team looks forward to these games every year.“Just like other UW sports, we take this rivalry seriously,” Olivarez said. “We are rivals with a few other teams in the Big Ten, but Minnesota is right near the top of that list. This is a pretty big rivalry for us, and I am sure that we will draw some motivation from that when we are playing.”Without a chance of making the Big Ten tournament, it is possible some of the reserve players will see more time than usual. Freshman pitcher Kristyn Hansen has only thrown 30.2 innings this year, and freshmen Dana Rasmussen and Cassandra Wilkosz have combined for only eight at-bats this season.The Badgers’ offense has been on a tear lately, averaging 4.6 runs over their last five games. Looking to cool down the UW offense, however, is Gophers pitcher Brianna Hasset, one of the top pitchers in the Big Ten. Hasset has compiled a 1.79 ERA and averages 1.39 strikeouts per inning. The Badgers struck out 11 times last weekend and will need to show patience at the plate if they are going to have success against Hasset.“We need to just go up to the plate with a clear mind and not think about anything,” Anderson said. “We know we can hit the ball. We have been hitting well as of lately, so we need to just go up there and attack. Good things happen if you remain aggressive.”UW has been led lately, in both pitching and hitting, by the sophomore Olivarez, who is currently on a six-game winning streak and has batted .421 over that stretch. In the last six games, she has recorded five RBIs. Olivarez was also the winning pitcher against Ohio State last weekend, pitching a complete game and only giving up three earned runs.“I have just focused on keeping both of my games separate,” Olivarez said. “When I go up to bat I am just thinking about hitting, and when I am pitching I just try to focus on that. I can’t bring one aspect into another because then I lose focus of both. I have learned more throughout the season about how to do both in the same game.”last_img read more

Lamontagne’s double-overtime goal gives Syracuse win over Vermont

first_img Published on September 7, 2014 at 4:51 pm Contact Paul: pmschwed@syr.edu | @pschweds Facebook Twitter Google+ Related Stories Hanna Strong, Syracuse women’s soccer player, uses derogatory language in video, has been suspended indefinitely from teamDean of Student Affairs on Hanna Strong video: SU is taking ‘swift action’SU NAACP chapter: ‘Deeply saddened’ by Hanna Strong video Storify: Social media reacts to video of Hanna Strong using derogatory languagecenter_img Entering double overtime, Syracuse head coach Phil Wheddon told forwards Alex Lamontagne and Maya Pitts to attack Vermont’s defense. He wanted his team to send more long passes behind the defense and be more direct toward the goal.The Orange did exactly that in the 102nd minute, resulting in Lamontagne’s game-winning goal off a breakaway. She got behind Vermont’s defense and slotted the ball past Catamounts goalie Ally Ramos and into the bottom-right corner of the net.Following senior midfielder Hanna Strong’s indefinite suspension on Saturday, Syracuse (3-1-2) defeated the Catamounts (2-3) 3-2 on Sunday at Beyer-Small ‘76 Field in the Colgate Nike Classic in Hamilton, New York. Pitts and Stephanie Skilton each scored in the first 15 minutes to give the Orange a two-goal lead. SU outshot the Catamounts 30-8, but struggled to connect passes and avoid pressure after the first two goals, Wheddon said.“Anytime you have 30 shots, you would anticipate a few more would go in,” Wheddon said. “Credit to their goalkeeper who had a very good game, but we were very, very poor in front of the goal.”Syracuse led 2-0 at halftime but allowed goals in the 57th and 85th minute. The Orange did not step to UVM’s players on defense, giving them time to make passes from the midfield and move upfield, leading to both second-half goals.AdvertisementThis is placeholder textThis was SU’s third overtime game this season, which causes concern for Wheddon. After squandering so many opportunities, he was disappointed his team couldn’t win in regulation. Though Syracuse has not dominated every game, the experience is valuable.“That’s the positive, that physically, we’re in shape to do it and we have the ability to come through and win the game,” Wheddon said.Wheddon specifically cited Syracuse’s midfield as being problematic against the Catamounts. Players turned into pressure when they should have turned away from pressure. When attempting simple passes it normally makes, the Orange failed at times.Though SU struggled for the last 80 minutes, it played with urgency and rhythm early on. Passing was better in the first 20 minutes, allowing Syracuse to create opportunities and score twice.“It was a hard-fought win,” Wheddon said. “Vermont worked very hard and got back into the game but at the end of the day, we’re 3-1-2 and we still have three games on our nonconference schedule left to play.” Commentslast_img read more

India clinch two gold in badminton at South Asian Games

first_imgLast Updated: 2nd December, 2019 23:36 IST India Clinch Two Gold In Badminton At South Asian Games Indian men’s and women’s team clinched gold medals in their respective team events at the 13th South Asian Games in Pokhara, Nepal, on Monday.  9 months ago National Pollution Control Day | The toxicity of water bodies in India Indian men’s and women’s team clinched gold medals in their respective team events at the 13th South Asian Games in Pokhara, Nepal, on Monday. Men’s team beat Sri Lanka 3-1 while the women’s team also registered a thrashing 3-0 win against Sri Lanka. In the men’s team event, ace India shuttler Srikanth Kidambi started the match with men’s singles game against Dinuka Karunaratne, after dropping the first game Srikanth made comeback to win the next two consecutive games and the match 17-21, 21-15, 21-11 in 55 minutes.Congratulating the team on their gold medal win, BAI President, Himanta Biswa Sarma said, WE RECOMMEND 9 months ago Mohammad Azharuddin calls India the best Test side in the world READ: Syed Modi International: Sourabh Varma loses in finals to Wang Tzu WeiKrishna Garanga and Dhruv Kapila gave India a winning leadSiril Varma was declared a winner in the next singles game as his opponent Sachin Premashan retired mid-match (21-17,11-5) India went on to take 2-0 lead. India conceded a point when doubles pair Arjun George and Sanyam Shukla lost a close game 18-21, 21-14, 11-21 to Sachin Premashan A Vidange and B Tharindu Goonathilake.However, in the next doubles match, when they registered a convincing 21-14, 21-18 win over Dinuka Karunaratne and Hasitha Chanaka and ensured a 3-1 win for India.  COMMENT SUBSCRIBE TO US LIVE TV READ:Prajakta Sawant questions selection of Indian team for SAG, BAI denies any favouritism First Published: 2nd December, 2019 23:36 ISTcenter_img 9 months ago Sakshi & Pawan to lead India at South Asian Games Written By “Double gold win will give the team the right impetus as the individual games start and I wish the Indian Contingent all the best for their upcoming matches, said BAI General Secretary, Ajay K Singhania. Suman Ray “Team gold medals are always special and I am confident that the Indian contingent will surpass the previous edition’s performance.” FOLLOW US 9 months ago Winter destinations: Hill stations in India to enjoy the snow this winter 9 months ago Nepal President declares 13th South Asian Games open in Kathmandu WATCH US LIVElast_img read more