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Obesity Raises Risk Of Complications In Pregnancy, Study Shows
Expectant mothers who are obese are much more likely to suffer from minor complications such as heart burn and chest infections during pregnancy, a study suggests.
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200 Percent Increase In Cardiovascular Medication In Canada
A new study in the Canadian Medical Association Journal (CMAJ) reports that the number of prescriptions in Canada for cardiovascular medications has been increasing over the last ten years. There has been a 200 percent increase in costs. Overall costs of cardiovascular medications exceeded $5 billion in 2006. And statins accounted for nearly 40 percent of the expenditure.
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IOM Panel's Comparative Effectiveness Report Includes Pregnancy Prevention Measures
The U.S. should conduct research to compare the effectiveness of innovative programs aimed at preventing unintended pregnancy, according to a report issued Tuesday by a congressionally convened Institute of Medicine panel, the New York Times reports (Meier, New York Times, 7/1). The recommendations state that these strategies should include "over-the-counter access to oral contraceptives or other hormonal methods, expanding access to long-acting methods for young women, [and] providing free contraceptive methods at public clinics, pharmacies or other locations" (List of Priorities, IOM, 6/26). The report lists 100 health topics that should be prioritized as the Obama administration seeks to increase cost-effectiveness in medicine. The federal stimulus package passed earlier this year allotted $1.1 billion for comparative effectiveness research into different ways of treating certain conditions and addressing various health care issues. According to the Times, the report is a first step in an expansive effort by the administration and health experts to direct medical practice toward scientifically proven treatments, rather than a provider"s personal opinion or a medical product company"s promotional claims. Harold Sox, co-chair of the IOM panel that wrote the report and the editor of the Annals of Internal Medicine, said that based on public comments, the panel decided it was important to include pregnancy prevention and other public health issues in its recommendations (Meier, New York Times, 7/1). The report also recommends that researchers compare different comprehensive care coordination programs, such as the medical home model and chronic disease management, especially in communities known to have health disparities (Simmons, HealthLeaders Media, 6/30).
Diagnostics

The Cytoplasmic Talk Of Retroviruses Helps Them Spread From Cell To Cell

It is known that Retroviruses, such as HIV, that are already within cells are much more easily transmitted when they spread through direct contact between cells than if they are floating free in the blood stream. However, how this contact stimulates virus- spreading has up until now been poorly understood. In this week"s edition of the online open-access journal PLoS Biology, researchers at Yale University, led by Dr. Walther Mothes, have recorded movies of viral activity within cells that helps explains why cell-to-cell transmission is so efficient and may in turn provide insights into potential targets for a new generation of Anti-Retroviral drugs. "Cell-to-cell transmission is a thousand times more efficient, which is why diseases such as AIDS are so successful and so deadly," said Walther Mothes, associate professor of microbial pathogenesis at the Yale School of Medicine. "And because retroviruses spread through the tight cell-cell interface, they are out of reach for the immune system." Using imaging technology that can track individual virus particles in real time, the team discovered that retrovirus-infected cells can specifically assemble daughter viruses at the point of contact between cells. Ten times more of these particles are found at these cellular connection points than elsewhere at the surface of cells, the researchers report. The ability of infected cells to specifically produce viruses only at cell interfaces offers an explanation of how viruses spread so efficiently. The team identified a clue to how virus assembly is targeted to these points of contact: it involves a sticky viral protein called Env that docks with uninfected cells and then attracts the viral particles to these sites. If this adhesion molecule lacked a key element, a "cytoplasmic tail," then the viral particles did not assemble at the patches of contact between cells. Mothes expects many more such targets will be identified as scientists work out the mechanics of cell-to-cell transmission. "We are just opening the door to this whole process," Mothes said. "It is a black box and many, many cellular factors have to be involved in making this happen. Our hope is that somewhere down the road we will have a completely new anti-viral strategy based on targeting cell-to-cell transmission." Funding: The work is supported by a grant from the National Cancer Institute ROI CA098727 to WM and a fellowship from amfAR Foundation for AIDS research to JJ. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests statement: The authors declare that no competing interests exist. Citation: "Assembly of the Murine Leukemia Virus Is Directed towards Sites of Cell-Cell Contact." Jin J, Sherer NM, Heidecker G, Derse D, Mothes W (2009) PLoS Biol 7(7): e1000163. doi:10.1371/journal.pbio.1000163 PLoS Biology


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