first_imgMay 12, 2009 (CIDRAP News) – Pregnant women who have confirmed, probable, or suspected novel influenza H1N1 infections should receive antiviral treatment for 5 days, the US Centers for Disease Control and Prevention (CDC) said today in a detailed report on three pregnant women who had the disease, one of whom died.In its surveillance of the novel influenza outbreak, the CDC has been gathering information on infections in pregnant women. As of May 10, 20 cases have been reported, including 15 confirmed and 5 probable cases. The CDC published its findings on the three cases in a Morbidity and Mortality Weekly Report (MMWR) Dispatch.Anne Schuchat, MD, interim deputy director CDC’s science and public health program, said at a media briefing today that the CDC is singling out the cases to remind healthcare providers and the public that pregnant women are at higher risk for flu complications such as pneumonia and dehydration and that the agency is seeing some severe complications in pregnant women who have novel H1N1 infections.”We want to get the word out about prompt antiviral treatment,” she said.The first of three case reports in today’s MMWR Dispatch appears to describe the Texas woman who was recorded as the nation’s second novel H1N1 flu death. The 33-year-old woman was 35 weeks pregnant and had a 1-day history of myalgia, dry cough, and low-grade fever when she was seen on Apr 15 by her obstetrician. She had a history of psoriasis and mild asthma, but was not taking medication for the conditions.Four days later she went to the emergency department with worsening shortness of breath, fever, and cough. During the visit the woman had severe respiratory distress. Chest radiographs showed bilateral nodular infiltrates, and the woman was intubated and placed on mechanical ventilation. Her doctors performed a cesarean delivery, and the healthy baby girl was later discharged home.On Apr 21 the woman experienced acute respiratory distress syndrome. One week later, she began receiving oseltamivir (Tamiflu) and broad-spectrum antibiotics, but she died on May 4.During the woman’s hospitalization San Antonio health officials detected an untypable influenza A strain in the woman’s nasopharyngeal specimen and sent it to the CDC, which on Apr 30 confirmed the novel H1N1 virus.In the second case report, a previously health 35-year-old woman who was 32 weeks pregnant sought treatment at the emergency department on Apr 20 with a 1-day history of shortness of breath, fever, cough, diarrhea, headache, myalgia, sore throat, and inspiratory chest pain. Chest radiographs were normal and the rapid influenza test was negative. She received parenteral nonsteroidal anti-inflammatory medication, acetaminophen, and an albuterol inhaler, and was sent home.The next day her obstetrician obtained a nasopharyngeal sample and sent it for testing. She recovered fully and her pregnancy is progressing normally following her treatment with antibiotics, antinausea medication, and an inhaled corticosteroid. Influenza testing revealed an untypable influenza A strain, which was forwarded to the CDC and confirmed as novel H1N1.She had visited Mexico 3 days before she was seen in the emergency department, and several of her family members on both sides of the border had recently been sick with flu-like illnesses.The third patient, a 29-year-old woman who was 23 weeks pregnant, visited her family doctor for a 1-day history of cough, sore throat, chills, and subjective fever. She had a history of asthma but was not on medication. Her 7-year-old son was also sick and was also seen during the appointment. Another son, age 10, had been sick with similar symptoms the previous week. The family had not traveled to Mexico recently.The woman’s doctor was 13 weeks pregnant and began oseltamivir prophylaxis and did not get sick.The woman’s rapid influenza test was positive. Her doctor prescribed oseltamivir, her symptoms resolved, and the pregnancy is proceeding normally. The Washington State Public Health Laboratory identified the woman’s virus sample as untypable influenza A, and the CDC later confirmed it as novel H1N1.CDC experts note in the report that research has shown a higher risk for complications in pregnant women during seasonal flu outbreaks and previous pandemics. Cardiovascular, respiratory, and immune system changes during pregnancy are thought to contribute to the higher risk, and health officials have recommended that pregnant women receive annual flu vaccines.Though little information is available on antiviral use during pregnancy, the CDC says the benefits of treatment for the novel virus outweigh the potential risk to the fetus.Alongside its recommendation for 5-day antiviral treatment for pregnant women, the CDC recommends that pregnant women who are in close contact with a confirmed, probable, or suspected case-patient receive a 10-day prophylactic course of antivirals.Though both of the neuraminidase inhibitors can be used to treat or prevent the new virus, the CDC said oseltamivir is the preferred treatment, because its systemic absorption may provide better protection against mother-to-child transmission.”Beginning treatment as early as possible is critical,” the CDC states, adding that treating fevers with acetaminophen is important for preventing maternal hyperthermia, which can lead to adverse pregnancy outcomes.CDC. Novel influenza A (H1N1) virus infections in three pregnant women, United States, April-May 2009. MMWR Dispatch 2009 May 12;58 [Full text]last_img read more

first_imgBERNSTEIN: MLB fans should appreciate Francisco Lindor a lot moreThe season opens March 26, which is early, yes, and the final day of the regular season is set for Sept. 27, which means the wild card game will happen before October. Here are a few thoughts about the 2020 schedule:Wear SmartWool layers, folksThe powers-that-be in baseball want to do everything possible to avoid November baseball, which is understandable, and the easiest way to make that happen is to start the season earlier. But if baseball is going to regularly schedule games in March, it would be best to play those games in cities with domes or in cities in the southern half of the country. That’s not the case this year, though. The schedule includes season-opening series (March 26-29) in Cleveland, Chicago, Baltimore, Cincinnati and New York. That one in Cleveland, especially, could be trouble. The average high temperature on March 26 in the city by the lake is only 50 degrees, with an average low of 33. Oh, and Cleveland averages nearly 13 inches of snow in March, so that’s fun. But here’s the thing: The Indians’ schedule doesn’t get any warmer until mid May. Seriously, check this out …— March 26 through April 1 in Cleveland— April 2-6 in Detroit and Minneapolis (both open-air)— April 9-16 in Cleveland— April 17-20 in Boston (open-air)— April 21-23 in Cleveland— April 24-26 in New YorkFinally, mercifully, the Indians play three games to end April in Tampa Bay. The Rockies, by the way, open their season with series on the road in San Diego and Los Angeles, which is good, but that first series at Coors Field starts April 3, and it still regularly snows in early April in Denver. Fingers crossed for a dusting, not a blizzard. The stage is yours, MarlinsOn days without afternoon baseball, or when the early noon-ish starts have already ended, the wait for 7:05 pm ET games can be excruciating. The Marlins have a solution, it seems. Very interesting move by the #Marlins next season. All home games Monday – Thursday will start at 6:40 PM. April, May and September.— Craig Mish (@CraigMish) August 12, 2019For at least 25 minutes on those nights, the Marlins will have the baseball world’s full attention. We’ll see whether that’s a good thing or a bad thing. Seeing the cost up-closeThe 2016 Cubs were desperate. They had a World Series-caliber team, it seemed, everywhere except for the bullpen. They needed a closer, and they didn’t care what the cost would be to acquire one. So they traded for Aroldis Chapman, and they wound up winning the World Series. Mission accomplished. The most important thing to know about the 2020 MLB schedule, released Monday, is this: All 30 teams are scheduled to play on Opening Day, which is wonderful. Opening Day should be a celebration around the league with every team participating, not a day where a handful of teams play, as was the case for too many misguided years. Here’s a little-known fun fact: For years, “Opening Day” was capitalized in The Sporting News official stylebook, but when MLB started diluting what should have been a special celebrated occasion, we dropped the capitalization. If baseball didn’t see it as one special day, well, we didn’t, either. Now, all is right in the world again (well, that little part of the world). The cost, however worth it, was high. Gleyber Torres, the main piece that went to the Yankees in the Chapman deal, has looked very much like a budding superstar in his time with the Yankees. In 229 big-league games, he’s popped 47 homers and has an .832 OPS, and he doesn’t even turn 23 until this offseason. In 2020, he’ll get his first in-person opportunity to show the Cubs what they’re missing.The Yankees host the Cubs June 26-28 next year, which will be Gleyber Torres’ first chance to face the Cubs, the team that signed him as an amateur FA in 2013, then traded him in a deal for Aroldis Chapman in 2016.— Sarah Langs (@SlangsOnSports) August 12, 2019At least it’s not in Wrigley, eh? From the MLB release …— The first game at Globe Life Field, the new home of the Texas Rangers, on Tuesday, March 31 against the Los Angeles Angels.— Fourteen games scheduled for Jackie Robinson Day on Wednesday, April 15, including the Los Angeles Dodgers hosting the Cardinals at Dodger Stadium.— A two-game set on June 13-14 between the host Cardinals and Chicago Cubs at London Stadium, marking the city’s second consecutive season hosting MLB games.— The Dodgers will host their NL West-rival Giants in the only Major League game played on Thursday, July 16, following the All-Star break.— A two-game set on June 13-14 between the host Cardinals and Chicago Cubs at London Stadium, marking the city’s second consecutive season hosting MLB games.— The recently announced “MLB at Field of Dreams” game on Thursday, Aug. 13 between the Chicago White Sox and New York Yankees. Part of the GEICO Summer Series, the historic game will be the first Major League game ever played in Iowa.— The fourth Little League Classic presented by GEICO on Sunday, Aug. 23, featuring the host Baltimore Orioles and the Red Sox at Historic Bowman Field in Williamsport, PA, home of the Little League World Series.last_img read more

first_imgJudge Paul KellyA JUDGE today issued a stark warning to rally fans who come to County Donegal to watch events and perform dangerous manoeuvres.Judge Paul Kelly told a rally fan at Letterkenny District Court today that the doughnuts he performed at a petrol station forecourt would “cost you an awful lot of money.” Garda Derek Connaughton told the court how he and a colleague were patrolling in an unmarked car at 10pm on the evening of June 21 past, the first day of this year’s Donegal International Rally.They were near a garage forecourt at Bonagee, Letterkenny, when they observed a Ford Sierra do two 360-degree doughnuts.Friends of the driver, Darren McCloskey, were standing back and watching, said the garda.“Some of his colleagues were egging him on,” said Garda Connaughton.When McCloskey was questioned he was “remorseful for his actions” said the garda.Solicitor Kieran Dillon, defending, said his client had “a rush of blood to the head.”McCloskey he said, was a hard-working 22-year-old man with no previous convictions.The driver, from Kildoag Road, Kildoag, County Derry, was also a carer for his 87-year-old aunt and held a full-time job at a saw mills.“I have little tolerance for that type of driving,” Judge Kelly told McCloskey.“I see it all too frequently where people come to Letterkenny to watch the Donegal rally and these people try to do the sort of things they see the experts do.”He said it was “thankful” that no danger was posed to anyone at the time.Judge Kelly ordered McCloskey to make a €300 donation to the Dawnbreakers programme, which provides driver behaviour courses for young motorists.“If you are back here again, you won’t get that sort of leniency,” said Judge Kelly,‘RALLY FANS NEED TO REALISE THEY CAN’T COPY WHAT THEY SEE AT EVENT’ – JUDGE TELLS DOUGHNUT DRIVER was last modified: July 1st, 2013 by BrendaShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)last_img read more