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_imgDespite the challenge posed by poor funding that has hindered the federation from carrying out its programmes as planned, the president charged the athletes to continue to put in their best by training hard.He assured them of taking part in more qualifiers ahead of the Tokyo 2020 Paralympic Games.The Para-Athletics federation president is planning for them to be at World Championships in France and Dubai coming up in November, 2019 and the Africa Para Games holding in Morocco in January which are all Tokyo 2020 qualifiers.Since the federation needs fund to attend all these qualifiers, Hon Chikwendu appealed to the Federal Ministry of Youth and Sports, corporate organisations as well as well meaning individuals to come to the aid of the federation.Nigeria’s para-athletics have been on the forefront of winning laurels for the country in international competitions just the way they did at the Gold Coast 2019 Commonwealth Games in Australia, accounting for two gold, one silver out of the 12 medals the country won at the GamesThey similarly won two gold including silver and bronze medals at the Rio 2016 Paralympic Games in Brazil. The team also set two world records at the Games among others.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegram With the 2019 National Trials concluded successfully in Lagos, the leadership of the Nigeria Para-Athletics Federation said their focus now is to ensure that a good number of Nigerian athletes qualify for Tokyo 2020 Paralympic Games in Japan with the aim of winning laurels for the country.President of the federation, Hon. Amobi Chikwendu, stated this while addressing his athletes at the end of the two-day selection trials held at the main bowl of the National Stadium Surulere, Lagos where Team Nigeria athletes to the World Para-Athletics Grand Prix holding from June 24 to July 1, 2019 in Tunis, Tunisia were selected.Hon. Chilkwendu commended the athletes for putting up brilliant performances which accounted for the improved standard recorded in this year’s championshiplast_img read more

first_imgIn a number of ways, it’s been a bit of a quiet spring for USC.Senior quarterback Matt Barkley has taken fewer reps in order to allow redshirt freshmen signal callers Cody Kessler and Max Wittek to spend more time with the first team unit. Both are competing for the backup spot.Junior All-American wide receiver Robert Woods, a preseason Biletnikoff Award candidate, has sat out of all 12 workouts while recovering from an offseason ankle surgery.And in general, many of the eye-popping plays have been made by the defense.In short, its spring practice and the highlight plays are typically few and far between, as is customary for many schools nationwide.One of the bigger stories in recent weeks for USC has been the play of sophomore Tre Madden, a converted linebacker and special-teamer in 2011 who switched to running back to shore up a position that lacked depth.This spring, the Trojans only have three scholarship tailbacks available — in addition to Madden — in redshirt freshman Javorious “Buck” Allen, senior Curtis McNeal and sophomore D.J. Morgan.But on Thursday, things changed.During the Trojans’ 11th spring-practice session, Madden attempted to plant his left foot, but instead fell to the ground — despite no contact.Less than 24 hours later, Madden underwent X-rays, revealing a torn ligament that will require surgery and will force him to miss the entire 2012 season — a significant blow considering his strong play as of late.“Probably one of the most valuable guys on our team,” USC coach Lane Kiffin said following Saturday’s scrimmage at the Coliseum. “We don’t have anyone like him. Nor do we have anybody coming in like him.”The allure of Madden has always been his size. Listed at 220 pounds, he is roughly 30 pounds heavier than both McNeal and Morgan, who project to be atop the Trojans’ depth chart come the Sept. 1 opener against Hawai’i.Madden tends to rely on strength, with a combination of speed; he has been clocked at running the 40-yard dash in 4.5 seconds.In short, the former Mission Viejo High School standout is the big, bruising runner the Trojans have not quite found since LenDale White paired with Reggie Bush as the famed thunder and lightning duo in the mid-2000s.Kiffin compared Madden to White at Saturday’s scrimmage, but “with longer speed and really good hands.” The comparison — though lofty — isn’t too far off.“The sky was the limit and it will be when he comes back,” Kiffin said. “I think he will be a great player.”Offensive coordinator and running back coach Kennedy Polamalu echoed a commonly held sentiment, at least among the coaching staff: Madden’s future is bright, still.“In just my eyes and being around the position for 20-plus years, I think he would have been really special,” Polamalu said. “The nice thing is he has a redshirt and we’ll bring him back. People have come off the ACL [tear] and done well.”Madden will stay at running back when he returns from the injury next spring. And considering McNeal is expected to graduate, that’s probably for the best. The position projects to be even thinner.The Trojans are in need of depth, in part, because of scholarship restrictions preventing them from carrying more than 75 scholarship players.Kiffin and company are still in search of that complementary back for this fall, and as the injuries pile up, so does the number of candidates.Next in line? It appears to be Allen, the 6-foot, 215-pound redshirt freshman tailback from Tallahassee, Fla., along with incoming freshman wide receiver Nelson Agholor, who is expected to log carries at the position during fall camp.At more than 200 pounds, Allen might eventually become the Trojans’ best bet at fulfilling that “big back” role for this season at least.Returning from a hamstring injury, Allen’s first extended practice came during Saturday’s shortened scrimmage — speeded up, perhaps, because of Madden’s anterior cruciate ligament tear.“I knew I had to help my team,” said Allen, who remarked that his hamstring was about 90 percent healed. “I knew I had to step up and make a move for my team.”If Allen can fulfill that role, the Trojans would be more than welcome to factor him into the rotation in some capacity. After all, it’s an important one.Granted, he hasn’t played much, battling injuries.He redshirted last fall, as well — his first season with the program.But the options are limited and finding that bruising runner is something of a necessity to some degree.“You always want a finisher,” Polamalu said. “You want a guy at the end of the game. It’s nice to have that finisher so that the defense gets a break. So the quarterback gets the coverage he wants and that we need to see.”Unfortunately for Polamalu and the rest of the staff, that search continues. “The 19th Hole” runs Mondays. If you would like to comment on this story, visit DailyTrojan.com or email Joey at jrkaufma@usc.edulast_img read more