Elders living in communal settings, such as nursing homes or other types of long-term care facilities have a tuberculosis (TB) incidence rate of 39.2 per 1,000, nearly four times the rate of TB in the general population. This fact mandates routine screening, reporting, and strict follow-up of TB in long-term care facilities as well as recognizing and addressing barriers to worker and resident protection. As healthcare in this country evolves from acute care facilities to alternative ambulatory care settings, the focus for infection control personnel is to develop effective TB control plans appropriate to the care setting using current clinical guidelines set forth by the Centers for Disease Control and Prevention (CDC) or other agencies, the main goal of which is to reduce the number of infections and exposures to this disease. As the incidence of TB continues in long-term care settings, away from acute care facilities, public health officials, administrators, and infection control personnel need to develop TB control plans, risk assessment procedures, and appropriate follow-up on positive converters among the workers and the residents. The case study presented herein is a good example of an individual being offered a screening test for an infectious airborne disease and positive test results being disregarded.

Adult↗

PubMedDate not supplied

Nature and frequency of bony tumors in prehistoric and historic populations.

The skeletons of the Merovingian population from Kleinlangheim (Southern Germany) were examined by macroscopic, radiological, endoscopic and microscopic techniques. In about 6% skull tumors could be diagnosed. All five cases reported here are examples of benign tumors. Three of these are tumors of the paranasal sinuses. A connection between sinusitis and fibro-osseous tumors of the paranasal sinuses is suggested. The etiology of these tumors and methods of diagnosis of tumors in archaeologic bone are discussed.

Adult↗

PubMedDate not supplied

Case II (low back pain due to osteoporosis and fracture).

Explore the source record for details and available documents.

Back Pain↗

PubMedDate not supplied

Utilization of selenium from different chemical entities for selenoprotein biosynthesis by mammalian cell lines.

Four different cell lines (Hep G2, THP-1, EL 4 6.1, and ECV 304) were grown in a selenium-deficient standard medium (5% fetal calf serum in RPMI 1640 resulting in 5.5 nM selenium of unknown bioavailability) and supplemented with increasing concentration of selenium in the form of sodium selenite, selenomethionine and serum-bound selenium. The activities of two types of glutathione peroxidases (cGPx and PHGPx) were measured to estimate the availability of selenium for selenoprotein synthesis. Only sodium selenite between 1 and 100 nM was found to consistently induce GPx activity in all cell lines, whereas selenomethionine in equal concentrations was practically ineffective. Only THP-1 cells were able to utilize selenium from serum as efficiently as sodium selenite. PHGPx activity similarly responded to selenium supplementation, but was not increased in EL 4 6.1 cells. Our data demonstrate that conventional tissue culture media require selenium supplementation to guarantee adequate selenoprotein biosynthesis in cultured cells. The chemical nature of the selenium compound used for such supplement is as critical for in vitro cultivated cells as for dietary intake.

Animals↗

PubMedDate not supplied

Impact of dietary supplement of Crassostrea gigas extract (JCOE) on glutathione levels and glutathione S-transferase activity in rat tissues.

Male Sprague Dawley rats received various amounts of extract of Crassostrea gigas by gavage every day for 2 weeks or one month. At these times, groups of animals were sacrificed and samples of major organs analyzed for levels of glutathione (GSH) and glutathione S-transferase (GST) activities. Following the two week protocol, GSH levels were significantly increased in the mucosa of the large intestine; at one month the small intestine and spleen were elevated. GST activity increased in liver under both schedules and at one month, activity was also elevated in kidney and small intestine. Since the Crassostrea gigas extract contains high levels of a variety of important amino acids, it is concluded that biologically available peptides are taken up in target organs and stimulate GSH metabolism. Enhanced levels of GSH and associated enzymes may contribute to a more effective detoxification phenotype, thus providing enhanced chemoprotective capacity.

Animals↗