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Sample records for returning excess flu

  1. Flu

    MedlinePlus

    ... Another type of the flu is the swine flu (H1N1). Causes The flu is caused by an influenza ... 2016. Read More Acute respiratory distress syndrome Avian influenza H1N1 influenza (Swine flu) Immune response Pneumonia - adults (community ...

  2. Flu

    MedlinePlus

    ... a week. Until they do, they have to stay home from school and take it easy. We hope you're flu-free this year, but if you do get the flu, ... Kids For Parents MORE ON THIS TOPIC Flu Center A Kid's ...

  3. Earnings Quality Measures and Excess Returns.

    PubMed

    Perotti, Pietro; Wagenhofer, Alfred

    2014-06-01

    This paper examines how commonly used earnings quality measures fulfill a key objective of financial reporting, i.e., improving decision usefulness for investors. We propose a stock-price-based measure for assessing the quality of earnings quality measures. We predict that firms with higher earnings quality will be less mispriced than other firms. Mispricing is measured by the difference of the mean absolute excess returns of portfolios formed on high and low values of a measure. We examine persistence, predictability, two measures of smoothness, abnormal accruals, accruals quality, earnings response coefficient and value relevance. For a large sample of US non-financial firms over the period 1988-2007, we show that all measures except for smoothness are negatively associated with absolute excess returns, suggesting that smoothness is generally a favorable attribute of earnings. Accruals measures generate the largest spread in absolute excess returns, followed by smoothness and market-based measures. These results lend support to the widespread use of accruals measures as overall measures of earnings quality in the literature.

  4. Earnings Quality Measures and Excess Returns

    PubMed Central

    Perotti, Pietro; Wagenhofer, Alfred

    2014-01-01

    This paper examines how commonly used earnings quality measures fulfill a key objective of financial reporting, i.e., improving decision usefulness for investors. We propose a stock-price-based measure for assessing the quality of earnings quality measures. We predict that firms with higher earnings quality will be less mispriced than other firms. Mispricing is measured by the difference of the mean absolute excess returns of portfolios formed on high and low values of a measure. We examine persistence, predictability, two measures of smoothness, abnormal accruals, accruals quality, earnings response coefficient and value relevance. For a large sample of US non-financial firms over the period 1988–2007, we show that all measures except for smoothness are negatively associated with absolute excess returns, suggesting that smoothness is generally a favorable attribute of earnings. Accruals measures generate the largest spread in absolute excess returns, followed by smoothness and market-based measures. These results lend support to the widespread use of accruals measures as overall measures of earnings quality in the literature. PMID:26300582

  5. Understanding the multifractality in portfolio excess returns

    NASA Astrophysics Data System (ADS)

    Chen, Cheng; Wang, Yudong

    2017-01-01

    The multifractality in stock returns have been investigated extensively. However, whether the autocorrelations in portfolio returns are multifractal have not been considered in the literature. In this paper, we detect multifractal behavior of returns of portfolios constructed based on two popular trading rules, size and book-to-market (BM) ratio. Using the multifractal detrended fluctuation analysis, we find that the portfolio returns are significantly multifractal and the multifractality is mainly attributed to long-range dependence. We also investigate the multifractal cross-correlation between portfolio return and market average return using the detrended cross-correlation analysis. Our results show that the cross-correlations of small fluctuations are persistent, while those of large fluctuations are anti-persistent.

  6. Flu Widget

    MedlinePlus

    ... learn more about flu! Flu IQ Widget Flu Vaccination Widget Spanish

    FluVaccination" data- ... Antivirals for Clinicians" style="overflow: hidden;"> Flu Vaccination Widget
    FluVaccination" data-lang=" ...

  7. Bird Flu

    MedlinePlus

    ... like people, get the flu. Bird flu viruses infect birds, including chickens, other poultry, and wild birds such as ducks. Usually bird flu viruses only infect other birds. It is rare for people to ...

  8. Influenza (Flu)

    MedlinePlus

    ... pneumonia can be deadly. Prevention The Centers for Disease Control and Prevention recommends annual flu vaccination for everyone over the age of 6 months. Each year's seasonal flu vaccine contains protection from the three or ...

  9. Flu Shot

    MedlinePlus

    Flu is a respiratory infection caused by a number of viruses. Most people with the flu get better on their own. But it can ... cause complications and sometimes even death. Getting the flu vaccine every year is the best way to ...

  10. First Aid: Influenza (Flu)

    MedlinePlus

    ... of Flu Vaccine Does My Child Need? Your Child's Immunizations: Influenza Vaccine Immunization Schedule Tips for Treating the Flu Too Late for the Flu Vaccine? Vomiting Fever and Taking Your Child's Temperature Flu Center Who Needs a Flu Shot? ...

  11. Flu Facts

    MedlinePlus

    ... previous continue What to Do If the Flu Bugs You If you get the flu, the best way to take care of yourself is to rest in bed and drink lots of liquids like water and other non-caffeinated drinks. Stay home from ...

  12. Diagnosing Flu

    MedlinePlus

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Diagnosing Flu Questions & Answers Language: English (US) Español Recommend ...

  13. Bat Influenza (Flu)

    MedlinePlus

    ... spreading among humans?” How could bat flu viruses become capable of infecting and spreading among humans? ... discovery of bat flu taught us about flu viruses? The discovery of bat flu has shed light ...

  14. Treating Influenza (Flu)

    MedlinePlus

    Treating Influenza (Flu) Information for People at High Risk for Flu Complications Do you have Asthma, Diabetes, or Chronic Heart Disease? ... risk of serious illness if you get the flu. In past flu seasons, as many as 80 ...

  15. [Spanish flu related data].

    PubMed

    Shimao, Tadao

    2009-10-01

    Swine flu epidemic is a current topic, and data relating to Spanish flu pandemic from 1918 to 1920 were presented for your information. Monthly trend of number of deaths due to influenza, acute bronchitis, pneumonia and bronchopneumonia together with PTB, other TB and TB of all forms from 1917 to 1920 was presented in Table 1 and Fig. 1. Flu epidemics in early 1917 and from winter 1917 to spring 1818 were so-called common seasonal flu epidemic, however, new pandemic started from October 1918, and the number of deaths due to flu increased 14 times compared with previous month in October, 19 times in November, and the pandemic reached the summit, and started to decrease from December, however, marked decline was seen only after April 1919. The number of deaths due to flu started to increase again from November 1919, and reached its summit again in January 1920, and the pandemic ended in July. The age- and sex-specific mortality rate due to influenza in 1918 was shown in Fig. 2. The rate was high among infants, 20s and 30s and elderly, and by sex, the rate of female was higher below 35 and lower above 35. The number of deaths due to acute bronchitis and pneumonia and bronchopneumonia fluctuated in parallel with that of influenza, and deaths due to these conditions were very difficult to differentiate, and the impact of flu could better be evaluated by summing up all these three conditions, the sum of deaths due to three conditions was expressed as influenza related death. The proportion of deaths due to three conditions by age group was shown in Fig. 3. The proportion of acute bronchitis was high in infants and elderly, and in the other age groups, influenza occupied around 30% and pneumonia and bronchopneumonia around 70% of influenza related death. Total number of deaths due to influenza related diseases from 1918 to 1920 was 816,884, and the annual rate was 489.4 per 100,000. Annual age- and sex-specific mortality rate due to influenza related diseases was shown in

  16. Avian Flu

    SciTech Connect

    Professor Paul Eckburg

    2006-11-06

    Since 2003, a severe form of H5N1 avian influenza has rapidly spread throughout Asia and Europe, infecting over 200 humans in 10 countries. The spread of H5N1 virus from person-to-person has been rare, thus preventing the emergence of a widespread pandemic. However, this ongoing epidemic continues to pose an important public health threat. Avian flu and its pandemic potential in humans will be discussed.

  17. Avian Flu

    SciTech Connect

    Eckburg, Paul

    2006-11-06

    Since 2003, a severe form of H5N1 avian influenza has rapidly spread throughout Asia and Europe, infecting over 200 humans in 10 countries. The spread of H5N1 virus from person-to-person has been rare, thus preventing the emergence of a widespread pandemic. However, this ongoing epidemic continues to pose an important public health threat. Avian flu and its pandemic potential in humans will be discussed.

  18. H1N1 Flu (Swine Flu)

    MedlinePlus

    ... prevent or treat swine flu. There is a vaccine available to protect against swine flu. You can help prevent the spread of germs that cause respiratory illnesses like influenza by Covering your nose and mouth with a ...

  19. Misconceptions about Seasonal Flu and Flu Vaccines

    MedlinePlus

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Misconceptions about Seasonal Flu and Flu Vaccines Questions & Answers Language: English (US) ...

  20. Colds and the Flu

    MedlinePlus

    ... 2014October 2014familydoctor.org editorial staff OverviewWhat is the common cold and the flu?The common cold and the flu are viral infections of the ... have a cold or the flu?Although the common cold and the flu share many similar symptoms, they ...

  1. Flu Vaccine during Pregnancy

    MedlinePlus

    ... you need a flu shot. When you are pregnant, there are normal changes to your immune system that make you more likely to become severely sick if you get the flu. You are more likely to be hospitalized if you get the flu while pregnant.Having a severe case of the flu while ...

  2. Does the private sector receive an excessive return from investments in health care infrastructure projects? Evidence from the UK.

    PubMed

    Vecchi, Veronica; Hellowell, Mark; Gatti, Stefano

    2013-05-01

    This paper is concerned with the cost-efficiency of Private Finance Initiatives (PFIs) in the delivery of hospital facilities in the UK. We outline a methodology for identifying the "fair" return on equity, based on the Weighted Average Cost of Capital (WACC) of each investor. We apply this method to assess the expected returns on a sample of 77 contracts signed between 1997 and 2011 by health care provider organisations in the UK. We show that expected returns are in general in excess of the WACC benchmarks. The findings highlight significant problems in current procurement practices and the methodologies by which bids are assessed. To minimise the financial impact of hospital investments on health care systems, a regulatory regime must ensure that expected returns are set at the "fair" rate.

  3. Afghanistan Drawdown Preparations: DOD Decision Makers Need Additional Analyses to Determine Costs and Benefits of Returning Excess Equipment

    DTIC Science & Technology

    2012-12-19

    Major end items are equipment that is important to operational readiness such as aircraft; boats; motorized wheeled , tracked, and towed vehicles...Process (cont.) Loader , Scoop Type (July 2012 Playbook, p. 292) There are155 Marine Corps Scoop Type Loaders in Afghanistan, all of which are... loaders are determined to be excess when the disposition instructions are issued, the transportation cost for the return of these loaders could range

  4. How Does Seasonal Flu Differ From Pandemic Flu?

    MedlinePlus

    ... Home Current Issue Past Issues How Does Seasonal Flu Differ From Pandemic Flu? Past Issues / Fall 2006 Table of Contents For ... of this page please turn Javascript on. Seasonal Flu Pandemic Flu Outbreaks follow predictable seasonal patterns; occurs ...

  5. Cancer, the Flu, and You

    MedlinePlus

    ... Flu Publications Stay Informed Cancer Home Cancer, the Flu, and You What Cancer Patients, Survivors, and Caregivers ... Spanish) Recommend on Facebook Tweet Share Compartir Prevent Flu! Get a Flu Vaccine and Take Preventive Actions ...

  6. The Flu Vaccine and Pregnancy

    MedlinePlus

    ... of complications from the flu? Who should get vaccinated against the flu? Which type of flu vaccine should I get? How does the flu vaccine work? How often should I get the flu vaccine? How does getting the flu vaccine when I am pregnant help ...

  7. Influenza (Flu) Viruses

    MedlinePlus

    ... Seasonal Avian Swine/Variant Pandemic Other Influenza (Flu) Viruses Language: English (US) Español Recommend on Facebook ... circulate and cause illness. More Information about Flu Viruses Types of Influenza Viruses Influenza A and B ...

  8. "Stomach Flu" (For Kids)

    MedlinePlus

    ... Emergency Room? What Happens in the Operating Room? "Stomach Flu" KidsHealth > For Kids > "Stomach Flu" A A A en español "El virus estomacal" Many people talk about the "stomach flu" when they're feeling sick to their ...

  9. Avoiding the Flu

    MedlinePlus

    ... at high risk for serious flu complications. 2009 H1N1 Influenza The 2009 H1N1 flu is caused by a ... 1976 should still get the 2009 H1N1 vaccine. H1N1 Flu: Who Should Be Vaccinated First The Centers for ...

  10. Your baby and the flu

    MedlinePlus

    Babies and the flu; Your infant and the flu; Your toddler and the flu ... FLU SYMPTOMS IN INFANTS AND TODDLERS The flu is an infection of the nose, throat, and (sometimes) lungs. Call your baby’s health care provider if you notice any of ...

  11. "Stomach Flu" (For Kids)

    MedlinePlus

    ... Dictionary of Medical Words En Español What Other Kids Are Reading 7 Videos: Kids Talk About Life Video: Am I Normal? (Girls ... Puberty Train Your Temper "Stomach Flu" KidsHealth > For Kids > "Stomach Flu" Print A A A Many people ...

  12. Bird Flu (Avian Influenza)

    MedlinePlus

    ... how long. Recent exposure to possible sources of infection. Be sure to describe any international trips, especially to areas where bird flu ... you're traveling to Southeast Asia or to any region with bird flu outbreaks, ... and best ways to prevent infections of all kinds. Use an alcohol-based hand ...

  13. Children, the Flu, and the Flu Vaccine

    MedlinePlus

    ... made to protect against three flu viruses; an influenza A (H1N1) virus, an influenza A (H3N2) virus, and an ... 5 4 CDC. Deaths Related to 2009 Pandemic Influenza A (H1N1) Among American Indian/Alaskan Natives --- 12 States, 2009. ...

  14. Flu (Influenza): Information for Parents

    MedlinePlus

    ... short lasting. What are the side effects? Most children don’t have any side effects from the vaccine, but it can cause mild side effects. For ... cause the flu. The flu vaccine protects your child from the flu. However, ... can sometimes cause mild side effects that may be mistaken for the flu. Keep ...

  15. Thimerosal in Flu Vaccine

    MedlinePlus

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Thimerosal in Flu Vaccine Questions & Answers Language: English (US) Español ...

  16. First Aid: Influenza (Flu)

    MedlinePlus

    ... mist humidifier saline (saltwater) nose drops acetaminophen or ibuprofen (check package for correct dosage) Never give aspirin ... that doesn't go away after acetaminophen or ibuprofen Think Prevention! Get the flu vaccine each year. ...

  17. Flu Symptoms & Complications

    MedlinePlus

    ... Influenza Vaccine Safety: A Summary for Clinicians Large-Scale Influenza Vaccination Clinic Planning Flu Vaccine Effectiveness 2005- ... Prevention & Control of Influenza in the Peri- and Postpartum Settings Interim Guidance for the Use of Masks ...

  18. Flu Season's Starting to Rear Its Head

    MedlinePlus

    ... the year." Last year's flu season was particularly hard on older people. In a typical flu season, flu complications -- including pneumonia -- send more than 200,000 Americans to the hospital. Death rates linked to flu ...

  19. Flu and Colds: In Depth

    MedlinePlus

    ... hospitalization. No vaccine can protect you against the common cold, but vaccines can protect you against the flu. ... agencies and health-related organizations. Information on the common cold Information on flu Web site: www.medlineplus.gov ...

  20. Flu Prevention and Treatment Tips

    MedlinePlus

    Flu Prevention and Treatment Tips Expert Information from Healthcare Professionals Who Specialize in the Care of Older Adults Influenza, or the “flu,” is a contagious respiratory illness. It can cause ...

  1. Flu Season Starting to Peak

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_162917.html Flu Season Starting to Peak More severe strain of ... 6, 2017 FRIDAY, Jan. 6, 2017 (HealthDay News) -- Flu season is in full swing and it's starting ...

  2. Nasal spray flu vaccine (image)

    MedlinePlus

    The flu vaccine can also be administered as a nasal spray instead of the usual injection method. It can be ... the recombinant influenza vaccine (RIV). The nasal spray flu vaccine (live attenuated influenza vaccine or LAIV) should not ...

  3. Flu Shots Are Worth It

    MedlinePlus

    ... news/fullstory_162776.html Flu Shots Are Worth It Vaccine most important for young kids, seniors, people ... may not keep you from getting the flu, it will limit the severity and duration of the ...

  4. College students and the flu

    MedlinePlus

    ... this page: //medlineplus.gov/ency/article/007446.htm College students and the flu To use the sharing features ... and a lot of social activities make a college student more likely to catch the flu. This article ...

  5. THE MASS LOSS RETURN FROM EVOLVED STARS TO THE LARGE MAGELLANIC CLOUD: EMPIRICAL RELATIONS FOR EXCESS EMISSION AT 8 AND 24 {mu}m

    SciTech Connect

    Srinivasan, Sundar; Meixner, Margaret; Leitherer, Claus; Vijh, Uma; Gordon, Karl D.; Sewilo, Marta; Volk, Kevin; Blum, Robert D.; Harris, Jason; Babler, Brian L.; Bracker, Steve; Meade, Marilyn; Block, Miwa; Engelbracht, Charles W.; For, Bi-Qing; Misselt, Karl A.; Cohen, Martin; Hora, Joseph L.; Indebetouw, Remy; Markwick-Kemper, Francisca

    2009-06-15

    We present empirical relations describing excess emission from evolved stars in the Large Magellanic Cloud (LMC) using data from the Spitzer Space Telescope Surveying the Agents of a Galaxy's Evolution (SAGE) survey which includes the Infrared Array Camera (IRAC) 3.6, 4.5, 5.8, and 8.0 {mu}m and Multiband Imaging Photometer (MIPS) 24, 70, and 160 {mu}m bands. We combine the SAGE data with the Two Micron All Sky Survey (2MASS; J, H, and K {sub s}) and the optical Magellanic Cloud Photometric Survey (MCPS; U, B, V, and I) point source catalogs in order to create complete spectral energy distributions (SEDs) of the asymptotic giant branch (AGB) star candidates in the LMC. AGB star outflows are among the main producers of dust in a galaxy, and this mass loss results in an excess in the fluxes observed in the 8 and 24 {mu}m bands. The aim of this work is to investigate the mass loss return by AGB stars to the interstellar medium of the LMC by studying the dependence of the infrared excess flux on the total luminosity. We identify oxygen-rich, carbon-rich, and extreme AGB star populations in our sample based on their 2MASS and IRAC colors. The SEDs of oxygen- and carbon-rich AGB stars are compared with appropriate stellar photosphere models to obtain the excess flux in all the IRAC bands and the MIPS 24 {mu}m band. Extreme AGB stars are dominated by circumstellar emission at 8 and 24 {mu}m; thus we approximate their excesses with the flux observed in these bands. We find about 16,000 O-rich, 6300 C-rich, and 1000 extreme sources with reliable 8 {mu}m excesses, and about 4500 O-rich, 5300 C-rich, and 960 extreme sources with reliable 24 {mu}m excesses. The excesses are in the range 0.1 mJy to 5 Jy. The 8 and 24 {mu}m excesses for all three types of AGB candidates show a general increasing trend with luminosity. The color temperature of the circumstellar dust derived from the ratio of the 8 and 24 {mu}m excesses decreases with an increase in excess, while the 24 {mu

  6. Swine flu vaccine: present status.

    PubMed

    Wiwanitkit, Viroj

    2009-11-01

    In early 2009, "swine flu", a new infectious disease, emerged in Mexico and further spread around the world. It is currently accepted as the most problematic infection at present. To control this new infection, the swine flu vaccine is the hope. The reasons that we need the swine flu vaccine will be discussed. Also, the present status, current attempts and problems of swine flu vaccine development will be presented in this commentary.

  7. Cold and Flu

    MedlinePlus

    ... 400;font-style:normal;font-size:14px;}h1,.impact-text,.impact-text-large{font-family:"Source Sans Pro";line- ... Acute Chest Pain, Chronic Cold and Flu Cough Diarrhea Ear Problems Elimination Problems Elimination Problems in Infants ...

  8. Should I Get a Flu Shot?

    MedlinePlus

    ... Donate Live Chat Cancer ... With Cancer Get a Flu Shot? Getting a flu shot is recommended for most people with cancer and cancer survivors. Their family members are encouraged to get flu shots, too. ...

  9. Children, the Flu and the Flu Vaccine. Fact Sheet

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2008

    2008-01-01

    Flu is more dangerous than the common cold for children. Each year, flu places a large burden on the health and well-being of children and families. Children commonly need medical care because of influenza, especially before they turn 5 years old. Each year an average of 20,000 children under the age of 5 are hospitalized because of influenza…

  10. A universal flu vaccine.

    PubMed

    Kesik-Brodacka, Malgorzata; Plucienniczak, Grazyna

    2014-01-01

    Influenza is a global health concern. The single most effective way of protecting people against influenza infection and disease is vaccination. However, currently available vaccines against influenza induce only strain-specific immunity, and do not elicit long-lasting serum antibody titers. Therefore, they are ineffective in the case of possible pandemics. There is an urgent need for a new generation vaccine which would induce broad and long-lasting immune protection against antigenically distinct flu viruses. The paper presents recent achievements and the challenges in the field of universal vaccine construction.

  11. Managing a Bird Flu Pandemic

    ERIC Educational Resources Information Center

    Stover, Del

    2006-01-01

    Concern about a possible bird flu pandemic has grown in the medical community with the spread of the avian flu virus around the globe. Health officials say there is no immediate threat but add that an influenza pandemic occurs every 30 to 40 years, and prudence demands planning now. That planning will increasingly involve local school officials,…

  12. Managing a Bird Flu Pandemic

    ERIC Educational Resources Information Center

    Stover, Del

    2006-01-01

    Concern about a possible bird flu pandemic has grown in the medical community with the spread of the avian flu virus around the globe. Health officials say there is no immediate threat but add that an influenza pandemic occurs every 30 to 40 years, and prudence demands planning now. That planning will increasingly involve local school officials,…

  13. Key Facts about Influenza (Flu) and Flu Vaccine

    MedlinePlus

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Key Facts About Influenza (Flu) Language: English (US) Español Recommend on ...

  14. Flublok Seasonal Influenza (Flu) Vaccination

    MedlinePlus

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Flublok Seasonal Influenza (Flu) Vaccine Questions & Answers Language: English (US) Españ ...

  15. Pregnant Women and Influenza (Flu)

    MedlinePlus

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Pregnant Women & Influenza (Flu) Language: English (US) Español Recommend on ...

  16. Flu and People with Diabetes

    MedlinePlus

    ... Video Medscape Podcasts Public Service Announcements (PSAs) Toolkits Influenza Types Seasonal Avian Swine/Variant Pandemic Other Get ... this? Submit What's this? Submit Button Past Newsletters Flu and People with Diabetes Language: English Español ...

  17. FluBreaks: early epidemic detection from Google flu trends.

    PubMed

    Pervaiz, Fahad; Pervaiz, Mansoor; Abdur Rehman, Nabeel; Saif, Umar

    2012-10-04

    The Google Flu Trends service was launched in 2008 to track changes in the volume of online search queries related to flu-like symptoms. Over the last few years, the trend data produced by this service has shown a consistent relationship with the actual number of flu reports collected by the US Centers for Disease Control and Prevention (CDC), often identifying increases in flu cases weeks in advance of CDC records. However, contrary to popular belief, Google Flu Trends is not an early epidemic detection system. Instead, it is designed as a baseline indicator of the trend, or changes, in the number of disease cases. To evaluate whether these trends can be used as a basis for an early warning system for epidemics. We present the first detailed algorithmic analysis of how Google Flu Trends can be used as a basis for building a fully automated system for early warning of epidemics in advance of methods used by the CDC. Based on our work, we present a novel early epidemic detection system, called FluBreaks (dritte.org/flubreaks), based on Google Flu Trends data. We compared the accuracy and practicality of three types of algorithms: normal distribution algorithms, Poisson distribution algorithms, and negative binomial distribution algorithms. We explored the relative merits of these methods, and related our findings to changes in Internet penetration and population size for the regions in Google Flu Trends providing data. Across our performance metrics of percentage true-positives (RTP), percentage false-positives (RFP), percentage overlap (OT), and percentage early alarms (EA), Poisson- and negative binomial-based algorithms performed better in all except RFP. Poisson-based algorithms had average values of 99%, 28%, 71%, and 76% for RTP, RFP, OT, and EA, respectively, whereas negative binomial-based algorithms had average values of 97.8%, 17.8%, 60%, and 55% for RTP, RFP, OT, and EA, respectively. Moreover, the EA was also affected by the region's population size

  18. Help Stop the Flu | NIH MedlinePlus the Magazine

    MedlinePlus

    ... of this page please turn Javascript on. Feature: Flu Shot Help Stop the Flu Past Issues / Winter 2011 Table of Contents The ... vaccinated (for everyone six months or older). Find Flu Clinics Near You At www.flu.gov Use ...

  19. People at High Risk of Developing Flu-Related Complications

    MedlinePlus

    ... visit Misconceptions about Seasonal Flu and Flu Vaccines . Materials are also available for: Flu Information for Parents ... the flu, common questions and answers, and poster materials for schools. Information for Businesses & Employers Information and ...

  20. Swine Flu -A Comprehensive View

    NASA Astrophysics Data System (ADS)

    Singh, Vandana; Sood, Meenakshi

    2012-07-01

    The present article is aimed on comprehensive view of Swine flu. It was first isolated from pigs in 1930 in USA. Pandemic caused by H1N1 in 2009 brought it in limelight. Itís a viral respiratory disease caused by viruses that infects pigs, resulting in nasal secretions, barking cough, decreased appetite, and listless behavior. Swine virus consist of eight RNA strands, one strand derived from human flu strains, two from avian (bird) strains, and five from swine strains. Swine flu spreads from infected person to healthy person by inhalation or ingestion of droplets contaminated with virus while sneezing or coughing. Two antiviral agents have been reported to help prevent or reduce the effects of swine flu, flu shot and nasal spray. WHO recommended for pandemic period to prevent its future outbreaks through vaccines or non-vaccines means. Antiviral drugs effective against this virus are Tamiflu and Relenza. Rapid antigen testing (RIDT), DFA testing, viral culture, and molecular testing (RT-PCR) are used for its diagnosis in laboratory

  1. H1N1 Flu (Swine Flu) - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Are Here: Home → Multiple Languages → All Health Topics → H1N1 Flu (Swine Flu) URL of this page: https://medlineplus. ... V W XYZ List of All Topics All H1N1 Flu (Swine Flu) - Multiple Languages To use the sharing ...

  2. Flu Vaccine and People with Egg Allergies

    MedlinePlus

    ... allergic reaction to flu vaccine, regardless of the component suspected of being responsible for the reaction, is ... allergic reaction to flu vaccine, regardless of the component suspected of being responsible for the reaction should ...

  3. Flu Tightens Its Hold on The Nation

    MedlinePlus

    ... medlineplus.gov/news/fullstory_163039.html Flu Tightens Its Hold on the Nation It's not too late to get vaccinated, CDC says ... pregnant women -- to get their flu shots before it's too late. "Even though activity is elevated, we ...

  4. Bye-Bye Flu Shot, Hello Patch?

    MedlinePlus

    ... medlineplus.gov/news/fullstory_166897.html Bye-Bye Flu Shot, Hello Patch? Early results look promising for ... TUESDAY, June 27, 2017 (HealthDay News) -- An experimental flu vaccine patch with dissolving microneedles appears safe and ...

  5. Flu Cases Starting to Spread: CDC

    MedlinePlus

    ... fullstory_163159.html Flu Cases Starting to Spread: CDC Illness now being reported in middle sections of ... potential benefit from the vaccine," Lynnette Brammer, a CDC epidemiologist, said Friday. She said flu activity is " ...

  6. Stomach Flu: How Long Am I Contagious?

    MedlinePlus

    ... long am I contagious if I have the stomach flu? Answers from James M. Steckelberg, M.D. You can ... more, depending on which virus is causing your stomach flu (gastroenteritis). A number of viruses can cause ...

  7. Don't Confuse Common Flu with a Flu Pandemic

    ERIC Educational Resources Information Center

    St. Gerard, Vanessa

    2007-01-01

    It is the time of year once again when students and staff members who are going around with coughs, colds, fevers, and sneezes abound in schools everywhere. Although it may seem more immediate to focus on the matter of how the seasonal/common flu will affect a particular school during the course of this school year, the fact of the situation is…

  8. Don't Confuse Common Flu with a Flu Pandemic

    ERIC Educational Resources Information Center

    St. Gerard, Vanessa

    2007-01-01

    It is the time of year once again when students and staff members who are going around with coughs, colds, fevers, and sneezes abound in schools everywhere. Although it may seem more immediate to focus on the matter of how the seasonal/common flu will affect a particular school during the course of this school year, the fact of the situation is…

  9. The Spanish flu in Denmark.

    PubMed

    Kolte, Ida Viktoria; Skinhøj, Peter; Keiding, Niels; Lynge, Elsebeth

    2008-01-01

    The spread of H5N1 influenza and the similarity between this avian virus and the Spanish flu virus causes fear of a new influenza pandemic, but data from the Spanish flu may also be of guidance in planning for preventive measures. Using data on influenza cases, influenza deaths and total deaths for Denmark and for Danish towns from 1917 to 1921, and population data from the 1916 and 1921 censuses, we analysed incident cases, cumulative, age-specific and age-standardized rates. Overall, more than 900,000 persons contracted flu during the y 1918-1920, and 1 out of 50 patients died from the disease. An early wave of the flu occurred in the capital and major towns, but not in peripheral towns. Influenza incidence in 1918 peaked at age 5-15 y, closely followed by the age groups 1-5 y and 15-65 y, but the influenza mortality was highest in the age groups 0-1 y and 15-65 y, with a peak mortality at age 20-34 y producing a W curve for mortality by age. The background for the better outcome in children aged 1-15 y as well as for the disease immunity in the elderly population should be further investigated.

  10. Get Your Flu Shot!| NIH MedlinePlus the Magazine

    MedlinePlus

    ... disease "For the 2010–2011 flu season, the flu vaccine provides protection against the 2009 H1N1 pandemic virus, as well as two seasonal flu ... Symptoms for the seasonal flu and the 2009 H1N1 flu are similar. They include fever, cough, sore throat, ...

  11. Antibiotic Use in Cold and Flu Season and Prescribing Quality: A Retrospective Cohort Study

    PubMed Central

    Alsan, Marcella; Morden, Nancy; Gottlieb, Joshua D.; Zhou, Weiping; Skinner, Jonathan

    2016-01-01

    Background Excessive antibiotic use in cold and flu season is costly and contributes to antibiotic resistance. The study objective was to develop an index of excessive antibiotic use in cold and flu season and determine its correlation with other indicators of prescribing quality. Methods and Findings We included Medicare beneficiaries in the 40% random sample denominator continuously enrolled in fee for service benefits for 2010 and/or 2011 (7,961,201 person-years (PY)) and extracted data on prescription fills for oral antibiotics that treat respiratory pathogens. We collapsed the data to the state-level so that it could be merged with monthly flu activity data from the Centers for Disease Control and Prevention (CDC). Linear regression, adjusted for state-specific mean antibiotic use and demographic characteristics, was used to estimate how antibiotic prescribing responded to state-specific flu activity. There was considerable geographic variation in flu-associated antibiotic use across states—lowest in Vermont and Connecticut and highest in Mississippi and Florida. There was a robust positive correlation between medications that often cause adverse events in the elderly and flu-associated prescribing (0.755; p<0.001), while there was a strong negative correlation with beta-blocker use after a myocardial infarction (MI) (−0.413; p=0.003). Conclusion Adjusted flu-associated antibiotic use was positively correlated with high-risk medications to the elderly and negatively correlated with beta-blocker use post MI. These findings suggest excessive antibiotic use reflects low quality prescribing, and imply that practice and policy solutions should go beyond narrow, antibiotic-specific, approaches to encourage evidence-based prescribing for the elderly Medicare population. PMID:26569644

  12. More Pregnant Women Getting Flu Shot, But Improvement Needed

    MedlinePlus

    ... who are or might become pregnant during flu season be vaccinated," according to a team led by ... 2005. The investigators found that in the flu seasons before the 2009-2010 H1N1 flu pandemic, only ...

  13. Best Ways to Steer Clear of The Flu

    MedlinePlus

    ... html Best Ways to Steer Clear of the Flu For starters, get a flu vaccine to protect yourself and others, infectious diseases ... way for people to protect themselves from the flu is to get vaccinated -- and it's not too ...

  14. Recent Flu Shot Shouldn't Prevent Vaccination During Pregnancy

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_167523.html Recent Flu Shot Shouldn't Prevent Vaccination During Pregnancy Study ... women and newborns are particularly vulnerable to the flu and its complications, guidelines recommend a flu shot ...

  15. Too Late for a Flu Shot (For Parents)?

    MedlinePlus

    ... Games, and the Internet Too Late for the Flu Vaccine? KidsHealth > For Parents > Too Late for the ... idea to get protected. Who Should Get the Flu Vaccine? The flu vaccine is recommended for everyone ...

  16. U.S. Vaccine Guidelines for Flu, HPV Updated

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_163466.html U.S. Vaccine Guidelines for Flu, HPV Updated CDC panel revises ... need to know about: No more nasal flu vaccine. Unlike traditional flu shots made from dead virus, ...

  17. Problems of Excess Capacity

    NASA Technical Reports Server (NTRS)

    Douglas, G.

    1972-01-01

    The problems of excess capacity in the airline industry are discussed with focus on the following topics: load factors; fair rate of return on investment; service-quality rivalry among airlines; pricing (fare) policies; aircraft production; and the impacts of excess capacity on operating costs. Also included is a discussion of the interrelationships among these topics.

  18. Pregnant Women Need a Flu Shot

    MedlinePlus

    ... have not been shown to cause harm to pregnant women or their developing babies. If you have your baby before getting your flu shot, you still need to get vaccinated. The flu is spread from person to person. You, or others who care for ...

  19. Swine Influenza (Swine Flu) in Pigs

    MedlinePlus

    ... of illness at all. How common is swine flu among pigs? H1N1 and H3N2 swine flu viruses are endemic among pig populations in the ... and winter) , but can occur year round. While H1N1 swine viruses have been ... least 1930, H3N2 influenza viruses did not begin circulating among pigs in ...

  20. Pandemic Flu: A Planning Guide for Educators

    ERIC Educational Resources Information Center

    US Department of Education, 2006

    2006-01-01

    An influenza (flu) pandemic is a global outbreak of disease that occurs when a new flu virus appears that can spread easily from person to person. Although it is difficult to predict when the next influenza pandemic will occur or how severe it will be, effects can be lessened if preparations are made ahead of time. The illness rates for both…

  1. 2009 H1N1 Flu Vaccine Facts

    MedlinePlus

    ... of this page please turn Javascript on. Feature: Flu 2009 H1N1 Flu Vaccine Facts Past Issues / Fall 2009 Table of ... of the H1N1 flu vaccine. 1 The 2009 H1N1 flu vaccine is safe and well tested. Clinical trials ...

  2. There's Still Time for Your Flu Shot

    MedlinePlus

    ... enough antibodies to give you maximum protection, the agency notes. "We often see spikes in flu during and right after the holidays as people congregate and travel in planes that bring people close together," said ...

  3. Getting a Better Grasp on Flu Fundamentals

    MedlinePlus

    ... by more than $500 billion. Exploring Flu Protein Biology to Improve Antivirals A representation of the structure ... combat this drug resistance by exploiting the virus's biology. One target is pocket-shaped structures on the ...

  4. HIV/AIDS and the Flu

    MedlinePlus

    ... Submit What's this? Submit Button Past Newsletters HIV/AIDS and the Flu Questions & Answers Language: English Españ ... with HIV and AIDS. Should people with HIV/AIDS receive the inactivated influenza vaccine? People with HIV ...

  5. It's a Tough Flu Season for Dogs

    MedlinePlus

    ... example of a virus that got transmitted from birds to dogs," said Colin Parrish, a professor of ... Health Recent Health News Related MedlinePlus Health Topics Bird Flu Pet Health About MedlinePlus Site Map FAQs ...

  6. Flu and Heart Disease and Stroke

    MedlinePlus

    ... Seasonal Avian Swine/Variant Pandemic Other Flu and Heart Disease & Stroke Language: English (US) Español Recommend on Facebook Tweet Share Compartir People with Heart Disease* and Those Who Have Had a Stroke Are ...

  7. I strong administrative buy-in, firm mandates can push flu vaccination rates up to more than 99% among health care workers.

    PubMed

    2014-11-01

    While flu vaccination rates are inching up among health care workers, there is still room for improvement. The Centers for Disease Control and Prevention reports that slightly more than 75% of health care workers received the flu vaccination during the 2013-14 season--an increase of roughly 3% over the 2012-13 season. However, some hospitals have been able to achieve vaccination rates in excess of 99%. The apparent key to these efforts is a firm mandate that all personnel receive a flu shot as a condition of employment. There is always pushback to such policies, but hospitals report that most personnel eventually come around. While flu vaccination rates are on the increase among health, care personnel, data from the Centers for Medicare and Medicaid Services (CMS) note that rates vary widely from state to state. For example, the vaccination rate for health care workers in New Jersey stood at just 62% last year. In contrast, more than 95% of health care workers in Maryland received the shot during the 2013-14 flu season. Both Loyola University Medical Center and Henry Ford Hospital have been able to boost flu vaccination rates among their health care workers to more than 99% with the implementation of policies that require flu shots as a condition of employment. Experts say successful flu vaccination campaigns require strong administration buy-in and physician leadership.

  8. Is It a Cold or the Flu (For Parents)?

    MedlinePlus

    ... flu that's been going around? Or just a common cold ? Although the flu (or influenza ) usually causes symptoms ... someone feel worse than symptoms associated with a common cold, it's not always easy to tell the difference ...

  9. Colds and the flu - what to ask your doctor - child

    MedlinePlus

    ... germs, called viruses, cause colds. Symptoms of the common cold include: Runny nose Nasal congestion Sneezing Sore throat ... Read More Acute respiratory distress syndrome Avian influenza Common cold Cough Fever Flu H1N1 influenza (Swine flu) Immune ...

  10. Colds and the flu - what to ask your doctor - adult

    MedlinePlus

    ... germs, called viruses, cause colds. Symptoms of the common cold include: Runny nose Nasal congestion Sneezing Sore throat ... flu symptoms are similar to those of a common cold. Flu can symptoms can also include fever, muscle ...

  11. What You Should Know about Flu Antiviral Drugs

    MedlinePlus

    ... Good Health Habits Cover Your Cough Home, Work & School Prevention Vaccine Benefits Symptoms & Diagnosis Flu Symptoms Flu ... if you get sick Caring for Someone Sick Schools, Businesses & Travelers Schools & Childcare Providers Information for Schools ...

  12. Flu Vaccine Guidance for Patients with Immune Deficiency

    MedlinePlus

    ... Vaccine Guidance for Patients with Immune Deficiency Share | Flu Vaccine Guidance for Patients with Immune Deficiency This ... is the best tool for prevention of the flu, should patients with immune deficiency be given the ...

  13. Flu Shot Falls Short More Often for Obese People: Study

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_166544.html Flu Shot Falls Short More Often for Obese People: ... 2017 TUESDAY, June 13, 2017 (HealthDay News) -- A flu shot is the best way to avoid getting ...

  14. Vaccine Effectiveness - How Well Does the Seasonal Flu Vaccine Work?

    MedlinePlus

    ... Should Know About Flu Antiviral Drugs Antiviral Drug Supply Mixing Oseltamivir Capsules Drug Resistance Taking Care of ... The Flu Season Seasonal Influenza, More Information Vaccine Supply for 2016-2017 Season Seasonal Influenza-Associated Hospitalizations ...

  15. Black Americans More Likely to Skip Flu Shot

    MedlinePlus

    ... 164106.html Black Americans More Likely to Skip Flu Shot They're concerned about vaccine safety, study ... of American adults don't get an annual flu shot, and black Americans are even less likely ...

  16. Eczema May Leave Some Flu Shots Less Effective, Study Finds

    MedlinePlus

    ... news/fullstory_163564.html Eczema May Leave Some Flu Shots Less Effective, Study Finds Vaccine should be ... MONDAY, Feb. 13, 2017 (HealthDay News) -- It's still flu season, and not too late to get your ...

  17. Is It a Cold or the Flu (For Parents)?

    MedlinePlus

    ... flu that's been going around? Or just a common cold ? Although the flu (or influenza ) usually causes symptoms ... someone feel worse than symptoms associated with a common cold, it's not always easy to tell the difference ...

  18. Bird Flu Strain May Have Jumped from Cat to Human

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_162717.html Bird Flu Strain May Have Jumped From Cat to ... would be the first known transmission of this bird flu strain from cat to human, officials said. ...

  19. [Is H1N1 flu different from seasonal flu on initial plain chest films?].

    PubMed

    Martí-de-Gracia, M; Pinilla, I; Quintana-Díaz, M; Rodríguez-Requena, H; Prados-Sánchez, C

    2011-01-01

    To determine whether there are differences in the findings on the initial plain chest films of patients with H1N1 influenza and those of patients with flu symptoms during the flu season. All patients underwent plain-film chest radiography in the Emergency Department for flu symptoms; 95 patients had H1N1 influenza confirmed between July 2009 and December 2009 and 95 patients were attended for symptoms of seasonal flu in January 2009. We analyzed the views obtained, the distribution and location of the radiologic findings, and patients' age, sex, and previous disease. Patients with H1N1 influenza were younger than those with seasonal flu symptoms (mean 40.2 vs 50.9 years; p<0.001) and fewer had prior disease (48 vs. 63; p<0.001). Plain films were acquired with patients in the standing position in 75 patients in the H1N1 group and in 77 in the seasonal flu group; pathological findings were present in nearly 50% of the patients in each group. The most common findings in the H1N1 group were multifocal patchy consolidations (41.2%; p<0.001) and peribronchial-vascular opacities (16.3%), whereas in the seasonal flu group the most common finding was consolidation in a single lobe (43.9%). We found significant differences between the radiologic findings of patients with H1N1 influenza (severe) and those of patients with symptoms of flu during the flu season: the incidence of multifocal patchy consolidation was greater in H1N1 patients and H1N1 patients were younger. Copyright © 2010 SERAM. Published by Elsevier Espana. All rights reserved.

  20. Applying lessons from behavioral economics to increase flu vaccination rates.

    PubMed

    Chen, Frederick; Stevens, Ryan

    2016-05-06

    Seasonal influenza imposes an enormous burden on society every year, yet many people refuse to obtain flu shots due to misconceptions of the flu vaccine. We argue that recent research in psychology and behavioral economics may provide the answers to why people hold mistaken beliefs about flu shots, how we can correct these misconceptions, and what policy-makers can do to increase flu vaccination rates.

  1. I'm Pregnant. Should I Get a Flu Shot?

    MedlinePlus

    ... Shyness I'm Pregnant. Should I Get a Flu Shot? KidsHealth > For Teens > I'm Pregnant. Should I Get a Flu Shot? Print A A A I just found ... weeks pregnant. Do I need to get the flu vaccine or will it affect my pregnancy? – Eliza* ...

  2. Influenza (Flu) Vaccine (Live, Intranasal): What You Need to Know

    MedlinePlus

    ... fever/chills • sore throat • muscle aches • fatigue • cough • headache • runny or stuffy nose Flu can also lead to pneumonia and blood infections, and cause diarrhea and seizures in children. If you have a medical condition, such as heart or lung disease, flu can make it worse. Flu is more ...

  3. Situation Update: Summary of Weekly FluView

    MedlinePlus

    ... Indicators) According to the FluView report for the week ending May 20, 2017 (week 20), flu activity continues to decrease in the ... flu activity may continue for a number of weeks. While influenza A (H3N2) viruses have been most ...

  4. [Differentiation of influenza (Flu) type A, type B, and respiratory syncytial virus (RSV) by QuickNavi™-Flu+RSV].

    PubMed

    Kohiyama, Risa; Miyazawa, Takashi; Shibano, Nobuko; Inano, Koichi

    2014-01-01

    Because it is not easy to differentiate Influenza virus (Flu) from RS virus (RSV) just by clinical symptoms, to accurately diagnose those viruses in conjunction with patient's clinical symptoms, rapid diagnostic kits has been used separately for each of those viruses. In our new study, we have developed a new rapid diagnostic kit, QuickNavi™-Flu+RSV. The kit can detect Flu A, Flu B, and RSV antigens with a single sample collection and an assay. Total of 2,873 cases (including nasopharyngeal swabs and nasopharyngeal aspirates specimens) in 2010/2011 and 2011/2012 seasons were evaluated with QuickNavi™-Flu+RSV and a commercially available kit. Sensitivity, specificity, and accuracy of Flu type A, type B, and RSV were above 95% when compared to commercially available kits (QuickNavi™-Flu and QuickNavi™-RSV) and considered to be equivalent to the commercially available kits. In 2011/2012 season, RSV infections increased prior to Flu season and continued during the peak of the Flu season. The kit can contribute to accurate diagnosis of Flu and RSV infections since co-infection cases have also been reported during the 2011/2012 season. QuickNavi™-Flu+RSV is useful for differential diagnosis of respiratory infectious diseases since it can detect Flu type A, type B, and RSV virus antigens with a single sample collection.

  5. Flu - Multiple Languages: MedlinePlus

    MedlinePlus

    ... on this page, please enable JavaScript. Amharic (amarunya) Arabic (العربية) Bosnian (Bosanski) Chinese - Simplified (简体中文) Chinese - Traditional ( ... Amharic) PDF Public Health - Seattle and King County Arabic (العربية) Home Care for Pandemic Flu (Arabic) الرعاية ...

  6. Flu Shot - Multiple Languages: MedlinePlus

    MedlinePlus

    ... on this page, please enable JavaScript. Amharic (amarunya) Arabic (العربية) Armenian (Հայերեն) Bengali (Bangla) Chinese - Traditional (繁體中文) ... Action Coalition; Centers for Disease Control and Prevention Arabic (العربية) Influenza (Flu) Vaccine (Inactivated or Recombinant) English ( ...

  7. How Colleges Can Plan for Bird Flu

    ERIC Educational Resources Information Center

    Turner, James C.

    2005-01-01

    Media coverage of the worldwide outbreak of avian flu and the potential for a pandemic has resulted in anxiety and consternation among members of the US public. The US President George W. Bush has released the federal pandemic-preparedness plan that calls on communities to coordinate plans with local and state health departments and other…

  8. A Case of American Education Flu.

    ERIC Educational Resources Information Center

    Gross, Steven Jay

    2002-01-01

    Proposes that the American educational system's penchant for testing may be likened to an educational flu. Notes that teachers feel increasing pressure to abandon techniques that are engaging if they are not specifically aimed at performance on test day. Contends that the American educational system needs to keep pace with international…

  9. How Colleges Can Plan for Bird Flu

    ERIC Educational Resources Information Center

    Turner, James C.

    2005-01-01

    Media coverage of the worldwide outbreak of avian flu and the potential for a pandemic has resulted in anxiety and consternation among members of the US public. The US President George W. Bush has released the federal pandemic-preparedness plan that calls on communities to coordinate plans with local and state health departments and other…

  10. Influenza Forecasting with Google Flu Trends

    PubMed Central

    Dugas, Andrea Freyer; Jalalpour, Mehdi; Gel, Yulia; Levin, Scott; Torcaso, Fred; Igusa, Takeru; Rothman, Richard E.

    2013-01-01

    Background We developed a practical influenza forecast model based on real-time, geographically focused, and easy to access data, designed to provide individual medical centers with advanced warning of the expected number of influenza cases, thus allowing for sufficient time to implement interventions. Secondly, we evaluated the effects of incorporating a real-time influenza surveillance system, Google Flu Trends, and meteorological and temporal information on forecast accuracy. Methods Forecast models designed to predict one week in advance were developed from weekly counts of confirmed influenza cases over seven seasons (2004–2011) divided into seven training and out-of-sample verification sets. Forecasting procedures using classical Box-Jenkins, generalized linear models (GLM), and generalized linear autoregressive moving average (GARMA) methods were employed to develop the final model and assess the relative contribution of external variables such as, Google Flu Trends, meteorological data, and temporal information. Results A GARMA(3,0) forecast model with Negative Binomial distribution integrating Google Flu Trends information provided the most accurate influenza case predictions. The model, on the average, predicts weekly influenza cases during 7 out-of-sample outbreaks within 7 cases for 83% of estimates. Google Flu Trend data was the only source of external information to provide statistically significant forecast improvements over the base model in four of the seven out-of-sample verification sets. Overall, the p-value of adding this external information to the model is 0.0005. The other exogenous variables did not yield a statistically significant improvement in any of the verification sets. Conclusions Integer-valued autoregression of influenza cases provides a strong base forecast model, which is enhanced by the addition of Google Flu Trends confirming the predictive capabilities of search query based syndromic surveillance. This accessible and

  11. Mitigation Approaches to Combat the Flu Pandemic

    PubMed Central

    Chawla, Raman; Sharma, Rakesh Kumar; Madaan, Deepali; Dubey, Neha; Arora, Rajesh; Goel, Rajeev; Singh, Shefali; Kaushik, Vinod; Singh, Pankaj Kumar; Chabbra, Vivek; Bhardwaj, Janak Raj

    2009-01-01

    Management of flu pandemic is a perpetual challenge for the medical fraternity since time immemorial. Animal to human transmission has been observed thrice in the last century within an average range of 11-39 years of antigenic recycling. The recent outbreak of influenza A (H1N1, also termed as swine flu), first reported in Mexico on April 26, 2009, occurred in the forty first year since last reported flu pandemic (July 1968). Within less than 50 days, it has assumed pandemic proportions (phase VI) affecting over 76 countries with 163 deaths/35,928 cases (as on 15th June 2009). It indicated the re-emergence of genetically reassorted virus having strains endemic to humans, swine and avian (H5N1). The World Health Organisation (WHO) member states have already pulled up their socks and geared up to combat such criticalities. Earlier outbreaks of avian flu (H5N1) in different countries led WHO to develop pandemic preparedness strategies with national/regional plans on pandemic preparedness. Numerous factors related to climatic conditions, socio-economic strata, governance and sharing of information/logistics at all levels have been considered critical indicators in monitoring the dynamics of escalation towards a pandemic situation. The National Disaster Management Authority (NDMA), Government of India, with the active cooperation of UN agencies and other stakeholders/experts has formulated a concept paper on role of nonhealth service providers during pandemics in April 2008 and released national guidelines - management of biological disasters in July 2008. These guidelines enumerate that the success of medical management endeavors like pharmaceutical (anti-viral Oseltamivir and Zanamivir therapies), nonpharmaceutical interventions and vaccination development etc., largely depends on level of resistance offered by mutagenic viral strain and rationale use of pharmaco therapeutic interventions. This article describes the mitigation approach to combat flu pandemic with its

  12. Influenza forecasting with Google Flu Trends.

    PubMed

    Dugas, Andrea Freyer; Jalalpour, Mehdi; Gel, Yulia; Levin, Scott; Torcaso, Fred; Igusa, Takeru; Rothman, Richard E

    2013-01-01

    We developed a practical influenza forecast model based on real-time, geographically focused, and easy to access data, designed to provide individual medical centers with advanced warning of the expected number of influenza cases, thus allowing for sufficient time to implement interventions. Secondly, we evaluated the effects of incorporating a real-time influenza surveillance system, Google Flu Trends, and meteorological and temporal information on forecast accuracy. Forecast models designed to predict one week in advance were developed from weekly counts of confirmed influenza cases over seven seasons (2004-2011) divided into seven training and out-of-sample verification sets. Forecasting procedures using classical Box-Jenkins, generalized linear models (GLM), and generalized linear autoregressive moving average (GARMA) methods were employed to develop the final model and assess the relative contribution of external variables such as, Google Flu Trends, meteorological data, and temporal information. A GARMA(3,0) forecast model with Negative Binomial distribution integrating Google Flu Trends information provided the most accurate influenza case predictions. The model, on the average, predicts weekly influenza cases during 7 out-of-sample outbreaks within 7 cases for 83% of estimates. Google Flu Trend data was the only source of external information to provide statistically significant forecast improvements over the base model in four of the seven out-of-sample verification sets. Overall, the p-value of adding this external information to the model is 0.0005. The other exogenous variables did not yield a statistically significant improvement in any of the verification sets. Integer-valued autoregression of influenza cases provides a strong base forecast model, which is enhanced by the addition of Google Flu Trends confirming the predictive capabilities of search query based syndromic surveillance. This accessible and flexible forecast model can be used by

  13. Modelling the Growth of Swine Flu

    ERIC Educational Resources Information Center

    Thomson, Ian

    2010-01-01

    The spread of swine flu has been a cause of great concern globally. With no vaccine developed as yet, (at time of writing in July 2009) and given the fact that modern-day humans can travel speedily across the world, there are fears that this disease may spread out of control. The worst-case scenario would be one of unfettered exponential growth.…

  14. Schools Urged to Prepare for Flu

    ERIC Educational Resources Information Center

    Honawar, Vaishali

    2005-01-01

    If a flu pandemic breaks out in the United States, as many as 4 in 10 school-age children will become sick, according to the U.S. Department of Health and Human Services, which released a comprehensive plan on how it would deal with such an outbreak. The nearly 400-page plan says the department would consider measures such as closing schools early…

  15. Schools Urged to Prepare for Flu

    ERIC Educational Resources Information Center

    Honawar, Vaishali

    2005-01-01

    If a flu pandemic breaks out in the United States, as many as 4 in 10 school-age children will become sick, according to the U.S. Department of Health and Human Services, which released a comprehensive plan on how it would deal with such an outbreak. The nearly 400-page plan says the department would consider measures such as closing schools early…

  16. Excessive Tanning

    PubMed Central

    Sansone, Lori A.

    2010-01-01

    Excessive tanning appears to be evident in about one quarter of regular sunbathers. Susceptible individuals are likely to be young Caucasians from Western societies. Despite ongoing education by the media to the public about the risks of excessive exposure to ultraviolet radiation and the availability of potent sunscreens, there seems to be a concurrent proliferation of tanning facilities. What might be potential psychological explanations for excessive or pathological tanning? Psychopathological explanations may exist on both Axes I and II and include substance use, obsessive-compulsive, body dysmorphic, and borderline personality disorders. While there is no known treatment for pathological sunbathing, we discuss several treatment interventions from the literature that have been successfully used for the general public. PMID:20622941

  17. A Fast Test to Diagnose Flu

    SciTech Connect

    Hazi, A U

    2007-02-12

    People with flu-like symptoms who seek treatment at a medical clinic or hospital often must wait several hours before being examined, possibly exposing many people to an infectious virus. If a patient appears to need more than the routine fluids-and-rest prescription, effective diagnosis requires tests that must be sent to a laboratory. Hours or days may pass before results are available to the doctor, who in the meantime must make an educated guess about the patient's illness. The lengthy diagnostic process places a heavy burden on medical laboratories and can result in improper use of antibiotics or a costly hospital stay. A faster testing method may soon be available. An assay developed by a team of Livermore scientists can diagnose influenza and other respiratory viruses in about two hours once a sample has been taken. Unlike other systems that operate this quickly, the new device, called FluIDx (and pronounced ''fluidics''), can differentiate five types of respiratory viruses, including influenza. FluIDx can analyze samples at the point of patient care--in hospital emergency departments and clinics--allowing medical providers to quickly determine how best to treat a patient, saving time and potentially thousands of dollars per patient. The FluIDx project, which is led by Livermore chemist Mary McBride of the Physics and Advanced Technologies Directorate, received funding from the National Institute of Allergy and Infectious Diseases and the Laboratory Directed Research and Development (LDRD) Program. To test the system and make it as useful as possible, the team worked closely with the Emergency Department staff at the University of California (UC) at Davis Medical Center in Sacramento. Flu kills more than 35,000 people every year in the US. The 2003 outbreak of severe acute respiratory syndrome and the ongoing concern about a possible bird flu pandemic show the need for a fast, reliable test that can differentiate seasonal flu from a potentially pandemic

  18. New Study Shows Clinicians Under-Prescribing Flu Antiviral Drugs and Possibly Overprescribing Antibiotics

    MedlinePlus

    ... Of Flu Vaccine Vaccine Virus Selection, Vaccine Safety & Supply Flu Treatment & What To Do If You Get ... Injector Adjuvant Vaccine Misconceptions about Flu Vaccines Vaccine Supply & Distribution Vaccine Supply for 2017-2018 Season Frequently ...

  19. It's Not Too Late to Get Vaccinated Against Flu | NIH MedlinePlus the Magazine

    MedlinePlus

    ... page please turn JavaScript on. Feature: Flu Vaccination It's Not Too Late to Get Vaccinated Against Flu ... older should get the flu vaccine each year. It usually takes two weeks after you are vaccinated ...

  20. Know and Share the Facts about Flu Vaccination

    ERIC Educational Resources Information Center

    Grohskopf, Lisa

    2012-01-01

    Flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and lungs. It can cause mild to severe illness, and sometimes can lead to death. Symptoms of flu can include fever or a feverish feeling, cough, sore throat, runny or stuffy nose, muscle or body aches, headache, fatigue, vomiting, and diarrhea. Flu…

  1. What You Can Do to Stop the Flu

    MedlinePlus

    ... to prevent, diagnose, and treat seasonal and pandemic influenza, including 2009 H1N1 flu. Clinical Trials for Flu NIH has started several ... trials to determine what dosages of the 2009 H1N1 influenza vaccine can best protect healthy and high-risk ...

  2. E-Learning's Potential Scrutinized in Flu Crisis

    ERIC Educational Resources Information Center

    Ash, Katie; Davis, Michelle R.

    2009-01-01

    The closing of hundreds of U.S. schools in recent weeks because of concerns about swine flu underscores the need for administrators to make plans for continuing their students' education during any extended shutdown, emergency experts and federal officials say. Fears about a severe flu pandemic had eased as of late last week, but experts say…

  3. 42 CFR 410.57 - Pneumococcal vaccine and flu vaccine.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Pneumococcal vaccine and flu vaccine. 410.57... § 410.57 Pneumococcal vaccine and flu vaccine. (a) Medicare Part B pays for pneumococcal vaccine and its administration when reasonable and necessary for the prevention of disease, if the vaccine is ordered by a doctor...

  4. 42 CFR 410.57 - Pneumococcal vaccine and flu vaccine.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Pneumococcal vaccine and flu vaccine. 410.57... § 410.57 Pneumococcal vaccine and flu vaccine. (a) Medicare Part B pays for pneumococcal vaccine and its administration when reasonable and necessary for the prevention of disease, if the vaccine is ordered by a doctor...

  5. 42 CFR 410.57 - Pneumococcal vaccine and flu vaccine.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Pneumococcal vaccine and flu vaccine. 410.57... § 410.57 Pneumococcal vaccine and flu vaccine. (a) Medicare Part B pays for pneumococcal vaccine and its administration when reasonable and necessary for the prevention of disease, if the vaccine is ordered by a doctor...

  6. 42 CFR 410.57 - Pneumococcal vaccine and flu vaccine.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Pneumococcal vaccine and flu vaccine. 410.57... § 410.57 Pneumococcal vaccine and flu vaccine. (a) Medicare Part B pays for pneumococcal vaccine and its administration when reasonable and necessary for the prevention of disease, if the vaccine is ordered by a doctor...

  7. 42 CFR 410.57 - Pneumococcal vaccine and flu vaccine.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Pneumococcal vaccine and flu vaccine. 410.57... § 410.57 Pneumococcal vaccine and flu vaccine. (a) Medicare Part B pays for pneumococcal vaccine and its administration when reasonable and necessary for the prevention of disease, if the vaccine is ordered by a doctor...

  8. E-Learning's Potential Scrutinized in Flu Crisis

    ERIC Educational Resources Information Center

    Ash, Katie; Davis, Michelle R.

    2009-01-01

    The closing of hundreds of U.S. schools in recent weeks because of concerns about swine flu underscores the need for administrators to make plans for continuing their students' education during any extended shutdown, emergency experts and federal officials say. Fears about a severe flu pandemic had eased as of late last week, but experts say…

  9. I'm Pregnant. Should I Get a Flu Shot?

    MedlinePlus

    ... Surgery? A Week of Healthy Breakfasts Shyness I'm Pregnant. Should I Get a Flu Shot? KidsHealth > For Teens > I'm Pregnant. Should I Get a Flu Shot? A A A I just found out that I'm 6 weeks pregnant. Do I need to get ...

  10. Do People Taking Flu Vaccines Need Them the Most?

    PubMed Central

    Gu, Qian; Sood, Neeraj

    2011-01-01

    Background A well targeted flu vaccine strategy can ensure that vaccines go to those who are at the highest risk of getting infected if unvaccinated. However, prior research has not explicitly examined the association between the risk of flu infection and vaccination rates. Purpose This study examines the relationship between the risk of flu infection and the probability of getting vaccinated. Methods Nationally representative data from the US and multivariate regression models were used to estimate what individual characteristics are associated with (1) the risk of flu infection when unvaccinated and (2) flu vaccination rates. These results were used to estimate the correlation between the probability of infection and the probability of getting vaccinated. Separate analyses were performed for the general population and the high priority population that is at increased risk of flu related complications. Results We find that the high priority population was more likely to get vaccinated compared to the general population. However, within both the high priority and general populations the risk of flu infection when unvaccinated was negatively correlated with vaccination rates (r = −0.067, p<0.01). This negative association between the risk of infection when unvaccinated and the probability of vaccination was stronger for the high priority population (r = −0.361, p<0.01). Conclusions There is a poor match between those who get flu vaccines and those who have a high risk of flu infection within both the high priority and general populations. Targeting vaccination to people with low socioeconomic status, people who are engaged in unhealthy behaviors, working people, and families with kids will likely improve effectiveness of flu vaccine policy. PMID:22164202

  11. 26 CFR 1.6013-2 - Joint return after filing separate return.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of the excess. (ii) If any part of such excess is attributable to fraud with intent to evade tax at... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Tax Returns Or Statements § 1.6013-2 Joint return after... separate return of either spouse are to be taken into account in determining the extent to which the...

  12. Get Smart: Know When Antibiotics Work - Influenza (Flu)

    MedlinePlus

    ... Glossary For Patients Common Illnesses Bronchitis (Chest Cold) Common Cold & Runny Nose Ear Infection Influenza (Flu) Sinus Infection (Sinusitis) Sore Throat Urinary Tract Infection Symptom Relief For Healthcare ... USA.gov TOP

  13. [Pandemic without drama. Influenza vaccination and Asian flu in Germany].

    PubMed

    Witte, Wilfried

    2013-01-01

    The history of the 1957/58 Asian flu in Germany is systematically presented for the first time. The focus is on flu vaccination, which is discussed as a yardstick of the perception of the pandemic. International expertise on influenza virology was predominantly based in Anglo-Saxon countries. German microbiologists issued no clear recommendation for preventative vaccination until 1960. Instead, quinine was relied upon as the traditional medicinal prophylaxis. Antibiotics were more frequently administered. In East Germany, little fuss was made over the Asian flu. In line with the authorities' social hygiene orientation, vaccination was accepted as a matter of principle. In the Federal Republic and West Berlin, the population rejected the vaccination largely. It was seen as a scandal that many employees were on sick leave because of the flu, thus adversely affecting the economy.

  14. Influenza (Flu) vaccine (Live, Intranasal): What you need to know

    MedlinePlus

    ... is taken in its entirety from the CDC Influenza Live, Intranasal Flu Vaccine Information Statement (VIS): www.cdc.gov/vaccines/ ... flulive.html . CDC review information for Live, Intranasal Influenza VIS: Vaccine Information Statement Influenza Page last reviewed: ...

  15. Limit Asthma Attacks Caused by Colds or Flu

    MedlinePlus

    ... signs and symptoms caused by a respiratory infection cold or flu (influenza) virus can be a nuisance for anyone. But if you have asthma, even a mild cold can lead to wheezing and tightness in your ...

  16. Flu: What to Do If You Get Sick

    MedlinePlus

    ... Influenza Vaccine Safety: A Summary for Clinicians Large-Scale Influenza Vaccination Clinic Planning Flu Vaccine Effectiveness 2005- ... Prevention & Control of Influenza in the Peri- and Postpartum Settings Interim Guidance for the Use of Masks ...

  17. Preventing the Flu: Good Health Habits Can Help Stop Germs

    MedlinePlus

    ... Video Medscape Podcasts Public Service Announcements (PSAs) Toolkits Influenza Types Seasonal Avian Swine/Variant Pandemic Other Get ... What's this? Submit Button Past Newsletters Preventing the Flu: Good Health Habits Can Help Stop Germs Language: ...

  18. Flu fighters use the Web to track virus

    NASA Astrophysics Data System (ADS)

    Cantanzaro, Michele

    2009-04-01

    Physicists in Italy have begun analysing data from a new Web-based project that seeks to model how flu spreads through a population. The project, known as Influweb, involved some 2000 ordinary Italians replying over the last six months to a weekly e-mailed questionnaire about their state of health and current geographical location. The project will be able to pin down the spread of flu in real time and with a spatial resolution on the level of a person's postcode.

  19. New Study Shows Flu Vaccine Reduced Children's Risk of Intensive Care Unit Flu Admission by Three-Fourths

    MedlinePlus

    ... study published today in the Journal of Infectious Diseases. The study is the first to estimate vaccine effectiveness (VE) against flu admissions to pediatric intensive care units (PICU). It illustrates the important ...

  20. FluShuffle and FluResort: new algorithms to identify reassorted strains of the influenza virus by mass spectrometry.

    PubMed

    Lun, Aaron Tl; Wong, Jason Wh; Downard, Kevin M

    2012-08-20

    Influenza is one of the oldest and deadliest infectious diseases known to man. Reassorted strains of the virus pose the greatest risk to both human and animal health and have been associated with all pandemics of the past century, with the possible exception of the 1918 pandemic, resulting in tens of millions of deaths. We have developed and tested new computer algorithms, FluShuffle and FluResort, which enable reassorted viruses to be identified by the most rapid and direct means possible. These algorithms enable reassorted influenza, and other, viruses to be rapidly identified to allow prevention strategies and treatments to be more efficiently implemented. The FluShuffle and FluResort algorithms were tested with both experimental and simulated mass spectra of whole virus digests. FluShuffle considers different combinations of viral protein identities that match the mass spectral data using a Gibbs sampling algorithm employing a mixed protein Markov chain Monte Carlo (MCMC) method. FluResort utilizes those identities to calculate the weighted distance of each across two or more different phylogenetic trees constructed through viral protein sequence alignments. Each weighted mean distance value is normalized by conversion to a Z-score to establish a reassorted strain. The new FluShuffle and FluResort algorithms can correctly identify the origins of influenza viral proteins and the number of reassortment events required to produce the strains from the high resolution mass spectral data of whole virus proteolytic digestions. This has been demonstrated in the case of constructed vaccine strains as well as common human seasonal strains of the virus. The algorithms significantly improve the capability of the proteotyping approach to identify reassorted viruses that pose the greatest pandemic risk.

  1. The 1918 "Spanish flu" in Spain.

    PubMed

    Trilla, Antoni; Trilla, Guillem; Daer, Carolyn

    2008-09-01

    The 1918-1919 influenza pandemic was the most devastating epidemic in modern history. Here, we review epidemiological and historical data about the 1918-1919 influenza epidemic in Spain. On 22 May 1918, the epidemic was a headline in Madrid's ABC newspaper. The infectious disease most likely reached Spain from France, perhaps as the result of the heavy railroad traffic of Spanish and Portuguese migrant workers to and from France. The total numbers of persons who died of influenza in Spain were officially estimated to be 147,114 in 1918, 21,235 in 1919, and 17,825 in 1920. However, it is likely that >260,000 Spaniards died of influenza; 75% of these persons died during the second period of the epidemic, and 45% died during October 1918 alone. The Spanish population growth index was negative for 1918 (net loss, 83,121 persons). Although a great deal of evidence indicates that the 1918 A(H1N1) influenza virus unlikely originated in and spread from Spain, the 1918-1919 influenza pandemic will always be known as the Spanish flu.

  2. Predictors of flu vaccination among urban Hispanic children and adults.

    PubMed

    Cohen, Bevin; Ferng, Yu-hui; Wong-McLoughlin, Jennifer; Jia, Haomiao; Morse, Stephen S; Larson, Elaine L

    2012-03-01

    Flu vaccination is effective for preventing infection, but coverage levels in the USA remain low-especially among racial/ethnic minorities. This study examines factors associated with flu vaccination in a predominantly Hispanic community in Manhattan, New York. Households were recruited during the 2006-2007 and 2007-2008 flu seasons. Primary household respondents were interviewed to determine knowledge of flu transmission/treatment and vaccination status and demographic information for all household members. Vaccination coverage was 47.3% among children <5, 39.3% among 5-17-year-olds, 15.3% among 18-49-year-olds, 31.0% among 50-64-year-olds and 37.1% among adults ≥65 in year 1; and 53.1% among children <5, 43.6% among 5-17-year-olds, 19.5% among 18-49-year-olds, 34.1% among 50-64-year-olds and 34.3% among adults ≥65 in year 2. For children, younger age, having a chronic respiratory condition (eg, asthma), and greater primary respondent knowledge of flu were positively associated with vaccination. Among adults, female gender, older age, higher education, greater primary respondent knowledge of flu, having been born in the USA and having a chronic respiratory condition were positively associated with vaccination. The most common reasons cited for not being vaccinated were the beliefs that flu vaccination was unnecessary or ineffective. Possible methods for increasing vaccination levels in urban Hispanic communities include improving health literacy, making low-cost vaccination available and encouraging providers to use other office visits as opportunities to mention vaccination to patients. This study is registered at http://ClinicalTrials.gov (NCT00448981).

  3. Swine flu (H1N1 influenza): awareness profile of visitors of swine flu screening booths in Belgaum city, Karnataka.

    PubMed

    Viveki, R G; Halappanavar, A B; Patil, M S; Joshi, A V; Gunagi, Praveena; Halki, Sunanda B

    2012-06-01

    The 2009 flu pandemic was a global outbreak of a new strain of H1N1 influenza virus often referred colloquially as "swine flu". The objectives of the study were: (1) To know the sociodemographic and awareness profile of visitors attending swine flu screening booths. (2) To reveal sources of information. The present cross-sectional study was undertaken among the visitors (18 years and above) attending swine flu screening booths organised within the Belgaum city during Ganesh festival from 28-08-2009 to 03-09-2009 by interviewing them using predesigned, pretested structured questionnaire on swine flu. The data was collected and analysed using SPSS software programme for windows (version 16). Chi-square test was applied. Out of 206 visitors, 132 (64.1%) were males and 107 (51.9%) were in the age group of 30-49 years; 183 (88.8%) had heard about swine flu. More than a third of the visitors (38.3%) disclosed that there was a vaccine to prevent swine flu. Majority responded that it could be transmitted by being in close proximity to pigs (49.0%) and by eating pork (51.5%). Newspaper/magazine (64.6%), television (61.7%), and public posters/pamphlets (44.2%) were common sources of information. The present study revealed that doctors/public health workers have played little role in creating awareness in the community. The improved communication between doctors and the community would help to spread correct information about the disease and the role that the community can play in controlling the spread of the disease.

  4. High-Dose Flu Shot May Help Nursing Home Residents Avoid Hospital

    MedlinePlus

    ... medlineplus.gov/news/fullstory_167348.html High-Dose Flu Shot May Help Nursing Home Residents Avoid Hospital ... July 21, 2017 (HealthDay News) -- Nobody wants the flu, but it can prove deadly for frail residents ...

  5. Lessons from the past: familial aggregation analysis of fatal pandemic influenza (Spanish flu) in Iceland in 1918.

    PubMed

    Gottfredsson, Magnús; Halldórsson, Bjarni V; Jónsson, Stefán; Kristjánsson, Már; Kristjánsson, Kristleifur; Kristinsson, Karl G; Löve, Arthur; Blöndal, Thorsteinn; Viboud, Cécile; Thorvaldsson, Sverrir; Helgason, Agnar; Gulcher, Jeffrey R; Stefánsson, Kári; Jónsdóttir, Ingileif

    2008-01-29

    The pandemic influenza of 1918 (Spanish flu) killed 21-50 million people globally, including in Iceland, where the characteristics and spread of the epidemic were well documented. It has been postulated that genetic host factors may have contributed to this high mortality. We identified 455 individuals who died of the Spanish flu in Iceland during a 6-week period during the winter of 1918, representing >92% of all fatal domestic cases mentioned by historical accounts. The highest case fatality proportion was 2.8%, and peak excess mortality was 162/100,000/week. Fatality proportions were highest among infants, young adults, and the elderly. A genealogical database was used to study relatedness and relative risk (RR) of the fatal influenza victims and relatives of their unaffected mates. The significance of these RR computations was assessed by drawing samples randomly from the genealogical database matched for age, sex, and geographical distribution. Familial aggregation of fatalities was seen, with RRs for death ranging from 3.75 for first-degree relatives (P < 0.0001) to 1.82 (P = 0.005), 1.12 (P = 0.252), and 1.47 (P = 0.0001) for second- to fourth-degree relatives of fatal influenza victims, respectively. The RRs within the families of unaffected mates of fatal influenza victims were 2.95 (P < 0.0001), 1.27 (P = 0.267), 1.35 (P = 0.04), and 1.42 (P = 0.001), for first- to fourth-degree relatives, respectively. In conclusion, the risk of death from the Spanish flu was similar within families of patients who succumbed to the illness and within families of their mates who survived. Our data do not provide conclusive evidence for the role of genetic factors in susceptibility to the Spanish flu.

  6. How to Boost Flu Vaccination Rates among Employees in Your Program

    ERIC Educational Resources Information Center

    de Perio, Marie A.; Wiegand, Douglas M.; Evans, Stefanie M.; Niemeier, Maureen T.

    2012-01-01

    Flu viruses are typically spread by droplets, when people who are sick with flu cough, sneeze, or talk. Less often, a person may get flu from touching a surface or object that has the virus on it and then touching his own mouth, eyes, or nose. Flu can cause mild to severe illness and may even lead to death. Child care providers are at risk of…

  7. How to Boost Flu Vaccination Rates among Employees in Your Program

    ERIC Educational Resources Information Center

    de Perio, Marie A.; Wiegand, Douglas M.; Evans, Stefanie M.; Niemeier, Maureen T.

    2012-01-01

    Flu viruses are typically spread by droplets, when people who are sick with flu cough, sneeze, or talk. Less often, a person may get flu from touching a surface or object that has the virus on it and then touching his own mouth, eyes, or nose. Flu can cause mild to severe illness and may even lead to death. Child care providers are at risk of…

  8. Determinants of adults' intention to vaccinate against pandemic swine flu

    PubMed Central

    2011-01-01

    Background Vaccination is one of the cornerstones of controlling an influenza pandemic. To optimise vaccination rates in the general population, ways of identifying determinants that influence decisions to have or not to have a vaccination need to be understood. Therefore, this study aimed to predict intention to have a swine influenza vaccination in an adult population in the UK. An extension of the Theory of Planned Behaviour provided the theoretical framework for the study. Methods Three hundred and sixty two adults from the UK, who were not in vaccination priority groups, completed either an online (n = 306) or pen and paper (n = 56) questionnaire. Data were collected from 30th October 2009, just after swine flu vaccination became available in the UK, and concluded on 31st December 2009. The main outcome of interest was future swine flu vaccination intentions. Results The extended Theory of Planned Behaviour predicted 60% of adults' intention to have a swine flu vaccination with attitude, subjective norm, perceived control, anticipating feelings of regret (the impact of missing a vaccination opportunity), intention to have a seasonal vaccine this year, one perceived barrier: "I cannot be bothered to get a swine flu vaccination" and two perceived benefits: "vaccination decreases my chance of getting swine flu or its complications" and "if I get vaccinated for swine flu, I will decrease the frequency of having to consult my doctor," being significant predictors of intention. Black British were less likely to intend to have a vaccination compared to Asian or White respondents. Conclusions Theoretical frameworks which identify determinants that influence decisions to have a pandemic influenza vaccination are useful. The implications of this research are discussed with a view to maximising any future pandemic influenza vaccination uptake using theoretically-driven applications. PMID:21211000

  9. Determinants of adults' intention to vaccinate against pandemic swine flu.

    PubMed

    Myers, Lynn B; Goodwin, Robin

    2011-01-06

    Vaccination is one of the cornerstones of controlling an influenza pandemic. To optimise vaccination rates in the general population, ways of identifying determinants that influence decisions to have or not to have a vaccination need to be understood. Therefore, this study aimed to predict intention to have a swine influenza vaccination in an adult population in the UK. An extension of the Theory of Planned Behaviour provided the theoretical framework for the study. Three hundred and sixty two adults from the UK, who were not in vaccination priority groups, completed either an online (n = 306) or pen and paper (n = 56) questionnaire. Data were collected from 30th October 2009, just after swine flu vaccination became available in the UK, and concluded on 31st December 2009. The main outcome of interest was future swine flu vaccination intentions. The extended Theory of Planned Behaviour predicted 60% of adults' intention to have a swine flu vaccination with attitude, subjective norm, perceived control, anticipating feelings of regret (the impact of missing a vaccination opportunity), intention to have a seasonal vaccine this year, one perceived barrier: "I cannot be bothered to get a swine flu vaccination" and two perceived benefits: "vaccination decreases my chance of getting swine flu or its complications" and "if I get vaccinated for swine flu, I will decrease the frequency of having to consult my doctor," being significant predictors of intention. Black British were less likely to intend to have a vaccination compared to Asian or White respondents. Theoretical frameworks which identify determinants that influence decisions to have a pandemic influenza vaccination are useful. The implications of this research are discussed with a view to maximising any future pandemic influenza vaccination uptake using theoretically-driven applications.

  10. Influenza (Flu) Vaccine (Inactivated or Recombinant): What You Need to Know

    MedlinePlus

    ... fever/chills • sore throat • muscle aches • fatigue • cough • headache • runny or stuffy nose Flu can also lead to pneumonia and blood infections, and cause diarrhea and seizures in children. If you have a medical condition, such as heart or lung disease, flu can make it worse. Flu is more ...

  11. Delayed Anaphylaxis to the flu vaccine unrelated to known non-viral components.

    PubMed

    David, J; Horbal, J; Tcheurekdjian, H; Sher, T H; Hostoffer, R

    2015-09-01

    On February 4, 2010 the CDC's Advisory Committee on Immunization Practices voted for universal flu vaccination to expand protection against the flu throughout the United States. In addition to this administration expansion, six new influenza vaccines have been introduced into the market possibly introducing new allergenic potentials. We report two cases of delayed anaphylaxis to the flu vaccine.

  12. [The military role in a flu pandemic].

    PubMed

    Molina Hazan, Vered; Balicer, Ran D; Groto, Itamar; Zarka, Salman; Ankol, Omer E; Bar-Zeev, Yael; Levine, Hagai; Ash, Nachman

    2010-01-01

    Pandemic influenza is a major challenge to emergency preparedness agencies and health systems throughout the world. It requires preparation for a situation of widespread morbidity due to flu and its complications which will lead to a huge burden on the health system in the community and in hospitals, and work absenteeism, also among health care personnel. This may require major involvement of the army in both preparedness and measures to be taken to tackle such an event. This article reviews the different roles armies could take in such a crisis, and presents the Israeli test case. Defense systems are characterized by a number of attributes that may be major advantages during pandemic influenza: crisis management capacities, ability to deal with varied tasks in sub-optimal conditions, logistic resources (fuel, food and water), widespread deployment in the country and sometimes in the world, and the ability to activate people in risky situations, even against their will. The army roles during pandemic outbreaks could include: taking national and regional command of the event, assigning workforce for essential civilian missions, use of logistic and military resources, maintaining public order and implementing public health measures such as isolation and quarantine. In addition, the army must continue its primary role of maintaining the security and guarding the borders of the state, especially in times of global geopolitical changes due to pandemic. Since March 2009, the influenza A/H1N1 2009 virus spread throughout the world, leading the WHO to declare a state of pandemic influenza. According to Israeli preparedness plans, the management of the event was supposed to pass to the defense system. However, due to the moderate severity of the illness, it was decided to leave the management of the event to the health system. In view of the necessity of maintaining military combat capabilities, and the possibility of outbreaks in combat units, which actually occurred, the

  13. Science and Security Clash on Bird-Flu Papers

    ERIC Educational Resources Information Center

    Fischman, Josh

    2012-01-01

    Censored papers on bird flu, which could help terrorists, have critics wondering if academic scientists can police their own work. The near-publication has brought out general critics of the federal panel, the National Science Advisory Board for Biosecurity, and the voluntary self-policing approach that it embraces instead of regulation. Members…

  14. "FluSpec": A Simulated Experiment in Fluorescence Spectroscopy

    ERIC Educational Resources Information Center

    Bigger, Stephen W.; Bigger, Andrew S.; Ghiggino, Kenneth P.

    2014-01-01

    The "FluSpec" educational software package is a fully contained tutorial on the technique of fluorescence spectroscopy as well as a simulator on which experiments can be performed. The procedure for each of the experiments is also contained within the package along with example analyses of results that are obtained using the software.

  15. "FluSpec": A Simulated Experiment in Fluorescence Spectroscopy

    ERIC Educational Resources Information Center

    Bigger, Stephen W.; Bigger, Andrew S.; Ghiggino, Kenneth P.

    2014-01-01

    The "FluSpec" educational software package is a fully contained tutorial on the technique of fluorescence spectroscopy as well as a simulator on which experiments can be performed. The procedure for each of the experiments is also contained within the package along with example analyses of results that are obtained using the software.

  16. Avian Flu (H7N9) in China

    MedlinePlus

    ... A Tribute to Alan J. Magill Partners GeoSentinel Global TravEpiNet Mobile Apps RSS Feeds Avian Flu (H7N9) in China Recommend on Facebook Tweet Share Compartir Warning - Level 3, Avoid Nonessential Travel Alert - Level 2, ...

  17. Science and Security Clash on Bird-Flu Papers

    ERIC Educational Resources Information Center

    Fischman, Josh

    2012-01-01

    Censored papers on bird flu, which could help terrorists, have critics wondering if academic scientists can police their own work. The near-publication has brought out general critics of the federal panel, the National Science Advisory Board for Biosecurity, and the voluntary self-policing approach that it embraces instead of regulation. Members…

  18. Flu Cases Spiking Across the United States: CDC

    MedlinePlus

    ... weeks after it happened," she explained. The dominant flu strain continues to be H3N2, which often signals a severe season that affects the oldest and the youngest the most. H1N1 and B viruses are also circulating, Brammer said. ...

  19. Guidance for Schools on the Recent Flu Outbreak

    ERIC Educational Resources Information Center

    US Department of Education, 2009

    2009-01-01

    The document provides a transcript of a conference call moderated by Bill Modzeleski, Director of the Office of Safe and Drug-Free Schools. The focus of the call was the recent outbreak of swine flu in Mexico and the United States. Centers for Disease Control (CDC) actions and recommendations to the education community were discussed. A comparison…

  20. Flu, risks, and videotape: escalating fear and avoidance.

    PubMed

    Rosoff, Heather; John, Richard S; Prager, Fynnwin

    2012-04-01

    While extensive risk perception research has focused on emotions, cognitions, and behavior at static points in time, less attention has been paid to how these variables might change over time. This study assesses how negative affect, threat beliefs, perceived risk, and intended avoidance behavior change over the course of an escalating biological disaster. A scenario simulation methodology was used that presents respondents with a video simulation of a 15-day series of local news reports to immerse respondents in the developing details of the disaster. Systemic manipulation of the virus's causal origin (terrorist attack, medical lab accident, unknown) and the respondent's proximity to the virus (local vs. opposite coast) allowed us to investigate the dynamics of public response. The unfolding scenario was presented in discrete episodes, allowing responses to be tracked over the episodes. The sample includes 600 respondents equally split by sex and by location, with half in the Washington, DC area, and half in the Los Angeles area. The results showed respondents' reactions to the flu epidemic increased as the disaster escalated. More importantly, there was considerable consistency across respondents' emotional, cognitive, and behavioral responses to the epidemic over the episodes. In addition, the reactions of respondents proximally closer to the epidemic increased more rapidly and with greater intensity than their distant counterparts. Finally, as the flu epidemic escalated, both terrorist and accidental flu releases were perceived as being less risky and were less likely to lead to avoidance behavior compared to the unknown flu release. © 2012 Society for Risk Analysis.

  1. Phospholipids as Biomarkers for Excessive Alcohol Use

    DTIC Science & Technology

    2014-10-01

    excessive alcohol use ( EAU ); a rising epidemic reported to be as high as 40% among returning veterans. Drinking becomes excessive when it causes or...contributor to the onset and exacerbation of EAU . The prevalence of EAU is alarming, and the vigilance and action to identify veterans with EAU is...of importance. The consequences of under-detection of EAU , thus delayed intervention are serious because relative risk of alcohol-related health

  2. FluG affects secretion in colonies of Aspergillus niger.

    PubMed

    Wang, Fengfeng; Krijgsheld, Pauline; Hulsman, Marc; de Bekker, Charissa; Müller, Wally H; Reinders, Marcel; de Vries, Ronald P; Wösten, Han A B

    2015-01-01

    Colonies of Aspergillus niger are characterized by zonal heterogeneity in growth, sporulation, gene expression and secretion. For instance, the glucoamylase gene glaA is more highly expressed at the periphery of colonies when compared to the center. As a consequence, its encoded protein GlaA is mainly secreted at the outer part of the colony. Here, multiple copies of amyR were introduced in A. niger. Most transformants over-expressing this regulatory gene of amylolytic genes still displayed heterogeneous glaA expression and GlaA secretion. However, heterogeneity was abolished in transformant UU-A001.13 by expressing glaA and secreting GlaA throughout the mycelium. Sequencing the genome of UU-A001.13 revealed that transformation had been accompanied by deletion of part of the fluG gene and disrupting its 3' end by integration of a transformation vector. Inactivation of fluG in the wild-type background of A. niger also resulted in breakdown of starch under the whole colony. Asexual development of the ∆fluG strain was not affected, unlike what was previously shown in Aspergillus nidulans. Genes encoding proteins with a signal sequence for secretion, including part of the amylolytic genes, were more often downregulated in the central zone of maltose-grown ∆fluG colonies and upregulated in the intermediate part and periphery when compared to the wild-type. Together, these data indicate that FluG of A. niger is a repressor of secretion.

  3. Dealing with returned manuscripts.

    PubMed

    Peh, W C G; Ng, K H

    2009-11-01

    It is useful for authors to learn to deal with returned manuscripts with a rejection decision or a request for revision. Common reasons for rejection include contents outside the scope of the journal or inappropriate for the journal, incomplete submission, poor methodology, faulty experimental design, major flaws in the interpretation of results, extremely poor writing, and duplicated or plagiarised work. Authors should use the editor's and reviewers' comments to improve their manuscripts and resubmit elsewhere. Common reasons for revision requests include minor faults in the methodology, minor inaccuracies in data, inconsistencies among different sections of the manuscript, faulty deductions, data that do not support the conclusions, excessive data or text, poor or excessive illustrations, and poor but salvageable writing. A request for revision should be viewed positively, as it means that there is a possibility that the manuscript may still be potentially publishable, provided that all the editor's and reviewers' comments are addressed.

  4. Tatanka Returns.

    ERIC Educational Resources Information Center

    Simonelli, Richard

    1993-01-01

    Describes efforts of the InterTribal Bison Cooperative (Rapid City, SD) to reintroduce the buffalo for cultural purposes to American Indian reservations. Explains how the buffalo's return is contributing to community wellness. Discusses career opportunities for both Native and non-Native people in buffalo management. (LP)

  5. Declining Returns.

    ERIC Educational Resources Information Center

    Rosen, Gerald H.; Perrin, Robert

    1992-01-01

    The Teachers Insurance and Annuities Association's (TIAA) College Retirement and Equity Fund is criticized for its low returns and its chief executive officer's recent salary raise. It is said to be in need of additional regulation and policyholder involvement. A TIAA vice president responds that the analysis given is inaccurate and misleading.…

  6. Tatanka Returns.

    ERIC Educational Resources Information Center

    Simonelli, Richard

    1993-01-01

    Describes efforts of the InterTribal Bison Cooperative (Rapid City, SD) to reintroduce the buffalo for cultural purposes to American Indian reservations. Explains how the buffalo's return is contributing to community wellness. Discusses career opportunities for both Native and non-Native people in buffalo management. (LP)

  7. Preparing for the Flu (Including 2009 H1N1 Flu): A Communication Toolkit for Schools (Grades K-12)

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2010

    2010-01-01

    The purpose of "Preparing for the Flu: A Communication Toolkit for Schools" is to provide basic information and communication resources to help school administrators implement recommendations from CDC's (Centers for Disease Control and Prevention) Guidance for State and Local Public Health Officials and School Administrators for School (K-12)…

  8. Spanish flu, Asian flu, Hong Kong flu, and seasonal influenza in Japan under social and demographic influence: review and analysis using the two-population model.

    PubMed

    Yoshikura, Hiroshi

    2014-01-01

    When cumulative numbers of patients (X) and deaths (Y) associated with an influenza epidemic are plotted using the log-log scale, the plots fall on an ascending straight line generally expressed as logY = k(logX - logN0). For the 2009 H1N1 influenza pandemic, the slope k was ~0.6 for Mexico and ~2 for other countries. The two-population model was proposed to explain this phenomenon (Yoshikura H. Jpn J Infect Dis. 2012;65:279-88; Yoshikura H. Jpn J Infect Dis. 2009;62:411-2; and Yoshikura H. Jpn J Infect Dis. 2009;62:482-4). The current article reviews and analyzes previous influenza epidemics in Japan to examine whether the two-population model is applicable to them. The slope k was found to be ~2 for the Spanish flu during 1918-1920 and the Asian flu during 1957-1958, and ~1 for the Hong Kong flu and seasonal influenza prior to 1960-1961; however, k was ~0.6 for seasonal influenza after 1960-1961. This transition of the slope k of seasonal influenza plots from ~1 to ~0.6 corresponded to the shift in influenza mortality toward the older age groups and a drastic reduction in infant mortality rates due to improvements in the standard of living during the 1950s and 1960s. All the above observations could be well explained by reconstitution of the influenza epidemic based on the two-population model.

  9. Flu Vaccination: The Gap Between Evidence and Public Policy.

    PubMed

    Forcades i Vila, Teresa

    2015-01-01

    The research presented in this article exposes a wide gap between evidence and public policy with regard to influenza vaccination in the context of the 2009 pandemic and with regard to yearly seasonal epidemics. It shows that the World Health Organization and health authorities worldwide failed to protect the interests of the most vulnerable during the 2009 flu pandemic and demonstrates a lack of scientific base for seasonal flu vaccination campaigns. Narrowing the gap between scientific evidence and public health policies with regard to influenza is a serious and urgent matter, one that implies confronting the interests of big pharmaceutical corporations and their allies at academic and government levels. The credibility of science and the well-being of many are at stake.

  10. Novel Isoprene Sensor for a Flu Virus Breath Monitor

    PubMed Central

    Gouma, Pelagia-Irene; Wang, Lisheng; Simon, Sanford R.; Stanacevic, Milutin

    2017-01-01

    A common feature of the inflammatory response in patients who have actually contracted influenza is the generation of a number of volatile products of the alveolar and airway epithelium. These products include a number of volatile organic compounds (VOCs) and nitric oxide (NO). These may be used as biomarkers to detect the disease. A portable 3-sensor array microsystem-based tool that can potentially detect flu infection biomarkers is described here. Whether used in connection with in-vitro cell culture studies or as a single exhale breathalyzer, this device may be used to provide a rapid and non-invasive screening method for flu and other virus-based epidemics. PMID:28117692

  11. New tools to anticipate disasters, epidemics, flu outbreaks.

    PubMed

    2014-04-01

    Researchers at the Johns Hopkins National Center for the Study of Preparedness and Catastrophic Event Response (PACER) in Baltimore, MD, have unveiled three new web-based tools that hospitals, EDs, and public health authorities can use to help them prepare for surges related to disasters, epidemics, and seasonal flu outbreaks. The prediction models, including EMCAPS 2.0, Surge, and FluCast, are designed to give health care administrators a better idea of anticipated patient volumes as well as the number and types of injuries that are likely to result from specific disaster scenarios. The web-based tools are being made available free of charge. Users just need to register and establish an account on the PACER website. Further refinements to all three tools are planned as user feedback is collected and results are assessed.

  12. Flu vaccine among health workers in Qatar.

    PubMed

    Shahbic, Hessa E; Said, Hana A

    2010-10-01

    To assessed the coverage rate of influenza vaccination among Health Care Workers at Hamad Medical Corporation in 2006 vaccination campaign and also assessed the reasons for non-vaccination in among physicians and nurses. This is an observational study conducted in Hamad Medical Corporation, Doha, Qatar between April 2007 and August 2007. The 2006 vaccination campaign records were analyzed to determine the influenza vaccination coverage rate among all staff in 6 independent facilities. We used a self-administrative questionnaire to assess the reasons for not getting the influenza vaccine among a random sample of non-vaccinated physicians and nurses. Approximately 19.4% of all staff were vaccinated and there were statistically significant differences between the type of health care facilities among physicians and nurses group. Approximately 58% of the random sample of 1261 physicians and nurses returned the questionnaire. The most frequently cited reasons for non-vaccination were lack of time to get immunized (16.5%) and concerns on vaccine side effects (13.6%). Influenza vaccination coverage of health care workers is low and variable depending on type of health care setting, therefore, it is essential to identify the reasons for low vaccination rate in different health care facility in which assists the guidance to improve the coverage rates for the following years.

  13. Pandemic Flu and Medical Biodefense Countermeasure Liability Limitation

    DTIC Science & Technology

    2010-02-12

    CRS Report for Congress Prepared for Members and Committees of Congress Pandemic Flu and Medical Biodefense Countermeasure Liability...Limitation Edward C. Liu Legislative Attorney February 12, 2010 Congressional Research Service 7-5700 www.crs.gov RS22327 Report Documentation...Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the

  14. Social media and flu: Media Twitter accounts as agenda setters.

    PubMed

    Yun, Gi Woong; Morin, David; Park, Sanghee; Joa, Claire Youngnyo; Labbe, Brett; Lim, Jongsoo; Lee, Sooyoung; Hyun, Daewon

    2016-07-01

    This paper has two objectives. First, it categorizes the Twitter handles tweeted flu related information based on the amount of replies and mentions within the Twitter network. The collected Twitter accounts are categorized as media, health related individuals, organizations, government, individuals with no background with media or medical field, in order to test the relationship between centrality measures of the accounts and their categories. The second objective is to examine the relationship between the importance of the Twitter accounts in the network, centrality measures, and specific characteristics of each account, including the number of tweets and followers as well as the number of accounts followed and liked. Using Twitter search network API, tweets with "flu" keyword were collected and tabulated. Network centralities were calculated with network analysis tool, NodeXL. The collected Twitters accounts were content analyzed and categorized by multiple coders. When the media or organizational Twitter accounts were present in the list of important Twitter accounts, they were highly effective disseminating flu-related information. Also, they were more likely to stay active one year after the data collection period compared to other influential individual accounts. Health campaigns are recommended to focus on recruiting influential Twitter accounts and encouraging them to retweet or mention in order to produce better results in disseminating information. Although some individual social media users were valuable assets in terms of spreading information about flu, media and organization handles were more reliable information distributors. Thus, health information practitioners are advised to design health campaigns better utilizing media and organizations rather than individuals to achieve consistent and efficient campaign outcomes. Published by Elsevier Ireland Ltd.

  15. Targeting a metabolic pathway to fight the flu.

    PubMed

    Boergeling, Yvonne; Ludwig, Stephan

    2017-01-01

    Our antiviral arsenal to fight influenza viruses is limited and we need novel anti-flu drugs. Recently, cellular drug targets came into focus and omics analysis were instrumental to suggest candidate factors. In this issue of The FEBS Journal, Kainov and colleagues used transcriptome data to investigate virus-induced changes in tryptophan metabolism that may serve as immunomodulatory approach against viruses. © 2017 Federation of European Biochemical Societies.

  16. Demystifying FluMist, a new intranasal, live influenza vaccine.

    PubMed

    Mossad, Sherif B

    2003-09-01

    FluMist--a cold-adapted, live-attenuated, trivalent, intranasal influenza virus vaccine approved by the US Food and Drug Administration on June 17, 2003--has been shown to be safe and effective, but its role in the general prevention of influenza is yet to be defined. Intranasal administration is expected to be more acceptable than parenteral, particularly in children, but the potential for the shedding of live virus may pose a risk to anyone with a compromised immune system.

  17. Avian flu: sites seek to respond and reassure.

    PubMed

    Larkin, Marilynn

    2005-03-01

    Avian flu outbreaks in Thailand and Vietnam, followed by a reported case of human-to-human transmission in Cambodia (http://www.who.int/csr/disease/avian_influenza/country/cases_table_2005_02_02/en/) prompted rapid responses by health authorities around the world. The WHO and local health ministries launched investigations into the potential source(s) of the outbreaks, and millions of ducks and other farm poultry were slaughtered (http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/feb0205cambodian.html). The US Centers for Disease Control responded by elevating its previous advice to travellers about avian influenza A (H5N1) in Asia from an Outbreak Notice to a Travel Health Precaution, and increased surveillance for the disease. Some experts predict that the world is on the brink of an avian flu pandemic; others say a pandemic may not be inevitable, but urge caution and ongoing monitoring. The following sites offer background information and the latest news on avian flu.

  18. Factors affecting nurses' decision to get the flu vaccine.

    PubMed

    Shahrabani, Shosh; Benzion, Uri; Yom Din, Gregory

    2009-05-01

    The objective of this study was to identify factors that influence the decision whether or not to get the influenza (flu) vaccine among nurses in Israel by using the health belief model (HBM). A questionnaire distributed among 299 nurses in Israel in winter 2005/2006 included (1) socio-demographic information; (2) variables based on the HBM, including susceptibility, seriousness, benefits, barriers and cues to action; and (3) knowledge about influenza and the vaccine, and health motivation. A probit model was used to analyze the data. In Israel, the significant HBM categories affecting nurses' decision to get a flu shot are the perceived benefits from vaccination and cues to action. In addition, nurses who are vaccinated have higher levels of (1) knowledge regarding the vaccine and influenza, (2) perceived seriousness of the illness, (3) perceived susceptibility, and (4) health motivation than do those who do not get the vaccine. Immunization of healthcare workers may reduce the risk of flu outbreaks in all types of healthcare facilities and reduce morbidity and mortality among high-risk patients. In order to increase vaccination rates among nurses, efforts should be made to educate them regarding the benefits of vaccination and the potential health consequences of influenza for their patients, and themselves.

  19. Deciphering the Swine-Flu Pandemics of 1918 and 2009

    NASA Astrophysics Data System (ADS)

    Goldstein, Richard; Dos Reis, Mario; Tamuri, Asif; Hay, Alan

    The devastating "Spanish flu" of 1918 killed an estimated 50 million people worldwide, ranking it as the deadliest pandemic in recorded human history. It is generally believed that the virus transferred from birds directly to humans shortly before the start of the pandemic, subsequently jumping from humans to swine. By developing 'non-homogeneous' substitution models that consider that substitution patterns may be different in human, avian, and swine hosts, we can determine the timing of the host shift to mammals. We find it likely that the Spanish flu of 1918, like the current 2009 pandemic, was a 'swine-origin' influenza virus. Now that we are faced with a new pandemic, can we understand how influenza is able to change hosts? Again by modelling the evolutionary process, considering the different selective constraints for viruses in the different hosts, we can identify locations that seem to be under different selective constraints in humans and avian hosts. This allows us to identify changes that may have facilitated the establishment of the 2009 swine-origin flu in humans.

  20. Comparison: Flu Prescription Sales Data from a Retail Pharmacy in the US with Google Flu Trends and US ILINet (CDC) Data as Flu Activity Indicator

    PubMed Central

    Patwardhan, Avinash; Bilkovski, Robert

    2012-01-01

    The potential threat of bioterrorism along with the emergence of new or existing drug resistant strains of influenza virus, added to expanded global travel, have increased vulnerability to epidemics or pandemics and their aftermath. The same factors have also precipitated urgency for having better, faster, sensitive, and reliable syndromic surveillance systems. Prescription sales data can provide surrogate information about the development of infectious diseases and therefore serve as a useful tool in syndromic surveillance. This study compared prescription sales data from a large drug retailing pharmacy chain in the United States with Google Flu trends surveillance system data as a flu activity indicator. It was found that the two were highly correlated. The correlation coefficient (Pearson ‘r’) for five years' aggregate data (2007–2011) was 0.92 (95% CI, 0.90–0.94). The correlation coefficients for each of the five years between 2007 and 2011 were 0.85, 0.92, 0.91, 0.88, and 0.87 respectively. Additionally, prescription sales data from the same large drug retailing pharmacy chain in the United States were also compared with US Outpatient Influenza-like Illness Surveillance Network (ILINet) data for 2007 by Centers for Disease Control and Prevention (CDC). The correlation coefficient (Pearson ‘r’) was 0.97 (95% CI, 0.95–0.98). PMID:22952719

  1. Protecting Against the Flu: Advice for Caregivers of Children Less than 6 Months Old. Fact Sheet

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    Research has shown that children less than 5 years of age are at high risk of serious flu-related complications. It is estimated that more than 20,000 children less than 5 years old are hospitalized due to flu each year in the U.S. Many more have to go to a doctor, an urgent care center, or the emergency room because of flu. Complications from the…

  2. A flu optical immunoassay (ThermoBioStar's FLU OIA): a diagnostic tool for improved influenza management.

    PubMed Central

    Tucker, S P; Cox, C; Steaffens, J

    2001-01-01

    ThermoBioStar's and Biota's flu optical immunoassay (FLU OIA) is a rapid test designed to diagnose influenza A and B infection using a variety of specimen types. The assay uses highly sensitive thin-film detection methods, coupled with specific monoclonal antibodies to the nucleoprotein. The test is simple to perform, requires no instrumentation and is intended to provide a result within 15 min of test initiation in the 'point-of-care' environment. In initial clinical studies, the assay was demonstrated to be equivalent to culture in identifying infected individuals. Subsequent independent studies using a variety of sample types have demonstrated sensitivity ranging from 48 to 100% and specificities ranging from 93 to 97%. In addition to detecting human strains, this assay has been demonstrated to be capable of detecting a variety of avian and non-human mammalian influenza viruses. The FLU OIA test has been used in large-scale surveillance schemes intended to provide rapid epidemiological data during normal influenza seasons and has demonstrated the potential for fulfilling a similar role for multispecies surveillance in, for example, conditions that offer challenges for conventional virus isolation methods. Conceivably, such use should facilitate the timely recognition of influenza outbreaks and prioritization of positive specimens for more conventional, laboratory characterization, leading to improved interpandemic surveillance and rapid reaction in the face of the next pandemic. PMID:11779392

  3. [Excess mortality associated with influenza in Spain in winter 2012].

    PubMed

    León-Gómez, Inmaculada; Delgado-Sanz, Concepción; Jiménez-Jorge, Silvia; Flores, Víctor; Simón, Fernando; Gómez-Barroso, Diana; Larrauri, Amparo; de Mateo Ontañón, Salvador

    2015-01-01

    An excess of mortality was detected in Spain in February and March 2012 by the Spanish daily mortality surveillance system and the «European monitoring of excess mortality for public health action» program. The objective of this article was to determine whether this excess could be attributed to influenza in this period. Excess mortality from all causes from 2006 to 2012 were studied using time series in the Spanish daily mortality surveillance system, and Poisson regression in the European mortality surveillance system, as well as the FluMOMO model, which estimates the mortality attributable to influenza. Excess mortality due to influenza and pneumonia attributable to influenza were studied by a modification of the Serfling model. To detect the periods of excess, we compared observed and expected mortality. In February and March 2012, both the Spanish daily mortality surveillance system and the European mortality surveillance system detected a mortality excess of 8,110 and 10,872 deaths (mortality ratio (MR): 1.22 (95% CI:1.21-1.23) and 1.32 (95% CI: 1.29-1.31), respectively). In the 2011-12 season, the FluMOMO model identified the maximum percentage (97%) of deaths attributable to influenza in people older than 64 years with respect to the mortality total associated with influenza (13,822 deaths). The rate of excess mortality due to influenza and pneumonia and respiratory causes in people older than 64 years, obtained by the Serfling model, also reached a peak in the 2011-2012 season: 18.07 and 77.20, deaths per 100,000 inhabitants, respectively. A significant increase in mortality in elderly people in Spain was detected by the Spanish daily mortality surveillance system and by the European mortality surveillance system in the winter of 2012, coinciding with a late influenza season, with a predominance of the A(H3N2) virus, and a cold wave in Spain. This study suggests that influenza could have been one of the main factors contributing to the mortality excess

  4. 26 CFR 514.9 - Refund of excess tax withheld.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... return the following statements: (1) That the taxpayer was a nonresident alien (including a nonresident alien individual, fiduciary, or partnership) resident in France or was a French corporation, during the... information requested on the return must be furnished. Any tax paid in excess of that due from the owner of...

  5. Full-spectrum disease response : beyond just the flu.

    SciTech Connect

    Knazovich, Michael Ward; Cox, Warren B.; Henderson, Samuel Arthur

    2010-04-01

    Why plan beyond the flu: (1) the installation may be the target of bioterrorism - National Laboratory, military base collocated in large population center; and (2) International Airport - transport of infectious agents to the area - Sandia is a global enterprise and staff visit many foreign countries. In addition to the Pandemic Plan, Sandia has developed a separate Disease Response Plan (DRP). The DRP addresses Category A, B pathogens and Severe Acute Respiratory Syndrome (SARS). The DRP contains the Cities Readiness Initiative sub-plan for disbursement of Strategic National Stockpile assets.

  6. Pathogens gone wild? Medical anthropology and the "swine flu" pandemic.

    PubMed

    Singer, Merrill

    2009-07-01

    Beginning in April 2009, global attention began focusing on the emergence in Mexico of a potentially highly lethal new influenza strain of porcine origin that has successfully jumped species barriers and is now being transmitted around the world. Reported on extensively by the mass media, commented on by public health and government officials across the globe, and focused on with nervous attention by the general public, the so-called swine flu pandemic raises important questions, addressed here, concerning the capacity of medical anthropology to respond usefully to such disease outbreaks and their health and social consequences.

  7. Excessive Acquisition in Hoarding

    PubMed Central

    Frost, Randy O.; Tolin, David F.; Steketee, Gail; Fitch, Kristin E.; Selbo-Bruns, Alexandra

    2009-01-01

    Compulsive hoarding (the acquisition of and failure to discard large numbers of possessions) is associated with substantial health risk, impairment, and economic burden. However, little research has examined separate components of this definition, particularly excessive acquisition. The present study examined acquisition in hoarding. Participants, 878 self-identified with hoarding and 665 family informants (not matched to hoarding participants), completed an internet survey. Among hoarding participants who met criteria for clinically significant hoarding, 61% met criteria for a diagnosis of compulsive buying and approximately 85% reported excessive acquisition. Family informants indicated that nearly 95% exhibited excessive acquisition. Those who acquired excessively had more severe hoarding; their hoarding had an earlier onset and resulted in more psychiatric work impairment days; and they experienced more symptoms of obsessive-compulsive disorder, depression, and anxiety. Two forms of excessive acquisition (buying and free things) each contributed independent variance in the prediction of hoarding severity and related symptoms. PMID:19261435

  8. Excessive acquisition in hoarding.

    PubMed

    Frost, Randy O; Tolin, David F; Steketee, Gail; Fitch, Kristin E; Selbo-Bruns, Alexandra

    2009-06-01

    Compulsive hoarding (the acquisition of and failure to discard large numbers of possessions) is associated with substantial health risk, impairment, and economic burden. However, little research has examined separate components of this definition, particularly excessive acquisition. The present study examined acquisition in hoarding. Participants, 878 self-identified with hoarding and 665 family informants (not matched to hoarding participants), completed an Internet survey. Among hoarding participants who met criteria for clinically significant hoarding, 61% met criteria for a diagnosis of compulsive buying and approximately 85% reported excessive acquisition. Family informants indicated that nearly 95% exhibited excessive acquisition. Those who acquired excessively had more severe hoarding; their hoarding had an earlier onset and resulted in more psychiatric work impairment days; and they experienced more symptoms of obsessive-compulsive disorder, depression, and anxiety. Two forms of excessive acquisition (buying and free things) each contributed independent variance in the prediction of hoarding severity and related symptoms.

  9. Conceptual Representations of Flu and Microbial Illness Held by Students, Teachers, and Medical Professionals

    ERIC Educational Resources Information Center

    Jones, M. Gail; Rua, Melissa J.

    2008-01-01

    This study describes 5th, 8th, and 11th-grade students', teachers', and medical professionals' conceptions of flu and microbial illness. Participants constructed a concept map on "flu" and participated in a semi-structured interview. The results showed that these groups of students, teachers and medical professionals held and structured their…

  10. H1N1 Flu & U.S. Schools: Answers to Frequently Asked Questions

    ERIC Educational Resources Information Center

    US Department of Education, 2009

    2009-01-01

    A severe form of influenza known as H1N1, commonly being called swine flu, has health officials around the world concerned. In the United States, the outbreak of H1N1 has prompted school closures and cancellation of school-related events. As the flu spreads, the Department of Education encourages school leaders, parents and students to know how to…

  11. Time to Get Your Annual Flu Shot | NIH MedlinePlus the Magazine

    MedlinePlus

    ... at greater risk for serious complications if they get the flu. This includes older people, young children, pregnant women, and people with certain health conditions (such as asthma, diabetes, or heart disease), and persons who live in facilities like nursing homes. Flu ...

  12. Flu Plan: Colleges Struggle with How They Would React to a Pandemic

    ERIC Educational Resources Information Center

    Guterman, Lila

    2005-01-01

    Administrators of various education schools have vowed to ready their institutions for the next major disaster of flu pandemic. While a few colleges with expertise or interest in the area are trying to determine how their campuses should react to a flu pandemic, most seem to be struggling with how to fit all the unknowns of such a crisis into…

  13. Conceptual Representations of Flu and Microbial Illness Held by Students, Teachers, and Medical Professionals

    ERIC Educational Resources Information Center

    Jones, M. Gail; Rua, Melissa J.

    2008-01-01

    This study describes 5th, 8th, and 11th-grade students', teachers', and medical professionals' conceptions of flu and microbial illness. Participants constructed a concept map on "flu" and participated in a semi-structured interview. The results showed that these groups of students, teachers and medical professionals held and structured their…

  14. Swine-Flu Plans Put E-Learning in the Spotlight

    ERIC Educational Resources Information Center

    Davis, Michelle R.; Ash, Katie

    2009-01-01

    Last school year, many educators were caught unprepared when schools closed in response to cases of swine flu. This time around, both the federal government and school districts are putting specific online-learning measures in place to get ready for possible closures or waves of teacher and student absences because of a flu outbreak. To prepare…

  15. Swine-Flu Plans Put E-Learning in the Spotlight

    ERIC Educational Resources Information Center

    Davis, Michelle R.; Ash, Katie

    2009-01-01

    Last school year, many educators were caught unprepared when schools closed in response to cases of swine flu. This time around, both the federal government and school districts are putting specific online-learning measures in place to get ready for possible closures or waves of teacher and student absences because of a flu outbreak. To prepare…

  16. Flu Plan: Colleges Struggle with How They Would React to a Pandemic

    ERIC Educational Resources Information Center

    Guterman, Lila

    2005-01-01

    Administrators of various education schools have vowed to ready their institutions for the next major disaster of flu pandemic. While a few colleges with expertise or interest in the area are trying to determine how their campuses should react to a flu pandemic, most seem to be struggling with how to fit all the unknowns of such a crisis into…

  17. FluDetWeb: an interactive web-based system for the early detection of the onset of influenza epidemics

    PubMed Central

    2009-01-01

    Background The early identification of influenza outbreaks has became a priority in public health practice. A large variety of statistical algorithms for the automated monitoring of influenza surveillance have been proposed, but most of them require not only a lot of computational effort but also operation of sometimes not-so-friendly software. Results In this paper, we introduce FluDetWeb, an implementation of a prospective influenza surveillance methodology based on a client-server architecture with a thin (web-based) client application design. Users can introduce and edit their own data consisting of a series of weekly influenza incidence rates. The system returns the probability of being in an epidemic phase (via e-mail if desired). When the probability is greater than 0.5, it also returns the probability of an increase in the incidence rate during the following week. The system also provides two complementary graphs. This system has been implemented using statistical free-software (ℝ and WinBUGS), a web server environment for Java code (Tomcat) and a software module created by us (Rdp) responsible for managing internal tasks; the software package MySQL has been used to construct the database management system. The implementation is available on-line from: http://www.geeitema.org/meviepi/fludetweb/. Conclusion The ease of use of FluDetWeb and its on-line availability can make it a valuable tool for public health practitioners who want to obtain information about the probability that their system is in an epidemic phase. Moreover, the architecture described can also be useful for developers of systems based on computationally intensive methods. PMID:19640304

  18. FluDetWeb: an interactive web-based system for the early detection of the onset of influenza epidemics.

    PubMed

    Conesa, David; López-Quílez, Antonio; Martínez-Beneito, Miguel Angel; Miralles, María Teresa; Verdejo, Francisco

    2009-07-29

    The early identification of influenza outbreaks has became a priority in public health practice. A large variety of statistical algorithms for the automated monitoring of influenza surveillance have been proposed, but most of them require not only a lot of computational effort but also operation of sometimes not-so-friendly software. In this paper, we introduce FluDetWeb, an implementation of a prospective influenza surveillance methodology based on a client-server architecture with a thin (web-based) client application design. Users can introduce and edit their own data consisting of a series of weekly influenza incidence rates. The system returns the probability of being in an epidemic phase (via e-mail if desired). When the probability is greater than 0.5, it also returns the probability of an increase in the incidence rate during the following week. The system also provides two complementary graphs. This system has been implemented using statistical free-software (R and WinBUGS), a web server environment for Java code (Tomcat) and a software module created by us (Rdp) responsible for managing internal tasks; the software package MySQL has been used to construct the database management system. The implementation is available on-line from: http://www.geeitema.org/meviepi/fludetweb/. The ease of use of FluDetWeb and its on-line availability can make it a valuable tool for public health practitioners who want to obtain information about the probability that their system is in an epidemic phase. Moreover, the architecture described can also be useful for developers of systems based on computationally intensive methods.

  19. Passive immunity to pandemic H1N1 2009 by swine flu parties.

    PubMed

    Aggarwal, Nitish; Aggarwal, Pushkar

    2009-12-15

    The general population is concerned about the probable devastating effects of pandemic H1N1 2009. Based upon the 1918 Spanish flu pandemic, scientific publications and theories, the idea of swine flu parties to achieve passive immunity against pandemic H1N1 2009 has been proposed. Public health officials have asked the general public not to resort to this method. However, no concrete evidence of the reasoning behind the recommendation has been given. In this paper, we have dynamically modeled the effect of swine flu parties on the immunity achieved and associated mortality for a period of two years. The simulations show that the public should not organize or participate in swine flu parties as they will likely increase swine flu-associated mortality.

  20. Intranasal flu vaccine protective against seasonal and H5N1 avian influenza infections.

    PubMed

    Alsharifi, Mohammed; Furuya, Yoichi; Bowden, Timothy R; Lobigs, Mario; Koskinen, Aulikki; Regner, Matthias; Trinidad, Lee; Boyle, David B; Müllbacher, Arno

    2009-01-01

    Influenza A (flu) virus causes significant morbidity and mortality worldwide, and current vaccines require annual updating to protect against the rapidly arising antigenic variations due to antigenic shift and drift. In fact, current subunit or split flu vaccines rely exclusively on antibody responses for protection and do not induce cytotoxic T (Tc) cell responses, which are broadly cross-reactive between virus strains. We have previously reported that gamma-ray inactivated flu virus can induce cross-reactive Tc cell responses. Here, we report that intranasal administration of purified gamma-ray inactivated human influenza A virus preparations (gamma-Flu) effectively induces heterotypic and cross-protective immunity. A single intranasal administration of gamma-A/PR8[H1N1] protects mice against lethal H5N1 and other heterotypic infections. Intranasal gamma-Flu represents a unique approach for a cross-protective vaccine against both seasonal as well as possible future pandemic influenza A virus infections.

  1. [Mass communication during the "H1N1 flu"].

    PubMed

    Pellegrino, E; Martino, G; Balli, M; Puggelli, F; Tiscione, E; Bonaccorsi, G; Bonanni, P

    2012-01-01

    Nowadays communication plays a key role in healthcare, especially when a detailed risk analysis is important for correct information, as in the case of the H1N1 flu virus A. Through our study we have analyzed how the event "H1N1 flu" was addressed by the media, considering the period April 2009-June 2010. We collected the information from "Il Corriere della Sera", "La Repubblica" and "City", in addition to an online site for general information such as "TGCOM". The analyzed peak of daily news was seen a few weeks before the pandemic peak; in addition, after the peak of the pandemic, the interest of the press has completely collapsed, and eventually disappeared altogether. The media can influence the thought and consequentially how the recipients act, leading to a misperception of risk ('risk') and danger ('hazard'). Moreover the institutions and health professionals are not always able to communicate effectively to meet the needs for correct information. It is desirable in the future a greater degree of collaboration between media and authorities to have a clearer simpler and less misleading communication in the health field, helping recipients to act properly.

  2. Flu channel drug resistance: a tale of two sites.

    PubMed

    Pielak, Rafal M; Chou, James J

    2010-03-01

    The M2 proteins of influenza A and B virus, AM2 and BM2, respectively, are transmembrane proteins that oligomerize in the viral membrane to form proton-selective channels. Proton conductance of the M2 proteins is required for viral replication; it is believed to equilibrate pH across the viral membrane during cell entry and across the trans-Golgi membrane of infected cells during viral maturation. In addition to the role of M2 in proton conductance, recent mutagenesis and structural studies suggest that the cytoplasmic domains of the M2 proteins also play a role in recruiting the matrix proteins to the cell surface during virus budding. As viral ion channels of minimalist architecture, the membrane-embedded channel domain of M2 has been a model system for investigating the mechanism of proton conduction. Moreover, as a proven drug target for the treatment of influenza A infection, M2 has been the subject of intense research for developing new anti-flu therapeutics. AM2 is the target of two anti-influenza A drugs, amantadine and rimantadine, both belonging to the adamantane class of compounds. However, resistance of influenza A to adamantane is now widespread due to mutations in the channel domain of AM2. This review summarizes the structure and function of both AM2 and BM2 channels, the mechanism of drug inhibition and drug resistance of AM2, as well as the development of new M2 inhibitors as potential anti-flu drugs.

  3. Hyperhidrosis (Excessive Sweating)

    MedlinePlus

    ... a cause (Alzheimer’s Association) Iontophoresis (the no-sweat machine) If excessive sweating affects your hands, feet, or ... this is an option, the dermatologist uses a machine that emits electromagnetic energy. This energy destroys the ...

  4. Deletion of the Aspergillus flavus orthologue of A. nidulans fluG reduces conidiation and promotes production of sclerotia but does not abolish aflatoxin biosynthesis

    USDA-ARS?s Scientific Manuscript database

    Aspergillus flavus fluG deletion strains showed decreased conidiation but had elevated sclerotial production. These developmental changes were not remediated by co-culturing with fluG-positive strains. The fluG mutant still retained its aflatoxin-producing ability. The A. flavus fluG gene functions ...

  5. Vaccination against seasonal flu in Switzerland: The indecision of pregnant women encouraged by healthcare professionals.

    PubMed

    Schindler, M; Blanchard-Rohner, G; Meier, S; Martinez de Tejada, B; Siegrist, C-A; Burton-Jeangros, C

    2012-12-01

    The recommendation for seasonal flu immunization from the second trimester of pregnancy, adopted in summer 2010 in Switzerland, is situated within a social context characterized by reluctance toward some vaccinations, a relatively low vaccination coverage against flu in the general population, and still heated debates fuelled by vaccination campaigns organized around the A(H1N1)pdm09 flu pandemic in winter 2009 to 2010. This study examines Swiss pregnant women's representations of the risks associated with seasonal flu and its vaccination. Semi-structured interviews were conducted with 29 women, while in the maternity unit in March 2011, 3 to 5 days after giving birth. The interviews addressed the risks associated with flu, modes of protection, motivations for, and obstacles to vaccination. The interviewees did not show major preoccupations regarding seasonal flu and they tended to distance themselves from the at-risk status. They did not directly challenge seasonal flu immunization; however, they were reluctant to do it. Their attitudes were supported by their personal experience and the experience of their social networks. Healthcare professionals, particularly medical doctors, gave very little direction, or even did not raise the issue with them. Between the rather moderate positions of those who are against vaccination and those who support it, an intermediate grey zone, characterized by hesitation, was observed. Furthermore, the indecision of pregnant women is reinforced by doubts among the persons they are close to and also among the professionals they met during their pregnancy. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  6. Healthy Bodies, Toxic Medicines: College Students and the Rhetorics of Flu Vaccination

    PubMed Central

    Lawrence, Heidi Y.

    2014-01-01

    This article examines flu vaccination beliefs and practices produced during a survey of undergraduate students in Spring 2012 (IRB#10-732). This research uses the methods of rhetorical analysis — or the study of persuasive features and arguments used in language — to examine statements respondents made regarding flu and flu vaccine. In these responses, students generated unique categories of arguments about the perceived dangers of flu vaccination, including the assertion that vaccines cause disease (including illnesses and conditions other than flu), that vaccines are toxic medicines, and that vaccines carry unknown, population-wide risks that are inadequately acknowledged. This study provides insight into vaccination beliefs and rationales among a population at risk of flu (college students) and suggests that further study of this population may yield important keys to addressing flu vaccine concerns as expressed by college students. Rhetorical analysis also offers a useful set of methods to understanding vaccination beliefs and practices, adding to existing methods of study and analysis of vaccination practices and beliefs in medicine and public health. PMID:25506277

  7. Healthy bodies, toxic medicines: college students and the rhetorics of flu vaccination.

    PubMed

    Lawrence, Heidi Y

    2014-12-01

    This article examines flu vaccination beliefs and practices produced during a survey of undergraduate students in Spring 2012 (IRB#10-732). This research uses the methods of rhetorical analysis - or the study of persuasive features and arguments used in language - to examine statements respondents made regarding flu and flu vaccine. In these responses, students generated unique categories of arguments about the perceived dangers of flu vaccination, including the assertion that vaccines cause disease (including illnesses and conditions other than flu), that vaccines are toxic medicines, and that vaccines carry unknown, population-wide risks that are inadequately acknowledged. This study provides insight into vaccination beliefs and rationales among a population at risk of flu (college students) and suggests that further study of this population may yield important keys to addressing flu vaccine concerns as expressed by college students. Rhetorical analysis also offers a useful set of methods to understanding vaccination beliefs and practices, adding to existing methods of study and analysis of vaccination practices and beliefs in medicine and public health.

  8. [Study on risk awareness and preparedness for pandemic flu among staff members from enterprises].

    PubMed

    Wu, Jiang; Lv, Min; Wang, Quan-yi; Dong, Zhen-ying; Yi, Qing; Zhang, Xiantao

    2007-01-01

    To evaluate the risk awareness and preparedness related to pandemic flu in China. Two groups of people, mainly employers and employees from enterprises, were covered in the survey, using quantitative (questionnaire) and qualitative (in-depth interview) methods. The employers and employees were from joint-ventured corporations, large state-owned corporations and private companies which were randomly selected from 7 major cities in China. (1) 82% of the people surveyed and interviewed had basic knowledge on pandemic flu. (2) 60% of the joint-ventured corporations had worked out or were working on their business continuity plan in the event of pandemic flu, compared to that of state-owned corporations and private companies that the figure was only 21% . (3) 67% of the joint-ventured corporations had informed their preparedness plan on pandemic flu to their employees, while that of the state-owned and private corporations, it was only 42 %. (4) About 70 % of the corporations was establishing policies for restricting travel to affected geographic areas (both domestic and international), evacuating the employees who working in or near the affected area when an outbreak began. (5) Nearly 60 % of the corporations thought annual flu vaccination was important and hence encouraging and tracking annual flu vaccination for employees. (6) 70% of the corporations paid high attention on providing sufficient and accessible supplies (e. g. hand - hygiene products, tissues and receptacles for their disposal) to control the epidemics in all business locations while nearly 76 % of the corporations were interested in purchasing commercial medical insurance. Joint-verntured corporation were doing better than domestic corporations in terms of risk awareness and preparedness on pandemic flu, suggesting that the domestic corporation should learn from them regarding on pandemic flu preparedness to limit the negative impact of pandemic flu.

  9. Reassuring and managing patients with concerns about swine flu: Qualitative interviews with callers to NHS Direct

    PubMed Central

    2010-01-01

    Background During the early stages of the 2009 swine flu (influenza H1N1) outbreak, the large majority of patients who contacted the health services about the illness did not have it. In the UK, the NHS Direct telephone service was used by many of these patients. We used qualitative interviews to identify the main reasons why people approached NHS Direct with concerns about swine flu and to identify aspects of their contact which were reassuring, using a framework approach. Methods 33 patients participated in semi-structured interviews. All patients had telephoned NHS Direct between 11 and 14 May with concerns about swine flu and had been assessed as being unlikely to have the illness. Results Reasons for seeking advice about swine flu included: the presence of unexpectedly severe flu-like symptoms; uncertainties about how one can catch swine flu; concern about giving it to others; pressure from friends or employers; and seeking 'peace of mind.' Most participants found speaking to NHS Direct reassuring or useful. Helpful aspects included: having swine flu ruled out; receiving an alternative explanation for symptoms; clarification on how swine flu is transmitted; and the perceived credibility of NHS Direct. No-one reported anything that had increased their anxiety and only one participant subsequently sought additional advice about swine flu from elsewhere. Conclusions Future major incidents involving other forms of chemical, biological or radiological hazards may also cause large numbers of unexposed people to seek health advice. Our data suggest that providing telephone triage and information is helpful in such instances, particularly where advice can be given via a trusted, pre-existing service. PMID:20678192

  10. Planning for avian flu disruptions on global operations: a DMAIC case study.

    PubMed

    Kumar, Sameer

    2012-01-01

    The author aims to assess the spread of avian flu, its impact on businesses operating in the USA and overseas, and the measures required for corporate preparedness. Six Sigma DMAIC process is used to analyze avian flu's impact and how an epidemic could affect large US business operations worldwide. Wal-Mart and Dell Computers were chosen as one specializes in retail and the other manufacturing. The study identifies avian flu pandemic risks including failure modes on Wal-Mart and Dell Computers global operations. It reveals the factors that reinforce avian-flu pandemic's negative impact on company global supply chains. It also uncovers factors that balance avian-flu pandemic's impact on their global supply chains. Avian flu and its irregularity affect the research outcomes because its spread could fluctuate based on so many factors that could come into play. Further, the potential cost to manufacturers and other supply chain partners is relatively unknown. As a relatively new phenomenon, quantitative data were not available to determine immediate costs. In this decade, the avian influenza H5N1 virus has killed millions of poultry in Asia, Europe and Africa. This flu strain can infect and kill humans who come into contact with this virus. An avian influenza H5N1 outbreak could lead to a devastating effect on global food supply, business services and business operations. The study provides guidance on what global business operation managers can do to prepare for such events, as well as how avian flu progression to a pandemic can disrupt such operations. This study raises awareness about avian flu's impact on businesses and humans and also highlights the need to create contingency plans for corporate preparedness to avoid incurring losses.

  11. Prediction (early recognition) of emerging flu strain clusters

    NASA Astrophysics Data System (ADS)

    Li, X.; Phillips, J. C.

    2017-08-01

    Early detection of incipient dominant influenza strains is one of the key steps in the design and manufacture of an effective annual influenza vaccine. Here we report the most current results for pandemic H3N2 flu vaccine design. A 2006 model of dimensional reduction (compaction) of viral mutational complexity derives two-dimensional Cartesian mutational maps (2DMM) that exhibit an emergent dominant strain as a small and distinct cluster of as few as 10 strains. We show that recent extensions of this model can detect incipient strains one year or more in advance of their dominance in the human population. Our structural interpretation of our unexpectedly rich 2DMM involves sialic acid, and is based on nearly 6000 strains in a series of recent 3-year time windows. Vaccine effectiveness is predicted best by analyzing dominant mutational epitopes.

  12. Reflections on the 1976 Swine Flu Vaccination Program

    PubMed Central

    Millar, J. Donald

    2006-01-01

    In 1976, 2 recruits at Fort Dix, New Jersey, had an influenzalike illness. Isolates of virus taken from them included A/New Jersey/76 (Hsw1n1), a strain similar to the virus believed at the time to be the cause of the 1918 pandemic, commonly known as swine flu. Serologic studies at Fort Dix suggested that >200 soldiers had been infected and that person-to-person transmission had occurred. We review the process by which these events led to the public health decision to mass-vaccinate the American public against the virus and the subsequent events that led to the program's cancellation. Observations of policy and implementation success and failures are presented that could help guide decisions regarding avian influenza. PMID:16494713

  13. Acute Lung Injury Accompanying Alveolar Hemorrhage Associated with Flu Vaccination in the Elderly.

    PubMed

    Satoh, Etsuko; Nei, Takahito; Kuzu, Shinichi; Chubachi, Kumi; Nojima, Daisuke; Taniuchi, Namiko; Yamano, Yoshimitsu; Gemma, Akihiko

    2015-01-01

    Flu vaccinations are administered worldwide every winter for prevention. We herein describe a case of acute lung injury resulting from a pathologically confirmed alveolar hemorrhage, which may have been closely related to a preceding vaccination for pandemic influenza A of 2009/10. The present patient had been hospitalized with an acute lung injury after flu vaccination one year prior to the present hospitalization, however, he received another flu vaccination. We should consider a vaccine-related adverse reaction as a potential cause of pulmonary disease if patients present with this illness during the winter season.

  14. The Evaluations of Swine Flu Magnitudes in TV News: A Comparative Analysis of Paired Influenza Pandemics.

    PubMed

    Pan, Po-Lin; Meng, Juan

    2015-01-01

    This study examined how major TV news networks covered two flu pandemics in 1976 and 2009 in terms of news frames, mortality exemplars, mortality subject attributes, vaccination, evaluation approaches, and news sources. Results showed that the first pandemic was frequently framed with the medical/scientific and political/legal issues, while the second pandemic was emphasized with the health risk issue in TV news. Both flu pandemics were regularly reported with mortality exemplars, but the focus in the first pandemic was on the flu virus threat and vaccination side effects, while the vaccination shortage was frequently revealed in the second outbreak.

  15. Avian flu pandemic - flight of the healthcare worker?

    PubMed

    Shabanowitz, Robert B; Reardon, Judith E

    2009-12-01

    One of the ethical issues identified in response to a possible pandemic is healthcare workers' duty to provide care during a communicable disease outbreak. Healthcare employees may be subject to a variety of work obligations under such conditions. Questions of duty to treat remain controversial, and debate continues as to the ethical articulation of a duty to treat. This study aimed to investigate opinions from healthcare workers themselves on the perceived duty to treat, and how they might respond to a severe avian flu pandemic. Using system-wide e-mail, we surveyed employees at our rural tertiary/quaternary care health system regarding their knowledge of our institution's pandemic planning policy and their willingness to work in the event of a virulent avian pandemic. Results (N=908) show that employees felt a responsibility for"duty to care." Over 60% disagreed that it was ethical to abandon the workplace during a pandemic. However, opinions also stated that employees wanted autonomy to decide whether or not to work (65%). When asked about volunteering, 79% would agree to volunteer, given some incentives and protective options, the most salient being protective equipment (with relative training for use) and infectious disease training. Our research demonstrated that the healthcare workers a tour institution voiced an earnest willingness to work in the event of an avian flu pandemic, if provided with the necessary input, protections and tools, and education. The use of an electronic methodology for dissemination of surveys allowed the low-cost solicitation of information from a vast proportion of the workforce with ease, providing the institutional ethics committee with the empirical data needed to articulate more meaningful,thoughtful, and robust suggestions for ethical pandemic planning.

  16. Nonaccommodative convergence excess.

    PubMed

    von Noorden, G K; Avilla, C W

    1986-01-15

    Nonaccommodative convergence excess is a condition in which a patient has orthotropia or a small-angle esophoria or esotropia at distance and a large-angle esotropia at near, not significantly reduced by the addition of spherical plus lenses. The AC/A ratio, determined with the gradient method, is normal or subnormal. Tonic convergence is suspected of causing the convergence excess in these patients. Nonaccommodative convergence excess must be distinguished from esotropia with a high AC/A ratio and from hypoaccommodative esotropia. In 24 patients treated with recession of both medial recti muscles with and without posterior fixation or by posterior fixation alone, the mean correction of esotropia was 7.4 prism diopters at distance and 17 prism diopters at near.

  17. [Excessive daytime sleepiness].

    PubMed

    Bittencourt, Lia Rita Azeredo; Silva, Rogério Santos; Santos, Ruth Ferreira; Pires, Maria Laura Nogueira; Mello, Marco Túlio de

    2005-05-01

    Sleepiness is a physiological function, and can be defined as increased propension to fall asleep. However, excessive sleepiness (ES) or hypersomnia refer to an abnormal increase in the probability to fall asleep, to take involuntary naps, or to have sleep atacks, when sleep is not desired. The main causes of excessive sleepiness is chronic sleep deprivation, sleep apnea syndrome, narcolepsy, movement disorders during sleep, circadian sleep disorders, use of drugs and medications, or idiopathic hypersomnia. Social, familial, work, and cognitive impairment are among the consequences of hypersomnia. Moreover, it has also been reported increased risk of accidents. The treatment of excessive sleepiness includes treating the primary cause, whenever identified. Sleep hygiene for sleep deprivation, positive pressure (CPAP) for sleep apnea, dopaminergic agents and exercises for sleep-related movement disorders, phototherapy and/or melatonin for circadian disorders, and use of stimulants are the treatment modalities of first choice.

  18. 13. SETTLING TANK, OVERFLOW DITCH, NORTHEAST SIDE; OVERFLOW DITCH RETURNED ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. SETTLING TANK, OVERFLOW DITCH, NORTHEAST SIDE; OVERFLOW DITCH RETURNED EXCESS WATER TO BEAVER BROOK. - Hondius Water Line, 1.6 miles Northwest of Park headquarters building & 1 mile Northwest of Beaver Meadows entrance station, Estes Park, Larimer County, CO

  19. HIV Excess Cancers JNCI

    Cancer.gov

    In 2010, an estimated 7,760 new cancers were diagnosed among the nearly 900,000 Americans known to be living with HIV infection. According to the first comprehensive study in the United States, approximately half of these cancers were in excess of what wo

  20. Addiction as excessive appetite.

    PubMed

    Orford, J

    2001-01-01

    The excessive appetite model of addiction is summarized. The paper begins by considering the forms of excessive appetite which a comprehensive model should account for: principally, excessive drinking, smoking, gambling, eating, sex and a diverse range of drugs including at least heroin, cocaine and cannabis. The model rests, therefore, upon a broader concept of what constitutes addiction than the traditional, more restricted, and arguably misleading definition. The core elements of the model include: very skewed consumption distribution curves; restraint, control or deterrence; positive incentive learning mechanisms which highlight varied forms of rapid emotional change as rewards, and wide cue conditioning; complex memory schemata; secondary, acquired emotional regulation cycles, of which 'chasing', 'the abstinence violation effect' and neuroadaptation are examples; and the consequences of conflict. These primary and secondary processes, occurring within diverse sociocultural contexts, are sufficient to account for the development of a strong attachment to an appetitive activity, such that self-control is diminished, and behaviour may appear to be disease-like. Giving up excess is a natural consequence of conflict arising from strong and troublesome appetite. There is much supportive evidence that change occurs outside expert treatment, and that when it occurs within treatment the change processes are more basic and universal than those espoused by fashionable expert theories.

  1. Synthesis of full length PB1-F2 influenza A virus proteins from 'Spanish flu' and 'bird flu'.

    PubMed

    Röder, René; Bruns, Karsten; Sharma, Alok; Eissmann, André; Hahn, Friedrich; Studtrucker, Nicole; Fossen, Torgils; Wray, Victor; Henklein, Peter; Schubert, Ulrich

    2008-08-01

    The proapoptotic influenza A virus PB1-F2 protein contributes to viral pathogenicity and is present in most human and avian isolates. Previous synthetic protocols have been improved to provide a synthetic full length H1N1 type PB1-F2 protein that is encoded by the 'Spanish flu' isolate and an equivalent protein from an avian host that is representative of a highly pathogenic H5N1 'bird flu' isolate, termed SF2 and BF2, respectively. Full length SF2, different mutants of BF2 and a number of fragments of these peptides have been synthesized by either the standard solid-phase peptide synthesis method or by native chemical ligation of unprotected N- and C-terminal peptide fragments. For SF2 chemical ligation made use of the histidine and the cysteine residues located in positions 41 and 42 of the native sequence, respectively, to afford a highly efficient synthesis of SF2 compared to the standard SPPS elongation method. By-product formation at the aspartic acid residue in position 23 was prevented by specific modifications of the SPPS protocol. As the native sequence of BF2 does not contain a cysteine residue two different mutants of BF2 (Y42C) and BF2 (S47C) with appropriate cysteine exchanges were produced. In addition to the full length molecules, fragments of the native sequences were synthesized for comparison of their physical characteristics with those from the H1N1 human isolate A/Puerto Rico/8/34 (H1N1). All peptides were analyzed by mass spectrometry, (1)H NMR spectroscopy, and SDS-PAGE. The protocols allow the synthesis of significant amounts of PB1-F2 and its related peptides. Copyright (c) 2008 European Peptide Society and John Wiley & Sons, Ltd.

  2. A Multicenter Retrospective Review of Prone Position Ventilation (PPV) in Treatment of Severe Human H7N9 Avian Flu

    PubMed Central

    Han, Yun; Zhou, Lixin; He, Weiqun; Chen, Sibei; Nong, Lingbo; Huang, Huang; Zhang, Yan; Yu, Tieou; Li, Yimin; Liu, Xiaoqing

    2015-01-01

    Background Patients with H7N9 avian flu concurrent with severe acute respiratory distress syndrome (ARDS) usually have a poor clinical outcome. Prone position ventilation (PPV) has been shown to improve the prognosis of patients with severe ARDS. This study explored the effects of PPV on the respiratory and circulatory mechanics of H7N9-infected patients with severe ARDS. Methods Individuals admitted to four hospitals designated for H7N9 patients in Guangdong province were treated with PPV, and their clinical data were recorded before and after receiving PPV. Results Six of 20 critically ill patients in the ICU received PPV. After treatment with 35 PPV sessions, the oxygenation index (OI) values of the six patients when measured post-PPV and post-supine position ventilation (SPV) were significantly higher than those measured pre-PPV (P < 0.05).The six patients showed no significant differences in their values for respiratory rate (RR), peak inspiratory pressure (PIP), tidal volume (TV) or arterial partial pressure of carbon dioxide (PaCO2) when compared pre-PPV, post-PPV, and post-SPV. Additionally, there were no significant differences in the mean values for arterial pressure (MAP), cardiac index (CI), central venous pressure (CVP), heart rate (HR), lactic acid (LAC) levels or the doses of norepinephrine (NE) administered when compared pre-PPV, post-PPV, and post-SPV. Conclusion PPV provided improved oxygenation that was sustained after returning to a supine position, and resulted in decreased carbon dioxide retention. PPV can thus serve as an alternative lung protective ventilation strategy for use in patients with H7N9 avian flu concurrent with severe ARDS. PMID:26317621

  3. Flu Vaccine a Pretty Good Match for Viruses This Year: CDC

    MedlinePlus

    ... THURSDAY, Feb. 16, 2017 (HealthDay News) -- It's not perfect, but this year's flu vaccine is a fairly ... deaths prevented when the vaccine is not as perfect as we would like," he noted. The effectiveness ...

  4. JouFLU: upgrades to the fiber linked unit for optical recombination (FLUOR) interferometric beam combiner.

    NASA Astrophysics Data System (ADS)

    Scott, N. J.; Lhomé, E.; ten Brummelaar, T. A.; Coudé du Foresto, V.; Millan-Gabet, R.; Sturmann, J.; Sturmann, L.

    2014-07-01

    The Fiber Linked Unit for Optical Recombination (FLUOR) is a precision interferometric beam combiner operating at the CHARA Array on Mt. Wilson, CA. It has recently been upgraded as part of a mission known as "Jouvence of FLUOR" or JouFLU. As part of this program JouFLU has new mechanic stages and optical payloads, new alignment systems, and new command/control software. Furthermore, new capabilities have been implemented such as a Fourier Transform Spectrograph (FTS) mode and spectral dispersion mode. These upgrades provide new capabilities to JouFLU as well as improving statistical precision and increasing observing efficiency. With these new systems, measurements of interferometric visibility to the level of 0.1% precision are expected on targets as faint as 6th magnitude in the K band. Here we detail the upgrades of JouFLU and report on its current status.

  5. Flu: A Guide for Parents of Children or Adolescents with Chronic Health Conditions

    MedlinePlus

    ... Flu: A Guide for Parents of Children or Adolescents with Chronic Health Conditions Page Content ​​What is ... younger than 2 years old, and children and adolescents with chronic health conditions are at greater risk ...

  6. Most U.S. Kids Who Die from Flu Are Unvaccinated

    MedlinePlus

    ... kids should get their flu shot," said Dr. Paul Offit, chief of infectious diseases at Children's Hospital ... U.S. Centers for Disease Control and Prevention, Atlanta; Paul Offit, M.D., chief, infectious diseases, Children's Hospital ...

  7. Influenza (flu) vaccine (Inactivated or Recombinant): What you need to know

    MedlinePlus

    ... taken in its entirety from the CDC Inactivated Influenza Vaccine Information Statement (VIS) www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.html CDC review information for Inactivated Influenza VIS: ...

  8. Time To Talk About Natural Products for the Flu and Colds: What Does the Science Say?

    MedlinePlus

    ... for the Flu and Colds: What Does the Science Say? Share: It's that time of year again— ... But do they really work? What does the science say? Vaccination is the best protection against getting ...

  9. What You Should Know and Do This Flu Season If You Are 65 Years and Older

    MedlinePlus

    ... Influenza Vaccine Safety: A Summary for Clinicians Large-Scale Influenza Vaccination Clinic Planning Flu Vaccine Effectiveness 2005- ... Prevention & Control of Influenza in the Peri- and Postpartum Settings Interim Guidance for the Use of Masks ...

  10. Is It a Cold or The Flu? Here's How to Tell

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_162821.html Is It a Cold or the Flu? Here's How to ... 30, 2016 FRIDAY, Dec. 30, 2016 (HealthDay News) -- It's a miserable feeling -- you're exhausted, your throat ...

  11. Initial psychological responses to Influenza A, H1N1 ("Swine flu")

    PubMed Central

    2009-01-01

    Background The outbreak of the pandemic flu, Influenza A H1N1 (Swine Flu) in early 2009, provided a major challenge to health services around the world. Previous pandemics have led to stockpiling of goods, the victimisation of particular population groups, and the cancellation of travel and the boycotting of particular foods (e.g. pork). We examined initial behavioural and attitudinal responses towards Influenza A, H1N1 ("Swine flu") in the six days following the WHO pandemic alert level 5, and regional differences in these responses. Methods 328 respondents completed a cross-sectional Internet or paper-based questionnaire study in Malaysia (N = 180) or Europe (N = 148). Measures assessed changes in transport usage, purchase of preparatory goods for a pandemic, perceived risk groups, indicators of anxiety, assessed estimated mortality rates for seasonal flu, effectiveness of seasonal flu vaccination, and changes in pork consumption Results 26% of the respondents were 'very concerned' about being a flu victim (42% Malaysians, 5% Europeans, p < .001). 36% reported reduced public transport use (48% Malaysia, 22% Europe, p < .001), 39% flight cancellations (56% Malaysia, 17% Europe, p < .001). 8% had purchased preparatory materials (e.g. face masks: 8% Malaysia, 7% Europe), 41% Malaysia (15% Europe) intended to do so (p < .001). 63% of Europeans, 19% of Malaysians had discussed the pandemic with friends (p < .001). Groups seen as at 'high risk' of infection included the immune compromised (mentioned by 87% respondents), pig farmers (70%), elderly (57%), prostitutes/highly sexually active (53%), and the homeless (53%). In data collected only in Europe, 64% greatly underestimated the mortality rates of seasonal flu, 26% believed seasonal flu vaccination gave protection against swine flu. 7% had reduced/stopped eating pork. 3% had purchased anti-viral drugs for use at home, while 32% intended to do so if the pandemic worsened. Conclusion Initial responses to Influenza A

  12. Initial psychological responses to Influenza A, H1N1 ("Swine flu").

    PubMed

    Goodwin, Robin; Haque, Shamsul; Neto, Felix; Myers, Lynn B

    2009-10-06

    The outbreak of the pandemic flu, Influenza A H1N1 (Swine Flu) in early 2009, provided a major challenge to health services around the world. Previous pandemics have led to stockpiling of goods, the victimisation of particular population groups, and the cancellation of travel and the boycotting of particular foods (e.g. pork). We examined initial behavioural and attitudinal responses towards Influenza A, H1N1 ("Swine flu") in the six days following the WHO pandemic alert level 5, and regional differences in these responses. 328 respondents completed a cross-sectional Internet or paper-based questionnaire study in Malaysia (N = 180) or Europe (N = 148). Measures assessed changes in transport usage, purchase of preparatory goods for a pandemic, perceived risk groups, indicators of anxiety, assessed estimated mortality rates for seasonal flu, effectiveness of seasonal flu vaccination, and changes in pork consumption 26% of the respondents were 'very concerned' about being a flu victim (42% Malaysians, 5% Europeans, p < .001). 36% reported reduced public transport use (48% Malaysia, 22% Europe, p < .001), 39% flight cancellations (56% Malaysia, 17% Europe, p < .001). 8% had purchased preparatory materials (e.g. face masks: 8% Malaysia, 7% Europe), 41% Malaysia (15% Europe) intended to do so (p < .001). 63% of Europeans, 19% of Malaysians had discussed the pandemic with friends (p < .001). Groups seen as at 'high risk' of infection included the immune compromised (mentioned by 87% respondents), pig farmers (70%), elderly (57%), prostitutes/highly sexually active (53%), and the homeless (53%). In data collected only in Europe, 64% greatly underestimated the mortality rates of seasonal flu, 26% believed seasonal flu vaccination gave protection against swine flu. 7% had reduced/stopped eating pork. 3% had purchased anti-viral drugs for use at home, while 32% intended to do so if the pandemic worsened. Initial responses to Influenza A show large regional differences in

  13. The global swine flu pandemic 2: infection control measures and preparedness strategies.

    PubMed

    Pratt, Robert J

    This second in a two-part unit on swine flu looks at infection control measures for nurses. During late spring and early summer, increasing numbers of people became infected with novel swine origin influenza type A virus (influenza A(H1N1)v 2009) and a global pandemic started. Part 1 of this unit explored the biology of influenza viruses and the origins and characteristics of flu pandemics. This part reviews viral transmission, infection prevention and control and pandemic preparedness.

  14. Learning to EXHALE: don't catch the flu this season!

    PubMed

    Sherman, Fredrick T

    2008-10-01

    Decrease your chances of getting the flu by first, getting your flu shot, and second, by adopting this three-step technique to help prevent the spread of influenza as well as other viral respiratory illnesses. Like cough etiquette (ie, covering your nose and mouth when coughing or sneezing) and hand washing, this easily implemented, noninvasive technique should be an additional component of respiratory hygiene. The three steps are exhale, look away, and walk away.

  15. ["Hardly a house without ill people" The Spanish Flu in Styria].

    PubMed

    Hörzer, Thomas; Kunze, Ursula

    2012-04-01

    This article examines the impact of the Spanish flu at the microscopic level. Main question was if the pandemic killed more people in a selected mountain village than the total men of the village who were being killed during the First World War. Other topics are the reaction of the local government on the flu and which prophylaxis was ordered. The main focus lies on the analysis of the parish registers by graphs.

  16. ClassyFlu: classification of influenza A viruses with Discriminatively trained profile-HMMs.

    PubMed

    Van der Auwera, Sandra; Bulla, Ingo; Ziller, Mario; Pohlmann, Anne; Harder, Timm; Stanke, Mario

    2014-01-01

    Accurate and rapid characterization of influenza A virus (IAV) hemagglutinin (HA) and neuraminidase (NA) sequences with respect to subtype and clade is at the basis of extended diagnostic services and implicit to molecular epidemiologic studies. ClassyFlu is a new tool and web service for the classification of IAV sequences of the HA and NA gene into subtypes and phylogenetic clades using discriminatively trained profile hidden Markov models (HMMs), one for each subtype or clade. ClassyFlu merely requires as input unaligned, full-length or partial HA or NA DNA sequences. It enables rapid and highly accurate assignment of HA sequences to subtypes H1-H17 but particularly focusses on the finer grained assignment of sequences of highly pathogenic avian influenza viruses of subtype H5N1 according to the cladistics proposed by the H5N1 Evolution Working Group. NA sequences are classified into subtypes N1-N10. ClassyFlu was compared to semiautomatic classification approaches using BLAST and phylogenetics and additionally for H5 sequences to the new "Highly Pathogenic H5N1 Clade Classification Tool" (IRD-CT) proposed by the Influenza Research Database. Our results show that both web tools (ClassyFlu and IRD-CT), although based on different methods, are nearly equivalent in performance and both are more accurate and faster than semiautomatic classification. A retraining of ClassyFlu to altered cladistics as well as an extension of ClassyFlu to other IAV genome segments or fragments thereof is undemanding. This is exemplified by unambiguous assignment to a distinct cluster within subtype H7 of sequences of H7N9 viruses which emerged in China early in 2013 and caused more than 130 human infections. http://bioinf.uni-greifswald.de/ClassyFlu is a free web service. For local execution, the ClassyFlu source code in PERL is freely available.

  17. The otherness of sexuality: excess.

    PubMed

    Stein, Ruth

    2008-03-01

    The present essay, the second of a series of three, aims at developing an experience-near account of sexuality by rehabilitating the idea of excess and its place in sexual experience. It is suggested that various types of excess, such as excess of excitation (Freud), the excess of the other (Laplanche), excess beyond symbolization and the excess of the forbidden object of desire (Leviticus; Lacan) work synergistically to constitute the compelling power of sexuality. In addition to these notions, further notions of excess touch on its transformative potential. Such notions address excess that shatters psychic structures and that is actively sought so as to enable new ones to evolve (Bersani). Work is quoted that regards excess as a way of dealing with our lonely, discontinuous being by using the "excessive" cosmic energy circulating through us to achieve continuity against death (Bataille). Two contemporary analytic thinkers are engaged who deal with the object-relational and intersubjective vicissitudes of excess.

  18. Waiting for the flu: cognitive inertia and the Spanish influenza pandemic of 1918-19.

    PubMed

    Dicke, Tom

    2015-04-01

    This study looks at public awareness and understanding of the Spanish flu in the United States between June 1918, when the flu became "Spanish," and the end of September when the deadly second wave reached the majority of the country. Based on an extensive reading of local newspapers, it finds a near universal lack of preparation or panic or other signs of personal concern among those in the unaffected areas, despite extensive and potentially worrying coverage of the flu's progress. The normal reaction to news of the inexorable approach of a pandemic of uncertain virulence is anxiety and action. The Spanish flu produced neither in the uninfected areas for a month. The most likely reason appears to be cognitive inertia-the tendency of existing beliefs or habits of thought to blind people to changed realities. This inertia grew out of the widespread understanding of flu as a seasonal visitor that while frequently unpleasant almost never killed the strong and otherwise healthy. This view of the flu was powerful enough that it blinded many in the unaffected regions to the threat for weeks even in the face of daily or near daily coverage of the pandemic's spread.

  19. SimFlu: a simulation tool for predicting the variation pattern of influenza A virus.

    PubMed

    Ahn, Insung; Kim, Ha-Yeon; Jung, Sunghoon; Lee, Ji-Hae; Son, Hyeon Seok

    2014-09-01

    Since the first pandemic outbreak of avian influenza A virus (H5N1 subtype) in 1997, the National Center for Biotechnology Information (NCBI) has provided a large number of influenza virus sequences with well-organized annotations. Using the time-series sequences of influenza A viruses, we developed a simulation tool for influenza virus, named SimFlu, to predict possible future variants of influenza viruses. SimFlu can create variants from a seed nucleotide sequence of influenza A virus using the codon variation parameters included in the SimFlu package. The SimFlu library provides pre-calculated codon variation parameters for the H1N1, H3N2, and H5N1 subtypes of influenza A virus isolated from 2000 to 2011, allowing the users to simulate their own nucleotide sequences by selecting their preferred parameter options. SimFlu supports three operating systems - Windows, Linux, and Mac OS X. SimFlu is publicly available at http://lcbb.snu.ac.kr/simflu. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. Returning Samples from Enceladus

    NASA Astrophysics Data System (ADS)

    Tsou, P.; Kanik, I.; Brownlee, D.; McKay, C.; Anbar, A.; Glavin, D.; Yano, H.

    2012-12-01

    search for chemical biosignatures to understand the habitability potential of the subsurface ocean of Enceladus [Glavin et al. 2011]. By assessing the chiral excess among different amino acids, identifying chains of amino acids, isolate distinct sequences of these chains and the same for nucleic acids, we can formulate a new set of hypotheses to address some of the key science questions required for investigating the stage of extraterrestrial life at Enceladus beyond the four factors of habitability. Criticality of Analyses - For extraterrestrial organic matter analyses such as chirality and compound-specific isotopes, the repeatable robustness of laboratory measurements is a necessity. These analyses require a series of chemical extraction and derivatization steps prior to analysis that is adapted to the sample and procedures results-driven. The Stardust mission is an excellent example of the challenges in the analysis of organics. Confirmation of the cometary origin of the amino acid glycine from comet Wild 2 was obtained 3 years after the samples were returned to Earth. This long period of laboratory development allowed several modifications to the extraction protocol, multiple analytical techniques and instrumentations. Reference: Tsou et al., Astrobiology, in press 2012. McKay et al. Astrobiology 2008. Waite et al. Nature V 460 I 7254, 2009. Postberg et al. EPSC 642P 2011. Glavin et al., LPSC, #5002, 2011.

  1. 32 CFR 644.534 - Return of public domain land.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Return of public domain land. 644.534 Section 644... Excess Land and Improvements § 644.534 Return of public domain land. (a) General. The procedures... Department of the Army to assist and advise the land holder and protect the public from dangerous substances...

  2. Flu Near You: Crowdsourced Symptom Reporting Spanning 2 Influenza Seasons

    PubMed Central

    Smolinski, Mark S.; Baltrusaitis, Kristin; Chunara, Rumi; Olsen, Jennifer M.; Wójcik, Oktawia; Santillana, Mauricio; Nguyen, Andre; Brownstein, John S.

    2015-01-01

    Objectives. We summarized Flu Near You (FNY) data from the 2012–2013 and 2013–2014 influenza seasons in the United States. Methods. FNY collects limited demographic characteristic information upon registration, and prompts users each Monday to report symptoms of influenza-like illness (ILI) experienced during the previous week. We calculated the descriptive statistics and rates of ILI for the 2012–2013 and 2013–2014 seasons. We compared raw and noise-filtered ILI rates with ILI rates from the Centers for Disease Control and Prevention ILINet surveillance system. Results. More than 61 000 participants submitted at least 1 report during the 2012–2013 season, totaling 327 773 reports. Nearly 40 000 participants submitted at least 1 report during the 2013–2014 season, totaling 336 933 reports. Rates of ILI as reported by FNY tracked closely with ILINet in both timing and magnitude. Conclusions. With increased participation, FNY has the potential to serve as a viable complement to existing outpatient, hospital-based, and laboratory surveillance systems. Although many established systems have the benefits of specificity and credibility, participatory systems offer advantages in the areas of speed, sensitivity, and scalability. PMID:26270299

  3. Visibility Estimation for the CHARA/JouFLU Exozodi Survey

    NASA Astrophysics Data System (ADS)

    Nuñez, Paul D.; ten Brummelaar, Theo; Mennesson, Bertrand; Scott, Nicholas J.

    2017-02-01

    We discuss the estimation of the interferometric visibility (fringe contrast) for the Exozodi survey conducted at the CHARA array with the JouFLU beam combiner. We investigate the use of the statistical median to estimate the uncalibrated visibility from an ensemble of fringe exposures. Under a broad range of operating conditions, numerical simulations indicate that this estimator has a smaller bias compared with other estimators. We also propose an improved method for calibrating visibilities, which not only takes into account the time interval between observations of calibrators and science targets, but also the uncertainties of the calibrators’ raw visibilities. We test our methods with data corresponding to stars that do not display the exozodi phenomenon. The results of our tests show that the proposed method yields smaller biases and errors. The relative reduction in bias and error is generally modest, but can be as high as ∼ 20 % {--}40 % for the brightest stars of the CHARA data and statistically significant at the 95% confidence level (CL).

  4. Prisons' preparedness for pandemic flu and the ethical issues.

    PubMed

    van't Hoff, G; Fedosejeva, R; Mihailescu, L

    2009-06-01

    In Europe at any given time there are about 1,8 million people imprisoned in penal institutions. About 1 million personnel are working in prisons. With prisons, from the start there are fundamental problems in many parts of Europe. Poor housing conditions in prisons and a high proportion of prisoners who already suffer from severe health problems mean the chance of an outbreak in prison during a pandemic must be quite high. We expect it can be up to 90%. In this article we explain what the characteristics are of the prison population from a health point of view. A high rate of detainees suffers from mental health disorders and/or addiction. A high prevalence of communicable and infectious diseases is the rule, not an exception. According to the European Prison Rules and many other international rules, statements and documents prison health care should be an integral part of the public health system of any country. However, it has to be accepted that the prison population is the least popular in society and in politics. In reality in many countries in Europe the situation in prison cannot meet the level strived for by the European Prison Rules. We compare preparedness on pandemic flu in The Netherlands, Latvia and Romania. We explore the problems and ethical issues that may arise if a pandemic breaks out. There are three ethical dilemmas that require consideration: equivalence of care and prisoners' right to health care; prisoners' interests verses society's interests; countries in need and calls for bilateral help.

  5. Nudges or mandates? The ethics of mandatory flu vaccination.

    PubMed

    Dubov, Alex; Phung, Connie

    2015-05-21

    According to the CDC report for the 2012-2013 influenza season, there was a modest increase in the vaccination coverage rate among healthcare workers from 67% in 2011-2012, to 72% in 2012-2013 to the current 75% coverage. This is still far from reaching the US National Healthy People 2020 goal of 90% hospitals vaccination rates. The reported increase in coverage is attributed to the growing number of healthcare facilities with vaccination requirements with average rates of 96.5%. However, a few other public health interventions stir so much controversy and debate as vaccination mandates. The opposition stems from the belief that a mandatory flu shot policy violates an individual right to refuse unwanted treatment. This article outlines the historic push to achieve higher vaccination rates among healthcare professionals and a number of ethical issues arising from attempts to implement vaccination mandates. It then turns to a review of cognitive biases relevant in the context of decisions about influenza vaccination (omission bias, ambiguity aversion, present bias etc.) The article suggests that a successful strategy for policy-makers and others hoping to increase vaccination rates is to design a "choice architecture" that influences behavior of healthcare professionals without foreclosing other options. Nudges incentivize vaccinations and help better align vaccination intentions with near-term actions. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. A rapid method for assessing social versus independent interest in health issues: a case study of 'bird flu' and 'swine flu'.

    PubMed

    Bentley, R Alexander; Ormerod, Paul

    2010-08-01

    Effective communication strategies regarding health issues are affected by the way in which the public obtain their knowledge, particularly whether people become interested independently, or through their social networks. This is often investigated through localized ethnography or surveys. In rapidly-evolving situations, however, there may also be a need for swift, case-specific assessment as a guide to initial strategy development. With this aim, we analyze real-time online data, provided by the new 'Google Trends' tool, concerning Internet search frequency for health-related issues. To these data we apply a simple model to characterise the effective degree of social transmission versus decisions made individually. As case examples, we explore two rapidly-evolved issues, namely the world-wide interest in avian influenza, or 'bird flu', in 2005, and in H1N1, or 'swine flu', from late April to early May 2009. The 2005 'bird flu' scare demonstrated almost pure imitation for two months initially, followed by a spike of independent decision that corresponded with an announcement by US president George Bush. For 'swine flu' in 2009, imitation was the more prevalent throughout. Overall, the results show how interest in health scares can spread primarily by social means, and that engaging more independent decisions at the population scale may require a dramatic announcement to push a populace over the 'tipping point'.

  7. Excess flow shutoff valve

    DOEpatents

    Kiffer, Micah S.; Tentarelli, Stephen Clyde

    2016-02-09

    Excess flow shutoff valve comprising a valve body, a valve plug, a partition, and an activation component where the valve plug, the partition, and activation component are disposed within the valve body. A suitable flow restriction is provided to create a pressure difference between the upstream end of the valve plug and the downstream end of the valve plug when fluid flows through the valve body. The pressure difference exceeds a target pressure difference needed to activate the activation component when fluid flow through the valve body is higher than a desired rate, and thereby closes the valve.

  8. Why Do Staff Return?

    ERIC Educational Resources Information Center

    Magnuson, Connie

    1992-01-01

    Surveyed 211 returning staff from 25 camps and interviewed 19 returning staff to study factors that influence a counselor's decision to return to camp. Examined the following dimensions of motivation and hygiene factors: (1) stimulation or inspiration; (2) personal; (3) job-related experience; (4) living conditions and camp life; (5) camp…

  9. Public views of the uk media and government reaction to the 2009 swine flu pandemic

    PubMed Central

    2010-01-01

    Background The first cases of influenza A/H1N1 (swine flu) were confirmed in the UK on 27th April 2009, after a novel virus first identified in Mexico rapidly evolved into a pandemic. The swine flu outbreak was the first pandemic in more than 40 years and for many, their first encounter with a major influenza outbreak. This study examines public understandings of the pandemic, exploring how people deciphered the threat and perceived they could control the risks. Methods Purposive sampling was used to recruit seventy three people (61 women and 12 men) to take part in 14 focus group discussions around the time of the second wave in swine flu cases. Results These discussions showed that there was little evidence of the public over-reacting, that people believed the threat of contracting swine flu was inevitable, and that they assessed their own self-efficacy for protecting against it to be low. Respondents assessed a greater risk to their health from the vaccine than from the disease. Such findings could have led to apathy about following the UK Governments recommended health protective behaviours, and a sub-optimal level of vaccine uptake. More generally, people were confused about the difference between seasonal influenza and swine flu and their vaccines. Conclusions This research suggests a gap in public understandings which could hinder attempts to communicate about novel flu viruses in the future. There was general support for the government's handling of the pandemic, although its public awareness campaign was deemed ineffectual as few people changed their current hand hygiene practices. There was less support for the media who were deemed to have over-reported the swine flu pandemic. PMID:21078169

  10. 26 CFR 514.9 - Refund of excess tax withheld.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... UNDER TAX CONVENTIONS FRANCE Withholding of Tax § 514.9 Refund of excess tax withheld. (a) Years 1952... taxpayer to file an income tax return (Form 1040NB France for individuals and Form 1120NB France for... alien individual, fiduciary, or partnership) resident in France or was a French corporation, during the...

  11. 26 CFR 514.9 - Refund of excess tax withheld.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... UNDER TAX CONVENTIONS FRANCE Withholding of Tax § 514.9 Refund of excess tax withheld. (a) Years 1952... taxpayer to file an income tax return (Form 1040NB France for individuals and Form 1120NB France for... alien individual, fiduciary, or partnership) resident in France or was a French corporation, during the...

  12. 26 CFR 514.9 - Refund of excess tax withheld.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... UNDER TAX CONVENTIONS FRANCE Withholding of Tax § 514.9 Refund of excess tax withheld. (a) Years 1952... taxpayer to file an income tax return (Form 1040NB France for individuals and Form 1120NB France for... alien individual, fiduciary, or partnership) resident in France or was a French corporation, during the...

  13. Excess mortality in Harlem.

    PubMed

    McCord, C; Freeman, H P

    1990-01-18

    In recent decades mortality rates have declined for both white and nonwhite Americans, but national averages obscure the extremely high mortality rates in many inner-city communities. Using data from the 1980 census and from death certificates in 1979, 1980, and 1981, we examined mortality rates in New York City's Central Harlem health district, where 96 percent of the inhabitants are black and 41 percent live below the poverty line. For Harlem, the age-adjusted rate of mortality from all causes was the highest in New York City, more than double that of U.S. whites and 50 percent higher than that of U.S. blacks. Almost all the excess mortality was among those less than 65 years old. With rates for the white population as the basis for comparison, the standardized (adjusted for age) mortality ratios (SMRs) for deaths under the age of 65 in Harlem were 2.91 for male residents and 2.70 for female residents. The highest ratios were for women 25 to 34 years old (SMR, 6.13) and men 35 to 44 years old (SMR, 5.98). The chief causes of this excess mortality were cardiovascular disease (23.5 percent of the excess deaths; SMR, 2.23), cirrhosis (17.9 percent; SMR, 10.5), homicide (14.9 percent; SMR, 14.2), and neoplasms (12.6 percent; SMR, 1.77). Survival analysis showed that black men in Harlem were less likely to reach the age of 65 than men in Bangladesh. Of the 353 health areas in New York, 54 (with a total population of 650,000) had mortality rates for persons under 65 years old that were at lest twice the expected rate. All but one of these areas of high mortality were predominantly black or Hispanic. We conclude that Harlem and probably other inner-city areas with largely black populations have extremely high mortality rates that justify special consideration analogous to that given to natural-disaster areas.

  14. Alleviating CTAC and Flu combined pollution damage in Chlorella vulgaris by exogenous nitric oxide.

    PubMed

    Li, Qi; Liang, Zhijie; Ge, Fei; Xu, Yin; Yang, Liang; Zeng, Hui

    2014-02-01

    This study investigates the effect of sodium nitroprussiate (SNP), an exogenous NO-donor, on the joint toxicity of binary mixtures of cetyltrimethylammonium chloride (CTAC) and fluoranthene (Flu) (CTAC/Flu), which are representatives for surfactants and polycyclic aromatic hydrocarbons (PAHs) respectively, in a unicellular green alga Chlorella vulgaris (C. vulgaris). The results showed that the addition of low SNP (20μM) alleviated the CTAC/Flu combined pollution damage in C. vulgaris. Supplement of low SNP significantly increased the algae biomass, chlorophyll content, soluble protein content and the activities of superoxide dismutase (SOD), peroxidase (POD) and catalase (CAT) as compared to CTAC/Flu treatment alone. SNP also reduced the content of malondialdehyde (MDA) and the reactive oxygen species (ROS), as compared with CTAC/Flu treated alone. On the contrary, the above phenomena were reversed when high concentration of SNP (100μM) was added. Our study indicated that the damage of the joint action of surfactants and PAHs on hydrobios can be alleviated through protecting against oxidant substances and increasing the activity of antioxidant enzymes with an exogenous supply of NO in certain concentration range.

  15. Necessity to critically review the automatic results of the Xpert Flu assay.

    PubMed

    Engelmann, Ilka; Alidjinou, Enagnon Kazali; Lazrek, Mouna; Dewilde, Anny; Hober, Didier

    2017-02-02

    While using the Xpert Flu assay we became aware of false-negative results. The study aimed to analyze the causes of these false-negative results. One hundred fifty-nine respiratory specimens were tested in the Xpert Flu assay and in multiplex reverse transcription-polymerase chain reactions (RT-PCRs) for respiratory viruses. Discordant specimens were tested in the Influenza A/B r-gene assay. One hundred fifty-two (96%) and 151 (95%) specimens yielded concordant results for influenza A and B, respectively. Fifteen specimens tested negative in the Xpert Flu assay and positive in a multiplex RT-PCR. Positive results were confirmed for 12 of these specimens in the Influenza A/B r-gene assay. Xpert Flu assay amplification curves and endpoints suggested that the false-negative results were mainly due to erroneous automatic result interpretation. We report false-negative results of the Xpert Flu assay due to erroneous automatic result interpretation. Careful analysis of amplification curves and endpoints is needed to avoid reporting of false-negative results.

  16. Persistent racial and ethnic disparities in flu vaccination coverage: Results from a population-based study.

    PubMed

    Almario, Christopher V; May, Folasade P; Maxwell, Allison E; Ren, Wanmeng; Ponce, Ninez A; Spiegel, Brennan M R

    2016-09-01

    The Advisory Committee on Immunization Practices recommends annual flu vaccination for all adults. We aimed to identify predictors of receiving a flu vaccination, with an emphasis on the impact of race and ethnicity. We used data from the 2011-2012 California Health Interview Survey and included all individuals aged ≥18 years. We performed a survey-weighted logistic regression on receipt of flu vaccination within the last year, adjusted by demographic and socioeconomic variables, and calculated odds ratios (ORs) and 95% confidence intervals (CIs). Our study included a population-weighted sample of 27,796,484 individuals. Overall, 35.8% received a flu vaccination within the last year. Blacks were 33% less likely (95% CI, 21%-43%) to have been vaccinated than whites. Conversely, Koreans (OR, 1.77; 95% CI, 1.35-2.33) and Vietnamese (OR, 1.57; 95% CI, 1.19-2.07) were more likely than whites to have been vaccinated. No differences were seen between whites and the remaining racial and ethnic groups (Latino, Japanese, Chinese, Filipino, South Asian, Asian other, and other). Racial and ethnic disparities in flu vaccination uptake exist in California. Namely, blacks have lower vaccination rates than whites, and there are disparate vaccination rates among the Asian-American subgroups. Efforts to increase vaccination rates among these groups are needed. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  17. Intranasal Flu Vaccine Protective against Seasonal and H5N1 Avian Influenza Infections

    PubMed Central

    Alsharifi, Mohammed; Lobigs, Mario; Koskinen, Aulikki; Regner, Matthias; Trinidad, Lee; Boyle, David B.; Müllbacher, Arno

    2009-01-01

    Background Influenza A (flu) virus causes significant morbidity and mortality worldwide, and current vaccines require annual updating to protect against the rapidly arising antigenic variations due to antigenic shift and drift. In fact, current subunit or split flu vaccines rely exclusively on antibody responses for protection and do not induce cytotoxic T (Tc) cell responses, which are broadly cross-reactive between virus strains. We have previously reported that γ-ray inactivated flu virus can induce cross-reactive Tc cell responses. Methodology/Principal Finding Here, we report that intranasal administration of purified γ-ray inactivated human influenza A virus preparations (γ-Flu) effectively induces heterotypic and cross-protective immunity. A single intranasal administration of γ-A/PR8[H1N1] protects mice against lethal H5N1 and other heterotypic infections. Conclusions/Significance Intranasal γ-Flu represents a unique approach for a cross-protective vaccine against both seasonal as well as possible future pandemic influenza A virus infections. PMID:19401775

  18. Consequences of excess iodine

    PubMed Central

    Leung, Angela M.; Braverman, Lewis E.

    2014-01-01

    Iodine is a micronutrient that is essential for the production of thyroid hormones. The primary source of iodine is the diet via consumption of foods that have been fortified with iodine, including salt, dairy products and bread, or that are naturally abundant in the micronutrient, such as seafood. Recommended daily iodine intake is 150 μg in adults who are not pregnant or lactating. Ingestion of iodine or exposure above this threshold is generally well-tolerated. However, in certain susceptible individuals, including those with pre-existing thyroid disease, the elderly, fetuses and neonates, or patients with other risk factors, the risk of developing iodine-induced thyroid dysfunction might be increased. Hypothyroidism or hyperthyroidism as a result of supraphysiologic iodine exposure might be either subclinical or overt, and the source of the excess iodine might not be readily apparent. PMID:24342882

  19. Controlling Pandemic Flu: The Value of International Air Travel Restrictions

    PubMed Central

    Epstein, Joshua M.; Goedecke, D. Michael; Yu, Feng; Morris, Robert J.; Wagener, Diane K.; Bobashev, Georgiy V.

    2007-01-01

    Background Planning for a possible influenza pandemic is an extremely high priority, as social and economic effects of an unmitigated pandemic would be devastating. Mathematical models can be used to explore different scenarios and provide insight into potential costs, benefits, and effectiveness of prevention and control strategies under consideration. Methods and Findings A stochastic, equation-based epidemic model is used to study global transmission of pandemic flu, including the effects of travel restrictions and vaccination. Economic costs of intervention are also considered. The distribution of First Passage Times (FPT) to the United States and the numbers of infected persons in metropolitan areas worldwide are studied assuming various times and locations of the initial outbreak. International air travel restrictions alone provide a small delay in FPT to the U.S. When other containment measures are applied at the source in conjunction with travel restrictions, delays could be much longer. If in addition, control measures are instituted worldwide, there is a significant reduction in cases worldwide and specifically in the U.S. However, if travel restrictions are not combined with other measures, local epidemic severity may increase, because restriction-induced delays can push local outbreaks into high epidemic season. The per annum cost to the U.S. economy of international and major domestic air passenger travel restrictions is minimal: on the order of 0.8% of Gross National Product. Conclusions International air travel restrictions may provide a small but important delay in the spread of a pandemic, especially if other disease control measures are implemented during the afforded time. However, if other measures are not instituted, delays may worsen regional epidemics by pushing the outbreak into high epidemic season. This important interaction between policy and seasonality is only evident with a global-scale model. Since the benefit of travel restrictions

  20. Phobos Sample Return: Next Approach

    NASA Astrophysics Data System (ADS)

    Zelenyi, Lev; Martynov, Maxim; Zakharov, Alexander; Korablev, Oleg; Ivanov, Alexey; Karabadzak, George

    possible scenario of the Boomerang mission includes the approach to Deimos prior to the landing of Phobos. The needed excess ΔV w.r.t. simple scenario (elliptical orbit à near-Phobos orbit) amounts to 0.67 km s-1 (1.6 vs 0.93 km s-1). The Boomerang mission basically repeats the Phobos-SR (2011) architecture, where the transfer-orbiting spacecraft lands on the Phobos surface and a small return vehicle launches the return capsule to Earth. We consider the Boomerang mission as an important step in Mars exploration and a direct precursor of Mars Sample Return. The following elements of the Boomerang mission might be directly employed, or serve as the prototypes for the Mars Sample return in future: Return vehicle, Earth descent module, Transfer-orbital spacecraft. We urge the development of this project for its high science value and recognize its elements as potential national contribution to an international Mars Sample Return project. Galimov E.M., Phobos sample return mission: scientific substantiation, Solar System Res., v.44, No.1, pp5-14, 2010. Chappaz L., H.J. Melosh, M. Vaguero, and K.C. Howell, Material transfer from the surface of Mars to Phobos and Deimos, 43rd Lunar and planetary Science Conference, paper 1422, 2012.

  1. Timely detection of localized excess influenza activity in Northern California across patient care, prescription, and laboratory data.

    PubMed

    Greene, Sharon K; Kulldorff, Martin; Huang, Jie; Brand, Richard J; Kleinman, Kenneth P; Hsu, John; Platt, Richard

    2011-02-28

    Timely detection of clusters of localized influenza activity in excess of background seasonal levels could improve situational awareness for public health officials and health systems. However, no single data type may capture influenza activity with optimal sensitivity, specificity, and timeliness, and it is unknown which data types could be most useful for surveillance. We compared the performance of 10 types of electronic clinical data for timely detection of influenza clusters throughout the 2007/08 influenza season in northern California. Kaiser Permanente Northern California generated zip code-specific daily episode counts for: influenza-like illness (ILI) diagnoses in ambulatory care (AC) and emergency departments (ED), both with and without regard to fever; hospital admissions and discharges for pneumonia and influenza; antiviral drugs dispensed (Rx); influenza laboratory tests ordered (Tests); and tests positive for influenza type A (FluA) and type B (FluB). Four credible events of localized excess illness were identified. Prospective surveillance was mimicked within each data stream using a space-time permutation scan statistic, analyzing only data available as of each day, to evaluate the ability and timeliness to detect the credible events. AC without fever and Tests signaled during all four events and, along with Rx, had the most timely signals. FluA had less timely signals. ED, hospitalizations, and FluB did not signal reliably. When fever was included in the ILI definition, signals were either delayed or missed. Although limited to one health plan, location, and year, these results can inform the choice of data streams for public health surveillance of influenza.

  2. Global response to pandemic flu: more research needed on a critical front.

    PubMed

    Lim, Meng-Kin

    2006-10-13

    If and when sustained human-to-human transmission of H5N1 becomes a reality, the world will no longer be dealing with sporadic avian flu borne along migratory flight paths of birds, but aviation flu - winged at subsonic speed along commercial air conduits to every corner of planet Earth. Given that air transportation is the one feature that most differentiates present day transmission scenarios from those in 1918, our present inability to prevent spread of influenza by international air travel, as reckoned by the World Health Organization, constitutes a major weakness in the current global preparedness plan against pandemic flu. Despite the lessons of SARS, it is surprising that aviation-related health policy options have not been more rigorously evaluated, or scientific research aimed at strengthening public health measures on the air transportation front, more energetically pursued.

  3. Global response to pandemic flu: more research needed on a critical front

    PubMed Central

    Lim, Meng-Kin

    2006-01-01

    If and when sustained human-to-human transmission of H5N1 becomes a reality, the world will no longer be dealing with sporadic avian flu borne along migratory flight paths of birds, but aviation flu – winged at subsonic speed along commercial air conduits to every corner of planet Earth. Given that air transportation is the one feature that most differentiates present day transmission scenarios from those in 1918, our present inability to prevent spread of influenza by international air travel, as reckoned by the World Health Organization, constitutes a major weakness in the current global preparedness plan against pandemic flu. Despite the lessons of SARS, it is surprising that aviation-related health policy options have not been more rigorously evaluated, or scientific research aimed at strengthening public health measures on the air transportation front, more energetically pursued. PMID:17038194

  4. It's coming: cold and flu season--can we make a difference? Implications for home care and hospice.

    PubMed

    Polzien, Gladys

    2006-10-01

    Health promotion and disease prevention is possible with accurate information and patient education. By being prepared to answer questions from patients and caregivers early this cold and flu season, we can make a difference to prevent the spread of colds and flu and their potentially serious complications.

  5. Does correcting myths about the flu vaccine work? An experimental evaluation of the effects of corrective information.

    PubMed

    Nyhan, Brendan; Reifler, Jason

    2015-01-09

    Seasonal influenza is responsible for thousands of deaths and billions of dollars of medical costs per year in the United States, but influenza vaccination coverage remains substantially below public health targets. One possible obstacle to greater immunization rates is the false belief that it is possible to contract the flu from the flu vaccine. A nationally representative survey experiment was conducted to assess the extent of this flu vaccine misperception. We find that a substantial portion of the public (43%) believes that the flu vaccine can give you the flu. We also evaluate how an intervention designed to address this concern affects belief in the myth, concerns about flu vaccine safety, and future intent to vaccinate. Corrective information adapted from the Centers for Disease Control and Prevention (CDC) website significantly reduced belief in the myth that the flu vaccine can give you the flu as well as concerns about its safety. However, the correction also significantly reduced intent to vaccinate among respondents with high levels of concern about vaccine side effects--a response that was not observed among those with low levels of concern. This result, which is consistent with previous research on misperceptions about the MMR vaccine, suggests that correcting myths about vaccines may not be an effective approach to promoting immunization.

  6. Returning to practice.

    PubMed

    Holland, S

    1994-03-01

    All too often health visitors seeking to return to practice following a career break are met with negative response, writes Stevie Holland. Here she recounts the words and experiences of some of the health visitors who enrolled on the HVA's open learning 'Return to practice' courses in recent years. The health visiting profession needs to encourage the enthusiasm and innovation of returners if it is to survive in today's political climate, she warns.

  7. Assured crew return vehicle

    NASA Technical Reports Server (NTRS)

    Cerimele, Christopher J. (Inventor); Ried, Robert C. (Inventor); Peterson, Wayne L. (Inventor); Zupp, George A., Jr. (Inventor); Stagnaro, Michael J. (Inventor); Ross, Brian P. (Inventor)

    1991-01-01

    A return vehicle is disclosed for use in returning a crew to Earth from low earth orbit in a safe and relatively cost effective manner. The return vehicle comprises a cylindrically-shaped crew compartment attached to the large diameter of a conical heat shield having a spherically rounded nose. On-board inertial navigation and cold gas control systems are used together with a de-orbit propulsion system to effect a landing near a preferred site on the surface of the Earth. State vectors and attitude data are loaded from the attached orbiting craft just prior to separation of the return vehicle.

  8. Potential of Complementary and Alternative Medicine in Preventive Management of Novel H1N1 Flu (Swine Flu) Pandemic: Thwarting Potential Disasters in the Bud

    PubMed Central

    Arora, Rajesh; Chawla, R.; Marwah, Rohit; Arora, P.; Sharma, R. K.; Kaushik, Vinod; Goel, R.; Kaur, A.; Silambarasan, M.; Tripathi, R. P.; Bhardwaj, J. R.

    2011-01-01

    The emergence of novel H1N1 has posed a situation that warrants urgent global attention. Though antiviral drugs are available in mainstream medicine for treating symptoms of swine flu, currently there is no preventive medicine available. Even when available, they would be in short supply and ineffective in a pandemic situation, for treating the masses worldwide. Besides the development of drug resistance, emergence of mutant strains of the virus, emergence of a more virulent strain, prohibitive costs of available drugs, time lag between vaccine developments, and mass casualties would pose difficult problems. In view of this, complementary and alternative medicine (CAM) offers a plethora of interesting preventive possibilities in patients. Herbs exhibit a diverse array of biological activities and can be effectively harnessed for managing pandemic flu. Potentially active herbs can serve as effective anti influenza agents. The role of CAM for managing novel H1N1 flu and the mode of action of these botanicals is presented here in an evidence-based approach that can be followed to establish their potential use in the management of influenza pandemics. The complementary and alternative medicine approach deliberated in the paper should also be useful in treating the patients with serious influenza in non pandemic situations. PMID:20976081

  9. Evaluation of the rapid influenza detection tests GOLD SIGN FLU and Quick Navi-Flu for the detection of influenza A and B virus antigens in adults during the influenza season.

    PubMed

    Akaishi, Yu; Matsumoto, Tetsuya; Harada, Yoshimi; Hirayama, Yoji

    2016-11-01

    As the characteristics and accuracy of rapid influenza detection tests (RIDTs) vary, the development of a high-performance RIDT has been eagerly anticipated. In this study, the new RIDT GOLD SIGN FLU and the existing RIDT Quick Navi-Flu were evaluated in terms of detecting the antigens of influenza viruses A and B in Japanese adults with influenza-like symptoms. The study was performed from December 2013 to March 2014. Among the 123 patients from whom nasopharyngeal swab specimens were collected, 59 tested positive by viral isolation as the gold standard method (influenza A, n=38; influenza B, n=21). For GOLD SIGN FLU, the sensitivities were 73.7% and 81.0%, and the specificities were 97.6% and 98.0% for influenza A and B, respectively. For Quick Navi-Flu, the sensitivities were 86.8% and 85.7%, and the specificities were 98.8% and 100% for influenza A and B, respectively. The time to the appearance of the line on the test strip was less than 3min for influenza A and less than 2min for influenza B with both RIDTs in more than 90% of cases. GOLD SIGN FLU was useful for diagnosing influenza A, and the result was readily available for influenza B particularly among adult patients. Quick Navi-Flu showed better sensitivities and specificities than GOLD SIGN FLU.

  10. Age and Ethnic Differences in Cold Weather and Contagion Theories of Colds and Flu

    ERIC Educational Resources Information Center

    Sigelman, Carol K.

    2012-01-01

    Age and ethnic group differences in cold weather and contagion or germ theories of infectious disease were explored in two studies. A cold weather theory was frequently invoked to explain colds and to a lesser extent flu but became less prominent with age as children gained command of a germ theory of disease. Explanations of how contact with…

  11. College students' perceptions of H1N1 flu risk and attitudes toward vaccination.

    PubMed

    Ramsey, Meagan A; Marczinski, Cecile A

    2011-10-13

    College students are highly susceptible to the H1N1 virus, yet previous studies suggest that college students perceive themselves at low risk for the flu. We surveyed 514 undergraduates to assess their perceptions of H1N1 flu risk and opinions about flu vaccines. A third of respondents stated that they were not at risk of getting the H1N1 flu because they were young. Responses indicated a distrust of the safety and effectiveness of influenza vaccinations; only 15.8% of participants planned on receiving H1N1 vaccination. Top reasons for refusing the H1N1 vaccine included questioning vaccine safety and effectiveness, and concerns about potential serious and/or benign side effects. Top reasons for H1N1 vaccination acceptance included receiving a doctor recommendation for the vaccine, having previously gotten a seasonal vaccine, and being at high-risk for influenza. Our findings suggest that college students are inaccurate in assessing their risk level and are unlikely to seek vaccinations.

  12. CAN FLU-LIKE ILLNESS BE AN INDICATION OF RECENT ORGANOPHOSPHATE PESTICIDE EXPOSURE IN PRESCHOOL CHILDREN?

    EPA Science Inventory

    Can flu-like illness be an indication of recent organophosphate pesticide exposure in preschool children? P Mendola*, D Barr, D Walsh, S Hern, S Rhoney, L Needham, E Hilborn, M Gonzales, C Carty, G Robertson, J Creason (US EPA, ORD, NHEERL, Research Triangle Park, NC 27711)
    <...

  13. The effects of a hot drink on nasal airflow and symptoms of common cold and flu.

    PubMed

    Sanu, A; Eccles, R

    2008-12-01

    Hot drinks are a common treatment for common cold and flu but there are no studies reported in the scientific and clinical literature on this mode of treatment. This study investigated the effects of a hot fruit drink on objective and subjective measures of nasal airflow, and on subjective scores for common cold/flu symptoms in 30 subjects suffering from common cold/flu. The results demonstrate that the hot drink had no effect on objective measurement of nasal airflow but it did cause a significant improvement in subjective measures of nasal airflow. The hot drink provided immediate and sustained relief from symptoms of runny nose, cough, sneezing, sore throat, chilliness and tiredness, whereas the same drink at room temperature only provided relief from symptoms of runny nose, cough and sneezing. The effects of the drinks are discussed in terms of a placebo effect and physiological effects on salivation and airway secretions. In conclusion the results support the folklore that a hot tasty drink is a beneficial treatment for relief of most symptoms of common cold and flu.

  14. Implementation of Flu (Influenza) Vaccination into Armenian Armed Forces Pre-Emptive Vaccination Plan

    DTIC Science & Technology

    2016-12-01

    31 2. Definition of Scope, Facts, and Assumptions ............................32 viii 3. Definition of Alternative Documents...33 B. COST ESTIMATE FOR EACH ALTERNATIVE ; FLU MORBIDITY LEVEL FOR SERVICEMEN .......................................33 1. Days...DEFINITION OF ALTERNATIVE SELECTION CRITERIA .........45 E. COMPARISON OF ALTERNATIVES .................................................46 V. CONCLUSION

  15. Swine-Flu Scare Offers Lessons for Study-Abroad Programs

    ERIC Educational Resources Information Center

    Fischer, Karin

    2009-01-01

    Reports of swine flu have led some colleges to pull students and faculty members out of Mexico, the epicenter of the outbreak, and to cancel study-abroad programs there. But even as the number of new cases appears to be falling, the health scare offers some lasting lessons for colleges, says Gary Rhodes, director of the Center for Global Education…

  16. Time to Get Your Seasonal Flu Shot | NIH MedlinePlus the Magazine

    MedlinePlus

    ... of flu viruses commonly circulate among people today: influenza A (H1N1) viruses, influenza A (H3N2) viruses, and influenza B viruses. Each ... seasonal influenza vaccine. All of the 2014-2015 influenza vaccine is made to ... an A/California/7/2009 (H1N1)pdm09-like virus an A/Texas/50/2012 ( ...

  17. Preparing for the Flu During the 2009-10 School Year: Questions and Answers for Schools

    ERIC Educational Resources Information Center

    US Department of Education, 2009

    2009-01-01

    This brochure provides answers to the following questions: (1) Why do school districts, schools, teachers, parents, and communities need to plan for the continuation of learning for students during flu season this year? (2) How should districts and schools go about planning to continue students' education when they are at home because of H1N1?…

  18. Five Thorny Questions to Ask when Planning for an Avian Flu Pandemic

    ERIC Educational Resources Information Center

    Ostroth, D. David; Frias, Mary Lou; Turrentine, Cathryn G.

    2006-01-01

    Public health experts project a strong possibility that an avian flu pandemic will occur in the next 4 years, and the federal government has already warned that states and localities must make their own plans for this event since such a broad scale public health crises would far outstrip federal capacity to respond. Colleges and universities are…

  19. Correlates of seasonal flu vaccination among U.S. home health aides.

    PubMed

    Caban-Martinez, Alberto Juan; Arlinghaus, Anna; Reme, Silje E

    2013-01-02

    Home health aides (HAs) receive limited training and reach many older patient populations highly susceptible to influenza virus. We sought to examine socio-demographic correlates of seasonal flu vaccination receipt among HAs. We analyzed data from the 2007 U.S. National Home Health Aide Survey, a nationally representative sample of HAs reporting on occupational status, job and demographic characteristics and receipt of seasonal flu vaccine (n=3377). Seasonal flu vaccine receipt was low among all types of HAs (43.9%). After adjustment for socio-demographic indicators (i.e. age, gender, race and health insurance), home health, home care, hospice and personal care attendants were significantly less likely to report receiving seasonal flu vaccine as compared to licensed nursing assistants (adjusted odds ratio, AOR=0.42, 95% CI [0.20-0.85]; 0.41, [0.17-0.99]; 0.50, [0.26-0.97], and 0.53, [0.26-0.99], respectively). Targeted effective vaccination campaigns are needed to improve vaccination rates among home health aides. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. CAN FLU-LIKE ILLNESS BE AN INDICATION OF RECENT ORGANOPHOSPHATE PESTICIDE EXPOSURE IN PRESCHOOL CHILDREN?

    EPA Science Inventory

    Can flu-like illness be an indication of recent organophosphate pesticide exposure in preschool children? P Mendola*, D Barr, D Walsh, S Hern, S Rhoney, L Needham, E Hilborn, M Gonzales, C Carty, G Robertson, J Creason (US EPA, ORD, NHEERL, Research Triangle Park, NC 27711)
    <...

  1. Can movie theater advertisements promote health behaviors? Evaluation of a flu vaccination pilot campaign.

    PubMed

    Peddecord, K Michael; Jacobson, Isabel Gomez; Engelberg, Moshe; Kwizera, Lisa; Macias, Violet; Gustafson, Kathleen W

    2008-09-01

    As part of a multimedia campaign to promote annual influenza vaccination, three slides were shown as part of the slide show of advertisements prior to the beginning of previews in movie theaters in San Diego County. Intercept surveys were conducted following the movie. The primary target groups for the campaign were adults with children 6 months to 2 years of age and adults over 50 years of age. Overall, 88% of exposed patrons reported seeing some type of movie ad. Among those who recalled any ad, 24% recalled the flu advertisement. In contrast, recall of flu-related news coverage was high, with over 95% of exposed and comparison interviewees recalling news stories during the campaign period. While 56% of those interviewed remembered one or more specific flu-related news items, individuals within this group who also had also been exposed to the movie ads were not more likely to recall flu campaign advertisements. We describe a method for estimating valid recalls and cost per valid exposure. Further research that compares movie ads with public service announcements (PSAs) in other venues is necessary to solidify our conclusions that movie advertising is a highly cost-effective medium for health communication.

  2. Swine-Flu Scare Offers Lessons for Study-Abroad Programs

    ERIC Educational Resources Information Center

    Fischer, Karin

    2009-01-01

    Reports of swine flu have led some colleges to pull students and faculty members out of Mexico, the epicenter of the outbreak, and to cancel study-abroad programs there. But even as the number of new cases appears to be falling, the health scare offers some lasting lessons for colleges, says Gary Rhodes, director of the Center for Global Education…

  3. [The 2009 H1N1 flu pandemic in Navarre, Spain].

    PubMed

    Castilla, Jesús; Morán, J; Fernández-Alonso, M; Martínez Artola, V; Zamora, M J; Mazón, A; Fernández, C; García Cenoz, M; Elía, F; Reina, G; Salcedo, E; Irisarri, F; Barricarte, A

    2010-01-01

    To describe flu activity during the 2009-2010 pandemic in Navarre and compare it to previous seasons. An analysis was made of all flu cases reported in primary care and all the virological confirmations made in patients in primary care and in hospitals of Navarre between week 21 of 2009 and week 20 of 2010. Influenza A (H1N1) Virus 2009 was detected in Navarre between week 23 of 2009 and week 2 of 2010, a period when 39 medically diagnosed cases of flu syndrome per 1,000 inhabitants were registered. The epidemic threshold was surpassed in two periods, with a peak in July and a greater one in November. The greatest incidence was reached in children aged between 5 and 14 years (121 per thousand), followed by the group of under fives. There were 224 hospitalisations (36 per 100,000 inhabitants) with confirmation of Influenza A (H1N1) Virus 2009, 8% of whom required admission to intensive care units and there were four deaths (0.6 per 100,000 inhabitants). The rate of hospitalisation was greater amongst children under five (163 per 100,000 inhabitants), while the probability of referral to intensive care increased with age. In spite of not having a specific vaccine available until the season was very well advanced, Influenza A (H1N1)Virus 2009 produced a flu wave with similar levels to those of other seasons and its repercussion in hospitalisations and serious cases was moderate.

  4. Long term serious olfactory loss in colds and/or flu.

    PubMed

    de Haro-Licer, Josep; Roura-Moreno, Jordi; Vizitiu, Anabella; González-Fernández, Adela; González-Ares, Josep Antón

    2013-01-01

    In the general population, we can find 2-3% of lifelong olfactory disorders (from hyposmia to anosmia). Two of the most frequent aetiologies are the common cold and flu. The aim of this study was to show the degree of long-term olfactory dysfunction caused by a cold or flu. This study was based on 240 patients, with olfactory loss caused only by flu or a cold. We excluded all patients with concomitant illness (66 patients), the rest of patients (n=174) consisted of 51 men (29.3%) and 123 women (70.7%). They all underwent olfactometry study (i and v cranial nerve) and a nasal sinus computed tomography scan, as well as magnetic resonance imaging of the brain. Results were compared with a control group (n=120). Very significant differences in levels of olfactory impairment for the olfactory nerve (P<.00001) and trigeminal nerve (P<.0001) were confirmed. People that suffer olfactory dysfunction for more than 6 months, from flu or a cold, present serious impairment of olfactory abilities. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  5. The neuropsychiatric aspects of influenza/swine flu: A selective review.

    PubMed

    Manjunatha, Narayana; Math, Suresh Bada; Kulkarni, Girish Baburao; Chaturvedi, Santosh Kumar

    2011-07-01

    The world witnessed the influenza virus during the seasonal epidemics and pandemics. The current strain of H1N1 (swine flu) pandemic is believed to be the legacy of the influenza pandemic (1918-19). The influenza virus has been implicated in many neuropsychiatric disorders. In view of the recent pandemic, it would be interesting to review the neuropsychiatric aspects of influenza, specifically swine flu. Author used popular search engine 'PUBMED' to search for published articles with different MeSH terms using Boolean operator (AND). Among these, a selective review of the published literature was done. Acute manifestations of swine flu varied from behavioral changes, fear of misdiagnosis during outbreak, neurological features like seizures, encephalopathy, encephalitis, transverse myelitis, aseptic meningitis, multiple sclerosis, and Guillian-Barre Syndrome. Among the chronic manifestations, schizophrenia, Parkinson's disease, mood disorder, dementia, and mental retardation have been hypothesized. Further research is required to understand the etiological hypothesis of the chronic manifestations of influenza. The author urges neuroscientists around the world to make use of the current swine flu pandemic as an opportunity for further research.

  6. Age and Ethnic Differences in Cold Weather and Contagion Theories of Colds and Flu

    ERIC Educational Resources Information Center

    Sigelman, Carol K.

    2012-01-01

    Age and ethnic group differences in cold weather and contagion or germ theories of infectious disease were explored in two studies. A cold weather theory was frequently invoked to explain colds and to a lesser extent flu but became less prominent with age as children gained command of a germ theory of disease. Explanations of how contact with…

  7. Mathematical formulation and numerical simulation of bird flu infection process within a poultry farm

    NASA Astrophysics Data System (ADS)

    Putri, Arrival Rince; Nova, Tertia Delia; Watanabe, M.

    2016-02-01

    Bird flu infection processes within a poultry farm are formulated mathematically. A spatial effect is taken into account for the virus concentration with a diffusive term. An infection process is represented in terms of a traveling wave solutions. For a small removal rate, a singular perturbation analysis lead to existence of traveling wave solutions, that correspond to progressive infection in one direction.

  8. Influenza 2005-2006: vaccine supplies adequate, but bird flu looms.

    PubMed

    Mossad, Sherif B

    2005-11-01

    Influenza vaccine supplies appear to be adequate for the 2005-2006 season, though delivery has been somewhat delayed. However, in the event of a pandemic of avian flu-considered inevitable by most experts, although no one knows when it will happen-the United States would be woefully unprepared.

  9. A Content Analysis of Newspaper Coverage of the Seasonal Flu Vaccine in Ontario, Canada, October 2001 to March 2011.

    PubMed

    Meyer, Samantha B; Lu, Stephanie K; Hoffman-Goetz, Laurie; Smale, Bryan; MacDougall, Heather; Pearce, Alex R

    2016-10-01

    Seasonal flu vaccine uptake has fallen dramatically over the past decade in Ontario, Canada, despite promotional efforts by public health officials. Media can be particularly influential in shaping the public response to seasonal flu vaccine campaigns. We therefore sought to identify the nature of the relationship between risk messages about getting the seasonal flu vaccine in newspaper coverage and the uptake of the vaccine by Ontarians between 2001 and 2010. A content analysis was conducted to quantify risk messages in newspaper content for each year of analysis. The quantification allowed us to test the correlation between the frequency of risk messages and vaccination rates. During the time period 2001-2010, vaccination rates were positively and significantly related to the frequency of risk messages in newspaper coverage (r = .691, p < .05). The most commonly identified risk messages related to the flu vaccine being ineffective, the flu vaccine being poorly understood by science, and the flu vaccine causing harm. Newspaper coverage plays an important role in shaping public response to seasonal flu vaccine campaigns. Public health officials should work alongside media to ensure that the public are exposed to information necessary for making informed decisions regarding vaccination.

  10. Lightning return stroke models

    NASA Technical Reports Server (NTRS)

    Lin, Y. T.; Uman, M. A.; Standler, R. B.

    1980-01-01

    We test the two most commonly used lightning return stroke models, Bruce-Golde and transmission line, against subsequent stroke electric and magnetic field wave forms measured simultaneously at near and distant stations and show that these models are inadequate to describe the experimental data. We then propose a new return stroke model that is physically plausible and that yields good approximations to the measured two-station fields. Using the new model, we derive return stroke charge and current statistics for about 100 subsequent strokes.

  11. Venus Sample Return Mission

    NASA Astrophysics Data System (ADS)

    Whitcomb, G.; Lebreton, J.; Scoon, G.

    The Venus Sample Return (VSR) mission was performed as an in-house activity within the European Space Agency's Science Directorate during a 4-month period. The selected baseline mission scenario involves two launches of the presently available Ariane 5 configuration. The first launch would inject a composite spacecraft consisting of an orbiter and a return capsule into a parking orbit around Venus. The second launch would deliver at Venus a lander composite, consisting of the entry, descent, sampling and ascent modules. The sampling strategy includes returning a surface (with possibly a core) sample and three atmospheric samples at high altitudes. This paper presents the design concept for the mission.

  12. OpenFluDB, a database for human and animal influenza virus.

    PubMed

    Liechti, Robin; Gleizes, Anne; Kuznetsov, Dmitry; Bougueleret, Lydie; Le Mercier, Philippe; Bairoch, Amos; Xenarios, Ioannis

    2010-07-06

    Although research on influenza lasted for more than 100 years, it is still one of the most prominent diseases causing half a million human deaths every year. With the recent observation of new highly pathogenic H5N1 and H7N7 strains, and the appearance of the influenza pandemic caused by the H1N1 swine-like lineage, a collaborative effort to share observations on the evolution of this virus in both animals and humans has been established. The OpenFlu database (OpenFluDB) is a part of this collaborative effort. It contains genomic and protein sequences, as well as epidemiological data from more than 27,000 isolates. The isolate annotations include virus type, host, geographical location and experimentally tested antiviral resistance. Putative enhanced pathogenicity as well as human adaptation propensity are computed from protein sequences. Each virus isolate can be associated with the laboratories that collected, sequenced and submitted it. Several analysis tools including multiple sequence alignment, phylogenetic analysis and sequence similarity maps enable rapid and efficient mining. The contents of OpenFluDB are supplied by direct user submission, as well as by a daily automatic procedure importing data from public repositories. Additionally, a simple mechanism facilitates the export of OpenFluDB records to GenBank. This resource has been successfully used to rapidly and widely distribute the sequences collected during the recent human swine flu outbreak and also as an exchange platform during the vaccine selection procedure. Database URL: http://openflu.vital-it.ch.

  13. Talking about colds and flu: the lay diagnosis of two common illnesses among older British people.

    PubMed

    Prior, Lindsay; Evans, Meirion R; Prout, Hayley

    2011-09-01

    This paper reports on a study of the ways in which 54 older people in South Wales (UK) talk about the symptoms and causes of cold and influenza (flu). The study was designed to understand why older people might reject or accept the offer of seasonal flu vaccine, and in the course of the interviews respondents were also asked to express their views about the nature and causes of the two key illnesses. The latter are among the most common infections in human beings. In terms of the biomedical paradigm the common cold is caused by numerous respiratory viruses, whilst flu is caused by the influenza virus. Medical diagnosis is usually made on clinical grounds without laboratory confirmation. Symptoms of flu include sudden onset of fever and cough, and colds are characterized by sneezing, sore throat, and runny nose, but in practice the symptoms often overlap. In this study we examine the degree by which the views of lay people with respect to both diagnosis and epidemiology diverge with that which is evident in biomedical discourse. Our results indicate that whilst most of the identified symptoms are common to lay and professional people, the former integrate symptoms into a markedly different observational frame from the latter. And as far as causation is concerned it is clear that lay people emphasize the role of 'resistance' and 'immunity' at least as much as 'infection' in accounting for the onset of colds and flu. The data are analyzed using novel methods that focus on the co-occurrence of concepts and are displayed as semantic networks. As well as reporting on its findings the authors draw out some implications of the study for social scientific and policy discussions concerning lay diagnosis, lay expertise and the concept of an expert patient. Copyright © 2010 Elsevier Ltd. All rights reserved.

  14. [The seasonal flu vaccination among caregivers in geriatric units: Up-to-date].

    PubMed

    Contal, E; Putot, A; Dipanda, M; Perrin, S; Asgassou, S; Sordet-Guépet, H; Manckoundia, P

    2016-12-01

    Flu vaccinations for healthcare professionals seems to be one of the most effective preventive actions in the face of a disease that carries a high risk of a potentially serious nosocomial epidemic in a geriatric environment. The aim of this study was to take stock of the flu vaccination status among caregivers in the geriatric units and to understand the reasons for their reluctance to be vaccinated, in order to put forward proposals to improve vaccination coverage. A literature search of articles published since 2000 in the area of geriatrics, infectious diseases or pneumology was mainly conducted on PubMed using the keywords "caregivers", "elderly", "flu", "influenza", "nosocomial" and "vaccination". After reading all abstracts in English or French and ruling out irrelevant articles, only 64 relevant articles have been listed in bibliography section. Despite official recommendations, the literature reveals insufficient vaccination coverage of healthcare personnel at both the national and international level. Vaccination coverage seems to be lower among younger female non-medical staff. The factors that determine the likelihood of vaccination are the wish to protect one's self, one's family and patients/residents, as well as the experience of earlier bouts of flu. Factors that oppose vaccination are complex and related to the fear of side effects, the use of other preventive measures, the feeling that vaccination is ineffective, poor understanding of the disease and the vaccine, forgetfulness and problems of organization. Campaigns to promote vaccination that target healthcare professionals must be multidimensional and very incentive. The pedagogical message must be centered on the benefits to the individual and adjusted to socio-professional categories. Mobile strategies in the different departments to encourage staff are a pragmatic solution to this challenge. The referring doctor has an essential role to play, as does the occupational doctor in association

  15. Old Sunspot Returns

    NASA Image and Video Library

    2017-08-07

    The large sunspot (called AR2665) that rotated out of view about two weeks ago has returned (Aug. 1-2, 2017). Though much reduced in size, it did blast a good-sized coronal mass ejection about a week ago on the far side of the sun. Sunspots can last from days to months, so for it to return again is not an unusual event. Movies are available at https://photojournal.jpl.nasa.gov/catalog/PIA21873

  16. Return-to-launch-site variable range-velocity line

    NASA Technical Reports Server (NTRS)

    Bown, R. L.

    1976-01-01

    The effect of moving the return-to-launch-site (RTLS) range-velocity (R-V) line closer to the landing site was studied. Results are presented which show that a five nautical mile shift in R-V line causes the last RTLS abort to occur approximately one second earlier and that the excess range capability to terminal-area-energy-management interface can be dissipated without an excessive roll angle history.

  17. Cyclic variations in the dynamics of flu incidence in Azerbaijan, 1976-2000.

    PubMed

    Dimitrov, B D; Babayev, E S

    2015-01-01

    Multicomponent cyclicity in influenza (flu) incidence had been observed in various countries (e.g. periods T = 1, 2-3, 5-6, 8·0, 10·6-11·3, 13, 18-19 years) and its close similarity with cycles in natural environmental phenomena as meteorological factors and heliogeophysical activity (HGA) suggested. This report aimed at verifying previous results on cyclic patterns of flu incidence by exploring whether flu annual cyclicity (seasonality) and trans-year (13 to <24 months) and/or multiannual (long-term, ⩾24 months) cycles might be present. For this purpose, a relatively long monthly flu incidence dataset consisting of absolute numbers of new cases from the Grand Baku area, Azerbaijan, for the years 1976-2000 (300 months) was analysed. The exploration of underlying chronomes or, time structures, was done by linear and nonlinear parametric regression models, autocorrelation, spectral analysis and periodogram regression analysis. We analysed temporal dynamics and described multicomponent cyclicity, determining its statistical significance. The analysis, considering the flu data specifically stratified in three distinct intervals (1976-1990, 1991-1995, 1996-2000), and also combinations thereof, indicated that the main cyclic pattern was a seasonal one, with a period of T = 12 months. Further, a number of multiannual cycles with periods T in the ranges of 26-36, 62-85 or 113-162 months were observed, i.e. average periods of 2·5, 6·1 and 11·5 years, respectively. Indeed, most of these cycles correspond to similar cyclic parameters of HGA and further analyses are warranted to investigate such relationships. In conclusion, our study revealed the presence of multicomponent cyclic dynamics in influenza incidence by using relatively long time-series of monthly data. The specific cyclic patterns of flu incidence in Azerbaijan allows further, more specific modelling and correlations with environmental factors of similar cyclicity, e.g. HGA, to be explored. These results

  18. Knowledge about pandemic flu among Italian health care workers (HCWs): an Italian survey.

    PubMed

    Cadeddu, C; Di Thiene, D; Ricciardi, W; Boccia, A; La Torre, G

    2011-09-01

    In case of pandemics, healthcare workers (HCWs) are the main actors and, at the same time, one of the main targets of preventive measures. This is what occurred in 2009 during the A/HINI pandemic flu. The aim of our survey was to get information about HCWs' knowledge of the A/HINI pandemic flu prevention. A survey of 32 questions, 11 of which about knowledge towards A/H1N1 pandemic flu, created on the basis of a similar one by the Harvard School of Public Health, was made available on the Italian Journal of Public Health website during the month of October 2009. The survey was advertised with links from various professional websites and by emailing to HCWs' addresses taken from the Italian Society of Hygiene and Public Health (SItI) databases. Descriptive and univariate analyses were conducted in order to assess whether differences exist on the level of knowledge of HCWs (specifically Nurses and Physicians) about preventive measures against the A/H1N1 pandemic flu. 1,960 HCWs answered to the questionnaire, 1,711 (87.3%) Nurses and 249 (12.7%) Physicians. Both Nurses and Physicians seemed to have a high or moderately high interest for A/H1N1 pandemic flu (86.1% vs. 91.2% respectively, p = 0.03). Nurses indicated national newscasts (38.6%) and communications within hospitals or other workplaces (33.8%) as the source of most information about A/H1N1 pandemic flu. On the other hand Physicians got information mostly from Internet (41.8%), but also from communications within their hospital or other workplace (34.5%) (p < 0.001). Not all the Nurses and Physicians knew that contagion is possible by close contact (less than 1 metre) wit someone affected (74.0% and 88.0% respectively, p < 0.001), while 82.3% of Nurses and 71.1% of Physicians reported that face masks protected from getting infected (p < 0.001). Information and awareness campaigns on the influenza pandemic should be conducted firstly among HCWs, because of their importance--especially in case of pandemics

  19. Consequences of Excessive Educational Planning

    ERIC Educational Resources Information Center

    Benveniste, Guy

    1974-01-01

    Discusses three issues that raise serious questions about the behavioral norms and moral obligations of educational planners. From a cost-benefit point of view, excessive planning is reached when overall societal costs exceed overall societal benefits. (Author/WM)

  20. [Excessive sweating related to hydromorphone].

    PubMed

    Vinit, J; Devilliers, H; Audia, S; Leguy, V; Mura, H; Falvo, N; Berthier, S; Besancenot, J-F; Bonnotte, B; Lorcerie, B

    2009-02-01

    Diffuse and abundant sweating in a middle age patient evolving for several weeks should raise suspicion of malignant lymphoma and infectious or neuroendocrine disorders before considering a drug origin. We report a patient who presented with severe and invalidating excessive sweating related to hydromorphone therapy for vertebral pain. Amongst their many reported side-effects, excessive sweating disappearing with discontinuation of the drug have been reported with some opiates.

  1. Comparison of Xpert Flu rapid nucleic acid testing with rapid antigen testing for the diagnosis of influenza A and B.

    PubMed

    DiMaio, Michael A; Sahoo, Malaya K; Waggoner, Jesse; Pinsky, Benjamin A

    2012-12-01

    Influenza infections are associated with thousands of hospital admissions and deaths each year. Rapid detection of influenza is important for prompt initiation of antiviral therapy and appropriate patient triage. In this study the Cepheid Xpert Flu assay was compared with two rapid antigen tests, BinaxNOW Influenza A & B and BD Directigen EZ Flu A+B, as well as direct fluorescent antibody testing for the rapid detection of influenza A and B. Using real-time, hydrolysis probe-based, reverse transcriptase PCR as the reference method, influenza A sensitivity was 97.3% for Xpert Flu, 95.9% for direct fluorescent antibody testing, 62.2% for BinaxNOW, and 71.6% for BD Directigen. Influenza B sensitivity was 100% for Xpert Flu and direct fluorescent antibody testing, 54.5% for BinaxNOW, and 48.5% for BD Directigen. Specificity for influenza A was 100% for Xpert Flu, BinaxNOW, and BD Directigen, and 99.2% for direct fluorescent antibody testing. All methods demonstrated 100% specificity for influenza B. These findings support the use of the Xpert Flu assay in settings requiring urgent diagnosis of influenza A and B.

  2. Knowledge,attitude and anxiety towards pandemic flu a potential bio weapon among health professionals in Indore City.

    PubMed

    Mishra, Prashant; Bhadauria, Upendra Singh; Dasar, Pralhad L; N, Sandesh; Kumar, Sandeep; Lalani, Afsheen; Sarkar, Pubali; Chauhan, Astha; Godha, Shaijal; Vyas, Shaleen

    2016-01-01

    Flu is one of the oldest medical concerns, causing high mortality rates among humans. Swine flu has not only emerged as a fatal disease omong Indian population but has also created havoc among various sections of society. To determine Knowledge, Attitude and Anxiety towards pandemic flu a potential bioweapon among health care professionals in Indore City. The study design used was a cross sectional descriptive study was carried out between February-March 2015 during the outbreak of Swine Flu. The survey was administered to a sample of 271 health professionals. Participants comprised of 148 medical professionals and 123 dental professionals practicing in Sri Aurobindo Institute of Medical Science. The data collection tools comprised of a questionnaire on demographic characteristics, knowledge and attitude. Beck Anxiety Inventory was used to assess the anxiety among professionals. The medical professionals (95.9%) had significantly higher (p value=0.007) knowledge about available vaccines against Swine Flu. The dental professionals (33.3%) were more hesistant in treating patients suffering from Swine Flu compared to medical. The results of the present study suggest that the health care professionals had good knowledge, showed positive attitude, and demonstrated lower anxiety levels.

  3. Electrostatic Return of Contaminants

    NASA Technical Reports Server (NTRS)

    Rantanen, R.; Gordon, T.

    2003-01-01

    A Model has been developed capable of calculating the electrostatic return of spacecraft-emitted molecules that are ionized and attracted back to the spacecraft by the spacecraft electric potential on its surfaces. The return of ionized contaminant molecules to charged spacecraft surfaces is very important to all altitudes. It is especially important at geosynchronous and interplanetary environments, since it may be the only mechanism by which contaminants can degrade a surface. This model is applicable to all altitudes and spacecraft geometries. In addition to results of the model will be completed to cover a wide range of potential space systems.

  4. [Among doctors and for the lay: fragments of the medical discourse during the 1918 flu epidemic].

    PubMed

    Bertucci-Martins, Liane Maria

    2005-01-01

    News from Europe of a new epidemic, called the Spanish influenza or Spanish flu, began appearing in São Paulo city newspapers in June 1918. On 15 October, the State Sanitation Service confirmed the occurrence of the first cases in the city. From among the discussions on the nature of the disease and the various treatment proposals then brought forward, I highlight two suggested treatments: the recommendations approved by the São Paulo Academy of Medicine, and "mercurialization." In this effort to organize knowledge about the Spanish flu and, indirectly, to instruct the population at large, proposals and debates surrounding forms of treatment demonstrated both how medical-scientific discourse was developed and how it was growing ever more arcane to the general population.

  5. Improvement of the trivalent inactivated flu vaccine using PapMV nanoparticles.

    PubMed

    Savard, Christian; Guérin, Annie; Drouin, Karine; Bolduc, Marilène; Laliberté-Gagné, Marie-Eve; Dumas, Marie-Christine; Majeau, Nathalie; Leclerc, Denis

    2011-01-01

    Commercial seasonal flu vaccines induce production of antibodies directed mostly towards hemaglutinin (HA). Because HA changes rapidly in the circulating virus, the protection remains partial. Several conserved viral proteins, e.g., nucleocapsid (NP) and matrix proteins (M1), are present in the vaccine, but are not immunogenic. To improve the protection provided by these vaccines, we used nanoparticles made of the coat protein of a plant virus (papaya mosaic virus; PapMV) as an adjuvant. Immunization of mice and ferrets with the adjuvanted formulation increased the magnitude and breadth of the humoral response to NP and to highly conserved regions of HA. They also triggered a cellular mediated immune response to NP and M1, and long-lasting protection in animals challenged with a heterosubtypic influenza strain (WSN/33). Thus, seasonal flu vaccine adjuvanted with PapMV nanoparticles can induce universal protection to influenza, which is a major advancement when facing a pandemic.

  6. Xpert Flu for point-of-care diagnosis of human influenza in industrialized countries.

    PubMed

    Salez, Nicolas; Nougairede, Antoine; Ninove, Laetitia; Zandotti, Christine; de Lamballerie, Xavier; Charrel, Rémi N

    2014-05-01

    Respiratory infections, particularly those caused by influenza viruses, represent the third-most important cause of death in the world due to infectious diseases. Nevertheless, despite the enormous publicity attracted by epidemics due to these viruses, laboratory diagnosis, documentation and recording of respiratory diseases is still unsatisfactory. Available diagnostic tests capable of providing results rapidly are either limited and insufficiently sensitive or highly sensitive and specific but insufficiently rapid. Considerable investment and research efforts have been made towards the development of new diagnostics for influenza A and B viruses and the Xpert(®) Flu assay (Cepheid(®), CA, USA) has emerged as one of the most promising. In this article, we review current knowledge of the Xpert Flu test, discuss its potential value as a point-of-care test and outline the potential leads for future development.

  7. Social representation of a food risk: the Hong Kong avian bird flu epidemic.

    PubMed

    Joffe, Hélène; Lee, N Y Louis

    2004-07-01

    The paper explores the social representation of the 2001 Hong Kong avian bird flu epidemic from the perspective of local women. Fifty women were asked to describe their first thoughts about the flu, and these were subsequently explored. Thematic analysis of the semi-structured interviews revealed that the first thoughts were characterized by: (a) the origin of the epidemic, (b) anchors for it, (c) emotions about it, and (d) images of it. Aspersion concerning the lack of hygiene of Mainland Chinese chicken rearers and chicken sellers in Hong Kong dominated the interviews. Other environmental factors were also stressed, as was regulation leniency and a drive to profit. Comparisons between old traditions and newer practices formed a central feature. The findings are discussed in terms of their continuity with western risk findings as well as their specific cultural nuances.

  8. Improvement of the Trivalent Inactivated Flu Vaccine Using PapMV Nanoparticles

    PubMed Central

    Savard, Christian; Guérin, Annie; Drouin, Karine; Bolduc, Marilène; Laliberté-Gagné, Marie-Eve; Dumas, Marie-Christine; Majeau, Nathalie; Leclerc, Denis

    2011-01-01

    Commercial seasonal flu vaccines induce production of antibodies directed mostly towards hemaglutinin (HA). Because HA changes rapidly in the circulating virus, the protection remains partial. Several conserved viral proteins, e.g., nucleocapsid (NP) and matrix proteins (M1), are present in the vaccine, but are not immunogenic. To improve the protection provided by these vaccines, we used nanoparticles made of the coat protein of a plant virus (papaya mosaic virus; PapMV) as an adjuvant. Immunization of mice and ferrets with the adjuvanted formulation increased the magnitude and breadth of the humoral response to NP and to highly conserved regions of HA. They also triggered a cellular mediated immune response to NP and M1, and long-lasting protection in animals challenged with a heterosubtypic influenza strain (WSN/33). Thus, seasonal flu vaccine adjuvanted with PapMV nanoparticles can induce universal protection to influenza, which is a major advancement when facing a pandemic. PMID:21747909

  9. [Evaluation of a novel flu vaccination campaign among health personnel for the 2011-2012 season].

    PubMed

    Camargo-Ángeles, Roberto; Villanueva-Ruiz, César O; García-Román, Vicente; Mendoza-García, José L; Conesa-Peñuela, F Javier; Tenza Iglesias, Isidra; García Shimizu, Patricia; Sánchez-Payá, José

    2014-01-01

    The objective was to evaluate the healthcare personnel seasonal influenza immunization program in the 2011-2012 flu season. The campaign included several innovative actions (informational brochure, recommendations for unvaccinated staff to wear a mask, acknowledgement letters, etc). Coverage and characteristics of the health personnel were compared with the previous season using the chi-square test. Vaccination coverage for the 2011-12 flu season was 26.5%, compared to 24.5% achieved in 2010-2011 (p=0.052). The improvement in vaccination coverage approached statistical significance but remains very low. To improve these low vaccination levels, we recommend developing other strategies, such as incentive policies or making vaccination mandatory.

  10. Research priorities in modeling the transmission risks of H7N9 bird flu

    PubMed Central

    2013-01-01

    The epidemic of H7N9 bird flu in eastern China in early 2013 has caused much attention from researchers as well as public health workers. The issue on modeling the transmission risks is very interesting topic. In this article, this issue is debated and discussed in order to promote further researches on prediction and prevention of avian influenza viruses supported by better interdisciplinary datasets from the surveillance and response system. PMID:23927386

  11. Perfluoroalkyl substance serum concentrations and immune response to FluMist vaccination among healthy adults.

    PubMed

    Stein, Cheryl R; Ge, Yongchao; Wolff, Mary S; Ye, Xiaoyun; Calafat, Antonia M; Kraus, Thomas; Moran, Thomas M

    2016-08-01

    Perfluoroalkyl substances (PFAS) were shown to be immunotoxic in laboratory animals. There is some epidemiological evidence that PFAS exposure is inversely associated with vaccine-induced antibody concentration. We examined immune response to vaccination with FluMist intranasal live attenuated influenza vaccine in relation to four PFAS (perfluorooctanoate, perfluorononanoate, perfluorooctane sulfonate, perfluorohexane sulfonate) serum concentrations among 78 healthy adults vaccinated during the 2010-2011 influenza season. We measured anti-A H1N1 antibody response and cytokine and chemokine concentrations in serum pre-vaccination, 3 days post-vaccination, and 30 days post-vaccination. We measured cytokine, chemokine, and mucosal IgA concentration in nasal secretions 3 days post-vaccination and 30 days post-vaccination. Adults with higher PFAS concentrations were more likely to seroconvert after FluMist vaccination as compared to adults with lower PFAS concentrations. The associations, however, were imprecise and few participants seroconverted as measured either by hemagglutination inhibition (9%) or immunohistochemical staining (25%). We observed no readily discernable or consistent pattern between PFAS concentration and baseline cytokine, chemokine, or mucosal IgA concentration, or between PFAS concentration and change in these immune markers between baseline and FluMist-response states. The results of this study do not support a reduced immune response to FluMist vaccination among healthy adults in relation to serum PFAS concentration. Given the study's many limitations, however, it does not rule out impaired vaccine response to other vaccines or vaccine components in either children or adults. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Factors associated with acceptance of pandemic flu vaccine by healthcare professionals in Spain, 2009-2010.

    PubMed

    Fernández-Villa, Tania; Molina, Antonio J; Torner, Nuria; Castilla, Jesus; Astray, Jenaro; García-Gutiérrez, Susana; Mayoral, José María; Tamames, Sonia; Domínguez, Ángela; Martín, Vicente

    2017-10-01

    The A(H1N1)pdm09 influenza virus reached pandemic level in Spain in 2009, prompting a national vaccination campaign. To avoid transmission to patients, healthcare professionals' vaccination against pandemic influenza is crucial. The main objective of this study was to analyze factors associated with the failure by healthcare professionals to accept the pandemic vaccination in 2009. A cross-sectional survey was conducted of healthcare professionals in seven of Spain's autonomous regions. A questionnaire was used to collect information about personal and professional details, the respondents' flu vaccination status in the 2008-2009 and 2009-2010 seasons (seasonal and pandemic vaccines), and their knowledge and attitudes. A total of 1,661 professionals completed the survey. In the 2009-2010 season, 38.2% had both the seasonal and the pandemic vaccine, 22.1% had had only the seasonal, and 4.7% only the pandemic vaccine. The strongest predictor of not receiving the pandemic vaccine was not having had seasonal vaccinations in that year or the previous year. Those who had not received the pandemic vaccine were more often female; nurses; under 45; denied contact with at-risk groups; and had negative beliefs about the vaccine effectiveness and little concern for getting the disease, being infected at work, or passing it on to patients. It would be prudent to direct preventive campaigns not only at individuals at risk of catching flu but also at health professionals with a negative view of flu vaccine, with a particular focus on nurses, who have a key role in recommending flu vaccine. © 2017 Wiley Periodicals, Inc.

  13. 1918 Flu Pandemic: Implications for Homeland Security in the New Millennium

    DTIC Science & Technology

    2007-05-09

    of the early findings revealed that essentially all flu viruses in circulation today represent genetic offspring of the1918 virus , but it seems clear...each year and that allows it to cross species is called reassortment.49 Reassortment occurs when two different viruses , say a human virus and a bird...the nation’s health and security. This paper reviews the 1918 pandemic, explores concerns about the avian influenza virus H5N1, and considers

  14. The 2009 Influenza A(H1N1) ’Swine Flu’ Outbreak: An Overview

    DTIC Science & Technology

    2009-05-20

    Tamiflu and Relenza, respiratory protection devices, and other medical supplies, from the Strategic National Stockpile (SNS), to help states respond to... medical visits, and other measures. One CDC official commented that reported cases of H1N1 flu probably represent only a fraction of actual cases...with good hygienic practices recommended by the WHO, FAO, Codex Alimentarius Commission and the OIE, will not be a source of infection. To date there

  15. Perfluoroalkyl Substance Serum Concentrations and Immune Response to FluMist Vaccination among Healthy Adults

    PubMed Central

    Stein, Cheryl R; Ge, Yongchao; Wolff, Mary S; Ye, Xiaoyun; Calafat, Antonia M; Kraus, Thomas; Moran, Thomas M

    2016-01-01

    Perfluoroalkyl substances (PFAS) were shown to be immunotoxic in laboratory animals. There is some epidemiological evidence that PFAS exposure is inversely associated with vaccine-induced antibody concentration. We examined immune response to vaccination with FluMist intranasal live attenuated influenza vaccine in relation to four PFAS (perfluorooctanoate, perfluorononanoate, perfluorooctane sulfonate, perfluorohexane sulfonate) serum concentrations among 78 healthy adults vaccinated during the 2010 – 2011 influenza season. We measured anti-A H1N1 antibody response and cytokine and chemokine concentrations in serum pre-vaccination, 3 days post-vaccination, and 30 days post-vaccination. We measured cytokine, chemokine, and mucosal IgA concentration in nasal secretions 3 days post-vaccination and 30 days post-vaccination. Adults with higher PFAS concentrations were more likely to seroconvert after FluMist vaccination as compared to adults with lower PFAS concentrations. The associations, however, were imprecise and few participants seroconverted as measured either by hemagglutination inhibition (9%) or immunohistochemical staining (25%). We observed no readily discernable or consistent pattern between PFAS concentration and baseline cytokine, chemokine, or mucosal IgA concentration, or between PFAS concentration and change in these immune markers between baseline and FluMist-response states. The resuts of this study do not support a reduced immune response to FluMist vaccination among healthy adults in relation to serum PFAS concentration. Given the study’s many limitations, however, it does not rule out impaired vaccine response to other vaccines or vaccine components in either children or adults. PMID:27208468

  16. The performance of Luminex ARIES(®) Flu A/B & RSV and Cepheid Xpert(®) Flu/RSV XC for the detection of influenza A, influenza B, and respiratory syncytial virus in prospective patient samples.

    PubMed

    McMullen, Phillip; Boonlayangoor, Sue; Charnot-Katsikas, Angella; Beavis, Kathleen G; Tesic, Vera

    2017-10-01

    The demand for rapid, accurate viral testing has increased the number of assays available for the detection of viral pathogens. One of the newest FDA cleared platforms is the Luminex ARIES(®) Flu A/B & RSV, which is a fully automated, real-time PCR-based assay used for detection of influenza A, influenza B, and respiratory syncytial virus (RSV). We sought to compare the performance of Luminex ARIES(®) Flu A/B & RSV assay to the Cepheid Xpert(®) Flu/RSV XC assay for rapid Flu and RSV testing. A series of consecutive nasopharyngeal specimens received in the clinical microbiology laboratory during peak influenza season at a major academic center in Chicago, IL, were prospectively tested, using both the ARIES(®) Flu A/B & RSV and Xpert(®) Flu/RSV XC assays, side by side. Discrepant results were tested on the BioFire FilmArray(®) Respiratory Panel for resolution. A total of 143 consecutive nasopharyngeal specimens, obtained from patients ranging from six months to ninety-three years in age were received between January 1st, 2017 and March 21st, 2017. There was 96.6% agreement between the two assays for detection influenza A, 100% agreement for detection influenza B and RSV, and 98.9% agreement for negative results. The Xpert(®) Flu/RSV XC performed with an average turn-around time of approximately 60min, compared to the ARIES(®) Flu A/B & RSV of approximately 120min. Both assays were equally easy to perform, with a similar amount of hands-on technologist time for each platform. Overall, these results indicate that both tests are comparable in terms of result agreement and technical ease-of-use. The Xpert(®) Flu/RSV XC assay did produce results with less turn-around-time, approximately 60min quicker than the ARIES(®) Flu A/B & RSV. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Mars double-aeroflyby free returns

    NASA Astrophysics Data System (ADS)

    Jesick, Mark

    2017-09-01

    Mars double-flyby free-return trajectories that pass twice through the Martian atmosphere are documented. This class of trajectories is advantageous for potential Mars atmospheric sample return missions because of its low geocentric energy at departure and arrival, because it would enable two sample collections at unique locations during different Martian seasons, and because of its lack of deterministic maneuvers. Free return opportunities are documented over Earth departure dates ranging from 2015 through 2100, with viable missions available every Earth-Mars synodic period. After constraining the maximum lift-to-drag ratio to be less than one, the minimum observed Earth departure hyperbolic excess speed is 3.23 km/s, the minimum Earth atmospheric entry speed is 11.42 km/s, and the minimum round-trip flight time is 805 days. An algorithm using simplified dynamics is developed along with a method to derive an initial estimate for trajectories in a more realistic dynamic model. Multiple examples are presented, including free returns that pass outside and inside of Mars's appreciable atmosphere.

  18. Impact of the flu mask regulation on health care personnel influenza vaccine acceptance rates.

    PubMed

    Edwards, Frances; Masick, Kevin D; Armellino, Donna

    2016-10-01

    Achieving high vaccination rates of health care personnel (HCP) is critical in preventing influenza transmission from HCP to patients and from patients to HCP; however, acceptance rates remain low. In 2013, New York State adopted the flu mask regulation, requiring unvaccinated HCP to wear a mask when in areas where patients are present. The purpose of this study assessed the impact of the flu mask regulation on the HCP influenza vaccination rate. A 13-question survey was distributed electronically and manually to the HCP to examine their knowledge of influenza transmission and the influenza vaccine and their personal vaccine acceptance history and perception about the use of the mask while working if not vaccinated. There were 1,905 respondents; 87% accepted the influenza vaccine, and 63% were first-time recipients who agreed the regulation influenced their vaccination decision. Of the respondents who declined the vaccine, 72% acknowledge HCP are at risk for transmitting influenza to patients, and 56% reported they did not receive enough information to make an educated decision. The flu mask protocol may have influenced HCP's choice to be vaccinated versus wearing a mask. The study findings supported that HCP may not have adequate knowledge on the morbidity and mortality associated with influenza. Regulatory agencies need to consider an alternative approach to increase HCP vaccination, such as mandating the influenza vaccine for HCP.

  19. Degradation of toluene by ortho cleavage enzymes in Burkholderia fungorum FLU100

    PubMed Central

    Dobslaw, Daniel; Engesser, Karl-Heinrich

    2015-01-01

    Burkholderia fungorum FLU100 simultaneously oxidized any mixture of toluene, benzene and mono-halogen benzenes to (3-substituted) catechols with a selectivity of nearly 100%. Further metabolism occurred via enzymes of ortho cleavage pathways with complete mineralization. During the transformation of 3-methylcatechol, 4-carboxymethyl-2-methylbut-2-en-4-olide (2-methyl-2-enelactone, 2-ML) accumulated transiently, being further mineralized only after a lag phase of 2 h in case of cells pre-grown on benzene or mono-halogen benzenes. No lag phase, however, occurred after growth on toluene. Cultures inhibited by chloramphenicol after growth on benzene or mono-halogen benzenes were unable to metabolize 2-ML supplied externally, even after prolonged incubation. A control culture grown with toluene did not show any lag phase and used 2-ML as a substrate. This means that 2-ML is an intermediate of toluene degradation and converted by specific enzymes. The conversion of 4-methylcatechol as a very minor by-product of toluene degradation in strain FLU100 resulted in the accumulation of 4-carboxymethyl-4-methylbut-2-en-4-olide (4-methyl-2-enelactone, 4-ML) as a dead-end product, excluding its nature as a possible intermediate. Thus, 3-methylcyclohexa-3,5-diene-1,2-diol, 3-methylcatechol, 2-methyl muconate and 2-ML were identified as central intermediates of productive ortho cleavage pathways for toluene metabolism in B. fungorum FLU100. PMID:25130674

  20. A universal long-term flu vaccine may not prevent severe epidemics.

    PubMed

    Vardavas, Raffaele; Breban, Romulus; Blower, Sally

    2010-04-05

    Recently, the promise of a new universal long-term flu vaccine has become more tangible than ever before. Such a vaccine would protect against very many seasonal and pandemic flu strains for many years, making annual vaccination unnecessary. However, due to complacency behavior, it remains unclear whether the introduction of such vaccines would maintain high and stable levels of vaccination coverage year after year. To predict the impact of universal long-term flu vaccines on influenza epidemics we developed a mathematical model that linked human cognition and memory with the transmission dynamics of influenza. Our modeling shows that universal vaccines that provide short-term protection are likely to result in small frequent epidemics, whereas universal vaccines that provide long-term protection are likely to result in severe infrequent epidemics. Influenza vaccines that provide short-term protection maintain risk awareness regarding influenza in the population and result in stable vaccination coverage. Vaccines that provide long-term protection could lead to substantial drops in vaccination coverage and should therefore include an annual epidemic risk awareness programs in order to minimize the risk of severe epidemics.

  1. A universal long-term flu vaccine may not prevent severe epidemics

    PubMed Central

    2010-01-01

    Background Recently, the promise of a new universal long-term flu vaccine has become more tangible than ever before. Such a vaccine would protect against very many seasonal and pandemic flu strains for many years, making annual vaccination unnecessary. However, due to complacency behavior, it remains unclear whether the introduction of such vaccines would maintain high and stable levels of vaccination coverage year after year. Findings To predict the impact of universal long-term flu vaccines on influenza epidemics we developed a mathematical model that linked human cognition and memory with the transmission dynamics of influenza. Our modeling shows that universal vaccines that provide short-term protection are likely to result in small frequent epidemics, whereas universal vaccines that provide long-term protection are likely to result in severe infrequent epidemics. Conclusions Influenza vaccines that provide short-term protection maintain risk awareness regarding influenza in the population and result in stable vaccination coverage. Vaccines that provide long-term protection could lead to substantial drops in vaccination coverage and should therefore include an annual epidemic risk awareness programs in order to minimize the risk of severe epidemics. PMID:20367882

  2. Crying wolf? Biosecurity and metacommunication in the context of the 2009 swine flu pandemic.

    PubMed

    Nerlich, Brigitte; Koteyko, Nelya

    2012-07-01

    This article explores how the 2009 pandemic of swine flu (H1N1) intersected with issues of biosecurity in the context of an increasing entanglement between the spread of disease and the spread of information. Drawing on research into metacommunication, the article studies the rise of communication about ways in which swine flu was communicated, both globally and locally, during the pandemic. It examines and compares two corpora of texts, namely UK newspaper articles and blogs, written between 28 March and 11 June 2009, that is, the period from the start of the outbreak till the WHO announcement of the pandemic. Findings show that the interaction between traditional and digital media as well as the interaction between warnings about swine flu and previous warnings about other epidemics contributed to a heightened discourse of blame and counter-blame but also, more surprisingly, self-blame and reflections about the role the media in pandemic communication. The consequences of this increase in metacommunication for research into crisis communication are explored.

  3. Return to Mt. Makiling

    ERIC Educational Resources Information Center

    Wilson, George C.

    1977-01-01

    The National Arts Center of the Philippines, built to assist in the cultural enrichment of the Philippines through the development of young talents, stands today as the Filipino's tribute to the artist. The author discusses his return to Mt. Makiling comparing the development of the National Arts Center with his first visit in October 1973 at the…

  4. Return to Play

    ERIC Educational Resources Information Center

    Mangan, Marianne

    2013-01-01

    Call it physical activity, call it games, or call it play. Whatever its name, it's a place we all need to return to. In the physical education, recreation, and dance professions, we need to redesign programs to address the need for and want of play that is inherent in all of us.

  5. Sustainable Mars Sample Return

    NASA Technical Reports Server (NTRS)

    Alston, Christie; Hancock, Sean; Laub, Joshua; Perry, Christopher; Ash, Robert

    2011-01-01

    The proposed Mars sample return mission will be completed using natural Martian resources for the majority of its operations. The system uses the following technologies: In-Situ Propellant Production (ISPP), a methane-oxygen propelled Mars Ascent Vehicle (MAV), a carbon dioxide powered hopper, and a hydrogen fueled balloon system (large balloons and small weather balloons). The ISPP system will produce the hydrogen, methane, and oxygen using a Sabatier reactor. a water electrolysis cell, water extracted from the Martian surface, and carbon dioxide extracted from the Martian atmosphere. Indigenous hydrogen will fuel the balloon systems and locally-derived methane and oxygen will fuel the MAV for the return of a 50 kg sample to Earth. The ISPP system will have a production cycle of 800 days and the estimated overall mission length is 1355 days from Earth departure to return to low Earth orbit. Combining these advanced technologies will enable the proposed sample return mission to be executed with reduced initial launch mass and thus be more cost efficient. The successful completion of this mission will serve as the next step in the advancement of Mars exploration technology.

  6. Lifting Sample Return Capsule

    NASA Technical Reports Server (NTRS)

    2006-01-01

    NASA's Stardust sample return capsule successfully landed at the U.S. Air Force Utah Test and Training Range at 2:10 a.m. Pacific time (3:10 a.m. Mountain time). The capsule contains cometary and interstellar samples gathered by the Stardust spacecraft.

    Here, the capsule is being lifted at the landing site.

  7. Sample Return Capsule

    NASA Technical Reports Server (NTRS)

    2006-01-01

    NASA's Stardust sample return capsule successfully landed at the U.S. Air Force Utah Test and Training Range at 2:10 a.m. Pacific time (3:10 a.m. Mountain time). The capsule contains cometary and interstellar samples gathered by the Stardust spacecraft.

  8. Higher Education Endowments Return

    ERIC Educational Resources Information Center

    Bahlmann, David; Walda, John D.; Sedlacek, Verne O.

    2012-01-01

    A new study of endowments by the National Association of College and University Business Officers (NACUBO) and the Commonfund Institute has brought good news to college and universities: While endowment returns dropped precipitously in fiscal year 2009 as a result of the financial crisis and accompanying slide in equity markets, they climbed to an…

  9. Return to Play

    ERIC Educational Resources Information Center

    Mangan, Marianne

    2013-01-01

    Call it physical activity, call it games, or call it play. Whatever its name, it's a place we all need to return to. In the physical education, recreation, and dance professions, we need to redesign programs to address the need for and want of play that is inherent in all of us.

  10. Higher Education Endowments Return

    ERIC Educational Resources Information Center

    Bahlmann, David; Walda, John D.; Sedlacek, Verne O.

    2012-01-01

    A new study of endowments by the National Association of College and University Business Officers (NACUBO) and the Commonfund Institute has brought good news to college and universities: While endowment returns dropped precipitously in fiscal year 2009 as a result of the financial crisis and accompanying slide in equity markets, they climbed to an…

  11. Stardust Sample Return

    NASA Image and Video Library

    2006-01-17

    This image shows the return capsule inside a protective covering. The capsule, which landed at 2:10 a.m. Pacific time 3:10 a.m. Mountain time, contains cometary and interstellar samples gathered by NASA Stardust spacecraft.

  12. 24 CFR 236.60 - Excess Income.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Section 236 interest reduction payments may apply to retain Excess Income for project use unless the...) The proposed use of the requested Excess Income. (d) Retention of Excess Income for non-project use—(1... to retain Excess Income for non-project use unless the mortgagor owes prior Excess Income and is not...

  13. 24 CFR 236.60 - Excess Income.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Section 236 interest reduction payments may apply to retain Excess Income for project use unless the...) The proposed use of the requested Excess Income. (d) Retention of Excess Income for non-project use—(1... to retain Excess Income for non-project use unless the mortgagor owes prior Excess Income and is not...

  14. 24 CFR 236.60 - Excess income.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Section 236 interest reduction payments may apply to retain Excess Income for project use unless the...) The proposed use of the requested Excess Income. (d) Retention of Excess Income for non-project use—(1... to retain Excess Income for non-project use unless the mortgagor owes prior Excess Income and is not...

  15. 24 CFR 236.60 - Excess Income.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Section 236 interest reduction payments may apply to retain Excess Income for project use unless the...) The proposed use of the requested Excess Income. (d) Retention of Excess Income for non-project use—(1... to retain Excess Income for non-project use unless the mortgagor owes prior Excess Income and is not...

  16. Prospective and retrospective evaluation of the Cepheid Xpert® Flu/RSV XC assay for rapid detection of influenza A, influenza B, and respiratory syncytial virus.

    PubMed

    Salez, Nicolas; Nougairede, Antoine; Ninove, Laetitia; Zandotti, Christine; de Lamballerie, Xavier; Charrel, Remi N

    2015-04-01

    A total of 281 clinical specimens (nasal swabs and nasopharyngeal aspirates) were tested with the Xpert® Flu/RSV XC. The results were compared to those obtained with the real-time retro transcriptase-polymerase chain reaction assays routinely used in our laboratory. The Xpert® Flu/RSV XC showed sensitivity/specificity of 97.8%/100% and 97.9%/100% for flu and respiratory syncytial virus, respectively.

  17. The first announcement about the 1918 "Spanish flu" pandemic in Greece through the writings of the pioneer newspaper "Thessalia" almost a century ago.

    PubMed

    Tsoucalas, Gregory; Karachaliou, Fotini; Kalogirou, Vasiliki; Gatos, Giorgos; Mavrogiannaki, Eirini; Antoniou, Antonios; Gatos, Konstantinos

    2015-03-01

    A local pioneer newspaper, "Thessalia", was the first to announce the arrival of "Spanish Flu" in Greece. It was July 19th 1918 when an epidemic outbreak occurred in the city of Patras. Until then, "Thessalia" had dealt in depth with the flu pandemic in the Greek district of Thessaly, informing the readers of the measures taken, as well as the social and economic aspects of the flu.

  18. Bird flu, influenza and 1918: the case for mutant Avian tuberculosis.

    PubMed

    Broxmeyer, Lawrence

    2006-01-01

    Influenza is Italian for "influence", Latin: influentia. It used to be thought that the disease was caused by a bad influence from the heavens. Influenza was called a virus long, long before it was proven to be one. In 2005, an article in the New England Journal of Medicine estimated that a recurrence of the 1918 influenza epidemic could kill between 180 million and 360 million people worldwide. A large part of the current bird-flu hysteria is fostered by a distrust among the lay and scientific community regarding the actual state of our knowledge regarding the bird flu or H5N1 and the killer "Influenza" Pandemic of 1918 that it is compared to. And this distrust is not completely unfounded. Traditionally, "flu" does not kill. Experts, including Peter Palese of the Mount School of Medicine in Manhattan, remind us that even in 1992, millions in China already had antibodies to H5N1, meaning that they had contracted it and that their immune system had little trouble fending it off. Dr. Andrew Noymer and Michel Garenne, UC Berkely demographers, reported in 2000 convincing statistics showing that undetected tuberculosis may have been the real killer in the 1918 flu epidemic. Aware of recent attempts to isolate the "Influenza virus" on human cadavers and their specimens, Noymer and Garenne summed that: "Frustratingly, these findings have not answered the question why the 1918 virus was so virulent, nor do they offer an explanation for the unusual age profile of deaths". Bird flu would certainly be diagnosed in the hospital today as Acute Respiratory Distress Syndrome (ARDS). Roger and others favor suspecting tuberculosis in all cases of acute respiratory failure of unknown origin. By 1918, it could be said, in so far as tuberculosis was concerned, that the world was a supersaturated sponge ready to ignite and that among its most vulnerable parts was the very Midwest where the 1918 unknown pandemic began. It is theorized that the lethal pig epidemic that began in Kansas

  19. Phobos Sample Return mission

    NASA Astrophysics Data System (ADS)

    Zelenyi, Lev; Zakharov, A.; Martynov, M.; Polischuk, G.

    Very mysterious objects of the Solar system are the Martian satellites, Phobos and Deimos. Attempt to study Phobos in situ from an orbiter and from landers have been done by the Russian mission FOBOS in 1988. However, due to a malfunction of the onboard control system the landers have not been delivered to the Phobos surface. A new robotics mission to Phobos is under development now in Russia. Its main goal is the delivery of samples of the Phobos surface material to the Earth for laboratory studies of its chemical, isotopic, mineral composition, age etc. Other goals are in situ studies of Phobos (regolith, internal structure, peculiarities in orbital and proper rotation), studies of Martian environment (dust, plasma, fields). The payload includes a number of scientific instruments: gamma and neutron spectrometers, gaschromatograph, mass spectrometers, IR spectrometer, seismometer, panoramic camera, dust sensor, plasma package. To implement the tasks of this mission a cruise-transfer spacecraft after the launch and the Earth-Mars interplanetary flight will be inserted into the first elliptical orbit around Mars, then after several corrections the spacecraft orbit will be formed very close to the Phobos orbit to keep the synchronous orbiting with Phobos. Then the spacecraft will encounter with Phobos and will land at the surface. After the landing the sampling device of the spacecraft will collect several samples of the Phobos regolith and will load these samples into the return capsule mounted at the returned vehicle. This returned vehicle will be launched from the mother spacecraft and after the Mars-Earth interplanetary flight after 11 monthes with reach the terrestrial atmosphere. Before entering into the atmosphere the returned capsule will be separated from the returned vehicle and will hopefully land at the Earth surface. The mother spacecraft at the Phobos surface carrying onboard scientific instruments will implement the "in situ" experiments during an year

  20. Excessive or unwanted hair in women

    MedlinePlus

    Hypertrichosis; Hirsutism; Hair - excessive (women); Excessive hair in women; Hair - women - excessive or unwanted ... Women normally produce low levels of male hormones (androgens). If your body makes too much of this ...

  1. Exploring racial influences on flu vaccine attitudes and behavior: Results of a national survey of White and African American adults.

    PubMed

    Quinn, Sandra Crouse; Jamison, Amelia; Freimuth, Vicki S; An, Ji; Hancock, Gregory R; Musa, Donald

    2017-02-22

    Racial disparities in adult flu vaccination rates persist with African Americans falling below Whites in vaccine acceptance. Although the literature has examined traditional variables including barriers, access, attitudes, among others, there has been virtually no examination of the extent to which racial factors including racial consciousness, fairness, and discrimination may affect vaccine attitudes and behaviors. We contracted with GfK to conduct an online, nationally representative survey with 819 African American and 838 White respondents. Measures included risk perception, trust, vaccine attitudes, hesitancy and confidence, novel measures on racial factors, and vaccine behavior. There were significant racial differences in vaccine attitudes, risk perception, trust, hesitancy and confidence. For both groups, racial fairness had stronger direct effects on the vaccine-related variables with more positive coefficients associated with more positive vaccine attitudes. Racial consciousness in a health care setting emerged as a more powerful influence on attitudes and beliefs, particularly for African Americans, with higher scores on racial consciousness associated with lower trust in the vaccine and the vaccine process, higher perceived vaccine risk, less knowledge of flu vaccine, greater vaccine hesitancy, and less confidence in the flu vaccine. The effect of racial fairness on vaccine behavior was mediated by trust in the flu vaccine for African Americans only (i.e., higher racial fairness increased trust in the vaccine process and thus the probability of getting a flu vaccine). The effect of racial consciousness and discrimination for African Americans on vaccine uptake was mediated by perceived vaccine risk and flu vaccine knowledge. Racial factors can be a useful new tool for understanding and addressing attitudes toward the flu vaccine and actual vaccine behavior. These new concepts can facilitate more effective tailored and targeted vaccine communications

  2. Excessive masturbation after epilepsy surgery.

    PubMed

    Ozmen, Mine; Erdogan, Ayten; Duvenci, Sirin; Ozyurt, Emin; Ozkara, Cigdem

    2004-02-01

    Sexual behavior changes as well as depression, anxiety, and organic mood/personality disorders have been reported in temporal lobe epilepsy (TLE) patients before and after epilepsy surgery. The authors describe a 14-year-old girl with symptoms of excessive masturbation in inappropriate places, social withdrawal, irritability, aggressive behavior, and crying spells after selective amygdalohippocampectomy for medically intractable TLE with hippocampal sclerosis. Since the family members felt extremely embarrassed, they were upset and angry with the patient which, in turn, increased her depressive symptoms. Both her excessive masturbation behavior and depressive symptoms remitted within 2 months of psychoeducative intervention and treatment with citalopram 20mg/day. Excessive masturbation is proposed to be related to the psychosocial changes due to seizure-free status after surgery as well as other possible mechanisms such as Kluver-Bucy syndrome features and neurophysiologic changes associated with the cessation of epileptic discharges. This case demonstrates that psychiatric problems and sexual changes encountered after epilepsy surgery are possibly multifactorial and in adolescence hypersexuality may be manifested as excessive masturbation behavior.

  3. Outflows in Sodium Excess Objects

    NASA Astrophysics Data System (ADS)

    Park, Jongwon; Jeong, Hyunjin; Yi, Sukyoung K.

    2015-08-01

    Van Dokkum and Conroy revisited the unexpectedly strong Na i lines at 8200 Å found in some giant elliptical galaxies and interpreted them as evidence for an unusually bottom-heavy initial mass function. Jeong et al. later found a large population of galaxies showing equally extraordinary Na D doublet absorption lines at 5900 Å (Na D excess objects: NEOs) and showed that their origins can be different for different types of galaxies. While a Na D excess seems to be related to the interstellar medium (ISM) in late-type galaxies, smooth-looking early-type NEOs show little or no dust extinction and hence no compelling signs of ISM contributions. To further test this finding, we measured the Doppler components in the Na D lines. We hypothesized that the ISM would have a better (albeit not definite) chance of showing a blueshift Doppler departure from the bulk of the stellar population due to outflow caused by either star formation or AGN activities. Many of the late-type NEOs clearly show blueshift in their Na D lines, which is consistent with the former interpretation that the Na D excess found in them is related to gas outflow caused by star formation. On the contrary, smooth-looking early-type NEOs do not show any notable Doppler components, which is also consistent with the interpretation of Jeong et al. that the Na D excess in early-type NEOs is likely not related to ISM activities but is purely stellar in origin.

  4. Light and Excess Manganese1

    PubMed Central

    González, Alonso; Steffen, Kenneth L.; Lynch, Jonathan P.

    1998-01-01

    The effect of light intensity on antioxidants, antioxidant enzymes, and chlorophyll content was studied in common bean (Phaseolus vulgaris L.) exposed to excess Mn. Leaves of bean genotypes contrasting in Mn tolerance were exposed to two different light intensities and to excess Mn; light was controlled by shading a leaflet with filter paper. After 5 d of Mn treatment ascorbate was depleted by 45% in leaves of the Mn-sensitive genotype ZPV-292 and by 20% in the Mn-tolerant genotype CALIMA. Nonprotein sulfhydryl groups and glutathione reductase were not affected by Mn or light treatment. Ten days of Mn-toxicity stress increased leaf ascorbate peroxidase activity of cv ZPV-292 by 78% in low light and by 235% in high light, and superoxide dismutase activity followed a similar trend. Increases of ascorbate peroxidase and superoxide dismutase activity observed in cv CALIMA were lower than those observed in the susceptible cv ZPV-292. The cv CALIMA had less ascorbate oxidation under excess Mn-toxicity stress. Depletion of ascorbate occurred before the onset of chlorosis in Mn-stressed plants, especially in cv ZPV-292. Lipid peroxidation was not detected in floating leaf discs of mature leaves exposed to excess Mn. Our results suggest that Mn toxicity may be mediated by oxidative stress, and that the tolerant genotype may maintain higher ascorbate levels under stress than the sensitive genotype. PMID:9765534

  5. OUTFLOWS IN SODIUM EXCESS OBJECTS

    SciTech Connect

    Park, Jongwon; Yi, Sukyoung K.; Jeong, Hyunjin

    2015-08-10

    Van Dokkum and Conroy revisited the unexpectedly strong Na i lines at 8200 Å found in some giant elliptical galaxies and interpreted them as evidence for an unusually bottom-heavy initial mass function. Jeong et al. later found a large population of galaxies showing equally extraordinary Na D doublet absorption lines at 5900 Å (Na D excess objects: NEOs) and showed that their origins can be different for different types of galaxies. While a Na D excess seems to be related to the interstellar medium (ISM) in late-type galaxies, smooth-looking early-type NEOs show little or no dust extinction and hence no compelling signs of ISM contributions. To further test this finding, we measured the Doppler components in the Na D lines. We hypothesized that the ISM would have a better (albeit not definite) chance of showing a blueshift Doppler departure from the bulk of the stellar population due to outflow caused by either star formation or AGN activities. Many of the late-type NEOs clearly show blueshift in their Na D lines, which is consistent with the former interpretation that the Na D excess found in them is related to gas outflow caused by star formation. On the contrary, smooth-looking early-type NEOs do not show any notable Doppler components, which is also consistent with the interpretation of Jeong et al. that the Na D excess in early-type NEOs is likely not related to ISM activities but is purely stellar in origin.

  6. Assured Crew Return Vehicle

    NASA Technical Reports Server (NTRS)

    Stone, D. A.; Craig, J. W.; Drone, B.; Gerlach, R. H.; Williams, R. J.

    1991-01-01

    The developmental status is discussed regarding the 'lifeboat' vehicle to enhance the safety of the crew on the Space Station Freedom (SSF). NASA's Assured Crew Return Vehicle (ACRV) is intended to provide a means for returning the SSF crew to earth at all times. The 'lifeboat' philosophy is the key to managing the development of the ACRV which further depends on matrixed support and total quality management for implementation. The risk of SSF mission scenarios are related to selected ACRV mission requirements, and the system and vehicle designs are related to these precepts. Four possible ACRV configurations are mentioned including the lifting-body, Apollo shape, Discoverer shape, and a new lift-to-drag concept. The SCRAM design concept is discussed in detail with attention to the 'lifeboat' philosophy and requirements for implementation.

  7. STS-120 Crew Return

    NASA Image and Video Library

    2007-11-08

    JSC2007-E-098009 (8 Nov. 2007) --- Astronaut Clay Anderson waves to a crowd of well-wishers on hand Nov. 8 at Houston's Ellington Field to greet the returning STS-120 astronauts following the landing of Space Shuttle Discovery in Florida on Nov. 7. Anderson had been flight engineer onboard the International Space Station approximately five months before the undocking of the shuttle and station earlier this week.

  8. 26 CFR 54.6011-1 - General requirement of return, statement, or list.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... return, statement, or list. (a) Minimum funding standards or excess contributions for self-employed... 26 Internal Revenue 17 2010-04-01 2010-04-01 false General requirement of return, statement, or list. 54.6011-1 Section 54.6011-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE...

  9. Endogenous time-varying risk aversion and asset returns.

    PubMed

    Berardi, Michele

    2016-01-01

    Stylized facts about statistical properties for short horizon returns in financial markets have been identified in the literature, but a satisfactory understanding for their manifestation is yet to be achieved. In this work, we show that a simple asset pricing model with representative agent is able to generate time series of returns that replicate such stylized facts if the risk aversion coefficient is allowed to change endogenously over time in response to unexpected excess returns under evolutionary forces. The same model, under constant risk aversion, would instead generate returns that are essentially Gaussian. We conclude that an endogenous time-varying risk aversion represents a very parsimonious way to make the model match real data on key statistical properties, and therefore deserves careful consideration from economists and practitioners alike.

  10. Severe rhabdomyolysis after excessive bodybuilding.

    PubMed

    Finsterer, J; Zuntner, G; Fuchs, M; Weinberger, A

    2007-12-01

    A 46-year-old male subject performed excessive physical exertion during 4-6 h in a studio for body builders during 5 days. He was not practicing sport prior to this training and denied the use of any aiding substances. Despite muscle aching already after 1 day, he continued the exercises. After the last day, he recognized tiredness and cessation of urine production. Two days after discontinuation of the training, a Herpes simplex infection occurred. Because of acute renal failure, he required hemodialysis. There were absent tendon reflexes and creatine kinase (CK) values up to 208 274 U/L (normal: <170 U/L). After 2 weeks, CK had almost normalized and, after 4 weeks, hemodialysis was discontinued. Excessive muscle training may result in severe, hemodialysis-dependent rhabdomyolysis. Triggering factors may be prior low fitness level, viral infection, or subclinical metabolic myopathy.

  11. A Look at Returning Teachers

    ERIC Educational Resources Information Center

    DeAngelis, Karen J.

    2013-01-01

    Research shows that one-quarter to one-third of teachers who leave the profession return, the majority after only a short absence. Though returning teachers can constitute a substantial share of newly hired teachers in schools each year, little is known about them, the factors associated with their decisions to return, or the schools to which…

  12. Returns to Education in Bangladesh

    ERIC Educational Resources Information Center

    Asadullah, Mohammad Niaz

    2006-01-01

    This paper reports labour market returns to education in Bangladesh using data from recent nationwide household survey. Returns are estimated separately for rural and urban samples, males, females and private-sector employees. Substantial heterogeneity in returns is observed; for example, estimates are higher for urban (than rural sample) and…

  13. Energy Vs. Productivity: Diminishing Returns

    ERIC Educational Resources Information Center

    MOSAIC, 1975

    1975-01-01

    Energy invested in corn production is compared with food energy returned in calculations by David Pimentel at Cornell University. The rate of return is falling off sharply in this already energy-intensive agriculture. Increased energy input, in the form of fertilizer, would yield far greater returns where agriculture is less sophisticated.…

  14. Energy Vs. Productivity: Diminishing Returns

    ERIC Educational Resources Information Center

    MOSAIC, 1975

    1975-01-01

    Energy invested in corn production is compared with food energy returned in calculations by David Pimentel at Cornell University. The rate of return is falling off sharply in this already energy-intensive agriculture. Increased energy input, in the form of fertilizer, would yield far greater returns where agriculture is less sophisticated.…

  15. Excess mortality among the elderly in 12 European countries, February and March 2012.

    PubMed

    Mazick, A; Gergonne, B; Nielsen, J; Wuillaume, F; Virtanen, M J; Fouillet, A; Uphoff, H; Sideroglou, T; Paldy, A; Oza, A; Nunes, B; Flores-Segovia, V M; Junker, C; McDonald, S A; Green, H K; Pebody, R; Mølbak, K

    2012-04-05

    In February and March 2012, excess deaths among the elderly have been observed in 12 European countries that carry out weekly monitoring of all-cause mortality. These preliminary data indicate that the impact of influenza in Europe differs from the recent pandemic and post-pandemic seasons. The current excess mortality among the elderly may be related to the return of influenza A(H3N2) virus, potentially with added effects of a cold snap.

  16. Sample Return Science

    NASA Astrophysics Data System (ADS)

    Williford, K. H.; Allwood, A.; Beegle, L. W.; Bhartia, R.; Flannery, D.; Hoffmann, A.; Mora, M. F.; Orbay, J.; Petrizzo, D. A.; Tuite, M. L., Jr.; Willis, P. A.

    2014-12-01

    The first clear identification of an ancient habitable environment on Mars by the Mars Science Laboratory (MSL) rover mission relied on a synthetic analytical approach combining orbital and surface imagery and spectroscopy with sophisticated sample acquisition and handling technology including a rotary percussive drill that provided powdered rock for bulk geochemical analysis [1]. The recent announcement of the instrument package for the proposed NASA Mars2020 rover mission, including micro x-ray fluorescence (PIXL) for elemental mapping as well as scanning ultraviolet laser fluorescence and Raman (SHERLOC) suggests a shift in emphasis of Mars surface science towards spatially resolved geochemical analysis that will support the selection and acquisition of samples for coring, caching, and possible return to Earth for further analysis. During a recent field expedition to investigate Archean and Proterozoic biosignatures in the Pilbara region of Western Australia, we deployed a dry, rotary percussive coring drill with a bit assembly analogous to that being considered for Mars2020. Six targets of varying age and lithology were sampled with the coring drill, and surrounding and adjacent rock samples were collected simultaneously. These samples were subsequently prepared and subsampled for bulk and in situ, spatially resolved analysis using conventional laboratory methods as well as the existing PIXL and SHERLOC platforms currently in development. Here we present new approaches and data from this integrated and ongoing program of "sample return science" designed to simulate, and eventually reduce risk associated with a long-term effort towards Mars sample return. [1] Grotzinger, J.P. et al. 2014. Science 343 DOI: 10.1126/science.1242777.

  17. The Cosmic Ray Electron Excess

    NASA Technical Reports Server (NTRS)

    Chang, J.; Adams, J. H.; Ahn, H. S.; Bashindzhagyan, G. L.; Christl, M.; Ganel, O.; Guzik, T. G.; Isbert, J.; Kim, K. C.; Kuznetsov, E. N.; hide

    2008-01-01

    This slide presentation reviews the possible sources for the apparent excess of Cosmic Ray Electrons. The presentation reviews the Advanced Thin Ionization Calorimeter (ATIC) instrument, the various parts, how cosmic ray electrons are measured, and shows graphs that review the results of the ATIC instrument measurement. A review of Cosmic Ray Electrons models is explored, along with the source candidates. Scenarios for the excess are reviewed: Supernova remnants (SNR) Pulsar Wind nebulae, or Microquasars. Each of these has some problem that mitigates the argument. The last possibility discussed is Dark Matter. The Anti-Matter Exploration and Light-nuclei Astrophysics (PAMELA) mission is to search for evidence of annihilations of dark matter particles, to search for anti-nuclei, to test cosmic-ray propagation models, and to measure electron and positron spectra. There are slides explaining the results of Pamela and how to compare these with those of the ATIC experiment. Dark matter annihilation is then reviewed, which represent two types of dark matter: Neutralinos, and kaluza-Kline (KK) particles, which are next explained. The future astrophysical measurements, those from GLAST LAT, the Alpha Magnetic Spectrometer (AMS), and HEPCAT are reviewed, in light of assisting in finding an explanation for the observed excess. Also the Compact Muon Solenoid (CMS) experiment at the Large Hadron Collider (LHC) could help by revealing if there are extra dimensions.

  18. Excess carbon in silicon carbide

    NASA Astrophysics Data System (ADS)

    Shen, X.; Oxley, M. P.; Puzyrev, Y.; Tuttle, B. R.; Duscher, G.; Pantelides, S. T.

    2010-12-01

    The application of SiC in electronic devices is currently hindered by low carrier mobility at the SiC/SiO2 interfaces. Recently, it was reported that 4H-SiC/SiO2 interfaces might have a transition layer on the SiC substrate side with C/Si ratio as high as 1.2, suggesting that carbon is injected into the SiC substrate during oxidation or other processing steps. We report finite-temperature quantum molecular dynamics simulations that explore the behavior of excess carbon in SiC. For SiC with 20% excess carbon, we find that, over short time (˜24 ps), carbon atoms bond to each other and form various complexes, while the silicon lattice is largely unperturbed. These results, however, suggest that at macroscopic times scale, C segregation is likely to occur; therefore a transition layer with 20% extra carbon would not be stable. For a dilute distribution of excess carbon, we explore the pairing of carbon interstitials and show that the formation of dicarbon interstitial cluster is kinetically very favorable, which suggests that isolated carbon clusters may exist inside SiC substrate.

  19. Verification of excess defense material

    SciTech Connect

    Fearey, B.L.; Pilat, J.F.; Eccleston, G.W.; Nicholas, N.J.; Tape, J.W.

    1997-12-01

    The international community in the post-Cold War period has expressed an interest in the International Atomic Energy Agency (IAEA) using its expertise in support of the arms control and disarmament process in unprecedented ways. The pledges of the US and Russian presidents to place excess defense materials under some type of international inspections raises the prospect of using IAEA safeguards approaches for monitoring excess materials, which include both classified and unclassified materials. Although the IAEA has suggested the need to address inspections of both types of materials, the most troublesome and potentially difficult problems involve approaches to the inspection of classified materials. The key issue for placing classified nuclear components and materials under IAEA safeguards is the conflict between these traditional IAEA materials accounting procedures and the US classification laws and nonproliferation policy designed to prevent the disclosure of critical weapon-design information. Possible verification approaches to classified excess defense materials could be based on item accountancy, attributes measurements, and containment and surveillance. Such approaches are not wholly new; in fact, they are quite well established for certain unclassified materials. Such concepts may be applicable to classified items, but the precise approaches have yet to be identified, fully tested, or evaluated for technical and political feasibility, or for their possible acceptability in an international inspection regime. Substantial work remains in these areas. This paper examines many of the challenges presented by international inspections of classified materials.

  20. Diphoton excess through dark mediators

    NASA Astrophysics Data System (ADS)

    Chen, Chien-Yi; Lefebvre, Michel; Pospelov, Maxim; Zhong, Yi-Ming

    2016-07-01

    Preliminary ATLAS and CMS results from the first 13 TeV LHC run have encountered an intriguing excess of events in the diphoton channel around the invariant mass of 750 GeV. We investigate a possibility that the current excess is due to a heavy resonance decaying to light metastable states, which in turn give displaced decays to very highly collimated e + e - pairs. Such decays may pass the photon selection criteria, and successfully mimic the diphoton events, especially at low counts. We investigate two classes of such models, characterized by the following underlying production and decay chains: gg → S → A ' A ' → ( e + e -)( e + e -) and qoverline{q}to {Z}^'to sato ({e}+{e}-)({e}+{e}-) , where at the first step a heavy scalar, S, or vector, Z ', resonances are produced that decay to light metastable vectors, A ', or (pseudo-)scalars, s and a. Setting the parameters of the models to explain the existing excess, and taking the ATLAS detector geometry into account, we marginalize over the properties of heavy resonances in order to derive the expected lifetimes and couplings of metastable light resonances. We observe that in the case of A ', the suggested range of masses and mixing angles ɛ is within reach of several new-generation intensity frontier experiments.

  1. Diphoton excess through dark mediators

    DOE PAGES

    Chen, Chien -Yi; Lefebvre, Michel; Pospelov, Maxim; ...

    2016-07-12

    Preliminary ATLAS and CMS results from the first 13 TeV LHC run have encountered an intriguing excess of events in the diphoton channel around the invariant mass of 750 GeV. We investigate a possibility that the current excess is due to a heavy resonance decaying to light metastable states, which in turn give displaced decays to very highly collimated e+e– pairs. Such decays may pass the photon selection criteria, and successfully mimic the diphoton events, especially at low counts. We investigate two classes of such models, characterized by the following underlying production and decay chains: gg → S → A'A'more » → (e+e–)(e+e–) and qq¯→ Z' → sa → (e+e–) (e+e–), where at the first step a heavy scalar, S, or vector, Z', resonances are produced that decay to light metastable vectors, A', or (pseudo-)scalars, s and a. Setting the parameters of the models to explain the existing excess, and taking the ATLAS detector geometry into account, we marginalize over the properties of heavy resonances in order to derive the expected lifetimes and couplings of metastable light resonances. In conclusion, we observe that in the case of A', the suggested range of masses and mixing angles ϵ is within reach of several new-generation intensity frontier experiments.« less

  2. Diphoton excess through dark mediators

    SciTech Connect

    Chen, Chien -Yi; Lefebvre, Michel; Pospelov, Maxim; Zhong, Yi -Ming

    2016-07-12

    Preliminary ATLAS and CMS results from the first 13 TeV LHC run have encountered an intriguing excess of events in the diphoton channel around the invariant mass of 750 GeV. We investigate a possibility that the current excess is due to a heavy resonance decaying to light metastable states, which in turn give displaced decays to very highly collimated e+e pairs. Such decays may pass the photon selection criteria, and successfully mimic the diphoton events, especially at low counts. We investigate two classes of such models, characterized by the following underlying production and decay chains: gg → S → A'A' → (e+e)(e+e) and qq¯→ Z' → sa → (e+e) (e+e), where at the first step a heavy scalar, S, or vector, Z', resonances are produced that decay to light metastable vectors, A', or (pseudo-)scalars, s and a. Setting the parameters of the models to explain the existing excess, and taking the ATLAS detector geometry into account, we marginalize over the properties of heavy resonances in order to derive the expected lifetimes and couplings of metastable light resonances. In conclusion, we observe that in the case of A', the suggested range of masses and mixing angles ϵ is within reach of several new-generation intensity frontier experiments.

  3. Outflows in Sodium Excess Objects

    NASA Astrophysics Data System (ADS)

    Park, Jongwon; Jeong, Hyunjin; Yi, Sukyoung

    2016-01-01

    van Dokkum and Conroy reported that some giant elliptical galaxies show extraordinarily strong Na I absorption lines and suggested that this is the evidence of unusually bottom-heavy initial mass function. Jeong et al. later studied galaxies with unexpectedly strong Na D absorption lines (Na D excess objects: NEOs) and showed that the origins of NEOs are different for different types of galaxies. According to their study, the origin of Na D excess seems to be related to interstellar medium (ISM) in late-type galaxies, but there seems to be no contributions from ISM in smooth-looking early-type galaxies. In order to test this finding, we measured the Doppler components in Na D lines of NEOs. We hypothesized that if Na D absorption line is related to ISM, the absorption line is more likely to be blueshifted in the spectrum by the motion of ISM caused by outflow. Many of late-type NEOs show blueshifted Na D absorption lines, so their origin seems related to ISM. On the other hand, smooth-looking early-type NEOs do not show Doppler departure and Na D excess in early-type NEOs is likely not related to ISM, which is consistent with the finding of Jeong et al.

  4. The Cosmic Ray Electron Excess

    NASA Technical Reports Server (NTRS)

    Chang, J.; Adams, J. H.; Ahn, H. S.; Bashindzhagyan, G. L.; Christl, M.; Ganel, O.; Guzik, T. G.; Isbert, J.; Kim, K. C.; Kuznetsov, E. N.; Panasyuk, M. I.; Panov, A. D.; Schmidt, W. K. H.; Seo, E. S.; Sokolskaya, N. V.; Watts, J. W.; Wefel, J. P.; Wu, J.; Zatsepin, V. I.

    2008-01-01

    This slide presentation reviews the possible sources for the apparent excess of Cosmic Ray Electrons. The presentation reviews the Advanced Thin Ionization Calorimeter (ATIC) instrument, the various parts, how cosmic ray electrons are measured, and shows graphs that review the results of the ATIC instrument measurement. A review of Cosmic Ray Electrons models is explored, along with the source candidates. Scenarios for the excess are reviewed: Supernova remnants (SNR) Pulsar Wind nebulae, or Microquasars. Each of these has some problem that mitigates the argument. The last possibility discussed is Dark Matter. The Anti-Matter Exploration and Light-nuclei Astrophysics (PAMELA) mission is to search for evidence of annihilations of dark matter particles, to search for anti-nuclei, to test cosmic-ray propagation models, and to measure electron and positron spectra. There are slides explaining the results of Pamela and how to compare these with those of the ATIC experiment. Dark matter annihilation is then reviewed, which represent two types of dark matter: Neutralinos, and kaluza-Kline (KK) particles, which are next explained. The future astrophysical measurements, those from GLAST LAT, the Alpha Magnetic Spectrometer (AMS), and HEPCAT are reviewed, in light of assisting in finding an explanation for the observed excess. Also the Compact Muon Solenoid (CMS) experiment at the Large Hadron Collider (LHC) could help by revealing if there are extra dimensions.

  5. 10 CFR 904.9 - Excess capacity.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Excess capacity. 904.9 Section 904.9 Energy DEPARTMENT OF... Marketing § 904.9 Excess capacity. (a) If the Uprating Program results in Excess Capacity, Western shall be entitled to such Excess Capacity to integrate the operation of the Boulder City Area Projects and...

  6. 12 CFR 925.23 - Excess stock.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Excess stock. 925.23 Section 925.23 Banks and... BANKS Stock Requirements § 925.23 Excess stock. (a) Sale of excess stock. Subject to the restriction in paragraph (b) of this section, a member may purchase excess stock as long as the purchase is approved by...

  7. 34 CFR 300.16 - Excess costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Excess costs. 300.16 Section 300.16 Education... DISABILITIES General Definitions Used in This Part § 300.16 Excess costs. Excess costs means those costs that... for an example of how excess costs must be calculated.) (Authority: 20 U.S.C. 1401(8))...

  8. 34 CFR 300.16 - Excess costs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Excess costs. 300.16 Section 300.16 Education... DISABILITIES General Definitions Used in This Part § 300.16 Excess costs. Excess costs means those costs that... for an example of how excess costs must be calculated.) (Authority: 20 U.S.C. 1401(8))...

  9. Stardust Capsule Return

    NASA Technical Reports Server (NTRS)

    2006-01-01

    Stardust Capsule Return as seen from NASA's DC-8 Airborne Laboratory with a mission to explore the conditions during reentry from the light emitted by the fireball caused when the capsule streaked through the sky. The aircraft was located near the end of the trajectory, just outside of UTTR. The participating researchers are from NASA Ames, the SETI Institute, the University of Alaska, Utah State University, Lockheed Martin, U.S. Air Force Academy, the University of Kobe (Japan), and Stuttgart University (Germany).

  10. Titan Science Return Quantification

    NASA Technical Reports Server (NTRS)

    Weisbin, Charles R.; Lincoln, William

    2014-01-01

    Each proposal for a NASA mission concept includes a Science Traceability Matrix (STM), intended to show that what is being proposed would contribute to satisfying one or more of the agency's top-level science goals. But the information traditionally provided cannot be used directly to quantitatively compare anticipated science return. We added numerical elements to NASA's STM and developed a software tool to process the data. We then applied this methodology to evaluate a group of competing concepts for a proposed mission to Saturn's moon, Titan.

  11. Titan Science Return Quantification

    NASA Technical Reports Server (NTRS)

    Weisbin, Charles R.; Lincoln, William

    2014-01-01

    Each proposal for a NASA mission concept includes a Science Traceability Matrix (STM), intended to show that what is being proposed would contribute to satisfying one or more of the agency's top-level science goals. But the information traditionally provided cannot be used directly to quantitatively compare anticipated science return. We added numerical elements to NASA's STM and developed a software tool to process the data. We then applied this methodology to evaluate a group of competing concepts for a proposed mission to Saturn's moon, Titan.

  12. Degradation of toluene by ortho cleavage enzymes in Burkholderia fungorum FLU100.

    PubMed

    Dobslaw, Daniel; Engesser, Karl-Heinrich

    2015-01-01

    Burkholderia fungorum FLU100 simultaneously oxidized any mixture of toluene, benzene and mono-halogen benzenes to (3-substituted) catechols with a selectivity of nearly 100%. Further metabolism occurred via enzymes of ortho cleavage pathways with complete mineralization. During the transformation of 3-methylcatechol, 4-carboxymethyl-2-methylbut-2-en-4-olide (2-methyl-2-enelactone, 2-ML) accumulated transiently, being further mineralized only after a lag phase of 2 h in case of cells pre-grown on benzene or mono-halogen benzenes. No lag phase, however, occurred after growth on toluene. Cultures inhibited by chloramphenicol after growth on benzene or mono-halogen benzenes were unable to metabolize 2-ML supplied externally, even after prolonged incubation. A control culture grown with toluene did not show any lag phase and used 2-ML as a substrate. This means that 2-ML is an intermediate of toluene degradation and converted by specific enzymes. The conversion of 4-methylcatechol as a very minor by-product of toluene degradation in strain FLU100 resulted in the accumulation of 4-carboxymethyl-4-methylbut-2-en-4-olide (4-methyl-2-enelactone, 4-ML) as a dead-end product, excluding its nature as a possible intermediate. Thus, 3-methylcyclohexa-3,5-diene-1,2-diol, 3-methylcatechol, 2-methyl muconate and 2-ML were identified as central intermediates of productive ortho cleavage pathways for toluene metabolism in B. fungorum FLU100. © 2014 The Authors. Microbial Biotechnology published by John Wiley & Sons Ltd and Society for Applied Microbiology.

  13. Influenza A H1N1 2009 (Swine Flu) and Pregnancy.

    PubMed

    Lim, Boon H; Mahmood, Tahir A

    2011-08-01

    The Influenza A H1N1 pandemic (A H1N1) occurred between June 2009 and August 2010. Although the pandemic is now over, the virus has emerged as the predominant strain in the current seasonal influenza phase in the northern hemisphere. The A H1N1 influenza is a novel strain of the influenza A virus and is widely known as swine flu. The virus contains a mixture of genetic material from human, pig and bird flu virus. It is a new variety of flu which people have not had much immunity to. Much has been learnt from the Pandemic of 2009/2010 but the messages about vaccination and treatment seem to be taken slowly by the clinical profession. Most people affected by the virus, including pregnant women, suffer a mild viral illness, and make a full recovery. The median duration of illness is around seven days. This influenza typically affects the younger age group i.e. from the ages of 5-65 years. Current experience shows that the age group experiencing increased morbidity and mortality rates are in those under 65 years of age. Pregnant women, because of their altered immunity and physiological adaptations, are at higher risk of developing pulmonary complications, especially in the second and third trimesters. In the United Kingdom, twelve maternal deaths were reported to be associated with the H1N1 virus during the pandemic and clear avoidable factors were identified (Modder, Review of Maternal Deaths in the UK related to A H1N1 2009 influenza (CMACE). www.cmace.org.uk, 2010). The pregnancy outcomes were also poor for women who were affected by the virus with a fivefold increase in the perinatal mortality rate and threefold increase in the preterm delivery rate (Yates et al. Health Technol Assess 14(34):109-182, 2010). There continues to be a low uptake of the flu vaccine and commencement of antiviral treatment for pregnant women.

  14. JouFLU: an upgraded FLUOR beam combiner at the CHARA Array

    NASA Astrophysics Data System (ADS)

    Lhomé, E.; Scott, N.; ten Brummelaar, T.; Mollier, B.; Reess, J. M.; Chapron, F.; Buey, T.; Sevin, A.; Sturmann, J.; Sturmann, L.; Coudé du Foresto, V.

    2012-07-01

    FLUOR, which has been operational on CHARA since 2002, is an infrared fiber beam combiner. The telescope array will soon be fitted with an adaptive optics system, which will enhance the interferometer performance. In this framework, FLUOR has been entirely redeveloped and will be able to measure visibilities with higher accuracy and better sensitivity. The technical upgrades consist of improving some existing systems and developing new features. The bench, which is now remotely operable, primarily offers spectral dispersion (long fringes scanning), a more sensitive camera and a Fourier Transform Spectrometer mode. This paper presents the detailed opto-mechanical design of JouFLU (FLUOR rejuvenation), and the current instrument status.

  15. [Google Flu Trends--the initial application of big data in public health].

    PubMed

    Zou, Xiaohui; Zhu, Wenfei; Yang, Lei; Shu, Yuelong

    2015-06-01

    Google Flu Trends (GFT) was the first application of big data in the public health field. GFT was open online in 2009 and attracted worldwide attention immediately. However, GFT failed catching the 2009 pandemic H1N1 and kept overestimating the intensity of influenza-like illness in the 2012-2014 season in the United States. GFT model has been updated for three times since 2009, making its prediction bias controlled. Here, we summarized the mechanism GFT worked, the strategy GFT used to update, and its influence on public health.

  16. Understanding the risk of an avian flu pandemic: rational waiting or precautionary failure?

    PubMed

    Basili, Marcello; Franzini, Maurizio

    2006-06-01

    The precautionary principle (PP) has been proposed as the proper guide for the decision-making criteria to be adopted in the face of the new catastrophic risks that have arisen in the last decades. This article puts forward a workable definition of the PP based on the so-called alpha-maximin expected utility approach, applying it to the possible outbreak of the avian flu disease among humans. Moreover, it shows how the shortage and/or lack of effective drugs against the infection of the virus A(H5N1) among humans can be considered a precautionary failure.

  17. Clinical accuracy of a PLEX-ID flu device for simultaneous detection and identification of influenza viruses A and B.

    PubMed

    Tang, Yi-Wei; Lowery, Kristin S; Valsamakis, Alexandra; Schaefer, Virginia C; Chappell, James D; White-Abell, Jill; Quinn, Criziel D; Li, Haijing; Washington, Cicely A; Cromwell, Jenna; Giamanco, Chantel M; Forman, Michael; Holden, Jeffery; Rothman, Richard E; Parker, Michelle L; Ortenberg, Elaine V; Zhang, Lei; Lin, Yea-Lin; Gaydos, Charlotte A

    2013-01-01

    Respiratory tract infections caused by influenza A and B viruses often present nonspecifically, and a rapid, high-throughput laboratory technique that can identify influenza viruses is clinically and epidemiologically desirable. The PLEX-ID Flu assay (Abbott Molecular Inc., Des Plaines, IL) incorporates multilocus PCR and electrospray ionization-mass spectrometry to detect and differentiate influenza A 2009 H1N1 (H1N1-p), seasonal H1N1 (H1N1-s), influenza A H3N2, and influenza B viruses in nasopharyngeal swab (NPS) specimens. The clinical performance characteristics of the PLEX-ID Flu assay in symptomatic patients were determined in this multicenter trial. A total of 2,617 prospectively and retrospectively collected NPS specimens from patients with influenza-like illness between February 2008 and 28 May 2010 were eligible for inclusion in the study. Each specimen was tested in parallel by the PLEX-ID Flu assay and by the Prodesse ProFLU+ assay (Prodesse Inc., Madison, WI), to detect influenza A and B viruses. Specimens testing positive for influenza A virus by ProFLU+ were subtyped as H1N1-p, H1N1-s, or H3N2 by using the ProFAST+ assay (Gen-Probe Prodesse Inc.). The reproducibility of the PLEX-ID Flu assay ranged from 98.3 to 100.0%, as determined by testing a nine-specimen panel at three clinical sites on each of 5 days. Positive percent agreements (PPAs) and negative percent agreements (NPAs) of the PLEX-ID Flu assay were 94.5% and 99.0% for influenza A virus and 96.0% and 99.9% for influenza B virus, respectively. For the influenza A virus subtyping characterization, the PLEX-ID Flu assay had PPAs and NPAs of 98.3% and 97.5% for H1N1-p, 88.6% and 100.0% for H1N1-s, and 98.0% and 99.9% for H3N2, respectively. The overall agreements between the PLEX-ID and Prodesse ProFLU+/ProFAST+ assays were 97.1 to 100.0%. Bidirectional Sanger sequencing analysis revealed that 87.5% of 96 discrepant results between the PLEX-ID Flu and ProFLU+/ProFAST+ assays were found upon

  18. Stress fracture of ulna due to excessive push-ups.

    PubMed

    Meena, Sanjay; Rastogi, Devarshi; Solanki, Bipin; Chowdhury, Buddhadev

    2014-01-01

    Stress fractures are most common in the weight-bearing bones of the lower extremities and spine, but are rarely found in non-weight-bearing bones of the body. Stress fracture of the ulna is extremely rare. We report a case of complete stress fracture of ulna caused due to excessive push ups in a young athlete. Conservative management was successful in healing of fracture and returning this patient back to his previous activity level. Physician should have high index of suspicion, whenever they encounter a young athlete complaining of forearm pain.

  19. Excess deferred taxes: an update

    SciTech Connect

    Howe, S.

    1985-04-04

    The states originally split on whether to accelerate refunds to customers for overpaid taxes resulting from the decrease in corporate income taxes, but recent regulatory decisions favor a quick payback of excess deferred taxes. The Internal Revenue Service (IRS) indicates that this may violate normalization rules for accounting and threaten the utility's eligibility for accelerated depreciation deductions. After reviewing the positions of the IRS, state commissions, and the courts, the author concludes that the debate will continue until the Treasury Department issues definitive regulations. 1 table.

  20. Return to Space

    NASA Technical Reports Server (NTRS)

    1989-01-01

    This video documents the preparations for Shuttle Flight STS-26 with Shuttle Discovery, NASA's return to manned space flight after the Challenger disaster. Footage and descriptions document such changes to the new Shuttle as new joints, improved insulation, and added O-rings to the solid rocket boosters; new safety hardware and procedures such as parachute and sidewire evacuations during liftoff, and new pressure suits; modified landing gear, brakes, and nose wheel steering, as well as a modified landing runway. Also profiled are the 5 member crew of all veteran Shuttle astronauts, the TDRS 3 Satellite to be released from the cargo bay in orbit, and 11 commercial and student experiments to be performed during the mission.

  1. Awaiting Halley's Return

    NASA Astrophysics Data System (ADS)

    Heyn, Herman M.

    2004-01-01

    When Comet Halley perihelioned in early 1986, there were people still around who had witnessed its previous, 1910 apparition. )Then there is Mark Twain, who was born under the comet in 1835, wished for his demise upon its return, and died one day after it perihelioned in 1910!( I so enjoyed my 1986 view of Halley, that I decided I would like to be among those who see it again when it perihelions in 2061. The big problem with this ambition is that I would need to live to a Guinness Book of World's Records age of 131 years. Now, thanks to Randy Showstack's In Brief news note, ``Farthest, faintest detection of a comet'' (Eos, 16 September 2003), I have been handed a fallback position which, literally, I may be able to live with: a telescopic photo of Halley at aphelion.

  2. Expedition 8 Returns Home

    NASA Image and Video Library

    2004-04-30

    JSC2004-E-21252 (30 April 2004) --- Astronaut C. Michael Foale, Expedition 8 commander and NASA ISS science officer, is carried in a chair from the Soyuz landing site to an inflatable medical tent after he and his crewmates, cosmonaut Alexander Y. Kaleri (out of frame), Soyuz flight engineer representing Russia’s Federal Space Agency, and European Space Agency (ESA) astronaut Andre Kuipers (out of frame) of the Netherlands, successfully landed in north central Kazakhstan on April 30, 2004, in their Soyuz TMA-3 capsule. Foale and Kaleri completed 195 days in space aboard the International Space Station (ISS), while Kuipers returned after an 11-day research mission as part of a commercial agreement between ESA and Russia’s Federal Space Agency. Photo Credit: NASA/Bill Ingalls

  3. Pathology of the swine-origin influenza A (H1N1) flu.

    PubMed

    Calore, E E; Uip, D E; Perez, N M

    2011-02-15

    Pathological studies would aid in finding the real causes of death and in outlining adequate strategies for treatment regarding patients with poor clinical outcome of influenza A H1N1 swine flu. We describe the autopsy findings of six cases of influenza A H1N1 swine flu. The lungs in these cases had an alveolitis with hyaline membranes. Immunohistochemistry for influenza was positive only in lungs (in pneumocytes, in macrophages, in some multinucleate cells in alveoli, and in blood vessel walls) of two cases. Disseminated petechial brain hemorrhage was observed in four of the cases and focally in one case. Focal myocarditis was observed in one case. Coagulation infarcts (ischemic) were observed in the pancreas of two cases and in the spleen of two cases. Our results indicate that there was marked replication of the virus in alveoli in the more recently infected cases, which could explain the extensive diffuse alveolar damage. In our cases, there were important vascular phenomena that resulted in hemorrhage and thrombosis, but without marked decrease of platelet count and coagulation cascade disruptions. This would be attributed to hemodynamic disruption. However, it is possible that the hemorrhagic petechial lesions in the brain are due to vascular lesions or to an increase of endothelial permeability.

  4. Evolutionary complexities of swine flu H1N1 gene sequences of 2009.

    PubMed

    Sinha, Niladri Kumar; Roy, Ayan; Das, Ballari; Das, Santasabuj; Basak, Surajit

    2009-12-18

    A recently emerged novel influenza A (H1N1) virus continues to spread globally. The pandemic caused by this new H1N1 swine influenza virus presents an opportunity to analyze the evolutionary significance of the origin of the new strain of swine flu. Our study clearly suggests that strong purifying selection is responsible for the evolution of the novel influenza A (H1N1) virus among human. We observed that the 2009 viral sequences are evolutionarily widely different from the past few years' sequences. Rather, the 2009 sequences are evolutionarily more similar to the most ancient sequence reported in the NCBI Influenza Virus Resource Database collected in 1918. Analysis of evolutionary rates also supports the view that all the genes in the pandemic strain of 2009 except NA and M genes are derived from triple reassorted swine viruses. Our study demonstrates the importance of using complete-genome approach as more sequences will become available to investigate the evolutionary origin of the 1918 influenza A (H1N1) swine flu strain and the possibility of future reassortment events.

  5. [The Spanish flu in Iceland 1918. Lessons in medicine and history].

    PubMed

    Gottfredsson, Magnus

    2008-11-01

    Pandemic influenza has emerged 1-3 times each century. The pandemic in 1918, or the "Spanish flu" was caused by a novel influenza strain which caused the death of 21-50 million people world wide. Descriptions of the epidemic in Iceland give a detailed account on how and when the virus was introduced to the population of Reykjavik, the capital of Iceland, by the crew of two ships, "Botnía". and "Willemoes" on October 19th 1918. The spread of the illness was extremely rapid and peaked 3 weeks later. It caused significant morbidity and mortality among inhabitants of the southern and western part of Iceland. Within 6 weeks, close to 500 individuals had died, thereof more than 50% in Reykjavik. The attack rate in Reykjavik was at least 63% and the case fatality proportion was close to 2.6%. The age-specific mortality was highest among young children, people 20-40 years of age and the elderly. In addition, pregnant women had extremely poor prognosis (37% case fatality). Attempts to halt the spread of the epidemic to the northern and eastern parts of the island were successful. By identifying the individuals who died from the Spanish flu using historical data, it has recently been shown that genetic factors probably did not play a major role in the pathogenesis of fatal cases. These historical data can be used to assist in planning for new pandemics of influenza, which are believed to be inevitable.

  6. Reversible blindness in bilateral optic neruritis associated with nasal flu vaccine.

    PubMed

    Crawford, Courtney; Grazko, Mary Beth; Raymond, William R; Rivers, Bruce A; Munson, Patrick D

    2012-01-01

    Various case reports have shown possible associations between optic neuritis and different vaccines. Some of the vaccines include influenza, hepatitis B and anthrax To present evidence for a causal relationship between optic neuritis and Live Attenuated Influenza Vaccine (LAIV), administered as nasal flu vaccine. Case Report. In a 13-year-old male with bilateral optic neuritis, detailed clinical history, neuro-ophthalmologic examination, magnetic resonance imaging, stereo-disc photos, visual field testing, ocular coherence tomography, blood tests and cerebral spinal fluid analysis were performed. Exam findings on presentation: BCVA: 20/CF OD; 20/LP OS. Positive relative afferent pupil defect OD. Unremarkable anterior segment and posterior segment exam. No papillitis or papilledema. Global visual field defect OU based on Humphrey 30-2. MRI: diffuse enlargement of Optic Chiasm with inflammation of distal optic nerves bilateral. Blood cultures and CSF were negative. Patient received 3 divided doses of methyl prednisone with mild improvement of vision upon hospital discharge and marked improvement of vision at 2 month follow up. In this child, no infectious, vascular, granulomatous, viral or immune-related cause of optic neuritis was identified. This case provides compelling evidence that supports the nasal flu vaccination as a cause of optic neuritis.

  7. Returning to freud.

    PubMed

    Chessick, Richard D

    2010-01-01

    In this article I attempt to renew interest in the importance of Freud's work for both the practice of psychoanalysis and in the training of psychoanalysts. I hope to stimulate readers to return to Freud's writings in detail, which seem to be increasingly neglected these days both in training and in the many conflicting contemporary models of psychoanalysis. I propose that the identity of psychoanalysis can still be based on Freud's work, and his approach can form a fundamental center from which there are various channels of divergence that may be useful when the patient seems to need them. But the centerpiece of our training and our orientation, I suggest, should be the basic principles spelled out in Freud's numerous volumes, in spite of the many changes and contradictions and even outright mistakes and cultural blindness he displays in some instances. I proceed to review some of these basic principles in the hope of persuading the reader to return to Freud again. I present these with some commentary from my own 50 years of clinical experience. I briefly review the clinical cornerstones of Freud's approach as developed in his early books, his controversial papers on technique, and his later emendations, which constitute the actual reality of Freud at work in psychoanalysis (that sometimes--and sometimes wisely--violates his papers on technique), and I discuss his notion of curative factors in psychoanalysis. All of this is to revive an interest in Freud's thought and to emphasize the lasting value of his work, both in its contemporary clinical relevance and as the proposed foundation stone of our identity as psychoanalysts.

  8. Mars Rover Sample Return mission delivery and return challenges

    NASA Technical Reports Server (NTRS)

    Cohen, Aaron

    1988-01-01

    The Mars Rover Sample Return mission is a robotic exploration mission culminating in the return of atmospheric and surface samples from Mars to Earth. To accomplish this complex mission requires sophisticated autonomous systems for many time-critical operations associated with the delivery and return phases, since the round trip light times preclude Earth-based control of these operations. In addition, there are significant engineering and technology challenges to be addressed to meet the mission science and exploration objectives.

  9. Comparing Prescription Sales, Google Trends and CDC Data as Flu Activity Indicators

    PubMed Central

    Patwardhan, Avinash; Lorber, David

    2013-01-01

    Objective To examine if the prescription sales data from a large retail pharmacy chain in the US were comparable to Google Flu trends and CDC’s US ILI Network data as flu activity indicator. Introduction In a 2007 survey of public health officials in the United States, International Society for Disease Surveillance found that only 7% used pharmacy prescription sales data for surveillance (1). There have been many reports suggesting effective use of prescription sales data in syndromic surveillance (2, 3, 4, 5). Community pharmacies can provide a valuable supplementary tool for syndromic surveillance of infectious diseases. Methods We extracted five years of de-identified prescription sales data from the proprietary pharmacy computer system of a large retail pharmacy chain in the United States. The prescriptions were written for the common drugs for the treatment of influenza: Amantadine, Os-eltamivir, Rimantadine, and Zanamivir. We acquired Google Flu trends national aggregate counts data that represented the estimates of the ILI cases per 100,000 physician visits. We acquired CDC ILINET data for 2007. We calculated Pearson ‘r’ between our data and Google and CDC data. We also created comparable trends graphs after converting the counts of the influenza scripts and the counts of the Google estimated ILI cases to logarithmic scale. Results The Pearson ‘r’ between the aggregate counts of scripts for all the four drugs and the Google estimates of the ILI cases for years 2007, 2008, 2009, 2010, and 2011 were 0.85 (95% CI, 0.75–0.91), 0.92 (95% CI, 0.86–0.95), 0.91(95% CI, 0.85–0.95), 0.88 (95% CI, 0.80–0.93), and 0.87 (95% CI, 0.78–0.92) and 0.92 (95% CI, 0.90–0.94) for years 2007 through 2011 together. The Pearson ‘r’ between the aggregate counts of scripts and the CDC % unweighted ILI (2007) was 0.97 (95% CI, 0.95–0.98). Conclusions A strong to very strong correlation between prescription sales data and Google Flu trends and CDC’s ILI

  10. Pandemic Flu

    MedlinePlus

    ... for Planning National Pandemic Influenza Plans (2005-2009) Regulations and Laws That May Apply During a Pandemic Surveillance, Epidemiology and Laboratory Community Mitigation Vaccine and Other Medical ...

  11. Understanding Flu

    MedlinePlus

    ... infections usually are not easily spread into the human population. However, the virus has the ability to mutate ... would be readily transmitted between humans, but the human population would have no immunity. This example of antigenic ...

  12. Flu Facts

    MedlinePlus

    ... with a virus, your body builds up a defense system by making antibodies against it. That means ... The Nemours Foundation, iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart. ...

  13. Return to Rhea

    NASA Image and Video Library

    2015-03-30

    After a couple of years in high-inclination orbits that limited its ability to encounter Saturn's moons, NASA's Cassini spacecraft returned to Saturn's equatorial plane in March 2015. As a prelude to its return to the realm of the icy satellites, the spacecraft had its first relatively close flyby of an icy moon (apart from Titan) in almost two years on Feb. 9. During this encounter Cassini's cameras captured images of the icy moon Rhea, as shown in these in two image mosaics. The views were taken about an hour and a half apart as Cassini drew closer to Rhea. Images taken using clear, green, infrared and ultraviolet spectral filters were combined to create these enhanced color views, which offer an expanded range of the colors visible to human eyes in order to highlight subtle color differences across Rhea's surface. The moon's surface is fairly uniform in natural color. The image at right represents one of the highest resolution color views of Rhea released to date. A larger, monochrome mosaic is available in PIA07763. Both views are orthographic projections facing toward terrain on the trailing hemisphere of Rhea. An orthographic view is most like the view seen by a distant observer looking through a telescope. The views have been rotated so that north on Rhea is up. The smaller view at left is centered at 21 degrees north latitude, 229 degrees west longitude. Resolution in this mosaic is 450 meters (1,476 feet) per pixel. The images were acquired at a distance that ranged from about 51,200 to 46,600 miles (82,100 to 74,600 kilometers) from Rhea. The larger view at right is centered at 9 degrees north latitude, 254 degrees west longitude. Resolution in this mosaic is 300 meters (984 feet) per pixel. The images were acquired at a distance that ranged from about 36,000 to 32,100 miles (57,900 to 51,700 kilometers) from Rhea. The mosaics each consist of multiple narrow-angle camera (NAC) images with data from the wide-angle camera used to fill in areas where NAC

  14. The effects of excessive humidity.

    PubMed

    Williams, R B

    1998-06-01

    Humidification devices and techniques can expose the airway mucosa to a wide range of gas temperatures and humidities, some of which are excessive and may cause injury. Humidified gas is a carrier of both water and energy. The volume of water in the gas stream depends on whether the water is in a molecular form (vapor), particulate form (aerosol), or bulk form (liquid). The energy content of gas stream is the sum of the sensible heat (temperature) of the air and any water droplets in it and the heat of vaporization (latent energy) of any water vapor present. Latent heat energy is much larger than sensible heat energy, so saturated air contains much more energy than dry air. Thus every breath contains a water volume and energy (thermal) challenge to the airway mucosa. When the challenge exceeds the homeostatic mechanisms airway dysfunction begins, starting at the cellular and secretion level and progressing to whole airway function. A large challenge will result in quick progression of dysfunction. Early dysfunction is generally reversible, however, so large challenges with short exposure times may not cause irreversible injury. The mechanisms of airway injury owing to excess water are not well studied. The observation of its effects lends itself to some general conclusions, however. Alterations in the ventilation-perfusion ratio, decrease in vital capacity and compilance, and atelectasis are suggestive of partial or full occlusion of small airways. Changes in surface tension and alveolar-arterial oxygen gradient are consistent with flooding of alveoli. There also may be osmotic challenges to mucosal cell function as evidenced by the different reaction rates with hyper- and hypotonic saline. The reaction to nonisotonic saline also may partly explain increases in specific airway resistance. Aerosolized water and instilled water may be hazardous because of their demonstrated potential for delivering excessive water to the airway. Their use for airway humidification or

  15. Flu Outbreaks Force Schools to Adjust Plans: Classes Canceled in Some Places to Prevent Spread of Influenza

    ERIC Educational Resources Information Center

    Jacobson, Linda; Bowman, Darcia Harris

    2004-01-01

    A flu outbreak at Madison Junior High School in Ohio prompted school officials to close the building for two days. At Webber Junior High School in Fort Collins, Colorado, where absenteeism recently hit 20 percent for two bad weeks, educators were forced to slow the pace of schoolwork so sick students did not fall behind. This article reports on…

  16. Lessons learned from the 2007-2008 cold and flu season: what worked and what was worthless.

    PubMed

    Moyad, Mark A; Robinson, Larry E

    2008-04-01

    The 2007-2008 cold and flu season had a feeble beginning but a dramatic end. Most states in the U.S. were reporting their highest number of flu cases well into February and March. It is concerning that not only the public but health care professionals have not embraced widespread vaccination because approximately 200,000 hospitalizations and 36,000 deaths a year continue to make this condition one of the leading preventable causes of morbidity and mortality. The real question that needs to be asked next year is who should not be vaccinated rather than who needs to be vaccinated. Preventive measures with soap and water and 62% ethyl alcohol hand gels continue to make sense, whereas the antibacterial soaps seem to provide no added protection and theoretically increase the risk of bacterial resistance. A few dietary supplements garnered some attention. Among products with clinical research, an oral 500 mg qd immunogenic fermentate (Epicor) reduced the risk and duration of cold and flu symptoms in subjects vaccinated for seasonal influenza. Two novel prescription medications (zanamivir [Relenza], and oseltamivir [Tamiflu]) are available for the prevention and/or treatment of influenza and also have demonstrated minimal resistance compared to the older medications. These FDA-approved medications should receive more attention because of their overall effectiveness in treating the flu during the first stages of the disease process.

  17. 11. VIEW OF A SITE RETURN WEAPONS COMPONENT. SITE RETURNS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. VIEW OF A SITE RETURN WEAPONS COMPONENT. SITE RETURNS WERE NUCLEAR WEAPONS SHIPPED TO THE ROCKY FLATS PLANT FROM THE NUCLEAR WEAPON STOCKPILE FOR RETIREMENT, TESTING, OR UPGRADING. FISSILE MATERIALS (PLUTONIUM, URANIUM, ETC.) AND RARE MATERIALS (BERYLLIUM) WERE RECOVERED FOR REUSE, AND THE REMAINDER WAS DISPOSED. (8/7/62) - Rocky Flats Plant, Plutonium Fabrication, Central section of Plant, Golden, Jefferson County, CO

  18. 77 FR 77180 - Notice of Transportation Services' OMB Designation, timely return of excess transit benefits to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... information regarding Funds Recovery contact Ms. Craig Bellet, Working Capital Fund--Office of Financial... ``DOTWCF'' in the search field and select ``DOT OST Working Capital Fund Miscellaneous Payments'' from...

  19. Christmas Island birds returning

    NASA Astrophysics Data System (ADS)

    Six months after their mass exodus, birds are beginning to return to Christmas Island. Roughly 17 million birds, almost the entire adult bird population, either perished or fled their mid-Pacific atoll home last autumn, leaving behind thousands of nestlings to starve (Eos, April 5, 1983, p. 131). It is believed that the strong El Niño altered the ecology of the surrounding waters and forced the birds to flee. Christmas Island is the world's largest coral atoll.“Ocean and atmosphere scientists are unsure of future directions for the El Niño conditions and cannot now predict what will happen to the birds in the coming months,” said Ralph W. Schreiber, curator of ornithology at the Natural History Museum of Los Angeles County in California. Heisthe ornithologist who discovered the disappearance. “The recovery of the bird populations depends on the food supply in the waters surrounding the island.” The island's birds feed exclusively on small fish and squid.

  20. 10 CFR 904.10 - Excess energy.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Excess energy. 904.10 Section 904.10 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.10 Excess energy. (a) If excess Energy is determined by the United States to be...

  1. 10 CFR 904.10 - Excess energy.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Excess energy. 904.10 Section 904.10 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.10 Excess energy. (a) If excess Energy is determined by the United States to be...

  2. 10 CFR 904.10 - Excess energy.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Excess energy. 904.10 Section 904.10 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.10 Excess energy. (a) If excess Energy is determined by the United States to be...

  3. 10 CFR 904.10 - Excess energy.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Excess energy. 904.10 Section 904.10 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.10 Excess energy. (a) If excess Energy is determined by the United States to be...

  4. 10 CFR 904.10 - Excess energy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Excess energy. 904.10 Section 904.10 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.10 Excess energy. (a) If excess Energy is determined by the United States to be...

  5. 7 CFR 985.56 - Excess oil.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Excess oil. 985.56 Section 985.56 Agriculture... HANDLING OF SPEARMINT OIL PRODUCED IN THE FAR WEST Order Regulating Handling Volume Limitations § 985.56 Excess oil. Oil of any class in excess of a producer's applicable annual allotment shall be identified as...

  6. 7 CFR 985.56 - Excess oil.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 8 2011-01-01 2011-01-01 false Excess oil. 985.56 Section 985.56 Agriculture... HANDLING OF SPEARMINT OIL PRODUCED IN THE FAR WEST Order Regulating Handling Volume Limitations § 985.56 Excess oil. Oil of any class in excess of a producer's applicable annual allotment shall be identified as...

  7. 7 CFR 985.56 - Excess oil.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 8 2012-01-01 2012-01-01 false Excess oil. 985.56 Section 985.56 Agriculture... HANDLING OF SPEARMINT OIL PRODUCED IN THE FAR WEST Order Regulating Handling Volume Limitations § 985.56 Excess oil. Oil of any class in excess of a producer's applicable annual allotment shall be identified as...

  8. 7 CFR 985.56 - Excess oil.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 8 2013-01-01 2013-01-01 false Excess oil. 985.56 Section 985.56 Agriculture... HANDLING OF SPEARMINT OIL PRODUCED IN THE FAR WEST Order Regulating Handling Volume Limitations § 985.56 Excess oil. Oil of any class in excess of a producer's applicable annual allotment shall be identified as...

  9. 7 CFR 985.56 - Excess oil.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 8 2014-01-01 2014-01-01 false Excess oil. 985.56 Section 985.56 Agriculture... HANDLING OF SPEARMINT OIL PRODUCED IN THE FAR WEST Order Regulating Handling Volume Limitations § 985.56 Excess oil. Oil of any class in excess of a producer's applicable annual allotment shall be identified as...

  10. 43 CFR 426.12 - Excess land.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Excess land. 426.12 Section 426.12 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR ACREAGE LIMITATION RULES AND REGULATIONS § 426.12 Excess land. (a) The process of designating excess and...

  11. 43 CFR 426.12 - Excess land.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Excess land. 426.12 Section 426.12 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR ACREAGE LIMITATION RULES AND REGULATIONS § 426.12 Excess land. (a) The process of designating excess and...

  12. 43 CFR 426.12 - Excess land.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Excess land. 426.12 Section 426.12 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR ACREAGE LIMITATION RULES AND REGULATIONS § 426.12 Excess land. (a) The process of designating excess and...

  13. 43 CFR 426.12 - Excess land.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Excess land. 426.12 Section 426.12 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR ACREAGE LIMITATION RULES AND REGULATIONS § 426.12 Excess land. (a) The process of designating excess and...

  14. 43 CFR 426.12 - Excess land.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Excess land. 426.12 Section 426.12 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR ACREAGE LIMITATION RULES AND REGULATIONS § 426.12 Excess land. (a) The process of designating excess and...

  15. 10 CFR 904.9 - Excess capacity.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Excess capacity. 904.9 Section 904.9 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.9 Excess capacity. (a) If the Uprating Program results in Excess Capacity, Western shall...

  16. 10 CFR 904.9 - Excess capacity.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Excess capacity. 904.9 Section 904.9 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.9 Excess capacity. (a) If the Uprating Program results in Excess Capacity, Western shall...

  17. 10 CFR 904.9 - Excess capacity.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Excess capacity. 904.9 Section 904.9 Energy DEPARTMENT OF ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power Marketing § 904.9 Excess capacity. (a) If the Uprating Program results in Excess Capacity, Western shall...

  18. 12 CFR 1263.23 - Excess stock.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 9 2013-01-01 2013-01-01 false Excess stock. 1263.23 Section 1263.23 Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS MEMBERS OF THE BANKS Stock Requirements § 1263.23 Excess stock. (a) Sale of excess stock. Subject to the restriction in paragraph (b) of...

  19. 12 CFR 1263.23 - Excess stock.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 7 2011-01-01 2011-01-01 false Excess stock. 1263.23 Section 1263.23 Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS MEMBERS OF THE BANKS Stock Requirements § 1263.23 Excess stock. (a) Sale of excess stock. Subject to the restriction in paragraph (b) of...

  20. 12 CFR 1263.23 - Excess stock.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 10 2014-01-01 2014-01-01 false Excess stock. 1263.23 Section 1263.23 Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS MEMBERS OF THE BANKS Stock Requirements § 1263.23 Excess stock. (a) Sale of excess stock. Subject to the restriction in paragraph (b)...

  1. 12 CFR 1263.23 - Excess stock.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 9 2012-01-01 2012-01-01 false Excess stock. 1263.23 Section 1263.23 Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS MEMBERS OF THE BANKS Stock Requirements § 1263.23 Excess stock. (a) Sale of excess stock. Subject to the restriction in paragraph (b) of...

  2. Treating both wastewater and excess sludge with an innovative process.

    PubMed

    He, Sheng-bing; Wang, Bao-zhen; Wang, Lin; Jiang, Yi-feng

    2003-11-01

    The innovative process consists of biological unit for wastewater treatment and ozonation unit for excess sludge treatment. An aerobic membrane bioreactor (MBR) was used to remove organics and nitrogen, and an anaerobic reactor was added to the biological unit for the release of phosphorus contained at aerobic sludge to enhance the removal of phosphorus. For the excess sludge produced in the MBR, which was fed to ozone contact column and reacted with ozone, then the ozonated sludge was returned to the MBR for further biological treatment. Experimental results showed that this process could remove organics, nitrogen and phosphorus efficiently, and the removals for COD, NH3-N, TN and TP were 93.17%, 97.57%, 82.77% and 79.5%, respectively. Batch test indicated that the specific nitrification rate and specific denitrification rate of the MBR were 1.03 mg NH3-N/(gMLSS x h) and 0.56 mg NOx-N/(gMLSS x h), and denitrification seems to be the rate-limiting step. Under the test conditions, the sludge concentration in the MBR was kept at 5000-6000 mg/L, and the wasted sludge was ozonated at an ozone dosage of 0.10 kgO3/kgSS. During the experimental period of two months, no excess sludge was wasted, and a zero withdrawal of excess sludge was implemented. Through economic analysis, it was found that an additional ozonation operating cost for treatment of both wastewater and excess sludge was only 0.045 RMB Yuan (USD 0.0054)/m3 wastewater.

  3. The Point of No Return

    PubMed Central

    Logan, Gordon D.

    2015-01-01

    Bartlett (1958) described the point of no return as a point of irrevocable commitment to action, which was preceded by a period of gradually increasing commitment. As such, the point of no return reflects a fundamental limit on the ability to control thought and action. I review the literature on the point of no return, taking three perspectives. First, I consider the point of no return from the perspective of the controlled act, as a locus in the architecture and anatomy of the underlying processes. I review experiments from the stop-signal paradigm that suggest that the point of no return is located late in the response system. Then I consider the point of no return from the perspective of the act of control that tries to change the controlled act before it becomes irrevocable. From this perspective, the point of no return is a point in time that provides enough “lead time” for the act of control to take effect. I review experiments that measure the response time to the stop signal as the lead time required for response inhibition in the stop-signal paradigm. Finally, I consider the point of no return in hierarchically controlled tasks, in which there may be many points of no return at different levels of the hierarchy. I review experiments on skilled typing that suggest different points of no return for the commands that determine what is typed and the countermands that inhibit typing, with increasing commitment to action the lower the level in the hierarchy. I end by considering the point of no return in perception and thought as well as action. PMID:25633089

  4. Multicenter Clinical Evaluation of the Luminex Aries Flu A/B & RSV Assay for Pediatric and Adult Respiratory Tract Specimens.

    PubMed

    Juretschko, Stefan; Mahony, James; Buller, Richard S; Manji, Ryhana; Dunbar, Sherry; Walker, Kimberly; Rao, Arundhati

    2017-08-01

    Influenza A and B viruses and respiratory syncytial virus (RSV) are three common viruses implicated in seasonal respiratory tract infections and are a major cause of morbidity and mortality in adults and children worldwide. In recent years, an increasing number of commercial molecular tests have become available to diagnose respiratory viral infections. The Luminex Aries Flu A/B & RSV assay is a fully automated sample-to-answer molecular diagnostic assay for the detection of influenza A, influenza B, and RSV. The clinical performance of the Aries Flu A/B & RSV assay was prospectively evaluated in comparison to that of the Luminex xTAG respiratory viral panel (RVP) at four North American clinical institutions over a 2-year period. Of the 2,479 eligible nasopharyngeal swab specimens included in the prospective study, 2,371 gave concordant results between the assays. One hundred eight specimens generated results that were discordant with those from the xTAG RVP and were further analyzed by bidirectional sequencing. Final clinical sensitivity values of the Aries Flu A/B & RSV assay were 98.1% for influenza A virus, 98.0% for influenza B virus, and 97.7% for RSV. Final clinical specificities for all three pathogens ranged from 98.6% to 99.8%. Due to the low prevalence of influenza B, an additional 40 banked influenza B-positive specimens were tested at the participating clinical laboratories and were all accurately detected by the Aries Flu A/B & RSV assay. This study demonstrates that the Aries Flu A/B & RSV assay is a suitable method for rapid and accurate identification of these causative pathogens in respiratory infections. Copyright © 2017 Juretschko et al.

  5. Multicenter Clinical Evaluation of the Luminex Aries Flu A/B & RSV Assay for Pediatric and Adult Respiratory Tract Specimens

    PubMed Central

    Mahony, James; Buller, Richard S.; Manji, Ryhana; Dunbar, Sherry; Walker, Kimberly; Rao, Arundhati

    2017-01-01

    ABSTRACT Influenza A and B viruses and respiratory syncytial virus (RSV) are three common viruses implicated in seasonal respiratory tract infections and are a major cause of morbidity and mortality in adults and children worldwide. In recent years, an increasing number of commercial molecular tests have become available to diagnose respiratory viral infections. The Luminex Aries Flu A/B & RSV assay is a fully automated sample-to-answer molecular diagnostic assay for the detection of influenza A, influenza B, and RSV. The clinical performance of the Aries Flu A/B & RSV assay was prospectively evaluated in comparison to that of the Luminex xTAG respiratory viral panel (RVP) at four North American clinical institutions over a 2-year period. Of the 2,479 eligible nasopharyngeal swab specimens included in the prospective study, 2,371 gave concordant results between the assays. One hundred eight specimens generated results that were discordant with those from the xTAG RVP and were further analyzed by bidirectional sequencing. Final clinical sensitivity values of the Aries Flu A/B & RSV assay were 98.1% for influenza A virus, 98.0% for influenza B virus, and 97.7% for RSV. Final clinical specificities for all three pathogens ranged from 98.6% to 99.8%. Due to the low prevalence of influenza B, an additional 40 banked influenza B-positive specimens were tested at the participating clinical laboratories and were all accurately detected by the Aries Flu A/B & RSV assay. This study demonstrates that the Aries Flu A/B & RSV assay is a suitable method for rapid and accurate identification of these causative pathogens in respiratory infections. PMID:28539342

  6. Monitoring Influenza Activity in the United States: A Comparison of Traditional Surveillance Systems with Google Flu Trends

    PubMed Central

    Ortiz, Justin R.; Zhou, Hong; Shay, David K.; Neuzil, Kathleen M.; Fowlkes, Ashley L.; Goss, Christopher H.

    2011-01-01

    Background Google Flu Trends was developed to estimate US influenza-like illness (ILI) rates from internet searches; however ILI does not necessarily correlate with actual influenza virus infections. Methods and Findings Influenza activity data from 2003–04 through 2007–08 were obtained from three US surveillance systems: Google Flu Trends, CDC Outpatient ILI Surveillance Network (CDC ILI Surveillance), and US Influenza Virologic Surveillance System (CDC Virus Surveillance). Pearson's correlation coefficients with 95% confidence intervals (95% CI) were calculated to compare surveillance data. An analysis was performed to investigate outlier observations and determine the extent to which they affected the correlations between surveillance data. Pearson's correlation coefficient describing Google Flu Trends and CDC Virus Surveillance over the study period was 0.72 (95% CI: 0.64, 0.79). The correlation between CDC ILI Surveillance and CDC Virus Surveillance over the same period was 0.85 (95% CI: 0.81, 0.89). Most of the outlier observations in both comparisons were from the 2003–04 influenza season. Exclusion of the outlier observations did not substantially improve the correlation between Google Flu Trends and CDC Virus Surveillance (0.82; 95% CI: 0.76, 0.87) or CDC ILI Surveillance and CDC Virus Surveillance (0.86; 95%CI: 0.82, 0.90). Conclusions This analysis demonstrates that while Google Flu Trends is highly correlated with rates of ILI, it has a lower correlation with surveillance for laboratory-confirmed influenza. Most of the outlier observations occurred during the 2003–04 influenza season that was characterized by early and intense influenza activity, which potentially altered health care seeking behavior, physician testing practices, and internet search behavior. PMID:21556151

  7. Evaluating Google Flu Trends in Latin America: Important Lessons for the Next Phase of Digital Disease Detection.

    PubMed

    Pollett, Simon; Boscardin, W John; Azziz-Baumgartner, Eduardo; Tinoco, Yeny O; Soto, Giselle; Romero, Candice; Kok, Jen; Biggerstaff, Matthew; Viboud, Cecile; Rutherford, George W

    2017-01-01

     Latin America has a substantial burden of influenza and rising Internet access and could benefit from real-time influenza epidemic prediction web tools such as Google Flu Trends (GFT) to assist in risk communication and resource allocation during epidemics. However, there has never been a published assessment of GFT's accuracy in most Latin American countries or in any low- to middle-income country. Our aim was to evaluate GFT in Argentina, Bolivia, Brazil, Chile, Mexico, Paraguay, Peru, and Uruguay.  Weekly influenza-test positive proportions for the eight countries were obtained from FluNet for the period January 2011-December 2014. Concurrent weekly Google-predicted influenza activity in the same countries was abstracted from GFT. Pearson correlation coefficients between observed and Google-predicted influenza activity trends were determined for each country. Permutation tests were used to examine background seasonal correlation between FluNet and GFT by country.  There were frequent GFT prediction errors, with correlation ranging from r = -0.53 to 0.91. GFT-predicted influenza activity best correlated with FluNet data in Mexico follow by Uruguay, Argentina, Chile, Brazil, Peru, Bolivia and Paraguay. Correlation was generally highest in the more temperate countries with more regular influenza seasonality and lowest in tropical regions. A substantial amount of autocorrelation was noted, suggestive that GFT is not fully specific for influenza virus activity.  We note substantial inaccuracies with GFT-predicted influenza activity compared with FluNet throughout Latin America, particularly among tropical countries with irregular influenza seasonality. Our findings offer valuable lessons for future Internet-based biosurveillance tools. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

  8. Evaluation of the Cepheid Xpert Flu Assay for rapid identification and differentiation of influenza A, influenza A 2009 H1N1, and influenza B viruses.

    PubMed

    Novak-Weekley, S M; Marlowe, E M; Poulter, M; Dwyer, D; Speers, D; Rawlinson, W; Baleriola, C; Robinson, C C

    2012-05-01

    The Xpert Flu Assay cartridge is a next-generation nucleic acid amplification system that provides multiplexed PCR detection of the influenza A, influenza A 2009 H1N1, and influenza B viruses in approximately 70 min with minimal hands-on time. Six laboratories participated in a clinical trial comparing the results of the new Cepheid Xpert Flu Assay to those of culture or real-time PCR with archived and prospectively collected nasal aspirate-wash (NA-W) specimens and nasopharyngeal (NP) swabs from children and adults. Discrepant results were resolved by DNA sequence analysis. After discrepant-result analysis, the sensitivities of the Xpert Flu Assay for prospective NA-W specimens containing the influenza A, influenza A 2009 H1N1, and influenza B viruses compared to those of culture were 90.0%, 100%, and 100%, respectively, while the sensitivities of the assay for prospective NP swabs compared to those of culture were 100%, 100%, and 100%, respectively. The sensitivities of the Xpert Flu Assay for archived NA-W specimens compared to those of Gen-Probe ProFlu+ PCR for the influenza A, influenza A 2009 H1N1, and influenza B viruses were 99.4%, 98.4%, and 100%, respectively, while the sensitivities of the Xpert Flu Assay for archived NP swabs compared to those of ProFlu+ were 98.1%, 100%, and 93.8%, respectively. The sensitivities of the Xpert Flu Assay with archived NP specimens compared to those of culture for the three targets were 97.5%, 100%, and 93.8%, respectively. We conclude that the Cepheid Xpert Flu Assay is an accurate and rapid method that is suitable for on-demand testing for influenza viral infection.

  9. Evaluation of the Cepheid Xpert Flu Assay for Rapid Identification and Differentiation of Influenza A, Influenza A 2009 H1N1, and Influenza B Viruses

    PubMed Central

    Marlowe, E. M.; Poulter, M.; Dwyer, D.; Speers, D.; Rawlinson, W.; Baleriola, C.; Robinson, C. C.

    2012-01-01

    The Xpert Flu Assay cartridge is a next-generation nucleic acid amplification system that provides multiplexed PCR detection of the influenza A, influenza A 2009 H1N1, and influenza B viruses in approximately 70 min with minimal hands-on time. Six laboratories participated in a clinical trial comparing the results of the new Cepheid Xpert Flu Assay to those of culture or real-time PCR with archived and prospectively collected nasal aspirate-wash (NA-W) specimens and nasopharyngeal (NP) swabs from children and adults. Discrepant results were resolved by DNA sequence analysis. After discrepant-result analysis, the sensitivities of the Xpert Flu Assay for prospective NA-W specimens containing the influenza A, influenza A 2009 H1N1, and influenza B viruses compared to those of culture were 90.0%, 100%, and 100%, respectively, while the sensitivities of the assay for prospective NP swabs compared to those of culture were 100%, 100%, and 100%, respectively. The sensitivities of the Xpert Flu Assay for archived NA-W specimens compared to those of Gen-Probe ProFlu+ PCR for the influenza A, influenza A 2009 H1N1, and influenza B viruses were 99.4%, 98.4%, and 100%, respectively, while the sensitivities of the Xpert Flu Assay for archived NP swabs compared to those of ProFlu+ were 98.1%, 100%, and 93.8%, respectively. The sensitivities of the Xpert Flu Assay with archived NP specimens compared to those of culture for the three targets were 97.5%, 100%, and 93.8%, respectively. We conclude that the Cepheid Xpert Flu Assay is an accurate and rapid method that is suitable for on-demand testing for influenza viral infection. PMID:22378908

  10. Mars Sample Return Mission Planning

    NASA Technical Reports Server (NTRS)

    Beaty, David

    2001-01-01

    This presentation considers the decisions which go into planning the Mars Sample Return Mission (i.e. spacecraft design) and how these choices affect concerns about the safe handling of any sample returns. Topics covered include: 'being there' trades, 'getting home' trades, quantitative functions and risk assessments.

  11. Capital Structure and Stock Returns

    ERIC Educational Resources Information Center

    Welch, Ivo

    2004-01-01

    U.S. corporations do not issue and repurchase debt and equity to counteract the mechanistic effects of stock returns on their debt-equity ratios. Thus over one- to five-year horizons, stock returns can explain about 40 percent of debt ratio dynamics. Although corporate net issuing activity is lively and although it can explain 60 percent of debt…

  12. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    NASA-WPI Sample Return Robot Centennial Challenge teams, NASA management, and challenge organizers pose for a group photograph on Saturday, June 16, 2012 at Worcester Polytechnic Institute (WPI) in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  13. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    NASA Chief Technologist Mason Peck talks at the kick off of the NASA-WPI Sample Return Robot Centennial Challenge on Saturday, June 16, 2012 at the Worcester Polytechnic Institute (WPI) in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  14. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    A judge for the NASA-WPI Sample Return Robot Centennial Challenge follows a robot on the playing field during the challenge on Saturday, June 16, 2012 in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  15. [Return to the family].

    PubMed

    Ouaidou, N G

    1993-08-01

    Sahelian countries occupy an inglorious place in the global list of human development. The human development index is superior to the gross national product (GNP) at measuring the progress of a country in terms of development, because it includes income, longevity, and educational level. The highest ranked Sahelian country holds the 114th position out of a 173 countries. The low human development index scores for the Sahel reflects the socioeconomic crisis which has overcome these countries. In 1991, only 3 of 9 Sahelian countries had a mean GP equal or superior to US$500. Just 2 countries had a life expectancy greater than 50 years. In fact, the Sahel had a lower life expectancy than all of Africa (50 years) and much lower than Asia (64 years) and Latin America (67 years). The economic crisis is worse than the cold statistics show. It destabilizes the most disadvantaged populations. The pressure it exerts often leads public authorities to adopt unpopular measures. It depreciates some sociocultural values and disintegrates traditional social structures. It is accentuated by the effects of war and drought. Internal and external migration increases even as urban hope is uncertain. For most people, the family (the traditional framework of individual development) is ready to break apart, leaving only a disincarnate nuclear entity to subsist. Yet, African history is built around the extended family: the place of reproduction, production, distribution, formation, management, perpetuation of demographic behavior, and social control. Senegal and Mali have created ministries which invest in families. The Third African Conference on Population, in 1992, chose its theme to be the relationship between family, population, and sustainable development. It is important to return to the natural or primordial framework--family--as a refuge against the economic crisis.

  16. Mars Double-Flyby Free Returns

    NASA Technical Reports Server (NTRS)

    Jesick, Mark

    2015-01-01

    A subset of Earth-originating Mars double-flyby ballistic trajectories is documented. The subset consists of those trajectories that, after the first Mars flyby, perform a half-revolution transfer with Mars before returning to Earth. This class of free returns is useful for both human and robotic Mars missions because of its low geocentric energy at departure and arrival, and because of its extended stay time in the vicinity of Mars. Ballistic opportunities are documented over Earth departure dates ranging from 2015 through 2100. The mission is viable over three or four consecutive Mars synodic periods and unavailable for the next four, with the pattern repeating approximately every 15 years. Over the remainder of the century, a minimum Earth departure hyperbolic excess speed of 3.16 km/s, a minimum Earth atmospheric entry speed of 11.47 km/s, and a minimum flight time of 904 days are observed. The algorithm used to construct these trajectories is presented along with several examples.

  17. Mars Double-Flyby Free Returns

    NASA Technical Reports Server (NTRS)

    Jesick, Mark

    2015-01-01

    A subset of Earth-originating Mars double-flyby ballistic trajectories is documented. The subset consists of those trajectories that, after the first Mars flyby, perform a half-revolution transfer with Mars before returning to Earth. This class of free returns is useful for both human and robotic Mars missions because of its low geocentric energy at departure and arrival, and because of its extended stay time in the vicinity of Mars. Ballistic opportunities are documented over Earth departure dates ranging from 2015 through 2100. The mission is viable over three or four consecutive Mars synodic periods and unavailable for the next four, with the pattern repeating approximately every 15 years. Over the remainder of the century, a minimum Earth departure hyperbolic excess speed of 3.16 km/s, a minimum Earth atmospheric entry speed of 11.47 km/s, and a minimum flight time of 904 days are observed. The algorithm used to construct these trajectories is presented along with several examples.

  18. Age and ethnic differences in cold weather and contagion theories of colds and flu.

    PubMed

    Sigelman, Carol K

    2012-02-01

    Age and ethnic group differences in cold weather and contagion or germ theories of infectious disease were explored in two studies. A cold weather theory was frequently invoked to explain colds and to a lesser extent flu but became less prominent with age as children gained command of a germ theory of disease. Explanations of how contact with other people causes disease were more causally sophisticated than explanations of how cold weather causes it. Finally, Mexican American and other minority children were more likely than European American children to subscribe to cold weather theories, a difference partially but not wholly attributable to ethnic group differences in parent education. Findings support the value of an intuitive or naïve theories perspective in understanding developmental and sociocultural differences in concepts of disease and in planning health education to help both children and their parents shed misconceptions so that they can focus on effective preventive actions.

  19. Emergency department and 'Google flu trends' data as syndromic surveillance indicators for seasonal influenza.

    PubMed

    Thompson, L H; Malik, M T; Gumel, A; Strome, T; Mahmud, S M

    2014-11-01

    We evaluated syndromic indicators of influenza disease activity developed using emergency department (ED) data - total ED visits attributed to influenza-like illness (ILI) ('ED ILI volume') and percentage of visits attributed to ILI ('ED ILI percent') - and Google flu trends (GFT) data (ILI cases/100 000 physician visits). Congruity and correlation among these indicators and between these indicators and weekly count of laboratory-confirmed influenza in Manitoba was assessed graphically using linear regression models. Both ED and GFT data performed well as syndromic indicators of influenza activity, and were highly correlated with each other in real time. The strongest correlations between virological data and ED ILI volume and ED ILI percent, respectively, were 0·77 and 0·71. The strongest correlation of GFT was 0·74. Seasonal influenza activity may be effectively monitored using ED and GFT data.

  20. [Revisiting the Spanish flu: the 1918 influenza pandemic in Rio de Janeiro].

    PubMed

    Goulart, Adriana da Costa

    2005-01-01

    The article analyzes the political and social impacts of the 1918 Spanish flu epidemic in the city of Rio de Janeiro, then Brazil's federal capital. Based on an analysis of Rio de Janeiro press reports and of other documentation (including annals, reports, and bulletins from a federal ministry, the Mayor's Office, and the Chamber of Deputies, along with studies from the Brazilian National Academy of Medicine and dissertations from Rio de Janeiro's Faculdade de Medicina), we explore use of the epidemic as a means of political engineering. Our focus is on how the epidemic impacted not only the representation of certain political and social actors but also the reaffirmation of a group of sanitarians as an intelligentsia with a vocation for political leadership who played a key role in the process of modernizing Brazilian society.

  1. Estimation of the reproductive number of the Spanish flu epidemic in Geneva, Switzerland.

    PubMed

    Chowell, G; Ammon, C E; Hengartner, N W; Hyman, J M

    2006-11-10

    The 1918 influenza pandemic known as the "Spanish Flu" has been the worst in recent history with estimated worldwide mortality ranging from 20 to 100 million deaths. Using epidemic modeling and hospital notification data during the 1918 influenza pandemic in the Canton of Geneva, Switzerland, we estimated the reproductive numbers of the first and second waves of influenza infection to be R(1)=1.49 (95% CI: 1.45-1.53) and R(2)=3.75 (95% CI: 3.57-3.93), respectively. Our estimates indicate that containment of the next influenza pandemic could require strict interventions that include effective isolation strategies in hospitals and reductions in the susceptibility of the general population.

  2. Ethnography of epidemiologic transition: Avian flu, global health politics and agro-industrial capitalism in Thailand.

    PubMed

    Chuengsatiansup, Komatra

    2008-04-01

    This paper situates the ethnography of avian flu within the geo-political context of a new epidemiologic transition. Drawing on anthropological experience and insight, this paper examines areas of enquiry in which an ethnographic approach could contribute to a better implementation of prevention and control measures. Within the context of newly emerging diseases and accelerated globalization, the task of ethnography needs to extend far beyond the local. This paper reveals two major global issues that the ethnography of epidemiologic transition must take into consideration: (1) Global agro-industrial capitalism, and (2) global politics in the context of international health organizations and multi-national drug companies. The case of Thailand poses a question of how the strength of ethnographic practice could be deployed to account for the reality of the global-local interface of the new epidemiologic transition.

  3. GET POKED: Comparing an Incentive-Based Flu Campaign with Vaccinate-or-Mask Policies to Boost Influenza Vaccination Rates Among Healthcare Workers.

    PubMed

    Marwaha, Seema; Lorv, Bailey; Henseleit, Susanne; Iroanyah, Ngozi

    2016-01-01

    The median influenza vaccination rate for Toronto acute care facilities in 2013/14 was only 44%, well below the target rate of 90%. While many Toronto hospitals adopted a vaccinate-or-mask policy, Trillium Health Partners (THP) opted to create a multimodal incentives-based flu campaign entitled GET POKED. This campaign, which required significant additional resourcing, only increased our vaccination rate by 10%. While having some modest success, we believe it is unlikely that non-policy based interventions will efficiently and sustainably raise flu vaccine rates. Vaccinate-or-mask policies, while having some inherent challenges, may be worth exploring as part of THP's larger flu-prevention strategy.

  4. The swine flu vaccine, public attitudes, and researcher interpretations: a systematic review of qualitative research.

    PubMed

    Carlsen, Benedicte; Glenton, Claire

    2016-06-24

    During pandemics, health authorities may be uncertain about the spread and severity of the disease and the effectiveness and safety of available interventions. This was the case during the swine flu (H1N1) pandemic of 2009-2010, and governments were forced to make decisions despite these uncertainties. While many countries chose to implement wide scale vaccination programmes, few accomplished their vaccination goals. Many research studies aiming to explore barriers and facilitators to vaccine uptake have been conducted in the aftermath of the pandemic, including several qualitative studies. 1. To explore public attitudes to the swine flu vaccine in different countries through a review of qualitative primary studies. 2. To describe and discuss the implications drawn by the primary study authors. Systematic review of qualitative research studies, using a broadly comparative cross case-study approach. Study quality was appraised using an adaptation of the Critical Appraisal Skills Programme (CASP) quality assessment tool. The review indicates that the public had varying opinions about disease risk and prevalence and had concerns about vaccine safety. Most primary study authors concluded that participants were uninformed, and that more information about the disease and the vaccine would have led to an increase in vaccine uptake. We find these conclusions problematic. We suggest instead that people's questions and concerns were legitimate given the uncertainties of the situation at the time and the fact that the authorities did not have the necessary information to convince the public. Our quality assessment of the included studies points to a lack of reflexivity and a lack of information about study context. We suggest that these study weaknesses are tied to primary study authors' lack of acknowledgement of the uncertainties surrounding the disease and the vaccine. While primary study authors suggest that authorities could increase vaccine uptake through increased

  5. Immunogenicity and tolerability of inactivated flu vaccine in high risk and healthy children.

    PubMed

    Avila Aguero, María Luisa; Soriano-Fallas, Alejandra; Umaña-Sauma, María de los Angeles; Ulloa-Gutierrez, Rolando; Arnoux, Sabine

    2007-01-01

    We conducted this open study to evaluate the immunogenicity and safety of the inactivated influenza vaccine, Imovax Gripe in 154 children between 6 and 36 months of age at high risk of influenza-related complications, and in a reference group of 64 healthy children. The study was conducted over two flu seasons, in which the vaccine contained the same A strains but different B strains. The results for the A/H3N2 and A/H1N1 strains from the two flu seasons were pooled, but those for the B strains were not. Anti-hemagglutinin (HA) antibody titers were determined before, and one month after each vaccination, and safety was evaluated based on diary card reporting any adverse event observed, either included or not in the list of "solicited events". Within each group of vaccines, the seroconversion rates, seroprotection rates, and ratio of post- to prevaccination geometric mean titers (GMTR) for the A/H3N2 and the A/H1N1 strains fulfilled all requirements of the criteria of the European Union Committee for Proprietary Medicinal Products (CPMP). The immune responses in high-risk and in healthy children were similar, and consistent with those observed in previous studies conducted in healthy children. The vaccine was equally well tolerated by all study groups. Reactogenicity was low and similar in both high-risk and healthy children. Overall from 9.5% to 15.4% of at-risk children and 12% of healthy children reported a solicited local reaction; 23.0 to 28.8% of high-risk and 25.3% of healthy children reported a solicited systemic reaction. The study results provide support for vaccination of children at high-risk of influenza related complications.

  6. Reducing children's pain and distress towards flu vaccinations: a novel and effective application of humanoid robotics.

    PubMed

    Beran, Tanya N; Ramirez-Serrano, Alex; Vanderkooi, Otto G; Kuhn, Susan

    2013-06-07

    Millions of children in North America receive an annual flu vaccination, many of whom are at risk of experiencing severe distress. Millions of children also use technologically advanced devices such as computers and cell phones. Based on this familiarity, we introduced another sophisticated device - a humanoid robot - to interact with children during their vaccination. We hypothesized that these children would experience less pain and distress than children who did not have this interaction. This was a randomized controlled study in which 57 children (30 male; age, mean±SD: 6.87±1.34 years) were randomly assigned to a vaccination session with a nurse who used standard administration procedures, or with a robot who was programmed to use cognitive-behavioral strategies with them while a nurse administered the vaccination. Measures of pain and distress were completed by children, parents, nurses, and researchers. Multivariate analyses of variance indicated that interaction with a robot during flu vaccination resulted in significantly less pain and distress in children according to parent, child, nurse, and researcher ratings with effect sizes in the moderate to high range (Cohen's d=0.49-0.90). This is the first study to examine the effectiveness of child-robot interaction for reducing children's pain and distress during a medical procedure. All measures of reduction were significant. These findings suggest that further research on robotics at the bedside is warranted to determine how they can effectively help children manage painful medical procedures. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  7. Androgen excess in cystic acne.

    PubMed

    Marynick, S P; Chakmakjian, Z H; McCaffree, D L; Herndon, J H

    1983-04-28

    We measured hormone levels in 59 women and 32 men with longstanding cystic acne resistant to conventional therapy. Affected women had higher serum levels of dehydroepiandrosterone sulfate, testosterone, and luteinizing hormone and lower levels of sex-hormone-binding globulin than controls. Affected men had higher levels of serum dehydroepiandrosterone sulfate and 17-hydroxyprogesterone and lower levels of sex-hormone-binding globulin than controls. To lower dehydroepiandrosterone sulfate, dexamethasone was given to men, and dexamethasone or an oral contraceptive pill, Demulen (or both), was given to women. Of the patients treated for six months, 97 per cent of the women and 81 per cent of the men had resolution or marked improvement in their acne. The dose of dexamethasone required to reduce dehydroepiandrosterone sulfate levels was low, rarely exceeding the equivalent of 20 mg of hydrocortisone per day. We conclude that most patients with therapeutically resistant cystic acne have androgen excess and that lowering elevated dehydroepiandrosterone sulfate results in improvement or remission of acne in most instances.

  8. Androgen excess: Investigations and management.

    PubMed

    Lizneva, Daria; Gavrilova-Jordan, Larisa; Walker, Walidah; Azziz, Ricardo

    2016-11-01

    Androgen excess (AE) is a key feature of polycystic ovary syndrome (PCOS) and results in, or contributes to, the clinical phenotype of these patients. Although AE will contribute to the ovulatory and menstrual dysfunction of these patients, the most recognizable sign of AE includes hirsutism, acne, and androgenic alopecia or female pattern hair loss (FPHL). Evaluation includes not only scoring facial and body terminal hair growth using the modified Ferriman-Gallwey method but also recording and possibly scoring acne and alopecia. Moreover, assessment of biochemical hyperandrogenism is necessary, particularly in patients with unclear or absent hirsutism, and will include assessing total and free testosterone (T), and possibly dehydroepiandrosterone sulfate (DHEAS) and androstenedione, although these latter contribute limitedly to the diagnosis. Assessment of T requires use of the highest quality assays available, generally radioimmunoassays with extraction and chromatography or mass spectrometry preceded by liquid or gas chromatography. Management of clinical hyperandrogenism involves primarily either androgen suppression, with a hormonal combination contraceptive, or androgen blockade, as with an androgen receptor blocker or a 5α-reductase inhibitor, or a combination of the two. Medical treatment should be combined with cosmetic treatment including topical eflornithine hydrochloride and short-term (shaving, chemical depilation, plucking, threading, waxing, and bleaching) and long-term (electrolysis, laser therapy, and intense pulse light therapy) cosmetic treatments. Generally, acne responds to therapy relatively rapidly, whereas hirsutism is slower to respond, with improvements observed as early as 3 months, but routinely only after 6 or 8 months of therapy. Finally, FPHL is the slowest to respond to therapy, if it will at all, and it may take 12 to 18 months of therapy for an observable response.

  9. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    NASA Chief Technologist Mason Peck, left, NASA Deputy Administrator Lori Garver, and Worcester Polytechnic Institute (WPI) President Dennis Berkey, third from left, talk with WPI Robotics Resource Center Director and NASA-WPI Sample Return Robot Centennial Challenge Judge Ken Stafford at the edge of the playing field during the robotic challenge on Saturday, June 16, 2012 in Worcester, Mass. Teams in the NASA-WPI Sample Return Robot Centennial Challenge were tasked with building autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  10. [Mexican flu: risk perception in the general public, precautionary measures and trust in information provided by the government].

    PubMed

    Bults, Marloes; Beaujean, Desirée J M A; de Zwart, Onno; Kok, Gerjo; van Empelen, Pepijn; van Steenbergen, Jim E; Richardus, Jan Hendrik; Voeten, Hélène A C M

    2010-01-01

    To gain insight into how the Dutch general public viewed the risk during the course of the recent pandemic, into how many and which people took precautionary measures, and into the extent to which people trust the information provided by the government. Online survey, cross-sectional (the first two measurements) and follow-up investigations (the last two measurements). Between 10 and 17 November 2009, 754 people completed the online questionnaire. Earlier survey rounds were held in May (n = 572), June (n = 620) and August (n = 934). In November 2009, 38% of respondents considered the Mexican flu a serious disease and 36% viewed themselves as vulnerable to this flu. Feelings of anxiety had decreased versus earlier survey rounds. Of the respondents, 73% took precautionary measures against the disease. This concerned mainly hygiene measures, which were most frequently taken by people who were anxious, found hygiene measures effective, paid considerable attention to the media information on flu, and found information from the government reliable and those without children living at home. More than fifty percent (58%) of respondents indicated that they would be willing to have the vaccination if they would be eligible for this. Of the other 315 respondents, 40% indicated that they feared serious side effects, 35% that they doubted the effectiveness of the vaccine and 33% that they considered the vaccine to be insufficiently tested. Almost half of the respondents had read the information leaflet 'Fight the flu', which was sent to every home in the country. One third had seen the television campaign. Governmental institutions, notably the Ministry of Health, Welfare and Sport and the National Institute for Public Health and the Environment, were the most important sources of information and more than half of the respondents trusted this information. During the course of the 2009 influenza A (H1N1) pandemic, anxiety among the Dutch general public decreased progressively

  11. Feature discrimination/identification based upon SAR return variations

    NASA Technical Reports Server (NTRS)

    Rasco, W. A., Sr.; Pietsch, R.

    1978-01-01

    A study of the statistics of The look-to-look variation statistics in the returns recorded in-flight by a digital, realtime SAR system are analyzed. The determination that the variations in the look-to-look returns from different classes do carry information content unique to the classes was illustrated by a model based on four variants derived from four look in-flight SAR data under study. The model was limited to four classes of returns: mowed grass on a athletic field, rough unmowed grass and weeds on a large vacant field, young fruit trees in a large orchard, and metal mobile homes and storage buildings in a large mobile home park. The data population in excess of 1000 returns represented over 250 individual pixels from the four classes. The multivariant discriminant model operated on the set of returns for each pixel and assigned that pixel to one of the four classes, based on the target variants and the probability distribution function of the four variants for each class.

  12. FRS Geospatial Return File Format

    EPA Pesticide Factsheets

    The Geospatial Return File Format describes format that needs to be used to submit latitude and longitude coordinates for use in Envirofacts mapping applications. These coordinates are stored in the Geospatail Reference Tables.

  13. Total anomalous pulmonary venous return

    MedlinePlus

    ... atrial septal defect (ASD) or patent foramen ovale (passage between the left and right atria) must exist ... heart disease - TAPVR Images Heart, section through the middle Totally anomalous pulmonary venous return, x-ray Totally ...

  14. Endeavour Return to Flight Maintenance

    NASA Image and Video Library

    2003-10-10

    In the Orbiter Processing Facility, David Sanborn and Rick Cady, with United Space Alliance, check tiles on the underside of Endeavour. Tile check is part of routine maintenance and return to flight activities on the orbiter fleet.

  15. Another Kind of Returning Student.

    ERIC Educational Resources Information Center

    Chandler, Judith B.

    1984-01-01

    Discusses the needs of women who are returning to school for adult basic education. Provides suggestions for meeting the needs of this group in terms of professional action, counselor education, teacher training, grants, financial support, publication, and volunteerism. (JAC)

  16. Endeavour Return to Flight Maintenance

    NASA Image and Video Library

    2003-10-10

    In the Orbiter Processing Facility, Tim Chastain (left) and John Peterson (right), with United Space Alliance, prepare to remove the body flap actuator from the orbiter Endeavour. The work is part of return to flight activities on the orbiter fleet.

  17. Sample Return Challenges and Technologies

    NASA Astrophysics Data System (ADS)

    Bouilly, J.-M.; Scheer, H.; Pisseloup, A.

    2014-06-01

    During the last ten years, Airbus Defence and Space contributed to several Earth Return Capsules projects. The scope of this paper is to present an overview of main results and achievements obtained through mission studies and technology maturation.

  18. Another Kind of Returning Student.

    ERIC Educational Resources Information Center

    Chandler, Judith B.

    1984-01-01

    Discusses the needs of women who are returning to school for adult basic education. Provides suggestions for meeting the needs of this group in terms of professional action, counselor education, teacher training, grants, financial support, publication, and volunteerism. (JAC)

  19. Excess noise in tunable diode lasers

    NASA Technical Reports Server (NTRS)

    Rowland, C. W.

    1981-01-01

    The method and the apparatus for identifying excess-noise regions in tunable diode lasers are described. These diode lasers exhibit regions of excess noise as their wavelength is tuned. If a tunable diode laser is to be used as a local oscillator in a superheterodyne optical receiver, these excess-noise regions severely degrade the performance of the receiver. Measurement results for several tunable diode lasers are given. These results indicate that excess noise is not necessarily associated with a particular wavelength, and that it is possible to select temperature and injection current such that the most ideal performance is achieved.

  20. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    "Harry" a Goldendoodle is seen wearing a NASA backpack during the Worcester Polytechnic Institute (WPI) "TouchTomorrow" education and outreach event that was held in tandem with the NASA-WPI Sample Return Robot Centennial Challenge on Saturday, June 16, 2012 in Worcester, Mass. The challenge tasked robotic teams to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  1. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    Worcester Polytechnic Institute (WPI) President Dennis Berkey, left, walks with NASA Deputy Administrator Lori Garver to the competition field for the NASA-WPI Sample Return Robot Centennial Challenge on Saturday, June 16, 2012 at the Worcester Polytechnic Institute (WPI) in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  2. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    Worcester Polytechnic Institute (WPI) President Dennis Berkey talks to NASA Deputy Administrator Lori Garver prior to the kick off of the NASA-WPI Sample Return Robot Centennial Challenge on Saturday, June 16, 2012 at WPI in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  3. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    Posters for the Worcester Polytechnic Institute (WPI) "TouchTomorrow" education and outreach event are seen posted around the campus on Saturday, June 16, 2012 at WPI in Worcester, Mass. The TouchTomorrow event was held in tandem with the NASA-WPI Sample Return Robot Centennial Challenge. The NASA-WPI challenge tasked robotic teams to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  4. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-14

    A University of Waterloo Robotics Team member tests their robot on the practice field two days prior to the NASA-WPI Sample Return Robot Centennial Challenge, Thursday, June 14, 2012 at the Worcester Polytechnic Institute in Worcester, Mass. Teams will compete for a $1.5 million NASA prize to build an autonomous robot that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  5. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    Panoramic of some of the exhibits available on the campus of the Worcester Polytechnic Institute (WPI) during their "TouchTomorrow" education and outreach event that was held in tandem with the NASA-WPI Sample Return Robot Centennial Challenge on Saturday, June 16, 2012 in Worcester, Mass. The NASA-WPI challenge tasked robotic teams to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Anthony Shrout)

  6. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-15

    University of Waterloo (Canada) Robotics Team members test their robot on the practice field one day prior to the NASA-WPI Sample Return Robot Centennial Challenge, Friday, June 15, 2012 at the Worcester Polytechnic Institute in Worcester, Mass. Teams will compete for a $1.5 million NASA prize to build an autonomous robot that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  7. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    NASA Deputy Administrator Lori Garver, left, listens as Worcester Polytechnic Institute (WPI) Robotics Resource Center Director and NASA-WPI Sample Return Robot Centennial Challenge Judge Ken Stafford points out how the robots navigate the playing field during the challenge on Saturday, June 16, 2012 in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  8. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    Team members of "Survey" drive their robot around the campus on Saturday, June 16, 2012 at the Worcester Polytechnic Institute (WPI) in Worcester, Mass. The Survey team was one of the final teams participating in the NASA-WPI Sample Return Robot Centennial Challenge at WPI. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  9. Sample Return Robot Centennial Challenge

    NASA Image and Video Library

    2012-06-16

    NASA Deputy Administrator Lori Garver, right, listens as Worcester Polytechnic Institute (WPI) Robotics Resource Center Director and NASA-WPI Sample Return Robot Centennial Challenge Judge Ken Stafford points out how the robots navigate the playing field during the challenge on Saturday, June 16, 2012 in Worcester, Mass. Teams were challenged to build autonomous robots that can identify, collect and return samples. NASA needs autonomous robotic capability for future planetary exploration. Photo Credit: (NASA/Bill Ingalls)

  10. FluKB: A Knowledge-Based System for Influenza Vaccine Target Discovery and Analysis of the Immunological Properties of Influenza Viruses

    PubMed Central

    Simon, Christian; Kudahl, Ulrich J.; Olsen, Lars Rønn; Zhang, Guang Lan; Reinherz, Ellis L.; Brusic, Vladimir

    2015-01-01

    FluKB is a knowledge-based system focusing on data and analytical tools for influenza vaccine discovery. The main goal of FluKB is to provide access to curated influenza sequence and epitope data and enhance the analysis of influenza sequence diversity and the analysis of targets of immune responses. FluKB consists of more than 400,000 influenza protein sequences, known epitope data (357 verified T-cell epitopes, 685 HLA binders, and 16 naturally processed MHC ligands), and a collection of 28 influenza antibodies and their structurally defined B-cell epitopes. FluKB was built using a modular framework allowing the implementation of analytical workflows and includes standard search tools, such as keyword search and sequence similarity queries, as well as advanced tools for the analysis of sequence variability. The advanced analytical tools for vaccine discovery include visual mapping of T- and B-cell vaccine targets and assessment of neutralizing antibody coverage. FluKB supports the discovery of vaccine targets and the analysis of viral diversity and its implications for vaccine discovery as well as potential T-cell breadth and antibody cross neutralization involving multiple strains. FluKB is representation of a new generation of databases that integrates data, analytical tools, and analytical workflows that enable comprehensive analysis and automatic generation of analysis reports. PMID:26504853

  11. New health risks and sociocultural contexts: bird flu impacts on consumers and poultry businesses in Lao PDR.

    PubMed

    Suder, Gabriele; Inthavong, Saynakhone

    2008-02-01

    Avian flu has been identified as one of the most challenging new risks, global in impact due to the "highly interconnected and integrated world economy along with other unpredictable events such as the Asian financial crisis and global terrorism." We have chosen the case of Lao PDR to shed light on an area in which local people consume chicken as one of their staple foods. Our research analyzes consumer behavior, poultry business modification patterns in a high-risk country, and government reaction for business resilience. The geographic choice is motivated by the 2006 EIU report on Catastrophe Risk Management that indicated that Asian-Pacific companies are better prepared for such risks as bird flu than European business is, despite the many cases found in both regions.

  12. [Impact of the flu pandemic of 1918-1919 on the general mortality profile in Boyacá, Colombia].

    PubMed

    Ospina Díaz, Juan Manuel; Martínez Martín, Abel Fernando; Herrán Falla, Oscar Fernando

    2009-01-01

    To describe the epidemiological and social impact of the flu pandemic of 1918-1919 in 41 municipalities of Boyacá, Colombia. Descriptive, analytical-empiric, historic study with an epidemiological focus. The volume and structure of the population is established and determines the mortality rates for the variables of time, person and place. The pandemic began in October 1918 in Bogotá and reached Boyacá by road. The three chronological waves found in the literature were not identified. We found a significant difference in the behavior of the flu pandemic in the departmnent of Boyacá with that described in Europe and North America by the specialized literature.

  13. Regional differences in pathogen prevalence and defensive reactions to the "swine flu" outbreak among East Asians and Westerners.

    PubMed

    Hamamura, Takeshi; Park, Justin H

    2010-09-24

    Research has found that contagion-minimizing behavioral tendencies are amplified in pathogen-prevalent regions. We investigated whether reactions to the "swine flu" outbreak of 2009 were stronger among East Asians than Westerners, populations residing in regions that now enjoy comparable advances in healthcare but that are characterized by relatively high and low historical pathogen prevalence, respectively. In a survey, East Asians reported greater concerns about infection, especially from foreigners. Analyses of international air travel data around the time of the outbreak provided corroborating evidence: Immediately following the outbreak, airports in the Asia-Pacific region lost more international traffic relative to their Western counterparts, and East Asian airlines reported greater declines in international traffic compared to Western airlines. These differences are unlikely to reflect objective threat posed by swine flu (whose casualties were concentrated in the Americas); rather, they appear to reflect culturally adapted behavioral patterns forged and sustained by regionally variable levels of pathogen prevalence.

  14. A study on knowledge and practice related to bird flu in a rural community of Hooghly District of West Bengal.

    PubMed

    Datta, Shibani; Sen, Shibotosh; Sengupta, Bhaswati

    2010-01-01

    For last few years in the early spring bird flu poses a threat to India. The causative agent H5N1 virus is also getting robust day by day acquiring an ability to cross the species barrier. It is now known as (H5N1) which is emerging as killer virus to man. Although human casualty is yet to be recorded from India, but the threat is not over. The present study had been undertaken in the village of Hakimpur of Singur Block of District Hooghly, West Bengal, with a population 862 of 215 families. The objective of the study was to assess the knowledge of the study population regarding bird flu and to study their practice regarding poultry maintenance. The head of the family from each family was interviewed. A house to house survey in the census method on a pre-designed, pre-tested, semi-structured schedule was done. Information regarding socio-demographic profile, poultry keeping, correct knowledge about bird flu, mode of transmission, culling, etc was recorded. The data were collected and analyzed by relevant statistical methods. The results showed that 46% respondents knew what bird flu is, 62.8% knew the mode of transmission, and 35.3% knew the procedure of culling. Out of literates about 53% and out of the illiterates only 0.93% were aware of the transmission of the virus through body fluids. The predominant source of information was mass media. 57.14% of the families rearing poultry, kept the birds in shed, 40.48% in cage, and 2.38% in living room.

  15. 7 CFR 29.1016 - Excessively scorched.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Excessively scorched. 29.1016 Section 29.1016..., 13, 14 and Foreign Type 92) § 29.1016 Excessively scorched. As applied to flue-cured tobacco, the... percent of unripe tobacco. [51 FR 25027, July 10, 1986] ...

  16. 34 CFR 668.166 - Excess cash.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., DEPARTMENT OF EDUCATION STUDENT ASSISTANCE GENERAL PROVISIONS Cash Management § 668.166 Excess cash. (a... than Federal Perkins Loan Program funds, that an institution does not disburse to students or parents... funds that an institution receives from the Secretary under the just-in-time payment method. (b) Excess...

  17. 34 CFR 668.166 - Excess cash.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., DEPARTMENT OF EDUCATION STUDENT ASSISTANCE GENERAL PROVISIONS Cash Management § 668.166 Excess cash. (a... than Federal Perkins Loan Program funds, that an institution does not disburse to students or parents... funds that an institution receives from the Secretary under the just-in-time payment method. (b) Excess...

  18. Bladder calculus presenting as excessive masturbation.

    PubMed

    De Alwis, A C D; Senaratne, A M R D; De Silva, S M P D; Rodrigo, V S D

    2006-09-01

    Masturbation in childhood is a normal behaviour which most commonly begins at 2 months of age, and peaks at 4 years and in adolescence. However excessive masturbation causes anxiety in parents. We describe a boy with a bladder calculus presenting as excessive masturbation.

  19. 24 CFR 236.60 - Excess Income.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... mortgagor owes prior Excess Income and is not current in payments under a HUD-approved Workout or Repayment... current in payments under a HUD-approved Workout or Repayment Agreement or the mortgagor falls within any... of Excess Income that was: (i) Repaid in accordance with a Workout or Repayment Agreement with...

  20. Part B Excess Cost Quick Reference Document

    ERIC Educational Resources Information Center

    Ball, Wayne; Beridon, Virginia; Hamre, Kent; Morse, Amanda

    2011-01-01

    This Quick Reference Document has been prepared by the Regional Resource Center Program ARRA/Fiscal Priority Team to aid RRCP State Liaisons and other (Technical Assistance) TA providers in understanding the general context of state questions surrounding excess cost. As a "first-stop" for TA providers in investigating excess cost…

  1. 30 CFR 57.6902 - Excessive temperatures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Excessive temperatures. 57.6902 Section 57.6902... Requirements-Surface and Underground § 57.6902 Excessive temperatures. (a) Where heat could cause premature... shall— (1) Measure an appropriate number of blasthole temperatures in order to assess the specific mine...

  2. 30 CFR 56.6902 - Excessive temperatures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Excessive temperatures. 56.6902 Section 56.6902... Requirements § 56.6902 Excessive temperatures. (a) Where heat could cause premature detonation, explosive... an appropriate number of blasthole temperatures in order to assess the specific mine conditions prior...

  3. 7 CFR 929.59 - Excess cranberries.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 8 2011-01-01 2011-01-01 false Excess cranberries. 929.59 Section 929.59 Agriculture... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Regulations § 929.59 Excess cranberries...

  4. 7 CFR 929.59 - Excess cranberries.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Excess cranberries. 929.59 Section 929.59 Agriculture... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Regulations § 929.59 Excess cranberries...

  5. 7 CFR 929.59 - Excess cranberries.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 8 2014-01-01 2014-01-01 false Excess cranberries. 929.59 Section 929.59 Agriculture... AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Regulations § 929.59 Excess cranberries...

  6. 7 CFR 929.59 - Excess cranberries.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 8 2012-01-01 2012-01-01 false Excess cranberries. 929.59 Section 929.59 Agriculture... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Regulations § 929.59 Excess cranberries...

  7. 7 CFR 929.59 - Excess cranberries.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 8 2013-01-01 2013-01-01 false Excess cranberries. 929.59 Section 929.59 Agriculture... AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE CRANBERRIES GROWN IN STATES OF... LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Regulations § 929.59 Excess cranberries...

  8. 10 CFR 904.9 - Excess capacity.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... ENERGY GENERAL REGULATIONS FOR THE CHARGES FOR THE SALE OF POWER FROM THE BOULDER CANYON PROJECT Power... entitled to such Excess Capacity to integrate the operation of the Boulder City Area Projects and other Federal Projects on the Colorado River. Specific criteria for the use of Excess Capacity by Western will...

  9. FluMob: Enabling Surveillance of Acute Respiratory Infections in Health-care Workers via Mobile Phones.

    PubMed

    Lwin, May Oo; Yung, Chee Fu; Yap, Peiling; Jayasundar, Karthikayen; Sheldenkar, Anita; Subasinghe, Kosala; Foo, Schubert; Jayasinghe, Udeepa Gayantha; Xu, Huarong; Chai, Siaw Ching; Kurlye, Ashwin; Chen, Jie; Ang, Brenda Sze Peng

    2017-01-01

    Singapore is a hotspot for emerging infectious diseases and faces a constant risk of pandemic outbreaks as a major travel and health hub for Southeast Asia. With an increasing penetration of smart phone usage in this region, Singapore's pandemic preparedness framework can be strengthened by applying a mobile-based approach to health surveillance and control, and improving upon existing ideas by addressing gaps, such as a lack of health communication. FluMob is a digitally integrated syndromic surveillance system designed to assist health authorities in obtaining real-time epidemiological and surveillance data from health-care workers (HCWs) within Singapore, by allowing them to report influenza incidence using smartphones. The system, integrating a fully responsive web-based interface and a mobile interface, is made available to HCW using various types of mobile devices and web browsers. Real-time data generated from FluMob will be complementary to current health-care- and laboratory-based systems. This paper describes the development of FluMob, as well as challenges faced in the creation of the system.

  10. Novel use of flu surveillance data: Evaluating potential of sentinel populations for early detection of influenza outbreaks

    DOE PAGES

    Daughton, Ashlynn R.; Velappan, Nileena; Abeyta, Esteban; ...

    2016-07-08

    Influenza causes significant morbidity and mortality each year, with 2–8% of weekly outpatient visits around the United States for influenza-like-illness (ILI) during the peak of the season. Effective use of existing flu surveillance data allows officials to understand and predict current flu outbreaks and can contribute to reductions in influenza morbidity and mortality. Previous work used the 2009–2010 influenza season to investigate the possibility of using existing military and civilian surveillance systems to improve early detection of flu outbreaks. Results suggested that civilian surveillance could help predict outbreak trajectory in local military installations. To further test that hypothesis, we comparemore » pairs of civilian and military outbreaks in seven locations between 2000 and 2013. We find no predictive relationship between outbreak peaks or time series of paired outbreaks. This larger study does not find evidence to support the hypothesis that civilian data can be used as sentinel surveillance for military installations. We additionally investigate the effect of modifying the ILI case definition between the standard Department of Defense definition, a more specific definition proposed in literature, and confirmed Influenza A. We find that case definition heavily impacts results. In conclusion, this study thus highlights the importance of careful selection of case definition, and appropriate consideration of case definition in the interpretation of results.« less

  11. Novel use of flu surveillance data: Evaluating potential of sentinel populations for early detection of influenza outbreaks

    SciTech Connect

    Daughton, Ashlynn R.; Velappan, Nileena; Abeyta, Esteban; Priedhorsky, Reid; Deshpande, Alina; Turner, Stephen J.

    2016-07-08

    Influenza causes significant morbidity and mortality each year, with 2–8% of weekly outpatient visits around the United States for influenza-like-illness (ILI) during the peak of the season. Effective use of existing flu surveillance data allows officials to understand and predict current flu outbreaks and can contribute to reductions in influenza morbidity and mortality. Previous work used the 2009–2010 influenza season to investigate the possibility of using existing military and civilian surveillance systems to improve early detection of flu outbreaks. Results suggested that civilian surveillance could help predict outbreak trajectory in local military installations. To further test that hypothesis, we compare pairs of civilian and military outbreaks in seven locations between 2000 and 2013. We find no predictive relationship between outbreak peaks or time series of paired outbreaks. This larger study does not find evidence to support the hypothesis that civilian data can be used as sentinel surveillance for military installations. We additionally investigate the effect of modifying the ILI case definition between the standard Department of Defense definition, a more specific definition proposed in literature, and confirmed Influenza A. We find that case definition heavily impacts results. In conclusion, this study thus highlights the importance of careful selection of case definition, and appropriate consideration of case definition in the interpretation of results.

  12. Multi-spectral fluorescent reporter influenza viruses (Color-flu) as powerful tools for in vivo studies.

    PubMed

    Fukuyama, Satoshi; Katsura, Hiroaki; Zhao, Dongming; Ozawa, Makoto; Ando, Tomomi; Shoemaker, Jason E; Ishikawa, Izumi; Yamada, Shinya; Neumann, Gabriele; Watanabe, Shinji; Kitano, Hiroaki; Kawaoka, Yoshihiro

    2015-03-25

    Seasonal influenza A viruses cause annual epidemics of respiratory disease; highly pathogenic avian H5N1 and the recently emerged H7N9 viruses cause severe infections in humans, often with fatal outcomes. Although numerous studies have addressed the pathogenicity of influenza viruses, influenza pathogenesis remains incompletely understood. Here we generate influenza viruses expressing fluorescent proteins of different colours ('Color-flu' viruses) to facilitate the study of viral infection in in vivo models. On adaptation to mice, stable expression of the fluorescent proteins in infected animals allows their detection by different types of microscopy and by flow cytometry. We use this system to analyse the progression of viral spread in mouse lungs, for live imaging of virus-infected cells, and for differential gene expression studies in virus antigen-positive and virus antigen-negative live cells in the lungs of Color-flu-infected mice. Collectively, Color-flu viruses are powerful tools to analyse virus infections at the cellular level in vivo to better understand influenza pathogenesis.

  13. The Role of Risk Perception in Flu Vaccine Behavior among African-American and White Adults in the United States.

    PubMed

    Freimuth, Vicki S; Jamison, Amelia; Hancock, Gregory; Musa, Donald; Hilyard, Karen; Quinn, Sandra Crouse

    2017-03-17

    Seasonal flu vaccination rates are low for U.S. adults, with significant disparities between African and white Americans. Risk perception is a significant predictor of vaccine behavior but the research on this construct has been flawed. This study addressed critical research questions to understand the differences between African and white Americans in the role of risk perception in flu vaccine behavior: (1) What is the dimensionality of risk perception and does it differ between the two races?  (2) Were risk perceptions of white and African-American populations different and how were sociodemographic characteristics related to risk for each group? (3) What is the relation between risk perception and flu vaccine behaviors for African Americans and whites? The sample, drawn from GfK's Knowledge Panel, consisted of 838 whites and 819 African Americans. The survey instrument was developed from qualitative research. Measures of risk perception included cognitive and emotional measures of disease risk and risk of side effects from the vaccine. The online survey was conducted in March 2015. Results showed the importance of risk perception in the vaccine decision-making process for both racial groups. As expected, those who got the vaccine reported higher disease risk than those who did not. Separate cognitive and emotional factors did not materialize in this study but strong evidence was found to support the importance of considering disease risk as well as risk of the vaccine. There were significant racial differences in the way risk perception predicted behavior. © 2017 Society for Risk Analysis.

  14. FluMob: Enabling Surveillance of Acute Respiratory Infections in Health-care Workers via Mobile Phones

    PubMed Central

    Lwin, May Oo; Yung, Chee Fu; Yap, Peiling; Jayasundar, Karthikayen; Sheldenkar, Anita; Subasinghe, Kosala; Foo, Schubert; Jayasinghe, Udeepa Gayantha; Xu, Huarong; Chai, Siaw Ching; Kurlye, Ashwin; Chen, Jie; Ang, Brenda Sze Peng

    2017-01-01

    Singapore is a hotspot for emerging infectious diseases and faces a constant risk of pandemic outbreaks as a major travel and health hub for Southeast Asia. With an increasing penetration of smart phone usage in this region, Singapore’s pandemic preparedness framework can be strengthened by applying a mobile-based approach to health surveillance and control, and improving upon existing ideas by addressing gaps, such as a lack of health communication. FluMob is a digitally integrated syndromic surveillance system designed to assist health authorities in obtaining real-time epidemiological and surveillance data from health-care workers (HCWs) within Singapore, by allowing them to report influenza incidence using smartphones. The system, integrating a fully responsive web-based interface and a mobile interface, is made available to HCW using various types of mobile devices and web browsers. Real-time data generated from FluMob will be complementary to current health-care- and laboratory-based systems. This paper describes the development of FluMob, as well as challenges faced in the creation of the system. PMID:28367433

  15. Novel Use of Flu Surveillance Data: Evaluating Potential of Sentinel Populations for Early Detection of Influenza Outbreaks.

    PubMed

    Daughton, Ashlynn R; Velappan, Nileena; Abeyta, Esteban; Priedhorsky, Reid; Deshpande, Alina

    2016-01-01

    Influenza causes significant morbidity and mortality each year, with 2-8% of weekly outpatient visits around the United States for influenza-like-illness (ILI) during the peak of the season. Effective use of existing flu surveillance data allows officials to understand and predict current flu outbreaks and can contribute to reductions in influenza morbidity and mortality. Previous work used the 2009-2010 influenza season to investigate the possibility of using existing military and civilian surveillance systems to improve early detection of flu outbreaks. Results suggested that civilian surveillance could help predict outbreak trajectory in local military installations. To further test that hypothesis, we compare pairs of civilian and military outbreaks in seven locations between 2000 and 2013. We find no predictive relationship between outbreak peaks or time series of paired outbreaks. This larger study does not find evidence to support the hypothesis that civilian data can be used as sentinel surveillance for military installations. We additionally investigate the effect of modifying the ILI case definition between the standard Department of Defense definition, a more specific definition proposed in literature, and confirmed Influenza A. We find that case definition heavily impacts results. This study thus highlights the importance of careful selection of case definition, and appropriate consideration of case definition in the interpretation of results.

  16. Return to work following ileostomy.

    PubMed

    Whates, P D; Irving, M

    1984-08-01

    The experiences of 1033 members of the 51 English divisions of the Ileostomy Association of Great Britain and Ireland have been analysed in respect of their return to work after construction of an ileostomy. Although there was a fall in the number of patients returning to work after operation this was often for reasons unrelated to surgery. The majority of those returning to work resumed work with the same employer and usually in the same post. Fifty-nine (5.7 per cent) patients began work for the first time after operation, including 33 (3.2 per cent) who were previously inactive although of working age. Analysis of occupational class shows that, although a number of patients initially resumed work within a lower class, once established in employment successful career advancement was possible. Problems in the gaining or resumption of employment were reported by 56 (5.4 per cent) patients. In 22 (2.1 per cent) patients, almost all approaching or above retirement age, successful surgery resulted in a decision not to return to employment. An ileostomy is no barrier to successful return to work in nearly all occupations, and is accomplished by the majority of patients without major difficulty.

  17. 75 FR 27572 - Monthly Report of Excess Income and Annual Report of Uses of Excess Income

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... URBAN DEVELOPMENT Monthly Report of Excess Income and Annual Report of Uses of Excess Income AGENCY... and Annual Report of Uses of Excess Income. OMB Approval Number: 2502-0086. Form Numbers: None--form... INFORMATION CONTACT: Leroy McKinney Jr., Reports Management Officer, QDAM, Department of Housing and...

  18. Using Google Flu Trends data in forecasting influenza-like-illness related ED visits in Omaha, Nebraska.

    PubMed

    Araz, Ozgur M; Bentley, Dan; Muelleman, Robert L

    2014-09-01

    Emergency department (ED) visits increase during the influenza seasons. It is essential to identify statistically significant correlates in order to develop an accurate forecasting model for ED visits. Forecasting influenza-like-illness (ILI)-related ED visits can significantly help in developing robust resource management strategies at the EDs. We first performed correlation analyses to understand temporal correlations between several predictors of ILI-related ED visits. We used the data available for Douglas County, the biggest county in Nebraska, for Omaha, the biggest city in the state, and for a major hospital in Omaha. The data set included total and positive influenza test results from the hospital (ie, Antigen rapid (Ag) and Respiratory Syncytial Virus Infection (RSV) tests); an Internet-based influenza surveillance system data, that is, Google Flu Trends, for both Nebraska and Omaha; total ED visits in Douglas County attributable to ILI; and ILI surveillance network data for Douglas County and Nebraska as the predictors and data for the hospital's ILI-related ED visits as the dependent variable. We used Seasonal Autoregressive Integrated Moving Average and Holt Winters methods with3 linear regression models to forecast ILI-related ED visits at the hospital and evaluated model performances by comparing the root means square errors (RMSEs). Because of strong positive correlations with ILI-related ED visits between 2008 and 2012, we validated the use of Google Flu Trends data as a predictor in an ED influenza surveillance tool. Of the 5 forecasting models we have tested, linear regression models performed significantly better when Google Flu Trends data were included as a predictor. Regression models including Google Flu Trends data as a predictor variable have lower RMSE, and the lowest is achieved when all other variables are also included in the model in our forecasting experiments for the first 5 weeks of 2013 (with RMSE = 57.61). Google Flu Trends data

  19. Efficacy of MP-AzeFlu in children with seasonal allergic rhinitis: Importance of paediatric symptom assessment.

    PubMed

    Berger, William; Meltzer, Eli O; Amar, Niran; Fox, Adam T; Just, Jocelyne; Muraro, Antonella; Nieto, Antonio; Valovirta, Erkka; Wickman, Magnus; Bousquet, Jean

    2016-03-01

    This study aimed to assess the efficacy of MP-AzeFlu (a novel intranasal formulation of azelastine hydrochloride and fluticasone propionate in a single spray) in children with seasonal allergic rhinitis (SAR) and explore the importance of child symptom severity assessment in paediatric allergic rhinitis (AR) trials. A total of 348 children (4-11 years) with moderate/severe SAR were randomized into a double-blind, placebo-controlled, 14-day, parallel-group trial. Efficacy was assessed by changes from baseline in reflective total nasal symptom score (rTNSS), reflective total ocular symptom score (rTOSS) and individual symptom scores over 14 days (children 6-11 years; n = 304), recorded by either children or caregivers. To determine whether a by-proxy effect existed, efficacy outcomes were assessed according to degree of child/caregiver rating. Moreover, total Paediatric Rhinitis Quality of Life Questionnaire (PRQLQ) score was compared between the groups. A statistically superior, clinically relevant efficacy signal of MP-AzeFlu versus placebo was apparent for PRQLQ overall score (diff: -0.29, 95% CI -0.55, -0.03; p = 0.027), but not for rTNSS (diff: -0.80; 95% CI: -1.75; 0.15; p = 0.099). However, as the extent of children's self-rating increased, so too did the treatment difference between MP-AzeFlu and placebo; MP-AzeFlu provided significantly better relief than placebo for rTNSS (p = 0.002), rTOSS (p = 0.009) and each individual nasal and ocular symptom assessed (except rhinorrhoea; p = 0.064) when children mostly rated their own symptoms. MP-AzeFlu is an effective treatment for AR in childhood. Caregivers are less able than children to accurately assess response to treatment with available tools. A simple paediatric-specific tool to assess efficacy in AR trials in children is needed. © 2016 The Authors. Pediatric Allergy and Immunology Published by John Wiley & Sons Ltd.

  20. Influenza vaccination coverage among pregnant women--National 2009 H1N1 Flu Survey (NHFS).

    PubMed

    Ding, Helen; Santibanez, Tammy A; Jamieson, Denise J; Weinbaum, Cindy M; Euler, Gary L; Grohskopf, Lisa A; Lu, Peng-Jun; Singleton, James A

    2011-06-01

    We sought to describe vaccination with influenza A (H1N1) 2009 monovalent (2009 H1N1) and trivalent seasonal (seasonal) vaccines among pregnant women during the 2009 through 2010 influenza season. A national H1N1 flu survey was conducted April through June 2010. The 2009 H1N1 and seasonal vaccination coverage estimates were 45.7% and 32.1%, respectively, among pregnant women aged 18-49 years. Receipt of a health care provider's recommendation for vaccination, perceived effectiveness of influenza vaccinations, and perceived high chance of influenza infection were independently associated with higher 2009 H1N1 and seasonal vaccination coverage. Pregnancy during October 2009 through January 2010 was independently associated with higher 2009 H1N1 vaccination coverage. The 2009 H1N1 vaccination level among pregnant women was higher than the seasonal vaccination level during the 2009 through 2010 season; it was also higher than vaccination among nonpregnant women with and without high-risk conditions. Health care providers and public health messaging played important roles in influencing vaccination behavior.