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Indirect Transmission Can Trigger Influenza Outbreaks In Birds
New data on the persistence of avian influenza viruses in the environment has allowed a team of University of Georgia researchers to create the first model that takes into account both direct and indirect transmission of the viruses among birds. The model, which is detailed in the early online edition of the journal Proceedings of the National Academy of Sciences, has the potential to shed new light on how outbreaks begin in wild bird populations.
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State News: Overrides, Cuts And Fraud
The Connecticut legislature used its override in both chambers to undo seven vetoes by the governor, including one to cover most Connecticut residents, called SustiNet, The Hartford Courant reports: "Senate Majority Leader Martin Looney said that healthcare, "in many ways, has become a cloud of worry"" over much of society. SustiNet"s nine-member board of directors will study the issue (covering people and cost) for 17 months before giving its recommendations to the legislature in January 2011" (Keating, 7/20).
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DaVita Study Demonstrates Clinical Application Of Sysmex Reticulocyte Hemoglobin Equivalent (RET-He) Parameter
Sysmex America, Inc. announced that a study titled "Day-to-Day, Week-to-Week, and Day-of-the-Week Variations in Tests of Anemia and Iron Status in Hemodialysis Patients" has identified Sysmex"s Reticulocyte Hemoglobin Equivalent (RET-He) parameter result as key input used by physicians to assist in Anemia treatment decisions in ESRD patients on hemodialysis. David Van Wyck, M.D., Vice President of Clinical Affairs at DaVita Inc., and Emeritus Professor of Medicine and Surgery at the University of Arizona College of Medicine, in Tucson et. al followed five hematologic parameters in 30 patients undergoing hemodialysis three times a week. The patients were followed for 12 consecutive treatment days. The parameters studied were Hb, Hct, reticulocyte Hb (RET He or CHr), TSAT and ferritin levels.
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In Pediatric Patients Sleep Disorders Are Largely Underdiagnosed

Primary care pediatricians may be under-diagnosing sleep disorders in children and teens, according to a research abstract presented on June 8 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies. The study obtained data from 32 primary care pediatric practices affiliated with Children"s Hospital of Philadelphia. Information was gathered by chart review for 154,957 patients, ranging in age from 0 to 18 years. Results show that less than four percent (5750 children) were diagnosed with a sleep disorder. The most common diagnoses were sleep disorders that are "not otherwise specified" (1.42 percent), enuresis - or bedwetting (1.24 percent), sleep disordered breathing (1.04 percent), and insomnia (0.05 percent). According to lead author Lisa Meltzer, PhD, the rate of diagnosis found in this study is significantly lower than prevalence rates reported in epidemiological studies. "Sleep is often discussed during check-ups for young children, but it may not come up as a topic with teenagers, resulting in an under diagnosis of sleep disorders for this group of adolescents," said Meltzer. "Pediatricians should ask about sleep during every well-child visit. Children who snore, have problems falling asleep, are difficult to wake in the morning, or who fall asleep in school should be further evaluated for sleep disorders." Because sleep problems in children can have a major impact on learning, growth and development, the authors advise that it is important for pediatricians to receive education and support in the diagnosis and treatment of sleep disorders. According to the American Academy of Sleep Medicine (AASM), some signs that your child may have a sleep problem include: * You spend too much time "helping" your child fall asleep * Your child wakes up repeatedly during the night. * Your child snores very loudly or struggles to breathe during sleep. * Your child"s behavior, mood or school performance changes. * Your child who used to stay dry at night begins to wet the bed. Parents who notice an ongoing sleep problem in their child should talk to their child"s doctor or contact an AASM-accredited sleep disorders center. Abstract Title: Prevalence of Sleep Disorders in Pediatric Primary Care Practice Presentation Date: Monday, June 8 Category: Pediatrics Abstract ID: 0197 Kelly Wagner American Academy of Sleep Medicine


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