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Does Adding Simehicone To Sodium Phosphate Bowel Preparation Benefit Colonscopy
Bowel preparation has been reported inadequate in 10%-75% of colonoscopic examinations. None of the preparations reached all the requirements of safety, acceptance to patients with negligible discomfort, and rapid cleansing. Polyethyleneglycol is considered as the gold standard for colonoscopic bowel preparation (Grade IA), and aqueous sodium phosphate was an alternative regimen to PEG solution (Grade IA). This consensus also stated that adjunctive therapy, such as bisacodyl, metoclopramide, and simethicone, was shown to improve the quality of bowel preparation. Simethicone works as an adjunct to bowel preparationwith the purpose of diminishing foam formation and improving visualization during colonoscopy. However, the benefit of simethicone in improving colonic bowel preparation, however, was not explored in previous studies.
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Statistics Show Drop In Births, Lower Demand For Infertility Services During Recession
More people in the Atlanta area and across the U.S. are delaying pregnancy in a possible reaction to the current economic recession, leading to a decline in the number of couples seeking infertility treatments, the Atlanta Journal-Constitution reports. According to the Journal-Constitution, 13 states saw a decrease in the number of recorded births in 2008 compared with 2007. The Georgia Hospital Association reports that there were 5,352 fewer recorded births in Georgia in 2008 than in 2007. Mark Perloe of Georgia Reproductive Specialists said there has been a 20% decline in the number of people seeking infertility services. To retain business during the economic downturn, Perloe said Georgia Reproductive Specialists is offering a discount on select services of as much as 70%.Elisabeth Burgess, a Georgia State University sociology professor who focuses on families, said, "In times of economic downturns, different people react in different ways." For some people, "[f]amily becomes more important, so you might decide to have a child." The Journal-Constitution reports that one cycle of treatment can cost $15,000 or more, which some people pay for through credit, retirement savings or home equity loans. Evelina Sterling, co-author of a book on budgeting finances for infertility treatments, said that 70% of infertility patients cover the costs of the treatments completely out of pocket. She added that some older infertility patients "can"t wait on" the economy to recover to start a family.Carol Hogue, a professor of maternal and child health at Emory University, said there has been a "very predictable" pattern of reduced births during periods of economic recessions dating back to the Great Depression. The Journal-Constitution reports that some people delay planned pregnancy because of concerns over job security, health insurance, income and the cost of raising a child. Statistics from USDA show that the average middle-class family will pay $11,000 to raise a child in the first year, with the largest portion of that cost going to child care. The Agency for Healthcare Research and Quality reported in 2007 -- the latest year for which data are available -- that prenatal care and routine delivery costs about $7,600 after insurance (Cash, Atlanta Journal-Constitution, 5/24).
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Sanofi-aventis Welcomes The European Medicines Agency's Statement On Lantus® Safety
Sanofi-aventis (EURONEXT: SAN and NYSE: SNY) announced that following the review of the available evidence on Lantus® (insulin glargine [rDNA] injection), the European Medicines Agency"s Committee for Medicinal Products for Human Use (CHMP) confirmed the product"s safety and concluded that changes to the prescribing advice are not necessary. The EMEA issued a press-release stating that they have re-confirmed their initial assessment, based on an
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First Mosquitoes Test Positive For West Nile Virus In Southern Illinois

Dr. Damon T. Arnold, state public health director, announced a mosquito batch collected in St. Clair County has been confirmed as the first positive West Nile virus test results in southern Illinois this year. The St. Clair County Health Department collected the positive mosquito sample on June 3 in Shiloh. Positive mosquito batches have also been found in Cook County and a crow has tested positive for West Nile virus in LaSalle County. "We are starting to see mosquito batches and birds in Illinois test positive for West Nile virus," said Dr. Arnold. "As we head into summer it"s important to remember to take precautions, such as wearing insect repellent and getting rid of standing water around your house, to reduce the risk of becoming infected with West Nile virus." In 2008, the first positive mosquito samples were reported May 23 in DuPage and Tazewell counties. Last year 28 of the state"s 102 counties were found to have a West Nile positive bird, mosquito, horse or human case. A total of 20 human cases of West Nile disease, including one death, were reported last year in Illinois. Surveillance for West Nile virus in Illinois began on May 1 and includes laboratory tests on mosquitoes, dead crows, blue jays, robins and other perching birds as well as the testing of sick horses and humans with West Nile-like disease symptoms. Citizens who observe a sick or dying crow, blue jay, robin or other perching bird should contact their local health department, which will determine if the bird will be picked up for testing. West Nile virus is transmitted through the bite of a mosquito that has picked up the virus by feeding on an infected bird. Most people with the virus have no clinical symptoms of illness, but some may become ill three to 15 days after the bite of an infected mosquito. The first human case in Illinois is not usually reported until July or later. Only about two people in 10 who are bitten by an infected mosquito will experience any illness. Illness from West Nile is usually mild and includes fever, headache and body aches, but serious illness, such as encephalitis and meningitis, and death are possible. Persons older than 50 years of age have the highest risk of severe disease. The best way to prevent West Nile disease or any other mosquito-borne illness is to reduce the number of mosquitoes around your home and to take personal precautions to avoid mosquito bites. Precautions include: - Avoid being outdoors when mosquitoes are most active, especially between dusk and dawn. - When outdoors, wear shoes and socks, long pants and a long-sleeved shirt, and apply insect repellent that includes DEET, picaridin, oil of lemon eucalyptus or IR 3535 according to label instructions. Consult a physician before using repellents on infants. - Make sure doors and windows have tight-fitting screens. Repair or replace screens that have tears or other openings. Try to keep doors and windows shut, especially at night. - Eliminate all s of standing water that can support mosquito breeding, including water in bird baths, ponds, flowerpots, wading pools, old tires and any other receptacles. In communities where there are organized mosquito control programs, contact your municipal government to report areas of stagnant water in roadside ditches, flooded yards and similar locations that may produce mosquitoes. Public health officials believe that a hot summer could increase mosquito activity and the risk of disease from West Nile virus. Additional information about West Nile virus can be found on the Illinois Department of Public Health"s Web site at http://www.idph.state.il.us/envhealth/wnv.htm. Illinois Department of Public Health


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