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Daily Archives: October 30, 2014
Genome sequenced of enterovirus D68 circulating in St. Louis
Posted: October 30, 2014 at 2:44 pm
Researchers at Washington University School of Medicine in St. Louis have sequenced the genome of enterovirus D68 sampled from patients treated at St. Louis Children's Hospital. Nationwide, the virus has spread rapidly in recent months and caused severe respiratory illness in young children, with some patients requiring hospitalization.
"Having the DNA sequence of this virus enables additional research," said senior author Gregory A. Storch, MD, the Ruth L. Siteman Professor of Pediatrics. "It can be used to create better diagnostic tests. It also may help us understand why this epidemic seems to be producing severe and unusual disease, and why it's spreading more extensively than in the past."
The work appears Oct. 28 in Emerging Infectious Diseases. The investigators published the DNA sequences in GenBank, an open-access database maintained by the National Institutes of Health (NIH).
The new sequencing data, produced by The Genome Institute at Washington University, includes one complete genome sequence and eight partial sequences taken from patient samples. Further, scientists at the Centers for Disease Control and Prevention (CDC) contributed to GenBank seven complete or partial sequences of enterovirus D68 sampled in the Midwest.
Storch said routine laboratory tests can't identify specific enterovirus strains. Most hospitals and clinics only can perform tests to determine if a patient has a virus that fits broadly into the enterovirus/rhinovirus category. In the new study, Storch and his colleagues analyzed 14 patient samples testing positive for enterovirus/rhinovirus. Of those, nine were identified as enterovirus D68 using specialized laboratory techniques developed at Washington University and St. Louis Children's Hospital. The remaining five samples were other respiratory viruses.
While many children may contract enterovirus D68 and never know it because symptoms are mild, others may require hospitalization to support their breathing. Children with a history of breathing disorders such as asthma are at higher risk of severe disease.
In this study, seven of the nine patients with the D68 strain had severe disease that required admission to the pediatric intensive care unit. The remaining two had moderate symptoms resulting in general hospital admission. Of the five patients with other viruses, three were classified with severe disease. The only two patients discharged home with mild disease did not have the D68 strain.
"There is currently no specific treatment and no vaccine for this virus," said Storch, who treats patients at St. Louis Children's Hospital. "But having the DNA sequence available helps work toward both of those goals."
The data also allow comparisons between strains circulating in different parts of the country.
"The CDC has published some additional genomes from Missouri, Illinois and Kentucky," said first author Kristine M. Wylie, PhD, research instructor in pediatrics. "The Missouri genomes, including ours, are all very similar, but the Illinois and Kentucky genomes are different from the Missouri types, suggesting there are some distinct strains circulating in the U.S. right now."
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Genome sequenced of enterovirus D68 circulating in St. Louis
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Researchers dive deep into rare enterovirus
Posted: at 2:44 pm
Local researchers have new clues about a rare respiratory virus that caused a national outbreak and filled childrens hospital beds in August and September.
Researchers at the Genome Institute at Washington University mapped the genetic code of enterovirus D68 samples taken from nine children treated at St. Louis Childrens Hospital. Their work, along with about six other genome sequences of the virus from around the country, will be used to study the makeup of the virus with a goal of developing a better diagnostic test, treatments and potentially a vaccine.
Knowing the whole genome sequence is a very important starting point for research, said Dr. Gregory Storch, a professor of pediatrics who co-wrote a paper on their work in the journal Emerging Infectious Diseases. The next thing is that it could be helpful to us in designing better diagnostic tests, and further down the road, it can be very useful for people trying to develop new treatments.
The virus surprised disease investigators when it started showing up in children in Missouri and Illinois in August. Now 47 states have reported illnesses, according to the Centers for Disease Control and Prevention. The virus can cause severe symptoms, including coughing, wheezing and fever, especially in children with asthma. In rare cases, neurological symptoms have included paralysis linked to the virus, which is related to polio.
Respiratory viruses are seen every summer and fall, but the enterovirus D68 caused more serious, widespread illnesses and raised questions about its pathology.
Something has changed about the virus or the way it fits into the community, Storch said. It seems to be emerging as a cause of widespread respiratory disease. We dont know what the future holds, but we may see future outbreaks.
Since August, more than 1,100 confirmed enterovirus D68 cases have been confirmed in the country and eight deaths in children who tested positive for the virus.
But thousands more are probably sickened by the virus, including as many as 1,500 children treated at St. Louis Childrens Hospital for respiratory illness this year. Most of the cases did not receive comprehensive testing that would determine the strain. Storch said the genome sequencing could point to an easier way to diagnose the virus.
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BGI Tech and Hebei Agricultural University complete the genome sequencing of the jujube tree
Posted: at 2:44 pm
PUBLIC RELEASE DATE:
29-Oct-2014
Contact: Press Office huwen@genomics.cn BGI Shenzhen
October 27, 2014 Cambridge, MA and Hebei, China BGI Tech and Hebei Agricultural University jointly announced the complete, high quality sequencing of the Jujube genome. Jujube is the most economically important member of the Rhamnaceae family, and the Jujube genome is particularly difficult to sequence due the high level of heterozygosity and other complicating factors. It is the first time that a genome in the Rhamnaceae (Buckthorn) family has been sequenced. This study has been recently published in Nature Communications.
Jujube is a major commercial fruit with up to 30 million acres under cultivation close to that of apple and citrus and China accounts for 99% of the 6 million tons of dried fruit produced annually. Jujube has a much higher vitamin C content than other well-known vitamin C-rich fruits such as orange and kiwi fruit, and also high levels of nucleotides, polysaccharides and other important functional components. Furthermore, the jujube tree is highly resistant to salinity and drought, and grows well in sandy, alkaline and arid areas. Therefor, decoding the genome of the jujube tree will have great implications to exploit those important traits.
The Jujube genome has the highest degree of heterozygosity (1.9%) of plants sequenced to date using next generation sequencing (NGS). In addition, the very high density of simple sequence repeats and low GC content make the Jujube genome particularly challenging for whole genome sequencing and assembly. By using a combination of BAC-to-BAC sequencing and PCR-free whole genome sequencing, the researchers were able to successfully complete the high quality de novo sequencing of 98.6% of the estimated Jujube genome, identifying 32,808 genes.
"This study has accelerated the functional genomics research of the Jujube tree, and will facilitate the genetic improvement and selective breeding of Buckthorn fruit trees", said Professor Mengjun Liu, head of the research team, for Hebei Agricultural Unviersity. "This research not only shows the expertise of the team and the power of sequencing technology, but we also expect its future applications in bring more value and benefits in healthy food production."
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About Agricultural University of Hebei
Founded in 1902, Agricultural University of Hebei (AUH) is one of the main universities of Hebei province. Its five campuses are located in the cities of Baoding, Qinhuangdao, Huanghua and Dingzhou, covering the areas of more than 1.9 million square meters. Since 1989, the university has won 6 national awards and 163 provincial awards for its excellence in teaching and research, making it the top ranked university among all Chinese provincial universities, for ten years in a row. AUH has also ranked among the top 10 agricultural universities in China for decades.
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BGI Tech and Hebei Agricultural University complete the genome sequencing of the jujube tree
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Einstein-Montefiore investigators present aging research at Gerontological Society of America's Annual Scientific …
Posted: at 2:43 pm
PUBLIC RELEASE DATE:
30-Oct-2014
Contact: Kim Newman sciencenews@einstein.yu.edu 718-430-3101 Albert Einstein College of Medicine @EinsteinMed
October 30, 2014(BRONX, NY)Investigators at Albert Einstein College of Medicine of Yeshiva University and Montefiore Medical Center will present their latest aging research at the Gerontological Society of America's (GSA) 67th Annual Scientific Meeting. Topics include the identification of a genotype that can predict survival, risk factors for cognitive impairment and the cellular biology of aging. GSA 2014 will take place November 5-9, 2014 in Washington, D.C.
"Einstein-Montefiore has distinguished itself in a range of aging fields from basic biology to clinical diagnosis and treatment," said Joe Verghese, M.D., chief, division of geriatrics, department of medicine, and director of the Center for the Aging Brain and the division of cognitive and motor aging, department of neurology, at Einstein and Montefiore. "Our ongoing longitudinal studies, in particular the Einstein Aging Study and LonGenity, also link the bench and the bedside, improving our understanding of the aging process and driving discoveries that may potentially slow it."
Dr. Verghese will attend GSA 2014 and is available for interviews.
Einstein-Montefiore symposia presentations are:
1. High-density Lipoprotein Cholesterol Phenotype and Genotype Predict Survival in Individuals with Exceptional Longevity This study of 326 older women and 106 older men found that those who survived longest had both higher levels of "good" (HDL) cholesterol and a variant of the gene CETP that increase blood levels of HDL. Presented by Sofiya Milman, M.D. assistant professor of medicine, Einstein, and attending physician, endocrinology, Montefiore.
2. Hearing Impairment and Incident Frailty in Older Adults 2,000 individuals age 70 and older were analyzed to evaluate if hearing impairment is linked with frailty. Findings demonstrated that those with moderate or greater hearing impairment had a 61.3% increased risk of frailty compared with normal hearing individuals, indicating that hearing impairment is independently associated with frailty. Presented by Rebecca Kamil, Einstein medical student.
3. Alterations in Body Composition with Aging and Connections to Diseases and Mortality
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BEST BABY ECZEMA PRODUCTS – Video
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BEST BABY ECZEMA PRODUCTS - Video
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Adult eczema may be unrecognized risk factor for fracture, other injuries
Posted: at 2:43 pm
PUBLIC RELEASE DATE:
29-Oct-2014
Contact: Erin Elizabeth White ewhite@northwestern.edu 847-491-4888 The JAMA Network Journals @JAMA_current
Adults with eczema had a higher prevalence of fracture and bone or joint injury (FBJI), as well as other types of injury-causing limitations, in a nationally representative sample of patients with a history of the chronic inflammatory disorder that can cause skin itching and result in sleep disturbance, according to a study published online by JAMA Dermatology.
Patients with eczema have multiple risk factors for injury that can include sleep impairment, the use of sedating antihistamines and coexisting psychological illnesses. However, the risk of fracture and other injury-causing limitations in adults with eczema has been largely unexplored. Fractures are a public health issue and that burden is expected to increase in the coming decades as the population ages, according to background information in the study.
Nitin Garg, M.D., and Jonathan I. Silverberg, M.D., Ph.D., M.P.H., of Northwestern University, Chicago, examined the association of eczema with increased risk of injury in a nationally representative sample of 34,500 adults (ages 18 to 85 years) with a history of eczema over the past 12 months.
The prevalence of eczema was 7.2 percent and the prevalence of any injury-causing limitation was 2 percent. An FBJI was reported by 1.5 percent of adults, while other injury-causing limitation occurred in 0.6 percent of adults. In adults with eczema, the prevalence of injuries increased initially, peaked at ages 50 to 69 years, and then decreased substantially in patients 70 years or older.
Researchers found that adults with eczema and fatigue, daytime sleepiness or insomnia had higher rates of FBJI compared to adults with sleep symptoms and no eczema. Adults with both eczema and psychiatric and behavioral disorders (PBDs) also had higher rates of FBJI compared to those with eczema or PBDs alone.
"In conclusion, adult eczema is associated with an increased risk of injury, particularly FBJI, which is only partially related to the presence of sleep symptoms and PBDs. Taken together, these data suggest that adult eczema is a previously unrecognized risk factor for fracture and other injury, emphasizing the importance of developing safer and more effective clinical interventions for itch and sleep problems in eczema, as well as preventive measures for injury risk reduction in eczema. Future studies providing better measures of fracture risk are needed to confirm these associations," the study concludes.
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Adult eczema may be unrecognized risk factor for fracture, other injuries
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Accident prone eczema patients
Posted: at 2:43 pm
PUBLIC RELEASE DATE:
29-Oct-2014
Contact: Erin White ewhite@northwestern.edu 847-491-4888 Northwestern University @northwesternu
CHICAGO --- Intense itching and dry, irritable skin aren't the only problems adults with eczema face. They are at greater risk of accidental bone fractures and other injuries, a new Northwestern Medicine study has found.
This is the first study to find adult eczema is a risk factor for fractures and other injuries.
The increased odds of accidental injury could be directly related to the side effects of steroids and sedating antihistamines commonly prescribed to treat the skin disorder or the under-treatment of severe cases, study authors suggest.
"Many eczema patients who are prescribed medication for itch are often given sedating antihistamines or steroids, but those medications may come at a price," said Jonathan I. Silverberg, M.D., senior author of the study. "Sedatives cause fatigue, and steroids can lead to bone density problems and osteoporosis."
Silverberg is an assistant professor of dermatology at Northwestern University Feinberg School of Medicine and an attending physician at Northwestern Memorial Hospital.
The study, published Oct. 29 in the journal JAMA Dermatology, validates what Silverberg sees regularly at the Northwestern Multidisciplinary Eczema Center.
"Last month three of my patients with eczema cancelled at the last minute because of injuries," Silverberg said. "One fell and almost got hit by a bus, another was hit by a car and then another missed her appointment because she was in a car accident. You can't make this stuff up."
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Accident prone eczema patients
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Eczema linked to bone fractures, injuries in new Northwestern study
Posted: at 2:43 pm
CHICAGO (WLS) --
Between seven and 10 percent of adults in the US have atopic dermatitis, more commonly known as eczema. And many of them have a moderate to severe form of the skin disorder.
"The chronic itch, similar to patients that have chronic pain, interferes with every aspect of their life," said Dr. Jonathan Silverberg, a Northwestern Medicine dermatologist.
Silverberg says when moisturizers and emollients don't soothe the skin, more aggressive treatment is prescribed, like topical or oral steroids, or sedating antihistamines.
"Many patients report this phenomenon that they're distracted because of their itch or because they're sleep deprived," Silverberg said.
But Silverberg says he's noticed a troubling trend and set out a year ago to study it more closely.
He says adults with eczema are at a greater risk of accidental injury, and it could be directly related to the side effects of their medications. Silverberg says sedatives cause fatigue, and steroids can lead to bone density problems.
"More and more as we see these patterns, I'm almost never using sedating antihistamines anymore," Silverberg said.
Silverberg says until better options are developed to treat eczema and itch, doctors need to advise patients to think about strategies to minimize falls and to avoid driving while using sedating antihistamines.
"If your eczema is not well-controlled and you're not sleeping well, that's a problem and we need to get better treatment for that," he said.
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Eczema linked to bone fractures, injuries in new Northwestern study
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How SELFIES can help cure skin conditions
Posted: at 2:43 pm
Sending selfies to a dermatologist may be as good as visiting them in person Study compared people who sent selfies to their doctor with face-to-face care Little difference in the percentage of people whose problem cleared over a year Experts said an online system for treating skin problems may work just as well
By Madlen Davies for MailOnline
Published: 08:35 EST, 29 October 2014 | Updated: 09:19 EST, 29 October 2014
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Sending doctors a 'skin selfie' may help treat eczema just as well as going to a clinic in person
Selfies are often associated with self-obsessed celebrities and people who are just a little bit vain.
But they could help cure eczema and save visiting the clinic, according to new research.
Sending a doctor a 'skin selfie' may help clear the problem just as well as going in person, the study found.
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Psoriasis: my introduction – Video
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Psoriasis: my introduction
For the past 18 months, I #39;ve been living with psoriasis. But it #39;s not as scary as it sounds. I wanted to share my experiences with the online community to gi...
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Psoriasis: my introduction - Video
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