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Friday, August 24, 2012

Hopkinsville council, absent a proponent, narrowly replaces smoking ban idea with plan to require posted smoking policies

The effort to pass a smoking ban in the largest Kentucky town without one may have hit a roadblock Thursday night. The Hopkinsville City Council forwarded a smoking ordinance that would merely require businesses to decide whether to allow smoking and post signs at every entrance announcing its policy. The council's vote as a committee of the whole was 6-5, and the one absent council member favors a typical smoking ban.

Mayor Dan Kemp, who can vote to break council ties and does not sit on the committee of the whole, "said after the meeting that he could not support the proposal because it leaves the current law unchanged," Carla Jimenez reports for the Kentucky New Era. The alternative ordinance is scheduled for first reading Sept. 18; a tie vote would block it, and a tie vote in favor of a smoking ban could be broken by Kemp to pass it.

As first presented to the committee, the ordinance would ban smoking in public places, with exemptions for private clubs, age-restricted establishments and businesses with 12 employees or fewer. The small-business exemption was removed on a vote of 10-1. "That left the ordinance as it originally came before the council for its first reading in June," Jimenez reports. But then the committee voted 6-5 for the alternative ordinance, proposed by Councilman Paul Henson, who argued, “We’re not abusing anybody’s rights. We’re not the bad guy, and yet we have the smoking ban, a smoking ordinance, on the books.”

Councilwoman Peggy Rogers-Everett disagreed, saying smoking is a hazard to everyone, and “Murder is illegal.” Henson and Councilwoman Ann Cherry and Henson laughed, and "Everett was not amused," Jimenez reports. Everett said, “I don’t find that funny. I don’t take that lightly.” (Read more)
The effort to pass a smoking ban in the largest Kentucky town without one may have hit a roadblock Thursday night. The Hopkinsville City Council forwarded a smoking ordinance that would merely require businesses to decide whether to allow smoking and post signs at every entrance announcing its policy. The council's vote as a committee of the whole was 6-5, and the one absent council member favors a typical smoking ban.

Mayor Dan Kemp, who can vote to break council ties and does not sit on the committee of the whole, "said after the meeting that he could not support the proposal because it leaves the current law unchanged," Carla Jimenez reports for the Kentucky New Era. The alternative ordinance is scheduled for first reading Sept. 18; a tie vote would block it, and a tie vote in favor of a smoking ban could be broken by Kemp to pass it.

As first presented to the committee, the ordinance would ban smoking in public places, with exemptions for private clubs, age-restricted establishments and businesses with 12 employees or fewer. The small-business exemption was removed on a vote of 10-1. "That left the ordinance as it originally came before the council for its first reading in June," Jimenez reports. But then the committee voted 6-5 for the alternative ordinance, proposed by Councilman Paul Henson, who argued, “We’re not abusing anybody’s rights. We’re not the bad guy, and yet we have the smoking ban, a smoking ordinance, on the books.”

Councilwoman Peggy Rogers-Everett disagreed, saying smoking is a hazard to everyone, and “Murder is illegal.” Henson and Councilwoman Ann Cherry and Henson laughed, and "Everett was not amused," Jimenez reports. Everett said, “I don’t find that funny. I don’t take that lightly.” (Read more)
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Central Baptist takes over Russell County Hospital

Russell County Hospital in Russell Springs will be managed by Lexington's Central Baptist Hospital, at least for the next three years. The deal announced this week is the latest in a growing consolidation of rural hospitals with larger, urban facilities, expected to accelerate under federalhealth reform.

"The three-year agreement creates an opportunity to provide greater accessibility to a wider range of health services in Russell County, while exploring ways to reduce costs and maintain affordability of services," the hospitals said in a press release. "The management agreement will allow creation of a broader continuum of care, including enhanced alignment of physicians and hospital services."

Russell County Hospital has 25 beds and 170 employees. It is a critical-access hospital, meaning it limits admissions and patient stays in return for slightly higher reimbursements from Medicare and Medicaid. Chris McQueary, chairman of the hospital's board, said in the press release, “This strategic partnership will allow us to work more closely with a leading health care system to provide high levels of care in the most cost-effective way.”

Central Baptist named Robert Ramey the CEO of Russell County Hospital. He has worked at Central Baptist for 17 years, most recently as administrator of Baptist-Physicians’ Surgery Center, the release said.
Russell County Hospital in Russell Springs will be managed by Lexington's Central Baptist Hospital, at least for the next three years. The deal announced this week is the latest in a growing consolidation of rural hospitals with larger, urban facilities, expected to accelerate under federalhealth reform.

"The three-year agreement creates an opportunity to provide greater accessibility to a wider range of health services in Russell County, while exploring ways to reduce costs and maintain affordability of services," the hospitals said in a press release. "The management agreement will allow creation of a broader continuum of care, including enhanced alignment of physicians and hospital services."

Russell County Hospital has 25 beds and 170 employees. It is a critical-access hospital, meaning it limits admissions and patient stays in return for slightly higher reimbursements from Medicare and Medicaid. Chris McQueary, chairman of the hospital's board, said in the press release, “This strategic partnership will allow us to work more closely with a leading health care system to provide high levels of care in the most cost-effective way.”

Central Baptist named Robert Ramey the CEO of Russell County Hospital. He has worked at Central Baptist for 17 years, most recently as administrator of Baptist-Physicians’ Surgery Center, the release said.
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Laurel County man talks about bout with West Nile; one of few diagnosed with disease in Kentucky

A Laurel County man has shared his story after contracting the West Nile Virus, which, though rare in Kentucky, has been more common nationwide this year than it has been since it was first discovered in 1999.

Kelly Curens spent three weeks at the University of Kentucky medical center, much of which was spent in an induced coma. He started feeling sick after a camping trip at Lake Cumberland, reports Phil Penderton for WKYT-TV. The illness started with a headache and graduated to feeling dizzy, which were symptoms to similar to ones he experienced a few years ago when he was diagnosed with a brain tumor. When he went to the emergency room at St. Joseph London hospital, he had a seizure. 

Curens was one of the first in Kentucky to be positively diagnosed with the virus, which has affected more than 1,100 people nationwide this year. About half of the cases have been in Texas. Four horses have been diagnosed with the disease in Kentucky since Aug. 2. Craig Carter, director of the UK Veterminary Diagnostic Lab, said Kentucky is "still in the high-risk part of the season for West Nile infection."

Curens has been treated and is feeling much better now. "From what I was told, I'm very lucky," he said. "My blood sugar and blood pressure has always been good. Had I not been healthy I probably wouldn't be here today."

The elderly, infants and babies at the most risk, said Marion Pennington, regional epidemiologist at the Cumberland Valley District Health Department.

To protect oneself from the West Nile Virus, officials advise to:
• Dispose of tin cans, plastic containers, ceramic pots and other containers that could collect water.
• Remove discarded tires from properties. They are the most common mosquito breeding grounds in the country.
• Drill holes in recycling containers.
• Drain gutters properly and clean gutters in the spring and fall.
• Turn over swimming pools and wheelbarrows when they aren't in use.
• Change the water in birdbaths on a regular basis.
• Clean and chlorinate swimming pools and hot tubs.
• Make sure screens on windows don't have holes in them.
• Wear long-sleeve shirts and long pants when outside in the early morning and late evening. (Read more)
A Laurel County man has shared his story after contracting the West Nile Virus, which, though rare in Kentucky, has been more common nationwide this year than it has been since it was first discovered in 1999.

Kelly Curens spent three weeks at the University of Kentucky medical center, much of which was spent in an induced coma. He started feeling sick after a camping trip at Lake Cumberland, reports Phil Penderton for WKYT-TV. The illness started with a headache and graduated to feeling dizzy, which were symptoms to similar to ones he experienced a few years ago when he was diagnosed with a brain tumor. When he went to the emergency room at St. Joseph London hospital, he had a seizure. 

Curens was one of the first in Kentucky to be positively diagnosed with the virus, which has affected more than 1,100 people nationwide this year. About half of the cases have been in Texas. Four horses have been diagnosed with the disease in Kentucky since Aug. 2. Craig Carter, director of the UK Veterminary Diagnostic Lab, said Kentucky is "still in the high-risk part of the season for West Nile infection."

Curens has been treated and is feeling much better now. "From what I was told, I'm very lucky," he said. "My blood sugar and blood pressure has always been good. Had I not been healthy I probably wouldn't be here today."

The elderly, infants and babies at the most risk, said Marion Pennington, regional epidemiologist at the Cumberland Valley District Health Department.

To protect oneself from the West Nile Virus, officials advise to:
• Dispose of tin cans, plastic containers, ceramic pots and other containers that could collect water.
• Remove discarded tires from properties. They are the most common mosquito breeding grounds in the country.
• Drill holes in recycling containers.
• Drain gutters properly and clean gutters in the spring and fall.
• Turn over swimming pools and wheelbarrows when they aren't in use.
• Change the water in birdbaths on a regular basis.
• Clean and chlorinate swimming pools and hot tubs.
• Make sure screens on windows don't have holes in them.
• Wear long-sleeve shirts and long pants when outside in the early morning and late evening. (Read more)
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At least 50 Kentuckians sick from salmonella, likely from cantaloupes; best to wash them with a diluted bleach solution

Photo by Richard North for Gristmill
Health officials have zeroed in on a farm in southwestern Indiana responsible for at least some of the cantaloupe that were contaminated with salmonella, an outbreak that has sickened at least 50 Kentuckians and 178 people nationwide. It has also been associated with the death of two Kentuckians.

There is disagreement between state and federal officials whether melons from the region are safe to eat, The Associated Press reports. The Food and Drug Administration says to discard any cantaloupes grown in the area that were bought on or after July 7. Amy Reel, Indiana Department of Health spokeswoman, says melons from other farms in the area are safe to eat.

The 100-acre Chamberlain Farms, 20 miles north of Evansville, seems to be at least one source of the outbreak. It stopped producing and distributing the melons Aug. 16. They sold cantaloupe to four grocery stores in Southwestern Indiana, as well as to wholesale purchasers in St. Louis; Owensboro, Ky.; Peru, Ill.; and Durant, Iowa. (Read more)

Salmonella is a bacterium that is found in the intestines of animals and is contracted from eating raw eggs or raw poultry or having those products touch other food. It can occasionally be found on produce, so the Kentucky Cabinet for Health and Family Services recommends washing all fruit and vegetables thoroughly and scrubbing the rinds of cantaloupes and other melons before cutting or slicing them. As Tim Wright, the acting health director in Anderson County, told The Anderson News,  "People use a clean knife and cut through the melon, and that can shove the salmonella right into its meat" if any remains on the rind. He recommends washing all melons in a solution of one cup of bleach to a gallon of water, because melon rinds get salmonella when rodents urinate on them.
Photo by Richard North for Gristmill
Health officials have zeroed in on a farm in southwestern Indiana responsible for at least some of the cantaloupe that were contaminated with salmonella, an outbreak that has sickened at least 50 Kentuckians and 178 people nationwide. It has also been associated with the death of two Kentuckians.

There is disagreement between state and federal officials whether melons from the region are safe to eat, The Associated Press reports. The Food and Drug Administration says to discard any cantaloupes grown in the area that were bought on or after July 7. Amy Reel, Indiana Department of Health spokeswoman, says melons from other farms in the area are safe to eat.

The 100-acre Chamberlain Farms, 20 miles north of Evansville, seems to be at least one source of the outbreak. It stopped producing and distributing the melons Aug. 16. They sold cantaloupe to four grocery stores in Southwestern Indiana, as well as to wholesale purchasers in St. Louis; Owensboro, Ky.; Peru, Ill.; and Durant, Iowa. (Read more)

Salmonella is a bacterium that is found in the intestines of animals and is contracted from eating raw eggs or raw poultry or having those products touch other food. It can occasionally be found on produce, so the Kentucky Cabinet for Health and Family Services recommends washing all fruit and vegetables thoroughly and scrubbing the rinds of cantaloupes and other melons before cutting or slicing them. As Tim Wright, the acting health director in Anderson County, told The Anderson News,  "People use a clean knife and cut through the melon, and that can shove the salmonella right into its meat" if any remains on the rind. He recommends washing all melons in a solution of one cup of bleach to a gallon of water, because melon rinds get salmonella when rodents urinate on them.
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Thursday, August 23, 2012

Feline oral squamous cell carcinoma

Final report, Winn grant W09-032
Molecular pathology of feline oral squamous cell carcinoma
Investigators: Susan M. LaRue, E.J. Ehrhart
Colorado State University

Oral squamous cell carcinoma (OSCC) is a devastating disease in cats and accounts for approximately 10% of all feline tumors. The goal of the study’s investigators was to establish protocols for molecular biomarkers and to characterize the nature of this tumor so a better treatment protocol could be developed in the future.
They first developed protocols for immune staining of tissues and antibodies against three different biological markers. 

One important detail learned was that sample processing is one of the most important factors affecting immunoreactivity of feline tissues. Due to this important finding, immunohistochemical techniques will be used only in formalin-fixed and paraffin-embedded tissues that do not undergo bone decalcification. The study results also noted that cats with high epidermal growth factor receptor (EGFR) expression had a tendency toward a shorter overall survival. This may suggest a possible usefulness for anti-EGFR therapy in future studies. 

Finally, there was statistically significant correlation between one biomarker score, Ki67, and another marker, mitotic indexes. This relationship has not been reported previously in feline OSCC and suggests that these particular cancer cells with Ki67 can keep proliferating without going into a rest or dying phase. Such a result could go a long way to explaining the impression that feline OSCC is a fast-growing cancer. [VT]

More on cat health:
Winn Feline Foundation Library
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Read the Cat Health News Weekly
Join us on Google+
Final report, Winn grant W09-032
Molecular pathology of feline oral squamous cell carcinoma
Investigators: Susan M. LaRue, E.J. Ehrhart
Colorado State University

Oral squamous cell carcinoma (OSCC) is a devastating disease in cats and accounts for approximately 10% of all feline tumors. The goal of the study’s investigators was to establish protocols for molecular biomarkers and to characterize the nature of this tumor so a better treatment protocol could be developed in the future.
They first developed protocols for immune staining of tissues and antibodies against three different biological markers. 

One important detail learned was that sample processing is one of the most important factors affecting immunoreactivity of feline tissues. Due to this important finding, immunohistochemical techniques will be used only in formalin-fixed and paraffin-embedded tissues that do not undergo bone decalcification. The study results also noted that cats with high epidermal growth factor receptor (EGFR) expression had a tendency toward a shorter overall survival. This may suggest a possible usefulness for anti-EGFR therapy in future studies. 

Finally, there was statistically significant correlation between one biomarker score, Ki67, and another marker, mitotic indexes. This relationship has not been reported previously in feline OSCC and suggests that these particular cancer cells with Ki67 can keep proliferating without going into a rest or dying phase. Such a result could go a long way to explaining the impression that feline OSCC is a fast-growing cancer. [VT]

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+
Read More


Wednesday, August 22, 2012

Brushing teeth twice a day, two minutes at a time, is the way to prevent cavities, a new campaign advises

Kids should brush their teeth twice a day for two whole minutes at a time, a new public-service campaign urges. The “Kids’ Healthy Mouths” campaign includes TV spots, print ads, a website, social media messages and other materials, reports Jennifer LaRue Huget for The Washington Post.

Campaign materials point out that “dental decay is the most common chronic childhood disease.” More than 16 million children across the United States suffer from it. In Kentucky, nearly 35 percent of third-grade students had untreated tooth decay, the Centers for Disease Control and Prevention's State Oral Health Profile shows.

“The mouth is the gateway to a person’s overall health, and an unhealthy mouth can be linked to diabetes and even heart disease,” the campaign says. “In the U.S., oral disease causes kids to miss 51 million school hours and their parents to lose 25 million work hours annually. Additionally, oral disease disproportionately affects children from low-income families and these children have almost twice the number of decayed teeth that have not been treated by a dentist as compared to others in the general population.”

The campaign includes a YouTube video channel on which there are videos that are each 120 seconds long. The goal is for kids to watch the videos while they’re brushing.

Research has shown brushing two minutes at a time, twice a day, is the “optimal prevention brushing regimen,” because it “takes two minutes for the tooth enamel to uptake the fluoride” in toothpaste, said Maria Lopez Howell, consumer adviser for the American Dental Association. When enamel absorbs fluoride it makes the surface harder and more resistant to bacteria. Brushing for two minutes additionally removes plaque on teeth. (Read more)
Kids should brush their teeth twice a day for two whole minutes at a time, a new public-service campaign urges. The “Kids’ Healthy Mouths” campaign includes TV spots, print ads, a website, social media messages and other materials, reports Jennifer LaRue Huget for The Washington Post.

Campaign materials point out that “dental decay is the most common chronic childhood disease.” More than 16 million children across the United States suffer from it. In Kentucky, nearly 35 percent of third-grade students had untreated tooth decay, the Centers for Disease Control and Prevention's State Oral Health Profile shows.

“The mouth is the gateway to a person’s overall health, and an unhealthy mouth can be linked to diabetes and even heart disease,” the campaign says. “In the U.S., oral disease causes kids to miss 51 million school hours and their parents to lose 25 million work hours annually. Additionally, oral disease disproportionately affects children from low-income families and these children have almost twice the number of decayed teeth that have not been treated by a dentist as compared to others in the general population.”

The campaign includes a YouTube video channel on which there are videos that are each 120 seconds long. The goal is for kids to watch the videos while they’re brushing.

Research has shown brushing two minutes at a time, twice a day, is the “optimal prevention brushing regimen,” because it “takes two minutes for the tooth enamel to uptake the fluoride” in toothpaste, said Maria Lopez Howell, consumer adviser for the American Dental Association. When enamel absorbs fluoride it makes the surface harder and more resistant to bacteria. Brushing for two minutes additionally removes plaque on teeth. (Read more)
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West Nile outbreak light in Ky. but 'one of the largest' in nation

U.S. health officials reported Wednesday three times the usual number of West Nile cases for this time of year and one expert told the Associated Press it was “one of the largest” outbreaks since the virus appeared in this country in 1999.

So far, 1,118 illnesses have been reported, about half of them in Texas, according to the Centers for Disease Control and Prevention. Kentucky has reported few cases.

In an average year, fewer than 300 cases are reported by mid-August. There have also been 41 deaths this year. Most infections are usually reported in August and September, so it’s too early to say how bad this year will end up, CDC officials said. AP reports that West Nile virus peaked in 2002 and 2003, when severe illnesses reached nearly 3,000 and deaths surpassed 260.

 The best way to prevent West Nile disease, say experts, is to avoid mosquito bites. Insect repellents, screens on doors and windows and wearing long sleeves and pants are some of the recommended strategies. Also, empty standing water from buckets, kiddie pools and other places to discourage breeding. (Read more)
U.S. health officials reported Wednesday three times the usual number of West Nile cases for this time of year and one expert told the Associated Press it was “one of the largest” outbreaks since the virus appeared in this country in 1999.

So far, 1,118 illnesses have been reported, about half of them in Texas, according to the Centers for Disease Control and Prevention. Kentucky has reported few cases.

In an average year, fewer than 300 cases are reported by mid-August. There have also been 41 deaths this year. Most infections are usually reported in August and September, so it’s too early to say how bad this year will end up, CDC officials said. AP reports that West Nile virus peaked in 2002 and 2003, when severe illnesses reached nearly 3,000 and deaths surpassed 260.

 The best way to prevent West Nile disease, say experts, is to avoid mosquito bites. Insect repellents, screens on doors and windows and wearing long sleeves and pants are some of the recommended strategies. Also, empty standing water from buckets, kiddie pools and other places to discourage breeding. (Read more)
Read More