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Statins Don't Lower Risk Of Pneumonia In Elderly
Taking popular cholesterol-lowering statin drugs, such as Lipitor® (atorvastatin), does not lower the risk of pneumonia. That"s the new finding from a study of more than 3,000 Group Health patients published online on June 16 in advance of the British Medical Journal"s June 20 print issue.

La. Gov. Jindal Signs Law Expanding Protections For Health Workers Who Refuse Services
Louisiana Gov. Bobby Jindal (R) on Tuesday signed into law a bill (HB 517) that expands health care provider "conscience" protections beyond abortion to also include refusals to provide emergency contraception or participate in certain other procedures, the New Orleans Times-Picayune reports. The law provides job protection and legal immunity to "any person" who refuses to provide abortion services, distribute "abortifacient drugs," work on research involving embryonic stem cells or cloning, or participate in physician-assisted suicide or euthanasia. According to the Times-Picayune, the provision that refers to abortifacient drugs is intended to include EC but not other forms of birth control.Jindal"s administration said the law is necessary to protect the individual rights of doctors, nurses, pharmacists and other health care workers whose personal beliefs might conflict with their professional duties. Opponents of the law, including the Planned Parenthood Federation of America and the American Civil Liberties Union, argue that it will restrict patient access to accurate information and timely services (Barrow/Anderson, New Orleans Times-Picayune, 7/8).
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Is Paperwork Suffocating British Clinical Research?
Concerns are being raised by a growing number of British academics that bureaucratic overload is stifling their ability to undertake clinical research, compromising the future of this activity in the UK, and ultimately doing patients a disservice. The issues are discussed in a Special Report in the August edition of The Lancet Oncology, written by freelance journalist Adrian Burton.
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Bacterial 'Sex' Causes Antibiotic Resistance

Some disease-causing bacteria are becoming resistant to antibiotics because they have peculiar sex lives, say researchers publishing new results in the journal Science. The new study helps scientists understand how bacteria develop resistance to antibiotics, which is a major challenge for those treating infectious diseases, say the authors from Imperial College London. Today"s research looks at bacteria called pneumococcus (Streptococcus pneumoniae), which cause diseases including pneumonia and bacterial meningitis. Pneumococcal infections cause approximately one million deaths every year globally and the bacteria are becoming resistant to many antibiotics, making treatment increasingly difficult. The scientists behind this study believe this resistance is due to the pneumococcal bacteria adapting by occasionally picking up DNA from other bacteria, even from other species. Dr William Hanage, the lead author of the study from Imperial College London, said: "Bacteria have very peculiar sex lives. When humans have kids they mix up their DNA with that of their partner, but bacteria can pick up DNA from all sorts of places, even other species. Our research shows that bacteria which do this, that is undergo sex, with their own and other species are more likely to develop resistance to antibiotics, protecting them from being killed by these drugs." Bacteria reproduce asexually, by splitting in two to produce identical "daughter" cells. Sometimes, however, they can take up DNA from other bacteria or the environment, and incorporate it into their own genome. This mixing process, called recombination, is what happens in animals during sexual reproduction. It is most common between bacteria of the same species but, unlike animals, bacteria can sometimes undergo recombination with different species of bacteria, which means the daughter cells end up with DNA from those species. Some combinations of DNA help bacteria to survive better. It appears that antibiotic resistant strains of pneumococcus are more likely to mix up their DNA in this way, and so are more likely to hit upon the adaptation which helps them resist antibiotic treatment. Dr William Hanage added: "Antibiotic resistance is a growing problem, particularly for potentially dangerous pneumococcal infections. Our new findings help us to understand how bacteria can wriggle their way out of tight spaces, finding ways to evade the drugs we bombard them with. Ultimately, we hope that we could use this knowledge to limit the emergence of new types of antibiotic resistance." The researchers examined DNA from 1,930 different S. pneumoniae strains, as well as three closely related species, S. mitis, S. pseudopneumoniae and S. oralis collected by a method called Multi Locus Sequence Typing (MLST). They were able to find strains with DNA which suggested recombination, or the mixing of DNA with other members of the same species, and other closely related ones. The researchers then compared these results with data on resistance to the commonly-used antibiotics penicillin, erythromycin, tetracycline, chloramphenicol and cefotaxime. They found that bacteria with mixed DNA were more likely to be resistant to antibiotics, suggesting a link between recombination and antibiotic resistance. This research was funded by The Royal Society, a BBSRC studentship and a grant from the Academy of Finland. Lucy Goodchild Imperial College London


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