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‘Polypill’ reduces risk of cardiovascular death, says study – SILive.com

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STATEN ISLAND, N.Y. — A combination heart medication known as “polypill” reduced the risk of heart-related issues in people who previously suffered a heart attack and effectively shrunk cardiovascular deaths, a new study found.

The research, published in the New England Journal of Medicine, explored the feasibility and effectiveness of combining three different drugs typically prescribed for those recovering from a heart attack.

Fewer than 50% of patients consistently adhere to that medication regiment, experts said, amplifying the need for a simpler, all-in-one medication that limits subsequent cardiovascular events.

“Although most patients initially adhere to treatment after an acute event, such as an infarction, adherence drops off after the first few months,” Dr. Valentin Fuster, director of Mount Sinai Heart and general director of the National Center for Cardiovascular Research in Spain, said in a release.

“Our goal was to have an impact right from the start, and most of the patients in the study began taking a simple polypill in the first week after having a heart attack,” he said.

The team of researchers analyzed a group of 2,499 patients over the age of 65 whom previously had heart attacks. The participants, who were tracked on average for three years, were either assigned a standard therapy or the single combination pill.

The study found people taking polypills had a 24% relative reduction in the risk of heart attack, stroke and other cardiovascular issues. Additionally, there was a 33% decrease in cardiovascular deaths in the polypill group; however, the overall risk of death was not significantly different in either group.

Notably, the team found adherence to the polypill regiments, which combines a blood-pressure medication, a cholesterol-lowering drug and aspirin, was higher than the control group.

“The polypill, being a very simple strategy that combines three essential treatments for this type of patient, has proved its worth because the improved adherence means these patients are receiving better treatment and therefore have a lower risk of recurrent cardiovascular events,” Dr. José María Castellano, a first author of the study.

The Centers for Disease Control and Prevention (CDC) said someone in the U.S. dies every 34 seconds from cardiovascular disease. Nearly 700,000 people died from heart disease in 2020, accounting for 20% of all deaths.

The polypill is not currently approved for use in the United States. Reports indicate the results of the new trial would be submitted to the U.S. Food and Drug Administration in an effort to obtain approval.

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Whooping cough is at a decade-high level in US

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MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

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AP data journalist Kasturi Pananjady contributed to this report.

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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Scientists show how sperm and egg come together like a key in a lock

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How a sperm and egg fuse together has long been a mystery.

New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.

“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.

The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.

Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.

It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.

Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.

Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.

The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.

The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Turn Your Wife Into Your Personal Sex Kitten

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