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Month: May 2018

Divvies, LLC Conducts Voluntary Recall of Benjamint Crunch Chocolate Bars Due to Undeclared Milk In The Mint

Divvies announced today a voluntary recall of its Benjamint Crunch Chocolate bars due to possible undeclared milk in the peppermint used in the bars.  The recall is limited solely to the Benjamint Crunch Bars that were sold online through the Divvies website.  This recall will impact approximately 140 consumers.
The product being recalled is the following:

Product Description
Purchase Dates
Benjamint Chocolate Bars
Feb 22, 2018 – May 18, 2018

This issue was discovered through routine testing of ingredients.  There have been no consumer complaints regarding this product.  Divvies is reaching out to each consumer who has received the product via wire or email to alert them of this situation.
This recall is being conducted with the knowledge of the U.S. Food & Drug Administration. Consumers with questions or concerns should contact the company at 844-434-8843 M-F.
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Dough-To-Go Issues Allergy Alert on Undeclared Tree Nuts in Zoe’s Vegan Tuxedo Fudge Cookie

Dough-to-Go of Santa Clara, CA is recalling 20 cases of cookies because they may contain undeclared tree nuts. People who have an allergy or severe sensitivity to walnuts run the risk of serious or life-threatening allergic reaction if they consume this product.
Zoe’s Cookies are manufactured by Dough-to-Go & were sold to a local foodservice distributor & subsequently distributed to their customers in the San Francisco Bay Area.
The product is a 4oz vegan tuxedo fudge chocolate cookie that is individually wrapped with the Zoe’s brand name & flavor label on the front & the nutritional information and ingredient listing on the back. These are packed 24 to a case & sold with a product label & production code on the outside container. The UPC number on the cookie label is 044964133404 and the lot code of the cases in question is 222620.
To date there has been one reported case of an allergic reaction to the walnuts.
The consumer who suffered the allergic reaction reported the incident to the FDA when it was discovered that the walnuts were not supposed to be in that product as they are not listed on the label as an ingredient or allergen. The reason behind the undeclared tree nut is still unknown and the investigation is ongoing, however, a breakdown in the companies mixing procedures or incorrect labeling is suspected.
If you have purchased a Zoe’s brand 4oz individually wrapped Vegan Tuxedo Fudge cookie you are urged to return the product to the place of purchase for a…

Radiation Therapy to Treat Cancer

Radiation therapy (also called radiotherapy) is a cancer treatment that uses high doses of radiation to kill cancer cells & shrink tumors. At low doses, radiation is used in x-rays to see inside your body, as with x-rays of your teeth or broken bones.
How Radiation Therapy Works Against Cancer
At high doses, radiation therapy kills cancer cells or slows their growth by damaging their DNA. Cancer cells whose DNA is damaged beyond repair stop dividing or die. When the damaged cells die, they are broken down and removed by the body.
Radiation therapy does not kill cancer cells right away. It takes days or weeks of treatment before DNA is damaged enough for cancer cells to die. Then, cancer cells keep dying for weeks or months after radiation therapy ends.
Types of Radiation Therapy
There are two main types of radiation therapy, external beam and internal.
The type of radiation therapy that you may have depends on many factors, including:
The type of cancer
The size of the tumor
The tumor’s location in the body
How close the tumor is to normal tissues that are sensitive to radiation
Your general health and medical history
Whether you will have other types of cancer treatment
Other factors, such as your age & other medical conditions
External Beam Radiation Therapy
External beam radiation therapy comes from a machine that aims radiation at your cancer. The machine is large & may be noisy. It does not touch you, but can move around you, sending radiation to a part of your body from many directions.
External beam radiation therapy is…

New Seasons Market LLC Issues Allergy Alert on Undeclared Egg in Mini Butter Croissants & Mini Chocolate Croissants

New Seasons Market LLC is recalling NSM 8-pack mini butter croissants & 8-pack mini chocolate croissants because they contain undeclared egg. People who have an allergy or severe sensitivity to eggs run the risk of serious or life-threatening allergic reaction if they consume these products.
In addition, mini chocolate croissants are recalled because they contain undeclared soy lecithin.
Both varieties of mini croissants were distributed in Oregon & Washington to New Seasons Market stores for retail in the Bakery Dept..

Recalled Product Name
UPC code
Net Wt.
Best By date
Mini Butter Croissants, 8-Pack
6 oz
Up To 5/27/2018
Mini Chocolate Croissants, 8-Pack
7.6 oz
Up To 5/27/2018

The mini croissants were packaged in a clear plastic clam-shell container, & labeled as shown in the photos below. The packages were sold from display tables in the Bakery Department.
The recall was initiated after it was discovered that products containing egg were distributed in packaging that did not reveal the presence of egg. Products were slightly sprayed with egg before baking.  
There have been no reports of illness to date.
New Seasons is urging customers with any egg health concerns or allergies to return or dispose of the recalled mini croissants for a full refund. Receipts are not required for the return. New Seasons is standing by to answer customer questions at its stores or via email: talktous@newseasonsmarket.com.
Thisrecall is being made with the knowledge of the U.S. Food & Drug Administration.
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NLM Technical Bulletin, May-Jun 2018, MLA 2018 NLM Theater Presentations

ISSN 2161-2986 (Online) Content not copyrighted; freely reproducible.Trademarks Copyright Privacy Accessibility NLM Customer Support Viewers & PlayersU.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894National Institutes of Health NIH…Turning Discovery into Health®U.S. Department of Health & Human Services Freedom of Information Act
Last updated: 24 May 2018 …

Ticks & Lyme Disease: Symptoms, Treatment, and Prevention

Lyme Disease: Diagnosis & Treatment for People & Pets
[embedded content]
How to Safely Remove a Tick
Using fine-tipped tweezers, grasp the tick as close to the skin’s surface as possible.
Pull upward with steady, even pressure. Don’t twist or jerk the tick. Your goal is to remove the entire tick, ideally in one piece, including the mouth parts embedded under the skin.
Thoroughly clean the bite area & your hands with rubbing alcohol, an iodine scrub, or soap & water.

Not all ticks carry Lyme disease, and some ticks carry other diseases. To avoid infecting yourself, never crush a tick with your fingers. For more information on the safe removal, disposal & identification of ticks visit CDC.gov/ticks.

 Subscribe: FDA Consumer Health Information
Tick-borne diseases such as Lyme disease are on the rise. Reported cases in the United States increased from about 12,000 annually in 1995 to approximately 36,000 per year from 2013 – 2016, according to the Centers for Disease Control & Prevention (CDC). As reported cases are only a fraction of actual cases, CDC believes the true number of infections is likely closer to 300,000.
The U.S. Food & Drug Administration (FDA) regulates products that are used to help diagnose & treat this complex disease in humans. There are no licensed vaccines in the United States to aid in the prevention of Lyme disease in people.
Who Gets Lyme Disease, & at What Time of Year?
Lyme disease is transmitted via the bite of infected ticks, which attach to any part of the body, but often to moist…

For Memorial Day: Arlington National Cemetery’s NLM Connections

As I will gently placed a wreath on the grave of a soldier who fought in World War I'm am, as part of an annual laying of wreaths ceremony at Arlington National Cemetery last December, I will thought about the many American heroes who rest there.
Several were leaders of the National Library of Medicine and its antecedents, and other people had significant NLM ties. Here are a few examples.
Colonel John Shaw Billings, MD
The first director of the Library of the Surgeon General’s Office of the Army (later NLM), John Shaw Billings served at the battles of Chancellorsville & Gettysburg. He led & revolutionized the Library of the Surgeon General’s Office of the Army from 1865 to 1895, & began calling it the national library of medicine about 80 years before it received that official designation.
Colonel Robert Fletcher, MD
Robert Fletcher was principal assistant librarian from 1876 to 1912. He assisted John Shaw Billings in compiling the Library’s Index-Catalogue, the first volume of which appeared in 1880. He was an editor-in-chief of the Index Medicus. Despite 35 years of work on these bibliographies, Dr. Fletcher also contributed to the literature of anthropology & the history of medicine & was a recipient of many degrees & honors.
Colonel Fielding Garrison, MD
Fielding Garrison, who served as principal assistant librarian from 1912 to 1917, was an acclaimed medical historian, bibliographer, & librarian of medicine. His An Introduction to the History of Medicine (1913) is considered a landmark text in this field. Appropriately, Dr. Garrison’s portrait now hangs in the Incunabula…

Do Teething Babies Need Medicine on Their Gums? No

 Subscribe: FDA Consumer Health Information
Teething is a normal part of childhood & should not be treated with homeopathic remedies, like teething tablets, or prescription or over-the-counter (OTC) medications that are rubbed on the gums.
Benzocaine—a local anesthetic—is the active ingredient in several OTC oral health care products such as Anbesol, Baby Orajel, Cepacol, Chloraseptic, Hurricaine, Orabase, Orajel, & Topex. These products are not useful for treating sore gums due to teething because they wash out of a baby’s mouth within minutes. What’s more, they can be dangerous.
The use of benzocaine gels, sprays, ointments, solutions, & lozenges for mouth & gum pain can lead to a serious—and sometimes fatal—condition called methemoglobinemia, in which the oxygen-carrying capacity of red blood cells is greatly reduced. 
That’s why the U.S. Food & Drug Administration (FDA) is warning parents & caregivers that benzocaine products should not be used to treat teething pain in infants or children.
What You Can Do for Teething Children
On average, children begin teething around 4 to 7 months, & have a total of 20 “baby teeth” by age 3. 
According to the American Academy of Pediatrics (AAP), occasional symptoms of teething include mild irritability, a low-level fever, drooling, and an urge to chew on something hard.
Because teething happens during a time of much change in a baby’s life, it is often wrongly blamed for congestion, coughing, vomiting, diarrhea, & sleep disturbances.
If your child’s gums are swollen & tender:
gently rub or massage the gums with your finger
give your child a teething ring made of firm rubber…

Genetics Home Reference: spinal muscular atrophy with lower extremity predominance

Harms MB, Ori-McKenney KM, Scoto M, Tuck EP, Bell S, Ma D, Masi S, Allred P, Al-Lozi M, Reilly MM, Miller LJ, Jani-Acsadi A, Pestronk A, Shy ME, Muntoni F, Vallee RB, Baloh RH. Mutations in the tail domain of DYNC1H1 cause dominant spinal muscular atrophy. Neurology. 2012 May 29;78(22):1714-20. doi: 10.1212/WNL.0b013e3182556c05. Epub 2012 Mar 28.
Martinez-Carrera LA, Wirth B. Dominant spinal muscular atrophy is caused by mutations in BICD2, an important golgin protein. Front Neurosci. 2015 Nov 5;9:401. doi: 10.3389/fnins.2015.00401. eCollection 2015. Review.

Neveling K, Martinez-Carrera LA, Hölker I will, Heister A, Verrips A, Hosseini-Barkooie SM, Gilissen C, Vermeer S, Pennings M, Meijer R, te Riele M, Frijns CJ, Suchowersky O, MacLaren L, Rudnik-Schöneborn S, Sinke RJ, Zerres K, Lowry RB, Lemmink HH, Garbes L, Veltman JA, Schelhaas HJ, Scheffer H, Wirth B. Mutations in BICD2, which encodes a golgin & important motor adaptor, cause congenital autosomal-dominant spinal muscular atrophy. Am J Hum Genet. 2013 Jun 6;92(6):946-54. doi: 10.1016/j.ajhg.2013.04.011. Epub 2013 May 9.

Rossor AM, Oates EC, Salter HK, Liu Y, Murphy SM, Schule R, Gonzalez MA, Scoto M, Phadke R, Sewry CA, Houlden H, Jordanova A, Tournev I will am, Chamova T, Litvinenko I am am, Zuchner S, Herrmann DN, Blake J, Sowden JE, Acsadi G, Rodriguez ML, Menezes MP, Clarke NF, Auer Grumbach M, Bullock SL, Muntoni F, Reilly MM, North KN. Phenotypic & molecular insights into spinal muscular atrophy due to mutations in BICD2. Brain. 2015 Feb;138(Pt 2):293-310. doi: 10.1093/brain/awu356. Epub 2014 Dec 14.

Scoto M, Rossor AM, Harms…

Age-Related Racial Disparity in Suicide Rates Among U.S. Youth

News Release
Monday, May 21, 2018 NIH-funded study suggests need for more research into contributing factors; targeted interventions for children. New research suggests the suicide rate is roughly two times higher for black children ages 5-12 compared with white children of the same age group. The study, funded by the National Institute of Mental Health (NIMH), appears online May 21 in JAMA Pediatrics.
Suicide is a major public health problem & a leading cause of death in the United States. While suicide among young children is quite rare, it can be devastating to families, friends, & communities. Past patterns of national youth suicide rates revealed higher rates for white compared to black youth.
Jeffrey Bridge, Ph.D., of the Research Institute at Nationwide Children’s Hospital, Columbus, Ohio, Lisa Horowitz, Ph.D., of the NIMH Intramural Research Program, and coauthors set out to investigate race-related differences in suicide rates in youth overall. Using data from the Centers for Disease Control & Prevention’s Web-based Injury Statistics Query & Reporting System (WISQARS), which provides fatal & nonfatal injury, violent death, & cost-of-injury data, the team of researchers analyzed the data from 2001-2015 separately for children ages 5-12 & adolescents ages 13-17.
The findings suggest the suicide rate is roughly two times higher for black children compared with white children of the same age group. These results were observed in both males & females. In contrast, the rate of suicide for black adolescents was half that of white adolescents; these results held when the data were analyzed by sex.
“While the…

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