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Antibiotics following C-section among obese women reduces risk of surgical infection

The rate of obesity among U.S. women has been i ncreasing , and obesity is associated with an increased risk of surgical site infection (SSI) following cesarean delivery. The optimal antibiotic regimen around the time of cesarean delivery to prevent as SSI in this high-risk population is unknown. Carri R. Warshak, M.D., of the University of Cincinnati, and colleagues randomly assigned obese women (prepregnancy BMI 30 or greater) who had received standard intravenous preoperative cephalosporin (an antibiotic) to receive oral cephalexin, 500 mg, and metronidazole, 500 mg (n = 202), vs identical-appearing placebo (n = 201) every 8 hours for a total of 48 hours following cesarean delivery. The researchers found that the overall rate of SSI (defined as any superficial incisional, deep incisional, or organ/space infections within 30 days after cesarean delivery) was 10.9 percent. Surgical site infection was diagnosed in 6.4 percent of the women in the cephalexin-metronidazole group vs 1...

Scientists discover complex axis of immune suppression exploited by cancers

"ILCs are not very abundant in the body but, when activated, they secrete large amounts of immune factors," says Jandus, an investigator at the Ludwig Lausanne Branch. "In this way, they can dictate whether a response will be pro-inflammatory or anti-inflammatory" -- whether it stimulates an immune attack or suppresses it. These recently discovered cells come in three flavors -- ILC1, 2 and 3 -- and have been shown to play a role in inflammation and autoimmune diseases. Their role in cancer has, however, remained unclear. To address that question, Jandus and her colleagues began with the observation that one subtype of the cells, ILC2s, are abnormally abundant and hyperactivated in patients diagnosed with acute promyelocytic leukemia (APL). Because this particular blood cancer can be treated and cured, the researchers could examine ILC2 immunology in patients when they had active APL and compare it to that of patients in remission. "Our analyses sug...

Brain powered: Increased physical activity among breast cancer survivors boosts cognition

In a 12-week, randomized trial, half the women were enrolled in a physical activity intervention program tailored to each person's interests and abilities and incorporating wearable activity devices, while the other half were assigned to a control group that received emails addressing women's health topics, healthy eating, stress reduction and general brain health. "Whether or not they receive chemotherapy , many breast cancer survivors experience a decline in brain function that impacts memory, thinking and concentration," said Sheri Hartman, PhD, assistant professor in the Department of Family and Preventive Medicine and co-director of the diet and physical activity shared resource at UC San Diego Moores Cancer Center. "The women who participated in the physical activity intervention experienced a significant improvement in cognitive processing speed and some improvements in their perceived mental abilities. This study supports the idea that exercise could...