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Niagara Spring Water With Wegmans, Other Labels Might Be ContaminatedNiagara spring water with Wegmans, other labels might be contaminated Water recalled FILE PHOTO THE MORNING CALL Spring water bottled this month by Niagara Bottling plants in Upper Macungie and Hamburg might be contaminated with E. coli and should not be nk, state agencies warned Friday evening. Spring water bottled this month by Niagara Bottling plants in Upper Macungie and Hamburg might be contaminated with E. coli and should not be nk, state agencies warned Friday evening. Bottled water sold under Niagara, Wegmans and other brand names that was possibly contaminated with E. coli should be safe but was recalled quotout of an abundance of caution, quot Niagara Bottling said Saturday. State agencies warned Friday that spring water bottled this month by Niagara Bottling plants in Upper Macungie and Hamburg might be contaminated and should not be nk. The state Department of Environmental Protection found the bacteria in spring water that Niagara bought from Far Away Springs-Auburn in Schuylkill County, state officials said. quotDEP cannot provide assurance to the public as to the quality of the water bottled by Niagara between June 10 and June 18,quot said a Friday joint news release of the DEP and the state departments of agriculture and health. Consumers should avoid Niagara water bottled during this period, and those with questions on their bottled water purchases can reach Niagara at 877-487-7873, the agencies advised. The water was bottled under the Niagara label as well as Wegmans, Acadia, Best Yet, Natures Place, Shaws, Acme, 7-11, Pricerite, Shoprite, Big Y, Superchill, Western Beef Blue and Morning Fresh, thepany said in a news release Saturday. The only affected products have codes that begin with the letter F (for Hamburg) or A (for Allentown). The first digit after the letter indicates the number of the production line. The next two numbers indicate the day, then the month in letters, the year, and then the time, based on a 24-hour clock.

Anyone who gets sick after drinking the water should ask for medical advice, the agencies said. The suspect water was bottled at the Niagara plant at 7561 Industrial Blvd. Upper Macungie, and at the Niagara plant in Hamburg. The bacteria were found in the spring June 10 but Niagara wasnt notified by the operator until June 18, Stan Bratskeir, a Niagara spokesman, said Saturday. Niagara immediately shut down the production line in question, decontaminated the line and issued a voluntary recall quotout of an abundance of caution, quot he said. quotNone of the water from Niagara showed any sign of E. coli, quot Bratskeir said.

Even bacteria were present, they would have been killed through the process Niagara uses to treat the water, he said. quotWhat went into the bottle would be clean, quot he added. In a statement, Far Away Springs owner Stan Frompovicz said that while tests indicated the possibility of contamination, quotevery load of water is tested again at the receiving plant, where all results have been perfect. quotFAS only sells out water to bottling plants that further treats and finishes the water before bottling, quot the statement said. quotTherefore, the failed test result in question, even if valid, could not result in a threat to public health. quot The statement also said the same water that showed possible contamination was tested at least 25 times at two different plants on the same day and all results were clean. In a phone interview, Frompovicz said thepany was notified June 10 of possible contamination but received no immediate confirmation from the testing agency, so the alert didnt go out to Niagara until June 18. The DEP received several samples of the Far Away Springs water as part of its routine water testing program.

The testing turned up the E. coli bacteria, the agency said. E. coli indicates the water could be contaminated with human or animal wastes. Water contaminated with E. coli can sicken those who drink it, and it can cause serious illness in those who have severelypromised immune systems, infants and some of the elderly, the state said. Niagara has more information about the recall in its website: niagarawater/consumer-notice/

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In addition, limited data suggest that lime, star it, and pomegranate juice may reduce CYP3A4 activity. 1,2 Several features of interactions with grapeit juice should be considered when evaluating patients: Grapeit juice interacts only with object gs that are administered orally gs that are primarily metabolized by CYP3A4 and have a bioavailability of 50 or less are most likely to have an interaction of large magnitude with grapeit juice The dose of grapeit juice will markedly affect the magnitude of the interaction. Many studies have been done with double-strength grapeit juice administered multiple times daily. Single-strength juice taken once daily will result in a much smaller effect.

For example, double-strength grapeit juice administered 3 times daily will increase lovastatin concentrations more than 10-fold, whereas single-strength grapeit juice taken once daily results in a 2-fold increase. Eating grapeit pulp also will inhibit CYP3A4. Unless the grapeit dietes back into vogue, however, most patients will not consume enough grapeit to cause significant interactions. Different grapeit juices will have different concentrations of inhibitors and produce a different degree of inhibition of the object g. These variations will be based on the source of the juice and even on different lots from the same source. The magnitude of interactions with grapeit juice will vary 5-to 6-fold between patients Grapeit juice inhibition of CYP3A4 may last for up to 24 hours after a single dose and up to 72 hours after multiple daily dosing Grapeit juice also has been shown to reduce the plasma concentration of several gs. The absorption of fexofenadine and the beta-blockers celiprolol and talinolol is reduced by grapeit juice. 3 Neither fexofenadine nor celiprolol is metabolized.

The reduction in their plasma concentrations appears to be caused by grapeit juice inhibiting theanic anion-transporting polypeptide (OATP), which assists in the uptake of g molecules from the intestinal lumen into the enterocyte. The inhibition of OATP by grapeit juice would reduce the absorption of gs transported by this transporter. Orange juice has been demonstrated to produce similar effects on fexofenadine and celiprolol. More recently, orange juice administration reduced atenolol AUC by 40 without changing its half-life. 4 Apple juice also reduced fexofenadine AUC and appears to be an inhibitor of OATP. The OATP family of proteins has been identified as transporters for a number of gs including fexofenadine, thyroxine, pravastatin, methotrexate, digoxin, penicillin, zidovudine, and acyclovir. 5 These transporters have been identified in the intestine, liver, kidney, and brain. The action of OATP can beplex. For example, in the kidney, OATP may assist the transport of gs from the blood into the urine or the reabsorption of g back into the blood.

Thus, the inhibition or induction of these transporters can alter the usual uptake (from the intestine), reuptake (from the kidney), or elimination (from the liver or kidney) of g molecules. The elucidation of substrates and inhibitors of these transporters will enable the identification of g interactions that may be of clinical significance. Drs. Horn and Hansten are both professors of pharmacy at the University of Washington School of Pharmacy. For an electronic version of this article, including references if any, visit hanstenandhorn. For a list of references, send a stamped, self-addressed envelope to: References Department, Attn. A. Stahl, Pharmacy Times, 241 Forsgate Drive, Jamesburg, NJ 08831 or send an e-mail request to: astahlascendmedia.

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The Real Danger Steroids In Football…Or Football ItselfThe Real Danger: Steroids in Footballor Football Itself Q: Do the lawsuits over brain injuries by NFL ex-players show football is more dangerous than we thought A: Hundreds of former players nationwide have sued the National Football League (NFL), alleging it ignored the consequences of repeated traumatic head injuries in order to promote the sport. They claim the league knew as early as the 1920s of the potential for concussions to harm players but allegedly did everything in its power to hide the issue and mislead players concerning the risks The NFL denies failing to protect its players, and the cases are now pending in the Philadelphia federal court. Playing football is dangerous. In 2005, the Pittsburgh Tribune-Review analyzed four years of NFL injury data, interviewed over 200 players, coaches and managers, and reviewed thousands of pages of medical research, finding that in the 2000 2003 seasons players sustained 6,558 injuries and over half the athletes are hurt annually (a whopping 68 in 2003-04). Some say its the danger element in football or boxing or mixed martial arts that makes for the excitement. Head trauma is a significant risk. A concussion (from the Latin word meaning to violently shake) is diagnosed when the traumatic impact causes a change in mental state or impaired functioning. In the past, coaches often downplayed concussions by calling them dings or bell ringers and expected the player to shake it off and get back on the field. But a concussion causes the brain to slosh around inside the skull like a yolk inside an eggshell, and the long-term effects of repetitive concussions can be devastating. Problems can develop over months, years, or decades after the last concussion, and can include tremors, speech problems, confusion, impaired judgment, paranoia, poor impulse control, aggression, depression, memory loss and, eventually, even dementia.

The name for this degenerative condition is Chronic Traumatic Encephalopathy (CTE). The brains of deceased athletes with CTE show a marked build-up of an abnormal protein called Tau. Neuropathologists at the Sports Legacy Institute (SLI) believe that CTE affects many more athletes than previously thought. So, given the grave dangers presented to athletes who play by theles, is it reasonable to direct so much attention to the dangers presented to those who break theles by using performance-enhancing gs Are steroids more dangerous than football itself Norm Fost, MD, the pediatrician, medical ethicist and steroid expert who appeared in Bigger, Stronger, Faster (BSF), thinks not. Dr. Fost points out that both BSF and an objective expos on HBOs Real Sports could confirm only a handful of athlete deaths plausibly attributed to anabolic steroids. By contrast, there are over 100 deaths attributed to playing football, by theles, and numerous other cases of serious permanent disability such as spinal cord injuries, he says. And theres the mounting evidence that repeated concussions cause serious brain damage. Many of those injuries could have been avoided withle changes that either wouldnt alter the nature of the game (e. g. reducing the number of full contact practices) or changes that alter the game minimally (e. g. the recent NFL enforcement against helmet to helmet hits) or changes that would alter the game a lot (e. g. making thele for roughing the passer the same as roughing the kicker). But all of these changes would more effectively protect the players than the current anti-doping policies. Of course, a less violent game might also be a less watchable and less profitable one. As for the potential effect of steroids to increase injury risk, Dr. Fost dismisses the argument. Players were plenty big, strong and fast long before the steroid era recall Teddy Roosevelt8217s anti-football campaign. And the NFL presumably is a steroid free league today I don8217t notice any decline in lean body mass.

An ironic twist: the very first case investigated at SLI was the 2007 double murder and suicide of former WWE wrestler Chris Benoit. The post-mortem examination of Benoits brain showed the marked build-up of Tau characteristic of CTE. Although the tragedy was misrepresented by the mainstream media as a sure case of steroid-induced rage, Benoits brain suggests that CTE was a primary contributing factor to his behavior. So, are all the resources invested in steroid testing really about safety Or is it a distraction that allows contact sports federations to claim theyre protecting players without making the hardles changes that would actually do so Rick Collins, 2012. All rights reserved. For informational purposes only, not to be consed as legal or medical advice. Reprinted with permission from Muscular Development magazine.

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