ABSTRACT
In Denmark, outbreaks of salmonella with more than 20 cases have become rare. In November 2018, an outbreak of monophasic Salmonella Typhimurium was detected and an investigation initiated with the aim of identifying the source and controlling the outbreak. Outbreak cases were defined based on core genome multilocus sequence types. We conducted hypothesis-generating interviews, a matched case-control study, food sampling and trace-back investigations. We identified 49 cases distributed across Denmark. In univariable analyses a traditional form of raw Danish pork sausage (medister sausage), pork chops and ground veal/pork showed matched odds ratio of 26 (95% CI 3-207), 4 (95% CI 1-13) and 4 (95% CI 1-10), respectively. In a multivariable analysis, only medister sausage remained significant. Several patients described tasting or eating the sausage raw or undercooked. Samples of medister sausage analysed were negative for salmonella and investigations at the production site did not reveal the mechanism of contamination. In conclusion, in spite of having eliminated salmonella in the egg and broiler industry, Denmark is still at risk of major salmonella outbreaks. We identified a raw pork sausage as a particular risk product that needs to be thoroughly cooked before consumption. Tasting raw meat or eating undercooked pork should be discouraged.
Subject(s)
Disease Outbreaks , Meat Products/microbiology , Pork Meat/microbiology , Salmonella Food Poisoning/etiology , Salmonella typhimurium/isolation & purification , Adolescent , Adult , Aged , Aged, 80 and over , Animals , Case-Control Studies , Child , Child, Preschool , Denmark/epidemiology , Female , Humans , Infant , Logistic Models , Male , Middle Aged , Salmonella Food Poisoning/diagnosis , Salmonella Food Poisoning/epidemiology , Salmonella Food Poisoning/prevention & control , Swine , Young AdultABSTRACT
We studied the effects of running on ventilatory muscle strength and endurance in 11 adults enrolled in a physical fitness program. Twelve healthy volunteers were used as a control group. Maximum expiratory pressure (Paomax), maximum voluntary ventilation (MVV), peak inspiratory flow, forced expiratory volume in 1 s, forced vital capacity, and maximum sustainable ventilatory capacity for 15 min (MSVC) were measured at 0, 10, and 20 wk. At the end of the 10-wk program, the subject group demonstrated a significant increase in both MSVC and MVV. At the end of the 20-wk period, the subject group demonstrated a significant increase in expiratory Paomax (14.4%), MVV (13.6%), and MSVC (15.8%). There was no significant change at the end of the 20-wk period in any of the tests in the control group. These data indicate that running can improve ventilatory muscle strength and endurance in healthy, previously sedentary individuals.
Subject(s)
Muscles/physiology , Respiratory Physiological Phenomena , Running , Adult , Female , Humans , Lung Volume Measurements , Male , Maximal Voluntary Ventilation , Middle AgedABSTRACT
Patients who develop frequency dependence of lung compliance will theoretically have frequency dependence of pulmonary resistance. We investigated the ability of the simpler, noninvasive measurement of frequency dependence of total respiratory resistance to identify subjects with frequency dependence of compliance. Ten healthy nonsmokers, 14 asymptomatic smokers, and 6 patients with obstructive airway disease were studied. Frequency dependence of total respiratory resistance was determined by the superimposed oscillating airflow technique at 3 to 9 cycles per sec, and frequency dependence of lung compliance was determined by measurements at 10 to 80 breaths per min. Spirometry, airway resistance, closing volume, and closing capacity were also measured. Frequency dependence of lung compliance and total respiratory resistance were closely correlated (P less than 0.001, r = 0.82), but closing volume, closing capacity, spirometry, and airway resistance could not be used to identify subjects with abnormal frequency dependence of lung compliance. Measurements of frequency dependence of total respiratory resistance and lung compliance, total respiratory resistance at 3 cycles per sec, and closing volume minus expiratory reserve volume were able to distinguish significantly between the smokers and the nonsmokers, but spirometry, closing volume, closing capacity, and airway resistance could not. These data indicate that in asymptomatic smokers and subjects with obstructive airway disease, frequency dependence of lung compliance can be predicted from measurements of frequency dependence of total respiratory resistance. These two tests appear to have equivalent sensitivity and selectivity in detecting the uneven time constants in the airways of asymptomatic smokers.
