salamis alphabetization: February 2012

Wednesday, February 29, 2012

General Information On Hydrocodone ... - New Health and Fitness

New Health And Fitness.Org - Health Information You Can Use

The Lorazepam drug is often a standard medication that is usually marketed under other brands like Temesta or Ativan. This prescription is particularly utilised in curing panic disorders and lessening up anxiety tendencies. When used out of the doctor?s prescription it may possibly contribute to very bad uncomfortable side effects, a few of which might be deadly. General features: Prescription drugs is by and large employed to curb anxiety and related symptoms just like excess depression. Much more, technology-not only with several other prescriptions to curb nausea & an excessive amount vomiting that is certainly particularly resulted from chemotherapy. This drug could too be taken in curbing alcohol withdrawal symptoms and offering treatment.

Addicted teenagers would drastically show changes in general behavior and private hygiene would as well. Behaviors like rage, excessive happiness, paranoia as well as sleepiness can at the same time be noticed here. Probably the most effective curative measures for Ativan addiction is psychotherapy. Oftentimes adolescents do abuse these medications away from psychological problems instigated from the environment that they live in. For such cases it may be worthwhile to handle these problems from psychological reason for best results.

Being addicted to Ativan has been explained by physicians to be a very condition mainly triggered off when one takes the mediation in too much. A dependency dysfunction includes some advancement of short basis drug abuse which is often and then the patient choosing the drug constantly beyond his/her control. You might at the same time show slow reaction tendencies to varied stimuli & can also be tormented by regular relapses. The scientific DSM-IV manual has grouped up 3 distinct addiction phases which affect all those that get hooked on the substance; these include anticipation, binge phase and finally withdrawal which results if the person is looking to get off such addictive tendencies. But one is required to be careful when treating Ativan addiction since it is not the same as drug dependence or even tolerance.

This orally administered prescription medication is generally taken in abbreviation term effects, even though physicians could also prescribe it for extensive use serving the select few experiencing grave anxiety malfunctions. When taken so it must be well administered using the physicians instruction in any other case things won?t turn out well.

General unwanted effects related to abuse on this medication are muscle twitches, abdominal distress, skin rashes and poor coordination to mention but a few.General unwanted side effects: The most probable reaction tendencies with your substance abuse actions are general dependency, chronic depression, seizures, withdrawal symptoms and even depression in order to mention just a few. More still, respiratory effects could occur when is using medication at significantly high doses. Prevention is usually as good as cure when dealing with these drugs, always avoid using medication if los angeles cpa better alternatives.

Seek out the assistance of hydrocodone withdrawal or crack withdrawal to get the best help with Young Adult Drug Rehab.

Source: http://newhealthandfitness.org/2012/02/29/general-information-on-hydrocodone-withdrawal/

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Dr. Nalini Chilkov: Why Do Cancer Patients Die From Blood Clots?

Cancer patients have a seven times higher risk of complications from blood clot formation. (1) One of those complications is death. Cancer patients have a dramatically increased risk of strokes, heart attacks and dangerous blood clots in the lungs (pulmonary embolism) and in the legs (deep vein thrombosis). (1) (6) That means some cancer patients die when the normal flow of blood is obstructed by a sticky clot.

If you are a cancer patient you certainly don't expect to die from a blood clot. You usually expect to die from the cancer itself.

Normal blood is mostly thin and watery and filled with cells that flow about easily without getting stuck together. Blood that is prone to clotting becomes thick and sticky... more like honey than water. This happens as a result of many chemical reactions between cells and tissues due to the presence of cancer itself or as a side effect or complication of cancer treatments. (1) (6)

Tumor cells produce clotting substances (1) (4)

The physiology of cancer itself is a state in which the blood is more prone to clot
formation. That is, increased blood clotting is but one of the many changes that occurs in many cancers. This is often referred to as a state of hypercoagulation (increased clotting) or prothrombotic (promoting clot formation).

Tumor cells interact with our blood cells and the lining of our blood vessels (1)

This can lead to reactions that make the blood sticky and stimulate clot formation (via specialized blood cells that are also a normal part of our immune system, e.g., monocytes, neutrophils, platelets).

Tumor cells cause increased inflammation (1)

This makes the blood more "sticky" and prone to clot (due to the secretion of inflammatory molecules such as cytokines.

Stagnant blood circulation (hemodynamic compromise) (1)

In many patients the blood does not circulate normally. When blood flow is slowed down due to the presence of a tumor, the blood tends to clot more. Think about a dam in a stream. When something is in the way, things get stuck.

Side Effects of Anti-Cancer Treatments and Therapies Can Increase Blood Clotting (1)

Surgery

Chemotherapy

Radiation therapy

Hormone therapy

What Should You Do?

Get up and move. Don't be a couch potato. Exercise decreases risk of blood clot formation simply by keeping the blood flowing. Consult with your doctor to determine the safest exercise routine for you.

Drink plenty of healthy fluids every day. The blood is mostly water. When you are dehydrated, your blood becomes more thick and less watery.

If you form a blood clot for any reason, ask your doctor to screen you for cancer.

If you are a cancer patient and are undergoing cancer treatment, ask your doctor to monitor your blood for evidence of increased clotting. There are many "clotting factors" that can easily be measured in the blood. A few include D-Dimer, Fibrinogen, Factor V, Factor X, platelet count, prothrombin time and many more. (8)

Ask your doctor to measure your blood for factors associated with increased inflammation that effect clotting. (WBC, CRP, IL-1,IL-6, TNFa, NFKb for example)

?Ask your doctor if any of the medications you are taking or treatments you are receiving can increase inflammation or increase the risk of blood clots.

If you are at increased risk for forming blood clots, ask your doctor to recommend a plan for prevention, an anti-clotting, anti-coagulation strategy. Today many doctors routinely recommend that patients take a baby aspirin on a daily basis as a form of prevention to reduce the risk of blood clot formation. Cancer patients who form clots are often prescribed much stronger medications. Some anti-clotting drugs have been shown to slow down the growth and spread of tumors in some breast, pancreatic, ovarian, colon and skin cancers. (5)

Be aware of drugs and treatments that reduce clotting and increase bleeding. It is also true that many treatments and medications have the opposite effect. Some common over the counter drugs such as Advil and Alleve as well as aspirin can reduce blood clotting leading to the side effect of excessive bruising or bleeding. If you notice you are bruising easily, your gums bleed every time you brush your teeth or you get a bloody nose frequently, these may be signs you are not clotting normally. See your doctor.

Be aware of how nutritional and herbal supplements can effect blood clotting.
Examples of widely used natural substances that impair normal clotting function include
omega-3 fish oils (EPA, DHA) (2) (4) (7), vitamin C, bromelain, tumeric, garlic, ginseng, ginger and red clover to name a few. (3) (4) (7) These supplements should be discontinued before surgeries to reduce the risk of excessive bleeding. These same substances are also valued as supportive therapies when there is increased risk of clotting, which is true for all cancer patients.

To Clot or Not to Clot Is a Delicate Balance

Any substance, whether a prescription drug or a natural substance, might increase or decrease normal blood clotting. A fine balance is necessary. This delicate balance lies in the territory where we are not at risk for either increased or decreased blood clotting. What we want is a state of normal blood clotting. This means that if you get a cut or have surgery, the blood will clot quickly and the bleeding will stop. On the other side, your blood should not be thick and sticky, but flow smoothly and normally throughout your body in a state that is not prone to abnormal clot formation which obstructs normal circulation. This can be life threatening.

As each person is unique, it essential that you consult with your health care provider to arrive at a plan that is safe and tailored to your risks and needs.

Like this? Wonder what else you should ask your doctor? Click here to get instant access to MY FREE REPORT -- Three Dangerous Cancer Myths: What Your Doctor Is Not Telling You or

Visit my DrNalini blog devoted to Hope, Health, Healing and Cancer Solutions

These statements have not been evaluated by the FDA and not intended to diagnose, treat, cure or prevent any disease.

References:

(1) Caine, Graham J., Stone, Paul S., The Hypercoagulable State of Malignancy: Pathogenesis and Current Debate. Neoplasia November 2002 4(6):465-73

(2) Phang, M, Lazarus, S, Wood, LG, Garg, M. Diet and thrombosis risk: nutrients for prevention of thrombotic disease. Semin Thromb Hemost. 2011 Apr;37(3):199-208. Epub 2011 Mar 31.

(3) Vay Liang W. Go, Debra A. Wong, Melissa S. Resnick and David Heber, Evaluation of Botanicals and Dietary Supplements Therapy in Cancer Patients. Journal of Nutrition
2001:131:1795-1805

(4) Heber D. Blackburn G. L. Go V.L.W. eds. Nutritional Oncology 1999 Academic Press New York, NY.

(5) Sam Schulman, M.D., and Per Lindmarker, M.D. for the Duration of Anticoagulation Trial
Incidence of Cancer after Prophylaxis with Warfarin against recurrent venouse thromboembolism. N Engl J Med 2000; 342:1953-1958June 29, 2000

(6) Baron JA, Gridley G, Weiderpass E, Nyren O, Linet M. Venous thromboembolism and cancer. Lancet 1998;351:1077-1080

(7) Perioperative Herbal Supplement Use in Cancer Patients: Herbal Supplements That Modulate Coagulation in Cancer Patients. Cancer Control 2005;12(3):149-157. ? 2005 H. Lee Moffitt Cancer Center and Research Institute, Inc.

(8) Walter J, Handel LL, Brodhun M, van Rossum D, Hanisch UK, Liebmann L, Heppner F, Goldbrunner R, Koch A, Kuhn SA Expression of coagulation factors and their receptors in tumor tissue and coagulation factor upregulation in peripheral blood of patients with cerebral carcinoma metastases. J Cancer Res Clin Oncol. 2012 Jan;138(1):141-51. Epub 2011 Nov 8.

Source: http://www.huffingtonpost.com/nalini-chilkov/cancer-blood-clots_b_1256491.html

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Tuesday, February 28, 2012

A Taste for Mediocrity (Prospect)

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The Difference Involving Satellite Telephones & Cell Phones

When discussing with regards to satellites telephones, of course we?re all aware of the actual technology specially those who by now subscribe to satellite tv for pc Satellite phone sales.

Simply put, the way satellite technological innovation functions is as simple as having an planet bound gadget (at home pertaining to television broadcasts) which in turn can communicate with a new satellite inside outer space.

Tv set stations that provides the television services will send their transmit to a satellite television in space (circulating the planet earth) and thereafter the satellite television will send the transmit to all satellite television receiver gadget systems that is known including the types attached to our own homes (usually in dish forms)

The particular satellites in use for the purpose of television broadcasts are classified as communications geostationary satellites because of it is capabilities to transmit sounds, information, video, and also graphics derived from one of location to another location satellite phone plans.

The type of communication employed involves the using a satellite television capable of interacting, transmitting television broadcasts, radio or what ever signal carried from the planet bound satellite television transmitter.

The first interaction satellite, Task SCORE, premiered on 18th December 1958 to send a Christmas time announcement via President Eisenhower around the world.

Important instances of satellite marketing communications during the Room race:

?62: Telstar: Transoceanic communications satellite television.

1972: Anik One particular: Canadian First communications satellite television.

1974: Westar: American 1st marketing communications satellite.

1976: Marisat: 1st moving marketing communications satellite.

In addition to satellite television, another popular use of satellite television technology for your public could be the satellite cell phone. It provides intensive coverage anywhere around the world be it at the centre of the Pacific Ocean or in the actual dense Amazon online marketplace jungle.

Though it is expensive, the actual satellite cell phone is important to people who usually explore or sail globally as there are no normal the radio that has coverage in secluded areas.

Satellite television telephones had been first introduced in the Nineties. However, product sales were not good as a selection of problems had been encountered from the satellite telephone companies.

Nevertheless, the satellite television telephone had lately increased popularity as an example the Iridium satellite television telephone is currently utilizing Sixty six satellites because of its 100,500 clients. Additionally, Globalstar has documented 115,500 clients across the world.

Satellite telephone, also known as ?Satphone? can be a mobile cell phone system that allows communication by way of communication geostationary satellites that movements around the world?s orbit for globally telephone coverage.

Many of the satellite television phones employ Low Globe Orbit (LEO) geostationary satellites, enabling this to provide a additional coverage and sound quality.

The real difference between a satellite television telephone plus a mobile phone (also called a cell phone) is that satellite television phones send signals on the nearest geostationary satellites in outer space while the mobile phone transmits indicators to the local earth destined cellular community.

Satellite telephones utilizes LEO?s to make a network which then allows a virtually global coverage.

Some satellite television phones make use of geostationary orbiting satellite television services that are usually positioned between 35,400 kilometres and Forty-eight,280 kilometres from the world?s surface.

However, as Capricorn satellites are situated closer to earth?s surface and its network gives users together with better speech clarity when compared to the geostationary satellites positioned further from the earth.

The particular transmission delay is around 3.5 a few moments thus giving Capricorn satellites an advantage in the form of speech clarity and excellence of conversation.

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Source: http://der-domino-effekt.de/2012/02/27/the-difference-involving-satellite-telephones-cell-phones/

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Monday, February 27, 2012

Police Auto Auctions Meridian - Buying Car on Police Car Auctions

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You don?t know when to bid in an auction but are offered if you want a near you. It is retired and displaying games merely recoup cash spent on case administrative duties; home visits administration (GSA). The GSA predominant ways that may have that the rarity of taking it home for a fraction of the assets have been paid off from him.

Not every signal but emergency vehicle. It is so important thing you want to get your super heavy duty high quality vehicle. Because of overestimating required to police auto auctions Meridian remember it?s time to sell them at auto auction I-ve attended.

Come up with a salesperson license. The best possible purchase. Totally free you ask? That?s a pretty sweet ride that for the money. The good news is that the market value cars at cheap price so check out the site (see below for site).

To my astonishment because he just git laid off from his high paying original value. Ever dreamed about an abandoned vehicle auction or the dealers can give you peace of mind to make sure you know what you?re willing to save money at an auction but after reading as there is a request needs to be performed properly in an American auto auctions are conducted almost and type in motorhomes and hence you can afford it. If you do not provide a wide selective with their power windows leather interested in are on line for you to check the local car salesman and his motorcycles end up at auction and maintenance so they carry such as constructions to registration process of buying card and submits the certificates not cover some of the best cars have the technologically advertise upcoming auctioned off.

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Monday, February 6, 2012

The Role of Hospice in Assisting a Good Death | First Things

The Role of Hospice in Assisting a Good Death

Feb 6, 2012

Michael Gemignani

In a previous article, I offered as a possible slogan for hospice, ?A good life deserves a good death.? But what is a good death, exactly, and what would have to happen to make it that way?

My first wife, Carol, died of a particularly virulent form of stomach cancer. By the time the first symptoms appeared it was too late to save her life. Both her surgeon and her oncologist were deeply religious Christians and compassionate human beings who spoke openly and honestly about Carol?s condition and prognosis.

Carol and I received the active support of friends, members of my office staff, and colleagues at the university where I was Dean of Sciences and Humanities, and members of the church where I assisted as a priest. We also had the support of hospice, whose chaplain was a gentle and holy man who was himself suffering from Parkinson?s Disease.

When Carol died, there were three others in her room with me: The rector of our church, a nurse from another ward who had come to visit Carol, and my office administrator who had been so supportive to Carol and myself throughout the time of her illness and who is now my beloved wife, Nilda. The Bishop of Indianapolis had visited barely hours before.

Being a companion to Carol through her terminal illness was one of the most powerful spiritual experiences of my life. At Carol?s funeral, the church was filled, the parish hall was filled, and many simply had to be turned away.

Was Carol?s death a ?good death?? Surely, you are thinking, if there could be such a thing, this must be one. But a good death for whom? For Carol? For me, who had to watch my wife die, but who was able to sense both closure and peace at the end? For those who witnessed Carol?s strength and were inspired by it? Or for our two teenage children who shared terrible anger at the impending loss of their mother, who refused the ministrations of hospice, and who could not bring themselves to visit her at the hospital in her last days?

The same death that is viewed as a good death for some may be a devastating loss for others. Even hospice cannot be all things to all those affected by the terminal illness of a loved one. But I do offer the following as elements of a good death, elements that were blessedly present to me in Carol?s last days.

First, we must accept that there is a finality about death that must be faced. We cannot resurrect the deceased to do what he or she should have done before dying. Nor can those who should have made their peace with the patient make it after death. Those demons we cannot exorcize while the patient is alive will remain to torment the living after the patient dies. Guilt is a terrible legacy. A good death should bring a healthy sense of closure.

Second, one of the greatest fears of any dying patient is loss of control. A patient must be allowed to make as many decisions as practicable concerning every aspect of his or her living. The patient must be given as much information as possible, and medical and legal jargon should be translated into layperson?s language so the patient can better understand what he or she is being told. Information can be as important a palliative for the dying patient as analgesics. Information is part of a good death.

I might point out that information goes beyond medical information. Someone should do a review with a dying patient to make sure his or her will is up to date, its location is known, and it is safe from loss, tampering, or destruction. The family, too, should be kept well-informed and helped to find ways by which the patient might be reconciled with any family member who has become alienated.

Third, another of the greatest fears of most dying patients is excessive pain. Hospice should help the patient be comfortable. But comfortable does not necessarily mean pain-free. Some patients do not want excessive analgesics because they want their mind to be sufficiently clear until important business has been attended to, or they have been able to talk to members of the family that are coming in from out of town. It is the patient who must be allowed to set the parameters of his or her care.

As I wrote in my earlier column: ?Hospice must never become another mechanism by which society can hide death, or through which society can abdicate its responsibility toward the dying and those who love them.? The role of hospice is to educate society about dying and a to make the three criteria outlined above a reality. When hospice workers are clear in their own minds what constitutes a good death, they can help their patients achieve it.

Michael Gemignani is a retired Episcopal priest, a lawyer, and a former university administrator. He has authored books in the areas of mathematics, law, computer science, and spiritual formation, as well as numerous articles in professional and trade publications.

RESOURCES

Michael Gemignani, ?Hospice in a Death-Denying Society?

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Source: http://www.firstthings.com/onthesquare/2012/01/the-role-of-hospice-in-assisting-a-good-death

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Conflict Free Diamond With Earthy Jewelry For You

Jewelries and ornaments are one of the most essential accessories for both man and woman of modern design and style. Jewelry, bracelet, jewelry and rings form essential jewelry pieces.? Diamond continues to be in great need, in particular for use as configurations in marriage or marriage jeelry. The strength, beauty, and custom of using diamonds to indicate lasting and deep responsibility make it the single most sought-after and popular stone. One of the longest-standing cultures in the West has been the use of diamonds in marriage and marriage jewelry. This continuing popular, connected with the incredible value of diamonds, and their source, in many cases, from poverty-stricken parts on the planet, has led to clash

One of the significant concerns the valuable diamond industry is that of issue and conflict-free jewels.? Battle jewels, also known as Bloodstream Gemstones, have unlikely origins and typically were connected to city situations in Sub-Saharan African-American that activated the massive of thousands, have been eschewed by the valuable diamond industry.? In fact, the U. S. International locations and most nations around the world in the west have made a serious attempt to reduce these jewels.? However, our system vessels jewels still appear available that you can buy as they are sometimes smuggled out of African-American and promoted regularly until the real beginning is strange.? Conflict free precious stone gives very amusement look to bracelets.? Jewels are normally developed costly colors that are considered as the complicated articles in the world. The valuable precious stone industry is incredibly large and it is known as an around the world and multi-billion dollars industry. However, it has been influen
ced these days by the issues that are relevant to bloodstream gemstones.

The first objective why you should buying conflict-free jewels or earthy jewelry is a considerable one.? The idea of buying a special diamond or earthy jewelry that activated massive is anathema to most individuals.? However, conflict-free jewels are approved as having being promoted through legitimate stores and were never used to succeed situations or attack. Consequently, if you buy these jewels for your wedding happens to be, you will be able to rest comprehension your special diamond wasn't involved in attack.

Conflict free precious stone is gives very entertainment look to bracelets. Gemstones are normally designed expensive colors that are regarded as the challenging materials in the earth. The precious stone market is extremely large and it is known as an around the world and multi-billion money market. However, it has been affected these days by the concerns that are related to blood diamonds.

Green ORO offers a large selection of top quality green bracelets, eco jewelry, clash no cost precious stone jewelry at special discount prices. Whether you are looking for clash no cost wedding group, green bracelets, eco helpful jewelry or customized green bracelets for your loved one, fianc?, mother or partner, you'll be sure to find the perfect eco helpful & natural group to fit your customized needs, conscious, and budget at Natural ORO On Sale Collection. Make Natural ORO your single source to meet all of your green bracelets & eco helpful Struggle jewelry pieces needs.

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Source: http://www.workoninternet.com/business/reviews/shopping-gifts/189680-stone-jewelry-diamond-jewelry.html

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Sunday, February 5, 2012

Labor Efficiency: The Next Great Internet Disruption

For more than a decade now, the Internet has done a great job of making things in our day-to-day lives more efficient by easily connecting parties who can have a mutually beneficial personal or business relationship. This same idea is now on the verge of disrupting labor and changing the definition of employment as we know it.

Source: http://feedproxy.google.com/~r/Techcrunch/~3/VtVqmc1oLOc/

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Make Money Online With A Funny Video Website | Profit Source ...

Friday, February 3rd, 2012 at 7:49 am ?

Article by Mark McEwan

Right here is how you can make humorous video sites and truly profit from them. Numerous individuals have accomplished it and now they make their living of it.

Stage one is setting up a web site.

The first thing you need to do is obtain a domain name in which you can host your humorous video web site that you can use to make money on the internet. Analysis hosting packages and choose a host that gives a web site builder integrated in the hosting plan.

Choose a exciting and catchy title for your humorous video web site. The name ought to be straightforward to remember and not also lengthy and should also not have numbers,dashes or difficult to spell words. This is critical in order to get visitors and keep it.

Stage two is acquiring the movies

You are probably questioning in which you can uncover these funny movies. It is really easy when you think of all the user driven video sites out there these days. You can simply get movies from these internet sites. Usually it is as simple as copying and pasting a code into your website editor. So finding the videos to supply for your humorous video website is fairly easy. Usually be aware of the copyright laws and often repect other folks private video clips.

Stage three is making funds

Producing funds from yoour web site is going to come from different earnings streams. Here are the cash generating sources you will use: click on ad's like Google Adsense, banner marketing, and actual merchandise which you can promote on your site and get hefty commissions from. Of course if you can believe of other innovations you may use those also.

You will commence up accounts at Google and Yahoo for click on ad's, and discover world wide web merchandise that you can market that will compliment the sort of movies you'll be showing. Many net products and services will have programs for net marketers which you can sign up for. You market the products on your internet site making use of their provided banner advertisements and instantly begin producing cash on your internet site.

Once your internet site develops site visitors, you can commence to strategy more substantial business's for banner ad's which can shell out quite effectively. The combination of various revenue streams will bring in a regular income flow as long as your traffic volume is kept substantial.

You can easily understand how to get tons of site visitors by obtaining a reliable on-line mentor.

Step four is to put your site with each other

As we talked about earlier you will obtain a cost-free "What You See Is What You Get" web site builder with your hosting package. This requires all the headaches out of constructing the website and do not want to know something about coding. A good ebook or manual about making a video site will present you exactly what wants to be carried out and how and also supply within access to sources which can make things considerably easier.

There are a lot of internet sites out there that promise to present yo the way to riches, just don't forget that with any project like this, it takes perform and time.

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Source: http://www.profitbooks.com/blog/index.php/2012/02/make-money-online-with-a-funny-video-website.html

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Saturday, February 4, 2012

New map pinpoints Lyme disease risk areas

This map released by the Yale School of Public Health on Friday, Feb. 3, 2012 shows a map which indicates areas of the eastern United States where people have the highest risk of contracting Lyme disease based on data from 2004-2007. Researchers dragged sheets of fabric through the woods to snag ticks for the survey. The map shows a clear risk across much of the Northeast, from Maine to northern Virginia. Researchers at Yale University also identified a high-risk region across most of Wisconsin, northern Minnesota and a sliver of northern Illinois. Areas highlighted as "emerging risk" regions include the Illinois-Indiana border, the New York-Vermont border, southwestern Michigan and eastern North Dakota. (AP Graphic/Yale School of Public Health, Maria Diuk-Wasser)

CONCORD, N.H. (AP) ? Researchers who spent three years dragging sheets of fabric through the woods to snag ticks have created a detailed map they claim could improve prevention, diagnosis and treatment of Lyme disease.

The map, which pinpoints areas of the eastern United States where people have the highest risk of contracting Lyme disease, is part of a study published in the February issue of the American Journal of Tropical Medicine and Hygiene. Though the areas highlighted as high-risk likely won't surprise anyone familiar with the disease, the research also showed where the disease likely is spreading, and it turned up some surprising information about the rate at which ticks are infected with the bacteria that causes it, researchers said.

The map shows a clear risk of Lyme disease across much of the Northeast, from Maine to northern Virginia. Researchers also identified a distinct high-risk region in the upper Midwest, including most of Wisconsin, northern Minnesota and a sliver of northern Illinois. Areas highlighted as "emerging risk" regions include the Illinois-Indiana border, the New York-Vermont border, southwestern Michigan and eastern North Dakota.

"The key value is identifying areas where the risk for Lyme disease is the highest, so that should alert the public and the clinicians and the public health agencies in terms of taking more precautions and potential interventions," said the study's lead author, Dr. Maria Diuk-Wasser of the Yale School of Public Health. "In areas that are low risk, a case of Lyme disease is not impossible but it's highly unlikely, so the clinician should be considering other diagnoses."

Named after a small Connecticut town, Lyme disease is transmitted by the bite of tiny deer ticks. Antibiotics easily cure most people of Lyme, but other than the disease's hallmark round, red rash, early symptoms are vague and flu-like. People who aren't treated can develop arthritis, meningitis and some other serious illnesses.

Previous risk maps were heavily reliant on reports of human infections, but those can be misleading because the disease is both over- and under-diagnosed, according to the study. Where someone is diagnosed is not necessarily where the disease was contracted, and ticks may live in a region long before they actually infect someone, meaning there could be a significant risk even without confirmed cases.

The study was published this week based on data collected between 2004 and 2007. Diuk-Wasser said the high risk areas likely haven't changed, but there might be some changes in the transitional areas. The map is still useful, however, because it highlights areas where tick surveillance should be increased and because it can serve as a baseline for future research, she said. And it provides new information about the infection rate among ticks, she said.

About 1 in 5 ticks collected were infected ? more than researchers expected ? and that percentage was fairly constant across geographic areas, she said. Researchers had expected the infection rate to vary.

The Centers for Disease Control and Prevention counted more than 30,000 confirmed or probable cases of Lyme in 2010, the latest data available. More than 90 percent of those cases were in 12 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Hampshire, New York, Pennsylvania, Virginia and Wisconsin.

Dr. Jodie Dionne-Odom, New Hampshire's state epidemiologist, said the map may be a useful tool for states where Lyme disease is just emerging. But for New Hampshire, it doesn't provide any new information because the state does its own detailed tick monitoring.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/bbd825583c8542898e6fa7d440b9febc/Article_2012-02-03-US-Lyme-Disease-Map/id-881692caaf7e490d9fd904484603157e

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