Plague in India: a new warning from an old nemesis
Article Abstract:
A 1994 outbreak of plague in India reminds health professionals of the need for ongoing research and surveillance in the field of medical microbiology. Plague is caused by Yersinia pestis bacteria and transmitted by bites from infected fleas or exposure to infected animals or humans. Plague is characterized by sudden fever and chills, weakness, nausea, and swollen lymph nodes (bubonic plague) or lung involvement (pneumonic plague). Death rates can be as high as 60-100%. If treated early, however, the death rate is less than 15%. The antibiotics streptomycin, tetracycline and gentamicin are effective treatments for plague. A swift public health response is essential for curbing the spread of plague. Patients with suspected plague should be isolated, tested and treated in an expedient manner. International travel facilitates the spread of microbial diseases, and continuing research and vigilance are necessary even for diseases seldom seen.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1995
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Warning signs along the road to functional dependency
Article Abstract:
Elderly people who begin to have difficulty performing activities of daily living (ADL) may be at risk of further decline. Most physicians believe that disability only occurs when people need assistance in performing ADL. However, a 1998 study documents an intermediate state in between complete independence and complete dependence called independence with difficulty. About 21% of the patients in the study fell into this category and they had a higher rate of hospitalization and resource use than those who were completely independent. Identifying this condition can lead to early intervention to delay complete dependence.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1998
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Tension headaches plague 2 out of 5 Americans
Article Abstract:
Episodic tension-type headache (ETTH) strikes two out of five individuals nationwide, according to a study. Women of all races, ages and educational backgrounds are more likely to experience ETTH than men. The 30-39 age group has the largest number of ETTH incidents, as do caucasians and those with higher education levels. More than 40% of respondents reported that ETTH interfered with job performance.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1998
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