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modified sense of taste in cancer pt what does a lack of taste of foods or a sense of taste that seems off when eating foods in someone who has cancer mean what are the possible causes of this why does it happen pt has stage ii breast cancer and is taking tamoxifin also has stage iv lung cancer with known cna metastasis and is taking klonopin also had cranial radiation treatments thanks not a doctor but trying to understand family member s illness
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should i be angry at this doctor am i justified in being pissed off at this doctor last saturday evening my year old son cut his finger badly with a knife i took him to a local urgent and general care clinic at pm the clinic was open till pm the receptionist went to the back and told the doctor that we were there and came back and told us the doctor would not see us because she had someplace to go at and did not want to be delayed here during the next few minutes in response to my questions with several trips to the back room the receptionist told me the doctor was doing paperwork in the back the doctor would not even look at his finger to advise us on going to the emergency room the doctor would not even speak to me she would not tell me the doctor s name or her own name when asked who is in charge of the clinic she said i don t know i realize that a private clinic is not the same as an emergency room but i was quite angry at being turned away because the doctor did not want to be bothered my son did get three stitches at the emergency room i m still trying to find out who is in charge of that clinic so i can write them a letter we will certainly never set foot in that clinic again mary ryan mryan stsci edu space telescope science institute baltimore maryland
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re alt psychoactives fyi i just posted this on alt psychoactives as a response to what the group is for a note to the users of alt psychoactives this group was originally a takeoff from sci med the reason for the formation of this group was to discuss prescription psychoactive drugs such as antidepressents tri cyclics prozac lithium etc antipsychotics melleral sp etc ocd drugs anafranil etc and so on and so forth it didn t take long for this group to degenerate into a psudo alt drugs atmosphere that s to bad for most of the serious folks that wanted to start this group in the first place have left and gone back to sci med where you have to cypher through hundreds of unrelated articles to find psychoactive data it was also to discuss real life experiences and side effects of the above mentioned oh well i had unsubscribed to this group for some time and i decided to check it today to see if anything had changed nope same old nine or ten crap articles that this group was never intended for i think it is very hard to have a meaningfull group without it being moderated too bad oh well obviously no one really cares bill claussen would anyone be interested in starting a similar moderated group bill claussen
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re should i be angry at this doctor report them to your local bbb better business bureau bill claussen
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re acutane fibromyalgia syndrome and cfs daniel prince daniel prince f n z calcom socal com wrote i think they should rename waco tx to wacko tx i know it is just a joke but please remember the people of waco did not ask david koresh to be a lunatic there he just happened waco is a lovely town i would think someone living in the home of flakes and nut would be more sensitive
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re good grief was re candida albicans what is it in article romdas uclink berkeley edu ella i baff writes if anybody doctors included said to me to my face that there is no evidence of the yeast connection i cannot guarantee their safety for their incompetence ripping off their lips is justified as far as i am concerned this doesn t sound like candida albicans to me no just a little anger normally i don t rip people s lips off except when my candida has overcolonized and i become fungus man jon charter member infj club if you re dying to know what infj means be brave e mail me i ll send info jon noring noring netcom com jkn international ip fred s gourmet chocolate carlton place phone chips world s best livermore ca v mail who are you read alt psychology personality that s where the action is
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re thrush was good grief was re candida albicans what is it in article apr ucsvax sdsu edu mccurdy ucsvax sdsu edu mccurdy m writes dyer is beyond rude yeah yeah yeah i didn t threaten to rip your lips off did i snort there have been and always will be people who are blinded by their own knowledge and unopen to anything that isn t already established given what the medical community doesn t know i m surprised that he has this outlook duh for the record i have had several outbreaks of thrush during the several past few years with no indication of immunosuppression or nutritional deficiencies i had not taken any antobiotics listen thrush is a recognized clinical syndrome with definite characteristics if you have thrush you have thrush because you can see the lesions and do a culture and when you treat it it generally responds well if you re not otherwise immunocompromised noring s anal retentive idee fixe on having a fungal infection in his sinuses is not even in the same category here nor are these walking neurasthenics who are convinced they have candida from reading a quack book my dentist who sees a fair amount of thrush recommended acidophilous after i began taking acidophilous on a daily basis the outbreaks ceased when i quit taking the acidophilous the outbreaks periodically resumed i resumed taking the acidophilous with no further outbreaks since then so steve dyer dyer ursa major spdcc com aka ima harvard rayssd linus m c spdcc dyer
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need reference multiple personalities disorders and allergies i heard third hand not the best form of information that there was recently published results of a study on multiple personality disorder syndrome patients revealing some interesting clues that the root cause of allergy may have a psychological trigger or basis what i heard about this study was that in one personality a mpds patient exhibited no observable or clinical signs of inhalant allergy scratch tests were used according to what i heard while in other personalities they showed obvious allergy symptoms including testing a full on scratch tests for particular inhalants if this is true it is truly fascinating but i d like to know if this study was ever done and if so what the study really showed and where the study is published any help out there jon noring charter member infj club if you re dying to know what infj means be brave e mail me i ll send info jon noring noring netcom com jkn international ip fred s gourmet chocolate carlton place phone chips world s best livermore ca v mail who are you read alt psychology personality that s where the action is
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re my new diet it works great in article apr omen uucp caf omen uucp chuck forsberg wa kgx writes in article pitt uucp geb cs pitt edu gordon banks writes can you provide a reference to substantiate that gaining back the lost weight does not constitute weight rebound until it exceeds the starting weight or is this oral tradition that is shared only among you obesity researchers not one but two obesity in europe proceedings of the st european congress on obesity annals of ny acad sci hmmm these don t look like references to me is passive aggressive behavior associated with weight rebound brian
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re food related seizures in article bu edu dozonoff bu edu david ozonoff writes many of these cereals are corn based after your post i looked in the literature and located two articles that implicated corn contains tryptophan and seizures the idea is that corn in the diet might potentiate an already existing or latent seizure disorder not cause it check to see if the two kellog cereals are corn based i d be interested years ago when i was an intern an obese young woman was brought into the er comatose after having been reported to have grand mal seizures why attending a corn festival we pumped her stomach and obtained what seemed like a couple of liters of corn much of it intact kernals after a few hours she woke up and was fine i was tempted to sign her out as acute corn intoxication gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re help for kidney stones in article apr wvnvms wvnet edu pk wvnvms wvnet edu writes my girlfriend is in pain from kidney stones she says that because she has no medical insurance she cannot get them removed my question is there any way she can treat them herself or at least mitigate their effects any help is deeply appreciated advice referral to literature morphine or demerol is about the only effective way of stopping pain that severe obviously she ll need a prescription to get such drugs can t she go to the county hospital or something gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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getting aids from acupuncture needles someone wrote in expressing concern about getting aids from acupuncture needles unless your friend is sharing fluids with their acupuncturist who themselves has aids it is unlikely not impossible they will get aids from acupuncture needles generally even if accidently inoculated the normal immune response should be enough to effectively handle the minimal contaminant involved with acupuncture needle insertion most acupuncturists use disposable needles use once and throw away they do this because you are not the only one concerned about transmission of diseases via this route so it s good business to advertise disposable needlesused here these needles tend to be of a lower quality however being poorly manufactured and too sharp in my opinion they tend to snag bloodvessels on insertion compared to higher quality needles if i choose to use acupuncture for a given complaint that patient will get their own set of new needles which are sterilized between treatments the risk here for hepatitis hiv etc transmission is that i could mistakenly use an infected persons needles accidently on the wrong patient but clear labelling and paying attention all but eliminates this risk better quality needles tend to slide past vessels and nerves avoiding unpleasant painful snags and hematomas so i use them acupuncture needles come in many lengths and thicknesses but they are all solid when compared to their injection style cousins in china herbal solutionsand western pharmaceuticals are occasionally injected into meridian points purported to have tcm physiologic effects and so require the same hollow needles used for injecting fluid medicine this means thinkingtiny that a samll amount of tissue the diameter of the needle bore will be injected into the body as it would be in a typical shot when the skin is puntured on the other hand when the solid acupuncture needle is inserted the skin tends to squeeze the needle from the tip to the level of insertion such that any cooties that haven t been schmeared away with alcohol before insertion tend to remain on the surface of the skin minimizing invasion from the exterior of course in tcm the body s exterior is protected by the wei protective qi so infection is unlikely or in other words there is a normal inflammatory and immune response that accompanies tissue damage incurred at the puncture site while i m fairly certain your friend will not have a transferable disease transmitted to them via acupuncture needle insertion i would like to know for what complaint they have consulted the acupuncturist not to know if it would be harmful but to know if it would be helpful john badanes dc ca romdas uclink berkeley edu
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re do we need a radiologist to read an ultrasound in article blue cis pitt edu kenneth gilbert kxgst pitt edu writes this is one of those sticky areas of medicine where battles frequently rage with respect to your ob i suspect that she has been certified in ultrasound diagnostics and is thus allowed to use it and bill for its use many cardiologists also use ultrasound echocardiography and are in fact considered by many to be the experts i am not sure where obs stand in this regard but i suspect that they are at least as good as the radioligists flame retardant suit ready if it were my wife i would insist that a radiologist be involved in the process radiologist are intensively trained in the process of interpreting diagnostic imaging data and are aware of many things that other physicians aren t aware of would you want a radiologist to deliver your baby if you wouldn t then why would you want a ob gyn to read your ultrasound study in my opinion the process should involve a ob gyn and a radiologist e j ed draper repar d radiologic pathologic institute the university of texas m d anderson cancer center draper odin mda uth tmc edu
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corneal erosion abrasions for several years i have been dealing with reccurring corneal erosion there does not seem to be much known about the cause of such a problem my current episode is pretty bad since it is located in the middle of the cornea if it s bad enough the usual treatment for it is puncture therapy however my doctor this time is trying to let it heal by itself by putting a contact lens to protect the area apparently the problem is not that common but i d be curious if anyone else out there has a similar problem perhaps to see if a cause can be found mark london mrl nerus pfc mit edu
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re altitude adjustment in article mdavcr mda ca vida mdavcr mda ca vida morkunas writes i live at sea level and am called upon to travel to high altitude cities quite frequently on business the cities in question are at to feet of altitude one of them especially is very polluted mexico city bogota la paz often i feel faint the first two or three days i feel lightheaded and my heart seems to pound a lot more than at sea level also it is very dry in these cities so i will tend to drink a lot of water and keep away from dehydrating drinks such as those containing caffeine or alcohol thing is i still have symptoms how can i ensure that my short trips there no i don t usually have a week to acclimatize are as comfortable as possible is there something else that i could do go three days early preliminary acclimatization takes days it takes weeks or months for full acclimatization could you be experiencing some jet lag too
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re good grief was re candida albicans what is it in article noringc snsx kmo netcom com noring netcom com jon noring writes in article rind enterprise bih harvard edu david rind writes there is no convincing evidence that such a disease exists there s a lot of evidence it just hasn t been adequately gathered and published in a way that will convince the die hard melancholic skeptics who quiver everytime the word anecdote or empirical is used no there s no evidence that would convince any but the most credulous the evidence is identical to the sort of evidence that has been used to justify all sorts of quack treatments for quack diseases in the past medicine on the right road but methinks that some who hold too firmly to the party line are academics who haven t been in the trenches long enough actually treating patients i like the implication here it must not be that the quacks making millions off such diseases are biased rather that those who doubt their existence don t understand the real world it seems easy to picture a th centure snake oil salesman saying the same thing however i have been in the trenches long enough to have seen multiple quack diseases rise and fall in popularity systemic yeast syndome seems to be making a resurgence it had fallen off a few years ago there will be new such diseases i m sure with best selling books and expensive therapies if anybody doctors included said to me to my face that there is no evidence of the yeast connection i cannot guarantee their safety for their incompetence ripping off their lips is justified as far as i am concerned well this of course is convincing i guess i d better start diagnosing any illnesses that people want so that i can keep my lips david rind rind enterprise bih harvard edu
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re burzynski s antineoplastons a good source of information on burzynski s method is in the cancer industry by pulitzer prize nominee ralph moss also a non profit organization called people against cancer which was formed for the purpose of allowing cancer patients to access information regarding cancer therapies not endorsed by the cancer industry but which have shown highly promising results all of which are non toxic anyone interested in cancer therapy should contact this organi zation asap people against cancer po box otho ia fax peace greg nigh
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oxaprozin anyone have any information on the effects origin of oxaprozin it s marketed under the name daypro and appears to be an anti inflammatory is it similar to naproxin stronger tia gms
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thrush was good grief was re candida albicans what is it in article aldridgec th ya netcom com aldridge netcom com jacquelin aldri writes dyer spdcc com steve dyer writes etc dyer you re rude medicine is not a totallly scientific endevour it s often practiced in a disorganized manner most early treatment of non life threatening illness is done on a guess hazarded after anecdotal evidence given by the patient it s an educated guess by a trained person but it s still no more than a guess it s cheaper and simpler to medicate first and only deal further with those people who don t respond dyer is beyond rude there have been and always will be people who are blinded by their own knowledge and unopen to anything that isn t already established given what the medical community doesn t know i m surprised that he has this outlook for the record i have had several outbreaks of thrush during the several past few years with no indication of immunosuppression or nutritional deficiencies i had not taken any antobiotics my dentist who sees a fair amount of thrush recommended acidophilous after i began taking acidophilous on a daily basis the outbreaks ceased when i quit taking the acidophilous the outbreaks periodically resumed i resumed taking the acidophilous with no further outbreaks since then mike mccurdy university computing services disclaimer san diego state university mccurdy ucsvax sdsu edu everything i say may be wrong
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re barbecued foods and health risk in article c mv v o world std com rsilver world std com richard silver writes some recent postings remind me that i had read about risks associated with the barbecuing of foods namely that carcinogens are generated is this a valid concern if so is it a function of the smoke or the elevated temperatures is it a function of the cooking elements wood or charcoal vs lava rocks i wish to know more thanks i ve read mixed opinions on this singed meat can contain carcinogens but unless you eat barbecued meat every meal you re probably not at much risk i think i will live life on the edge and grill my food i ve also read that using petroleum based charcoal starter can put some unwanted toxins in your food or at least unwanted odor i ve been using egg carton cups dipped in paraffin for fire starters and it actually lights faster and easier than lighter fluid several people have told me that they have excellent results with a chimney basically a steel cylinder with wholes punched in the side i ve been meaning to get one of these but one hasn t presented itself while i ve been out shopping you can make one from a coffee can but i buy my coffee as whole beans in a bag so i haven t had a big enough can laying around jason c austin j c austin larc nasa gov
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re seizures infantile spasms in article apr dbased nuo dec com dufault lftfld enet dec com md writes if anyone knows of any database or newsgroup or as i mentioned up above any information relating to this disorder i would sure appreciate hearing from you i am not trying to play doctor here but only trying to gather information about it as i know now these particular types of disorders are still not really well understood by the medical community and so i m going to see now if somehow the internet can at least give me alittle insight thanks there is no database for infantile spasms nor a newsgroup that i know of the medical library will be the best source of information for you gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re how to diagnose lyme really in article c sy lf watson ibm com yozzo watson ibm com ralph yozzo writes why do you think he would be called a quack the quacks don t do cultures they poo poo doing more lab tests this is lyme believe me i ve are you arguing that the lyme lab test is accurate if you culture out the spirochete it is virtually certain the patient has lyme i suppose you could have contamination in an exceptionally sloppy lab but normally not there are no false positives gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re ob gyn residency in article r bv e terminator rs itd umich edu donald mackie med umich edu donald mackie writes fmgs who are not citizens are like all aliens in a difficult situation only citizens get to vote here so non citizens are of little or no interest to legislators also the non citizen may well be in the middle of processing for resident alien status there is a stron sense that rocking the boat eg suing a residency program will delay the granting of that status perhaps for ever one should be aware that foreign doctors admitted for training are ineligible to apply for resident alien status in order to get the green card they have to return to their country and apply at the embassy there of course many somehow get around this problem often it is by agreeing to practice in a town with a need and then the congressman from that district tacks a rider onto a bill saying dr x will be allowed to have permanent residency in the us a lot of bills in congress have such riders attached to them marrying a us citizen is the most common although now they are even cracking down on that and trying to tell us citizens they must follow their spouse back to the phillipines or whereever gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re liver spots in article apr news eng convex com cash convex com peter cash writes what causes those little brown spots on older people s hands are they called liver spots because they re sort of liver colored or do they indicate some actual liver dysfunction senile keratoses have nothing to do with the liver gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re dana faber cancer institute in article apr etek chalmers se e salim etek chalmers se salim chagan writes can anyone send me the adress to dana faber cancer institute in boston usa missing r dana farber cancer institute binney street boston ma karl dussik alumnus department of biostatistics and epidemiology
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re food related seizures sharon paulson paulson tab larc nasa gov wrote much deleted the fact that this happened while eating two sugar coated cereals made by kellog s makes me think she might be having an allergic reaction to something in the coating or the cereals of the four of us in our immediate family kathryn shows the least signs of the hay fever running nose itchy eyes etc but we have a lot of allergies in our family history including some weird food allergies nuts mushrooms many of these cereals are corn based after your post i looked in the literature and located two articles that implicated corn contains tryptophan and seizures the idea is that corn in the diet might potentiate an already existing or latent seizure disorder not cause it check to see if the two kellog cereals are corn based i d be interested david ozonoff md mph boston university school of public health dozonoff med itvax bu edu east concord st t c boston ma
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imitrex and heart attacks my girlfriend just started taking imitrex for her migraine headaches her neurologist diagnosed her as having depression and suffering from rebound headaches due to daily doses of analgesics she stopped taking all analgesics and caffine as of last thursday the weekend was pretty bad but she made it through with the help of imitrex about every hours her third injection of imitrex during the worst of the withdrawl on friday and six hours after the first of the day left her very sick skin was flushed sweating vomiting and had severe headache pain it subsided in an hour or so since then she has been taking imitrex as needed to control the pain immediately after taking it she has increased head pain for ten minutes dizziness and mild nausea and mild chest pains a friend of hers mentioned that her doctor was wary of imitrex because it had caused heart attacks in several people apparently the mild chest pains were common in these other people prior to there attacks is this just rumor has anyone else heard of these symptoms my girlfriend also has mitral valve prolapse opinions are mine or others but definately not mda s lauger ssdgwy mdc com mcdonnell douglas aerospace huntington beach california usa
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re is msg sensitivity superstition in article apr lmpsbbs comm mot com dougb comm mot com doug bank writes from dougb comm mot com doug bank subject re is msg sensitivity superstition date thu apr gmt in article apr tms micro ti com david tms micro ti com david thomas writes lots of editing out of previuos posts here is another anecdotal story i am a picky eater and never wanted to try chinese food however i finally tried some in order to please a girl i was seeing at the time i had never heard of chinese restaurant syndrome a group of us went to the restaurant and all shared different dishes it didn t taste great but i decided it wasn t so bad we went home and went to bed early i woke up at am and puked my guts outs i threw up for so long that i m not kidding i pulled a muscle in my tongue dry heaves and everything no one else got sick and i m not allergic to anything that i know of suffice to say that i wont go into a chinese restaurant unless i am physically threatened the smell of the food makes me ill and that is a psycholgical reaction when i have been dragged in to suffer through beef and broccoli without any sauces i insist on no msg i haven t gotten sick yet funny about that my wife my girlfriend at the time used to get sick after eating certain foods at various asian restaurants and never knew why she d go pale and sweaty and then vomit copiously a couple of us ventured a connection with msg and her response was msg what s that it also happened when she pigged out on some brands of savoury crackers and chips which i noticed later had msg on the label don t know about double blinds but avoiding msg has stopped her being sick at restaurants cheers john john nash email nash biologysx lan nrc ca institute for biological sciences national research council of canada cell physiology group ottawa ontario canada disclaimer all opinions are mine not nrc s
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how to interview a doctor my insurance company encourages annual physicals and at my age i m thinking that biannual physicals at least might be a good idea therefore i m shopping for a gp might as well get a good one could the assembled net wisdom suggest things i should look for or point me to the faq archive if on this topic if there is one please email i suspect that this topic is real net clutter bait dk
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re sudden numbness in arm in article c u lg c g gpu utcc utoronto ca molnar bisco canet ca tom molnar writes i experienced a sudden numbness in my left arm this morning just after i completed my th set of deep squats today was my weight training day and i was just beginning my routine all of a sudden at the end of the th set my arm felt like it had gone to sleep it was cold turned pale and lost of its strength the weight i used for squats wasn t that heavy i was working hard but not at effort i waited for a few minutes trying to shake the arm back to life and then continued with chest exercises flyes with lighter dumbells than i normally use but i dropped the left dumbell during the first set and experienced continued arm weakness into the second so i quit training and decided not to do my usual hour on the ski machine either i ll take it easy for the rest of the day my arm is still somewhat numb and significantly weaker than normal my hand still tingles a bit down to the thumb color has returned to normal and it is no longer cold horrid thoughts of chunks of plaque blocking a major artery course through my brain i m vegetarian and pretty fit from my daily exercise regimen so that can t be it could a pinched nerve from the bar cause these symptoms i hope it likely has nothing to do with chunks of plaque but it sounds like you may have a neurovascular compromise to your arm and you need medical attention before doing any more weight lifting gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re too many mris in article apr informix com proberts informix com paul roberts writes in article apr kestrel edu king reasoning com dick king writes i recall reading somewhere during my youth in some science popularization book that whyle isotope changes don t normally affect chemistry a consumption of only heavy water would be fatal and that seeds watered only with heavy water do not sprout does anyone know about this i also heard this i always thought it might make a good eposide of columbo for someone to be poisoned with heavy water it wouldn t show up in any chemical test that would be a very expensive toxin indeed daniel r field aka infospunj joe are you late dfield oboe calpoly edu dan no but i m working on it biochemistry biotechnology california polytechnic state u
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seek sedative information has any one heard of a sedative called rhoepnol made by larouche i believe any info as to side effects or equivalent tranquillizers thanks this will just take a minute i m done it worked on my machine
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re good grief was re candida albicans what is it in article noringc u bvy netcom com noring netcom com jon noring writes in article dyer spdcc com steve dyer writes in article noring netcom com jon noring writes good grief again why the anger i must have really touched a raw nerve let s see i had symptoms that resisted all other treatments sporanox totally alleviated them within one week hmmm i must be psychotic yesss that s it my illness was all in my mind thanks steve for your correct diagnosis you must have a lot of experience being out there in trenches treating hundreds of patients a week thank you i m forever in your debt jon oops gotta run the men in white coats are ready to take me away haha to the happy home where i can go twiddle my thumbs basket weave and moan about my sinuses ever heard of something called the placebo effect i think dyer is reacting because it looks to be yet another case of the same old quackery over and over again it true that current medical knowledge is limited but do you realize just how many quacks exist eager to suck your it s playing the lottery at best if the results you got were so clear and obvious would you mind trying a little experiment to see if it is true it would be quite simple have sugar pills and have real pills take one set for one week and the other set for another week without knowing which ones are the real pills then at the end of the weeks compare the results let s say you re wife would know which are the real ones if what you are experiencing is true there should be a marked difference between each week john john nielsen magnus consultant to you baldrick the renaissance was just something that happened to other people wasn t it the black adder
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re bates method for myopia dr willian horatio bates born and graduated from med school medical career hampered by spells of total amnesia published in his great work the cure of imperfect eyesight by treatment with out glasses he made claims about how the eye actually works that are simply not true aldous huxley was one of the more high profile beleivers in his system mr huxley while giving a lecture on bates system forgot the lecture that he was supposedely reading and had to put the paper right up to his eyes and then resorted to a magnifying glass from his pocket book have been written debunking this technique however they remain less read than the original fraud cheers jc oneb almanac bc ca john cross the old frog s almanac home of the almanac unix users group v public access usenet x vancouver island british columbia waffle xenix
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re should i be angry at this doctor in article apr stsci edu mryan stsci edu writes am i justified in being pissed off at this doctor last saturday evening my year old son cut his finger badly with a knife i took him to a local urgent and general care clinic at pm the story deleted be bothered my son did get three stitches at the emergency room i m still trying to find out who is in charge of that clinic so i can write them a letter we will certainly never set foot in that clinic again the people in charge already know what kind of care they are providing and they don t give a rat s ass about your repeat business you are much more likely to do some good writing to local newspapers and broadcast news shows if you do keep the letter short and to the point so they don t discard it out of hand and emphasize exactly what you are upset about it s possible that the local health department can help you complain to someone official but really that clinic exists for the sole purpose of generating walk in income through advertising and nothing you can do will change them all you can hope for is to help someone else avoid them i m glad it sounds like your son did ok anyway my opinion only of course steve
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re krillean photography i did a science project on kirlian photography when i was in high school i was able to obtain wonderful auras from rocks and pebbles and the like by first dunking them in water i know this is a little weird but i know that world magazine you know national geo for children did a very simple and concise article on kirlian photography they had some neat pictures too a friend of mine s mother had a book on kirlian photography only it s photographs took a radiologist to interpret they world magazine warned us all that it was very dangerous probably to stop curious children from experimenting with it mind you this was years ago at least and boy does that say something about my age sarah brundage sbrun oregon uoregon edu
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hicn medical newsletter part cut here hicnet medical newsletter page volume number april gonorrhea colorado source mmwr date apr the number of reported cases of gonorrhea in colorado increased from to after declining steadily during the s in comparison in the united states reported cases of gonorrhea in continued an overall decreasing trend this report summarizes an analysis of the increase in gonorrhea in colorado in and characterizes trends in the occurrence of this disease from through in cases of gonorrhea were reported to the colorado department of health cdh compared with cases reported in during reported cases increased and among females and males respectively table similar increases occurred among blacks whites and hispanics and respectively however the number of reported cases with race not specified increased from to and constituted of all reported cases in although the largest proportional increases by age groups occurred among persons aged years and greater than or equal to years these age groups accounted for only of all reported cases in persons in the year age group accounted for the largest number of reported cases of gonorrhea during and the highest age group specific rate per reported cases of gonorrhea increased in the five county denver metropolitan area population but decreased elsewhere in the state table half the cases of gonorrhea in the denver metropolitan area occurred in of the census tracts these represent neighborhoods considered by sexually transmitted diseases stds acquired immunodeficiency syndrome aids field staff to be the focus of gang and drug activity when compared with the number of gonorrhea cases diagnosed among men in the denver metro health clinic dmhc the primary public std clinic in the denver metropolitan area increased in and the number of visits by males to the clinic increased concurrently the number of cases diagnosed among women increased by among self identified heterosexual men the number of gonorrhea cases diagnosed at dmhc increased and comprised of all cases diagnosed in males while the number of cases diagnosed among self identified homosexual men remained low and in and respectively four selected laboratories in the metropolitan denver area i e hmo university hospital nonprofit family planning and commercial were contacted to determine whether gonorrhea culture positivity rates increased gonorrhea culture positivity rates in three of four laboratories contacted increased from to while the rate was virtually unchanged in the fourth i e nonprofit family planning from through reported cases of gonorrhea among whites and hispanics in colorado decreased in comparison reported cases among blacks hicnet medical newsletter page volume number april increased since figure during the population in colorado increased for blacks for hispanics and for whites in the gonorrhea rate for blacks per persons was times that for whites per and times that for hispanics per table among black females reported cases of gonorrhea increased from through in the year age group among black males cases increased from through in both the and year age groups reported by ka gershman md jm finn ne spencer msph std aids program re hoffman md state epidemiologist colorado dept of health jm douglas md denver dept of health and hospitals surveillance and information systems br div of sexually transmitted diseases and hiv prevention national center for prevention svcs cdc editorial note the increase in reported gonorrhea cases in colorado in may represent an overall increase in the occurrence of this disease or more complete reporting stimulated by visitations to laboratories by cdh surveillance staff during the increases in confirmed gonorrhea cases at dmhc and in culture positivity rates in three of four laboratories suggest a real increase in gonorrhea rather than a reporting artifact however the stable culture positivity rate in the nonprofit family planning laboratory which serves a network of clinics statewide indicates that the gonorrhea increase did not uniformly affect all segments of the population one possible explanation for the increased occurrence of gonorrhea in colorado may be gang and drug related sexual behavior as implicated in a recent outbreak of drug resistant gonorrhea and other stds in colorado springs although the high morbidity census tracts in the denver metropolitan area coincide with areas of gang and drug activity this hypothesis requires further assessment to examine the possible role of drug use implicated previously as a factor contributing to the national increase in syphilis the cdh std aids program is collecting information from all persons in whom gonorrhea is diagnosed regarding drug use exchange of sex for money or drugs and gang affiliation the gonorrhea rate for blacks in colorado substantially exceeds the national health objective for the year per objective a race is likely a risk marker rather than a risk factor for gonorrhea and other stds risk markers may be useful for identifying groups at greatest risk for stds and for targeting prevention efforts moreover race specific variation in std rates may reflect differences in factors such as socioeconomic status access to medical care and high risk behaviors in response to the increased occurrence of gonorrhea in colorado interventions initiated by the cdh std aids program include targeting partner notification in the denver metropolitan area to persons in groups at increased risk e g year old black females and year old black males implementing a media campaign e g public service radio hicnet medical newsletter page volume number april announcements signs on city buses newspaper advertisements and posters in schools and clinics to promote awareness of std risk and prevention targeted primarily at high risk groups and developing teams of peer educators to perform educational outreach in high risk neighborhoods the educational interventions are being developed and implemented with the assistance of members of the target groups and with input from a forum of community leaders and health care providers references cdc table ii cases of selected notifiable diseases united states weeks ending december and december nd week mmwr cdc gang related outbreak of penicillinase producing neisseria gonorrhoeae and other sexually transmitted diseases colorado springs colorado mmwr cdc relationship of syphilis to drug use and prostitution connecticut and philadelphia pennsylvania mmwr rolfs rt goldberg m sharrar rg risk factors for syphilis cocaine use and prostitution am j public health andrus jk fleming dw harger dr et al partner notification can it control epidemic syphilis ann intern med gershman ka rolfs rt diverging gonorrhea and syphilis trends in the s are they real am j public health public health service healthy people national health promotion and disease prevention objectives full report with commentary washington dc us department of health and human services public health service dhhs publication no phs hicnet medical newsletter page volume number april effectiveness in disease and injury prevention impact of adult safety belt use on restraint use among children less than years of age selected states and source mmwr date apr motor vehicle crashes are the leading cause of death among children and young adults in the united states and account for more than million years of potential life lost before age annually child safety seats and safety belts can substantially reduce this loss from through all states passed legislation requiring the use of child safety seats or safety belts for children although these laws reduce injuries to young children by an estimated motor vehicle crash related injuries remain a major cause of disability and death among u s children while the use of occupant restraints among children decreases inversely with age usage for those aged years aged years and aged years in addition parents who do not use safety belts themselves are less likely to use restraints for their children to characterize the association between adult safety belt use and adult reported consistent use of occupant restraints for the youngest child aged less than years within a household cdc analyzed data obtained from the behavioral risk factor surveillance system brfss during and this report summarizes the findings from this study data were available for respondents aged greater than or equal to years in states that participated in brfss a population based random digit dialed telephone survey and administered a standard injury control and child safety module developed by cdc of these respondents had a child aged less than years in their household each respondent was asked to specify the child s age and the frequency of restraint use for that child the two categories of child restraint and adult safety belt use in this analysis were consistent use i e always buckle up and less than consistent use i e almost always sometimes rarely or never buckle up data were weighted to provide estimates representative of each state software for survey data analysis sudaan was used to calculate point estimates and confidence intervals statistically significant differences were defined by p values of less than each of the states had some type of child restraint law of these six arizona kentucky maine nebraska rhode island and west virginia had no law requiring adults to use safety belts four idaho maryland pennsylvania and washington had a secondary enforcement mandatory safety belt law i e a vehicle had to be stopped for a traffic violation before a citation for nonuse of safety belts could be issued and one state new york had a primary enforcement mandatory safety belt law i e vehicles could be stopped for a safety belt law violation alone in nine states child passenger protection hicnet medical newsletter page volume number april laws included all children aged less than years but the other two states used both age and size of the child as criteria for mandatory restraint use the analysis in this report subgrouped states into those having a law requiring adult safety belt use law states and those without such a law no law states overall of children aged less than years reportedly were not consistently restrained during automobile travel both child restraint use and adult restraint use were significantly higher p less than chi square test in law states than in no law states versus and versus respectively high rates of restraint use for children aged less than or equal to year were reported by both adults indicating consistent and less than consistent safety belt use figure adults with consistent use reported high rates of child occupant restraint use regardless of the child s age range for year olds to for year olds in comparison for adults reporting less than consistent safety belt use the rate of child occupant restraint use declined sharply by the age of the child range for year olds to for year olds when comparing children of consistent adult safety belt users with children of less than consistent adult safety belt users confidence intervals overlap for the two youngest age groups i e aged less than and year reported child occupant restraint use in law states generally exceeded that in no law states regardless of age of child table in addition higher adult educational attainment was significantly associated with increased restraint use for children a factor that has also been associated with increased adult safety belt use reported by national center for injury prevention and control national center for chronic disease prevention and health promotion cdc editorial note the findings in this report are consistent with others indicating that adults who do not use safety belts themselves are less likely to employ occupant restraints for their children because these nonbelted adults are at increased risk of crashing and more likely to exhibit other risk taking behaviors children traveling with them may be at greater risk for motor vehicle injury educational attainment of adult respondents was inversely associated with child restraint use in this report accordingly occupant protection programs should be promoted among parents with low educational attainment because low educational attainment is often associated with low socioeconomic status such programs should be offered to adults through health care facilities that serve low income communities or through federal programs i e head start that are directed at parents with young children injury prevention programs emphasize restraining young children in addition however efforts must be intensified to protect child occupants as hicnet medical newsletter page volume number april they become older parents especially those with low educational attainment those who do not consistently wear safety belts and those from states that do not have mandatory safety belt use laws should be encouraged to wear safety belts and to protect their children by using approved child safety seats and safety belts finally the increased use of restraints among children may increase their likelihood of using safety belts when they become teenagers the age group characterized by the lowest rate of safety belt use and the highest rate of fatal crashes references cdc childhood injuries in the united states am j dis child partyka sc papers on child restraints effectiveness and use washington dc us department of transportation national highway traffic safety administration report no dot hs guerin d mackinnon d an assessment of the california child passenger restraint requirement am j public health hall w orr b suttles d et al progress report on increasing child restraint usage through local education and distribution programs chapel hill north carolina university of north carolina at chapel hill highway safety research center national highway traffic safety administration occupant protection trends in cities washington dc us department of transportation national highway traffic safety administration wagenaar ac molnar lj margolis lh characteristics of child safety seat users accid anal prev shah bv barnwell bg hunt pn lavange lm software for survey data analysis sudaan version software documentation research triangle park north carolina research triangle institute lund ak voluntary seat belt use among u s drivers geographic socioeconomic and demographic variation accid anal prev margolis lh wagenaar ac molnar lj use and misuse of automobile child restraint devices am j dis child hunter ww stutts jc stewart jr rodgman ea characteristics of seatbelt users and non users in a state with a mandatory use law health education hicnet medical newsletter page volume number april research arizona idaho kentucky maine maryland nebraska new york pennsylvania rhode island washington and west virginia hicnet medical newsletter page volume number april publication of cdc surveillance summaries source mmwr date apr since cdc has published the cdc surveillance summaries under separate cover as part of the mmwr series each report published in the cdc surveillance summaries focuses on public health surveillance surveillance findings are reported for a broad range of risk factors and health conditions summaries for each of the reports published in the most recent march issue of the cdc surveillance summaries are provided below all subscribers to mmwr receive the cdc surveillance summaries as well as the mmwr recommendations and reports as part of their subscriptions surveillance for and comparison of birth defect prevalences in two geographic areas united states problem condition cdc and some states have developed surveillance systems to monitor the birth prevalence of major defects reporting period covered this report covers birth defects surveillance in metropolitan atlanta georgia and selected jurisdictions in california for the years description of system the california birth defects monitoring program and the metropolitan atlanta congenital defects program are two population based surveillance systems that employ similar data collection methods the prevalence estimates for diagnostic categories were based on data for for births in california and births in metropolitan atlanta the prevalences in the two areas were compared adjusting for race sex and maternal age by using poisson regression results regional differences in the prevalence of aortic stenosis fetal alcohol syndrome hip dislocation dysplasia microcephalus obstruction of the kidney ureter and scoliosis lordosis may be attributable to general diagnostic variability however differences in the prevalences of arm hand limb reduction encephalocele spina bifida or trisomy down syndrome are probably not attributable to differences in ascertainment because these defects are relatively easy to diagnose interpretation regional differences in prenatal diagnosis and pregnancy termination may affect prevalences of trisomy and spina bifida however the reason for differences in arm hand reduction is unknown but may be related to variability in environmental exposure heterogeneity in the gene pool or random variation actions taken because of the similarities of these data bases several collaborative studies are being implemented in particular the differences in the birth prevalence of spina bifida and down syndrome will focus attention on the impact of prenatal diagnosis authors jane schulman ph d nancy hicnet medical newsletter page volume number april jensvold m p h gary m shaw dr p h california birth defects monitoring program march of dimes birth defects foundation larry d edmonds m s p h anne b mcclearn division of birth defects and developmental disabilities national center for environmental health cdc influenza united states problem condition cdc monitors the emergence and spread of new influenza virus variants and the impact of influenza on morbidity and mortality annually from october through may reporting period covered this report covers u s influenza surveillance conducted from october through may description of system weekly reports from the vital statistics offices of cities provided an index of influenza s impact on mortality who collaborating laboratories reported weekly identification of influenza viruses weekly morbidity reports were received both from the state and territorial epidemiologists and from sentinel family practice physicians nonsystematic reports of outbreaks and unusual illnesses were received throughout the year results during the influenza season influenza a h n and b viruses were identified in the united states with essentially equal frequency overall although both regional and temporal patterns of predominance shifted over the course of the season throughout the season increases in the indices of influenza morbidity in regions where influenza a h n predominated were similar to increases in regions where influenza b predominated only of identified viruses were influenza a h n but isolations of this subtype increased as the season waned and it subsequently predominated during the season during the season outbreaks in nursing homes were reported in association with influenza b and a h n but not influenza a h n interpretation the alternating temporal and geographic predominance of influenza strains a h n and b during the season emphasizes the importance of continual attention to regional viral strain surveillance since amantadine is effective only for treatment and prophylaxis of influenza a actions taken weekly interim analyses of surveillance data produced throughout the season allow physicians and public health officials to make informed choices regarding appropriate use of amantadine cdc s annual surveillance allows the observed viral variants to be assessed as candidates for inclusion as components in vaccines used in subsequent influenza seasons authors louisa e chapman m d m s p h epidemiology activity office of the director division of viral and rickettsial diseases national center for infectious diseases margaret a tipple m d division of quarantine national center for prevention services cdc suzanne gaventa folger m p h health investigations branch division of health studies agency for toxic substances and disease registry maurice harmon ph d connaught hicnet medical newsletter page volume number april laboratories pasteur mirieux company swiftwater pennsylvania alan p kendal ph d european regional office world health organization copenhagen denmark nancy j cox ph d influenza branch division of viral and rickettsial diseases national center for infectious diseases lawrence b schonberger m d m p h epidemiology activity office of the director division of viral and rickettsial diseases national center for infectious diseases cdc reference cdc cdc surveillance summaries march mmwr no ss hicnet medical newsletter page volume number april clinical research news clinical research news for arizona physicians vol no april tucson arizona published monthly by the office of public affairs at the university of arizona health sciences center copyright the university of arizona high tech assisted reproductive technologies following the birth of the first in vitro fertilization embryo transfer ivf et baby in a host of assisted reproductive technologies have been developed that include ivf et gamete intrafallopian tube transfer gift embryo cryopreservation freezing and gamete micromanipulation together these technologies are referred to as the high tech assisted reproductive technology art procedures ovulation induction sperm insemination and surgery for tubal disease and or pathology still are the mainstays of the therapies available for infertility management however when these fail it almost always is appropriate to proceed with one of the art procedures therefore in addition to a comprehensive basic and general infertility service at the university of arizona center for reproductive endocrinology and infertility there is a program of assisted reproduction that specializes in art procedures this program serves as a tertiary provider for those patients in the state of arizona whose infertility problems cannot be resolved by the traditional therapies the following article on back describes the art procedures available in our center clarifies appropriate applications for each and considers the realistic expectations for their success procedures included are o in vitro o fertilization embryo transfer ivf et gamete intrafallopian tube transfer o gift cryopreservation of human embryos and gamete micromanipulation this article also considers ongoing research in our program that is directed towards improved success of these technologies hicnet medical newsletter page volume number april future areas of research in addition to ongoing research that is directed exclusively toward the management of infertile couples we are developing the technology to assist couples who are at risk for producing embryos with a serious hereditary disease this technology involves biopsying the preimplantation human embryo and then subjecting the biopsied cells to genetic analysis using either dna amplification or fluorescent in situ hybridization there are recent reports of the successful application of dna amplification by other centers for example for diagnosis of the genes for cystic fibrosis and hemophilia we hope to apply and further focus fluorescent in situ hybridization technology for probing the x chromosome the identification of which will provide a scientific basis for counselling patients who exhibit sex linked disorders the considerable clinical application of such technology lies in the fact that it circumvents the need for prenatal diagnosis in addition to the possibility of a subsequent termination of affected fetuses in order to avoid the birth of affected children catherine racowsky ph d associate professor and director of research department of obstetrics and gynecology college of medicine university of arizona tucson arizona applications success rates and advances for the management of infertility the following are the art procedures available at the university of arizona center for reproductive endocrinology and infertility in vitro fertilization embryo transfer is the core art procedure of our assisted reproduction program this procedure involves retrieval of unfertilized eggs from the ovary their insemination in vitro in a dish and the culture of resultant embryos for or days before they are transferred to the patient s uterus all cultures are maintained in an incubator under strictly controlled atmospheric and temperature conditions before being processed for use in insemination semen samples are evaluated in our andrology laboratory using both subjective light microscopy and computer hicnet medical newsletter page volume number april assisted semen analyses to ensure an adequate number of eggs with which to perform ivf et or indeed gift follicular development is typically stimulated with gonadotropins perganol metrodin gonadotropin releasing hormone gnrh factrel lutrepulse and or gnrh analogues lupron depo lupron synarel occasionally however ivf et is accomplished with eggs obtained in non stimulated cycles while some programs utilize laparoscopic egg retrieval in the operating room with the patient under general anesthesia we undertake the less costly approach of ultrasound guided retrieval in our infertility unit with the patient sedated couples who resort to ivf et exhibit such pathologies as tubal deficiencies ovulatory dysfunction endometriosis and or mild forms of male factor infertility according to the united states ivf registry the overall success rate for ivf et nationwide has stabilized at about percent per cycle results from our program involving patients who have undergone ivf et cycles reflect a comparable success rate nevertheless the overall incidence of success with this procedure is disconcertingly low and emphasizes the need to address those physiological factors that limit achievement of a higher percentage of pregnancies well recognized predictors of outcome include patient age response to exogenous ovarian stimulation quality of sperm and number of repeated ivf et cycle attempts however among these age is the single most significant determinant of conception therefore it is critical that such patients are referred to an assisted reproduction program at the earliest opportunity following failure of traditional therapies the underlying basis for the negative effect of age on fertility has not been clearly delineated beyond recognition that the number of eggs available for retrieval declines markedly with age fertilization rates significantly decrease in eggs retrieved from patients who are over years and provided the appropriate hormonal background is present age is unrelated to uterine competency to sustain pregnancy ongoing research in our center therefore is investigating physiological changes in the egg that may be impacted by age we have determined that more than percent of eggs that fail to fertilize in vitro are chromosomally abnormal and that a significant proportion of these abnormalities are accountable to patient age currently the only recourse for such patients is to use eggs obtained from a donor our program has initiated recruitment of volunteer egg donors to satisfy the needs of a list of recipients interested in this form of therapy gift this high tech art procedure is performed in the operating room usually with the use of a laparoscope and in contrast to ivf et involves introducing sperm and freshly retrieved eggs into the lumen of the fallopian tube an average of eggs tube under these circumstances fertilization occurs in vivo and if excess eggs are retrieved the remainder undergo ivf with subsequent options for embryo transfer in that cycle or freezing for transfer in a subsequent cycle this art procedure is applied to cases in hicnet medical newsletter page volume number april which there is at least one patent fallopian tube but the couple has such pathologies as ovulatory dysfunction endometriosis male factor infertility and or idiopathic infertility the data reported in the united states ivf registry for through indicate that the overall success rate with gift is higher than that obtained with the ivf et technique range of clinical pregnancies for gift is to percent and for ivf et to percent in view of this fact one might expect more patients to be treated with gift than ivf et however in our program we have taken into account three basic concerns which while substantially reducing the number of gift cycles performed benefit the patient these concerns are the increased costs associated with performing a procedure in the operating room the risks albeit minimal of undergoing general anesthesia and the considerable benefits to be accrued from obtaining direct information on the quality and fertilizability of the eggs and the developmental competency of resultant embryos the increased success with gift undoubtedly reflects the artificial environment provided by the laboratory in the ivf et procedure between january and december we have performed a total of gift cycles with an overall success rate of percent embryo cryopreservation or freezing is applied in our program when embryos result from residual gift eggs or from non transferred ivf embryos this procedure not only provides patients with a subsequent opportunity for success at much reduced costs but also circumvents the legal and ethical issues relating to disposal of supernumerary embryos therefore as stipulated by the american fertility society ethical guidelines for art programs from both a practical and an ethical standpoint all assisted reproduction programs should have the capability of cryopreserving human embrys gamete micromanipulation this art procedure which is still very new is applied to couples who are unaccepting of insemination with donor semen but who have severe male factor infertility less than million sperm ml in combination with fewer than perccent motile sperm and or less than percent sperm with normal morphology we are currently developing the procedure of sub zonal insertion szi which entails injecting sperm under the coating around the egg the barrier normally penetrated by the sperm through enzymatic digestion available data from szi programs world wide indicate that only to percent of szi cycles result in a pregnancy this statistic undoubtedly relates to limitations imposed by abnormalities inherent in the sperm therefore we are currently focusing on the development of improved techniques for the recognition and selection of sperm chosen for manipulation such efforts are unquestionably worthwhile in view of the fact that this technology offers the only realistic opportunity for severe male factor patients to establish conception catherine racowsky ph d hicnet medical newsletter page volume number april associate professor and director of research department of obstetrics and gynecology college of medicine end of part internet david stat com fax bitnet atw h asuacad fidonet amateur packet ax wb tpy wb tpy az usa na
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hicn medical news part cut here limits of azt s efficacy and now suggest using the drug either sequentially with other drugs or in a kind of aids treatment cocktail combining a number of drugs to fight the virus all at once treating people with azt alone doesn t happen in the real world anymore said dr mark jacobson of the university of california san francisco also with recent findings indicating that hiv replicates rapidly in the lymph nodes after infection physicians may begin pushing even harder for early treatment of hiv infected patients new infectious disease push american medical news vol no p the center for disease control will launch a worldwide network to track the spread of infectious diseases and detect drug resistant or new strains in time to help prevent their spread the network is expected to cost between million and million but is an essential part of the clinton administration s health reform plan according to the cdc and outside experts the plan will require the cdc to enhance surveillance of disease in the united states and establish about facilities across the world to track disease april nih plans to begin aids drug trials at earlier stage nature vol no p macilwain colin hicnet medical newsletter page volume number april the national institutes of health has announced it will start treating hiv positive patients as soon as possible after seroconversion resulting from recent findings that show hiv is active in the body in large numbers much earlier than was previously believed anthony fauci director of the u s national institute of allergy and infectious diseases niaid said we must address the question of how to treat people as early as we possibly can with drugs that are safe enough to give people for years and that will get around microbial resistance he said any delay would signify questions over safety and resistance rather than a lack of funds fauci who co authored one of the two papers published last week in nature rejects the argument by one of his co authors cecil fox that the new discovery indicates that billion spent on vaccine trials has been a waste of time and money because the trials were started too long after the patients were infected and were ended too quickly john tew of the medical college of virginia in richmond claims that the new evidence strongly backs the argument for early treatment of hiv infected patients aids activists welcomed the new information but said the scientific community has been slow to understand the significance of infection of the lymph tissue we ve known about this for five years but we re glad it is now in the public domain said jesse dobson of the california based project inform but peter duesberg who believes that aids is independent of hiv and is a result of drug abuse in the west said we are several paradoxes away from an explanation of aids even if these papers are right april risk of aids virus from doctors found to be minimal washington post p a the risk of hiv being transmitted from infected health care professionals to patients is minimal according to new research published in today s journal of the american medical association jama this finding supports previous conclusions by health experts that the chance of contracting hiv from a health care worker is remote three studies in the jama demonstrate that thousands of patients were treated by two hiv positive surgeons and dentists without becoming infected with the virus the studies were conducted by separate research teams in new hampshire maryland and florida each study started with an hiv positive doctor or dentist and tested all patients willing to participate the new hampshire study found that none of the patients who had undergone invasive procedures by an hiv positive orthopedic surgeon contracted hiv in maryland of patients operated on by a breast surgery specialist at johns hopkins hospital were found to be hiv negative similarly in florida of dental hicnet medical newsletter page volume number april patients who all had been treated by an hiv positive general dentist were tested and found to be negative for hiv the florida researchers led by gordon m dickinson of the university of miami school of medicine said this study indicates that the risk for transmission of hiv from a general dentist to his patients is minimal in a setting in which universal precautions are strictly observed related story philadelphia inquirer p a alternative medicine advocates divided over new nih research program aids treatment news no p gilden dave the new office of alternative medicine at the national institutes of health has raised questions about the nih s commitment to an effort that uses unorthodox or holistic therapeutic methods the oam is a small division of the nih with its budget only at million dollars compared to more than billion for the nih as a whole in addition the money for available research grants is even smaller about to total will be available this year for or grants kaiya montaocean of the center for natural and traditional medicine in washington d c says the oam is afraid to become involved in aids they have to look successful and there is no easy answer in aids she said there is also a common perception that the oam will focus on fields the nih establishment will find non threatening such as relaxation techniques and acupuncture when the oam called for an advisory committee conference of about people last year the aids community was largely missing from the meeting in addition activists general lack of contact with the office has added suspicion that the epidemic will be ignored jon greenberg of act up new york said the oam advisory panel is composed of practitioners without real research experience it will take them several years to accept the nature of research nevertheless dr leanna standish research director and aids investigator at the bastyr college of naturopathic medicine in seattle said here is a wonderful opportunity to fund aids research it s only fair to give the office time to gel but it s up to the public to insist that it s much much more than public relations herpesvirus decimates immune cell soldiers science news vol no p fackelmann kathy a scientists conducting test tube experiments have found that herpesvirus can attack the human immune system s natural killer cells this attack causes the killer cells to malfunction diminishing an important component in the immune system s fight against diseases also the herpesvirus may be a factor in immune diseases such as aids in paolo lusso s research found that herpesvirus attacks another white cell the cd t lymphocyte which is the primary target of hiv lusso also found that herpesvirus can hicnet medical newsletter page volume number april kill natural killer cells scientists previously knew that the natural killer cells of patients infected with hiv do not work correctly lusso s research represents the first time scientists have indicated that natural killer cells are vulnerable to any kind of viral attack according to anthony l komaroff a researcher with harvard medical school despite the test tube findings scientists are uncertain whether the same result occurs in the body lusso s team also found that herpesvirus produces the cd receptor molecule that provides access for hiv cd t lymphocytes express this surface receptor making them vulnerable to hiv s attack researchers concluded that herpesvirus cells can exacerbate the affects of hiv april aids and priorities in the global village to the editor journal of the american medical association vol no p gellert george and nordenberg dale f all health care workers are obligated and responsible for not only ensuring that politicians understand the dimensions of certain health problems but also to be committed to related policies write george gellert and dale f nordenberg of the orange county health care agency santa ana calif and the emory university school of public health in atlanta ga respectively dr berkley s editorial on why american doctors should care about the aids epidemic beyond the united states details several reasons for the concerted interest that all countries share in combating aids it should be noted that while aids leads in hastening global health interdependence it is not the only illness doing so diseases such as malaria and many respiratory and intestinal pathogens have similarly inhibited the economic development of most of humanity and acted to marginalize large populations berkley mentions the enormous social and economic impact that aids will have on many developing countries and the increased need for international assistance that will result berkley also cites the lack of political aggressiveness toward the aids epidemic in its first decade but now there is a new administration with a promise of substantial differences in approach to international health and development in general and hiv aids in particular vice president al gore proposes in his book earth in the balance a major environmental initiative that includes sustainable international development with programs to promote literacy improve child survival and disseminate contraceptive technology and access throughout the developing world if enacted this change in policy could drastically change the future of worldwide health aids and priorities in the global village in reply journal of the american hicnet medical newsletter page volume number april medical association vol no p berkley seth every nation should tackle hiv as early and aggressively as possible before the disease reaches an endemic state even at a cost of diverting less attention to some other illnesses writes seth berkley of the rockefeller foundation in new york n y in reply to a letter by drs gellert and nordenberg although it is true that diseases other than aids such as malaria and respiratory and intestinal illnesses have similarly inhibited economic development in developing countries and deserve much more attention than they are getting berkley disagrees with the contention that aids is receiving too much attention hiv differs from other diseases in most developing countries because it is continuing to spread for most endemic diseases the outcome of neglecting interventions for one year is another year of about the same level of needless disease and death but with aids and its increasing spread the cost of neglect not only in disease burden but financially is much greater interventions in the early part of a rampantly spreading epidemic like hiv are highly cost effective because each individual infection prevented significantly interrupts transmission berkley says he agrees with gellert and nordenberg about the gigantic social and economic effects of aids and about the need for political leadership but he concludes that not only is assertive political leadership needed in the united states for the aids epidemic but even more so in developing countries with high rates of hiv infection and where complacency about the epidemic has been the rule hicnet medical newsletter page volume number april aids hiv articles first hiv vaccine trial begins in hiv infected children h h s n e w s u s department of health and human services march first hiv vaccine therapy trial begins in hiv infected children the national institutes of health has opened the first trial of experimental hiv vaccines in children who are infected with the human immunodeficiency virus hiv the virus that causes aids the trial will compare the safety of three hiv experimental vaccines in children recruited from at least sites nationwide volunteers must be hiv infected but have no symptoms of hiv disease hhs secretary donna e shalala said this initial study can be seen as a hopeful milestone in our efforts to ameliorate the tragedy of hiv infected children who now face the certainty they will develop aids anthony s fauci m d director of the national institute of allergy and infectious diseases and of the nih office of aids research said the trial is the first step in finding out whether vaccines can help prevent or delay disease progression in children with hiv who are not yet sick if these vaccines prove to be safe more sophisticated questions about their therapeutic potential will be assessed in phase ii trials the centers for disease control and prevention estimates children in the united states have hiv by the end of the decade the world health organization projects million children will be infected worldwide the study will enroll children ages month to years old niaid which funds the aids clinical trials group network anticipates conducting the trial at nine actg sites around the country and three sites participating in the actg but funded by the national institute of child health and human development preliminary evidence from similar studies under way in infected adults shows that certain vaccines can boost existing hiv specific immune responses and hicnet medical newsletter page volume number april stimulate new ones it will be several years however before researchers know how these responses affect the clinical course of the disease the results from the pediatric trial known as actg will be examined closely for other reasons as well this trial will provide the first insight into how the immature immune system responds to candidate hiv vaccines said daniel hoth m d director of niaid s division of aids we need this information to design trials to test whether experimental vaccines can prevent hiv infection in children in the united states most hiv infected children live in poor inner city areas and more than percent are minorities mainly black or hispanic nearly all hiv infected children acquire the virus from their mothers during pregnancy or at birth an infected mother in the united states has more than a one in four chance of transmitting the virus to her baby as growing numbers of women of childbearing age become exposed to hiv through injection drug use or infected sexual partners researchers expect a corresponding increase in the numbers of infected children hiv disease progresses more rapidly in infants and children than in adults the most recent information suggests that percent of infants born with hiv develop a serious aids related infection by to years of age these infections include severe or frequent bouts of common bacterial illnesses of childhood that can result in seizures pneumonia diarrhea and other symptoms leading to nutritional problems and long hospital stays at least half of the children in the trial will be years of age or younger to enable comparison of the immune responses of the younger and older participants all volunteers must have well documented hiv infection but no symptoms of hiv disease other than swollen lymph glands or a mildly swollen liver or spleen they cannot have received any anti retroviral or immune regulating drugs within one month prior to their entry into the study study chair john s lambert m d of the university of rochester medical school and co chair samuel katz m d of duke university school of medicine will coordinate the trial assisted by james mcnamara m d medical officer in the pediatric medicine branch of niaid s division of aids we will compare the safety of the vaccines by closely monitoring the children for any side effects to see if one vaccine produces more swollen arms or fevers for example than another said dr mcnamara we ll also look at whether low or high doses of the vaccines stimulate immune responses or other significant laboratory or clinical effects he emphasized that the small study size precludes comparing these responses or effects among the three hicnet medical newsletter page volume number april products the trial will test two doses each of three experimental vaccines made from recombinant hiv proteins these so called subunit vaccines each genetically engineered to contain only a piece of the virus have so far proved well tolerated in ongoing trials in hiv infected adults one vaccine made by microgenesys inc of meriden conn contains gp a protein that gives rise to hiv s surface proteins plus alum adjuvant adjuvants boost specific immune responses to a vaccine presently alum is the only adjuvant used in human vaccines licensed by the food and drug administration both of the other vaccines one made by genentech inc of south san francisco and the other by biocine a joint venture of chiron and ciba geigy in emeryville calif contain the major hiv surface protein gp plus adjuvant the genentech vaccine contains alum while the biocine vaccine contains mf an experimental adjuvant that has proved safe and effective in other phase i vaccine trials in adults a low dose of each product will be tested first against a placebo in children twelve children will be assigned at random to be immunized with the experimental vaccine and three children will be given adjuvant alone considered the placebo neither the health care workers nor the children will be told what they receive if the low dose is well tolerated controlled testing of a higher dose of the experimental vaccine and adjuvant placebo in another group of children will begin each child will receive six immunizations one every four weeks for six months and be followed up for weeks after the last immunization for more information about the trial sites or eligibility for enrollment call the aids clinical trials information service trials a from a m to p m est weekdays the service has spanish speaking information specialists available information on niaid s pediatric hiv aids research is available from the office of communications at nih cdc and fda are agencies of the u s public health service in hhs for press inquiries only please call laurie k doepel at hicnet medical newsletter page volume number april new evidence that the hiv can cause disease independently news from the national institute of dental research there is new evidence that the human immunodeficiency virus can cause disease independently of its ability to suppress the immune system say scientists at the national institues of health they report that hiv itself not an opportunistic infection caused scaling skin conditions to develop in mice carrying the genes for hiv although the hiv genes were active in the mice they did not compromise the animals immunity the researchers found this led them to conclude that the hiv itself caused the skin disease our findings support a growing body of evidence that hiv can cause disease without affecting the immune system said lead author dr jeffrey kopp of the national institute of dental research nidr dr kopp and his colleagues described their study in the march issue of aids research and human retroviruses developing animal models of hiv infection has been difficult since most animals including mice cannot be infected by the virus to bypass this problem scientists have developed hiv transgenic mice which carry genes for hiv as well as their own genetic material nidr scientists created the transgenic mice by injecting hiv genes into mouse eggs and then implanting the eggs into female mice the resulting litters contained both normal and transgenic animals institute scientists had created mice that carried a complete copy of hiv genetic material in l those mice however became sick and died too soon after birth to study in depth in the present study the scientists used an incomplete copy of hiv which allowed the animals to live longer some of the transgenic animals developed scaling wart like tumors on their necks and backs other transgenic mice developed thickened crusting skin lesions that covered most of their bodies resembling psoriasis in humans no skin lesions developed in their normal non transgenic littermates studies of tissue taken from the wart like skin tumors showed that they were a type of noncancerous tumor called papilloma although the papillomavirus can cause these skin lesions laboratory tests showed no sign of that virus in the animals tissue samples taken from the sick mice throughout the study revealed the presence of a protein producing molecule made by the hiv genetic material hicnet medical newsletter page volume number april evidence of hiv protein production proved that the viral genes were turned on or active said dr kopp the scientists found no evidence however of compromised immunity in the mice no increase in their white blood cell count and no signs of common infections the fact that hiv genes were active but the animals immune systems were not suppressed confirms that the virus itself was causing the skin lesions dr kopp said further proof of hiv gene involvement came from a test in which the scientists exposed the transgenic animals to ultraviolet light the light increased hiv genetic activity causing papillomas to develop on formerly healthy skin papilloma formation in response to increased hiv genetic activity proved the genes were responsible for the skin condition the scientists said no lesions appeared on normal mice exposed to the uv light the transgenic mice used in this study were developed at nidr by dr peter dickie who is now with the national institute of allergy and infectious diseases collaborating on the study with dr kopp were mr charles wohlenberg drs nickolas dorfman joseph bryant abner notkins and paul klotman all of nidr dr stephen katz of the national cancer institute and dr james rooney formerly with nidr and now with burroughs wellcome hicnet medical newsletter page volume number april clinical consultation telephone service for aids h h s n e w s u s department of health and human services march hhs secretary donna e shalala today announced the first nationwide clinical consultation telephone service for doctors and other health care professionals who have questions about providing care to people with hiv infection or aids the toll free national hiv telephone consulting service is staffed by a physician a nurse practitioner and a pharmacist it provides information on drugs clinical trials and the latest treatment methods the service is funded by the health resources and services administration and operates out of san francisco general hospital secretary shalala said one goal of this project is to share expertise so patients get the best care a second goal is to get more primary health care providers involved in care for people with hiv or aids which reduces treatment cost by allowing patients to remain with their medical providers and community social support networks currently many providers refer patients with hiv or aids to specialists or other providers who have more experience secretary shalala said this clinical expertise should be especially helpful for physicians and providers who treat people with hiv or aids in communities and clinical sites where hiv expertise is not readily available the telephone number for health care professionals is and it is accessible from a m to p m est a m to p m pst monday through friday during these times consultants will try to answer questions immediately or within an hour at other times physicians and health care providers can leave an electronic message and questions will be answered as quickly as possible health care professionals may call the service to ask any question related to providing hiv care including the latest hiv aids drug treatment information clinical trials information subspecialty case referral literature searches and other information the service is designed for health care professionals rather than patients families or others who have alternate sources of information or materials when a health care professional calls the new service the call is taken by either a clinical pharmacist primary care physician or family nurse practitioner all staff members have extensive experience in outpatient and inpatient primary care for people with hiv related diseases the consultant asks for patient specific information including cd cell count current medications sex age and the patient s hiv history this national service has grown out of a month local effort that hicnet medical newsletter page volume number april responded to nearly calls from health care providers in northern california the initial project was funded by hrsa s bureau of health professions through its community provider aids training cpat project and by the american academy of family physicians when providers expand their knowledge they also improve the quality of care they are able to provide to their patients said hrsa administrator robert g harmon m d m p h this project will be a great resource for health care professionals and the hiv aids patients they serve this service has opened a new means of communication between health care professionals and experts on hiv care management said hrsa s associate administrator for aids and director of the bureau of health resources development g stephen bowen m d m p h providers who treat people with hiv or aids have access to the latest information on new drugs treatment methods and therapies for people with hiv or aids hrsa is one of eight u s public health service agencies within hhs aids hotline numbers for consumers cdc national aids hotline aids for information in spanish sida aids clinical trials english spanish trials a hicnet medical newsletter page cut here this is the last part internet david stat com fax bitnet atw h asuacad fidonet amateur packet ax wb tpy wb tpy az usa na
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re hismanal et al side effects in article apr spdcc com dyer spdcc com steve dyer writes in article apr lrc edu kjiv lrc edu writes can someone tell me whether or not any of the following medications has been linked to rapid excessive weight gain and or a distorted sense of taste or smell hismanal azmacort a topical steroid to prevent asthma vancenase hismanal astemizole is most definitely linked to weight gain it really is peculiar that some antihistamines have this effect and even more so an antihistamine like astemizole which purportedly doesn t cross the blood brain barrier and so tends not to cause drowsiness it also gave me lots of problems with joint and muscle pain seemed to trigger arthritis like problems sue steve dyer dyer ursa major spdcc com aka ima harvard rayssd linus m c spdcc dyer
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hicn medical newsletter part cut here volume number april health info com network medical newsletter editor david dodell d m d north nd street suite scottsdale arizona usa telephone fax compilation copyright by david dodell d m d all rights reserved license is hereby granted to republish on electronic media for which no fees are charged so long as the text of this copyright notice and license are attached intact to any and all republished portion or portions the health info com network newsletter is distributed biweekly articles on a medical nature are welcomed if you have an article please contact the editor for information on how to submit it if you are interested in joining the automated distribution system please contact the editor e mail address editor internet david stat com fidonet bitnet atw h asuacad listserv mednews asuacad bitnet or internet mednews asuvm inre asu edu anonymous ftp vm nodak edu notification list hicn notify request stat com fax delivery contact editor for information t a b l e o f c o n t e n t s comments news from the editor ocr scanner news centers for disease control and prevention mmwr april emerging infectious diseases outbreak of e coli infections from hamburgers use of smokeless tobacoo among adults gonorrhea impact of adult safety belt use on children less than years age publication of cdc surveillance summaries clinical research news high tech assisted reproductive technologies articles low levels airborne particles linked to serious asthma attacks nih consensus development conference on melanoma national cancer insitute designated cancer centers general announcments uci medical education software repository aids news summaries aids daily summary april to april aids hiv articles first hiv vaccine trial begins in hiv infected children new evidence that the hiv can cause disease independently clinical consultation telephone service for aids hicnet medical newsletter page i volume number april comments news from the editor i would like to continue to thank everyone who has sent in a donation for the mednews ocr scanner fund we have reached our goal a hewlett packard scanjet iip was purchased this week thank you to the following individuals whose contributions i just received john sorenson carol sigelman carla moore barbara moose judith schrier again thank you to all who gave i have been using wordscan plus for the past couple of weeks and would like to review the product wordscan plus is a product of calera recognition systems it runs under windows and supports that accufont technology of the hewlett packard scanners when initially bringing up the software it lets you select several options text graphics input source ie scanner fax file disk file automatic versus manual decomposition of the scanned image i like manual decomposition since the software then lets me select which parts of the document i would like scanned and in what order once an image is scanned you can bring up the pop up image verification the software gives you two errors at this point blue which are words that were converted reliability but do not match anything in the built in dictionary yellow shade which are words that wordscan plus doesn t think it converted correctly at all i have found that the software should give itself more credit it is usually correct instead of wrong if a word is shaded blue you can add it to your personal dictionary the only problem is the personal dictionary will only handle about words i find this to be very limited considering how many medical terms are not in a normal dictionary after a document is converted you can save it in a multitude of word processor formats also any images that were captured can be stored in a seperate tiff or pcx file format i was extremely impressed on the percent accuracy for fax files i use hicnet medical newsletter page volume number april an intel satisfaxtion card which stores incoming faxs in a pcx dcx format while most of my faxes were received in standard mode x dpi the accuracy of wordscan plus was excellent overall a very impressive product the only fault i could find is the limitations of the size of the user dictionary specialized words is just too small if anyone has any specific questions please do not hesitate to send me email hicnet medical newsletter page volume number april centers for disease control and prevention mmwr emerging infectious diseases source mmwr date apr introduction despite predictions earlier this century that infectious diseases would soon be eliminated as a public health problem infectious diseases remain the major cause of death worldwide and a leading cause of illness and death in the united states since the early s the u s public health system has been challenged by a myriad of newly identified pathogens and syndromes e g escherichia coli o h hepatitis c virus human immunodeficiency virus legionnaires disease lyme disease and toxic shock syndrome the incidences of many diseases widely presumed to be under control such as cholera malaria and tuberculosis tb have increased in many areas furthermore control and prevention of infectious diseases are undermined by drug resistance in conditions such as gonorrhea malaria pneumococcal disease salmonellosis shigellosis tb and staphylococcal infections emerging infections place a disproportionate burden on immunocompromised persons those in institutional settings e g hospitals and child day care centers and minority and underserved populations the substantial economic burden of emerging infections on the u s health care system could be reduced by more effective surveillance systems and targeted control and prevention programs this issue of mmwr introduces a new series emerging infectious diseases future articles will address these diseases as well as surveillance control and prevention efforts by health care providers and public health officials this first article updates the ongoing investigation of an outbreak of e coli o h in the western united states references burnet m natural history of infectious disease cambridge england cambridge university press kunin cm resistance to antimicrobial drugs a worldwide calamity ann intern med lederberg j shope re oaks sc jr eds emerging infections microbial threats to health in the united states washington dc national academy press hicnet medical newsletter page volume number april cdc preliminary report foodborne outbreak of escherichia coli o h infections from hamburgers western united states mmwr hicnet medical newsletter page volume number april update multistate outbreak of escherichia coli o h infections from hamburgers western united states source mmwr date apr from november through february more than laboratory confirmed infections with e coli o h and four associated deaths occurred in four states washington idaho california and nevada this report summarizes the findings from an ongoing investigation that identified a multistate outbreak resulting from consumption of hamburgers from one restaurant chain washington on january a physician reported to the washington department of health a cluster of children with hemolytic uremic syndrome hus and an increase in emergency room visits for bloody diarrhea during january a case control study comparing of the first cases of bloody diarrhea or postdiarrheal hus identified with age and neighborhood matched controls implicated eating at chain a restaurants during the week before symptom onset matched odds ratio or undefined lower confidence limit on january a multistate recall of unused hamburger patties from chain a restaurants was initiated as a result of publicity and case finding efforts during january february patients with bloody diarrhea or hus were reported to the state health department a total of persons had illnesses meeting the case definition of culture confirmed e coli o h infection or postdiarrheal hus figure of the persons had close contact with a person with confirmed e coli o h infection during the week preceding onset of symptoms of the remaining persons reported eating in a chain a restaurant during the days preceding onset of symptoms of the patients who recalled what they ate in a chain a restaurant reported eating a regular sized hamburger patty onsets of illness peaked from january through january of the casepatients were hospitalized developed hus and three died the median age of patients was years range years idaho following the outbreak report from washington the division of health idaho department of health and welfare identified persons with culture confirmed e coli o h infection with illness onset dates from december through february figure a four persons were hospitalized one developed hus during the week preceding illness onset had eaten at a chain a restaurant california in late december the san diego county department of health services was notified of a child with e coli o h infection who subsequently died active surveillance and record review then identified eight other persons with e coli o h infections or hus from mid november through mid january four of the nine reportedly had recently eaten at a chain a restaurant and hicnet medical newsletter page volume number april four at a chain b restaurant in san diego after the washington outbreak was reported reviews of medical records at five hospitals revealed an overall increase in visits or admissions for diarrhea during december and january compared with the same period year earlier a case was defined as postdiarrheal hus bloody diarrhea that was culture negative or not cultured or any diarrheal illness in which stool culture yielded e coli o h with onset from november through january illnesses of patients met the case definition figure b the outbreak strain was identified in stool specimens of six patients fourteen persons were hospitalized seven developed hus and one child died the median age of case patients was years range years a case control study of the first case patients identified and age and sex matched community controls implicated eating at a chain a restaurant in san diego matched or confidence interval ci a study comparing case patients who ate at chain a restaurants with well meal companions implicated regular sized hamburger patties matched or undefined lower confidence limit chain b was not statistically associated with illness nevada on january after receiving a report of a child with hus who had eaten at a local chain a restaurant the clark county las vegas health district issued a press release requesting that persons with recent bloody diarrhea contact the health department a case was defined as postdiarrheal hus bloody diarrhea that was culture negative or not cultured or any diarrheal illness with a stool culture yielding the washington strain of e coli o h with onset from december through february because local laboratories were not using sorbitol macconkey smac medium to screen stools for e coli o h this organism was not identified in any patient after smac medium was distributed the outbreak strain was detected in the stool of one patient days after illness onset of persons whose illnesses met the case definition figure c nine were hospitalized three developed hus the median age was years range years analysis of the first patients identified and age and sex matched community controls implicated eating at a chain a restaurant during the week preceding illness onset matched or undefined lower confidence limit a case control study using well meal companions of case patients also implicated eating hamburgers at chain a matched or ci other investigation findings during the outbreak chain a restaurants in washington linked with cases primarily were serving regular sized hamburger patties produced on november some of the same meat was used in jumbo patties produced on november the outbreak strain of e coli o h was isolated from lots of patties produced on those two dates these lots had been distributed to restaurants in all states where illness occurred approximately of the implicated patties were recovered by the recall a meat traceback by a cdc team identified five slaughter plants in the united states and one in canada as the likely sources of carcasses used in the hicnet medical newsletter page volume number april contaminated lots of meat and identified potential control points for reducing the likelihood of contamination the animals slaughtered in domestic slaughter plants were traced to farms and auctions in six western states no one slaughter plant or farm was identified as the source further investigation of cases related to secondary transmission in families and child day care settings is ongoing reported by m davis dvm c osaki msph seattle king county dept of public health d gordon ms mw hinds md snohomish health district everett k mottram c winegar mph tacoma pierce county health dept ed avner md pi tarr md dept of pediatrics d jardine md depts of anesthesiology and pediatrics univ of washington school of medicine and children s hospital and medical center seattle m goldoft md b bartleson mph j lewis jm kobayashi md state epidemiologist washington dept of health g billman md j bradley md children s hospital san diego s hunt p tanner res m ginsberg md san diego county dept of health svcs l barrett dvm sb werner md gw rutherford iii md state epidemiologist california dept of health svcs rw jue central district health dept boise h root southwest district health dept caldwell d brothers ma rl chehey ms rh hudson phd div of health idaho state public health laboratory fr dixon md state epidemiologist div of health idaho dept of health and welfare dj maxson environmental epidemiology program l empey pa o ravenholt md vh ueckart dvm clark county health district las vegas a disalvo md nevada state public health laboratory ds kwalick md r salcido mph d brus dvm state epidemiologist div of health nevada state dept of human resources center for food safety and applied nutrition food and drug administration food safety inspection svc animal and plant health inspection svc us dept of agriculture div of field epidemiology epidemiology program office enteric diseases br div of bacterial and mycotic diseases national center for infectious diseases cdc editorial note e coli o h is a pathogenic gram negative bacterium first identified as a cause of illness in during an outbreak of severe bloody diarrhea traced to contaminated hamburgers this pathogen has since emerged as an important cause of both bloody diarrhea and hus the most common cause of acute renal failure in children outbreak investigations have linked most cases with the consumption of undercooked ground beef although other food vehicles including roast beef raw milk and apple cider also have been implicated preliminary data from a cdc year nationwide multicenter study revealed that when stools were routinely cultured for e coli o h that organism was isolated more frequently than shigella in four of participating hospitals and was isolated from of all bloody stools a higher rate than for any other pathogen infection with e coli o h often is not recognized because most clinical laboratories do not routinely culture stools for this organism on hicnet medical newsletter page volume number april smac medium and many clinicians are unaware of the spectrum of illnesses associated with infection the usual clinical manifestations are diarrhea often bloody and abdominal cramps fever is infrequent younger age groups and the elderly are at highest risk for clinical manifestations and complications illness usually resolves after days but of patients develop hus which is characterized by hemolytic anemia thrombocytopenia renal failure and a death rate of this report illustrates the difficulties in recognizing community outbreaks of e coli o h in the absence of routine surveillance despite the magnitude of this outbreak the problem may not have been recognized in three states if the epidemiologic link had not been established in washington clinical laboratories should routinely culture stool specimens from persons with bloody diarrhea or hus for e coli o h using smac agar when infections with e coli o h are identified they should be reported to local health departments for further evaluation and if necessary public health action to prevent further cases e coli o h lives in the intestines of healthy cattle and can contaminate meat during slaughter cdc is collaborating with the u s department of agriculture s food safety inspection service to identify critical control points in processing as a component of a program to reduce the likelihood of pathogens such as e coli o h entering the meat supply because slaughtering practices can result in contamination of raw meat with pathogens and because the process of grinding beef may transfer pathogens from the surface of the meat to the interior ground beef is likely to be internally contaminated the optimal food protection practice is to cook ground beef thoroughly until the interior is no longer pink and the juices are clear in this outbreak undercooking of hamburger patties likely played an important role the food and drug administration fda has issued interim recommendations to increase the internal temperature for cooked hamburgers to f c fda personal communication regulatory actions stimulated by the outbreak described in this report and the recovery of thousands of contaminated patties before they could be consumed emphasize the value of rapid public health investigations of outbreaks the public health impact and increasing frequency of isolation of this pathogen underscore the need for improved surveillance for infections caused by e coli o h and for hus to better define the epidemiology of e coli o h references cdc preliminary report foodborne outbreak of escherichia coli o h infections from hamburgers western united states mmwr riley lw remis rs helgerson sd et al hemorrhagic colitis associated with a rare escherichia coli serotype n engl j med hicnet medical newsletter page volume number april griffin pm tauxe rv the epidemiology of infections caused by escherichia coli o h other enterohemorrhagic e coli and the associated hemolytic uremic syndrome epidemiol rev griffin pm ostroff sm tauxe rv et al illnesses associated with escherichia coli o h infections a broad clinical spectrum ann intern med march sb ratnam s latex agglutination test hicnet medical newsletter page volume number april use of smokeless tobacco among adults united states source mmwr date apr consumption of moist snuff and other smokeless tobacco products in the united states almost tripled from through long term use of smokeless tobacco is associated with nicotine addiction and increased risk of oral cancer the incidence of which could increase if young persons who currently use smokeless tobacco continue to use these products frequently to monitor trends in the prevalence of use of smokeless tobacco products cdc s national health interview survey health promotion and disease prevention supplement nhis hpdp collected information on snuff and chewing tobacco use and smoking from a representative sample of the u s civilian noninstitutionalized population aged greater than or equal to years this report summarizes findings from this survey the nhis hpdp supplement asked have you used snuff at least times in your entire life and do you use snuff now similar questions were asked about chewing tobacco use and cigarette smoking current users of smokeless tobacco were defined as those who reported snuff or chewing tobacco use at least times and who reported using snuff or chewing tobacco at the time of the interview former users were defined as those who reported having used snuff or chewing tobacco at least times and not using either at the time of the interview ever users of smokeless tobacco included current and former users current smokers were defined as those who reported smoking at least cigarettes and who were currently smoking and former smokers as those who reported having smoked at least cigarettes and who were not smoking now ever smokers included current and former smokers data on smokeless tobacco use were available for persons aged greater than or equal to years and were adjusted for nonresponse and weighted to provide national estimates confidence intervals cis were calculated by using standard errors generated by the software for survey data analysis sudaan in an estimated million u s adults were current users of smokeless tobacco including million men and women for all categories of comparison the prevalence of smokeless tobacco use was substantially higher among men for men the prevalence of use was highest among those aged years table for women the prevalence was highest among those aged greater than or equal to years the prevalence of smokeless tobacco use among men was highest among american indians alaskan natives and whites the prevalence among women was highest among american indians alaskan natives and blacks among both men and women prevalence of smokeless tobacco use declined with increasing education prevalence was substantially higher among residents of the southern united states and in rural areas although the prevalence of smokeless tobacco use was higher among hicnet medical newsletter page volume number april men and women below the poverty level this difference was significant only for women p less than table among men the prevalence of current use of snuff was highest among those aged years but varied considerably by age the prevalence of use of chewing tobacco was more evenly distributed by age group table although women rarely used smokeless tobacco the prevalence of snuff use was highest among those aged greater than or equal to years an estimated million ci adults reported being former smokeless tobacco users among ever users the proportion who were former smokeless tobacco users was ci among persons aged years the proportion of former users was lower among snuff users ci than among chewing tobacco users ci among persons aged years the proportion of former users was similar for snuff ci and chewing tobacco ci among current users of smokeless tobacco ci currently smoked ci formerly smoked and ci never smoked in comparison among current smokers ci were current users of smokeless tobacco daily use of smokeless tobacco was more common among snuff users ci than among chewing tobacco users ci reported by office on smoking and health national center for chronic disease prevention and health promotion div of health interview statistics national center for health statistics cdc editorial note the findings in this report indicate that the use of smokeless tobacco was highest among young males adolescent and young adult males in particular are the target of marketing strategies by tobacco companies that link smokeless tobacco with athletic performance and virility use of oral snuff has risen markedly among professional baseball players encouraging this behavior among adolescent and young adult males and increasing their risk for nicotine addiction oral cancer and other mouth disorders differences in the prevalence of smokeless tobacco use among racial ethnic groups may be influenced by differences in educational levels and socioeconomic status as well as social and cultural phenomena that require further explanation for example targeted marketing practices may play a role in maintaining or increasing prevalence among some groups and affecting the differential initiation of smokeless tobacco use by young persons in this report one concern is that nearly one fourth of current smokeless tobacco users also smoke cigarettes in the nhis hpdp the prevalence of cigarette smoking was higher among former smokeless tobacco users than among current and never smokeless tobacco users in a previous study among college students of current smokeless tobacco users smoked hicnet medical newsletter page volume number april occasionally in addition approximately of adults who formerly smoked reported substituting other tobacco products for cigarettes in an effort to stop smoking health care providers should recognize the potential health implications of concurrent smokeless tobacco and cigarette use the national health objectives for the year have established special population target groups for the reduction of the prevalence of smokeless tobacco use including males aged years to no more than by the year objective and american indian alaskan native youth to no more than by the year objective a strategies to lower the prevalence of smokeless tobacco use include continued monitoring of smokeless tobacco use integrating smoking and smokeless tobacco control efforts enforcing laws that restrict minors access to tobacco making excise taxes commensurate with those on cigarettes encouraging health care providers to routinely provide cessation advice and follow up providing school based prevention and cessation interventions and adopting policies that prohibit tobacco use on school property and at school sponsored events references office of evaluations and inspections spit tobacco and youth washington dc us department of health and human services office of the inspector general dhhs publication no oei national institutes of health the health consequences of using smokeless tobacco a report of the advisory committee to the surgeon general bethesda maryland us department of health and human services public health service dhhs publication no nih shah bv software for survey data analysis sudaan version software documentation research triangle park north carolina research triangle institute connolly gn orleans ct blum a snuffing tobacco out of sport am j public health national cancer institute smokeless tobacco or health an international perspective bethesda maryland us department of health and human services public health service national institutes of health dhhs publication no nih foreyt jp jackson as squires wg hartung gh murray td gotto am psychological profile of college students who use smokeless tobacco addict behav glover ed laflin m edwards sw age of initiation and switching patterns hicnet medical newsletter page volume number april between smokeless tobacco and cigarettes among college students in the united states am j public health cdc tobacco use in methods and tabulations from adult use of tobacco survey rockville maryland us department of health and human services public health service cdc dhhs publication no om public health service healthy people national health promotion and disease prevention objectives washington dc us department of health and human services public health service dhhs publication no phs end of part internet david stat com fax bitnet atw h asuacad fidonet amateur packet ax wb tpy wb tpy az usa na
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hicn medical news part cut here university of arizona tucson arizona suggested reading tan sl royston p campbell s jacobs hs betts j mason b edwards rg cumulative conception and livebirth rates after in vitro fertilization lancet for further information call physicians resource line in tucson hicnet medical newsletter page volume number april articles low levels of airborne particles linked to serious asthma attacks american lung association a new study published by the american lung association has shown that surprisingly low concentrations of airborne particles can send people with asthma rushing to emergency rooms for treatment the seattle based study showed that roughly one in eight emergency visits for asthma in that city was linked to exposure to particulate air pollution the actual exposure levels recorded in the study were far below those deemed unsafe under federal air quality laws people with asthma have inflamed airways and airborne particles tend to exacerbate that inflammation said joel schwartz ph d of the environmental protection agency who was the lead author of the study when people are on the threshold of having a serious asthma attack particles can push them over the edge the seattle study correlated months of asthma emergency room visits with daily levels of pm or particulate matter with an aerodynamic diameter of microns or less these finer particles are considered hazardous because they are small enough penetrate into the lung cities are considered out of compliance with clean air laws if the hour average concentration of pm exceeds micrograms per cubic millimeter of air in seattle however a link between fine particles and asthma was found at levels as low as micrograms the authors concluded that for every microgram increase in the four day average of pm the odds of someone with asthma needing emergency treatment increased by percent the findings were published in the april american review of respiratory disease an official journal of the american thoracic society the lung association s medical section the study is the latest in a series of recent reports to suggest that particulate matter is a greatly under appreciated health threat a study by dr schwartz and douglas dockery ph d of harvard found that particles may be causing roughly premature deaths each year in the united states other studies have linked particulate matter to increased respiratory symptoms and bronchitis in children government officials and the media are still very focused on ozone says dr schwartz but more and more research is showing that particles are bad actors as well one problem in setting standards for particulate air pollution is that pmio is difficult to study unlike other regulated pollutants such as ozone and carbon monoxide particulate matter is a complex and varying mixture of substances including carbon hydrocarbons dust and hicnet medical newsletter page volume number april acid aerosols researchers can t put people in exposure chambers to study the effects of particulate air pollution says dr schwartz we have no way of duplicating the typical urban mix of particles consequently most of what is known about particulates has been learned through population based research like the seattle study given that the epa s current priority is to review the ozone and sulfur dioxide standards the agency is unlikely to reexamine the pm standard any time soon until changes are made there appears to be little people with asthma can do to protect themselves from airborne particles in some areas you can get reports on air quality but the reports only cover the pollutant that is closest to violating its standard and that s rarely particulate matter says dr schwartz however pm doesn t have to be near its violation range to be unhealthy hicnet medical newsletter page volume number april nih consensus development conference on melanoma the national institutes of health consensus development conference on diagnosis and treatment of early melanoma brought together experts in dermatology pathology epidemiology public education surveillance techniques and potential new technologies as well as other health care professionals and the public to address the clinical and histological characteristics of early melanoma the appropriate diagnosis management and followup of patients with early melanoma the role of dysplastic nevi and their significance and the role of education and screening in preventing melanoma morbidity and mortality following days of presentations by experts and discussion by the audience a consensus panel weighed the scientific evidence and prepared their consensus statement among their findings the panel recommended that melanoma in situ is a distinct entity effectively treated surgically with centimeter margins thin invasive melanoma less than millimeter thick has the potential for long term survival in more than percent of patients after surgical excision with a centimeter margin elective lymph node dissections and extensive staging evaluations are not recommended in early melanoma patients with early melanoma are at low risk for relapse but may be at high risk for development of subsequent melanomas and should be followed closely some family members of patients with melanoma are at increased risk for melanoma and should be enrolled in surveillance programs and education and screening programs have the potential to decrease morbidity and mortality from melanoma a copy of the full text of the consensus panel s statement is available by calling the nih office of medical applications of research at or by writing to office of medical applications of research national institutes of health federal building room bethesda md hicnet medical newsletter page volume number april nci designated cancer centers the cancer centers program is comprised of nci designated cancer centers actively engaged in multidisciplinary research efforts to reduce cancer incidence morbidity and mortality within the program there are four types of cancer centers basic science cancer centers which engage primarily in basic cancer research clinical cancer centers which focus on clinical research comprehensive cancer centers which emphasize a multidisciplinary approach to cancer research patient care and community outreach and consortium cancer centers which specialize in cancer prevention and control research although some cancer centers existed in the late s and the s it was the national cancer act of that authorized the establishment of new cancer centers as well as continuing support for existing ones the passage of the act also dramatically transformed the centers structure and broadened the scope of their mission to include all aspects of basic clinical and cancer control research over the next two decades the centers program grew progressively in there were comprehensive cancer centers in the nation today there are of these institutions all of which meet specific nci criteria for comprehensive status to attain recognition from the nci as a comprehensive cancer center an institution must pass rigorous peer review under guidelines newly established in the eight criteria for comprehensiveness include the requirement that a center have a strong core of basic laboratory research in several scientific fields such as biology and molecular genetics a strong program of clinical research and an ability to transfer research findings into clinical practice moreover five of the criteria for comprehensive status go significantly beyond that required for attaining a cancer center support grant also referred to as a p or core grant the mechanism of choice for supporting the infrastructure of a cancer center s operations these criteria encompass strong participation in nci designated high priority clinical trials significant levels of cancer prevention and control research and important outreach and educational activities all of which are funded by a variety of sources the other types of cancer centers also have special characteristics and capabilities for organizing new programs of research that can exploit important new findings or address timely research questions hicnet medical newsletter page volume number april of the nci designated cancer centers are of the basic science type these centers engage almost entirely in basic research although some centers engage in collaborative research with outside clinical research investigators and in cooperative projects with industry to generate medical applications from new discoveries in the laboratory clinical cancer centers in contrast focus on both basic research and clinical research within the same institutional framework and frequently incorporate nearby affiliated clinical research institutions into their overall research programs there are such centers today finally consortium cancer centers of which there is one are uniquely structured and concentrate on clinical research and cancer prevention and control research these centers interface with state and local public health departments for the purpose of achieving the transfer of effective prevention and control techniques from their research findings to those institutions responsible for implementing population wide public health programs consortium centers also are heavily engaged in collaborations with institutions that conduct clinical trial research and coordinate community hospitals within a network of cooperating institutions in clinical trials together the nci designated cancer centers continue to work toward creating new and innovative approaches to cancer research and through interdisciplinary efforts to effectively move this research from the laboratory into clinical trials and into clinical practice comprehensive cancer centers internet addresses are given where available university of alabama at birmingham comprehensive cancer center basic health sciences building room university boulevard birmingham alabama university of arizona cancer center north campbell avenue tucson arizona internet syd azcc arizona edu jonsson comprehensive cancer center university of california at los angeles medical plaza los angeles california hicnet medical newsletter page volume number april internet rick jccc medsch ucla edu kenneth t norris jr comprehensive cancer center university of southern california eastlake avenue los angeles california yale university comprehensive cancer center cedar street new haven connecticut lombardi cancer research center georgetown university medical center reservoir road n w washington d c sylvester comprehensive cancer center university of miami medical school northwest th avenue miami florida internet hlam mednet med miami edu johns hopkins oncology center north wolfe street baltimore maryland dana farber cancer institute binney street boston massachusetts internet kristie stevenson macmailgw dfci harvard edu meyer l prentis comprehensive cancer center of metropolitan detroit east warren avenue detroit michigan internet cummings oncvx dnet rocdec roc wayne edu university of michigan cancer center hicnet medical newsletter page volume number april simpson drive ann arbor michigan bitnet kallie bila michels um cc umich edu mayo comprehensive cancer center first street southwest rochester minnesota norris cotton cancer center dartmouth hitchcock medical center one medical center drive lebanon new hampshire bitnet edward bresnick dartmouth edu roswell park cancer institute elm and carlton streets buffalo new york columbia university comprehensive cancer center college of physicians and surgeons west th street new york new york internet janie cuccfa ccc columbia edu memorial sloan kettering cancer center york avenue new york new york kaplan cancer center new york university medical center first avenue new york new york unc lineberger comprehensive cancer center university of north carolina school of medicine chapel hill north carolina hicnet medical newsletter page volume number april duke comprehensive cancer center p o box durham north carolina cancer center of wake forest university at the bowman gray school of medicine south hawthorne road winston salem north carolina internet ccwfumail phs bgsm wfu edu ohio state university comprehensive cancer center west th avenue columbus ohio internet dyoung magnus acs ohio state edu fox chase cancer center burholme avenue philadelphia pennsylvania internet s davis fccc edu university of pennsylvania cancer center spruce street philadelphia pennsylvania pittsburgh cancer institute meyran avenue pittsburgh pennsylvania the university of texas m d anderson cancer center holcombe boulevard houston texas vermont cancer center university of vermont south prospect street burlington vermont hicnet medical newsletter page volume number april fred hutchinson cancer research center columbia street seattle washington internet sedmonds cclink fhcrc org university of wisconsin comprehensive cancer center highland avenue madison wisconsin bitnet carbone uwccc biostat wisc edu clinical cancer centers university of california at san diego cancer center dickinson street san diego california internet dedavis ucsd edu city of hope national medical center beckman research institute east duarte road duarte california ext university of colorado cancer center east th avenue box b denver colorado university of chicago cancer research center south maryland avenue box chicago illinois internet judith delphi bsd uchicago edu albert einstein college of medicine morris park avenue bronx new york hicnet medical newsletter page volume number april university of rochester cancer center elmwood avenue box rochester new york internet rickb wotan medicine rochester edu ireland cancer center case western reserve university university hospitals of cleveland abington road cleveland ohio roger williams cancer center brown university chalkstone avenue providence rhode island st jude children s research hospital north lauderdale street memphis tennessee internet meyer mbcf stjude org institute for cancer research and care medical drive san antonio texas utah regional cancer center university of utah health sciences center north medical drive room c salt lake city utah bitnet hogan cc utah edu massey cancer center medical college of virginia virginia commonwealth university east broad street richmond virginia consortia hicnet medical newsletter page volume number april drew meharry morehouse consortium cancer center d b todd boulevard nashville tennessee hicnet medical newsletter page volume number april general announcments the uci medical education software repository this is to announce the establishment of an ftp site at the university of california for the collection of shareware public domain software and other information relating to medical education specifically we are interested in establishing this site as a clearinghouse for personally developed software that has been developed for local medical education programs we welcome all contributions that may be shared with other users to connect to the uci medical education software repository ftp to ftp uci edu the repository currently offers both msdos and macintosh software and we hope to support other operating systems unix mumps amiga uploads are welcome we actively solicit information and software which you have personaly developed or have found useful in your local medical education efforts either as an instructor or student once you have connected to the site via ftp cd change directory to either the med ed mac incoming or the med ed msdos incoming directories change the mode to binary and send or put your files note that you won t be able to see the files with the ls or dir commands please compress your files as appropriate to the operating system zip for msdos compactor or something similar for macintosh to save disk space after uploading please send email to steve clancy slclancy uci edu for msdos or albert saisho saisho uci edu for mac describing the file s you have uploaded and any other information we might need to describe it note that we can only accept software or information that has been designated as shareware public domain or that may otherwise be distributed freely please do not upload commercial software doing so may jeopardize the existence of this ftp site if you wish to upload software for other operating systems please contact either steve clancy m l s or albert saisho m d at the addresses above hicnet medical newsletter page volume number april aids news summaries aids daily summary the centers for disease control and prevention cdc national aids clearinghouse makes available the following information as a public service only providing this information does not constitute endorsement by the cdc the cdc clearinghouse or any other organization reproduction of this text is encouraged however copies may not be sold copyright information inc bethesda md april nih set to test multiple aids vaccines reuters frank jacqueline washington the clinton administration will permit the national institutes of health to test multiple aids vaccines instead of only allowing the army to test a single vaccine administration sources said thursday the decision ends the controversy between army aids researchers who had hoped to test a vaccine made by microgenesys inc and the national institutes of health which contended that multiple vaccines should be tested health and human services secretary donna shalala said a final announcement on the therapeutic vaccine trials was expected to be made last friday companies including genentech inc chiron corp and immuno ag have already told nih that they are prepared to participate in the vaccine tests the testing is intended to demonstrate whether aids vaccines are effective in thwarting the replication of hiv in patients already infected shalala refuted last week s reports that the clinton administration had decided the army s test of the microgenesys vaxsyn should proceed without tests of others at the same time the report was inaccurate and i expect there to be some announcement in the next hours about that particular aids research project said shalala administration sources subsequently confirmed that nih director dr bernadine healy and food and drug administration commissioner david kessler had convinced the white house that multiple vaccines should be tested simultaneously but microgenesys president frank volvovitz said a test of multiple vaccines could triple the cost of the trial and delay it by two years hicnet medical newsletter page volume number april the limits of azt s impact on hiv u s news world report vol no p azt has become the most widely used drug to fight aids since it was approved by the food and drug administration in burroughs wellcome the manufacturer of azt made million last year alone from sales of the drug however a team of european researchers recently reported that although hiv positive patients taking azt demonstrated a slightly lower risk of developing aids within the first year of treatment that benefit disappeared two years later the lancet published preliminary findings of the three year study which could give more reason for critics to argue the drug s cost side effects and general efficacy even though u s researchers concede the study was more comprehensive than american trials many argue the european researchers suggestion that hiv positive patients experience little improvement in their illness before the development of aids symptoms in addition researchers have long been familiar with the end of part internet david stat com fax bitnet atw h asuacad fidonet amateur packet ax wb tpy wb tpy az usa na
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re my new diet it works great in article r ks innica lynx unm edu bhjelle carina unm edu writes in article apr omen uucp caf omen uucp chuck forsberg wa kgx writes in article pitt uucp geb cs pitt edu gordon banks writes can you provide a reference to substantiate that gaining back the lost weight does not constitute weight rebound until it exceeds the starting weight or is this oral tradition that is shared only among you obesity researchers not one but two obesity in europe proceedings of the st european congress on obesity annals of ny acad sci hmmm these don t look like references to me is passive aggressive behavior associated with weight rebound brian i purposefully left off the page numbers to encourage the reader to study the volumes mentioned and benefit therefrom chuck forsberg wa kgx tektronix reed omen caf author of ymodem zmodem professional yam zcomm and dsz omen technology inc the high reliability software v nw sauvie is rd portland or
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re could this be a migraine gb from geb cs pitt edu gordon banks gb i am excepting migraine which is arguably neurologic gb i hope you meant inarguably given the choice i would rather argue g no arguments about migranous aura in fact current best evidence is that aura is intrinsicially neuronal a la spreading depression of leao rather than vascular something causing vasoconstriction and secondary neuronal ischemia migraine without aura however is a fuzzier issue there do not seem to be objectively measurable changes in brain function the copenhagen mafia lauritzen olesen et al have done local cbf studies on migraine without aura and unlike migraine with aura but like tension type they found no changes in lcbf from one absurd perspective all pain is neurologic because in the absence of a nervous system there would not be pain from another tautologic perspective any disease is in the domain of the specialty that treats it neurologists treat headache therefore at least in the usa headache is neurologic whether neurologic or not nobody would disagree that disabling headaches are common perhaps my fee for service neurologic colleagues scrounging for cases want all the headache patients they can get working on a salary however i would rather not fill my office with patients holding their heads in pain slmr e mail jim zisfein factory com jim zisfein
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re thrush was good grief was re candida albicans what is it dyer spdcc com steve dyer writes in article apr ucsvax sdsu edu mccurdy ucsvax sdsu edu mccurdy m writes dyer is beyond rude i ll drink to that yeah yeah yeah i didn t threaten to rip your lips off did i snort there have been and always will be people who are blinded by their own knowledge and unopen to anything that isn t already established given what the medical community doesn t know i m surprised that he has this outlook duh nice to see steve still has his high and almighty intellectual prowess in tact for the record i have had several outbreaks of thrush during the several past few years with no indication of immunosuppression or nutritional deficiencies i had not taken any antobiotics listen thrush is a recognized clinical syndrome with definite characteristics if you have thrush you have thrush because you can see the lesions and do a culture and when you treat it it generally responds well if you re not otherwise immunocompromised noring s anal retentive idee fixe on having a fungal infection in his sinuses is not even in the same category here nor are these walking neurasthenics who are convinced they have candida from reading a quack book yawn my dentist who sees a fair amount of thrush recommended acidophilous after i began taking acidophilous on a daily basis the outbreaks ceased when i quit taking the acidophilous the outbreaks periodically resumed i resumed taking the acidophilous with no further outbreaks since then so exactly my question to you steve what s your point this person had one you didn t steve dyer nice to see that some things never change steve if you aren t being ignorant in one group alternative you re into another one positive thing came out of it you are no longer bothering the folks in alternative it s just a shame that these people have to suffer so that others may breath freely sorry for wasting bandwidth folks don t forget to bow down once every second day and to offer your first born to the almight omniscient omnipotent mr steve
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cs chemical agent can anyone provide information on cs chemical agent the tear gas used recently in waco just what is it chemically and what are its effects on the body dsc gemini gsfc nasa gov regards hughes stx code gsfc doug caprette lanham maryland greenbelt md a path is laid one stone at a time the giant
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re is msg sensitivity superstition in c nfdg en sdf lonestar org marco sdf lonestar org steve giammarco writes and to add further fuel to the flame war i read about years ago that the natural msg extracted from the sources you mention above does not cause the reported aftereffects it s only that nasty artificial msg extracted from coal tar or whatever that causes chinese restaurant syndrome i find this pretty hard to believe has anyone else heard it msg is mono sodium glutamate a fairly straight forward compound if it is pure the source should not be a problem your comment suggests that impurities may be the cause my experience of msg effects as part of a double blind study was that the pure stuff caused me some rather severe effects i was under the possibly incorrect assumption that most of the msg on our foods was made from processing sugar beets is this not true are there other sources of msg soya bean fermented cheeses mushrooms all contain msg i am one of those folx who react sometimes strongly to msg however i also react strongly to sodium chloride table salt in excess each causes different symptoms except for the common one of rapid heartbeat and an uncomfortable feeling of pressure in my chest upper left quadrant the symptoms i had were numbness of jaw muscles in the first instance followed by the arms then the legs headache lethargy and unable to keep awake i think it may well affect people differently
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neurofibromatosis hello i am writing a grant proposal for a developmental genetics class and i have chose to look at the neurofibromatosis gene and its variable expressivity i am curious what has already been done on this subject especially the relationship between specific mutations and the resulting phenotype my literature search has produce many references but i want to make sure i am proposing new research if anyone knows aything that has been recently or key peopl doing research to search for using medline i would apprciate being informed thank you lisa megna lmegna titan ucc umass edu
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re is msg sensitivity superstition in article annick cortex physiol su oz au annick cortex physiol su oz au annick ansselin writes in c nfdg en sdf lonestar org marco sdf lonestar org steve giammarco writes and to add further fuel to the flame war i read about years ago that the natural msg extracted from the sources you mention above does not cause the reported aftereffects it s only that nasty artificial msg extracted from coal tar or whatever that causes chinese restaurant syndrome i find this pretty hard to believe has anyone else heard it msg is mono sodium glutamate a fairly straight forward compound if it is pure the source should not be a problem your comment suggests that impurities may be the cause my experience of msg effects as part of a double blind study was that the pure stuff caused me some rather severe effects i was under the possibly incorrect assumption that most of the msg on our foods was made from processing sugar beets is this not true are there other sources of msg soya bean fermented cheeses mushrooms all contain msg i am one of those folx who react sometimes strongly to msg however i also react strongly to sodium chloride table salt in excess each causes different symptoms except for the common one of rapid heartbeat and an uncomfortable feeling of pressure in my chest upper left quadrant the symptoms i had were numbness of jaw muscles in the first instance followed by the arms then the legs headache lethargy and unable to keep awake i think it may well affect people differently well i think msg is made from a kind of plant call tapioca and not those staff you mentiond above
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re broken rib hello i think you are probaly right in spite of the movement it is getting better each day cheers jc oneb almanac bc ca john cross the old frog s almanac home of the almanac unix users group v public access usenet x vancouver island british columbia waffle xenix
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arythmia i don t know if anyone knows about this topic electrical heart failure one of my friends has had to go to the doctor because he had chest pains the doc said it was arythmia so he had to go to a new york hospital for a lot of money to get treated his doctors said that he could die from it and the medication caused cancer that he was taking well i suggested that he run excersize and eat more he is very skinny but he says that has nothing to do with it does anyone know what causes arythmia and how it can be treated thanks
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re acutane fibromyalgia syndrome and cfs reply to daniel prince f n z calcom socal com daniel prince there is a person on the fido cfs echo who claims that he was cured of cfs by taking accutane he also claims that you are using it in the treatment of fibromyalgia syndrome are you using accutane in the treatment of fibromyalgia syndrome yes have you used it for cfs it seems to work equally well for cfs another hint that these may be different facets of the same underlying process have you gotten good results with it yes the benefit is usually evident within a few days of starting it most of the patients for whom it has worked well continued low dose amitriptyline daily aerobic excersise and a regular sleep schedule current standard therapy because of the cost usually mo depending on dose and potential for significant side effects like corneal injury and birth defects i currently reserve it for those who fail conventional treatment it is important that the person prescribing it have some experience with it and follow the patient closely are you aware of any double blind studies on the use of accutane in these conditions thank you in advance for all replies as far as i know i am the only person looking at it currently i should get off my duff and finish writing up some case reports i m not an academic physician so i don t feel the pressure to publish or perish and i don t have the time during the work day for such things david nye nyeda cnsvax uwec edu midelfort clinic eau claire wi this is patently absurd but whoever wishes to become a philosopher must learn not to be frightened by absurdities bertrand russell
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re good grief was re candida albicans what is it reply to aldridge netcom com jacquelin aldridge medicine is not a totally scientific endevour the acquisition of scientific knowledge is completely scientific the application of that knowledge in individual cases may be more art than science there are diseases that haven t been described yet and the root cause of many diseases now described aren t known read a book on gastroenterology sometime if you want to see a lot of them after scientific methods have run out then it s the patient s freedom of choice to try any experimental method they choose and it s well recognized by many doctors that medicine doesn t have all the answers certainly we don t have all the answers the question is what is the most reliable means of acquiring further medical knowledge the scientific method has proven itself to be reliable the only reason alternative therapies are shunned by physicians is that their practitioners refuse to submit their theories to rigorous scientific scrutiny insisting that tradition or anecdotal evidence are sufficient these have been shown many times in the past to be very unreliable ways of acquiring reliable knowledge crook s ideas have never been backed up by scientific evidence his unwillingness to do good science makes the rest of us doubt the veracity of his contentions david nye nyeda cnsvax uwec edu midelfort clinic eau claire wi this is patently absurd but whoever wishes to become a philosopher must learn not to be frightened by absurdities bertrand russell
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re burzynski s antineoplastons in article jschwimmer wccnet wcc wesleyan edu jschwimmer wccnet wcc wesleyan edu josh schwimmer writes i ve recently listened to a tape by dr stanislaw burzynski in which he claims to have discovered a series naturally occuring peptides with anti cancer properties that he names antineoplastons burzynski says that his work has met with hostility in the united states despite the favorable responses of his subjects during clinical trials what is the generally accepted opinion of dr burzynski s research he paints himself as a lone researcher with a new breakthrough battling an intolerant medical establishment but i have no basis from which to judge his claims two weeks ago however i read that the nih s department of alternative medicine has decided to focus their attention on burzynski s work their budget is so small that i imagine they wouldn t investigate a treatment that didn t seem promising any opinions on burzynski s antineoplastons or information about the current status of his research would be appreciated joshua schwimmer jschwimmer eagle wesleyan edu there s been extensive discussion on the compuserve cancer forum about dr burzynski s treatment as a result of the decision of a forum member s father to undertake his treatment for brain glioblastoma this disease is universally and usually rapidly fatal after diagnosis in june the tumor was growing rapidly despite radiation and chemotherapy the forum member checked extensively on dr burzynki s track record for this disease he spoke to a few patients in complete remission for a few years from glioblastoma following this treatment and to an nci oncologist who had audited other such case histories and found them valid and impressive after the forum member s father began dr burzynski s treatment in september all subsequent scans performed under the auspices of his oncologist in chicago have shown no tumor growth with possible signs of shrinkage or necrosis the patient s oncologist although telling him he would probably not live past december was vehemently opposed to his trying dr burzynski s treatment since the tumor stopped its rapid growth under dr burzynski s treatment she s since changed her attitude toward continuing these treatments saying if it ain t broke don t fix it dr burzynski is an m d ph d with a research background who found a protein that is at very low serum levels in cancer patients synthesized it and administers it to patients with certain cancer types there is little understanding of the actual mechanism of activity david e scheim bitnet none internet desl helix nih gov phone compuserve fax disclaimer these comments are offered to share knowledge based upon my personal views they do not represent the positions of my employer
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cytoskeleton dynamics i m looking for good background and review paper references that can help me understand the dynamics of cytoskeleton in normal and transformed cells in particular i m not interested in translational behavior and cell motility but rather in the internal motions of the cytoskeleton and its components under normal and transformed circumstances also i d appreciate any data on force constants mechanical and elastic properties of microtubules and viscous properties of cytoplasm any other info relevant to the vibrational or acoustical properties of these would be useful to me thanks bill christens barry cerulean access digex com
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selective placebo l levin bbn com joel b levin writes l john badanes wrote l jb ron what do you consider to be proper channels l l i m glad it caught your eye that s the purpose of this forum to l educate those eager to learn about the facts of life that phrase l is used to bridle the frenzy of all the would be respondents who l otherwise would feel being left out as the proper authorities to be l consulted on that topic in short it means absolutely nothing l l an apt description of the content of just about all ron roth s l posts to date at least there s entertainment value though it l is diminishing well that s easy for you to say all you have to do is sit back soak it all in try it out on your patients and then brag to all your colleagues about that incredibly success rate you re having all of a sudden ron rosereader p for real sponge cake borrow all ingredients rosemail usenet rose media hamilton
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re hismanal et al side effects in article apr spdcc com dyer spdcc com steve dyer writes in article apr lrc edu kjiv lrc edu writes can someone tell me whether or not any of the following medications has been linked to rapid excessive weight gain and or a distorted sense of taste or smell hismanal azmacort a topical steroid to prevent asthma vancenase hismanal astemizole is most definitely linked to weight gain it really is peculiar that some antihistamines have this effect and even more so an antihistamine like astemizole which purportedly doesn t cross the blood brain barrier and so tends not to cause drowsiness so antihistamines can cause weight gain now they tell me is there any way to find out which do which don t my doctor obviously is asleep at the wheel the original poster mentioned fatigue i had that too but it was mostly due to the really bizarre dreams i was having i wasn t getting any rest my doctor said that was a common reaction if astemizole doesn t cross the blood brain barrier how does it cause that side effect any ideas sheryl coppenger seas computing facility staff sheryl seas gwu edu the george washington university
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re is msg sensitivity superstition smjeff lerc lerc nasa gov jeff miller writes even properly controlled studies e g double blind studies are almost useless if you are trying to prove that something does not affect anyone and in article qnns l agate berkeley edu spp zabriskie berkeley edu steve pope writes the mass of anectdotal evidence combined with the lack of a properly constructed scientific experiment disproving the hypothesis makes the msg reaction hypothesis the most likely explanation for events good grief has no one ever heard of biostatistics the university of washington plus or others harvard unc has a department and advanced degree program in biostatistics my wife has an ms biostat and there are plenty of mds phds and postdocs doing biostatistical work people do this for a living really bright people study for decades to do this sort of study well anecedotal evidence is worthless even doctors who have been using a drug or treatment for years and who swear it is effective are often suprised at the results of clinical trials whether or not msg causes describable reportable documentable symptoms should be pretty simple to discover the last study on which my wife worked employed nurses doctors and a dozen ph ds at one university and at hospitals in five nations i would think the msg question could be settled by one lowly biostat ms student in a thesis bruce
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re krillean photography living things maintain small electric fields to enhance certain chemical reactions promote communication of states with in a cell communicate between cells of which the nervous system is a specialized example and perhaps other uses these electric fields change with location and time in a large organism special photographic techniques such as applying external fields in kirillian photography interact with these fields or the resistances caused by these fields to make interesting pictures perhaps such pictures will be diagonistic of disease problems in organisms when better understood perhaps not studying the overall electric activity of biological systems is several hundred years old but not a popular activity perhaps except in the case of a few tissues like nerves and the electric senses of fishes it is hard to reduce the investigation into small pieces that can be clearly analyzed there are some hints that manipulating electric fields is a useful therapy such as speeding the healing of broken bones but not understood why bioelectricity has a long association with mysticism ideas such as frankenstein reanimation go back to the most early electrical experiments on tissue such as when volta invented the battery i personally don t care to revert to supernatural cause to explain things we don t yet understand
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sore spot on testicles my husband woke up three days ago with a small sore spot a spot about the size of a nickel on one of his testicles bottom side no knots or lumps just a little sore spot he says it reminds him of how a bruise feels he has no recollection of hitting it or anything like that that would cause a bruise he asssures me he d remember something like that any clues as to what it might be he s somewhat of a hypochondriac sp so he s sure he s gonna die thanks the opinions expressed are not necessarily those of the university of north carolina at chapel hill the campus office for information technology or the experimental bulletin board service internet launchpad unc edu or
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re thrush was good grief was re candida albicans what is it in article apr ucsvax sdsu edu mccurdy ucsvax sdsu edu mccurdy m writes my dentist who sees a fair amount of thrush recommended acidophilous after i began taking acidophilous on a daily basis the outbreaks ceased when i quit taking the acidophilous the outbreaks periodically resumed i resumed taking the acidophilous with no further outbreaks since then this is the second post which seems to be blurring the distinction between real disease caused by candida albicans and the disease that was being asked about systemic yeast syndrome there is no question that candida albicans causes thrush it also seems to be the case that active yogurt cultures with acidophilous may reduce recurrences of thrush at least for vaginal thrush i ve never heard of anyone taking it for oral thrush before though presumably it would work by the same mechanism candida is clearly a common minor pathogen and a less common major pathogen that does not mean that there is evidence that it causes the systemic yeast syndrome david rind rind enterprise bih harvard edu
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opinions on allergy hay fever shots hello i am interested in trying this desensitization method against hay fever what is the state of affairs about this i went to a doctor and paid for a minute interview scratches leading to the diagnostic that i am allergic to june and timothy grass i believe this from now on it looks like shots per week for months followed by shot per month or so each shot costs talking about soaring costs and the health care system i would call that a racket we are not talking about rare amazonian grasses here but the garbage which grows behind the doctor s office apart from this issue i was somewhat disappointed to find out that you have to keep getting the shots forever is that right thanks for information ej
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re discussions on alt psychoactives in article r bhsinnhaf hp col col hp com billc col hp com bill claussen writes this group was originally a takeoff from sci med the reason for the formation of this group was to discuss prescription psychoactive drugs such as oh well obviously no one really cares then let me ask you for a workable solution we have a name here that implies certain things to many people rather than trying to educate each and every person that comes to the group is there some name that would imply what this group was originally intended for my dad was a lawyer as such i grew up with being a stickler for meaning in my reality psychoactives technically could range from caffeine to datura to the drugs you mention to more standard recreational drugs in practice i had hoped to see it limited to those that were above some psychoactive level like some of the drugs you mention but also possibly including some recreational drugs but with conversation limited to their psychoactive effects the recent query about bong water i thought was a bit off topic so i just hit k but back to the original question what is a workable solution what is a workable name that would imply the topic you with to discuss it sounds like there should be a alt smartdrugs or something similar i don t feel psychoactives would generally be used to describe alot of those drugs there is a big difference between a drug that if taken in certain doses over a period of days may have a psychoactive effect in some people vs many of the drugs in pihkah which are psychoactive wm if pro choice means choice after conception does this apply to men too
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re getting aids from acupuncture needles in article r f b euu agate berkeley edu romdas uclink berkeley edu ella i baff writes someone wrote in expressing concern about getting aids from acupuncture needles unless your friend is sharing fluids with their acupuncturist who themselves has aids it is unlikely not impossible they will get aids from acupuncture needles generally even if accidently inoculated the normal immune response should be enough to effectively handle the minimal contaminant involved with acupuncture needle insertion isn t this what hiv is about the normal immune response to an exposure most acupuncturists use disposable needles use once and throw away i had electrical pulse nerve testing done a while back the needles were taken from a dirty drawer in an instrument cart and were most certainly not sterile or even clean for that matter more than likely they were fresh from the previous patient i was concerned but i kept my mouth shut i probably should have raised hell any comments no excuses
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re food related seizures in article bu edu dozonoff bu edu david ozonoff writes path news larc nasa gov darwin sura net zaphod mps ohio state edu uwm edu linac att bu edu dozonoff from dozonoff bu edu david ozonoff newsgroups sci med date apr gmt references paulson apr cmb larc nasa gov sender news bu edu lines x newsreader tin pl sharon paulson paulson tab larc nasa gov wrote much deleted the fact that this happened while eating two sugar coated cereals made by kellog s makes me think she might be having an allergic reaction to something in the coating or the cereals of the four of us in our immediate family kathryn shows the least signs of the hay fever running nose itchy eyes etc but we have a lot of allergies in our family history including some weird food allergies nuts mushrooms many of these cereals are corn based after your post i looked in the literature and located two articles that implicated corn contains tryptophan and seizures the idea is that corn in the diet might potentiate an already existing or latent seizure disorder not cause it check to see if the two kellog cereals are corn based i d be interested david ozonoff md mph boston university school of public health dozonoff med itvax bu edu east concord st t c boston ma a couple of folks have suggested the corn connection in the five month period between the two seizures my daughter had eaten a fair amount of kix and berry berry kix in the mornings and never had a problem i checked the labels and the first ingredient is corn she has also never had a problem eating corn or corn on the cob but of course that is usually later in the day with a full stomach so the absorption would not be so high i do believe that frost flakes have corn in them but i will have to check the fruit loops but the fact that she has eaten this other corny cereal in the morning makes me wonder thanks for checking into this all information at this point is valuable to me sharon sharon paulson s s paulson larc nasa gov nasa langley research center bldg d mailstop work hampton virginia home
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reasons for hospitals to join internet what resources and services are available on internet bitnet which would be of interest to hospitals and other medical care providers i m interested in anything relelvant including institutions and businesses of interest to the medical profession on internet special services such as online access to libraries or diagnostic information etc etc please reply directly to andy maine edu
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wanted rat cell line adrenal gland cortical c i am looking for a rat cell line of adrenal gland cortical cell type i have been looking at atcc without success and would very much appreciate any help thank you for reading this christophe roos institute of biotechnology fax pobox valimotie e mail christophe roos helsinki fi university of helsinki x g christophe s roos sf finland o helsinki a fumail c fi
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re how to diagnose lyme really gordon banks geb cs pitt edu wrote in article apr ns cc lehigh edu mcg ns cc lehigh edu marc gabriel writes now i m not saying that culturing is the best way to diagnose it s very hard to culture bb in most cases the point is that dr n has developed a feel for what is and what isn t ld this comes from years of experience no serology can match that unfortunately some would call dr n a quack and accuse him of trying to make a quick buck why do you think he would be called a quack the quacks don t do cultures they poo poo doing more lab tests this is lyme believe me i ve seen it many times the lab tests aren t accurate we ll treat it now also is dr n s practice almost exclusively devoted to treating lyme patients i don t know any orthopedic surgeons who fit this pattern they are usually gps no he does not exclusively treat ld patients however in some parts of the country you don t need to be known as an ld specialist to see a large number of ld patients walk through your office given the huge problem of underdiagnosis orthopedists encounter late manifestations of the disease just about every day in their regular practices dr n told me that last year he sent between and patients a week to the ld specialists and he is not the only orthopedists in the town let s say that only people per week actually have ld that means at the very minimum people in our town and immediate area develop late stage manifestations of ld every year add in the folks who were diagnosed by neurologists rheumatologists gps etc and you can see what kind of problem we have no wonder just about everybody in town personally knows an ld patient he refers most patients to ld specialists but in extreme cases he puts the patient on medication immediately to minimize the damage in most cases to the knees gordon is correct when he states that most ld specialists are gps marc marc c gabriel u c box lehigh university
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re hismanal et al side effects in article apr seas gwu edu sheryl seas gwu edu sheryl coppenger writes in article apr spdcc com dyer spdcc com steve dyer writes hismanal astemizole is most definitely linked to weight gain it really is peculiar that some antihistamines have this effect and even more so an antihistamine like astemizole which purportedly doesn t cross the blood brain barrier and so tends not to cause drowsiness the original poster mentioned fatigue i had that too but it was mostly due to the really bizarre dreams i was having i wasn t getting any rest my doctor said that was a common reaction if astemizole doesn t cross the blood brain barrier how does it cause that side effect any ideas it made me really bitchy for the first few weeks now that i think about it i was having some bizarre dreams too my doctor said it made him feel like he had to be doing something all the time but if you keep taking it after a few weeks these symptoms seem to go away he said hang in there i did and they did
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program reg forms st int conf on intell sys for molecular biology for those attending the aaai conf this summer note that this conference is immediately preceding it preliminary program and registration materials first international conference on intelligent systems for molecular biology washington d c july sponsored by the national institutes of health national library of medicine the department of energy office of health and environmental research the biomatrix society the american association for artificial intelligence aaai poster session and tutorials bethesda ramada hotel technical sessions lister hill center auditorium national library of medicine for more information contact ismb nlm nih gov or fax purpose this the first international conference on intelligent systems for molecular biology is the inaugural meeting in a series intended to bring together scientists who are applying the technologies of artificial intelligence robotics machine learning massively parallel computing advanced data modelling and related methods to problems in molecular biology the scope extends to any computational or robotic system supporting a biological task that is cognitively challenging involves a synthesis of information from multiple sources at multiple levels or in some other way exhibits the abstraction and emergent properties of an intelligent system facilities the conference will be held at lister hill center national library of medicine rockville pike nih building a bethesda md seating in the conference center is strictly limited so registrations will be accepted on a first come first serve basis accomodations as well as a reception and poster session will be at the bethesda ramada hotel wisconsin avenue bethesda md a special room rate has been negotiated with the hotel of day expires attendees must make their own reservations by writing the hotel or calling and mentioning the ismb conference to participate in a roommate matching service e mail opitz cs wisc edu transportation the two facilities are within easy walking distance convenient to the subway metro red line medical center stop and from there to the amtrak station nearby airports include dulles national and baltimore washington international proceedings full length papers from both talks and posters will be published in archival proceedings the citation is proceedings of the first international conference on intelligent systems for molecular biology eds l hunter d searls and j shavlik aaai mit press menlo park ca copies will be distributed at the conference to registered attendees and will be available for purchase from the publisher afterwards talks wednesday july am continental breakfast am opening remarks am invited talk statistics protein cores and predicted structures prof temple smith boston university am break am constructive induction and protein structure prediction t r ioerger l rendell s surbramaniam am protein secondary structure modeling with probabilistic networks a l delcher s kasif h r goldberg w hsu pm lunch pm protein secondary structure using two level case based reasoning b leng b g buchanan h b nicholas pm automatic derivation of substructures yields novel structural building blocks in globular proteins x zhang j s fetrow w a rennie d l waltz g berg pm using dirichlet mixture priors to derive hidden markov models for protein families m brown r hughey a krogh i s mian k sjolander d haussler pm break pm protein classification using neural networks e a ferran b pflugfelder p ferrara pm neural networks for molecular sequence classification c wu m berry y s fung j mclarty pm computationally efficient cluster representation in molecular sequence megaclassification d j states n harris l hunter pm poster setup pm reception poster session thursday july am continental breakfast am invited talk large scale dna sequencing a tale of mice and men prof leroy hood university of washington am break am pattern recognition for automated dna sequencing i on line signal conditioning and feature extraction for basecalling j b bolden iii d torgersen c tibbetts am genetic algorithms for sequence assembly r parsons s forrest c burks am a partial digest approach to restriction site mapping s s skiena g sundaram pm lunch pm integrating order and distance relationships from heterogeneous maps m graves pm discovering sequence similarity by the algorithmic significance method a milosavljevic pm identification of human gene functional regions based on oligonucleotide composition v v solovyev c b lawrence pm knowledge discovery in genbank j s aaronson j haas g c overton pm break pm an expert system to generate machine learning experiments learning with dna crystallography data d cohen c kulikowski h berman pm detection of correlations in trna sequences with structural implications t m klingler d brutlag pm probabilistic structure calculations a three dimensional trna structure from sequence correlation data r b altman friday july am continental breakfast am invited talk artificial intelligence and a grand unified theory of biochemistry prof harold morowitz george mason university am break am testing hiv molecular biology in in silico physiologies h b sieburg c baray am identification of localized and distributed bottlenecks in metabolic pathways m l mavrovouniotis am fine grain databases for pattern discovery in gene regulation s m veretnik b r schatz pm lunch pm representation for discovery of protein motifs d conklin s fortier j glasgow pm finding relevant biomolecular features l hunter t klein pm database techniques for biological materials and methods k baclawski r futrelle n fridman m j pescitelli pm a multi level description scheme of protein conformation k onizuka k asai m ishikawa s t c wong pm break pm protein topology prediction through parallel constraint logic programming d a clark c j rawlings j shirazi a veron m reeve pm a constraint reasoning system for automating sequence specific resonance assignments in multidimensional protein nmr spectra d zimmerman c kulikowski g t montelione pm closing remarks poster session the following posters will be on display at the bethesda ramada hotel from pm wednesday july the induction of rules for predicting chemical carcinogenesis in rodents d bahler d bristol senex a clos clim application for molecular pathology s s ball v h mah flash a fast look up algorithm for string homology a califano i rigoutsos toward multi strategy parallel learning in sequence analysis p k chan s j stolfo protein structure prediction selecting salient features from large candidate pools k j cherkauer j w shavlik comparison of two approaches to the prediction of protein folding patterns i dubchak s r holbrook s h kim a modular learning environment for protein modeling j gracy l chiche j sallantin inference of order in genetic systems j n guidi t h roderick palm a pattern language for molecular biology c helgesen p r sibbald grammatical formalization of metabolic processes r hofestedt representations of metabolic knowledge p d karp m riley protein sequencing experiment planning using analogy b kettler l darden design of an object oriented database for reverse genetics k j kochut j arnold j a miller w d potter a small automaton for word recognition in dna sequences c lefevre j e ikeda multimap an expert system for automated genetic linkage mapping t c matise m perlin a chakravarti constructing a distributed object oriented system with logical constraints for fluorescence activated cell sorting t matsushima prediction of primate splice junction gene sequences with a cooperative knowledge acquisition system e m nguifo j sallantin object oriented knowledge bases for the analysis of prokaryotic and eukaryotic genomes g perriere f dorkeld f rechenmann c gautier petri net representations in metabolic pathways v n reddy m l mavrovouniotis m l liebman minimizing complexity in cellular automata models of self replication j a reggia h h chou s l armentrout y peng building large knowledge bases in molecular biology o schmeltzer c medigue p uvietta f rechenmann f dorkeld g perriere c gautier a service oriented information sources database for the biological sciences g k springer t b patrick hidden markov models and iterative aligners study of their equivalence and possibilities h tanaka k asai m ishikawa a konagaya protein structure prediction system based on artificial neural networks j vanhala k kaski transmembrane segment prediction from protein sequence data s m weiss d m cohen n indurkhya tutorial program tutorials will be conducted at the bethesda ramada hotel on tuesday july pm introduction to molecular biology for computer scientists prof mick noordewier rutgers university this overview of the essential facts of molecular biology is intended as an introduction to the field for computer scientists who wish to apply their tools to this rich and complex domain material covered will include structural and informational molecules the basic organization of the cell and of genetic material the central dogma of gene expression and selected other topics in the area of structure function and regulation as relates to current computational approaches dr noordewier has appointments in both computer science and biology at rutgers and has extensive experience in basic biological research in addition to his current work in computational biology pm introduction to artificial intelligence for biologists dr richard lathrop mit arris corp an overview of the field of artificial intelligence will be presented as it relates to actual and potential biological applications fundamental techniques symbolic programming languages and notions of search will be discussed as well as selected topics in somewhat greater detail such as knowledge representation inference and machine learning the intended audience includes biologists with some computational background but no extensive exposure to artificial intelligence dr lathrop co developer of ariadne and related technologies has worked in the area of artificial intelligence applied to biological problems in both academia and industry pm neural networks statistics and information theory in biological sequence analysis dr alan lapedes los alamos national laboratory this tutorial will cover the most rapidly expanding facet of intelligent systems for molecular biology that of machine learning techniques applied to sequence analysis closely interrelated topics to be addressed include the use of artifical neural networks to elicit both specific signals and general characteristics of sequences and the relationship of such approaches to statistical techniques and information theoretic views of sequence data dr lapedes of the theoretical division at los alamos has long been a leader in the use of such techniques in this domain pm genetic algorithms and genetic programming prof john koza stanford university the genetic algorithm an increasingly popular approach to highly non linear multi dimensional optimization problems was originally inspired by a biological metaphor this tutorial will cover both the biological motivations and the actual implementation and characteristics of the algorithm genetic programming an extension well suited to problems where the discovery of the size and shape of the solution is a major part of the problem will also be addressed particular attention will be paid to biological applications and to identifying resources and software that will permit attendees to begin using the methods dr koza a consulting professor of computer science at stanford has taught this subject since and is the author of a standard text in the field pm linguistic methods in sequence analysis prof david searls university of pennsylvania shmuel pietrokovski weizmann institute approaches to sequence analysis based on linguistic methodologies are increasingly in evidence these involve the adaptation of tools and techniques from computational linguistics for syntactic pattern recognition and gene prediction the classification of genetic structures and phenomena using formal language theory the identification of significant vocabularies and overlapping codes in sequence data and sequence comparison reflecting taxonomic and functional relatedness dr searls who holds research faculty appointments in both genetics and computer science at penn represents the branch of this field that considers higher order syntactic approaches to sequence data while shmuel pietrokovski has studied and published with prof edward trifinov in the area of word based analyses registration form mail with check made out to ismb to ismb conference c o j shavlik computer sciences department university of wisconsin west dayton street madison wi usa name affiliation address phone fax electronic mail registration status regular student presenting talk poster tutorial registration molecular biology for computer scientists or artificial intelligence for biologists neural networks statistics and or information theory in sequence analysis genetic algorithms and genetic programming or linguistic methods in sequence analysis payment early registration before june registration early late regular student tutorials one two regular student total registration fees include conference proceedings refreshments and general program expenses organizing committee lawrence hunter nlm david searls u of pennsylvania jude shavlik u of wisconsin program committee douglas brutlag stanford u bruce buchanan u of pittsburgh christian burks los alamos national lab fred cohen u c san francisco chris fields inst for genome research michael gribskov u c san diego peter karp sri international toni kazic washington u alan lapedes los alamos national lab richard lathrop mit arris corp charles lawrence baylor michael mavrovouniotis u of maryland george michaels nih harold morowitz george mason u katsumi nitta icot mick noordewier rutgers u ross overbeek argonne national lab chris rawlings icrf derek sleeman u of aberdeen david states washington u gary stormo u of colorado ed uberbacher oak ridge national lab david waltz thinking machines corp
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re accupuncture and aids in article c t d x news cso uiuc edu euclid mrcnext cso uiuc edu euclid k writes aliceb tea two eng sun com alice taylor writes a friend of mine is seeing an acupuncturist and wants to know if there is any danger of getting aids from the needles ask the practitioner whether he uses the pre sterilized disposable needles or if he reuses needles sterilizing them between use in the former case there s no conceivable way to get aids from the needles in the latter case it s highly unlikely though many practitioners use the disposable variety anyway it is illegal to perform acupuncture with unsterilized needles no licensed practitioner would dare do this also there is not a single documented case of transmission of aids via acupuncture needles i wouldn t worry about it robert greenstein what the fool cannot learn he laughs at thinking green srilanka island com that by his laughter he shows superiority instead of latent idiocy m corelli
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diet for crohn s ibd a friend has what is apparently a fairly minor case of crohn s disease but she can t seem to eat certain foods such as fresh vegetables without discomfort and of course she wants to avoid a recurrence her question is are there any nutritionists who specialize in the problems of people with crohn s disease i saw the suggestion of lipoxygnase inhibitors like tea and turmeric thanks in advance john eyles jge cs unc edu
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neurasthenia in article apr spdcc com dyer spdcc com steve dyer writes responds well if you re not otherwise immunocompromised noring s anal retentive idee fixe on having a fungal infection in his sinuses is not even in the same category here nor are these walking neurasthenics who are convinced they have candida from reading a quack book speaking of which has anyone else been impressed with how much the descriptions of neurasthenia published a century ago sound like cfs gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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re my new diet it works great in article apr omen uucp caf omen uucp chuck forsberg wa kgx writes can you provide a reference to substantiate that gaining back the lost weight does not constitute weight rebound until it exceeds the starting weight or is this oral tradition that is shared only among you obesity researchers annals of ny acad sci hmmm these don t look like references to me is passive aggressive behavior associated with weight rebound i purposefully left off the page numbers to encourage the reader to study the volumes mentioned and benefit therefrom good story chuck but it won t wash i have read the ny acad sci one and have it this am i couldn t find any reference to weight rebound i m not saying it isn t there but since you cited it it is your responsibility to show me where it is in there there is no index i suspect you overstepped your knowledge base as usual gordon banks n jxp skepticism is the chastity of the intellect and geb cadre dsl pitt edu it is shameful to surrender it too soon
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good book having been gone for days i m way behind on my news reading so many pardons if i am repeating something that has been said already i read a good book while i was away the antibiotic paradox how miracle drugs are destroying the miracle stuart b levy m d plenum press isbn it is about drug resistant microorganisms the history of antibiotics it is interesting written at a level which i think many sci med readers would appreciate which is it assumes an intelligent reader who is capable of understanding scientific concepts but who may not yet have been exposed to this particular information i e it assumes you are smart enough to understand it but it does not assume that you already have a degree in microbiology or medicine table of contents chapter from tragedy the antibiotic age is born chapter the disease and the cure the microscopic world of bacteria and antibiotics chapter reliance on medicine and self medication the seeds of antibiotic misuse chapter antibiotic resistance microbial adaptation and evolution chapter the antibiotic myth chapter antibiotics animals and the resistance gene pool chapter further ecological considerations antibiotic use in agriculture aquaculture pets and minor animal species chapter future prospects new advances against potential disaster chapter the individual and antibiotic resistance chapter antibiotic resistance a societal issue at local national and international levels includes bibliography and index i personally found that it made very good airplane reading rg ruth ginzberg rginzberg eagle wesleyan edu philosophy department wesleyan university usa
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re is msg sensitivity superstition in article qnns l agate berkeley edu spp zabriskie berkeley edu steve pope writes the mass of anectdotal evidence combined with the lack of a properly constructed scientific experiment disproving the hypothesis makes the msg reaction hypothesis the most likely explanation for events the following is from a critique of a minutes presentation on msg which was aired on november rd the critique comes from the tufts diet and nutrition letter february edited for brevity chances are good that if you watched minutes last november rd you came away feeling msg is bad for you in the segment entitled no msg for instance show host ed bradley makes alarming statements without adequately substantiating them millions are suffering a host of symptoms and some get violently sick peppers his report with sensational but clinically unproven personal testimony and speaks of studies on msg that make the substance seem harmful without explaining just how inconclusive those studies are consider his making reference at the beginning of the program to a study conducted at the eastern virginia medical school in order to back up his comment that there is a lot of evidence that msg a flavor enhancer in chinese and other asian cuisines as well as in many supermarket items causes headaches what he does not make reference to is the fact that the study was performed not on humans but on rabbits one of the researchers who conducted the study pharmacologist patricia williams ph d says it certainly is conceivable that a small minority of people are sensitive enough to msg to get headaches from it but she explains the show probably overemphasized the extent of the problem a second lapse comes with mention of dr john olney a professor at the washington university school of medicine who mr bradley remarks says that his years of research with laboratory animals shows msg is a hazard for developing youngsters because it poses a threat of irreversible brain damage dr olney s research with lab animals does not show anything about human youngsters in fact only under extreme circumsrtances did dr olney s experiments ever bring about any brain damage when he injected extremely high doses of msg into rodents completely bypassing their digestive tracts and entering their bloodstreams more directly and when he used tubes to force feed huge amounts of the substance to very young animals on an empty stomach of course neither of those procedures occurs with humans they simply take in msg with food and most of what they take in is broken down by enzymes in the wall of the small intestine so that very little reaches the bloodstream much to little in fact for human blood levels of msg to come anywhere near the high concentrations found in dr olney s lab animals the world health organization appears to be very much aware of that fact and so does the european communities scientific committee for food both after examining numerous studies have concluded that msg is safe their determination makes sense considering that msg has never been proven to cause all the symptoms that have been attributed to it headaches swelling a tightness in the chest and a burning sensation among others in fact the most fail safe of clinical studies the double blind study has consistently exonerated the much maligned substance that s quite fortunate since the alleged hazardous component of monosodium glutamate glutamate enters our systems whenever we eat any food that contains protein the reason is that one of the amino acids that make up protein glutamic acid is broken down into glutamate during digestion it s a breakdown that occurs frequently glutamic acid is the most abundant of the or so amino acids in the diet it makes up about percent of the protein in flesh foods percent in milk percent in corn and percent in whole wheat that doesn t mean it s entirely unimaginable that a small number of people have trouble metabolizing msg properly and are therefore sensitive to it the consensus reached by large international professional organizations is that msg is safe the same consensus reached by the fda and the biomedical community at large rich young these are not kodak s opinions
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re seek sedative information in article c ubrn f u fig citib com ghica fig citib com renato ghica writes has any one heard of a sedative called rhoepnol made by larouche i believe any info as to side effects or equivalent tranquillizers you probably mean rohypnol a member of the benzodiazepine family chemical name is flunitrazepam it is such a strong tranquilizer that it is probably best refered to as a hypnotic rather than a tranquilizer just one pill will knock you on your ass side effects may be similar to valium xanax serax librium and other benzodiazepines neal howard xlh dod computrac inc richardson tx doh o neal cmptrc lonestar org std disclaimer my opinions are mine not computrac s let us learn to dream gentlemen and then perhaps we shall learn the truth august kekule
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re should i be angry at this doctor mryan stsci edu writes am i justified in being pissed off at this doctor last saturday evening my year old son cut his finger badly with a knife i took him to a local urgent and general care clinic at pm the clinic was open till pm the receptionist went to the back and told the doctor that we were there and came back and told us the doctor would not see us because she had someplace to go at and did not want to be delayed here during the next few minutes in response to my questions with several trips to the back room the receptionist told me the doctor was doing paperwork in the back the doctor would not even look at his finger to advise us on going to the emergency room the doctor would not even speak to me she would not tell me the doctor s name or her own name when asked who is in charge of the clinic she said i don t know i realize that a private clinic is not the same as an emergency room but i was quite angry at being turned away because the doctor did not want to be bothered my son did get three stitches at the emergency room speaking as a physician who works in an urgent care center the above behavior is completely inappropriate if a patient who requires extensive care shows up at the last minute we always see them and give them appropriate care it is reasonable for a clinic to refuse to see patients outside of its posted hours but what you describe is misbehavior ask to speak to the clinic director and complain whatever their attitude they have nothing to gain from angering patients brandon brylawski
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re diet for crohn s ibd in article r g finne ceti cs unc edu jge cs unc edu john eyles wrote a friend has what is apparently a fairly minor case of crohn s disease but she can t seem to eat certain foods such as fresh vegetables without discomfort and of course she wants to avoid a recurrence her question is are there any nutritionists who specialize in the problems of people with crohn s disease i saw the suggestion of lipoxygnase inhibitors like tea and turmeric thanks in advance john eyles jge cs unc edu if she is having problems with fresh vegetables the guess is that there is some obstruction of the intestine without knowing more it is not possible to say whether the obstruction is permanent due to scarring or temporary due to swelling of inflammed intestine in general there are no dietary limitations in patients with crohn s except as they relate to obstruction there is no evidence that any foods will bring on recurrence of crohn s it is important to distinguish recurrence from recurrent symptoms a physician would think of new inflammation as recurrence while pains from raw veggies just imply a narrowing of the intestine your friend should look into membership in the crohn s and colitis foundation of america good luck to your friend steve holland
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re krillean photography in article apr unlv edu todamhyp charles unlv edu brian m huey writes in article apr unlv edu todamhyp charles unlv edu brian m huey writes i think that s the correct spelling the proper spelling is kirlian it was an effect discoverd by s kirlian a soviet film developer in as i recall the coronas visible are ascribed to static discharges and chemical reactions between the organic material and the silver halides in the films tarl neustaedter stratus computer tarl sw stratus com marlboro mass disclaimer my employer is not responsible for my opinions i think that s the correct spelling i am looking for any information supplies that will allow do it yourselfers to take krillean pictures i m thinking that education suppliers for schools might have a appartus for sale but i don t know any of the companies any info is greatly appreciated in case you don t know krillean photography to the best of my knowledge involves taking pictures of an most of the time organic object between charged plates the picture will show energy patterns or spikes around the object photographed and depending on what type of object it is the spikes or energy patterns will vary one might extrapolate here and say that this proves that every object within the universe as we know it has its own energy signature to construct a kirlian device find a copy of handbook of psychic discoveries by sheila ostrander and lynn schroeder library of congress it describes the necessary equipment and suppliers for the tesla coil or alternatives the copper plate and setup i used a pack of sx film and removed a single pack in a dark room then made the exposure put it back in the film pack and ran it out through the rollers of the camera forinstant developing and very high quality it is a good way to experience what kirlian photography is really and what it is not as you know all ready it is the pattern in the bioplasmic energy fieldthat is significant variations caused by exposure time distance from the plate or pressure on the plate or variations in the photo materials are not important hard copy mail mark c high p o box parowan ut
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candida yeast bloom fact or fiction i can not believe the way this thread on candida yeast has progressed steve dyer and i have been exchanging words over the same topic in sci med nutrition when he displayed his typical reserve and attacked a women poster for being treated by a liscenced physician for a disease that did not exist calling this physician a quack was reprehensible steve and i see that you and some of the others are doing it here as well let me tell you who the quacks really are these are the physicans who have no idea how the human body interacts with it s environment and how that balance can be altered by diet and antibiotics these are the physicians who dismiss their patients with difficult symptomatology and make them go from doctor to doctor to find relief like elaine in sci med nutrition and then when they find one that solves their problem the rest start yelling quack could it just be professional jealousy i couldn t help elaine or jon but somebody else did could they know more than me no way they must be a quack i ve been teaching a human nutrition course for medical students for over ten years now and guess who the most receptive students are those that were raised on farms and saw first hand the effect of diet on the health of their farm animals and those students who had made a dramatic diet change prior to entering medical school switched to the vegan diet typically this is about of my class of students those not interested in nutrition either tune me out or just stop coming to class that s okay because i know that some of what i m teaching is going to stick and there will be at least a few enlightened physicians practicing in the u s it s really too bad that most u s medical schools don t cover nutrition because if they did candida would not be viewed as a non disease by so many in the medical profession in animal husbandry an animal is reinnoculated with good bacteria after antibiotics are stopped medicine has decided that since humans do not have a ruminant stomach no such reinnoculation with good bacteria is needed after coming off a braod spectrum antibiotic humans have all kinds of different organisms living in the gi system mouth stomach small and large intestine sinuses vagina and on the skin these are nonpathogenic because they do not cause disease in people unless the immune system is compromised they are also called nonpathogens because unlike the pathogenic organisms that cause human disease they do not produce toxins as they live out their merry existence in and on our body but any of these organisms will be considered pathogenic if it manages to take up residence within the body a poor mucus membrane barrier can let this happen and vitamin a is mainly responsible for setting up this barrier steve got real upset with elaine s doctor because he was using anti fungals and vitamin a for her gi problems if steve really understoood what vitamin a does in the body he would not or at least should not be calling elaine s doctor a quack here is a brief primer on yeast yeast infections as they are commonly called are not truely caused by yeasts the most common organism responsible for this type of infection is candida albicans or monilia which is actually a yeast like fungus an infection caused by this organism is called candidiasis candidiasis is a very rare occurance because like an e coli infection it requires that the host immune system be severly depressed candida is frequently found on the skin and all of the mucous membranes of normal healthy people and it rarely becomes a problem unless some predisposing factor is present such as a high blood glucose level diabetes or an oral course of antibiotics has been used in diabetics their secretions contain much higher amounts of glucose candida unlike bacteria is very limited in it s food fuel selection without glucose it can not grow it just barely survives if it gets access to a lot of glucose it blooms and over rides the other organisms living with it in the sinuses gi tract or vagina in diabetics skin lesions can also foster a good bloom site for these little buggers the bloom is usually just a minor irritant in most people but some people do really develop a bad inflammatory process at the mucus membrane or skin bloom site whether this is an allergic like reaction to the candida or not isn t certain when the bloom is in the vagina or on the skin it can be easliy seen and some doctors do then try to treat it if it s internal only symptoms can be used and these symptoms are pretty nondiscript candida is kept in check in most people by the normal bacterial flora in the sinuses the gi tract mouth stomach and intestines and in the vaginal tract which compete with it for food the human immune system ususally does not bother itself with these nonpathogenic organisms unless they broach the mucus membrane barrier if they do an inflammatory response will be set up most americans are not getting enough vitamin a from their diets about of all american s die with less vitamin a than they were born with u s autopsy studies while this low level of vitamin a does not cause pathology blindness it does impair the mucus membrane barrier system this would then be a predisposing factor for a strong inflammatory response after a candida bloom while diabetics can suffer from a candida bloom the most common cause of this type of bloom is the use of broad spectrum antibiotics which knock down many different kinds of bacteria in the body and remove the main competition for candida as far as food is concerned while drugs are available to handle candida many patients find that their doctor will not use them unless there is evidence of a systemic infection the toxicity of the anti fungal drugs does warrant some caution but if the gi or sinus inflammation is suspected to be candida and recent use of a broad spectrum antibiotic is the smoking gun then anti fungal use should be approrpriate just as the anti fungal creams are an appropriate treatment for recurring vaginal yeast infections in spite of what mr steve dyer says but even in patients being given the anti fungals the irritation caused by the excessive candida bloom in the sinus gi tract or the vagina tends to return after drug treatment is discontinued unless the underlying cause of the problem is addressed lack of a good bacterial flora in the body and or poor mucus membrane barrier lactobacillus acidophilus is the most effective therapy for candida overgrowth from it s name it is an acid loving organism and it sets up an acidic condition were it grows candida can not grow very well in an acidic environment in the vagina l acidophilius is the predominate bacteria unless you are hit with broad spectrum antibiotics in the gi system the ano rectal region seems to be a particularly good reservoir for candida and the use of pantyhose by many women creates a very favorable environment around the rectum for transfer through moisture and humidity of candida to the vaginal tract one of the most effctive ways to minimmize this transfer is to wear undyed cotton underwear if the bloom occurs in the anal area the burning swelling pain and even blood discharge make many patients think that they have hemorroids if the bloom manages to move further up the gi tract very diffuse symptomatology occurs abdominal discomfort and blood in the stool this positive stool for occult blood is what sent elaine to her family doctor in the first place after extensive testing he told her that there was nothing wrong but her gut still hurt on to another doctor and so on richard kaplan has told me throiugh e mail that he considers occult blood tests in stool specimens to be a waste of time and money because of the very large number of false positives candida blooms guys if my gut hurt me on a constant basis i would want it fixed yes it s nice to know that i don t have colon cancer but what then is causing my distress when i finally find a doctor who treats me and gets me better steve dyer calls him a quack candida prefers a slightly alkaline environment while bacteria tend to prefer a slightly acidic environment the vagina becomes alkaline during a woman s period and this is often when candida blooms in the vagina vinegar and water douches are the best way of dealing with vaginal problems many women have also gotten relief from the introduction of lactobacillus directly into the vaginal tract i would want to be sure of the purity of the product before trying this my wife had this vagina problem after going on birth control pills and searched for over a year until she found a gynocologist who solved the problem rather than just writting scripts for anti fungal creams this was a woman gynocologist who had had the same problem recurring vaginal yeast infections this m d did some digging and came up with an acetic acid and l acidophilis douche which she used in your office to keep it sterile after three treatments sex returned to our marraige i have often wondered what an m d with chronic gi distress or sinus problems would do about the problem that he tells his patients is a non existent syndrome the nonpathogenic bacteria l acidophilus is an acid producing bacteria which is the most common bacteria found in the vaginal tract of healthy women if taken orally it can also become a major bacteria in the gut through aresol sprays it has also been used to innoculate the sinus membranes but before this innoculation occurs the mucus membrane barrier system needs to be strengthened this is accomplished by vitamin a vitamin c and some of the b complex vitamins diet surveys repeatedly show that americans are not getting enough b and folate these are probably the segement of the population that will have the greatest problem with this non existent disorder candida blooms after antibiotic therapy some of the above material was obtained from natural healing by mark bricklin published by rodale press as well as notes from my human nutrition course i will be posting a discussion of vitamin a sometime in the future along with reference citings to point out the extremely important role that vitamin a plays in the mucus membrane defense system in the body and why vitamin a should be effective in dealing with candida blooms another effective dietary treatment is to restrict carbohydrate intake during the treatment phase this is especially important if the gi system is involved if candida can not get glucose it s not going to out grow the bacteria and you then give bacteria which can use amino acids and fatty acids for energy a chance to take over and keep the candida in check once carbohydrate is returned to the gut if steve and some of the other nay sayers want to jump all over this post fine i jumped all over steve in sci med nutrition because he verbably accosted a poster who was seeking advice about her doctor s use of vitamin a and anti fungals for a candida bloom in her gut people seeking advice from newsnet should not be treated this way those of us giving of our time and knowledge can slug it out to our heart s content if you saved your venom for me steve and left the helpless posters who are timidly seeking help alone i wouldn t have a problem with your behavior martin banschbach ph d professor of biochemistry and chairman department of biochemistry and microbiology osu college of osteopathic medicine west th st tulsa ok without discourse there is no remembering without remembering there is no learning without learning there is only ignorance
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m contagiosem i was wondering if anyone had any information about molluscous contagiosem i acquired it and fortunately got rid of it but the question still lingers in my mind where did it come from the little bit of info that i have received about it in the past states that it can be transmitted sexually but also occurs in small children on the hands feet and genitalia any information will be greatly appreciated i grow old i grow old i shall wear my trousers rolled t s eliot
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re help for kidney stones in article apr wvnvms wvnet edu pk wvnvms wvnet edu writes my girlfriend is in pain from kidney stones she says that because she has no medical insurance she cannot get them removed my question is there any way she can treat them herself or at least mitigate their effects any help is deeply appreciated advice referral to literature etc thank you dave carvell pk wvnvms wvnet edu first let me offer you my condolences i ve had kidney stones times and i know the pain she is going through first it is best that she see a doctor however every time i had kidney stones i saw my doctor and the only thing they did was to prescribe some pain killers and medication for a urinary tract infection the pain killers did nothing for me kidney stones are extremely painful my stones were judged passable so we just waited it out however the last one took days to pass not fun anyway if she absolutely won t see a doctor i suggest drinking lots of fluids and perhaps an over the counter sleeping pill but i do highly suggest seeing a doctor kidney stones are not something to fool around with she should be x rayed to make sure there is not a serious problem steve
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re diet for crohn s ibd in article uabdpo dpo uab edu spam dom uab edu uabdpo dpo uab edu gila stephen holland writes in article r g finne ceti cs unc edu jge cs unc edu john eyles wrote a friend has what is apparently a fairly minor case of crohn s disease but she can t seem to eat certain foods such as fresh vegetables without discomfort and of course she wants to avoid a recurrence her question is are there any nutritionists who specialize in the problems of people with crohn s disease if she is having problems with fresh vegetables the guess is that there is some obstruction of the intestine without knowing more it is not possible to say whether the obstruction is permanent due to scarring or temporary due to swelling of inflammed intestine in general there are no dietary limitations in patients with crohn s except as they relate to obstruction there is no evidence that any foods will bring on recurrence of crohn s interesting statements simply because i have been told otherwise i m certainly not questioning steve s claims as for one i am not a doctor and i agree that foods don t bring on the recurrence of crohn s but inflammation can be either mildly or drastically enhanced due to food having had one major obstruction resulting in resection is that a good enough caveat i was told that a low residue diet is called for basically the idea is that if there is inflammation of the gut which may not be realized by the patient any residue in the system can be caught in the folds of inflammation and constantly irritate thus exacerbating the problem therefore anything that doesn t digest completely by the point of common inflammation should be avoided with what i ve been told is typical crohn s of the terminal ileum my diet should be low residue consisting of completely out never again items o corn kernel husk doesn t digest most of us know this o popcorn same o dried dehydrated fruit and fruit skins o nuts very tough when it comes to giving up some fudge discouraged greatly o raw vegetables too fibrous o wheat and raw grain breads o exotic lettuce iceberg is ok since it s apparently mostly water o greens turnip mustard kale etc o little seeds like sesame try getting an arby s without it o long grain and wild rice husky o beans you ll generate enough gas alone without them o basically anything that requires heavy digestive processing i was told that the more processed the food the better rather ironic in this day and age the whole point is preventative you want to give your system as little chance to inflame as possible i was told that among the numerous things that were heavily discouraged i only listed a few to try the ones i wanted and see how i felt if it s bad don t do it again remember though that this was while i was in remission for veggies cook the daylights out of them i prefer steaming i think it s cooks more thoroughly you re mileage may vary as with anything else check with your doctor don t just take my word but this is the info i ve been given and it may be a starting point for discussion good luck spenser s spenser aden lockheed engineering and sciences co nasa flight data and evaluation office johnson space center houston spenser fudd jsc nasa gov internet opinions herein are mine alone aden vf jsc nasa gov if above bounces eschew obfuscation unknown
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re seizures infantile spasms in article apr dbased nuo dec com dufault lftfld enet dec com md writes the reason i m posting this article to this newsgroup is to gather any information about this disorder from anyone who might have recently been e ffected by it from being associated with it or actually having this disorder and help me find out where i can access any medical literature associated with seizures over the internet i tried to e mail you but it bounced back please e mail me and i will give you someone s name who might be very helpful you might also post your message to misc kids tamara sastls mvs sas com
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re getting aids from acupuncture needles matthews oswego edu harry matthews writes i had electrical pulse nerve testing done a while back the needles were taken from a dirty drawer in an instrument cart and were most certainly not sterile or even clean for that matter more than likely they were fresh from the previous patient i was concerned but i kept my mouth shut i probably should have raised hell could you describe in more detail the above procedure i ve never heard about it and yes if they pierced you with the needles you probably should have protested euclid euclid k standard disclaimers apply it is a bit ironic that we need the wave model of light to understand the propagation of light only through that part of the system where it leaves no trace hudson nelson university physics
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re foreskin troubles in article apr radford vak ed edu mmatusev radford vak ed edu melissa n matusevich writes what can be done short of circumcision for an adult male whose foreskin will not retract melissa there is a simpler procedure called a dorsal slit that is really the first step of the usual circumcision it is simpler and quicker but the pain is about the same as circumcision after the anesthetic wears off and the aesthetic result post healing is not as good see your friendly urologist for more details len howard
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re quality control in medicine in article u uicvm uic edu u uicvm uic edu writes does anybody know of any information regarding the implementaion of total quality management quality control quality assurance in the delivery of health care service i would appreciate any information if there is enough interest i will post the responses thank you abhin singla ms bioe mba md president ac medcomp inc dr singla you might contact kaiser health plan either in the area closest to you or at the central office in oakland ca we have been doing qa qos concurrent ur and tqm for some time now in the hawaii region and i suspect it is nationwide in the system len howard md
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request gyro souvlaki sauce hi all would anyone out there in net land happen to have an authentic sure fire way of making this great sauce that is used to adorn gyro s and souvlaki thanks tron e mail tron locus com vidi vici veni
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seizure information infant here is the tollfree hotline for the epilepsy foundation of america efa they will be able to answer your questions and send you information and references on seizure types medication etc they can also give you references for a pediatric neorologist in your area also ask for the number of your local foundation who can put you in touch with a parent support group and social workers good luck
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re opinions on allergy hay fever shots i had allergy shots for about four years starting as a sophomore in high school before that i used to get bloody noses nighttime asthma attacks and eyes so itchy i couldn t get to sleep after about months on the shots most of those symptoms were gone and they haven t come back i stopped getting the shots due more to laziness than planning in college my allergies got a little worse after that but are still nowhere near as bad as they used to be so yes the shots do work
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re arythmia in article apr vaxc stevens tech edu u averba vaxc stevens tech edu writes doctors said that he could die from it and the medication caused is it that serious my ekg often comes back with a few irregular beats another question is a low blood potassium level very bad my doctor seems concerned but she tends to worry too much in general alexis perry the less i want the more i get perry husc harvard edu make me chaste but not just yet eliot house box it s a promise or a lie i ll repent before i die work have you lost your mind ren sting nobody really admits to sharing my opinions last of all harvard college
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re altitude adjustment in article mdavcr mda ca vida mdavcr mda ca vida morkunas writes i live at sea level and am called upon to travel to high altitude cities quite frequently on business the cities in question are at to feet of altitude one of them especially is very polluted often i feel faint the first two or three days i feel lightheaded and my heart seems to pound a lot more than at sea level also it is very dry in these cities so i will tend to drink a lot of water and keep away from dehydrating drinks such as those containing caffeine or alcohol thing is i still have symptoms how can i ensure that my short trips there no i don t usually have a week to acclimatize are as comfortable as possible is there something else that i could do i saw a lifetime medical television show a few months back on travel medicine it briefly mentioned some drugs which when started two or three days before getting to altitude could assist in acclimitazation unfortunately all that i can recall is that the drug stimulated breathing at night i don t know if that makes sense it seems to me that the new drug which stimulates red blood cell production would be a more logical approach erythropoiten sp alas i didn t record the program but wish i had since i live at over ft and my mother gets sick when visiting please let me know if you get more informative responses phone martin e lewitt my opinions are domain lewitt ncube com p o box my own not my sandia melewitt cs sandia gov sandia park nm employer s
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re good grief was re candida albicans what is it dyer spdcc com steve dyer writes snort ah there go my sinuses again oh wow a classic textbook hey they laughed at einstein too yeah i ll bet tomorrow the world listen uncontrolled studies like this are worthless i m sure you are you sound like the typical hysteric hypochondriac who responds to miracle cures yeah it makes sense to me so of course it should be taken seriously snort yeah it sounds reasonable to me oh really what tests immune compromised my ass more like credulous malingerer this is a psychiatric syndrome you know it s a shame that a drug like itraconazole is being misused in this way it s ridiculously expensive and potentially toxic the trouble is that it isn t toxic enough so it gets abused by quacks the only good thing about nystatin is that it s relatively cheap and when taken orally non toxic but oral nystatin is without any systemic effect so unless it were given iv it would be without any effect on your sinuses i wish these quacks would first use iv nystatin or amphotericin b on people like you that would solve the yeast problem once and for all perhaps a little haldol would go a long way towards ameliorating your symptoms are you paying for this treatment out of your own pocket i d hate to think my insurance premiums are going towards this steve take a look at what you are saying i don t see one construvtive word here if you don t have anything constructive to add why waste the bandwidth yeah sure flame me for doing it myself is this sci med or alt flame like it or not medical science does not know categorically everything about everything i m not flaming your knowledge just asking you to sit back and ask yourself what if minds are like parachutes they only function when they are open oh and if you do want to flame me or anyone else how about using email rob who doesn t claim any relevant qualifications just interest rob geraghty things are important to me robg citr uq oz au the gift of love the joy of life citr and the making of music in all its forms
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nebulisers and particle size hi we are just completing a project on nebuliser performance and have a wealth of data on particle size and output which we are going to use to adjudicate a contract next week although the output data is easy for us to present there seems to be little concensus on the optimum diameter of the nebulised droplets for straightforward inhalation therapy eg for asthmatics some say that the droplets must be smaller than microns whilst others say that if they are too small they will not be effective anyone up on this topic who could summarise the current status cheers pete pete phillips deputy director surgical materials testing lab bridgend general hospital s wales pete smtl demon co uk the four horse oppressors of the apocalypse were nutritional deprivation state of belligerency widespread transmittable condition and terminal inconvenience official politically correct dictionary
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re diet for crohn s ibd in article r g finne ceti cs unc edu jge cs unc edu john eyles writes a friend has what is apparently a fairly minor case of crohn s disease but she can t seem to eat certain foods such as fresh vegetables without discomfort and of course she wants to avoid a recurrence her question is are there any nutritionists who specialize in the problems of people with crohn s disease i saw the suggestion of lipoxygnase inhibitors like tea and turmeric thanks in advance john eyles all your friend really has to do is find a registered dietician rd while most work in hospitals and clinics many major cities will have rd s who are in private practice so to speak many physicans will refer their patients with crohn s disease to rd s for dietary help if you can get your friend s physician to make a referral medical insurance should pay for the rd s services just like the services of a physical therapist the better medical insurance plans will cover this but even if your friend s plan doesn t it would be well worth the cost to get on a good diet to control the intestinal discomfort and help the intestinal lining heal crohn s disease is an inflammatory disease of the intestinal lining and lipoxygenase inhibitors may help by decreasing leukotriene formation but i m not aware of tea or turmeric containing lipoxygenase inhibitors for bad inflammation steroids are used but for a mild case the side effects are not worth the small benefit gained by steroid use upjohn is developing a new lipoxygenase inhibitor that should greatly help deal with inflammatory diseases but it s not available yet marty b
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re help me inject the best way of self injection is to use the right size needle and choose the correct spot for streptomycin usually given intra muscularly use a thin needle guage and select a spot on the upper outer thigh no major nerves or blood vessels there clean the area with antiseptic before injection and after make sure to inject deeply a different kind of pain is felt when the needle enters the muscle contrasted to the prick when it pierces the skin ps try to go to a doctor self treatment and self injection should be avoided as far as possible
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great post was re candida yeast bloom very long great post martin very informative well balanced and humanitarian without neglecting the need for scientific rigor cross posted to alt psychology personality since some personality typing will be discussed at the beginning note i ve set all followups to sci med since most of my comments are more sci med oriented and i m sure most of the replies if any will be med related in article banschbach vms ocom okstate edu writes i can not believe the way this thread on candida yeast has progressed steve dyer and i have been exchanging words over the same topic in sci med nutrition when he displayed his typical reserve and attacked a woman poster for being treated by a licenced physician for a disease that did not exist calling this physician a quack was reprehensible steve and i see that you and some of the others are doing it here as well they are just responding in their natural way hyper choleric syndrome hcs oops that is not a recognized illness in the psychological community better not say that since it therefore must not and never will exist actually it is fascinating that a disproportionate number of physicians will type out as nt for those not familiar with the myers briggs system just e mail me and i ll send a summary file to you in the general population nt s comprise only about of the population but among physicians it is much much higher i don t know the exact percentage any help here a p p er s one driving characteristic of an nt especially an ntj is their obvious choleric behavior driver type a etc the extreme emotional need to control to lead and or to be the best or the most competent if they are also extroverted they are best described as field marshalls this trait is very valuable and essential in our society we need people who want to lead to strive to overcome the elements to seek and thirst for knowledge to raise the level of competency etc the great successes in science and technology are in large part due to the vision an n trait and scientifically minded approach t trait of the nt personality of course the other types and temperaments have their own positive contributions as well however when the nt person has self image challenges the dark side of this personality type usually comes out which should be obvious to all a physician who is a strong nt and who has not learned to temper their temperament will be extremely business like lack of empathy or feeling and is very compelled to have total control over their patient the patient must be obedient to their diagnosis and prescription without question i ve known many m d s of this temperament and suffice to say i don t oblige them with a followup visit no matter how competent i think they are and they usually are very competent from a knowledge viewpoint since that is an extreme drive of theirs to know the most to know it all maybe we need more nf doctor s enough on this subject let s move on to candida bloom let me tell you who the quacks really are these are the physicans who have no idea how the human body interacts with it s environment and how that balance can be altered by diet and antibiotics could it just be professional jealousy i couldn t help elaine or jon but somebody else did you ve helped me already by your post of course i believe that i have been misdiagnosed on the net as suffering from anal retentivitis but being the phlegmatic i am maybe i was just a little too harsh on a few people myself in past posts let s all try to raise the level of this discussion above the level of anal effluent humans have all kinds of different organisms living in the gi system mouth stomach small and large intestine sinuses vagina and on the skin these are nonpathogenic because they do not cause disease in people unless the immune system is compromised they are also called nonpathogens because unlike the pathogenic organisms that cause human disease they do not produce toxins as they live out their merry existence in and on our body but any of these organisms will be considered pathogenic if it manages to take up residence within the body a poor mucus membrane barrier can let this happen and vitamin a is mainly responsible for setting up this barrier in my well described situation in prior posts i definitely was immune stressed blood tests showed my vitamin a levels were very low my sinuses were a mess no doubt the mucosal lining and the cilia were heavily damaged i also was on antibiotics times in years in the end even two weeks of ceftin did not work and i had confirmed diagnoses of a chronic bacterial infection of the sinuses via cat scans mucus color won t get into the details and other symptoms three very traditional ent s made this diagnosis i did not have any cultures done however because of the difficulty of doing this right and because my other symptoms clearly showed a bacterial infection enough of this background provided to help you understand where i was when i make comments about my sporanox anti fungal therapy below the first question i have is this can fungus penetrate a little way into poor mucus membrane tissue maybe via hyphae thus causing symptoms without being considered systemic in the classic sense it is sort of an inbetween infection steve got real upset with elaine s doctor because he was using anti fungals and vitamin a for her gi problems if steve really understoood what vitamin a does in the body he would not or at least should not be calling elaine s doctor a quack i was concerned too because of the toxicity of vitamin a my doctor after my blood tests put me on iu of vitamin a for one week only then dropped it down to iu for the next couple of weeks i also received zinc and other supplementation since all of these interrelate in fairly complex ways as my doctor explained he s one of those evil orthomolecular specialists i had a blood test three weeks later and vitamin a was normal he then stopped me on all vitamin a except for some in a multi vitamin supplement and made sure that i maintain a iu day of beta carotene call me carrot face hopefully elaine s doctor will take a similar careful approach and to all supplements i m even reevaluating some supplements i m taking for example niacin in fairly large dosages gram day which steve dyer had good information about on sci med nutrition if niacin only has second order improvement in symptomatic relief of my sinus allergies then it probably is not worth taking such a large dose long term and risking liver damage survives if it gets access to a lot of glucose it blooms and over rides the other organisms living with it in the sinuses gi tract or vagina in though i do now believe based on my successful therapy with sporanox that i definitely had some excessive growth of fungus unknown species in my sinuses i still want to ask the question have there been any studies that demonstrate candida blooms in the sinuses with associated sinus irritation sinusitis rhinitis my sinus irritation reduced significantly after one week of sporanox and no other new treatments were implemented during this time i did not have any noticeable gi track problems before starting on sporanox but some for a few days after which then went away considered normal btw my doctor dug out one of his medical reference books sorry can t remember which one and found an obscure comment dating back into the s which stated that people can develop contained non lethal or non serious aspergillis infestations aspergiliosis of the sinuses leading to sinus inflammation symptoms i ll have to dig out that reference again since it is relevant to this discussion some people do really develop a bad inflammatory process at the mucus membrane or skin bloom site whether this is an allergic like reaction to the candida or not isn t certain my doctor tested me i believe a rast or rast similar test for allergic response to specificially candida albicans and i showed a strong positive another question would everybody show the same strong positive so this test is essentially useless and assuming it is true that candida can grow part way into the mucus membrane tissue and the concentration exceeds a threshold amount could not a person who tests as having an allergy to candida definitely develop allergic symptoms such as mucus membrane irritation due to the body s allergic response as i said in an earlier post one does not need to be a rocket scientist or have a m d degree or a ph d in biochemistry to see the plausibility of this hypothesis btw and i ll repost this again dr ivker in his book sinus survival has routinely given before anything else nizoral a pre sporanox systemic anti fungal not as safe and not as good as sporanox to his new chronic sinusitis patients if they have been on antibiotics four or more times in the last two years he claims that out of or so patients well over notice some relief of sinus inflammation and other symptoms but it doesn t cure it by any means implying the so called yeast fungus infection is not the primary cause but a later complication he s also found that nystatin whether taken internally or put into a sinus spray does not help this implies of course assuming that excessive yeast fungus bloom is aggravating the sinus inflammation that the yeast fungus has grown partway into the tissue since nystatin will not kill yeast fungus other than by direct contact it is not absorbed into the blood stream again i admit lots of ifs and implies which doesn t please the hard core nt who has to have the double blind study or it s a non issue but one has to start with some plausible hypothesis explanation a strawman if you will if it s internal only symptoms can be used and these symptoms are pretty nondescript this brings up an interesting observation used by those who will deny and reject any and all aspects of the yeast hypothesis until the appropriate studies are done and that is if you can t observe or culture the yeast bloom in the gut or sinus then there s no way to diagnose or even recognize the disease and i know they realize that it is virtually impossible to test for candida overbloom in any part of the body that cannot be easily observed since candida is everywhere in the body it s a real catch another catch those who totally reject the yeast hypothesis say that no studies have been done actually studies have been done but if it s not up to a certain standard then it is from their perspective a non study which should not even be considered i agree that the appropriate studies should be done and that will take big to do it right however in order to convince the funding agencies in these austere times to open their wallets you literally have to give them evidence and the only acceptable evidence to compete with other proposals is paradoxically to do almost the exact study needed funding that is you have to do of the study before you even get funding as a scientist at a national lab i m very aware of this for the smaller funded projects i m afraid that even if dr ivker and other doctors got together pooled their practice s case histories and anecdotes into a compelling picture and approach the funding agencies they would get nowhere even if they were able to publish their statistical results it is obvious from the comments by some of the doctors here is that they have decided excessive yeast colonization in the gut or sinuses leading to noticeable non lethal symptoms does not exist and is not even a tenable hypothesis so any amount of case histories or compiled anecdotal evidence to the contrary will never change their mind and not only that they would also oppose the needed studies because in their minds it s a done issue excessive yeast growth leading to diffuse allergic symptoms does not will not and cannot exist period kind of tough to dialog with those who hold such a viewpoint kind of reminds me of lister candida is kept in check in most people by the normal bacterial flora in the sinuses the gi tract mouth stomach and intestines and in the vaginal tract which compete with it for food the human immune system ususally does not bother itself with these nonpathogenic organisms unless they broach the mucus membrane barrier if they do an inflammatory response will be set up most americans are not getting enough vitamin a from their diets about of all american s die with less vitamin a than they were born with u s autopsy studies while this low level of vitamin a does not cause pathology blindness it does impair the mucus membrane barrier system this would then be a predisposing factor for a strong inflammatory response after a candida bloom aren t there also other nutrients necessary to the proper working of the sinus mucus membranes and cilia while diabetics can suffer from a candida bloom the most common cause of this type of bloom is the use of broad spectrum antibiotics which knock down many different kinds of bacteria in the body and remove the main competition for candida as far as food is concerned while drugs are available to handle candida many patients find that their doctor will not use them unless there is evidence of a systemic infection the toxicity of the anti fungal drugs does warrant some caution but if the gi or sinus inflammation is suspected to be candida and recent use of a broad spectrum antibiotic is the smoking gun then anti fungal use should be approrpriate just as the anti fungal creams are an appropriate treatment for recurring vaginal yeast infections in spite of what mr steve dyer says again the evidence from mycological studies indicate that many yeast fungus species can grow hyphae roots into deep tissue similar to mold growing in bread you can continue to kill the surface such as nystatin does but you can t kill that which is deeper in the tissue without using a systemic anti fungal such as itraconazole sporanox or some of the older ones such as nizoral which are more toxic and not as effective this is why as has been pointed out by recent studies sent to me by a doctor i ve been in e mail contact with thanks that nystatin is not effective in the long term treatment of gi tract candidiasis it s like trying to weed a garden by cutting off what s above the ground but leaving the roots ready to come out again once you walk away the question is whether a contained candida bloom can partially grow into tissue through the mucus membranes causing some types of symptoms in susceptible people e g allergy without becoming systemic in the classical sense of the word something in between strictly an excessive bloom not causing any problems and the full blown systemic infection that is potentially lethal in the gi system the ano rectal region seems to be a particularly good reservoir for candida and the use of pantyhose by many women creates a very favorable environment around the rectum for transfer through moisture and humidity of candida to the vaginal tract one of the most effctive ways to minimmize this transfer is to wear undyed cotton underwear also if one is an anal retentive like i ve been diagnosed in a prior post that can also provide more sites for excessive candida growth if the bloom occurs in the anal area the burning swelling pain and even blood discharge make many patients think that they have hemorroids if the bloom manages to move further up the gi tract very diffuse symptomatology occurs abdominal discomfort and blood in the stool this positive stool for occult blood is what sent elaine to her family doctor in the first place after extensive testing he told her that there was nothing wrong but her gut still hurt on to another doctor and so on richard kaplan has told me throiugh e mail that he considers occult blood tests in stool specimens to be a waste of time and money because of the very large number of false positives candida blooms guys if my gut hurt me on a constant basis i would want it fixed yes it s nice to know that i don t have colon cancer but what then is causing my distress when i finally find a doctor who treats me and gets me better steve dyer calls him a quack as i ve said in private e mail there are flaws in our current medical system that make it difficult or even impossible for a physician to attempt alternative therapies after the approved proven accepted therapies don t work for example i went to three ent s who all said that i will just have to live with my acute chronic sinusitis after the ab s failed they did mention surgery to open up the ostia but my ostia weren t plugged and it would not get to the root cause of my condition after three months of aggressive and fairly non standard therapy sporanox body nutrient level monitoring and equalization vitamin c lentinen echinacea etc my health has vastly improved to where i was two years ago before my health greatly deteriorated of course skeptics would say that maybe if i did nothing i would have improved anyway but that view is stretching things quite far because of the experience of the three ent s i saw who said that i d just have to live with it i m confident i will reach what one could call a total cure the anti fungal program i undertook was one necessary step in that direction because of my overuse of ab s for the last four years note for those having sinus problems may i suggest the book by dr ivker i mention above be sure to get the revised edition i have often wondered what an m d with chronic gi distress or sinus problems would do about the problem that he tells his patients is a non existent syndrome dr ivker started off having chronic and severe sinus problems and his visits to several ent s totally floored him when they said you ll just have to live with it he spent several years trying everything standard and non standard until he was essentially cured of chronic sinusitis he now shares his approach in his book and i can honestly say that i am on the road to recovery following some parts of it his one recommendation to take a systemic anti fungal at the beginning of treatment if you have a history of anti biotic overuse has been proven to him time and time again in his own practice i m sure if i commented to him of the hard core beliefs of the anti yeast hypothesis posters that he would have definite things to say such as it s worked wonders for me in almost two thousand cases to put it mildly i also would not be surprised if he would say that they are the ones violating their moral obligations to help the patient maybe those doctors who are reading this who have a practice and are confronted by a patient having symptoms that could be due to the hypothetical yeast overgrowth e g they fit some of the profiles the pro yeast people have identified should consider anti fungal therapy if all other avenues have been exhausted remember theory and practice are two different things you cannot have one without the other they are synergistic if a doctor does something non standard yet produces noticeable symptomatic relief in over a thousand of his patients shouldn t you at least sit up and take notice maybe you ought to trust what he says and begin hypothesizing why it works instead of why it shouldn t work i m afraid a lot of doctors have become so enamored with scientific correctness that they are ignoring the patients they have sworn to help you have to do both both have to be balanced which we don t see from some of the posters to this group there comes a point when you just have to use a little common sense and maybe an empirical approach such as trying a good systemic anti fungal such as sporanox after having exhausted all the other avenues i was one of those who the traditional medical establishment was not able to help so i did the natural thing i went to a couple of doctor s who are somewhat outside this establishment and as a result i have found significant relief would it not be better if the traditional medical establishment can set up some kind of mechanism where any doctor without fear of being sued or having his license pulled can try experimental and unproven beyond a doubt therapies for his her patients that finally reach the point where all the accepted therapies are ineffective i d like to hear a doctor tell me well i ve tried all the therapies that are approved and accepted in this country and since they clearly don t work for you i now have the authority to use experimental unproven techniques that seem to have helped others i can t promise anything and there are some risks you will have to sign something saying you understand the experimental and possibly risky nature of these unproven therapies and i ll have to register your case at the state board anyway if my ent had suggested this to me i would ve jumped on this pronto instead of going to one of those doctors who for either altruistic reasons or for greed is practicing these alternative therapies with much risk to him her risk meaning losing their license and possibly to the patient such a mechanism would keep control in the more mainstream medicine and also provide valuable data that would essentially be free it also would be morally and ethically better than the current system by showing the compassion of the medical community to the patient that it s doing everything it can within reason to help the patient it is the lack of such a mechanism that is leading large numbers of people to try alternative therapies some of which seem to work like my case and others of which will never work at all true quackery i better get off my soapbox before this post reaches k in size if taken orally it can also become a major bacteria in the gut through aresol sprays it has also been used to innoculate the sinus membranes but before this innoculation occurs the mucus membrane barrier system needs to be strengthened this is accomplished by vitamin a vitamin c and some of the b complex vitamins diet surveys repeatedly show that americans are not getting enough b and folate these are probably the segement of the population that will have the greatest problem with this non existent disorder candida blooms after antibiotic therapy what dosage of b appears to be necessary to promote the healing and proper working of the mucos memebranes some of the above material was obtained from natural healing by mark bricklin published by rodale press as well as notes from my human nutrition course i will be posting a discussion of vitamin a sometime in the future along with reference citings to point out the extremely important role that vitamin a plays in the mucus membrane defense system in the body and why vitamin a should be effective in dealing with candida blooms another effective dietary treatment is to restrict carbohydrate intake during the treatment phase this is especially important if the gi system is involved if candida can not get glucose it s not going to out grow the bacteria and you then give bacteria which can use amino acids and fatty acids for energy a chance to take over and keep the candida in check once carbohydrate is returned to the gut i d like to see the role of complex carbohydrates such as starch if steve and some of the other nay sayers want to jump all over this post fine i jumped all over steve in sci med nutrition because he verbably accosted a poster who was seeking advice about her doctor s use of vitamin a and anti fungals for a candida bloom in her gut people seeking advice from newsnet should not be treated this way those of us giving of our time and knowledge can slug it out to our heart s content if you saved your venom for me steve and left the helpless posters who are timidly seeking help alone i wouldn t have a problem with your behavior brave soul you are the venom on usenet can be quite toxic unless one develops an immunity to it one year ago my phlegmatic self would have backed down right away from an attack of cholericitis but my immune system and my computer system have been hardened from gradual desensitization i now kind of like being called anal retentive it has a nice ring to it i also was very impressed by how it just flowed into the post truly classic worthy of a blue or maybe brown ribbon i might even cross post it to alt best of internet hmmm martin banschbach ph d professor of biochemistry and chairman department of biochemistry and microbiology osu college of osteopathic medicine thanks again for a great and informative post i hope others who have researched this area and are lurking in the background will post their thoughts as well no matter their views on this subject jon noring charter member infj club if you re dying to know what infj means be brave e mail me i ll send info jon noring noring netcom com jkn international ip fred s gourmet chocolate carlton place phone chips world s best livermore ca v mail who are you read alt psychology personality that s where the action is
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re is msg sensitivity superstition bruce data io com bruce reynolds writes anecedotal evidence is worthless even doctors who have been using a drug or treatment for years and who swear it is effective are often suprised at the results of clinical trials whether or not msg causes describable reportable documentable symptoms should be pretty simple to discover i tend to disagree i think anecdotal evidence provided there is a lot of it and it is fairly consistent will is very important first it points to the necessity of doing a study and second it at least says that the effects are all psychological or possibly allergy in this case as i ve pointed out before pyschological effects are no less real than other effects one person s make believe can easily be another person s reality using psychadelic drugs in a bizarre and twisted example the hallucinations one person experiences on an acid trip cannot be guaranteed to another person on an acid trip there is no clinical evidence that those effects are always going to happen anyhow that was a pretty lame example but hopefully i made my point it s all a matter of perception and as long as someone ingesting msg perceives it as causing bad effects then s he can definitely experience those affects on the other hand it could just be an allergy to the food it s in or something still anecdotal evidence is not worthless it s the stuff that leads to the study being done dan
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re arythmia alexis perry asked if low blood potassium could be dangerous yes zz
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re re help me inject from article apr vax oxford ac uk by krishnas vax oxford ac uk the best way of self injection is to use the right size needle and choose the correct spot for streptomycin usually given intra muscularly use a thin needle guage and select a spot on the upper outer thigh no major nerves or blood vessels there clean the area with antiseptic before injection and after make sure to inject deeply a different kind of pain is felt when the needle enters the muscle contrasted to the prick when it pierces the skin ps try to go to a doctor self treatment and self injection should be avoided as far as possible the areas that are least likely to hurt are where you have a little fat i inject on my legs and gut and prefer the gut i can stick it in at a degree angle and barely feel it i m not fat just have a little gut my legs however are muscular and i have to pinch to get anything and then i inject at about a degree angle and it still hurts the rate of absorbtion differs for subcutaneous and muscular injections however so if it s a daily thing it would be best not to switch places every day to keep consistencey although some suggest switch legs or sides of the stomach for each shot to prevent irritation when you clean the spot off with an alcohol prep wait for it to dry somewhat or you may get the alcohol in the puncture and of course that doesn t feel good a way to prevent irratation is to mark the spot that you injected a good way to do this is use a little round bandage and put it over the spot this helps prevent you from injecting in the same spot and spacing the sites out accuartely about apart this is from experience so i hope it ll help you i have diabetes and have to take an injection every morning later david david hahn university of wisconsin milwaukee hahn csd csd uwm edu
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