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Icio discuss this story published september 11, 2007 - the wife of a jeffersonville police officer is facing drug charges in clark circuit court, following an investigation by jeffersonville and indiana state police and soma. BACTERIAL CULTURE RESULTS FROM 251 CASES OF HEPATOBILIARY DISEASE IN DOGS AND CATS. KA Wagner, FA Hartmann, LA Trepanier. University of Wisconsin-Madison, School of Veterinary Medicine, Madison, WI. Bacterial infection is thought to accompany canine and feline hepatobiliary diseases, although there are few actual studies of common organisms, susceptibilities, or clinical predictors of a positive culture. The purpose of this retrospective study was to characterize the results of bacteriologic cultures of liver and bile in dogs and cats with hepatobiliary disease, referred to the Univ. of Wisconsin VMTH between 1998 and 2003. In 190 dogs, 7% of hepatic and 28% of biliary cultures were positive for bacterial growth; in 61 cats, 14% of hepatic and 36% of biliary cultures were positive. In patients in which both liver and bile cultures were performed, bile was more commonly positive. Most cats had a single organism identified 82% of feline cultures ; , whereas most dogs had multiple organisms cultured 61% of canine cultures ; . The most commonly cultured organisms were Eschericia coli 18% of positives ; , Enterococcus spp. 16% ; , Bacteroides spp. 11% ; , and Clostridium spp. 6% ; . Coagulase-negative Staphylococcus was a common contaminant. A positive liver culture was correlated with leukocytosis, but not with fever, left shift, toxic. The appellants indicated other causes allegedly specific for gastritis, and not for ulcer, such as psychosocial or environmental factors. However, lacking any document able to circumstantiate this statement, the board holds that such factors, like the antiinflammatory drugs, are also able to cause ulcer, depending on their intensity and length and sonata, for example, stop hair loss. Definitely not recommended to use steroids to promote hair growth, unless you want your skin to thin etc if your house mate is worried about hair loss, he can try minoxidil regaine, available from pharmacies ; , or if that doesn't work his doctor could prescribe finasteride 1mg tabs propecia ; on a private prescription and will cost around 25-30 per month.

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Included an elevated red cell mass, normal arterial oxygen saturation, and splenomegaly, while minor criteria including thrombocytosis, leukocytosis, elevated leukocyte alkaline phosphatase, and elevated serum vitamin B12. These criteria were limited by the tests available at the time and did not include measurement of serum EPO levels, cytogenetics to establish clonality, ultrasound to evaluate splenomegaly, or EPO-independent colony proliferation. Updated modified criteria have been recently proposed and are shown in Table 1. Molecular assays may soon prove useful in establishing the diagnosis of PV as well. Granulocytes from PV patients overexpress the mRNA for the neutrophil antigen NBI CD177 designated PRV-1 ; . Overexpression of PRV-1 is not seen in secondary causes of erythrocytosis and appears to be specific for PV. In establishing the diagnosis of PV it important to rule out secondary causes of erythrocytosis Table 2 ; . A detailed history to evaluate for chronic hypoxia smoking, sleep apnea, or chronic lung disease ; , renal disease, prior or current thrombosis, and familial erythrocytosis is essential. Nearly 66% of all thrombotic events seen in a large PV study occurred at presentation or in the 2 years preceding diagnosis. Initial evaluation should include a complete blood count CBC ; , arterial oxygen saturation, ferritin, vitamin B12, folate, creatinine, liver function tests, uric acid, abdominal ultrasound, serum EPO level, and bone marrow evaluation with cytogenetics. Serum EPO level may be the most useful in differentiating PV from secondary erythrocytosis. Elevated EPO levels are suggestive of secondary erythrocytosis, whereas low-to-normal levels suggest the diagnosis of PV. If the above workup is unrevealing, additional studies may help establish the diagnosis, including: EPO-independent burst-forming unit-erythroid BFU-E ; colony growth and tylenol.

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254 ASSESSING THE MICROSCOPIC DIAGNOSIS OF MALARIA IN SELECTED HEALTH FACILITIES IN THE DEMOCRATIC REPUBLIC OF THE CONGO. Gasigwa DB, Kazadi WM, Tshefu AK, Kutekemeny A, Muhoya P, Musema M, Sadiki N, Numbi A, Long EG, Nguyen-Dinh P. National Malaria Control Program, Kinshasa, Democratic Republic of the Congo DRC School of Public Health, Kinshasa, DRC; Institut Medical Evangelique, Kimpese, DRC; Division of Parasitic Diseases, CDC, Atlanta, GA. Microscopic diagnosis that is accurate and efficiently applied is essential to correct case management of malaria and to rational use of antimalarial drugs. Earlier surveys in the Democratic Republic of the Congo DRC ; in 2000-2001 indicated that 25%-44% of the microscopic diagnoses made by health facilities HF ; microscopists were incorrect. This was attributed to inadequate training and supervision, and to lack of equipment and reagents. To address the problem, the National Malaria Control Program PNLP ; and its partners organized training workshops and provided a limited amount of equipment and reagents to selected HF. We assessed the microscopic diagnosis of malaria in 6 health facilities in Kinshasa and Kimpese, which had benefited from these interventions. Blood smears n 222 ; collected from patients with suspected malaria were examined by both HF microscopists and more experienced microscopists. The positivity rates were 45% and 37% for HF microscopists and experienced microscopists, respectively sensitivity 75%; specificity 73%; positive and negative predictive values 63% and 83% respectively ; . The mean delay to retrieve results by the patients was 17 hours. Most of the microscopic examinations were made for patients with uncomplicated malaria, while national policy recommends microscopy only for malaria cases that are severe or suspect of drug resistance. In Kimpese, among 22 patients with suspected drug failure following treatment with sulfadoxine-pyrimethamine.

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1986 ; seem to be concentrated in the lower left quadrant of the diagram i.e., exhibit below-median centrality and density values ; . A similiar distribution is exhibited in a centrality-density diagram of clusters derived from the Fish Oil literature set Figure 2 ; . However, possibly interesting intermediate terms are found in other parts of the diagrams, too, and not each cluster in the lower left quadrant contains an interesting intermediate term. Nevertheless, from Figures 1 and 2 one may draw the conclusion that it makes sense to start cluster checking for possible interesting intermediate terms in the lower left quadrant of a strategical diagram of source or target literatures. To find out if there is a more direct path leading to interesting intermediate term we tried to numerically relate the source cluster cluster containing the main source term Raynaud's Disease ; as well as the target cluster cluster containing the main target term Eicosapentaenoic Acid, the active compound of Fish Oil ; to intermediate clusters of their literature sets by calculating Source-Intermediate Ratios SIR ; and TargetIntermediate Ratios TIR ; see Methods ; . Table 1 lists some of these SIR and TIR values. It is certainly difficult to say that there is a "preferred number"; however, in an open discovery process Weeber et al., 2001 ; it might make sense to start cluster checking with a SIR value around 2 analyzing the source literature ; or a TIR value around 1.5 analyzing the target literature ; . In addition, the special kind of the clustering process see Methods ; tends to accumulate intermediate terms of possible interest, e.g. cluster 15 of the Raynaud's Disease literature set holds four relevant terms, and cluster 23 of the Fish Oil literature set holds three relevant terms see Table 1 ; . Next, we analysed three intermediate literatures. Figures 3 a, 4, and 5 show the distribution of the clusters derived from the literature title searches ; of Blood Viscosity, Platelet Aggregation and Thrombosis, respectively. In these examples we find the clusters containing the source term Raynaud's Disease and the target term Eicosapentaenoic Acid in more or less ; close neighbourhood. We also determined Source-Target Ratios STR ; see Methods ; in the intermediate literature sets, the target being the cluster containing the term Eicosapentaenoic Acid. The STR values are roughly equal having values slightly above 1 Table 2 ; , i.e., the source and the target cluster within an intermediate literature set show roughly the same centrality-density ratio CDR ; . Analyzing the clusters resulting from a search for the MeSH term BLOOD VISCOSITY, we find the clusters containing the source and the target term in close neighbourhood Figure 3 b ; , too, their STR value being almost identical to its counterpart derived from the title search Table 2 and soma.

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