Tuesday, May 8, 2007

Alexandria went to check out this link




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Scientists are still studying the 1918 pandemic, the deadliest of the 20th century, looking for lessons for future outbreaks — including the possibility that H5N1, the avian influenza virus, could mutate into a form spread easily from human to human. “That we were able to go back and ask the right questions,” In an influenza epidemic, a certain number of people survive the illness and are immune to reinfection. The study examined the course of the epidemic in 23 cities: San Francisco, St. Although no cities succeeded in doing this, those that got closest, like St.
We memorize the characteristics in residency training and recall them in evaluations to figure out how frightened we ought to be. The criteria are so specific it’s like putting pins in a war map. But he said the suicidal behavior risk, although lower than found by the F.D.A., demanded that doctors and families watch for warning signs. Early action appeared to have saved thousands of lives.
This month, researchers published two new studies in The Proceedings of the National Academy of Sciences comparing public-health responses in cities like St. Who is a researcher at the National Institutes of Health, said the findings might hold lessons for the 21st century. “When multiple interventions were introduced early, they were very effective in 1918,” he said, “and that certainly offers hope that they would be similarly useful in an epidemic today if we didn’t have an effective vaccine.” The second study, in the same issue of The Proceedings, suggests that in one sense preventive measures can be too effective. In an influenza epidemic, a certain number of people survive the illness and are immune to reinfection.
They also found that only Prozac worked better than dummy pills in depressed children younger than 12. In the studies involving depression, 61 percent of patients improved while on antidepressants.
March, who was not involved in the study but who does similar research. “You can’t say, ‘Take these and call me in six weeks. ” Two weeks before Philadelphia officials began to react, doctors in St. March, who was not involved in the study but who does similar research. Early action appeared to have saved thousands of lives. Hatchett said, “is a function of a lot of modeling work that we did previously.” In an influenza epidemic, a certain number of people survive the illness and are immune to reinfection.
Ferguson said, is to tune an imperfect intervention perfectly so that a single peak of minimal size is the result. I knew about his voices, and sometimes knew what his voices told him, but had come to believe that voices and patient coexisted in a delicate yet stable ecosystem. Finding him there during life seemed illicit; peeking into his bedroom window.
Finding him there after death seemed imperative. They also found that only Prozac worked better than dummy pills in depressed children younger than 12.Among young patients with obsessive-compulsive disorders, 52 percent improved on antidepressants, compared with 32 percent who improved on dummy pills. And in the studies of anxiety disorders, 69 percent improved on antidepressants and 39 percent improved on dummy pills. Louis persuaded the city to require that influenza cases be registered with the health department. Louis were 347 per 100,000 people, less than half the rate in Philadelphia. Cities that instituted quarantine, school closings, bans on public gatherings and other such procedures early in the epidemic had peak death rates 30 percent to 50 percent lower than those that did not.
“That we were able to go back and ask the right questions,” The director for global migration and quarantine at the federal Centers for Disease Control and Prevention in Atlanta, found reason for optimism in the study results. As these numbers increase, the epidemic fades. If restrictions were introduced too late or lifted too early, success rates declined substantially.
Although no cities succeeded in doing this, those that got closest, like St. What these results mean for a future epidemic is not clear. No one is immune from contemplating suicide. Finding him there after death seemed imperative. They were an introduction to a man I had not properly known.
I had thought of him as struggling under the constant hold of hallucinations. They also found that only Prozac worked better than dummy pills in depressed children younger than 12.
And in the studies of anxiety disorders, 69 percent improved on antidepressants and 39 percent improved on dummy pills. But he said the suicidal behavior risk, although lower than found by the F.D.A., demanded that doctors and families watch for warning signs. “You can’t treat kids with these drugs without taking this information into account,” said Dr. Adolescents responded better than children to treatment for depression and anxiety, the researchers found. They also found that only Prozac worked better than dummy pills in depressed children younger than 12. In the studies involving depression, 61 percent of patients improved while on antidepressants. Adolescents responded better than children to treatment for depression and anxiety, the researchers found.
And in the studies of anxiety disorders, 69 percent improved on antidepressants and 39 percent improved on dummy pills. And two days after the first civilian cases, police officers helped the department enforce a shutdown of schools, churches and other gathering places. This month, researchers published two new studies in The Proceedings of the National Academy of Sciences comparing public-health responses in cities like St.
“That we were able to go back and ask the right questions,” As these numbers increase, the epidemic fades.Ferguson said, is to tune an imperfect intervention perfectly so that a single peak of minimal size is the result. But he added that rigid preventive measures like quarantines, mandated mask wearing and widespread business closings would still need to be put in place. When it is your patient who has died, there is a fugitive quality to it: someone has fled, and you were unable to capture or return him alive. Finding him there during life seemed illicit; peeking into his bedroom window. Nor, apparently, was that unseen self writing back.
But he had ignored his hallucinations long enough to write of a different yet equally true self here, and he had found friends who identified him not by psychiatric symptoms but by astrological sign. In this world, he was a Pisces, not a schizophrenic. The unquestionably normal person, whose photograph still looked as though it were reading its e-mail messages from the opposite side of the Web page, had already fled — to find peace, or reconciliation or relief, I don’t know. Doctors in training sometimes confront situations in which they worry that their supervising physicians are making mistakes or bending the truth.
Modern medical education can be traced to a series of reforms that began in the late 19th century. Although this practice made many students uncomfortable, most were afraid to speak up. The student whose resident seemingly lied to the attending physician about the blood test did not speak up either. Among young patients with obsessive-compulsive disorders, 52 percent improved on antidepressants, compared with 32 percent who improved on dummy pills. “You can’t say, ‘Take these and call me in six weeks. ”
Using mathematical models, they reported that such large differences in death rates could be explained by the ways the cities carried out prevention measures, especially in their timing. Cities that instituted quarantine, school closings, bans on public gatherings and other such procedures early in the epidemic had peak death rates 30 percent to 50 percent lower than those that did not.
Who is a researcher at the National Institutes of Health, said the findings might hold lessons for the 21st century. “The thing I find encouraging about the Hatchett paper,” he said, “is that when you look back to 1918, you find that those who used nonpharmaceutical measures effectively were able to mitigate the impact of the severe pandemics, and this is consistent with some of the 21st-century simulation models.” The second study, in the same issue of The Proceedings, suggests that in one sense preventive measures can be too effective. But an effective prevention program without a vaccine can leave enough people uninfected and still susceptible to the virus to start the epidemic again as soon as the controls are lifted. Louis, carried out early interventions before the first peak, and then reinstituted them when transmission rates began to rise again. Demographic studies show that the population most at risk is single, urban, substance-abusing older white men with physical illness, few supports and low incomes. Finding him there after death seemed imperative.
They were an introduction to a man I had not properly known. I had gone on the site only a day after his death, but his cyberobituary must have traveled faster. One of the most notable occurred at the Johns Hopkins University School of Medicine, where educators initiated a formal system to train students on the clinical wards.
Although this practice made many students uncomfortable, most were afraid to speak up. Even when students do speak up, they may be ignored.


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