Letter: Isoniazid hepatitis.
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Biomedical subjects
Publications and source records attributed to S A Levy.
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Lyme disease has been recognized in humans since 1975 when it was associated with an outbreak of oligoarthritis in children in Lyme, Connecticut. Erythema chronicum migrans (ECM) is a clinical marker for the human disease, which usually appears within 3 to 32 days after an infected tick bite. Lyme disease is caused by spirochete, Borrelia burgdorferi, which is vectored by the hard ticks Ixodes dammini or Ixodes pacificus in the United States. In humans, Lyme disease has been found to cause a variety of clinical syndromes including cardiopathy, neuropathy, dermatopathy, and arthropathy. Human Lyme carditis is characterized by varying degrees of atrioventricular (AV) heart block that usually resolve regardless of therapy. Lyme disease has been reported in the dog as an arthropathy. This article reports a case of complete heart block and myocarditis in a dog with a positive titer for B burgdorferi, in which clinical and pathologic findings were similar to those seen in human Lyme myocarditis.
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It stands to reason that a full-body protective suit has an impact on the worker's body. It has weight, it does restrict movement to an extent. It's not like wearing a sport shirt. But, how much of an impact and what kind; how much of an energy drain is it? This ergonomic study addresses itself to the energy expenditure from wearing such a suit. The study reveals that the energy requirements in workers undergoing light to moderate exercise do increase. In some cases, the increase may be marked, with the physiological work level going from light to moderate to heavy. This work-level jump isn't always detectable by monitoring pulse rate alone. It's also reflected by an increase in minute ventilation and oxygen consumption. One tentative conclusion coming from this study is the possibility of improving comfort and reducing the energy requirements of workers using such equipment by increasing the volume of air supplied to the suit.