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Lyme disease: recognition, management, and prevention in the primary care setting.

UNLABELLED: This activity is designed for practitioners who see patients with tick bites, Lyme disease, or suspected Lyme disease in their practice, whether or not the practitioner is in an endemic area for Lyme disease. GOAL: To help primary care practitioners recognize and treat Lyme disease and provide preventive counseling. OBJECTIVES: 1. Be familiar with the terminology used for the causative agent of Lyme disease, its tick vector and reservoirs in nature, and where the disease is endemic. 2. Know the features of the common, characteristic clinical forms of Lyme disease. 3. Appreciate the uses and limitations of laboratory testing for this infection. 4. Understand early antibiotic treatment of Lyme disease, the management of a tick bite, and preventive measures.

Anti-Bacterial Agents↗

Efficacy of neem oil-water emulsion against mosquito immatures.

Neem oil-water emulsion was used in mosquito breeding habitats to find out its larvicidal effect on immatures of different mosquito species. Application of 5% neem oil-water emulsion @ 50 ml/sq m in pools and @ 100 ml/sq m in tanks resulted in 100% reduction of III and IV instar larvae of An. stephensi after 24 h while, against Cx. quinquefasciatus it was 51.6 and 91.2% reduction in the larval density after Day 1 and 14 respectively. Similarly, application of 10% emulsion in desert coolers against Aedes aegypti @ 40 to 80 ml per cooler resulted in complete inhibition of pupal production.

Animals↗

Effects of amitraz given by different routes on rats.

Three-mo-old male Wistar rats were sprayed with 250, 500, 1000 and 2000 ppm amitraz 2 w apart or given single doses of 50, 100, or 250 mg/kg p.o, i.m. or i.p. No effects were observed in the amitraz-sprayed rats. Single doses of amitraz p.o, i.m. or i.p. was non-toxic at 50 mg/kg, toxic at 100 mg/kg and lethal at 250 mg/kg within 24 h of dosing. Survivors were killed 48 h post-dosing. Features of toxicity were depression, incoordination of movement, paresis of the limbs, hepatonephrotoxicity, muscular hemorrhage at site of injection and peritonitis following i.p. injection. These changes, accompanied by leucopenia, were correlated with alterations in serum AST and concentrations of serum constituents. Amitraz did not inhibit serum ChE activity.

Administration, Oral↗

Malaria prevention and control in the United States military.

Malaria continues to be a serious threat to deployed military forces in many areas of the World. United States experiences during, and lessons learned from, World War II, Viet Nam, and Somalia have significantly changed the way that military planners, medical and preventive medicine personnel are facing the malaria challenge. Currently, the US military has a powerful arsenal of educational courses and materials, personal protective measures, and malaria surveillance and control techniques in place to fight malaria. These new tools will hopefully reduce malaria morbidity and mortality during military deployments in the future.

Clothing↗

[Current information on treatment and prophylaxis of malaria (author's transl)].

Malaria is not a disease of the past. As long as worldwide eradication has not been achieved there is a close connection between countries which export it and those which import it. If the European doctor is presently confronted with a feverish disease which may have been brought in from a tropical area, he should immediately think of malaria and take the necessary measures for treatment. If patients or travelers come into the office and enquire about drugs and preventive measures against malaria, the doctor must choose the correct methods. This is best done by two questions: Where have you come from? and Where are you going? In this way the doctor can obtain ideas on the possibility of resistant strains of parasite in the region in question. Tourists should not forget that a rational and regular chemoprophylaxis is the best protection against serious attacks of malaria.

Adolescent↗

Effectiveness of different emulsifiers for neem oil against the western flower thrips (Thysanoptera, Thripidae) and the warehouse moth (Lepidoptera, Pyralidae).

The neem tree produces highly specified acting insecticides mainly in its seeds. By pressurizing or extracting the seeds an insecticide oil can be manufactured. For successful application emulsifiers are needed to render the oil soluble in water. The heavy oil has to be stable in emulsion, but on the other hand the surfactant should not reduce the ecological property of the neem oil. The emulsifiers Lutensol TO10, Emulan ELP, Rimulgan and Tween 80 and for comparison the formulation NeemAzal-T/S were tested in their emulsion stability, as well as in their insecticidal effects towards two different insect pests: The western flower thrips Frankliniella occidentalis and the ware house moth Ephestia elutella. The emulsifiers were applied purely, and in different contents mixed in neem oil. Data showed significant differences of mortality and development on the tested pests. Lutensol TO10 and Emulan ELP caused spontaneous mortality on the western flower thrips and an additive efficacy when mixed with neem oil. Rimulgan led to mortality of the larvae of the warehouse moth. NeemAzal showed in both bioassays the highest efficacy of 95% mortality.

Animals↗