The Centers for Disease Control and Prevention (CDC) published five case studies today in Morbidity and Mortality Weekly Report (MMWR) of patients who experienced serious complications and bacterial infections after receiving treatments for “chronic Lyme” disease.There is no medical definition of “chronic Lyme” and no treatment guidelines; instead, the term is used by patients and some providers to describe several symptoms, including fatigue and muscular pain, attributed to prior infection with Lyme disease. Many patients with a chronic Lyme diagnosis, however, test negative for Borrelia burgdorferi, the bacteria associated with the ticks that carry Lyme.Some practitioners, including alternative medicine professionals who advertise themselves as being “Lyme literate” prescribe long-term courses of antibiotics and immunoglobulin therapy. But the CDC warns that treating an undiagnosed condition with an unregulated treatment plan can be dangerous for patients.”At least five randomized, placebo-controlled studies have shown that prolonged courses of IV [intravenous] antibiotics in particular do not substantially improve long-term outcome for patients with a diagnosis of chronic Lyme disease and can result in serious harm, including death,” the authors write.Poor patient outcomesTo describe the threats of over-treating the undiagnosed condition, the CDC published five patient descriptions that come from state health departments. In one case, a woman died from shock after she received a peripherally inserted central catheter (PICC) for IV antibiotic treatment for persistent Lyme. Her joint pain never resolved after 3 weeks of treatments, and she eventually died from central venous catheter–associated bacteremia.Another patient, a teen girl, also got septic shock after her PICC became contaminated. She had been seeing an alternative health practitioner who prescribed long-term use of ceftriaxone. Her PICC was removed, but she was hospitalized for weeks.Another patient, a 50-year-old woman, sought treatment for chronic Lyme for 5 years. She developed Clostridium difficile colitis as a result of using several antibiotic, antifungal, and herbal remedies.”The C. difficile infection became intractable, and her symptoms persisted for over 2 years, requiring prolonged treatment. The patient subsequently died from complications of amyotrophic lateral sclerosis,” the authors write.Concern over resistance, other complicationsAccording to the CDC, it is not known how many people seek treatment for chronic Lyme, or how many complications occur during the course of treatment.”In addition to the dangers associated with inappropriate antibiotic use, such as selection of antibiotic-resistant bacteria, these treatments can lead to injuries related to unnecessary procedures, bacteremia and resulting metastatic infection, venous thromboses, and missed opportunities to diagnose and treat the actual underlying cause of the patient’s symptoms,” the authors conclude.See also:Jun 16 MMWR report
‘Ocean Exploration 2020: A National Forum,’ will bring together more than 100 ocean explorers and representatives from federal agencies, state governments, non-governmental organizations, universities, ocean institutions and leading industries to shape a U.S. national ocean exploration program.The Forum, to be held at the Aquarium of the Pacific in Long Beach, July 19-21, will gather experts with the aim of developing a national program that will be fully implemented by 2020.“The expertise and imagination that will come together at the Forum is exciting,” said Robert Detrick, Ph.D., assistant administrator for NOAA Research, and a Forum speaker. “Partnerships will be the key to developing and following-through on a national ocean exploration program that truly makes a difference. Partnerships leverage the funding, equipment, and expertise required to significantly advance the nation’s ocean-related scientific, economic, environmental and educational goals.”Forum participants include ocean explorers and ocean resource managers as well as educators, project managers, technologists, information managers and entrepreneurs who will share their ideas for taking the nation’s ocean exploration program where it should be in 2020.“It is an honor that we are co-hosting the Forum that will define the future of ocean exploration and lead to the nation’s national ocean exploration program,” said Jerry Schubel, Ph.D., president and CEO of the Aquarium of the Pacific.The first two days of the Forum are by invitation and will involve presentations, panel discussions and breakout sessions covering themes such as exploration priorities, technology, platforms, data and information management and sharing, citizen science and exploration, ocean exploration, and public engagement.The final day, Sunday, July 21, is Explorers Day and is open to the public. A number of explorers from the Forum will remain to meet with the public to explain their ocean exploration work and to answer questions about ocean exploration robots and other equipment on display. This event is part of the Aquarium of the Pacific’s ongoing Ocean Exploration program and Wonders of the Deep exhibit, which launched May 24, 2013.Explorers Day will also feature demonstrations, workshops, and live interactive engagements with explorers at sea on ‘America’s ship for ocean exploration,’ NOAA Ship Okeanos Explorer; with explorers on the Schmidt Ocean Institute’s Research Vessel Falkor; and with Dr. Robert Ballard’s team on the Ocean Exploration Trust’s Exploration Vessel Nautilus.Forum partners include NOAA, the Aquarium of the Pacific, the Global Foundation for Ocean Exploration, the Schmidt Ocean Institute, Google, Inc., the Bureau of Ocean Energy Management, Esri, NASA, the National Geographic Society, the National Research Foundation, the Ocean Exploration Trust, The Roddenberry Foundation, the U.S. Geological Survey, and the U.S. Department of State. Others from governmental and non-governmental organizations will participate and during the first two days, and members of the public will participate as ‘citizen explorers’ online, adding their voices in shaping the nation’s ocean exploration program.Five breakout sessions are planned-four in-person and one online-each with the same assignment: to outline a 10-to-15-step plan to create a distinctive, distinguished, and inclusive National Ocean Exploration Program in 2020 that considers all ocean exploration stakeholders. Forum participants will then work to reduce and combine elements of the five plans into an ocean exploration vision and plan for a national program, including a strategy for meeting plan goals.NOAA, July 19, 2013; Image: NOAA
Fort Lauderdale, Florida – During extensive Hurricane Dorian Relief efforts, it was brought to the attention of Fort Lauderdale Fire Rescue (FLFR) that the Volunteer Fire Departments in the Bahamas were greatly affected by the storm’s impact and are no longer able to service their communities. FLFR immediately reached out to Fire Chief Danny Ross of Marsh Harbor Volunteer Fire Rescue to see how we could help.Chief Ross stated that all their fire equipment had been lost in the storm and any donations would be greatly appreciated. FLFR went to work and began to inventory what was scheduled to be replaced in the coming year. Included in this long list of items was the possibility of a fire truck that was going to auction. FLFR’s Fire Chief Rhoda Mae Kerr approached City Manager Chris Lagerbloom with this idea and it was immediately approved.The next hurdle would be how to get a 44,000 lb. fire truck to a remote island. FLFR took to social media and was quickly contacted by Alan Davies of Hydro-Dynamic Solutions. Mr. Davies has had ties with Marsh Harbor for a long time and was able to contact SEACOR Island Lines, LLC in Dania Beach who agreed to transport the truck free of charge.On Tuesday, December 3rd at 5 p.m., the Fort Lauderdale City Commission and Fort Lauderdale Fire Rescue will have a brief ceremony in front of City Hall where the keys for this truck will be turned over to personnel from Marsh Harbor Volunteer Fire Rescue.
Young shotstopper Jojo Wollacott has been called up as the substitute keeper this evening.Elsewhere, Nathan Baker (ankle) could yet feature as he has been named among the substitutes, after undergoing a late fitness test.Liam Walsh makes his second start for the Robins, who are looking to overturn the 2-1 deficit at Ashton Gate tonight.Bristol City v Manchester City is live on Sky SPorts and kick off at 7.45pm.City: Steele, Smith, Wright, Flint, Magnusson, Brownhill, Walsh, Pack, Bryan, Paterson, Reid. Subs: Wollacott, Baker, Eliasson, Kent, Diédhiou, Taylor, Engvall.Man City: Bravo, Walker, Stones, Otamendi, Zinchenko, Fernandinho, B Silva, D Silva, Sane, De Bruyne, Aguero. Subs: Ederson, Danilo, Kompany, Sterling, Gundogan, Mangala, Toure.Referee: Graham Scott