Doctors Save Life of U.S. Child With Drug-Resistant Tuberculosis

By Karen Pallarito
HealthDay Reporter
SUNDAY, Nov. 15, 2015 (HealthDay News) — A 5-year-old child from the United States, stricken at age 2 with a deadly form of tuberculosis after traveling to India, is finally in remission, researchers report.
The case, one of only a handful reported in the medical literature, highlights the difficulties of treating an extensively drug-resistant form of tuberculosis, known as XDR TB, in children, the researchers said.
The case also highlights the growing global threat of this virulent form of TB and the risk to Americans traveling in countries where there is a high burden of disease.
A detailed account of the child’s diagnosis and treatment, and the obstacles that clinicians at Johns Hopkins Children’s Center in Baltimore faced, was published in the Nov. 16 online edition of The Lancet Infectious Diseases.
Study co-author Dr. Sanjay Jain, an associate professor of pediatrics and international health at Johns Hopkins University, said the case is a “wake-up” call to scientists and the public at large.
Even with the best medical care in the world, “it was tough for us to diagnose and treat this patient,” Jain said. “What would it be for the rest of the world?”
Some experts have called this highly drug-resistant form of TB “Ebola with wings” because the disease is airborne and the mortality rate is higher, said Dr. Jennifer Furin from the department of global health and social medicine at Harvard Medical School in Boston.
However, Furin, who is currently on assignment with Doctors Without Borders in South Africa, said she was struck by the amount of attention this particular case garnered. She and her colleagues in Cape Town see hundreds of children who are infected with drug-resistant strains of TB each year, and yet very little attention is paid to their plight.
“There is significant international experience in the management of children with [drug-resistant] TB, and it was a bit surprising to me that this was not utilized by the authors of the study nor cited in their references,” she said.
Furin said she hopes the case brings more attention to the problem, and that there will be greater U.S. engagement with providers internationally who have given care to hundreds of children with drug-resistant TB.
Extensively drug-resistant TB, caused by strains of bacteria that don’t respond to multiple drugs, is becoming increasingly prevalent, accounting for an estimated 10 percent of multidrug-resistant cases globally, the study authors said.
“Children are especially vulnerable because once infected, they fall sick faster with TB than adults,” explained Mercedes Becerra, an associate professor in the department of global health and social medicine at Harvard.
Fighting this virulent form of the lung disease in children raises a number of hurdles, including a lack of speedy and reliable techniques for definitively diagnosing the disease. Existing tests are much less sensitive in young children than adults, Jain explained.
In this case, the child returned from India with high fevers and a spot on her lung, hinting at the problem.
Although initial testing came back negative for TB, her medical team treated her as if she had the disease.
Her condition improved at first, but a repeat X-ray revealed unrelenting inflammation in her lung. Repeat lab tests confirmed, after 12 weeks, that she harbored an extensively drug-resistant form of the disease.
Clinicians tried a new cocktail, combining five different drugs plus vitamin B6, but soon encountered another hurdle: How would they monitor her response to treatment?
The answer: By repeatedly administering low-dose CT scans over six months.
“The CT scanning technique is not novel, but its use to monitor TB treatment in such a way is somewhat new,” Jain said.
Cases like this one underscore the need for additional research and investment, a number of experts noted.
“We need more research and we need to develop pediatric-appropriate diagnostic tests and child-friendly formulations of anti-TB drugs,” added Dr. James Seddon, clinical lecturer in the department of pediatric diseases at Imperial College in London.
More information
Find out more about drug-resistant TB at the U.S. Centers for Disease Control and Prevention.

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   5 Simple And Easy Fitness Tips That Work Every Time

If you take the opportunity to fully utilize these strategies there is no way you will not be disappointed. However, the key is consistency. These are all techniques that will work over time.

1) Get a personal trainer. There was a time where personal trainers were reserved for the rich and famous. However, times have changed. Nowadays you can go to your local gym and get high quality personal training. The nice thing about it is that many fitness centers will include the cost of the personal training in the initial cost of your membership. This means that you don't have to spend additional money to get a high level fitness coach to instruct you along the way.

2) Set realistic goals. If you try to accomplish all of your fitness goals in a one month timeframe you're going to be severely disappointed. As crazy and far-fetched as this may sound there are many people who actually engage in this behavior. They set themselves up for failure. You have to be different. Set very achievable goals. If you want to lose 20 pounds why not set your goals for a six month timeframe. That would be a realistic goal and it's also very achievable within the allotted time frame.

3) Make sure you vary your workout routine. If your workouts are always the same eventually you will plateau. What I mean by plateau, is eventually your body will adjust to the work out and you'll cease to realize the same gains as you had earlier on. To avoid this phenomenon make sure you vary your workouts.

 Perhaps the first two weeks your focus in on your cardio stamina. So the majority of your workouts would be geared toward cardio. For the next two weeks you may want to focus on strength training. This forces your muscles to adjust to a new workout regiment and you will continue to make gains. Additionally, this helps you stay motivated because no two workouts are exactly the same.

4) Create a training log. During your workout you will simply record exactly what you did, what weight you used, and how many reps you performed. What does this do for you? It serves as journal or diary of your progress. When you start lacking in motivation you can look back at all the hard work you have done. Look back and you will see how far you have come right on paper. This is so motivating! There's nothing better than to see the fruits of your labor.

5) Seek positive reinforcement. This is one of the most important things you can do to help yourself. Try to find a friend who you can exercise with. If that is not realistic you can go online and find groups of people who are trying to do the same thing as you are. The nice thing about this is you are not bound by geography and peer group. Using the internet you can find people from all over the world united with one goal. Utilizing this method will help you stay on track and continue to motivate yourself.

Mark Hall owns an informative fitness website called: http://get-a-6-pack.com. He has recently opened his website for authors who would like to guest post on his site.  If you are interested in finding out more information on how to submit a guest post Click Here.

Article Source: http://EzineArticles.com/?expert=Mark_R._Hall

fitness monkey _Health and Fitness News, Tips, Recipes, and Exercises

 I was there ... San Quentin State Prison ... serving 16 years of a life sentence for the crime of second degree murder . This is my 13 years behind bars , with a majority of the past locked within the cells of the light is not much bigger than a closet fitness monkey monkey tool fitness.

 It was extremely difficult for a guy and funny free spirit of love Southern California setting. I spent most of the time reading classic literature , taking college classes fitness monkey, exercise and learn to play guitar " Free bird " by Lanyard Sydney monkey tool fitness.

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However, on February 22 was the last day of demonstration Mile and I found myself standing in front of an audience full of venture capital , business leaders , journalists, and other inmates began to offer my PowerPoint presentation the company monkey tool fitness. "Hello, my name is Chris Schumacher and am the founder and CEO of ape fitness ... service life coaching that allows recovery from addiction online for fitness fitness monkey. "

I started my journey to the last mile after attending his first day in San Quentin demonstration last year. After seeing my good friend Kenya Legal hit out of the park with their land for potatoes coach and hear their praise of Tininess monkey , I immediately knew that this was something I wanted to be outside .

 I remember when he came to interview me for the next session , I wanted nothing in return fitness monkey. I wore my blue shirt "success", which was recently given to me by a " lifer " of my friends who had recently returned home.

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 I also made sure to drag a copy of Chris Credit News San Quentin representing me get a college degree and give an epic farewell I think even cry speech tutor.

 I was thrilled when I discovered that I had been selected to participate in the second grade class last mile. With so many negative influences around prison life , trying to take the road has often left me standing next to me. Now I began to feel as if all these lonely decisions were about to bear fruit fitness monkey.

Fitness monkey Once started during our Tuesday and Thursday night , I was totally " charmed " by Chris and Beverly his commitment and dedication to the men of the last mile. The guilt and shame of being in prison, can be very easy to get down on yourself , but here dynamos much care and compassion who believed in us and have agreed to share their energy and experience with a motivated group of hungry men to learn fitness monkey.

 The opportunity that lay before me really struck me the first night when Chris told us if we were willing to put in the work and become licensed Last Mile, have an internship waiting for us to release our fitness monkey. As a lifer , I had to learn to deal with uncertainty , but when I looked into his eyes, I was forced to believe.

 Join the last mile has taught me the importance of surrounding yourself with people you trust and learn to trust the process fitness monkey.

I can honestly say I had no idea what my business idea would be when I started the class. As we read in books like Magic Guy Kawasaki , the effect of Dragonfly by Jennifer Kayaker and Andy Smith, Brian Solis and " The End of Business as Usual, encouraged us to start thinking about things in life, was passionate about.

 at that time , I think my three running , tennis, yoga, and not to mention , out of jail . then he was asked to come up with a statement of eight or fewer words that define our commitment to us and the positioning creative process.

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 Read mine, "Living hard ... let the roar inspiration! "It was so strange and amazing how do these two things as a group gave us the courage and confidence to start thinking in terms of possibilities , rather than be hindered by circumstances A friend of mine said : ". . you do not need eyes to see ... you need vision "This rang so true, as The Last Mile has helped more than an expansion of consciousness that would allow me to see beyond watchtowers and barbed wire of the prison walls fitness monkey.

In the last 13 years of my imprisonment , I am committed to do everything in my power to make the best of a bad situation. I have participated in many groups and programs designed to help better understand the causal factors that led to my crime and give me skills to this recurrence fitness monkey Some of the most changed my life were the victim and Communication Education Group nonviolent
t offenders, anger management Recovery and Addiction Advice .
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 The more I learned , the more I realized that the information I took was not only essential for men in prison, could be beneficial to the life of people out of jail too.

 My initial business concept began as a preparation for the provider of online life called Life coach U. At first it was very broad and undefined fitness monkey. It was suggested that I try to reduce by incorporating more of my personal story . As things started describing products and services, target market, and my own situation , the two things that really took the stage were my focus on sobriety and staying fit . This was due to drugs and alcohol played a devastating role in my life that I vowed never to use again. Instead fitness monkey, I developed much healthier dependencies as the practice of yoga , tennis, and training to run a marathon SQL monkey. Pairing my own recovery from addiction with physical fitness was the spark that my business idea to life.monkey bar fitness The fitness monkey would be really the product of my life and my life sentence .

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Fitness monkey Men were asked last mile to create a business idea that integrates the three components of our passion monkey tool fitness, technology, and social causes . He is jailed and realize that the pain he had caused me motivated to stop using and start leading a healthier life. It was my passion for fitness of body, mind and soul fitness monkey.

In substance abuse and addiction play a role in the crimes committed by 80% of the 2.1 million men and women behind the bar - the United States , it became clear that there would be a market there for people who struggle to get clean and stay that way .

 As I started doing research fitness monkey, I quickly discovered that there is an inverse relationship between addiction and physical fitness . It became clear that exercise is a perfect solution for recovery has been shown to increase measures of euphoria and well being of a drug used in a similar manner fitness monkey. It was time to find a way to use technology and make monkey bar fitness fitness Monkey for people arrived fitness monkey.

To say that I was computer illiterate is not entirely accurate . However, the sweeping me how much faster and more advanced than any had in the last 13 years. For the record, I never looked in Google , Skype , Face booked monkey bar fitness, tweeted , digital, Integrated , or even knew what a mobile application was before joining LT . Join this group was a great opportunity for me to catch up on the world of technology has been happening to me.

 I really wanted to ape fitness to enjoy all that the world of high technology has to offer monkey bar fitness. I intend to develop a web site that could help members stay clean by passing through a variety of online gaming books and tips for personal trainers.

I have also designed a mobile application that allows members to follow your fitness and reward the successful recovery and achieving personal milestones monkey bar fitness monkey bar fitness. More than anything fitness monkey, I wanted monkey gym that is accessible to everyone who wanted to join . I hope to create a supportive community online that has the power to motivate and inspire members to overcome addiction and live a happy and healthy life monkey bar fitness .

Monkey bar fitness know how painful it can be to leave behind a social network of friends are involved with alcohol and drugs. I would like to improve fitness so no monkey would have to go it alone in their sobriety fitness monkey and sports monkey tool fitness .

I think the social cause is intrinsically holistic gym monkey because of its ability to provide a healthy alternative to the dangers of drugs and alcohol alternative. However monkey bar fitness, I knew it was going to be times that exercise alone will not be enough fitness monkey.

 Monkey bar fitness business model has several ways to return to addicts who still suffer , including fees, processing facilities sponsorship monkey tool fitness, granting entry to the events of the rights of fitness and sports equipment giving those who are ready to embark on the road to recovery fitness monkey. My own experience has made me a believer in the principle that the only way to maintain my sobriety monkey bar fitness is looking for ways to give away permanently fitness monkey fitness monkey.

With each successive session TL monkey bar fitness, the collaborative efforts of all persons within and outside the group Gym monkeys really helped solidify and become a potential reality fitness monkey .

Once the model was in place monkey bar fitness, I knew I would need a logo
monkey bar fitness. After receiving and rejecting several requests from artists here in jail , my friend Luke drew me weightlifting, tennis, yoga monkey that I immediately fell in because we had a lot in common . However, he may have been a little too (think steroids) to the general public , and I did not want to scare anyone cleaned.

 I opted for the next best thing  fitness monkey, mono computer generated cute and cleverly designed lift a weight that I could definitely see the icon next hot iPhone appropriately called " Buff " fitness monkey monkey tool fitness. The encouragement and support I received from all stakeholders was monkey bar fitness nothing less than the transformation
monkey bar fitness monkey bar fitness. I remember at first, Beverly told us that The Last Mile is a true brotherhood of men and women who always look for the greater good of its members. She was right s monkey bar fitness.

I am eternally grateful and dedicated to all my brothers and sisters of the last mile fitness monkey monkey tool fitness.

So there I was ... San Quentin State Prison ... ask the audience to " join me and be part of the fitness revolution recovery monkey " and receive a standing ovation ... crazy. I thought the worst had happened , but my heart was still beating a mile a minute monkey bar fitness. Things got even crazier after all the presentations were over and external customers presented congratulations on a job well done and many, many questions .

 It was definitely more than I thought fitness monkey, and the only thing I regret was not having time to talk with everyone . I think it's fair to say that when it came to Demo Day monkey tool fitness , the second grade class had crashed. However fitness monkey, the most inspired and poignant moment for me is when a woman named Janet came and introduced himself fitness monkey monkey bar fitness. monkey bar fitness

Yes I had a warm smile that seemed to tear as she told me that my personal history and resonance show with your own life experience fitness monkey. I could not help but be moved, because it helped me realize that even in the darkness of my prison environment , I was able to bring to light of hope in the life of someone else monkey tool fitness.

Demo Day Last Mile was one of the decisive moments fitness monkey, I hope to carry with me forgone bar fitness the rest of my life. I think , despite my circumstances monkey tool fitness, the universe conspires in my favor and my best is certainly yet to come fitness monkey.

Unleashing The Fitness Monkey!

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