Archives for August 2011

We’re in the middle of summer, and many of you probably enjoy taking advantage of the great outdoors at this time of year. And you’re not alone – ticks love this time of year too. They tend to emerge in the warmer weather, so between spring and fall is the peak time for occurrence of tick-transmitted diseases. So it’s important to be aware of the prevalence of tick-borne diseases in your area.

In the US and Europe, Lyme disease is the most common of these conditions, and represents an important public health concern. It was named after the town of Lyme in Connecticut, where a cluster of the first cases of the disease in this country were recognized in 1975. The disease itself is caused by the bite of a tick that is infected with the bacterium Borrelia burgdorferi. Most commonly in the US, the Ixodes species of deer tick is involved in transmitting the bacterium to people.

 

 

PREVENTIVE MEASURES

These ticks are especially prevalent in grassy and wooded areas, so it is important to take precautions when out and about:

 

Wear Appropriate Clothing

  • Light colors help you to recognize ticks more easily
  • Long sleeves protect the arms
  • Long pants protect the legs
  • Avoid wearing flip flops or open shoes
  • Tuck pants into socks or boots
  • Use Insect Repellent – apply to exposed areas of skin, and spray onto clothing too

 

Inspect for ticks

  • Check for attached ticks every few hours outside
  • Check again upon return home
  • Have a partner check difficult-to-see areas
  • Check pets too
  • Change clothes upon return home – shake out those you wore while outdoors

 

If You Find An Attached Tick

  • Remove immediately – use tweezers to grasp firmly near the head, and pull without squeezing
  • If mouthparts remain attached, remove using tweezers
  • Clean the area of skin affected, and apply antiseptic cream
  • If in doubt, save the tick in a small container (or between some pieces of sticky tape) in case it needs to be identified later

 

SYMPTOMS

Symptoms and signs of Lyme disease are variable because it can affect numerous body systems. Some of the more classic symptoms, however, include:

 

Early Symptoms

  • Skin rash: One of the hallmarks of the disease, affecting up to 80% of infected people, is erythema migrans. This is the classic rash that has a bull’s eye shape – a central dark red region and peripheral clear halo are surrounded by an outer red ring. It develops 3-30 days following a tick bite, and spreads with time. It should be differentiated from a rash that results after a tick bite due to an allergy to the tick’s saliva. This occurs within 72 hours of a bite, disappears with time, and is not indicative of Lyme disease.
  • Flu-like ailments: Fever, fatigue, aches, headache, and stiff neck are often reported early on in the course of disease.

 

Later Symptoms

If Lyme disease goes untreated, the bacterium can spread to other body systems. The joints and nervous system are a couple of the more common regions affected in such cases:

  • Joint pain: Untreated patients may sometimes develop joint pain, especially in the knees.
  • Neurological symptoms: Occasional patients can develop numbness or weakness of the limbs, facial paralysis, or even meningitis in severe cases.

 

It is important to remember, however, that not every tick is infected with Borrelia burgdorferi. Therefore not every tick bite leads to Lyme disease. If you do develop any concerning symptoms following a tick bite, however, seek medical advice as soon as possible – this will enable best treatment results in the event that you do have Lyme disease.

Don’t forget to check your dogs too – not only can they be bitten by ticks, but they too can develop Lyme disease. Ticks often go unrecognized on dogs due to their thick coats. So be sure to pay some extra attention to your dog after a walk, and groom him well to check for attached ticks.

And whilst the prospect of tick-borne disease shouldn’t keep you indoors all summer, it certainly pays to take preventive measures to guard against tick attachment, especially in regions where Lyme disease is prevalent.

 

 


 

 

 

 

 

 

 

 

 

 

 

 

The recent salmonellosis outbreak linked to ground turkey has spanned at least 31 states so far, reminding us all of the importance of maintaining excellent standards of food hygiene.

But it’s not just our food that’s at risk of infection. In recent years, increasing numbers of pet products have been recalled due to contamination or potential contamination.

In the past couple of years, pet food companies have issued almost three dozen pet food recalls due to salmonella concerns, as well as dog treats such as pigs ears, and treats made from salmon or beef. Just this week, Merrick Pet Care of Amarillo, TX, recalled 248 cases of Doggie Wishbone pet treats due to possible contamination with salmonella. Recently also, Nestlé Purina PetCare recalled some of its Purina One Vibrant Maturity dry cat food when it tested positive for salmonella.

 

 

Although the recent recalls were not associated with illness in people or pets, but rather were a consequence of salmonella detection due to random testing, experts warn that pet foods pose a definite risk of salmonellosis for animals and their owners. And indeed from 2006-2008, 79 people (32 of whom were children under 2 years old) were reported by the Centers for Disease Control and Prevention with salmonella infection associated with contact with dry cat and dog food. Although there were no fatalities, 11 of them were hospitalized.

“The problem of salmonella in pet foods and pet treats, even in pet supplements like vitamins, is something people should be aware of,” reports Dr. Casey Barton Behravesh, a veterinary epidemiologist at the Centers for Disease Control and Prevention.

The problem of contamination of food with salmonella occurs in the factory. In the case of dry food in particular, after processing, kibbles are sent to a room for coating with flavoring. This room provides a moist environment where bacteria can flourish, and salmonella organisms can seemingly persist on the food kibbles for many months.

Symptoms of food poisoning in pets are similar to those in people, and can involve lethargy, anorexia, fever, vomiting and bloody diarrhea for three to five days duration. The most common scenario, however, is the subclinical carrier state, where no signs are seen, but these animals serve as a reservoir of the bacteria.

 

10 TIPS FOR GUARDING AGAINST SALMONELLA INFECTION

A recent report in the Journal of the American Veterinary Medical Association offered recommendations on how owners can reduce the risk of salmonella infection in their pets and family:

  • Wash hands thoroughly before handling food and treats
  • Discourage children, elderly people, and immunosuppressed patient from handling pet food or treats
  • Avoid feeding raw food to pets
  • Avoid buying pet food if it’s container or packaging is damaged
  • Don’t feed anything to your pet that is malodorous or discolored – return it to the store if possible
  • Store pet food products somewhere cool and dry, and according to manufacturer’s guidelines
  • Keep the portion of the food package with the product code and date – in case it needs to be returned due to recall or taint
  • Wash your pet’s bowls and food scoops thoroughly in a sink that you don’t routinely use
  • Avoid feeding your pet in the kitchen
  • If buying pig ears, purchase only in sealed packages, not from open bulk bins

 

And finally, don’t forget to wash your hands after cleaning your cat’s litter box – salmonella organisms can live even after passing through your pet!

 

Kukanich KS (2011): Update on Salmonella spp. contamination of pet food, treats, and nutritional products, and safe feeding recommendations. JAVMA Jun 1; 238(11):1430-1434.

 

 

“Taste Buds” is my way of sharing recipes (that are at least vaguely healthy) with those of you who are:

  • Busy
  • Food lovers
  • Always looking for some new, easy, & (somewhat) nutritious recipe
Here are this week’s 3 options:

Time for Step 5 of the “Beginner’s Medical Writing” series – a step-by-step guide to getting yourself started in freelance medical writing – an extremely basic guide for making the first move into medical writing.

If you’re just arriving, feel free to check out the earlier steps:

 

Back in Step 3 I mentioned the benefits of considering some aspect of social networking when you start up in medical writing – I think this is really useful whether you are considering freelance work, or if you are a full time employee somewhere.

I thought I’d give Twitter a plug today. I never thought I’d use Twitter – socially I’ve used Facebook for a couple of years, and whenever I’d hear people talk about Twitter, I just didn’t “get” it – I couldn’t wrap my head around how it operated, or what use it could possibly be.

 

 

A few friends who use it for business had told me I should definitely give it a go. I resisted the idea for a few months, but then decided to try it out – what harm could it do? If all else failed, surely I could abandon it, and at least know I’d tried?

So I joined a couple of months ago, and I love it!

 

How Does It Work?

Twitter is basically a service for sending and receiving status updates – so if you’ve used Facebook, you’ll be used to writing and reading these short communications. Twitter’s short communications, however, are capped at 140 characters (letters, periods, dashes, etc).

So it makes for a great way to get a short message out to people: “Free coffee at the cafeteria, 2-4pm”, or maybe a link to a cool photo. And for business purposes, people often use it to share links to web pages – whether something useful that they came across and want to share, or a link to their personal site to share an article, announcement, or product.

Due to the 140 character cap, you have to not only get creative in how you make your announcement sometimes, but you also need to shorten your weblink, otherwise this will quickly eat into your 140 characters. There are numerous applications that you can use to shorten your links (you can do a Google search to find one that you prefer), but I use bitly – it’s very simple to use:

  • Copy and paste your desired weblink into the search box
  • Hit the “shorten” button to the right of the box
  • A shortened link will magically appear
  • Copy & paste this into the Twitter text box
  • Add a short accompanying message before tweeting

 

Why Join?

I was skeptical, I just didn’t see how useful it would be – I thought it sounded quite bizarre, all these “status updates”! What use could that possibly be!? But I have been very pleasantly surprised. It’s been a wonderful way for me to meet up online with other medical and freelance writers, other medical professionals, blogs, and organizations that I feel are useful to follow.

So I’d urge you to give it a go – and like I decided for myself previously – if you don’t like it, you can abandon mission. Join up today – come up with a short Twitter handle (that’s basically your username – it’ll have a “@” preceding it) – mine is @ParryMedWriting – don’t worry too much about choosing the perfect Twitter handle, you can always change it later if you feel like.

 

Some Useful Guides To Using Twitter

Rather than go on ad nauseum on how to use Twitter (and I’m still getting the hang of it myself!), here are some links to very useful articles that describe it much more concisely than I could!

 

The Beginner’s Guide To Twitter

The Writer’s Guide To Twitter

How To Use Hashtags

6 Tools To Grow Your Twitter Network

How To Get Noticed On Twitter

 

Hope to see you over at Twitter!

 

 

 

Fleas are no longer a summertime problem – they can bother your pet all year round, thanks to our cosy, centrally-heated homes that allow flea eggs to incubate and hatch, even in the winter.

I’ve written some articles for the HappyTails Canine Spa, so if you want to control fleas, make it a two-sided attack on the animal as well as his environment.

 

 

There are many varieties of flea control products available for cats and dogs now – your veterinarian can advise you on which is best for your pet (especially if he has developed problems such as secondary pyoderma due to flea allergy dermatitis). But if you have a dog and love trying natural products, check out the online store while you’re over at HappyTails they have some wonderful products!

 

 

 

 

Thought I’d share some short YouTube videos for those of you who are thinking about branching into medical writing.

 

 

These medical writers provide some insight into their work, as well as some tips on which areas might suit you best:

 

The Art Of Medical Writing

How To Get Into Medical Writing

Starting A Career in Medical Writing

Freelance Medical Writing

A Few Words About Life In MedComms

 

 

 

“Taste Buds” is my way of sharing recipes (that are at least vaguely healthy) with those of you who are:

  • Busy
  • Food lovers
  • Always looking for some new, easy, & (somewhat) nutritious recipes

Here are this week’s 3 options:

 

 

Time for Step 4 of the “Beginner’s Medical Writing” series – a step-by-step guide to getting yourself started in freelance medical writing – an extremely basic guide for making the first move into medical writing.

If you’re just arriving, feel free to check out the earlier steps:

 

Hopefully by now, you’ve set up a blog, and maybe even started out with some business-related social networking. On that note, I’ve been asked to discuss what purpose a blog can serve for a medical writer, so here goes!

WHY USE A BLOG?

To Advertise Your Business:

If we’re not out there, nobody will find us. Work is a little bit like dating (any kind of work, whether you want to be an employee or self-employed) – if you don’t put yourself out there, it’s difficult to be found.

Whether we like it or not, the world’s gone digital. The days of locating businesses purely through those huge, hard copies of your telephone book or Yellow Pages are history – the first port of call for most people looking for any kind of business service is now an online search. I don’t consider myself a very digital person, but I know this is the case for me. The instant gratification of finding what you want after hitting a few keys on your keyboard, is tough to beat – I can’t remember the last time I ever picked up a Yellow Pages, let alone owned one. So if we don’t take advantage of this venue, we are missing out on an important way to self-advertise.

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To Showcase Your Potential:

Your blog can provide a perfect way for you to show off your work. This can be especially useful for non-scientists who want to break into medical writing, but have no prior work clips to share with potential clients. I don’t know about you, but although I love the ability to shop online, I tend not to order things that are “sight unseen”. Your blog helps your work to be seen.

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It Makes You Real:

A blog can also allow readers and potential clients to get a sense of who you are. The digital arena has a real-time advantage over a listing in a telephone book – it allows you to engage with people as often as you choose to do so. Updating your blog regularly provides something that a telephone book listing cannot deliver – the ability to connect with others. Everything you share on your blog allows readers to get a glimpse of your personality and passion. These regular connections help to make you real – potential clients will see that you have a zest for writing, and also get a feel for your writing tone – these things definitely help when it comes to deciding who to choose for help with a writing project.

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To Use As Your Portfolio:

You can also put your blog to good use as a showcase for your resume or portfolio. The ability to add different pages to your blog enables you to use it to almost any advantage. Some people add a resume page, or a portfolio page where readers can link up to clips of the writer’s work that may have been published online. Or you can even upload pdf versions of manuscripts for viewing.

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To Keep You In The Loop:

A blog is such a great way to keep you from feeling as if you’re all alone in the writing world, and this is probably especially true if you are working 100% freelance. In an office environment, you have instant connection with workmates if you need to bounce ideas off someone, or get a second opinion on something. When running a solo business, you don’t have this luxury. Your blog, however, can serve as a medium for this. It provides you with an almost instant way to receive ideas, comments, feedback, opinions etc. And from all across the world too! The cyber-connectivity can keep you grounded in your business venture, allowing you to network with others who can help you out, even if just by way of moral support.

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To Help Others:

Never underestimate what you might have to offer someone. Whether it’s an encouraging word, a snippet of information, or just simple enjoyment, I guarantee that your blog will provide something for someone at some point. Someone will leave you some positive feedback, or send you an email to thank you for something, or ask more questions. And you can guarantee that your blog will be useful for many who don’t let you know – think of all the material that you read online each day – do you leave comments each time you find something fun, interesting, useful etc? I know I don’t – but it’s certainly not for the lack of interest – we all read a lot, but simply don’t have the time to comment on everything we enjoy. So don’t forget, someone loves you! A little altruism never hurt anyone.

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Having a blog isn’t going to make you successful overnight, and it won’t bring clients flocking within a month if you’re new to the business and still trying to get your foot in the door. It does, however, get you out there, and lets clients see that you are real and also serious about what you do. I feel that it keeps you accountable too – a huge help for someone starting out, especially a non-scientist without publications to use as a springboard – your blog can help you to “keep on keeping on”. Given that it’s easier to give up than keep fighting the fight, if you commit to writing a little something regularly – even once a week – you can maintain business motivation while trying to catch some initial projects, and also build up your online portfolio in the meantime.

So if you are new to your medical writing business, think of your blog as the first step in self-marketing. Maintaining it can be time-consuming, but nevertheless, very beneficial. Writing begets writing.

What’s your favorite use for your blog?

 

 

 

A third of us are infected with Toxoplasma gondii, a parasite that can be transmitted to us by animals. Cats represent a major source of this organism, and are therefore a common route of infection for us since they continually shed the parasite. Consequently we can become infected with Toxoplasma gondii if we come into contact with anything that is contaminated with the organism as a result of a cat’s shedding. Some ways include:

  • Contaminated soil  (when gardening in an area where cats have defecated)
  • Cleaning the cat litter box
  • Contaminated water
  • Undercooked meat (lamb, pork, and venison especially – these animals are infected by cats in the same way as we are)
  • Cooking utensils coming into contact with undercooked, infected meats

Although many people are infected with this parasite, most are unaffected by it, and show no clinical symptoms since the immune system effectively prevents it from causing disease; however, clinical toxoplasmosis can be a real problem for people with weakened immune systems, such as:

  • HIV infected patients
  • Chemotherapy patients
  • Organ-transplant recipients

Additionally, it poses a particular risk for unborn babies. A  woman who comes into contact with the organism for the first time during her pregnancy may transmit it to the fetus in utero, resulting in birth defects or even infant fatalities. Transmission of the parasite to an unborn baby, however, is less likely if the woman has previously come into contact with the organism at least six months or more, prior to becoming pregnant.

Links With Brain Cancer?

Interestingly, a recent study reports a correlation between rates of infection of Toxoplasma gondii, and the incidence of brain cancer. Global data on brain cancer in people from 37 countries was collected and compared with the prevalence of Toxoplasma gondii infection in those regions. The research group reported that brain cancer rates increased in countries where the parasite was more prevalent.

This ecological study, however, merely points to a correlation between the two events – it does not imply that the parasite actually causes brain cancer in people. And certainly the opposite could be true – it’s not impossible that brain cancer could be the driving factor behind Toxoplasma gondii infection.

So as it stands, this report does not prove cause and association, but is predominantly hypothesis-generating, and does provoke scientific curiosity. In the words of one of the authors:“These were the best data available and we felt they were sufficient to take the first step. Working with actual brain cancer patients is an obvious next step, but it would be an expensive proposition.  It is a lot easier to justify the second, expensive step when you have some evidence for the hypothesis. We are hoping that our results motivate others in the field to do further studies.”

Thomas, Lafferty, Brodeur, Elguero, Gauthier-Clerc & Misse. 2011. Incidence of adult brain cancers is higher in countries where the protozoan parasite Toxoplasma gondii is common. Biology Letters