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The evening primrose oil can help burn calories and in addition stimulates the means of metabolism. Those who are troubled while using problem connected with obesity will need to take most of these natural weight loss pills everyday. It should be plus a cardiovascular exercise regimen of Twenty minutes. There are many a lot more than those mentioned in the sentences above. One should always select these weight loss herbs because they do not cause any side-effects.
Now the professional medical effects of Caralluma Fimbriata will be widely used. It really is used to be a dietary supplement, and is known to activate metabolism intended for effective weight free. After studying and mastering people who had taken this all natural herb, and contrasting with individuals that did not, it absolutely was noticed that those who took your herb, misplaced a considerable matter in their midsection girth!
The essence in the gastric strap method is for you to physically prohibit food intake; it in fact assumes that the man or women cannot be responsible for their behaviour and must often be physically restricted. I?ve got word of other comparable methods who were used about one hundred a long time ago ? a kind of dentist procedure that ? cable ? the client?s jaws collectively so they could hardly eat. There are also unique clinics of which operated for instance prisons, defining it as impossible you can eat.
I?m not saying not to exercising and training, however I feel saying to often be smart and also tune in to your entire body. Yes, that you are designed to training to muscle failure and also push yourself to your limits during physical exercises, but this consists of being smart and following your whole body.
Natural weight loss herbal remedies either act on food digestion, increase metabolism, or subdue the appetite, to aid weight loss. Just before one makes a decision to lose weight, one must consult your dietitian, as burning off weight should be about optimizing health and fitness, not burning off it.
Because so many people find out, there are numerous weight loss items that are surfacing out there that most promise you an identical thing and that is certainly weight loss to the person. One thing holds true concerning most of these chemical products and that is certainly that they may indeed help you to lose weight and get that best body that you?ve got been dreaming of, but in what price tag? Many of these goods come with frustrating side effects which could cause chance to your body and health and fitness.
The Plan ? Address any unpleasant unwanted awareness immediately. Say to the person, you might not mean for you to demean me or perhaps make me experience uncomfortable, however are, so you need to stop. As long as they do not avoid, then you must report your incidents towards the authorities whether or not that often be human resources, as well as other entity. At some time we have to avoid being worried about the names individuals call us, and also instead bother about being healthy and balanced. I read a quotation recently of which sums up the specific situation.
Cauliflower is a great natural method to obtain various nutrients like Vitamin C. BY taking in just 1 / 2 cup connected with cauliflower, you can gain 36% connected with daily demanded vitamin c. This specific vegetable involves few calorie consumption and helps in fighting cancer.
Forget about everything you have been told about calories throughout and calorie consumption out for a couple minutes. During your the whole the reasoning is true for some people it?s not really only untrue it is a huge towering hindrance getting in the clear way of healthy natural weight loss. Years of yo-yo diets and deprival have taken their toll to the point that your body seems to be stuck in reverse no matter what you need to do, you can?t lose weight.
Source: http://whatcauseslowbloodsugar.com/healthy-weight-loss-thyroid-plus-fat-burning/
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An excellent cooking method is brine. Soak any poultry in a brine 1 hour before cooking to get a great taste out of it.
For people who love cooking fish, they should consider catching the fish themselves if they have time. When fish is caught and prepared the same day, not only will there be fresh meat on the dinner table, but also the satisfaction of having provided for yourself will be felt.
When purchasing meats or fish, choose bone-in instead of boneless. Save the bones from cooked and raw meats in storage bags, and keep frozen until needed for stock.
Measure the oil you use when cooking! If you want to get rid of some of the fat in your recipe make sure to measure how much youre using instead of just pouring it into the pan. If you know exactly how much oil youre using, you know exactly how much fat has been added.
If you want to make chicken stock, you might as well make a lot of it. If you prepare a large pot of stock, it can be frozen and stored for future use. Having this delicious chicken stock on hand will be useful when you are making soups, casseroles, stews and so much more. Put the stock into freezer bags and put it in your freezer.
Always ensure that butter is soft and not melted when you are making cookies. If your butter is melted, put it in your freezer for a couple of minutes so that it starts to harden just a bit, or you can finish making the dough, and then put it in the refrigerator for a while. If your dough is on the cooler side, you cookies will not spread too much.
Keep spices in a dark and cool place. By storing them in excessive light and heat, their shelf life will decrease. When spices are stored in an adequately dark and cool area, they tend to retain their taste and shelf life for greater periods of time. You can prepare tastier meals if you use fresher spices.
Do you often throw away moldy fruits and feel bad about it? Is it possible to simply cut out the moldy, rotten part of the fruit? It is impossible for you to save fruit that has already begun to rot. These foods can cause you to become ill, as mold goes much deeper than the eye can see.
You should try a small portion of the meat you are cooking when seasoning meats. Its hard to correct overly seasoned meat but spices can always be added. Do not cook all of the meat immediately after seasoning. It is a good idea to cook a small portion of the meat first. After you have tested this piece, you can adjust the level of seasoning as necessary or cook the rest as is.
Use these ideas to spur new ideas of your own. Focus on creating meals that your family and yourself will enjoy like savory meals that everyone will rave about. If you take up cooking recreationally, you can improve your diet and have a lot of fun, too. The old adage of ?home is where the heart is? can certainly begin in your kitchen.
To gather a lot of good Chicken Parmigiana Recipe go to the following link: Chicken Parmigiana.
Source: http://www.growinknowledge.com/trouble-in-the-kitchen-try-these-great-ideas/
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Few places on Earth are so full of geological mayhem as a subduction zone. Life in the interior of a continent in no way prepares you for the chaos you?ll encounter when seafloor dives under continent. Where I grew up on the Colorado Plateau, the geology?s like a lovely layer cake: nice horizontal slabs of schist and sandstone and sediments from ancient seas stacked neatly one after the other, with a volcano on top. Washington state is also like a layer cake: one that had a tiramisu jammed in with it, and some mystery dessert stuffed into the last empty space on the table, and then the whole table got caught in an argument between a steamroller and a bulldozer, leaving a jumbled mass only just barely recognizable as bakery products ? with a volcano on top.
USGS geologists describe the rocks in the Chilliwack Terrane as ?Highly folded and commonly upside down.? That?s one of the better behaved bits, mind. Some of the rocks in the Northern Cascades are so messed up that geologists can only describe them as a m?lange ? a mixture.
It?s madness. And in less than a hundred miles, I?ll show you some of the wildest crustal contortions you ever did see. We?ll go from a beach that has got deep ocean floor stuck atop it to a place 2,000 feet up where plutons of contentedly crystallizing magma endured the twice-baked potato experience. On our way, we?ll cross something on the order of eight different terranes, bits of crust that belonged elsewhere before they found themselves emigrating to America.
Ready for a wild ride?
Map of field trip area, compiled from OpenCycleMap
Rosario Head, Fidalgo Island
Rosario Head, Fidalgo Island, San Juan Islands
We?re in medias res, here at this idyllic island beach. To the west, the Juan de Fuca Plate is busy piling up the Olympic Mountains. The Juan de Fuca?s a remnant of a remnant: two other plates met their demise in the Pacific Northwest before it. One of those plates, rammed against and beneath the North American Plate, plastered the lands we stand on to the edge of the continent. That plate, the Kula Plate, was responsible for most of what we?re about to see.
Have a walk along this tiny little beach on Fidalgo Island, and you?re walking across terranes. When I took the above photo, I was standing on the Decatur Terrane. The head is a knob of the Lopez Terrane. Just beyond Rosario Head, a short walk, you?re back on the Decatur again. Faults and folds have sliced, diced and twisted these rocks into a remarkable jumble. You?re looking at an anticline, actually, when you view Rosario Head. Think of it as the crest of a land wave: synclines are the troughs. The land around the Pacific Northwest is wavier than the ocean.
Let?s go stand on an anticline, shall we?
Folded ribbon chert atop Rosario Head. Author for scale.
If you want to get an idea of the power of the forces at a plate boundary, note how contorted these rocks are. They?re ribbon chert, formed in a deep ocean environment from the silica skeletons of radiolarians. For ages, they lived their lives and died their deaths, drifting silently down to the seafloor, where time and pressure turned them to stone. You?ll find ribbon chert all over here, the quartz layers interleaved with slate. These layers were once happily horizontal. Now, they?re standing on end, folded and twisted.
It?s gorgeous rock.
Ribbon Chert, Rosario Head. Penny for scale.
A geologist could get lost up there for hours, and I did. Don?t be afraid to take a biologist along if you visit: there?s tide pools in the ribbon chert at the bottom of the head that will make them scream for joy.
If you tear yourself away from the ribbon chert, you can investigate pillow basalts, greywackes, and a nice icing of glacial till, all within a few hundred yards. You?re walking on the remnants of a volcanic island arc that?s 160 million years old if it?s a day, acquired by the North American continent, and then planed by an ice sheet that left behind a jumble of debris only a shade over ten thousand years old.
And if you?ve ever wanted to visit an ophiolite, congratulations! You?ve done just that.
Tear yourself away from the ribbon chert and tide pools. Up SR 20, across the Skagit basin, and into the mountains, we shall visit another island.
Limestone Quarry, Concrete, WA
We?ve gone back in time. Here, a coral reef flourished sometime in the Carboniferous, roughly 330 million years ago. We?re in another island arc, where volcanoes erupted and islands with their reefs formed, although this islands?s quite a lot older than the one we just visited. And it wasn?t really here: these rocks have been rafted in on a plate and scooted along faults to reach their present location, arriving sometime in the Cretaceous. This is the Chilliwack Terrane, that exotic block of land that inspired the phrase ?Highly folded and commonly upside down.?
Folds in limestone, quarry in Concrete, WA. Quarry wall is roughly 100 feet (30 meters) high.
Those poor crinoids and corals had a rough time of it after they died. Their calcium-rich skeletons got mooshed into limestone so thoroughly that it?s hard to find a good fossil here, and then squashed into folds, which are easily visible in the quarry walls. And, insult to injury, their destiny was to become concrete. Hence, the name of the town. These little limestone lenses litter the Chilliwack Terrane, and in a land full of volcanics and metavolcanics, topped with yet more volcanics, they?re a delightful interlude.
Calcite crystals in limestone. Hand sample from quarry in Concrete, WA.
You can find any number of calcite veins running through the rocks here, where water dissolved the calcite from the limestone and redeposited it. Some of it has turned some rather spectacular oranges and reds, which indicates there?s an iron-rich source of something around. But as gorgeous as some of those samples are, it?s a bit hard to concentrate on them. You see, there?s this view:
Mount Baker and Mount Shuksan from limestone quarry, Concrete, WA.
I told you there?s a volcano on top. From here, you can see it. Mount Baker is a result of the subduction of the Juan de Fuca Plate. To its right, you can see Mount Shuskan. Young mountain and old, volcano and uplift, all in one glance. Mount Baker is only about 100,000 years old, and, despite its peaceful appearance, is the second most active volcano in Washington. It would have been further to the east had the angle at which the oceanic Juan de Fuca Plate is subducting under North America hadn?t steepened.
Mount Shuskan is over a hundred times older. It formed when yet another terrane slammed into North America in the Cretaceous, about 120 million years ago, and is composed of metamorphosed oceanic basalt. This is what happens to quiet ocean floors when subduction grabs them: they can end up stuffed miles below the Earth?s surface, where they get cooked, then popped all those miles back up to an elevation of nearly 10,000 feet, high and dry.
And we?re about to see what happens to rocks that get deeply buried and then raised up as high peaks, although we won?t be personally encountering any more ocean floor.
Diablo and Ross Lakes
SR 20 takes you up and up, from what we in the West call hills (although in some regions, they?re mountains in their own right) and into a wonderland of sharp, towering peaks, with chains of lakes that don?t look like they were created by simple human beings damming the Skagit River.
Colonial Peak and Pyramid Peak from Diablo Lake Overlook. The extraordinary blue of Diablo Lake is caused by glacial sediments carried down by creeks.
We?re in the Metamorphic Core Domain now, standing on the Chelan Mountains Terrane. This area has been mountains more than once. As the Kula Plate collided with North America and terrane after terrane was plastered to the continent, great slabs of rock were thrust up. Magma stitched everything together, forming plutons more than once, which were then deeply buried and metamorphosed. The results are all around us here. Colonial and Pyramid Peaks are made of the beautiful Skagit Gneiss. If you?re a fan of banded and orthogneiss, this is your bliss.
Orthogneiss at Diablo Lake Overlook.
Photos can?t capture how gorgeous these 60-90 million year old rocks are. The snowy white feldspar and quartz set off the glittering crystals of hornblende and biotite wonderfully. Everything glitters.
Those rocks testify to great masses of magma, which cooled underground and stitched newly-accreted terranes to the resident rocks. It might have been the weight of those masses that drove everything 20-30 kilometers (12-18 miles) down, where those granitic rocks got metamorphosed to orthogneiss. But that wasn?t the end of the story. About 45 million years ago, another episode of magmatism sent dikes of granitic pegmatite through the orthogneiss. You can see a magnificent example of this Challis Episode activity just across the road:
Roadcut through Skagit Gneiss. White streaks are granitic pegmatite dikes.
Things get rather hot in subduction zones.
Just up the road, you can also see evidence of how broken up things get when plates ram each other. Through all of these collisions, the crust has been folded, faulted, and fractured. As terranes got shoved over and under one another, bits broke off and went along for the ride. Things have been so thoroughly smashed up and metamorphosed that geologists find it difficult to figure out just what things used to be. Some of the gneiss and schist in these areas may have begun life as sedimentary rocks, but they?ve been so transformed it?s hard to know for sure. One thing?s definite, though: there were calcite-rich critters living in shallow seas, probably around volcanic island arcs, and their remains can be found down by Ross Lake, turned to marble.
Marble along the shores of Ross Lake.
You may have to get your feet wet to get a good look at it, but the cold dip is well worth it. There?s something about a rare bit of locally-grown marble that?s irresistible. This isn?t Michelangelo?s marble: it?s not that glowing creamy white, and it?s full of folds and fractures and evidence of a very rough life. But it?s ours, and we love it.
Coming down the trail to the lake, you?ve passed a fabric of orthogneiss and schist, cut with faults. We?re down in the Ross Lake Fault Zone, which marks the border between the highly-altered Metamorphic Core Domain, and the lightly-touched rocks of the Methow Basin to the east. Rocks have been scooted along this fault zone for tens of millions of years as movement along faults continued. Stand in the center of the dam, looking northeast toward Jack Mountain, and you?re staring at a stack of terranes piled up like so many bagels in a bag.
Jack Mountain from Ross Lake.
A thin slice on top, rising from left to right, is a bit of the Methow Domain?s Hozameen Terrane. Beneath it is the Little Jack Terrane, and then we?re back down on the Metamorphic Core Domain. Three terranes in one glance. One ginormous fault zone. Some truly outstanding geology, and we haven?t even gotten to the story of the modern Cascades yet.
The Kula Plate, followed by its sibling Farallon Plate, disappeared millions of years ago, swallowed up beneath North America. The Farallon Plate is still with us, in fragments: the Juan de Fuca Plate is one of its last gasps. As the Farallon broke up, and the angle of the subducting slabs changed, the edge of the continent warped. And with that warping came the mountains. They were born a mere five million years ago, and they?re still growing.
In a mere hundred miles, we?ve crossed hundreds of millions of years, at least five terranes, and barely seen a native North American rock. We?ve passed active volcanoes and walked on extinct island arcs. We?ve tramped ocean basins, reefs and plutons. The scenery here is dramatic: the geology even more so. We?ve only just begun to unravel the tangled history of the m?lange that makes up one of the greatest geological stories on Earth.
Quite a trip, isn?t it?
Image Credits: Map of field trip area compiled by Cujo359 using data from OpenCycleMap. All photos by Dana Hunter.
References:
Brown, E.H. et al (2005). ?Revised ages of blueschist metamorphism and the youngest pre-thrusting rocks in the San Juan Islands, Washington.? Canadian Journal of Earth Sciences, v. 42, p. 1389?1400.
Brown, E.H. et al (2007). ?Tectonic evolution of the San Juan Islands thrust system, Washington.? The Geological Society of America Field Guide 9.
Carson, Bob and Babcock, Scott (2000). Hiking Guide to Washington Geology. Sandpoint, ID: Keokee Books.
Figge, John (2009). Evolution of the Pacific Northwest. Seattle: Northwest Geological Institute.
Haugerud, R.A. and Tabor, R.W. (2009). ?Geologic Map of the North Cascade Range, Washington.?
Joseph, N. L. et al (1989). ?Geologic guidebook for Washington and adjacent areas: Washington Division of Geology and Earth Resources Information Circular 86.?
Tabor, Rowland and Haugerud, Ralph (1999). Geology of the North Cascades: A Mountain Mosaic. Seattle: The Mountaineers.
Tucker, Dave (2010): ?Baker River limestone and the town of Concrete, Washington.? Northwest Geology Field Trips.
USGS: Geology of North Cascades National Park: Virtual Field Trips.
Washington State Department of Natural Resources: Geology of Washington.
Source: http://rss.sciam.com/click.phdo?i=2bdb3800e51b4f7b07bb9224b0184cf7
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When you first get your driver?s license the next thing you need to do before it?s possible for you to start driving is to find auto insurance, and although there are many hundreds of places offering car insurance there is still research having to be done.
A vehicle insurance policy is a package of different coverages. Most states need you to buy a minimum quantity of certain kinds of automobile insurance protection. But if you have an interest in protecting yourself from a lawsuit or from hefty automobile repair bills, then it makes sense to buy more than what?s needed. Even so, everybody might be able to afford low cost auto insurance from insurers. The 1st step is to get a free auto insurance quote .
Consider optional coverage for your own protection. Unless you drive an older auto, you?d be wise to get collision and complete coverage for your automobile. Collision covers damage when your auto impacts another auto or fixed object, and all-encompassing pays for damage from nearly all other causes.
Every insurance corporations offers a ?Multi-vehicle discount? for consumers who insure more than one auto on the same policy. This will bring you a savings of nearly 10 % off both cars. Some corporations even offer discounts if you bring your home owners policy to them as well. This should drop you down another 5% off your both premiums.
It is especially vital to get automobile insurance rate quotes often from multiple companies if you have had an at-fault accident in the last five years. The ?penalty? for accidents varies seriously between auto insurance companies. A company with the highest no-accident rates might have particularly reasonable at-fault accident rates.
TAILPIECE ? In conclusion, Insurance Auto Quotes quest should have been satisfied with this article. If not, you can easily get more information by making a search on Google for policy or other auto quotes, new car free insurance, lower auto insurance rate car insurance quote online auto, online insurance quotes related information.
Prior to buying an auto insurance policy, you need to understand what types of coverage are available. Remember that you?re going to need to carry a certain quantity of insurance by law ; the amount of coverage is set by the state. At the every least, you are going to need to buy a particular level of responsibility insurance.
Source: http://www.usainsu.com/insurance-auto-quotes-help-you-much-easier-to-get-your-license/
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Public release date: 7-Mar-2012
Share ] Contact: Toni Baker
tbaker@georgiahealth.edu
706-721-4421
Georgia Health Sciences University
Augusta, Ga. When Dr. Cheryl Newman meets an HIV-positive patient, one of her first questions is whether he knows anyone else with the infection.
The usual response is about dead relatives or friends. "We talk about what that experience was and how, in all likelihood, his experience will be very different," said the infectious-disease specialist at the Medical College of Georgia at Georgia Health Sciences University. "Yes it's the same virus and could have the same outcome if patients do not take advantage of treatment, but in no way does it need to be the same."
Newman, who finished her training about the same time HIV infection began consuming her specialty, also has too many memories of lives lost to HIV. But two-plus decades later, most patients can live long and well taking a single pill daily.
A $3.4 million, three-year grant from the U.S. Department of Health and Human Services for Georgia Health Sciences University will help maintain the new normal. Funds ensure that uninsured patients in the Augusta area get medication and other needed treatment and that the Ryan White Outreach Team continues to reach into the community with rapid testing, education and treatment referrals. GHSU has been funded since 1995 through the Ryan White Comprehensive AIDS Resources Emergency Act to provide these services in 13 nearby Georgia counties as well as Aiken and Edgefield counties in South Carolina.
"We have gotten considerably better at treating the disease," said Dr. J. Peter Rissing, Chief of the MCG Section of Infectious Diseases and the grant's Principal Investigator. "In better than 60 percent of our patients, their virus is undetectable, their immune system is on the rebound, they don't have opportunistic infections. They come see us every six months and we make sure their virus remains undetectable and that their immune system is continuing to mend."
Still, in what Rissing describes as "a dance between the immune system and the virulence of the organism," the best partners are the Ryan White program that enables access, patients who take the improved medicines as prescribed and persistent, hitting-the-streets efforts to get people screened.
Today's drug therapies keep the virus at bay by attacking it from different directions to prevent it from multiplying, Rissing said. Most otherwise healthy patients require only a single pill that combines two or three of these drugs; more rigorous regimens are needed if symptoms such as severe diarrhea and weight loss suggest the virus has damaged the immune system, Rissing said. The virus can become similarly active if medicine isn't taken as prescribed, he noted.
Newman is currently studying a once-a-day pill that prevents the virus from inserting itself into the DNA of cells in the body where it can live and eventually multiply. "We say it takes three active drugs to knock out the virus," she said, optimistic that the drug she is studying will one day enhance the efficacy of one of the two-drug therapies on the market. MCG has participated in the clinical trials of most HIV drugs already in use.
Georgia Health Sciences Health System treats nearly 1,300 HIV-positive patients, most of whom are males age 45-64. The biggest patient increases in the past decade are at both ends of the spectrum. People younger than 23 are among the largest number of newly infected and the older population is increasing because patients are living much longer, said Larry Howell, Grant Manager.
Dorothy Stokes, a patient advocate, works with drug manufacturers and the state to ensure proper medication for uninsured or low-income patients. The state-run AIDS Drug Assistance Program is extremely helpful although new patients face a waiting list. Drug manufacturers are helpful as well, Stokes said.
The Ryan White Outreach Team frequents popular gathering places, including ice cream parlors, nightclubs and, starting within the last six months, various area Walgreens.
The pharmacy chain is proving to be another good partner in outreach, which remains vital since an estimated 25 percent of infected individuals are unaware of their status, Howell said. But experience has shown that when status is known and virus levels are kept low, so are transmission risks, Rissing said.
The 17-year continuum of testing and care has yielded additional benefits, including a cohort of patients large enough to enable the clinical trials that make the latest therapies available to area patients. The GHSU/Charlie Norwood Veterans Affairs Medical Center Psychology Residency Program is one of 23 programs in the U.S. and Canada to offer specialized HIV training as well as one of a handful to offer a yearlong experience that leads to a specialty in medical psychology with an HIV emphasis. Ryan White funds also help support a GHSU College of Dental Medicine residency program that provides dental care to HIV patients.
###
For more information, visit: http://csrasafetynet.org/default.aspx.
[ | E-mail | Share ] ?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Public release date: 7-Mar-2012 Share ] Contact: Toni Baker
tbaker@georgiahealth.edu
706-721-4421
Georgia Health Sciences University
Augusta, Ga. When Dr. Cheryl Newman meets an HIV-positive patient, one of her first questions is whether he knows anyone else with the infection.
The usual response is about dead relatives or friends. "We talk about what that experience was and how, in all likelihood, his experience will be very different," said the infectious-disease specialist at the Medical College of Georgia at Georgia Health Sciences University. "Yes it's the same virus and could have the same outcome if patients do not take advantage of treatment, but in no way does it need to be the same."
Newman, who finished her training about the same time HIV infection began consuming her specialty, also has too many memories of lives lost to HIV. But two-plus decades later, most patients can live long and well taking a single pill daily.
A $3.4 million, three-year grant from the U.S. Department of Health and Human Services for Georgia Health Sciences University will help maintain the new normal. Funds ensure that uninsured patients in the Augusta area get medication and other needed treatment and that the Ryan White Outreach Team continues to reach into the community with rapid testing, education and treatment referrals. GHSU has been funded since 1995 through the Ryan White Comprehensive AIDS Resources Emergency Act to provide these services in 13 nearby Georgia counties as well as Aiken and Edgefield counties in South Carolina.
"We have gotten considerably better at treating the disease," said Dr. J. Peter Rissing, Chief of the MCG Section of Infectious Diseases and the grant's Principal Investigator. "In better than 60 percent of our patients, their virus is undetectable, their immune system is on the rebound, they don't have opportunistic infections. They come see us every six months and we make sure their virus remains undetectable and that their immune system is continuing to mend."
Still, in what Rissing describes as "a dance between the immune system and the virulence of the organism," the best partners are the Ryan White program that enables access, patients who take the improved medicines as prescribed and persistent, hitting-the-streets efforts to get people screened.
Today's drug therapies keep the virus at bay by attacking it from different directions to prevent it from multiplying, Rissing said. Most otherwise healthy patients require only a single pill that combines two or three of these drugs; more rigorous regimens are needed if symptoms such as severe diarrhea and weight loss suggest the virus has damaged the immune system, Rissing said. The virus can become similarly active if medicine isn't taken as prescribed, he noted.
Newman is currently studying a once-a-day pill that prevents the virus from inserting itself into the DNA of cells in the body where it can live and eventually multiply. "We say it takes three active drugs to knock out the virus," she said, optimistic that the drug she is studying will one day enhance the efficacy of one of the two-drug therapies on the market. MCG has participated in the clinical trials of most HIV drugs already in use.
Georgia Health Sciences Health System treats nearly 1,300 HIV-positive patients, most of whom are males age 45-64. The biggest patient increases in the past decade are at both ends of the spectrum. People younger than 23 are among the largest number of newly infected and the older population is increasing because patients are living much longer, said Larry Howell, Grant Manager.
Dorothy Stokes, a patient advocate, works with drug manufacturers and the state to ensure proper medication for uninsured or low-income patients. The state-run AIDS Drug Assistance Program is extremely helpful although new patients face a waiting list. Drug manufacturers are helpful as well, Stokes said.
The Ryan White Outreach Team frequents popular gathering places, including ice cream parlors, nightclubs and, starting within the last six months, various area Walgreens.
The pharmacy chain is proving to be another good partner in outreach, which remains vital since an estimated 25 percent of infected individuals are unaware of their status, Howell said. But experience has shown that when status is known and virus levels are kept low, so are transmission risks, Rissing said.
The 17-year continuum of testing and care has yielded additional benefits, including a cohort of patients large enough to enable the clinical trials that make the latest therapies available to area patients. The GHSU/Charlie Norwood Veterans Affairs Medical Center Psychology Residency Program is one of 23 programs in the U.S. and Canada to offer specialized HIV training as well as one of a handful to offer a yearlong experience that leads to a specialty in medical psychology with an HIV emphasis. Ryan White funds also help support a GHSU College of Dental Medicine residency program that provides dental care to HIV patients.
###
For more information, visit: http://csrasafetynet.org/default.aspx.
[ | E-mail | Share ] ?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Source: http://www.eurekalert.org/pub_releases/2012-03/ghsu-fge030712.php
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