State Health Plans
Formularies as Topic
Health Care Sector
A multistate, foodborne outbreak of hepatitis A. National Hepatitis A Investigation Team. (1/175)BACKGROUND: We investigated a large, foodborne outbreak of hepatitis A that occurred in February and March 1997 in Michigan and then extended the investigation to determine whether it was related to sporadic cases reported in other states among persons who had consumed frozen strawberries, the food suspected of causing the outbreak. METHODS: The cases of hepatitis A were serologically confirmed. Epidemiologic studies were conducted in the two states with sufficient numbers of cases, Michigan and Maine. Hepatitis A virus RNA detected in clinical specimens was sequenced to determine the relatedness of the virus from outbreak-related cases and other cases. RESULTS: A total of 213 cases of hepatitis A were reported from 23 schools in Michigan and 29 cases from 13 schools in Maine, with the median rate of attack ranging from 0.2 to 14 percent. Hepatitis A was associated with the consumption of frozen strawberries in a case-control study (odds ratio for the disease, 8.3; 95 percent confidence interval, 2.1 to 33) and a cohort study (relative risk of infection, 7.5; 95 percent confidence interval, 1.1 to 53) in Michigan and in a case-control study in Maine (odds ratio for infection, 3.4; 95 percent confidence interval, 1.0 to 14). The genetic sequences of viruses from 126 patients in Michigan and Maine were identical to one another and to those from 5 patients in Wisconsin and 7 patients in Arizona, all of whom attended schools where frozen strawberries from the same processor had been served, and to those in 2 patients from Louisiana, both of whom had consumed commercially prepared products containing frozen strawberries from the same processor. CONCLUSIONS: We describe a large outbreak of hepatitis A in Michigan that was associated with the consumption of frozen strawberries. We found apparently sporadic cases in other states that could be linked to the same source by viral genetic analysis. (+info)
Cigarette smoking during the last 3 months of pregnancy among women who gave birth to live infants--Maine, 1988-1997. (2/175)Cigarette smoking during pregnancy is associated with adverse birth outcomes (e.g., low birthweight and preterm delivery). The adverse effect of smoking on birthweight occurs primarily during the last trimester of pregnancy. To study smoking prevalence over time among women who gave birth to live infants in Maine, CDC and the Maine Department of Human Services (MDHS) analyzed self-reported data from the Pregnancy Risk Assessment Monitoring System (PRAMS) collected during 1988-1997. This report summarizes the results of this analysis, which indicate that despite the overall decline in smoking prevalence in Maine among women who gave birth to live infants, smoking prevalence remains high during the last 3 months of pregnancy among young women and low-income women, particularly those participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). (+info)
Screening mammography rates by specialty of the usual care physician. (3/175)CONTEXT: Although Medicare began paying for screening mammography in 1991, utilization among enrollees has been low. PRACTICE PATTERN EXAMINED: The relation between the specialty of the usual care physician and the proportion of women 65 years of age and older receiving mammography. DATA SOURCE: 100% Medicare Part B claims for 186,526 female enrollees residing in Maine, New Hampshire, and Vermont during 1993 and 1994. RESULTS: Among women of the target screening age (65 to 69 years), 55.4%, received mammography during the 2-year period. The highest rates of mammography were observed in women whose usual care physician was a gynecologist (77.9%; 95% CI, 75.8 to 79.9), followed by those treated by an internist (67.1%; CI, 66.5 to 67.7), family practitioner (58.1%; CI, 57.4 to 58.9), general practitioner (47.4%; CI, 45.4 to 49.5), and other specialists (41.3%; CI, 40.1 to 42.5). The lowest rates were observed in women who had no physician visits during the 2-year period (9.5%; CI, 8.7 to 10.4). Although screening rates were lower in women aged 70 years and older, a similar pattern was observed. CONCLUSIONS: The probability of a Medicare enrollee's receiving screening mammography is strongly influenced by the specialty of her usual care physician. Covering a preventive service does not guarantee its use. (+info)
Attributes of atmospheric carbon monoxide oxidation by Maine forest soils. (4/175)CO, one of the most important trace gases, regulates tropospheric methane, hydroxyl radical, and ozone contents. Ten to 25% of the estimated global CO flux may be consumed by soils annually. Depth profiles for (14)CO oxidation and CO concentration indicated that CO oxidation occurred primarily in surface soils and that photooxidation of soil organic matter did not necessarily contribute significantly to CO fluxes. Kinetic analyses revealed that the apparent K(m) was about 18 nM (17 ppm) and the V(max) was 6.9 micromol g (fresh weight)(-1) h(-1); the apparent K(m) was similar to the apparent K(m) for atmospheric methane consumption, but the V(max) was more than 100 times higher. Atmospheric CO oxidation responded sensitively to soil water regimes; decreases in water content in initially saturated soils resulted in increased uptake, and optimum uptake occurred at water contents of 30 to 60%. However, extended drying led to decreased uptake and net CO production. Rewetting could restore CO uptake, albeit with a pronounced hysteresis. The responses to changing temperatures indicated that the optimum temperature for net uptake was between 20 and 25 degrees C and that there was a transition to net production at temperatures above 30 degrees C. The responses to methyl fluoride and acetylene indicated that populations other than ammonia oxidizers and methanotrophs must be involved in forest soils. The response to acetylene was notable, since the strong initial inhibition was reversed after 12 h of incubation; in contrast, methyl fluoride did not have an inhibitory effect. Ammonium did not inhibit CO uptake; the level of nitrite inhibition was initially substantial, but nitrite inhibition was reversible over time. Nitrite inhibition appeared to occur through indirect effects based on abiological formation of NO. (+info)
Pseudomonas dermatitis/folliculitis associated with pools and hot tubs--Colorado and Maine, 1999-2000. (5/175)During 1999-2000, outbreaks of Pseudomonas aeruginosa dermatitis and otitis externa associated with swimming pool and hot tub use occurred in Colorado and Maine. This report summarizes these outbreaks and provides recommendations for swimming pool and hot tub operation and maintenance, particularly when using offsite monitoring of water disinfectant and pH levels or when cyanuric acid is added to pools as a chlorine stabilizer. (+info)
Decreasing incidence of burn injury in a rural state. (6/175)OBJECTIVES: To determine changes in the incidence of burn injury since the regionalization of burn care and intensification of fire prevention initiatives that occurred in Maine during the 1970s. METHODS: Death certificate data from Maine and the United States for deaths due to fire or burns were obtained for 1960-98. Hospitalization and burn registry data were obtained for Maine from 1973-98. Frequencies and incidence rates were compared over time and, where possible, between Maine and the United States. RESULTS: During 1960-79, annual burn mortality in Maine averaged 5.1/100,000, with random variation. After this, the rate declined steadily to an average annual level of 1.4/100,000 during 1993-96. For the entire United States, average annual mortality declined from 4.2/100,000 during 1961-64 to 1.5/100,000 during 1993-96. Reduction in mortality has been principally due to prevention of dwelling fires. Hospitalization for burns in Maine was 34.8/100,000 during 1973-76 and declined to 10.6/100,000 during 1995-98. CONCLUSIONS: Burn prevention measures have dramatically reduced the incidence of death and hospitalization resulting from burns in Maine. (+info)
Enrichment of high-affinity CO oxidizers in Maine forest soil. (7/175)Carboxydotrophic activity in forest soils was enriched by incubation in a flowthrough system with elevated concentrations of headspace CO (40 to 400 ppm). CO uptake increased substantially over time, while the apparent K(m) ((app)K(m)) for uptake remained similar to that of unenriched soils (<10 to 20 ppm). Carboxydotrophic activity was transferred to and further enriched in sterile sand and forest soil. The (app)K(m)s for secondary and tertiary enrichments remained similar to values for unenriched soils. CO uptake by enriched soil and freshly collected forest soil was inhibited at headspace CO concentrations greater than about 1%. A novel isolate, COX1, obtained from the enrichments was inhibited similarly. However, in contrast to extant carboxydotrophs, COX1 consumed CO with an (app)K(m) of about 15 ppm, a value comparable to that of fresh soils. Phylogenetic analysis based on approximately 1,200 bp of its 16S rRNA gene sequence suggested that the isolate is an alpha-proteobacterium most closely related to the genera Pseudaminobacter, Aminobacter, and Chelatobacter (98.1 to 98.3% sequence identity). (+info)
Nosocomial outbreak of Microbacterium species bacteremia among cancer patients. (8/175)To date, only 6 sporadic Microbacterium species (formerly coryneform Centers for Disease Control and Prevention [CDC] groups A-4 and A-5) infections have been reported. The source, mode of transmission, morbidity, mortality, and potential for nosocomial transmission of Microbacterium species remain unknown. From 26 July through 14 August 1997, 8 episodes of coryneform CDC group A-5 symptomatic bacteremia occurred in 6 patients on the oncology ward at the Maine Medical Center. One patient died. All isolates were identified at CDC as Microbacterium species and had identical DNA banding patterns by pulsed-field gel electrophoresis. To assess risk factors for Microbacterium species infection, a retrospective cohort study was conducted. The presence of a central venous catheter was the strongest risk factor (6/6 vs. 22/48; relative risk, 3.2; P<.0001). This outbreak demonstrates significant Microbacterium species-associated morbidity and mortality in immunocompromised populations and confirms the potential for epidemic nosocomial transmission. (+info)
1. Feline Leukemia Virus (FeLV): This is a highly contagious virus that weakens the immune system, making cats more susceptible to other infections and cancer.
2. Feline Immunodeficiency Virus (FIV): Similar to HIV in humans, this virus attacks the immune system and can lead to a range of secondary infections and diseases.
3. Feline Infectious Peritonitis (FIP): A viral disease that causes fluid accumulation in the abdomen and chest, leading to difficulty breathing and abdominal pain.
4. Feline Lower Urinary Tract Disease (FLUTD): A group of conditions that affect the bladder and urethra, including urinary tract infections and kidney stones.
5. Feline Diabetes: Cats can develop diabetes, which can lead to a range of complications if left untreated, including urinary tract infections, kidney disease, and blindness.
6. Feline Hyperthyroidism: An overactive thyroid gland that can cause weight loss, anxiety, and heart problems if left untreated.
7. Feline Cancer: Cats can develop various types of cancer, including lymphoma, leukemia, and skin cancer.
8. Dental disease: Cats are prone to dental problems, such as tartar buildup, gum disease, and tooth resorption.
9. Obesity: A common problem in cats, obesity can lead to a range of health issues, including diabetes, arthritis, and heart disease.
10. Behavioral disorders: Cats can develop behavioral disorders such as anxiety, stress, and aggression, which can impact their quality of life and relationships with humans.
It's important to note that many of these diseases can be prevented or managed with proper care, including regular veterinary check-ups, vaccinations, parasite control, a balanced diet, exercise, and mental stimulation. Additionally, early detection and treatment can significantly improve the outcome for cats with health issues.
The symptoms of anaplasmosis can range from mild to severe and typically develop within 1-2 weeks after a tick bite. Mild symptoms may include fever, chills, headache, muscle aches, and fatigue. Severe symptoms can include bleeding disorders, thrombocytopenia (low platelet count), renal failure, respiratory distress, and cardiovascular complications.
Anaplasmosis is diagnosed through a combination of physical examination, laboratory tests, and medical imaging. Laboratory tests may include blood smears, PCR (polymerase chain reaction) tests, and serologic tests to detect the presence of antibodies against the bacteria.
Treatment for anaplasmosis typically involves the use of antimicrobial drugs, such as doxycycline or azithromycin, which are effective against the bacteria. In severe cases, hospitalization may be necessary to manage complications such as respiratory distress, renal failure, and cardiovascular problems.
Prevention of anaplasmosis includes avoiding tick habitats, using protective clothing and insect repellents when outdoors, and conducting regular tick checks on oneself and pets. It is also important to be aware of the risks of anaplasmosis in areas where the disease is prevalent and to seek medical attention promptly if symptoms develop after a tick bite.
The causes of alcoholic intoxication are due to the consumption of alcoholic beverages, which contain ethanol, a psychoactive substance that affects the central nervous system. When alcohol is ingested, it is absorbed into the bloodstream and rapidly distributed throughout the body. As the blood alcohol concentration (BAC) rises, it can impair the functioning of various organs and systems, including the brain, liver, and cardiovascular system.
The symptoms of alcoholic intoxication can vary depending on the individual's BAC, but common signs include:
* Slurred speech and poor coordination
* Dizziness and drowsiness
* Decreased inhibitions and impaired judgment
* Memory loss or blackouts
* Nausea and vomiting
* Headaches and hangovers
In severe cases of alcoholic intoxication, individuals may experience more serious symptoms such as:
* Confusion and disorientation
* Agitation and belligerence
* Seizures and loss of consciousness
* Coma and death
Treatment for alcoholic intoxication typically involves supportive care, such as rest, hydration, and monitoring of vital signs. In severe cases, hospitalization may be necessary to manage complications such as seizures or respiratory depression.
Prevention of alcoholic intoxication includes responsible drinking practices, such as limiting the amount of alcohol consumed, pacing oneself, and avoiding binge drinking. It is also important to eat before and while drinking, as food can help slow down the absorption of alcohol into the bloodstream.
Overall, alcoholic intoxication is a common condition that can have serious consequences if not managed properly. It is important to be aware of the risks associated with excessive alcohol consumption and to take steps to prevent or manage intoxication.
Help Me Understand Genetics: MedlinePlus Genetics
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) | CDC
MasterPapers.com: Professional Paper Writing Service
NIMH » Looking at My Genes: What Can They Tell Me About My Mental Health?
Lead - State Programs - Maine | CDC
Portland (maine) | Encyclopedia.com
Maine's Civil War Monuments
Maine 2020 election results - ABC News
Avoiding Probate in Maine | Nolo
10 of Maine's Most Interesting Lighthouses
Maine coon Definition & Meaning | Dictionary.com
Maine | U.S. Small Business Administration
Forget Me Not
Jesus Loves Me (2012) - IMDb
maine | BGR
Cats for Adoption Near Maine, ME | Petfinder
Houlton Land Port of Entry, Maine | GSA
Places to visit in Maine
guilford maine Archives - Press Herald
Maine Health Care Laws
Maine Mortgage Rates & Refinance Rates
Loring Memorial Park | Portland, Maine | Attractions - Lonely Planet
Contact Us | VA Maine Health Care | Veterans Affairs
4 Ways to Care for Maine Coons - wikiHow
- The Allagash Wilderness Waterway is a canoeist's paradise flowing through two Maine counties, Aroostook and Piscataquis. (sunjournal.com)
- The State of Maine received $350,000 through cooperative agreement EH21-2102 from the Centers for Disease Control and Prevention (CDC) in FY 2022. (cdc.gov)
- Portland Largest city and port in Maine , USA. (encyclopedia.com)
- The Portland Head Light on Cape Elizabeth is the oldest beacon in Maine. (treehugger.com)
- Welcome to my blog my name is David Deschaine and I am a Real Estate Agent in South Portland Maine. (activerain.com)
- Why David Deschaine Realtor Because I've been in the construction industry working on homes for over 30 years, currently I work with buyers and sellers in the greater Portland area to help them find the home that is just right for a buyer or to help sellers using my expertise, to uncover any problems ahead of time when they are working with me as a client. (activerain.com)
- Find ME real estate agents and South Portland real estate on ActiveRain. (activerain.com)
- In April 2018, the Maine Legislature passed LD 1719 , which established the regulatory framework for cannabis sales in Maine. (mpp.org)
- In early July 2018, the Maine Legislature overrode then-Gov. Paul LePage's vetoes of LD 238 and LD 1539 , bills to improve Maine's medical cannabis program. (mpp.org)
- The Maine Board of Tax Appeals (the "Board") is an independent board within the Department of Administrative and Financial Services that was established to provide taxpayers with a fair system of resolving controversies with Maine Revenue Services ("MRS"). The Board consists of three members, appointed by the Governor and confirmed by the Legislature for terms of three years. (maine.gov)
- Many lenders will approve FHA loans for Maine borrowers with credit scores as low as 600 and some will go even lower than that. (mortgageloan.com)
- Results of search for 'au:'Maine, Deborah. (who.int)
- Unlike any other state, Maine will be using a rank-choice voting system for the presidential election . (go.com)
- The lighthouse is featured on the Maine state quarter, the first lighthouse displayed on U.S. currency. (treehugger.com)
- The Maine District Office services the entire state of Maine. (sba.gov)
- Courtesy of the Secretary of State Kids' Page at www.maine.gov. (sunjournal.com)
- How Maine law regulates how and when medical records must be maintained within the state, including a summary of your rights as a patient and how to make a medical records request. (findlaw.com)
- Maine Coons are the official cat of the state of Maine. (wikihow.com)
- The first case of human babesiosis reported in Maine occurred in 2001, 15 years after the first case of Lyme disease occurred in the state ( 8 , 9 ). (cdc.gov)
- Welcome to FindLaw's section on the medical and health care laws of Maine, which cover patient's rights as well as important patient protections and regulations for doctors and other care providers. (findlaw.com)
- Dissemination of well water arsenic results to homeowners in Central Maine: influences on mitigation behavior and continued risks for exposure. (bvsalud.org)
- Speaking at the launch of the Zero Malaria Starts with me campaign, the Deputy Minister of Health and Social Services, Honorable Dr Ester Muinjangue said that Namibia prioritized the elimination of malaria. (who.int)
- The table at the top of the page shows current mortgage rates in Maine for a variety of loan types, while our advertised lender rates give you an idea of what different lenders are offering. (mortgageloan.com)
- Or even easier, use the forms at either the top or bottom of this page to get personalized quotes for Maine mortgage rates. (mortgageloan.com)
- The Agency for Toxic Substances and Disease Registry (ATSDR) has released its final public health assessment for the Leeds Metal site in Leeds, Maine (ME). (cdc.gov)
- No harmful exposures to site-related contamination are associated with groundwater and drinking water, surface water, or indoor air at the Naval Air Station Brunswick site in Brunswick, Maine, finds the public health assessment released by the Agency for Toxic Substances and Disease Registry (ATSDR). (cdc.gov)
- For the first time ever, Maine will utilize rank-choice voting for the presidential contest, meaning voters have the option to indicate their first, second, third and other choices for president. (go.com)
- Maine residents who are first-time homebuyers should give serious consideration to an FHA loan. (mortgageloan.com)
- The governor fired back in a statement, accusing Trump of stoking divisions and questioning the value of his efforts to help Maine's fishing industry by lifting restrictions in a conservation area far from the Maine coast. (pressherald.com)
- Overview of the restrictions and regulations related to getting an abortion or operating an abortion clinic in Maine, including parental consent for minors and licensing requirements for doctors. (findlaw.com)
- For over 40 years, Central Maine has been home to Liberty Graphics, a small screen printing and design company. (sba.gov)
- A January 2013 survey of central Maine households (n=386, 73% response) who were notified 3-7 years earlier that their well water contained As above 10 µg/L found that 43% of households report installing As treatment systems. (bvsalud.org)
- In Maine, you can make a living trust to avoid probate for virtually any asset you own-real estate, bank accounts, vehicles, and so on. (nolo.com)
- Maine Coons make excellent family pets, but they require good care to stay happy and healthy. (wikihow.com)
- If your Maine Coon has any special dietary needs that your veterinarian has identified, then make sure that the food you select meets those needs. (wikihow.com)
- Note: high-water releases are limited each year, so check with Maine outfitters and book early. (visitmaine.com)
- We obtained the number of human cases of babesiosis and Lyme disease cases per year and county during1995-2011, from the Maine Center for Disease Control ( Table 1 ) and obtained census data ( http://quickfacts.census.gov/qfd/states/23000lk.html ) for the years 2000 and 2010. (cdc.gov)
- People with ME/CFS are often not able to do their usual activities. (cdc.gov)
- People with ME/CFS have severe fatigue and sleep problems. (cdc.gov)
- ME/CFS may get worse after people with the illness try to do as much as they want or need to do. (cdc.gov)
- CDC is working with partners and stakeholders to better understand post-COVID conditions and how they affect people with ME/CFS. (cdc.gov)
- However, people with ME/CFS might consider taking extra precautions to reduce their risk of getting COVID-19. (cdc.gov)
- It was established as a reserved land by the people of Maine in 1976. (sunjournal.com)
- According to an Institute of Medicine (IOM) report , an estimated 836,000 to 2.5 million Americans suffer from ME/CFS. (cdc.gov)
- We report on the geographic and temporal expansion of babesiosis in Maine, entomologic correlates of its emergence, and the seroprevalence of Babesia spp. (cdc.gov)
- a report released by the Agency for Toxic Substances and Disease Registry (ATSDR) says residents living near and around the Portsmouth Naval Shipyard (PNS) in Kittery, Maine may have been or are currently being exposed to environmental contaminants at levels not likely to cause health effects. (cdc.gov)
- Searching for the lowest Maine mortgage rates can be broken down into four steps. (mortgageloan.com)
- Safe motherhood : priorities and next steps, forward-looking assessment on the reduction of maternal mortality and morbidity within the framework of the safe motherhood initiative (SMI / Maureen Law, Deborah Maine, Marie-Thérèse Feuerstein. (who.int)
- The Pentax ME Super is an aperture priority automatic camera, with a focal plane shutter electronically timed from 4s to 1/2000, and with flash sync at 1/125. (joomspirit.com)
- At times, ME/CFS may confine them to bed. (cdc.gov)
- Show me the data! (cdc.gov)
- Currently, ME/CFS is not included in the list of medical conditions that increase risk of severe illness from COVID-19. (cdc.gov)
- The " Super " version is also a fraction of a millimeter taller than the original ME, although the difference is imperceptible in use. (joomspirit.com)
- What puts me at risk for HIV, Viral Hepatitis, and STDs? (cdc.gov)
- I think this is a cyst," she said, and sent me to a breast center for an ultrasound and to get the cyst drained. (medscape.com)
- Another group, Legalize Maine, also launched a ballot initiative campaign, and both groups began collecting signatures in spring 2015. (mpp.org)
- Namibia joins 21 other African Countries with the recent launch of the 'Zero Malaria Starts with Me' campaign. (who.int)
- She said that the "Zero Malaria Starts with Me" campaign is intended to raise awareness at the highest political level and encourage a multi-sectoral approach to addressing this key public health issue. (who.int)
- To be fair, parts of this iconic, northwestern Maine river barely move. (visitmaine.com)
- It felt to me like a black comedy just by how the demented husband hilariously screams out his orders for a never ending supply of sandwiches, I thought the actor was Richard Dreyfus, it tickled me to picture him playing a crazy bit part like that. (imdb.com)
- Maine lets you register stocks and bonds in transfer-on-death (TOD) form . (nolo.com)
- Please note that most controversies involving property tax must be appealed to the Maine Board of Property Tax Review. (maine.gov)