New England Lyme Disease in England

Challenges Facing Healthwatch, a New Consumer Champion in England

This article engages with debates about the conceptualisation and practical challenges of patient and public involvement (PPI) in health and social care services. Policy in this area in England has shifted numerous times but increasingly a consumerist discourse seems to override more democratic ideas concerning the relationship between citizens and public services. Recent policy change in Engla...

Lyme disease surveillance in England and Wales, 1986 1998.

Improved surveillance indicates that Lyme borreliosis, an emerging zoonosis in the United Kingdom, has increased from 0.06/100,000 during 1986-1992 to 0.32/100,000 since 1996. Case reports peaked in the third quarter of each year. Several high-incidence localities were identified. Erythema migrans was reported in 41% of patients; arthritis in 4%; musculoskeletal symptoms in 18%; and neuroborrel...

Latinos in New England

New England phonology*

The six states that make up New England (NE) are Vermont (VT), New Hampshire (NH), Maine (ME), Massachusetts (MA), Connecticut (CT), and Rhode Island (RI). Cases where speakers in these states exhibit differences from other American speakers and from each other will be discussed in this chapter. The major sources of phonological information regarding NE dialects are the Linguistic Atlas of New ...

A case of chronic Lyme arthritis in England.

Seronegative rheumatoid arthritis associated with AIDS Sir: Acquired immunodeficiency syndrome (AIDS) is a disease of protean manifestations. It is almost certainly caused by a retrovirus: human immunodeficiency virus (HIV). Its major presentations are those of recurrent infection and neoplasia. Musculoskeletal manifestations have been well reported' and occur in up to 70% of patients. Arthriti...