SUN WORSHIPPING IN PENNSYLVANIA

Safe in the Sun

سرطانهای جلدی را می توان به انواع پیش بدخیم و بدخیم تقسیم نمود. شایعترین ضایعه جلدی پیش بدخیم، کراتوز آفتابی نام دارد که بصورت ضایعات خشک و دلمه دار جلدی بروز می کنند - لنتیگو  آفتابی یک ضایعه پیش بدخیم دیگرن است که بصورت لکه های قهوه ای و صاف (غیر برجسته روی پوست مشاهده می شوند) ضایعات پیش بدخیم در صورت عدم درمان می توانند بدخیم شوند. 

Let the sun shine in: effects of ultraviolet radiation on invasive pneumococcal disease risk in Philadelphia, Pennsylvania

BACKGROUND Streptococcus pneumoniae is a common cause of community acquired pneumonia and bacteremia. Excess wintertime mortality related to pneumonia has been noted for over a century, but the seasonality of invasive pneumococcal disease (IPD) has been described relatively recently and is poorly understood. Improved understanding of environmental influence on disease seasonality has taken on n...

Pothole Repair in Pennsylvania

IN T R O D U C T IO N In the C om m onw ealth of Pennsylvania, the m anual repa ir of potholes involves an annual expend itu re exceeding $25 m illion, which is second only to snow rem oval in the m a in tenance budget. P rior to 1980, it was com m on practice for rep a ir crews to practice a “throw an d go” policy, w ith pa tch m ateria l p laced in the potholes w ithout rem oving debris or lo...

Diagnosing Diabetes With Glucose Criteria: Worshipping a False God

In this issue of Diabetes Care, Dr. David Sacks has nicely delineated the pros and cons of the measurements of glucose concentrations and A1C levels and the resulting effects on using each to diagnose diabetes (1). With the continued improvement in A1C assays, the balance seems to increasingly favor using A1C levels. This commentary will examine an issue that has received scant attention in the...

Lyme Disease in Pennsylvania