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Delay or abnormal functioning in social interaction, language or imaginative play is evident by age 3.

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Asperger's syndrome Symptoms are typically milder. No "clinically significant" delay in language or "cognitive development.

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Pervasive developmental disorder not otherwise specified PDD-NOS "Subthreshold" condition in which some, but not all, features of autism or Asperger's are identified. Rett syndrome Affecting 1 in 10,, females.


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At months, autism-like symptoms become apparent, including characteristic hand-wringing. The child's mental and social development regresses. Childhood disintegrative disorder Occurs in 2 in , children with ASDs. Average onset is between ages 3 and 4; regression is usually more dramatic than in Rett syndrome. However, teenagers in Washington County continue to give birth at a high rate. In the county, That number is down from the Washington County continues to have the fourth-highest teen birth rate in Maryland, behind Baltimore City, and Caroline and Dorchester counties on the Eastern Shore.

Ronald Keyser said of the county's teen birth rate. Data from that year shows that Keyser said the county's teen birth rate has been as high as In , 47 percent of high school students nationwide - 4.

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Of those who had sex during a three-month period in , 63 percent - more than 6 million - reported using condoms. That's up from 46 percent in , according to nationwide data. In , three girls younger than 15 gave birth in Washington County, and 76 to year-olds gave birth, according to state data.

That same year, and year-olds gave birth. Washington County ranks second statewide in the rate of births to white teenage mothers, with Keyser described working to lower the county's teen birth rate as a "long-term" process. He said several initiatives, including the Washington County Teen Pregnancy Prevention Coalition, are focused on reducing those numbers.

The coalition launched a parent tool kit earlier this year, which is a folder with brochures and information sheets with tips to help parents talk to their children about sex and sex-related issues. Information about community resources available to teens also is included. Coalition Director Carrol Lourie said the organization focuses on an "abstinence plus" curriculum.

Lourie said the coalition will begin faith-based training on the topic in September for local churches.


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  4. A group of evangelical pastors also will be giving sermons in October about sexuality and the role the church plays in children's lives. Lourie said that parents should understand that their children want to talk with them about their values and the impact their sexual decisions can have on their lives. It's not a one-time conversation. It's a conversation that goes on throughout the child's life. They can hear more the older they get.

    For more information For information and resources from the Washington County Teen Pregnancy Prevention Coalition, call Carrol Lourie at , or e-mail her at clourie myactv. Information about free services for teens at the Washington County Health Department is available online at www. The Associated Press contributed to this story. The unidentified man fashioned a bedsheet -- still dangling from the window in an area of the hospital one worker described as "3 South" at about p.

    From there, he descended another two stories to the ground and fled toward the adjacent construction zone of the soon-to-be Virginia Layfield Tower. Emergency personnel from Salisbury Fire Department, members of PRMC's security team and Salisbury Police Department officers teamed to sweep the construction zone to find the man they believed to be hiding somewhere on the fenced-in site. Roger Follebout, PRMC spokesman, could not identify the man or comment about the patient's condition.

    I can't confirm any other information that was released at the scene. When police found him, Records said the man was hiding deep inside the unfinished building. Guess that was a giveaway,' " Parker said the patient asked when discovered. Strapped to a stretcher, emergency workers hoisted the man back to the surface and, finally, back into the hospital within an hour of his departing it. She said health officials were dispatched in each case to collect the animal, at which point the one live bat was euthanized and sent to a lab for testing. Tull would not release the exact locations of the infected animals.

    Both bats tested were positive for the rabies virus. Tull also said bat exposure investigations within the county have increased over the past few months. These investigations are typically done when people call in and provide information that signifies abnormal bat behavior. However, Tull said bats are a normal part of Maryland wildlife and many do not pose a threat.

    According to the Maryland Department of Natural Resources, the state has 10 bat species, some of which migrate for particular months of the year and some that are residents year-round. Rabies is an infectious viral disease that affects the nervous system of mammals and, because it is fatal, it is the goal of public health to prevent human exposure through education, Tull said.

    Tull urged people to ensure that children do not pick up any bats or wild mammals that enter into indoor or outdoor living spaces, to bat-proof homes by making sure windows, screens and chimney caps are closed, and to always have household pets vaccinated. Contact the Worcester County Health Department about abnormal bat behavior or another wild animal at Several neighborhoods in the area are advised to take precautions when encountering any animal to reduce the potential threat of a being bitten. The fox was subdued with a Taser and released in a field near the restaurant.

    The body of the creature was found in a nearby neighborhood later that day. As a result of the incident, the health department issued a rabid fox advisory for the area of Route 13 from Zion Road to Priscilla Street and the Jersey Road area. Rabies is spread by animal saliva, bites and scratches, and mammals and domesticated animals are susceptible. Most animals that acquire the virus are euthanized shortly afterward or -- in the case of domestic pets -- given the rabies vaccine and isolated for a period of six months before contact with human or other animals is allowed.

    The health department also said there has been a percent increase in animal bites in the months of April, May and June compared to the same period in Anyone encountering an animal that may be potentially rabid is asked to contact the Health Department at or after hours at Harvey Schwartz a week to figure out if his sneezing fits, watery eyes and runny nose are caused by a cold or an allergy even though he knows the symptoms for both.

    Schwartz, an allergist and immunologist at Inova Mount Vernon Hospital who is allergic to ragweed and has other low-grade allergies. Allergies and colds both can cause a runny or stuffy nose and headaches, they say. Symptoms that differ include watery eyes and itchy throat, eyes and ears for allergies and low-grade fever and body aches for colds, the physicians say.

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    Viruses are more sporadic," says Dr. Allergies can occur year-round or are seasonal, peaking in the spring and summer, when pollen from various plants becomes airborne, Dr. Shorr says. Colds can occur any time of the year and peak in late fall and early spring, says Dr. Togias says. The average adult gets three to four colds per year, while children get seven to eight a year, Dr. Thirty percent of the population has seasonal and perennial allergies, he says. Seasonal allergies tend to last a short time, usually three to six weeks, and are caused by seasonal allergens such as tree pollen in March and April, grass pollen in May and ragweed in September, Dr.

    Schwartz says. Perennial allergies are caused by indoor allergens, such as dust mites, which are small insects that live in dust, along with molds, cockroaches, and pet dander and saliva, says Dr. Symptoms from perennial allergies, such as sinus pressure and congestion, can persist year-round, Dr. Veswani says. Alternatively, symptoms from colds usually last from three to 10 days, he says. Allergy symptoms are more prolonged and severe than cold symptoms, says Dr.

    Bollinger says. The discharge in allergies is clear, watery and thin, Dr. Thick, colored discharge that usually is yellow or green indicates a cold, she says. However, nasal symptoms occurring several times throughout the year point to allergies, Dr. Nasal and other symptoms that occur at the same time each year also suggest allergies, he says.

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    The cause of colds and allergies differ; one is an infection and the other a reaction. Cold symptoms are caused by a viral infection of the upper airways, Dr. Colds are transmitted from person to person through sneezing and coughing when viruses are released out of the nose and mouth in small droplets of liquid, Dr. A person who breathes in the droplets can catch the cold when viruses sit in the lining of the nose and respiratory tract and multiply, he says. As the viruses multiply, the body produces cells to make chemicals that attack the virus that also cause the cold symptoms, he says.


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    Alternatively, allergies are caused by a protein that comes from the allergens, Dr. The protein becomes airborne and once breathed in is deposited in the respiratory tract, he says. That special sensitivity is an immune-system reaction," Dr. It's the wrong type of response or reaction. Acetaminophen, such as Tylenol, treats cold, flu and allergy symptoms and reduces fever, Dr. Antibiotics, however, should not be given for colds because colds are viral, not bacterial, Dr. If medications prove ineffective, allergies can be treated with immunotherapy, or allergy shots, to enable the body to build up immunity and accept the allergens the immune system attacks, Dr.

    Doses are increased slowly over a three- to five-year period to achieve the desensitization, he says. Colds can be avoided by careful hand washing after coming in contact with cold germs and by sneezing into a handkerchief or tissue to avoid spreading the germs, then washing the hands, Dr. Avoiding allergic symptoms takes avoiding the known allergen, such as staying indoors when a particular pollen is present for seasonal allergies and using air-conditioning to filter out the pollens, Dr.

    Keeping the house on the cool, dry side also helps prevent dust mites, which prefer high temperatures and humidity, Dr. For dust allergies, avoiding carpeting and upholstered furniture, which can allow dust to build up, and using impermeable covers on mattresses and pillows also helps, Dr. You always recommend those methods of avoidance to begin with, knowing that they won't be percent successful," Dr.

    Copyright Washington Times. Daniel R. Levinson, inspector general for the U. Department of Health and Human Services, said the agreement helps ensure that Medicaid "is not exploited by consulting firms providing suspect reimbursement advice. Taylor, U. Turner's complaint, filed in Alexandria federal court by attorney Candace McCall, stated that the company overcharged Medicaid in connection with consulting services it provided to the D.

    Child and Family Services Agency.