Endemic means a disease occurs frequently and at a predictable rate in a specific location or population.

For example, chicken pox occurs at a high and predictable rate among American school children.
Aschoff bodies submiliary collections of cells and leukocytes in the interstitial tissues of the heart in rheumatic myocarditis. Tiny rounded or spindle-shaped nodules containing multinucleated giant cells, fibroblasts, and basophilic cells. They are found in joints, tendons, the pleura, and the cardiovascular system of rheumatic fever patients.

Autoimmune disease a disease state characterized by a specific antibody or cell-mediated immune response against the body's own tissues (autoantigens). The immunological mechanism of the body is dependent on two major factors: (1) the inactivation and rejection of foreign substances and (2) the ability to differentiate between the body's own antigens ('self') and foreign ('nonself'). It is not yet known exactly what causes the body to fail to recognize proteins as its own and to react to them as if they were foreign. Autoimmune reactions are rare in large animal diseases. thrombocytopenia, milk allergy and spermatic granuloma are known examples. In dogs and cats there are a number of autoimmune diseases recognized and they occur with some frequency. These include autoimmune hemolytic anemia and thrombocytopenia, systemic lupus erythematosus, rheumatoid arthritis, glomerulonephritis, lymphocyticthyroiditis and a variety of dermatological disorders in the pemphigus group of diseases

Ketoacidosis is a high anion gap metabolic acidosis due to an excessive blood concentration of ketone bodies (keto-anions). Ketone bodies (acetoacetate, beta-hydroxybutyrate, acetone) are released into the blood from the liver when hepatic lipid metabolism has changed to a state of increased ketogenesis. A relative or absolute insulin deficiency is present in all cases.
Ketones are produced when your body starts burning fat for energy instead of glucose. Dangerously high levels of ketones can lead to diabetic coma or death. Know the warning signs and check urine for ketones, especially when sick.

Ketoacidosis (key-toe-ass-i-DOE-sis) is a serious condition that can lead to diabetic coma (passing out for a long time) or even death. When your cells don't get the glucose they need for energy, your body begins to burn fat for energy, which produces ketones. Ketones are acids that build up in the blood and appear in the urine when your body doesn't have enough insulin. They are a warning sign that your diabetes is out of control or that you are getting sick. High levels of ketones can poison the body. When levels get too high, you can develop diabetic ketoacidosis, or DKA

Attention deficit hyperactivity disorder (ADHD) is a developmental disorder.[1] It is characterized primarily by "the co-existence of attentional problems and hyperactivity, with each behavior occurring infrequently alone" and symptoms starting before seven years of age.[2] ADHD is the most commonly studied and diagnosed psychiatric disorder in children, affecting about 3 to 5 percent of children globally[3][4] and diagnosed in about 2 to 16 percent of school aged children.[5] It is a chronic disorder[6] with 30 to 50 percent of those individuals diagnosed in childhood continuing to have symptoms into adulthood.[7][8] Adolescents and adults with ADHD

tend to develop coping mechanisms to compensate for some or all of their impairments.[9] It is estimated that 4.7 percent of American adults live with ADHD.[10] Standardized rating scales such as the World Health Organization's Adult ADHD Self-Report Scale can be used for ADHD screening and assessment of the disorder's symptoms' severity

impetigo - contagious superficial skin infection; staphylococcal skin infections (MeSH) or impetigo; impetiginous lesion clearance; topical antibiotics efficacy versus placebo; disinfecting treatments - versus oral antibiotic treatment; macrolide and cephalosporin antibiotics; topical antibiotics - mupirocin and fusidic acid

School phobia is a serious disorder affecting up to 5% of elementary and middle school children. Long-term consequences include academic failure, diminished peer relationships, parental conflict, and development of additional psychiatric disorders. Hiding behind such common physical symptoms as headaches, stomachaches, and fatigue, school phobia evades diagnosis with ease. Unraveling the problem of school phobia is challenging for the school nurse and is complicated by an overall lack of knowledge regarding the serious potential outcomes. The purpose of this article is to define school phobia, differentiate it from truancy, and highlight some interventions useful in the treatment of this increasingly common and potentially serious disorder.