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<channel>
	<title>All about Abz</title>
	<link>http://abz.blogsome.com</link>
	<description>The Blog of the century</description>
	<pubDate>Thu, 21 Aug 2008 02:42:13 +0000</pubDate>
	<generator>http://wordpress.org/?v=1.5.1-alpha</generator>
	<language>en</language>

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		<title>Blog links | Go go GO!</title>
		<link>http://abz.blogsome.com/2008/08/21/blog-links-go-go-go/</link>
		<comments>http://abz.blogsome.com/2008/08/21/blog-links-go-go-go/#comments</comments>
		<pubDate>Thu, 21 Aug 2008 02:42:13 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>New Posts</category>
	<category>IT industry</category>
	<category>It's Featured here</category>
		<guid>http://abz.blogsome.com/2008/08/21/blog-links-go-go-go/</guid>
		<description><![CDATA[<pre><code>&amp;nbsp;&amp;nbsp;&amp;nbsp; After a long time of not blogging, my income was not moving. I raised only 300$ from my 2 main blogs. Now I am adding atleast 2 new blogs ready for battle I mean for earning. I was busy at school and also I spent time with lots of projects. Now I am back, [...]
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			<content:encoded><![CDATA[	<p><p>&nbsp;&nbsp;&nbsp; After a long time of not blogging, my income was not moving. I raised only <strong>300$</strong> from my 2 main blogs. Now I am adding atleast 2 new blogs ready for battle I mean for earning. I was busy at school and also I spent time with lots of projects. Now I am back, Oh no <em>&quot;I am back with a vengence&quot;.</em></p><p>&nbsp;&nbsp;&nbsp; I have this new blog to watch out for. If you want to view it just <a href="http://abz.blogsome.com/go.php?http://nakzba.blogsome.com/" target="_self">click here</a>. Let me tell you about this blog of mine. <strong>This blog is the blog I used to make assignments, I mean no big deal</strong>. I just use this so that my classmates will view my answers over the internet and I will have greater chance of having many viewers and readers. Nah quite a strategy huh? Why am I saying this? Just nothing I just want you guys to view my newest blog. </p><p>&nbsp;&nbsp;&nbsp; In this blog also you will see some new things you don&#8217;t see in other blogs. I will be posting answers to your questions, assignment, projects, links, verification or anything else. Also the main topics I&#8217;ll be posting is about the IT industry. Why? because it is related to&nbsp; my course which I am studying nevertheless it is about computers, algos and etc. Wahahah <br />
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		<title>Installation MSSQL 2000</title>
		<link>http://abz.blogsome.com/2008/08/20/installation-mssql-2000/</link>
		<comments>http://abz.blogsome.com/2008/08/20/installation-mssql-2000/#comments</comments>
		<pubDate>Wed, 20 Aug 2008 17:16:00 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>IT industry</category>
	<category>It's Featured here</category>
		<guid>http://abz.blogsome.com/2008/08/20/installation-mssql-2000/</guid>
		<description><![CDATA[<pre><code>          I have provided this to ease the burden of the students also with people in the IT industry in installing this software, though this is easy, I know that many poeple have questions wanted to be answered so to start off here are the 7 [...]
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			<content:encoded><![CDATA[	<p><div class="storycontent">          <p>I have provided this to ease the burden of the students also with people in the <strong>IT industry</strong> in installing this software, though this is easy, I know that many poeple have questions wanted to be answered so to start off here are the 7 easy main steps of installing.<br />
 </p><p align="justify">&nbsp;&nbsp;&nbsp; We should always remeber that there are some preferences you will be needing and won&rsquo;t be needed any more. Our teacher in <strong>Internet Technology taught us well</strong>, from detail to detail, and I want to share this to others. If you have some questions and inquiries feel free to email me or comment in this blog.</p>    <p align="justify">Steps: <strong>Easy and Fast</strong>&nbsp;</p>  <p align="justify">&nbsp;&nbsp;&nbsp; 1.&nbsp; Open <strong>AutoRUN.exe</strong></p>    <p align="justify">&nbsp;&nbsp;&nbsp; 2.&nbsp; Choose <strong>Server 2000 Components</strong>.</p>  <p align="justify">&nbsp;&nbsp;&nbsp; 3.&nbsp; Then later choose <strong>Install Database server</strong>.</p>  <p align="justify">&nbsp;&nbsp;&nbsp; 4.&nbsp; Next, choose <strong>Local Computer</strong></p>     <p align="justify">&nbsp;&nbsp;&nbsp; 5.&nbsp; Then Choose <strong>Create new instance</strong> then select next.</p>   <p align="justify">&nbsp;&nbsp;&nbsp; 6.&nbsp; Next -> input <strong>Name </strong>and <strong>Company</strong></p>  <p align="justify">&nbsp;&nbsp;&nbsp; 7.&nbsp; Next Lastly choose <strong>Mixed mode</strong>.</p>  <p align="justify">&nbsp;&nbsp;&nbsp; If you think you are done already, well think again. You should find the <strong><span class="caps">SP4</span></strong>/Service Pack 4 after installation, then click its exe and run it. After installing it, go <strong><span class="caps">SQL2KSP4</span> folder </strong>in your <span class="caps">DRIVE C</span> and gradually find <strong><span class="caps">SETUP</span></strong> and extract the needed data. When you are asked to Check compatiblity Check the one which upgrades and required for installation. Then you are ready to go! Thank you and that is all.</p>  </div></p>

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		<title>Coldfusion Problem with Connection | Data Source</title>
		<link>http://abz.blogsome.com/2008/08/19/coldfusion-problem-with-connection-data-source/</link>
		<comments>http://abz.blogsome.com/2008/08/19/coldfusion-problem-with-connection-data-source/#comments</comments>
		<pubDate>Tue, 19 Aug 2008 03:03:04 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>New Posts</category>
		<guid>http://abz.blogsome.com/2008/08/19/coldfusion-problem-with-connection-data-source/</guid>
		<description><![CDATA[<pre><code>          Can someone explain to me what this is??    Connection verification failed for data source: dsSchDb
              java.sql.SQLException: [Macromedia][SQLServer JDBC Driver]Error establishing socket. Connection refused: connect
</code></pre>

<p>The [...]</p>
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			<content:encoded><![CDATA[	<p><div class="post-content">          <p><strong>Can someone explain to me what this is??</strong></p>    <p align="justify"><font color="#ff0000"><strong>Connection verification failed for data source: dsSchDb<br />
                  java.sql.SQLException: [Macromedia][SQLServer <span class="caps">JDBC </span>Driver]Error establishing socket. Connection refused: connect<br />
 The root cause was that: java.sql.SQLException: [Macromedia][SQLServer <span class="caps">JDBC </span>Driver]Error establishing socket. Connection refused: connect </strong></font></p>   <p align="justify">&nbsp;&nbsp;&nbsp; What the hell is this?? I spent 2 hours already just to figure what this is. I can&rsquo;t connect my something. Wahehe Help me please, leave me a comment if you have the answer <br />
</p>  </div></p>

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		<title>E-commerce | IT field</title>
		<link>http://abz.blogsome.com/2008/08/19/e-commerce-it-field/</link>
		<comments>http://abz.blogsome.com/2008/08/19/e-commerce-it-field/#comments</comments>
		<pubDate>Tue, 19 Aug 2008 03:02:46 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>IT industry</category>
		<guid>http://abz.blogsome.com/2008/08/19/e-commerce-it-field/</guid>
		<description><![CDATA[<pre><code>&amp;nbsp;&amp;nbsp;&amp;nbsp; Well, e-commerce is a term used over the internet which stands for electronic &amp;#8211; commerce. It has a huge difference between the ordinary trend of commerce. It is updated of different trends in the near future, this made it so prominent. Prominent as it has been many companies really prefer to this and sell [...]
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			<content:encoded><![CDATA[	<p><p><p align="justify">&nbsp;&nbsp;&nbsp; Well, e-commerce is a term used over the internet which stands for electronic &#8211; commerce. It has a huge difference between the ordinary trend of commerce. It is updated of different trends in the near future, this made it so prominent. Prominent as it has been many companies really prefer to this and sell their products online, an online shop is really valued.</p>    <p align="justify">&nbsp;&nbsp;&nbsp; Marketing is a trend and if you want to sell your products fast? E-commerce is a solution.</p>    <p align="justify">&nbsp;&nbsp;&nbsp; Trends? E-bay, they give you comfort of buying products overseas, as if youve been there or wherever it is. Ecommerce came a long way and it made marketing easy. It also helped peolpe to buy and sell products.</p>     &nbsp;&nbsp;&nbsp; Access? this is one of the main point of e-commerce <strong>where products is just a click away</strong>. Challenges maybe is how will a company create a buzz for their strategy.</p></p>

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		<title>New Edits for Friends</title>
		<link>http://abz.blogsome.com/2008/07/27/new-edits-for-friends/</link>
		<comments>http://abz.blogsome.com/2008/07/27/new-edits-for-friends/#comments</comments>
		<pubDate>Sun, 27 Jul 2008 22:58:28 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>It's Featured here</category>
	<category>Fun Fun!</category>
		<guid>http://abz.blogsome.com/2008/07/27/new-edits-for-friends/</guid>
		<description><![CDATA[<pre><code>          Here are some of the pictures I edited during our get together in Mergrade resort, Davao city.   &amp;nbsp;   &amp;nbsp;
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			<content:encoded><![CDATA[	<p><div class="storycontent">          <p>Here are some of the pictures I edited during our get together in Mergrade resort, Davao city.</p>   <p><a href="http://abz.blogsome.com/go.php?http://quesera.blogsome.com/go.php?http://quesera.blogsome.com/wp-admin/images/Talikogenics.jpg"><img width="180" height="135" border="0" src="http://quesera.blogsome.com/wp-admin/images/thumb-Talikogenics.jpg" alt="" title="" /></a>&nbsp;<a href="http://abz.blogsome.com/go.php?http://quesera.blogsome.com/go.php?http://quesera.blogsome.com/wp-admin/images/Powerrangers.jpg"><img width="180" height="135" border="0" src="http://quesera.blogsome.com/wp-admin/images/thumb-Powerrangers.jpg" alt="" title="" /></a></p>   <p><a href="http://abz.blogsome.com/go.php?http://quesera.blogsome.com/go.php?http://quesera.blogsome.com/wp-admin/images/NothingNew.jpg"><img width="180" height="146" border="0" src="http://quesera.blogsome.com/wp-admin/images/thumb-NothingNew.jpg" alt="" title="" /></a>&nbsp;<a href="http://abz.blogsome.com/go.php?http://quesera.blogsome.com/go.php?http://quesera.blogsome.com/wp-admin/images/lol.jpg"><img width="135" height="180" border="0" src="http://quesera.blogsome.com/wp-admin/images/thumb-lol.jpg" alt="" title="" /></a></p>  </div></p>

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		<title>Morning Sun, Evening Rain</title>
		<link>http://abz.blogsome.com/2008/06/14/morning-sun-evening-rain/</link>
		<comments>http://abz.blogsome.com/2008/06/14/morning-sun-evening-rain/#comments</comments>
		<pubDate>Sat, 14 Jun 2008 14:10:32 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>New Posts</category>
	<category>Health</category>
		<guid>http://abz.blogsome.com/2008/06/14/morning-sun-evening-rain/</guid>
		<description><![CDATA[<pre><code>What is with the weather? When I wake up, the weather is doing so fine, the sun raises so bright that you wouldn&amp;rsquo;t thought of raining. But you guess are wrong. Now a day the weather seems so unpredictable. Unpredictable as it is, it gives me really hard time and most people find it too. [...]
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			<content:encoded><![CDATA[	<p><p><p class="MsoNormal">What is with the weather? When I wake up, the weather is doing so fine, the sun raises so bright that you wouldn&rsquo;t thought of raining. But you guess are wrong. Now a day the weather seems so unpredictable. <strong>Unpredictable</strong> as it is, it gives me really hard time and most people find it too.</p>     <p class="MsoNormal">Is this <strong>global warming</strong>? Well some say yes, and some people say this is only an <strong>effect of having different climate at a different season</strong>. Well? We can&rsquo;t tell who is saying the truth. The thing is, we are living in this world, and we should take good care of it.</p>   Time is running so fast, summer time is officially closed and school days are coming. <strong>Students</strong> should bring umbrellas to be prepared of this climate of us</p></p>

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		<title>The real IRON man</title>
		<link>http://abz.blogsome.com/2008/05/25/the-real-iron-man/</link>
		<comments>http://abz.blogsome.com/2008/05/25/the-real-iron-man/#comments</comments>
		<pubDate>Sun, 25 May 2008 01:43:10 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>New Posts</category>
	<category>Favorite character</category>
	<category>It's Featured here</category>
	<category>Fun Fun!</category>
		<guid>http://abz.blogsome.com/2008/05/25/the-real-iron-man/</guid>
		<description><![CDATA[<pre><code>          &amp;nbsp;  The real IRON MAN, this man is the real IRON man. True IRON man that is. He is quesera! From quesera inventions.
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			<content:encoded><![CDATA[	<p><div class="storycontent">          <p><img width="326" height="244" border="0" src="http://quesera.blogsome.com/wp-admin/images/iron%20abz3.jpg" alt="" title="" />&nbsp;<a href="http://abz.blogsome.com/go.php?http://quesera.blogsome.com/go.php?http://quesera.blogsome.com/wp-admin/images/iron%20abz3.jpg"><img width="180" height="135" border="0" src="http://quesera.blogsome.com/wp-admin/images/thumb-iron%20abz3.jpg" alt="" title="" /></a></p>  <p>The real <strong><span class="caps">IRON MAN</span></strong>, this man is the real <span class="caps">IRON</span> man. True <span class="caps">IRON</span> man that is. He is quesera! From quesera inventions.</p>  </div></p>

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		<title>For Joshua&#8217;s 2nd Birthday</title>
		<link>http://abz.blogsome.com/2008/05/24/for-joshuas-2nd-birthday/</link>
		<comments>http://abz.blogsome.com/2008/05/24/for-joshuas-2nd-birthday/#comments</comments>
		<pubDate>Sat, 24 May 2008 00:30:14 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>New Posts</category>
		<guid>http://abz.blogsome.com/2008/05/24/for-joshuas-2nd-birthday/</guid>
		<description><![CDATA[<pre><code>Hey, it is Josh&amp;#8217;s Birthday again! It is funny how time gone so fast. Well, it is Josh Birthday and i would like to make it so special, by making his simple layouts for his invitation. Who is Josh by the way? Josh is the cutest ever, son of our Lovely and Cheerful Maam Arlene [...]
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			<content:encoded><![CDATA[	<p><p>Hey, it is <strong>Josh&#8217;s Birthday again!</strong> It is funny how time gone so fast. Well, it is Josh Birthday and i would like to make it so special, by making his simple layouts for his invitation. Who is Josh by the way? Josh is the cutest ever, son of our Lovely and Cheerful Maam Arlene Juaton, questions? Ei? for those people who wanted to&nbsp; make one, just download <strong>fonts styles, borders and pictures</strong>. Put them together and walah! Here&#8217;s the sample and simple that is. </p><p><a href="http://abz.blogsome.com/go.php?http://abz.blogsome.com/wp-admin/images/trial%201.jpg"><img width="180" height="120" border="0" title="" alt="" src="http://abz.blogsome.com/wp-admin/images/thumb-trial%201.jpg" /></a><a href="http://abz.blogsome.com/go.php?http://abz.blogsome.com/wp-admin/images/trila%202.jpg"><img width="180" height="120" border="0" title="" alt="" src="http://abz.blogsome.com/wp-admin/images/thumb-trila%202.jpg" /></a><a href="http://abz.blogsome.com/go.php?http://abz.blogsome.com/images/trial%203.jpg"><img width="119" height="180" border="0" title="" alt="" src="http://abz.blogsome.com/images/thumb-trial%203.jpg" /></a></p></p>

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		<title>Youtube Slows down?</title>
		<link>http://abz.blogsome.com/2008/05/21/youtube-slows-down/</link>
		<comments>http://abz.blogsome.com/2008/05/21/youtube-slows-down/#comments</comments>
		<pubDate>Wed, 21 May 2008 02:01:53 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>New Posts</category>
	<category>It's Featured here</category>
	<category>Companies</category>
		<guid>http://abz.blogsome.com/2008/05/21/youtube-slows-down/</guid>
		<description><![CDATA[<pre><code>I had some complains that youtube.com is slowing down. What seems to be the problem? If youtube is aware of that, they are making maitenance every now and then, makes surfers stuck on what they are doing. Lols Youtube should find a way. Youtube is one of the most dominant, I think in videos in [...]
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			<content:encoded><![CDATA[	<p><p>I had some complains that youtube.com is slowing down. What seems to be the problem? If youtube is aware of that, they are making maitenance every now and then, makes surfers stuck on what they are doing. Lols Youtube should find a way. </p><p>Youtube is one of the most dominant, I think in videos in the net. I just love youtube, heheh. </p><p>&nbsp;</p></p>

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		<title>What Are the Symptoms of Anemia and How Is it Diagnosed?</title>
		<link>http://abz.blogsome.com/2008/05/20/what-are-the-symptoms-of-anemia-and-how-is-it-diagnosed/</link>
		<comments>http://abz.blogsome.com/2008/05/20/what-are-the-symptoms-of-anemia-and-how-is-it-diagnosed/#comments</comments>
		<pubDate>Tue, 20 May 2008 03:57:16 +0000</pubDate>
		<dc:creator>Abz</dc:creator>
		
	<category>Health</category>
		<guid>http://abz.blogsome.com/2008/05/20/what-are-the-symptoms-of-anemia-and-how-is-it-diagnosed/</guid>
		<description><![CDATA[<pre><code>     Even those with mild anemia can experience some weakness and fatigue. Moderate to severe anemia can also cause shortness of breath, rapid heartbeat, lightheadedness, headache, ringing in the ears (tinnitus), irritability, pale skin, restless leg syndrome, and mental confusion. Anemia may occur without symptoms, however, and be detected only during [...]
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			<content:encoded><![CDATA[	<p><p><div class="mhead3"><p> </p></div> <table cellspacing="0" cellpadding="0" border="0"><tr valign="top">  </tr><tr><td> <p>Even those with mild anemia can experience some weakness and fatigue. Moderate to severe anemia can also cause shortness of breath, rapid heartbeat, lightheadedness, headache, ringing in the ears (tinnitus), irritability, pale skin, restless leg syndrome, and mental confusion. Anemia may occur without symptoms, however, and be detected only during a medical examination that includes a blood test. In spite of the common association of anemia with thinness and pallor, a normal to heavy weight and healthy-looking skin color do not rule out anemia in people with risk factors and other symptoms.</p> The symptoms of megaloblastic anemia from vitamin <span class="caps">B12</span> or folic acid deficiencies include standard anemic symptoms and inflammation of the mouth (stomatitis) and tongue (glossitis), which involve the shrinking of its surface and edges. Of concern for patients with pernicious anemia is that folic acid supplements can mask the presence of this disease in its early stages but not cure it. (Only vitamin <span class="caps">B12</span> is a cure.) Early neurologic symptoms of pernicious anemia include numbness and tingling, depression, memory loss, and irritability. Advanced nerve damage can cause loss of balance and staggering, confusion, dementia, spasticity, loss of bladder control, and impotence. Folic acid deficiency does not cause neurologic damage, although people with this deficiency can be irritable, forgetful, and experience personality changes.  <font><strong><p>How Is Anemia Diagnosed?</p> </strong></font> <p>General Diagnostic Tests for Anemia</p> Because anemia may be the first symptom of a serious illness, determining its cause is very important. This may be difficult, particularly in the elderly, malnourished, or people with chronic diseases, whose anemia may be caused by one or more of a number of factors. A detailed medical, personal, and dietary history is a necessary first step. A physician should ask about any family history of anemia as well as gallbladder disease, jaundice, and enlarged spleen. Women should report any heavy menstrual bleeding. All patients should describe any occurrence of blood in the stool or other signs of internal bleeding, and even if no bleeding has been seen, a rectal exam and stool test for occult (hidden) blood are essential. The physician should examine the patient carefully, especially checking for swollen lymph nodes, an enlarged spleen, and pale skin and nail color. A dietary history is important, particularly in people who are elderly and poor.  <em>Blood Counts and Blood Smears. </em>The basic laboratory tests for diagnosing anemia establish the number of red blood cells and their appearance (known as their <em>morphology</em>). A complete blood count (CBC) test is always performed. The red blood cells, or erythrocytes, and their iron-bearing component, hemoglobin, are measured. The percentage of red blood cells in the blood is called the hematocrit. A low <span class="caps">RBC</span> count could indicate a number of problems, including bleeding or a failure by bone marrow to manufacture red blood cells. Physicians must take into consideration smoking and high altitude, both of which can increase hemoglobin and hematocrit counts. With these conditions, the red blood cell count may be normal, but the patient may actually be anemic because insufficient oxygen is being delivered to the lungs. A blood smear allows an expert to classify the blood by its color, size, and shape&#8212;its morphology. Generally red blood cells are categorized as either being pale-colored (hypochromic) and abnormally small (micr<a href="http://abz.blogsome.com/go.php?http://cpacpl.com/ez/dsycxkym/"><img border="0" alt="" src="http://cpacpl.com/42/64/1740" /></a><br />
ocytic), normal colored and normal sized (normochromic, normocytic), or abnormally large (macrocytic). The shape of the red blood cells, which can be distorted in many blood disorders, is also important in determining a diagnosis.  <strong><p>Diagnosing Iron Deficiency Anemia</p>  </strong>When blood smears reveal pale-colored and abnormally small cells that are often uneven in shape, iron deficiency is usually suspected, although this same morphology can appear in anemia of chronic disease and thalassemia. Iron levels should then be measured; low levels, however, can occur both in true iron deficiency anemia and anemia of chronic disease. To confirm a diagnosis of iron-deficiency anemia, physicians usually measure ferritin, a protein that binds iron; ferritin levels are low in iron deficiency but not usually in <span class="caps">ACD</span>. (It should be noted that women who have an iron deficiency and anemia when they become pregnant may test for high ferritin levels during pregnancy that persist into the third trimester, which indicate a risk for early delivery and low infant birth weight.) Another test that can distinguish iron deficiency from <span class="caps">ACD</span> is measurement of a factor in the blood called unsaturated iron-binding capacity (UIBC), which increases in iron deficiency but not in anemia caused by chronic diseases. When iron deficiency anemia is diagnosed, the next step is to determine what causes the iron deficiency itself. If iron deficiency is found in men or postmenopausal women, a physician should always look for causes other than dietary ones. A diagnosis of internal bleeding can be made simply if the patient has noticed blood in the stools, which can be black and tarry as well as red-streaked. Often, however, the bleeding is not apparent, a condition known as occult (hidden) bleeding, and tests for blood in the stools are almost always required. Additional tests may then be needed to diagnose the precipitating condition, which may be gastrointestinal cancer, colon polyps, ulcers, gastritis, hiatal hernias, or long-term use of aspirin or similar pain killers called nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, particularly in the elderly, the cause of bleeding is unknown. For these patients, physicians sometimes use a technique called endoscopy, which involves the use of a fiber-optic tube to view the gastrointestinal tract. If no problems are detected, the patient is placed on iron supplements. If the patient fails to respond or requires transfusions, further evaluation is needed. Although endoscopy is not always performed in older patients with iron deficiency and no signs of GI bleeding, one study reported that this procedure revealed specific causes of anemia, including some cancers, in 44% of patients who had no other indications of bleeding.  <strong><p>Diagnosing Causes of Anemia from Chronic Diseases</p>  </strong>The blood cells are normal looking in most cases of anemia caused by chronic disease. Usually the anemia is recognized during the management of the primary disease and, if the anemia is mild, additional diagnostic tests are rarely needed. Low levels of iron in the blood are often found in <span class="caps">ACD</span>, but ferritin levels are normal or high, ruling out true iron deficiency. It must be noted, however, that internal bleeding may also accompany <span class="caps">ACD</span> and confuse the diagnosis. For example, rheumatoid arthritis is associated with anemia, but <span class="caps">NSAI</span>Ds taken for pain relief from arthritis can also cause gastrointestinal bleeding and, therefore, iron deficiency. Cancer patients may have anemia caused both by internal bleeding and the disease process itself.  <strong><p>Diagnosing Megaloblastic Anemia and Vitamin B Deficiencies</p>  </strong>Physicians may arrive at a diagnosis of vitamin <span class="caps">B12</span> or folic acid deficiencies from different routes. They may suspect vitamin deficiencies from patient symptoms or diagnose deficiences after detecting megaloblastic anemia from abnormal blood tests. If a vitamin <span class="caps">B12</span> deficiency is uncovered, the next step is to test for pernicious anemia. Once identified, pernicious anemia is simple to treat, although it is easily missed.  <em>Symptoms and History Indicating Vitamin <span class="caps">B12</span> or Folic Acid Deficiency</em>. Malnutrition, alcohol abuse, pregnancy, a history of sprue, severe psoriasis, or the use of antiseizure drugs may indicate a folic acid deficiency. A history of stomach surgery, eating raw fish (which raises the possibility of tapeworm), inflammatory bowel disease, or hypothyroidism suggests vitamin <span class="caps">B12</span> deficiency. Often, vitamin B deficiencies cannot be determined by a history or symptoms alone. If a vitamin <span class="caps">B12</span> deficiency is present and caused by pernicious anemia, a physician may not suspect this disease in patients whose diets are rich in folic acid. Folic acid can prevent the anemic symptoms of pernicious anemia but not cure it; consequently in can mask the disease until serious neurologic symptoms occur. With folic acid now a required additive in many commercial foods, some experts are concerned that there will be an increased incidence of cases of undetected pernicious anemia.  <em>Tests for Megaloblastic Anemia</em>. Blood tests indicate megaloblastic anemia by revealing very large oval red blood cells. They also may show abnormally shaped neutrophils, which are white blood cells. Bone marrow aspiration is usually not necessary but may be performed if the diagnosis is unclear.  <em>Determining Specific Vitamin Deficiencies and Pernicious Anemia.</em> Once megaloblastic anemia has been diagnosed, the physician will need to determine what vitamin deficiency is causing it. Patients who have neurologic and psychiatric abnormalities with no detectable cause should still be tested for vitamin <span class="caps">B12</span> deficiency, even if blood tests for megaloblastic anemia are normal. Blood tests are the primary indicators of both vitamin <span class="caps">B12</span> and folic acid deficiencies. (Folic acid levels are best measured by its levels in samples of red blood cells.) Folic acid and vitamin <span class="caps">B12</span> levels must always be measured at the same time because each vitamin may affect the other. For instance, vitamin <span class="caps">B12</span> levels tend to exhibit a false drop if folic acid levels are low. Folate levels may be temporarily low in some people who are not truly deficient or falsely high in some people who are deficient but have just eaten foods containing the vitamin. Antibiotics can interfere with <span class="caps">B12</span> levels. Measuring methylmalonic acid and homocysteine, substances in the blood that increase when levels of one or both vitamins decrease, improves accuracy. Other tests are used to detect antibodies to intrinsic factor and stomach cells damaged by pernicious anemia. Until recently, the only methods for diagnosing pernicious anemia were either a trial of vitamin <span class="caps">B12</span> injections or a urine test known as the Schilling test, which is not completely reliable. Some clinicians no longer use it because of improvement in blood tests. Once a vitamin <span class="caps">B12</span> deficiency has been established and the physician has not found any intestinal abnormalities or other factors to account for the deficiency, the doctor presumes a diagnosis of pernicious anemia.</td></tr></table></p></p>

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