Ritalin should not be used in children with anxiety, tension, agitation, irregular heart rhythms, severe angina pectoris, or glaucoma, or in anyone with motor tics or a family history or diagnosis of tourette's syndrome. Although a relationship has not been established, suppression of growth (such as weight gain and/or height) has been reported with the long-term use of stimulants in children. Therefore, patients who need long-term therapy should be carefully monitored; it may be a good idea to withhold the drug on weekends and during school holidays.

Rocky Mountain spotted fever A rare infectious disease caused by the parasite rickettsia (similar to bacteria) and characterized by a spotted rash. The disease is transmitted from ticks to rabbits and other small mammals, most often in wooded areas along the Atlantic coast. The rick-ettsia are carried by the dog tick in the eastern United States and by the wood tick in the Rocky Mountain states; the lone star tick is sometimes a carrier in the West.

The disease gets its name from its discovery in a the Rocky Mountain lab, but its incidence of the disease has been rising steadily since 1980; there are more than 1,000 cases reported each year all over the country.

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