Vote on whether the legislature should be given the right to set caps on non-economic damages such as those discussed in this article. The election will take place on September 13, 2003, and, if passed, will allow the caps passed during the session to stand. We, at TMLT and TAPA, will be joining with other groups concerned about the health care crisis in an effort to win this election for our doctors and their patients. The TMA will be contacting you in the near future regarding the role physicians and their staffs can play in this monumental battle with plaintiff's attorneys and their supporters. With your help, we are confident we can achieve victory . again. If we are successful in the above effort, and with these new changes to our medical liability laws, TMLT is hopeful and confident that lawsuit abuse will be moderated, and that claims payout will moderate accordingly, allowing for more reasonable insurance premiums in the future. This will allow doctors to continue practicing in Texas, reducing the access to care crisis we are now experiencing. In the long run, the citizens of Texas are the winners in this historic legislative session.
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The Neurogastroenterology and Motility 2006 Joint International Meeting will be held September 14-17, 2006 in Boston, Massachusetts. The AMS are the host sponsors for this first joint meeting of the American Motility Society, Functional Brain-Gut Research Group, European Society of Neurogastroenterology and Motility, International Group for Neurogastroenterology and Motility. The abstract deadline will be June 6, 2006. For information, visit motilitysociety News from the NIH NIDDK: Judith Podskalny, Ph.D. The NIH continues to encourage clinical research by supporting career development awards for both junior and mid-career physician scientists. The Mentored Patient-Oriented Research Career Development Award K23 ; is aimed at physicians who have recently completed their clinical training and are at the beginning of their research careers. The three to five year award requires a 75% protected time commitment, a research project involving patients, a career development plan, and one or more mentors. The announcement for this program, with application details, was recently updated and can be found at : grants.nih.gov grants guide pa-files PA05-143 . The Midcareer Investigator Award in Patient-Oriented Research K24 ; is aimed at clinical scientists at the Associate Professor or Professor level who have a strong track record of performing patient-oriented research as evidenced by their publication record and stature in their field. Applicants need to provide evidence of their mentoring abilities. The award provides salary for 25-50% effort to continue, and to expand, ongoing research and mentoring activities. The K24 is renewable once, thus providing up to 10 years of support. The announcement for this program can be found at : grants.nih.gov grants guide pa-files PA-04107 . Both the K23 and the K24 programs began in 1999, with over 80 awards issued in each program that year. By 2004, over 950 K23s and over 250 K24s had been awarded NIH-wide. For more information about K23s or K24s in the area of GI motility research, contact Judith Podskalny, Ph.D. in the Division of Digestive Diseases and Nutrition, NIDDK podskalnyj mail.nih.gov ; or visit the NIDDK training webpage at : niddk.nih.gov fund training training or the NIH training webpage at : grants1.nih.gov training extramural Clinically trained professionals or individuals with a clinical degree who are interested in further career development in biomedical research that is not patient-oriented should refer to the Mentored Clinical Scientist Career Development K08 ; Award. IFFGD and the AMS: Nancy Norton The International Foundation for Functional Gastrointestinal Disorders IFFGD ; is pleased to be actively partnering with the American Motility Society. We have worked individually with many members of the AMS through the years but this new formal partnership presents many opportunities for both organizations. Our educational efforts will benefit not only patients and their families but we hope members of the AMS will view IFFGD as an organization that also benefits the professional community as well. Since 1991, IFFGD has been actively working on behalf of patients with the medical community, as well as with other.
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Under New York State's mandatory generic substitution law, a generic drug must be dispensed when a multi-source product is prescribed, unless the prescriber indicates that the brand name product is required. During this program year, the substitution rate for those drugs with a generic alternative was over 81 percent compared to 80 percent last year. This positive rate is comparable to programs with strong generic incentives. The average State cost for a generic prescription was $19.69 this year and $19.33 last year, an increase of 1.8 percent. The average State cost for a brand multi-source prescription was $39.64 this year and $39.07 last year, an increase of 1.5 percent. The average State cost for a sole source medication was $87.42 this year and $77.94 last year, an increase of 12.2 percent. These 28 and
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CURRENT APPROACH TO TREATMENT Elephantiasis is a very `successful' disease which has been around for centuries: its effects have been found in mummies and are pictured in ancient artwork. Today, its official name is lymphatic filariasis LF ; , reflecting the discovery that it is triggered by tiny, filarial worms which infect mosquitoes; the worms are transferred to humans when the mosquitoes feed from their blood. So far, no drugs have been developed specifically to combat LF because the filarial worms are endemic in poor countries; it would be difficult for a pharmaceutical company to recoup the development costs, let alone make a profit. However, several existing drugs were found to be effective against the larval offspring of adult filarial worms. This led to GlaxoSmithKline and Merck agreeing to donate enough of these drugs albendazole and ivermectin to support the Global Programme for the Elimination of Lymphatic Filariasis, which was launched in 1999. This is a significant commitment, even though LF larvae are killed by a single dose of either drug. Early-stage LF can be symptomless, so the drug has to be mass administered to whole populations, not just to known sufferers. What's more, the adult worm lives twice as long as a mouse, so people need to take the drug every year for at least five years. The Global Programme is expected to run until 2020. By 2004 ~250 million treatments had been administered; the Global Programme is currently active in 42 countries. This is a huge step forward but it doesn't solve all the problems associated with LF. Albbendazole and ivermectin are strong drugs which can't be prescribed to pregnant women or children. Neither is capable of killing the adult filarial worms which cause LF, and it's not possible to get rid of the visible symptoms using antiparasitic drugs. Most worrying of all, there is recent evidence that the larvae are becoming drug-resistant in some areas. Now, there are solutions in sight, thanks to research carried out by the Liverpool School of Tropical Medicine LSTM ; with support from the Wellcome Trust and the World Health Organisation Special Programme for Research and Training in Tropical Diseases. DEDICATED RESEARCH LABORATORY Armed with a 1.5 million grant from the Wellcome Trust, parasitologist Dr Mark Taylor set up a Filariasis Research Laboratory at the LSTM in 2000. He assembled a team of researchers to study aspects of the species of filarial worms which cause major public health problems . the three which cause LF, and one which causes river blindness. Since then, Mark and his team have made.
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HealthAssurance puts valuable information right at your fingertips. Start at the Member home page to find all these services: Check it out: HealthAssurance supports a wide range of community events, joining with local groups to promote health education, fitness, wellness, and safety. To find out more about the family-fun events sponsored by HealthAssurance, check out the Community Calendar on our website. From the Member home page, simply click Community and
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Patients with fistulating Crohn's disease who have initially responded to infliximab have an increased likelihood of a sustained response if infliximab treatment is continued every eight weeks, according to 1 the results of the ACCENT II trial. Fistulas occur in 17 to 43% of patients with Crohn's disease. Medical treatments have not demonstrated sustained closure and surgical treatment is limited due to the risk of anal incontinence. Infliximab, a monoclonal antibody against tumour necrosis factor TNF ; , is an effective maintenance therapy in patients with Crohn's disease without fistulas. The ACCENT II trial evaluated the efficacy and safety of repeated infusions of infliximab in maintaining closure of draining fistulas among patients who had a response to a three-dose induction regimen of infliximab. 282 patients with fistulating Crohn's disease received three doses of 5mg kg infliximab at weeks 0, 2 and 6. At week 14, 195 patients had responded to treatment defined as a 50% reduction from baseline in the number of draining fistulas ; and were.
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Bartlett JG. Approach to Acute Pharyngitis in Adults. UpToDate, 2003. : uptodate Bisno AL, Gerber MA, Gwaltney JM, et al. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis. Clinical Infectious Diseases 2002; 35 2 ; : 113-125. Boruchoff S, Weinstein MP. Throat Cultures and Other Tests for the Diagnosis of Pharyngitis. UpToDate, 2003. : uptodate Chin J, Ascher MS, eds. Control of Communicable Diseases Manual. Washington, DC: American Public Health Association; 2000. Cooper RJ, Hoffman JR, Bartlett JG, et al. Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Annals of Internal Medicine 2001; 134 6 ; : 509-517. Ebell MH, Smith MA, Barry HC, et al. Does this patient have strep throat? Journal of the American Medical Association 2000; 284 22 ; : 2912-2918. Hayes CS, Williamson H. Management of group A beta-hemolytic streptococcal pharyngitis. American Family Physician 2001; 63 8 ; : 1557-1565. Pichichero ME. Complications of Streptococcal Tonsillopharyngitis. UpToDate, 2003. : uptodate Pichichero ME. Treatment of Streptococcal Tonsillopharyngitis. UpToDate, 2003. : uptodate 150 The Health Care of Homeless Persons - Part I - Streptococcal Pharyngitis Strep Throat.
In summary, cigarette smoking and caffeine intake significantly impact the metabolism of a number of psychotropic medications and hence these factors should be routinely considered in prescribing decisions and
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ANXIETY ~~ Can children have anxiety disorders? The question has created much debate in recent years in the medical and psychological community. Researchers at the University of Illinois Urbana have used a technique known as "voxel based morphometry" to compare the brains of children diagnosed with Anxiety Disorder and a group of "normal" children. It turns out that the children with Anxiety Disorder had significantly reduced gray matter volume in their left amygdala an area very much involved in emotional response. ; Milham, M. et al. 2005 ; . Biological Psychiatry, Vol 57 9 ; , 961966. ~~ Columbia University has released a study showing a strong relationship between anxiety and poor memory ability The relationship is particularly strong in young boys at risk for deliquency. Pine, et al. 1999 ; . Journal of American Academy of child and Adolescent Psychiatry. Vol. 38 3 ; . 1024 1031. ~~ While Post Traumatic Stress Disorder PTSD ; generally appears soon after a trauma, the full effect may not be felt for years. According to a Yale University study, PTSD can often return, in a more severe form, during dementia. van Acterberg, M. et al. 2001 ; . Journal of Clinical Psychiatry, Vol 62 3 ; , 206207. ~~ Panic attacks often result from problems with the brain pathways that control for the acquisition of conditioned fear. Conditioned fear involves regions of the brain such as the amygdala, the brain stem, the hippocampus and parts of the prefrontal cortex. This is pretty much all the major brain regions which may account for the confusion and overwhelming emotions during fear and panic. Sinha, S., Laszlo, A. & Gorman, J. 2000 ; . Journal of Affective Disorders. Vol 61 3 ; , 191200. ~~ According to a Boston study, PTSD results from problems or a disruption in the prefrontal cortex. This is the region of the brain responsible for decision making. Koenen, K., et al. 2001 ; . Brain & Cognition, Vol 45 1 ; , 6478. ~~ Most people have a hand preference we are generally either right handed or left handed. But some people show no preference and are referred to as mixed handed. Adolescents with mixedhandedness are more prone to trauma symptoms and panic disorders. Chemtob, C. et al. 2001 ; . Journal of Nervous & Mental Disease, Vol 189 1 ; , 5860.
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PATIENT MONITORING Patient Monitoring Parameters 1 ; EKG - as clinically. 2 ; Pregnancy test - as clinically indicated. Dosing See TDMHMR Drug Formulary for dosage guidelines. Exceptions to maximum dosage must be justified as per medication rule, for example, albenxazole 400.
7. Period of communicability--Infected individuals may pass viable eggs for as long as 30 years; infection is not directly transmitted from person to person. 8. Susceptibility and resistance--Susceptibility is universal. 9. Methods of control-- A. Preventive measures: 1 ; Thoroughly cook or irradiate all freshwater fish. Freezing at -10C 14F ; for at least 5 days; storage for several weeks in a saturated salt solution has been recommended but remains unproven. 2 ; In endemic areas, educate the public to the dangers of eating raw or improperly treated fish and the necessity for sanitary disposal of feces to avoid contaminating sources of food fish. Prohibit disposal of night soil and animal waste excreta ; in fishponds. B. Control of patient, contacts and the immediate environment: 1 ; Report to local health authority: Official report not ordinarily justifiable, Class 5 see Reporting ; . 2 ; Isolation: Not applicable. 3 ; Concurrent disinfection: Sanitary disposal of feces. 4 ; Quarantine: Not applicable. 5 ; Immunization of contacts: Not applicable. 6 ; Investigation of contacts and source of infection: Of the individual case, not usually indicated. A community problem see C ; . 7 ; Specific treatment: The drug of choice is praziquantel. Albndazole is under investigation. C. Epidemic measures: Locate source of infected fish. Shipments of dried or pickled fish are the likely source in nonendemic areas, as are fresh or chilled freshwater fish brought from endemic areas. D. Disaster implications: None. E. International measures: Control of fish or fish products imported from endemic areas and
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Corresponding author. Mailing address: Department of Pharmaceutics, H272 Health Sciences Building, Box 357610, University of Washington, Seattle, WA 98195-7610. Phone: 206 ; 685-2869. Fax: 206 ; 543-9434. Electronic mail address: jash u.washington . Present address: Division of Biopharmaceutics Evaluation, Drugs Directorate, Health Protection Branch, Health Canada, Ottawa, Ontario, Canada, for example, ivermectin albendazole.
1. Just before you got pregnant, did you have health insurance? Do not count Medicaid. No Yes 2. Just before you got pregnant, were you on Medicaid? No Yes 3. During the month before you got pregnant with your new baby, how many times a week did you take a multivitamin or a prenatal vitamin? These are pills that contain many different vitamins and minerals. I didn't take a multivitamin or a prenatal vitamin at all 1 to 3 times a week 4 to 6 times a week Every day of the week 4. What is your date of birth? [ ] Month [ ] Day 19[ ] Year and
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Managed Care Strategies And Consumerism Threaten Pricing Flexibility . 13 Rebate Practices Face Ongoing Scrutiny . 14 Ongoing Investigations Into Pharmaceutical Pricing, "AWP, " And Marketing Practices . 14 Impact Of Discount Drug Cards Not Yet Significant . 14 Comprehensive Medicare Reform Not Likely Near-term . 14 Other Legislative Changes Could Also Favor Generic Manufacturers . 15 "Reimportation" To U.S. Increasing, But Not Expected To Pose Major Threat . 15 Pricing In Non-U.S. Markets Remains Challenging . 15.
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Severe neurologic dysfunction manifesting as a typical hemiplegic cerebrovascular accident or, rarely, coma may occur secondary to calcineurin-induced vasospasm and white matter changes. The occipital lobe appears particularly susceptible to infarction with resulting blindness. These lesions may be reversible with a reduction in the calcineurin inhibitor or change to alternative drug, at least temporarily and chloroquine and albendazole, because albehdazole tapeworm.
Because taking responsibility for a patient's health is fraught with potential liabilities, an employer must screen job candidates with diligence. Rather than just filling an open position, the employer must look at how a potential employee may increase its risk of liability. To start, an employer should first outline the qualifications that a candidate must have to fill the position adequately, according to Kathleen.
| Albendazole oralMarch 10, 2003. Dr. Vaidyanathan shall abide by, and implement forthwith, any recommendations made by the S.A.P. or by the Quality Assurance Committee. Dr. Vaidyanathan must also file proof of his successful completion of the S.A.P., and his successful implementation of its recommendations, if any, with the Registrar before July 10, 2003. c ; Dr. Vaidyanathan will return to work gradually i.e. he is not to assume his pre-hearing caseload ; . Dr. Vaidyanathan must restrict his hospital practice to the hospital where he holds an active staff appointment until the end of the suspended portion of this penalty. In the event that Dr. Vaidyanathan should move his active staff appointment to a different hospital, he must continue to restrict his hospital practice to one active staff appointment only during the suspended portion of the penalty. In the event Dr. Vaidyanathan does not hold an active staff appointment, he may obtain temporary privileges locum tenens ; provided he only works at no more than two hospitals at any given period of time through until the end of the suspended portion of the penalty. Dr. Vaidyanathan will confirm his compliance with this restriction by providing the Quality Assurance Committee with written confirmation of such compliance upon his return to practice and every 4 months thereafter. d ; Dr. Vaidyanathan will attend at his cost, if any ; and successfully complete courses acceptable to the Registrar, on "Stress Management" and "Time Management". These courses must be completed, and Dr. Vaidyanathan must provide the Registrar with evidence of his successful completion of the courses on or before July 10, 2003. e ; Dr. Vaidyanathan will refer himself to a psychiatrist acceptable to the registrar within 30 days from the release of this Decision. Dr. Vaidyanathan must receive psychiatric treatment on a regular basis at the discretion of the treating psychiatrist ; for a period of at least and leflunomide.
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