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Guidelines published this year for the treatment of MS list 1FN-1a Rebif, Avonex ; , 1FN-1b Betaseron ; , and glatiramer Copaxone ; as effective options to reduce the attack rate in patients with MS. Treatment also produces a beneficial effect on MRI measures of disease severity and appears to slow sustained disability progression. The EVIDENCE AND INCOMIN trials provide evidence that either the dose, or the frequency of IFN administration, or both significantly influence the short-term outcome in patients with RRMS. The route of administration is not of clinical importance with regard to efficacy, but does have an impact on side-effect profile. The FDA granted orphan-drug status to Rebif due to the clinical evidence of clinical superiority over lFN-la Avonex ; in reducing exacerbations of MS. Glatiramer daily and lFN appear to be equally effective for the control of exacerbations in MS. The adverse events profile indicates that glatiramer is better tolerated, whereas lFN slows progression more effectively. Added to PDL: Rebif and Betaseron and lyrica. Clinicians caring for people with HIV AIDS and viral hepatitis should be aware of the following issues which may impact on the patient, his her carers and family. `Positive living' philosophy The opportunity should be given to patients to discuss dying if they are ready to do so. However, individuals with very real fears of dying may not want to talk about death, particularly in the era of optimism associated with modern treatments. In addition, the cycles of health and ill-health common in HIV AIDS may make the identification of end-stage disease difficult for patients, family and health professionals. It is quite possible for individuals to experience improved health after medical interventions associated with palliative care. This is illustrated in Case study 1. Fear, stigma and confidentiality Patients may not wish family and or community support agencies to be aware of their HIV or hepatitis status due to fear of discrimination or rejection. Confidentiality issues may be of!
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112 media latched on to any hint of a more conventional approach. However, such hopes were often not realized as the government has maintained its confusing and less popular approach. So while this participant recounted the media's weekend coverage as indicative of government changing their approach, in terms of formal policy or practice, nothing changed. This leads to another general impression left from the interviews. Participants clearly set up a good-guy bad-guy dichotomy when they discussed the activities of the TAC versus the government. This was most clear in participants' heralding of the TAC and their critiquing of government specifically President Mbeki and the Health Minister ; . When asked what participants thought of the TAC's activities challenging the government's limited-access pilot policy, this view was clear. One physician and researcher said: But, you know, ten stars to TAC for having that courage to go for it and I'm, you know, we were just thrilled that it worked out the way it did. Another physician and researcher saw the TAC's actions in this way: Very positive, I'm full of admiration. A third physician said: I think it is very positive. No I see it as overwhelmingly positive. It needs to happen, as I said, I mean the country would be a much better place if there were a thousand TAC, around military matters, around police matters. Considering participants who were critical of government, their negative views were never unequivocal. For example, while willing to criticize the government, they also provided some justification, or defense for the government's response, alternatively they pointed out good things the government was doing in areas outside of AIDS. One physician and NGO actor described things this way, for instance, drug information.

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Home about me success stories special offers articles stories books free resources faq's contact me donate lithobid lithobid is a brand name for lithium, which is an antipsychotic, antimanic medication typically used for various types of mental illness such as bipolar disorder, depression, and mania.
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