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23. Mason: Murray & Nadel's Textbook of Respiratory Medicine, 4th ed. Saunders; an Imprint of Elsevier; 2005. 24. Mathur, SK, Busse WW. Asthma: diagnosis and management. Med Clin North Am. 2006 Jan; 90 1 ; : 39-60. 25. Meyts I, Proessmans M, De Boeck K. Exhaled nitric oxide corresponds with office evaluation of asthma control. Pediatr Pulmonol. 2003 Oct; 36 4 ; : 283-9. 26. Napier E, Turner SW. Methodological issues related to exhaled nitric oxide measurement in children aged four to six years. Pediatr Pulmonol. 2005 Aug; 40 2 ; : 97-104. 27. Narang I, Ersu R. Wilson NM, Bush A. Nitric oxide in chronic airway inflammation in children: diagnostic use and pathophysiological significance. Thorax. 2002 Jul; 57 7 ; : 586-9. 28. National Institutes of Health, National Heart, Lung, and Blood Institute, Asthma Education and Prevention Program, Clinical Practice Guidelines. Expert Panel Report 2, Guidelines for the Diagnosis and Management of Asthma. Bethesda MD; NIH Publication No. 97-4051; 1997 Jul. Update on Selected Topics 2002. 29. National Institutes of Health, National Heart, Lung, and Blood Institute. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. NIH Publication No 02-3659 Updated 2006. Accessed Jan 2, 2007. Available at URL address: : ginasthma GuidelinesResources ?l1 2&l2 0.
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Prices for most new patented drugs are limited such that the cost of therapy for the new drug does not exceed the highest cost of therapy for comparable existing drugs used to treat the same disease in Canada; prices of breakthrough patented drugs and those which bring a substantial improvement are generally limited to the median of the prices charged for the same drug in other industrialized countries listed in the Regulations France, Germany, Italy, Sweden, Switzerland, U.K. and U.S. prices of most new strengths of existing medicines must bear a reasonable relationship to other strengths already on the Canadian market and rizatriptan, for example, tricor.
Criqui M, Fronek A, Barret-Connor E, et al. The prevalence of peripheral arterial disease in a defined population. Circulation 1985; 71: 510-515. Meijer WT, Hoes AW, Rutgers D, et al. Peripheral arterial disease in the elderly: The Roterdam study. Arterioscler Thromb Vasc Biol 1998; 18: 185-192. Kornitzer M, Dramaix M, Sobolski J, et al. Ankle arm pressure index in asymptomatic middle-aged males: an independent predictor of ten-year coronary heart disease mortality. Angiology 1995; 46: 211-219. Newman A, Shemanski L, Manolio T, et al. Ankle-arm index as a predictor of cardiovascular disease and mortality in the cardiovascular health study. Arterioscler Thromb Vasc Biol 1999; 19: 538-545. Schroll M, Munck O. Estimation of peripheral atherosclerotic disease by ankle blood pressure measurement in a population study of 60-year old men and women. J Chron Dis 1981; 34: 261-269. Criqui MH, Denenberg JO, Bird C, et al. The epidemiology of peripheral arterial disease: importance of identifying the population at risk. Vasc Med 1997; 2: 221-226. Murabito JM, D'Agostino RB, Silbershatz H, et al. Intermittent claudication. A risk profile from the Framingham Heart Study. Circulation 1997; 96: 44-48. Jude EB, Oyibo SO, Chalmers N, et al. Peripheral arterial disease in diabetic and nondiabetic patients: A comparison of severity and outcome. Diabetes care 2001; 24: 1433-1437. Taylor LM, Jr., Moneta GL, Sexton GJ, et al. Prospective blinded study of the relationship between plasma homocysteine and progression of symptomatic peripheral arterial disease. J Vasc Surg 1999; 29: 8-19. TASC Working group. Management of peripheral arterial disease PAD ; TransAntlantic Inter-Society Consensus TASC ; . J Vasc Surg 2000; 31 1 pt 2 ; S1-S296. McGee SR, Boyko EJ. Physical examination and chronic lower-extremity ischemia: A critical review. Arch Intern Med 1998; 158: 1357-1364. Belch JJ, Topol EJ, Agnelli G, et al. Critical issues in peripheral arterial disease detection and management: a call to action. Arch Intern Med 2003; 163: 884-891. Hiatt WR. Medical treatment of peripheral arterial disease and claudication. N Eng J Med 2001; 344: 1608-1615. Hiatt WR, Hirsch AT, Regensteiner JG, et al. Clinical trials for claudication. Assessment of exercise performance, functional status and clinical end points. Vascular Clinical Trials. Circulation 1995; 92: 614-621. Heintz SE, Bone GE, Slaymaker EE, et al. Value of arterial pressure measurement in the proximal and distal part of the thigh in arterial occlusive disease. Surg Gynecol Obstet 1978; 146: 337-342. Darling RC, Raines JK, Brener BJ, et al. Quantitative segmental pulse volume recorder: A clinical tool. Surgery 1972; 72: 873-879. Kempczinski RF. Segmental volume plethysmography in the diagnosis of lower extremity arterial occlusive disease. J Cardiovasc Surg 1982; 23: 125. Olin JW, Kaufman JA, Bluemke DA, et al. Atherosclerotic vascular disease conference: Writing group IV: Imaging. Circulation 2004; 109: 2626. Koelemay MJ, den Hartog D, Prins MH, et al. Diagnosis of arterial disease of the lower extremities with duplex ultrasonography. Br J Surg 1996; 83: 404. Meijer WT, Grobbee DE, Hunink MG, et al. Determinants of peripheral arterial disease in the elderly. The Rotterdam study. Arch Intern Med 2000; 160: 2934- Jonason T, Bergstrom R. Cessation of smoking in patients with intermittent claudication. Effects on the risks of peripheral vascular complications, myocardial infarction and mortality. Acta Med Scan 1987; 221: 253-260.
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Please see package insert for full prescribing information zocor simvastatin ; and mevacor lovastatin ; are registered trademarks of merck & co, inc lipitor atorvastatin calcium ; is a registered trademark of pfizer inc tricor fenofibrate tablets ; is a registered trademark of abbott laboratories.
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Dr Hadia Haikal-Mukhtar, who joined the Board in November 2000, has degrees in Science, Medicine and Law from the University of Melbourne. A general practitioner, Dr Mukhtar has worked in Melbourne's inner, western and north eastern suburbs and also in geriatrics, having completed a diploma in geriatric medicine. Dr Mukhtar currently teaches clinical medicine in the new medical course at the University of Melbourne and is in active medical and legal practice. Dr Mukhtar has been a General Practice Mentor for the Royal Australian College of General Practitioners, has been involved with establishing an older persons hostel in Thornbury and in 1995 was awarded "Australian Doctor of the Year" by Australian Doctor magazine. Federal Health Minister, Dr Michael Wooldridge, appointed her in 1998 to the Professional Services Review Committee.
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In shock and with a temperature of 105.2 F 40.6 C ; , seizures, a diffuse petechial rash, and irritability. Although treated with ceftriaxone Rocephin ; , she developed respiratory failure and cardiac arrest and died within two hours. MRSA was cultured from blood and cerebrospinal fluid drawn from the child immediately postmortem. An autopsy revealed multiple small abscesses of the brain, heart, liver, and kidneys, and autopsy cultures of meninges, blood, and lung tissue grew MRSA. 9 Another of the four fatal cases was a 13-year-old girl who was admitted to the hospital with fever, hemoptysis, and respiratory distress. The day before admission she had a productive cough and a 2 -cm papule on her lower lip. A chest radiograph revealed a left lower lobe infiltrate and a pleural effusion. She was treated with ceftriaxone and nafcillin Nallpen, Unipen ; , but within five hours of arriving at the hospital, she became hypotensive. She was intubated and treated with vancomycin Vancocin ; and cefotaxime Claforan ; . However, despite pulmonary and hemodynamic support, her respiratory status continued to deteriorate, and she died of progressive cerebral edema and multiorgan failure. An autopsy revealed consolidated hemorrhagic necrosis of the left lung. Each of the four deaths in the CDC report was attributed to a new lethal strain of MRSA PVL-positive CA-MRSA ; that had recently emerged in the community. 9 Easy transmission Infections caused by CA-MRSA are easily transmitted through simple skin-to-skin contact even without a skin break ; with an infected person or by contact with contaminated objects or surfaces. Outbreaks have been reported among athletes especially football players and wrestlers ; , military recruits, correctional facility inmates, injection drug users, students, and children in day care centers. The outbreaks have been linked to sharing personal items soap, towels, razors ; and using shared equipment in gyms, health clubs, and spas in cases in which people have had bare skin contact with items contaminated with the bacteria. The most common conditions associated with spread of infections include the five Cs: 2, 10, because diabetes.
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Sales of merck's mevaacor are declining as the drug faces patent expiration in 200 merck is attempting to defend its patent position by switching patients from mevaccor to zocor, which is itself coming off patent in 200 pravastatin, which is marketed as meva-lotin by tokyo, japan-based sankyo company ltd and as pravachol in markets outside southeast asia by bristol-myers squibb, will come off patent in 2005, according to james carroll, pharmaceutical analyst with newport data associates, brunswick, me.
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Responder: Michael Norton - opponent Suggested change: Page 1, lines 34 - 37: For patients suffering from these diseases, marijuana can be more effective than taking prescription drugs that contain synthetic THC. Further, many drugs have side effects, and the adverse effects of marijuana are no worse than those of some prescription drugs. Staff comment: Disagree. Research has shown that the effects of marijuana are similar to those acceptable for other prescription medications.
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Fluvastatin, a cholesterol-lowering drug, exhibited minimal activity MICs of 64 to 128 g ml ; against Candida species and Cryptococcus neoformans. When fluvastatin was combined with fluconazole or itraconazole, both synergistic and additive effects were noted fractional inhibitory concentration indices of 0.156 to 0.625; fractional lethal concentration indices of 0.156 to 0.75 ; . This combined fungicidal activity was confirmed by time-versus-killing studies. The antifungal agents available for clinical use are limited in number, and the emergence of resistance to several antifungal compounds is increasing 2, 3, 7 ; . These problems have focused interest in elaborating new antifungal drugs and in developing combination therapy to improve efficacy and reduce drug toxicity 1, 6, 8 ; . We investigated the in vitro antifungal activities of cholesterol-lowering drugs, including fluvastatin Lescol ; , pravastatin Pravachol ; , lovastatin Mevacot ; , and simvastatin Zocor ; . We found that only fluvastatin Lescol ; had some antifungal activity. Two milligrams of fluvastatin in an agar well resulted in an inhibitory-zone range of 36.9 mm to 50.5 mm against Candida albicans, Candida parapsilosis, Candida tropicalis, and Cryptococcus neoformans. In this study, we investigated the in vitro interaction of fluvastatin Sandoz Pharmaceutical ; with fluconazole Roerig-Pfizer Inc. ; , itraconazole Janssen Pharmaceutica ; , and amphotericin B Sigma Chemical Co. Ltd. ; against recent clinical isolates from patients at our medical center three C. albicans, two C. tropicalis, two C. parapsilosis, one Candida glabrata, and three C. neoformans isolates ; . The interaction of fluvastatin and antifungal drugs was evaluated by the checkerboard broth microdilution method with RPMI 1640 buffered to pH 7.0 with MOPS morpholinepropanesulfonic acid ; American Biorganics Inc. ; according to the National Committee for Clinical Laboratory Standards guidelines 4 ; . The drug dilutions were made so that concentrations were fourfold greater than the final desired concentrations. A 50- l sample of each drug dilution for both drugs for each combination was placed in the wells for the final drug concentration. Colonies from Sabouraud dextrose agar plates were adjusted to 0.5 McFarland standard with a spectrophotometer with normal saline. The adjusted suspension was diluted 1: 000 in RPMI 1640, and 100 l of diluted culture was mixed with drug dilutions in wells to obtain a final inoculum of 5 102 to 2 103 CFU. The MICs of the microdilution plates after incubation at 35 C for 48 h for Candida ; or 72 h for Cryptococcus ; were interpreted as clear, or no visible growth, for amphotericin B and as prominent reduction of growth 80% inhibition ; for azoles. MICs of fluvastatin alone and in combination were determined by the same criteria as the MICs.
Today, you hear about six common stain drugs on the market, atorvastatin lipitor ; , fluvastatin lescol ; , lovastatin mevacor ; , pravastatin pravachol ; , simvastatin zocor ; , and rosuvastatin crestor ; , thus called statin drugs because of their common ending, the word statin and prazosin.
Availability of essential drugs and medical supplies see Annex 2 Rapid Health Assessment, Table 1 ; . Availability of the WHO New Emergency Health Kit 1998, which contains drugs and medical supplies for 10 000 people for approximately 3 months see Annex 10 ; . Availability of essential vaccines and vaccination equipment e.g. measles vaccines, injection material and cold chain equipment!
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