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1 US Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 2000 ; . 1999 National Household Survey on Drug Abuse. Rockville, MD: US Department of Health and Human Services. 2 Ibid. 3 Ibid. 4 Ibid. 5 Ibid. 6 Ibid. 7 Ibid. 8 Ibid. 9 Ibid. 10 Ibid. 11 US Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 1999 ; . Worker Drug Use and Workplace Policies and Programs: Results from the 1994 and 1997 NHSDA. Rockville, MD: US Department of Health and Human Services. 12 Ibid. 13 Hazeldon Foundation. 1996 ; . Addiction in the Workplace Survey. Center City, MN: Hazeldon Foundation. 14 Mangione, T.W., et al. 1998 ; . New Perspectives for Worksite Alcohol Strategies: Results from a Corporate Drinking Study. Boston, MA: JSI Research and Training Institute. 15 Bernstein, M. and Mahoney, J. 1989 ; . Management Perspectives on Alcoholism: The Employer's Stake in Alcoholism Treatment. Occupational Medicine, 4 2 ; . 16 Department of Health and Human Services Substance Abuse and Mental Health Services Administration. 1995 ; . Substance Abuse and Mental Health Statistics Sourcebook. Rockville, MD: US Department of Health and Human Services. 17 National Association of Treatment Providers. 1991 ; . Treatment is the Answer: A White Paper on the CostEffectiveness of Alcoholism and Drug Dependency Treatment. Laguna Hills, CA: National Association of Treatment Providers. 18 Supra note 11. 19 Supra note 11. 20 Supra note 11. 21 Supra note 11. 22 Normand, J., Salyards, S. and Maloney, J. 1990 ; . An Evaluation of Pre-Employment Drug Testing. Journal of Applied Psychology, 75 6 ; . 23 National Cocaine Helpline. 1987 ; . 1-800-COCAINE. Summit, NJ: National Cocaine Helpline. 24 Supra note 11. 25 Supra note 11.
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It is encouraging that the majority of facilities have the medications identified by the Department of Health as essential for RH service delivery. Table 2.9 shows the percent of facilities with essential drugs available. Drugs were generally available for treating STIs, with more than 96 percent of facilities with amoxycillin, ciprofloxacin, doxycycline, erythromycin, and penicillin in stock. In terms of ANC services, 80 percent of facilities had vitamin A and high proportion of facilities had the commodities necessary to provide FP services. Practically all the facilities stocked the two injectables, with 98 percent of facilities stocking norethisterone and 99 percent medroxyprogesterone. Facilities usually stocked both combined oral contraceptives Nordette, Ovral, and Triphasil ; and progesterone-only pills Microval ; , although slightly fewer had the latter in stock 96 percent ; . More than 95 percent of facilities stocked methyldopa. Fewer facilities had Oxytoxin, Syntometrine, and magnesium sulphate, and the doctor-initiated drugs naloxone and Nepresol. Ninety-three percent of facilities had adrenaline. However, one area of concern is the low availability of HIV post-exposure treatment. This was originally intended only for health personnel who experience a needle-stick or other accidental exposure to possible HIV infection. However, now facilities are supposed to offer post-exposure treatment to rape victims. Only 51 percent of SDPs currently had post-HIV exposure starter packs. In addition, fieldworkers recorded that medications at one facility had expired including the starter packs ; . Mechanisms to ensure regular supply of medications and the discarding of expired medications require strengthening. Drug requirements for specific services will be discussed in more detail in later chapters.
Practice Prescribing Frequency of prescription once per year A few times per year once per month Several times per week Prescribe only in emergency dept. setting Method prescribed Ovral Lo-Ovral Nordtte Other hormonal IUD Postcoital time restriction hrs. ; 72 48 response Limit the number of times will prescribe Require pregnancy test Prescribe over the telephone Require written informed consent Use timing of menses to determine prescribing Counseling Counsel at visits for routine health care Counsel at visits for contraception Counsel sexually inexperienced adolescents Have written information available Only on request In exam room In waiting room Other and
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Immediately telephone your doctor or the Poisons Information Centre telephone 13 11 26 ; , Accident and Emergency at your nearest hospital, if you think that you or anyone else may have taken too much NORDETTE. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention. If you take too much NORDETTE, you may feel sick or vomit and
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Ross, R 1994 ; . The five whys perspective. In P Senge, A Kleiner and C Roberts The fifth discipline fieldbook: Strategies and tools for building a learning organization. New York: Doubleday Trost, WA and RJ Nertney 1985 ; . Barrier analysis. Idaho Falls, Idaho: EG&G Idaho Inc Vincent CA, Adams S, Hewett D, Chapman J et al. A Protocol for Investigation and Analysis of Clinical Incidents ALARM ; . Royal Society of Medicine Press Ltd., London, 1999, because nordette emergency contraception.
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AND WHEREAS on the basis of the aforesaid findings of the designated authority, the Central Government had imposed an anti-dumping duty vide notification of the Government of India in the Ministry of Finance Department of Revenue ; , No. 109 2000Customs, dated the 18th August, 2000, published in Part II, Section 3, Sub-section i ; of the Gazette of India, Extraordinary, dated the 18th August, 2000 vide G.S.R. 667 E ; , dated the 18th August, 2000; AND WHEREAS the Customs, Excise and Gold Control ; Appellate Tribunal hereinafter referred to as the Tribunal ; , in its final order No.5-7 2001 AD, dated the 11th April, 2001 in Appeal Nos C 407 2000-AD, C 411 2000-AD and C 412 2000-AD in the matter of Ms Oxy Alcohols Industries Association and others vs Designated Authority ; has held that " the appeals are disposed of by amending the table attached to notification No.109 2000-Customs, dated the 18th August 2000 by fixing anti-dumping duty of US$ 38 per metric tonne on goods mentioned in Column 5 thereto , originating in or exported from Saudi Arabia and by deleting Normal Hexanol from the goods included in the said column 5 ; ". AND WHEREAS the designated authority has accepted the aforesaid findings of the Tribunal dated the and
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Menopause is not life-threatening but, for most women, significantly interferes with quality of life. The dilemma of balancing the benefits and risks of available therapies is probably greater for physicians than for patients, as those with severe symptoms generally expect treatment, including those who may be considered to have traditional contraindications to therapy. We now have a greater understanding of sex steroid metabolism and action, and new hormonal analogues and modes of delivery are available. In the next decade, we will see new SERMs with different properties, combination therapy with oestrogen antagonists and oestrogen, and selective androgen receptor modulators. In addition, androgen supplementation not discussed here ; is likely to become standard practice in postmenopausal women, 52 and acceptable clinical practice in those who are premenopausal.53.
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