To compare Medicare allowances for prescription drugs with drug acquisition currently available to the physician and supplier communities. BACKGROUND.
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Clinic, computer problems, and or health reasons ; . An additional six patients had one to two missing observations during the follow-up period. Multilevel models were used to describe the dietary effects and permitted the use of all collected data in the statistical analyses, including incomplete cases. At 42 weeks, although trends in risk factors slightly favored the HiPro-HiMono diet, changes were not significantly different between the AHA and HiPro-HiMono groups for weight 5.9 vs. 9.1 kg; P 0.768 ; , triglyceride 0.8 vs. 1.1 mmol l; P 0.920 ; , fasting glucose 2.2 vs. 3.2 mmol l; P 0.153 ; , and LDL cholesterol 0.23 vs. 0.18 mmol l; P 0.217 ; . The preponderance of patients improved their glycemic control. At 42 weeks, glycemic control was normalized in all 10 patients with impaired fasting glucose; it was also normalized in 2 and reduced to impaired fasting glucose in 3 of patients with diabetes. Food record analyses to evaluate compliance showed that changes from the baseline diets to assigned levels of carbohydrate and total, saturated, and monounsaturated fats were significantly different between the groups, in keeping with different dietary goals. In a similar study 5 ; , with slightly different diets, subjects at the end of 18 months were consuming diets of similar composition. Our long-term study, enabled by our Internet Management System, was limited by small sample size. The power to detect a 10% difference between groups at 0.05 with the observed SDs was 18% for LDL cholesterol, triglyceride, and fasting glucose. Weight loss was a potential confounding factor in the analyses. Nevertheless, the study's trends support the hypothesis that a diet high in protein and MUFAs may be advantageous in correcting glucose and lipid metabolism abnormalities. Large, randomized, multicenter trials are needed. LYNNE W. SCOTT, MA1 ASHOK BALASUBRAMANYAM, MD1 KAY T. KIMBALL, PHD2 AMY K. AHERNS, MS1 C. MICHAEL FORDIS, JR., MD3 CHRISTIE M. BALLANTYNE, MD1, for instance, tobradex sus.
Gordon Wright has been appointed to the position Health Promotion Marketing Coordinator. He begins work March 1 and will be responsible for social marketing related to health protection and disease and injury prevention. Gordon brings with him many years experience in media and marketing and is a welcome addition to Community Health Services. Gordon reports to Kathy Farrell, Regional Gordon Wright Manager, Health Promotion Services. Welcome Gordon.
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Disclaimer: The US Food and Drug Administration FDA ; considers cold laser devices investigational experimental ; , and allows them to be used based on some evidence that they may provide temporary pain relief. Cold laser treatment is thought to help some types of pain, inflammation, and wound healing, although stronger proof is needed. The FDA has approved Fenzian Treatment Systems for chronic intractable pain. n.
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The confidence intervals in this table refer to week 18 changes from baseline for each treatment separately. For treatment comparison confidence intervals see Table 14.
Received in original form June 6, 2002; accepted in final form February 10, 2003 ; Supported by Department of Veteran's Affairs L.J.W. ; and National Institutes of Health grant RO1 HL59834 H.L.T. ; . Correspondence and requests for reprints should be addressed to Homer L. Twigg III, M.D., 1001 West Tenth Street, OPW 425 Indianapolis, IN 46202. E-mail: htwig iupui and
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The sexually transmitted diseases chlamydia and gonorrhoea are relatively prevalent in southwest Michigan and among Bronson patients. Nearly 10% of specimens submitted for testing contain one or both pathogens when amplified assays are used. Chlamydia is particularly concentrated in the adolescent female population. The average age of the infected male patient is significantly older nearly 30 ; . Although culture for both pathogens is available and recommended for special applications, the standard screening test for both infections is now the amplified nucleic acid probe test, which is significantly more sensitive than other methods for the detection of chlamydia. All sexually active male and female patients should be screened initially and again following each new sexual partner using an amplified test. Infected patients should be treated for both infections because concurrent infections with both agents are common. Fluoroquinolone-resistant gonorrhoea may be emerging, which could cause treatment failures. Healthcare providers should include STD prevention counseling and education in all of their applicable patient encounters and triamterene.
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And protection services. More than half of 3M's annual revenue comes from international sales, and the company spends more than a third of its robust research and development budget abroad. With 40 tightly intertwined divisions, debate arises over how to classify 3M. The company pumps over $1 billion, or 6 to 7 percent of annual revenue, into the research and development department, and is increasingly investing in its technical and manufacturing concerns in Asia and around the world. Many of 3M's products are a result of the "Fifteen Percent Rule, " which lets its technical employees devote 15 percent of their own time to working and developing their own inventions. They are allowed to work on company time, using the company's resources, a policy that management and the corporation's nearly 7, 000 technical employees have fiercely upheld. Spurred by fears in the mid-1990s from 3M's top brass that its so-called "breakthrough" products were nothing more than upgrades on existing products, the company is actively pursuing its corporate ethos of "Leading through Innovation." 3M management has set a long-term goal of attaining 12 to 14 percent earnings per share and double-digit sales growth. Administrative bonuses are awarded with an eye to how well managers are realizing that goal. Additionally, 3M's "Pacing Plus" program, which was introduced in 1994, invests a greater proportion of resources into the company's most promising products those that have the potential to bring in more than $100 million in revenue. These and other factors combined to secure 3M its very respectable place #110 ; on Fortune magazine's list of Fortune 500 companies and a first-place ranking among precision equipment companies for 2003. In 2004 the company jumped five spots to #105 on the list and triphasil.
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Dvances in management and pharmacological treatments mean that most asthma patients should now expect to live their lives, for the most part, free from symptoms. Nevertheless, many people with asthma continue to experience poor asthma control, often with serious implications -- both for individuals and the NHS. Around half of patients have unacceptable symptoms and lifestyle limitations.1 Poorly controlled asthma is punctuated by exacerbations and symptoms will often be experienced weekly or even daily. In the UK, 2.1 million people with asthma continue to experience symptoms regularly because they are not receiving appropriate care. Asthma causes 69, 000 hospital admissions in the UK annually and 1, 400 deaths, 90 per cent of which could be avoided.2, 3 Last year, the British Thoracic Society BTS ; and Scottish Intercollegiate Guidelines Network SIGN ; produced the first online update of the BTS SIGN guideline for asthma management.4 Based on recent research, this version incorporated a number of revisions on the previous guideline published in Thorax in 2003.5 Key changes were made within the sections on pharmacological management, organisation and delivery of care, patient education and self-management and valtrex.
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Established CYP3A7 and other P450s expressing humanized-fetal mice. Dr. Tamai introduced started his award lecture by acknowledging his mentor, Dr. A. Tsuji and the contributions of various former colleagues. He then described Drs. Huang & Cha at Banquet his research related to the drug transporters in the small intestine, blood-brain barrier, liver and kidney. His presentation mainly discussed the human organic anion transporting polypeptide OATP-B that is a major uptake human transporter expressed in the intestinal apical membranes, and the oligopeptide transporter PEPT1 that can be used for the improvement of drug absorption from the intestine. The second day followed the customary JSSX-Workshop format with presentations being made by Japanese researchers. It started with a plenary lecture by Dr. K. Kurokawa, Tokai University, and entitled "Perspective in Life Science and Medical Practice in the New Century". Then, the workshop continued by focusing on new technology and informatics that will be useful for drug discovery and development presented by leading researchers from academia, the pharmaceutical industry and other companies involved in analytical technology. The Drs. Lipinski and Ikeda buzzwords for these session presentations were "HTS technology" and "in silico predictions". Session 2 was on in silico technology for the prediction of intestinal absorption and ADME-Toxicology studies. This was followed by a session on HTS strategy at the discovery stage to overcome problems in pharmacokinetic characteristics. Session 4 was on new analytical technologies using advanced mass spectrometry and Session 5 was on the in vivo and in vitro alternative technology to evaluate the human liver function. A particularly interesting presentation was made by Dr. K. Yoshisato, Hiroshima.
The site at NCBI see Table 2 ; has attempted to collate all the available information as well as that for other Plasmodium species and the related apicomplexan parasite Toxoplasma gondii ; . A recent development, funded by the Burroughs Wellcome Fund, has established a full database : PlasmoDB ; . In its current form, PlasmoDB provides: views of finished and annotated sequence in both web-based and CD format; a relational database that should facilitate entry and analysis of expression data; a BLASTable database containing the most recent genomic sequence information finished and unfinished text-queriable results from a complete BLAST search of all P. falciparum data against GenBank + EMBL; and various other data-mining tools. In addition to the obvious interest of PlasmoDB to the malaria research community, WHO TDR has made a commitment to provide on-line 'help-desk' support for PlasmoDB and other parasite databases ; through training of scientists bioinformaticians from developing countries. 3.2. Microarrays Microarrays are high-density arrays of DNA targets on glass or filter supports. These have been used in several studies, most notably for S.cerevisiae. There are essentially two formats for the DNA targets, namely DNA fragments usually generated by PCR ; or oligonucleotides. PCR-derived targets for P. falciparum have been produced from genome sequence data D. Carrucci, pers. comm. ; or by the amplification of sequences from a mung bean nuclease library. In the mung bean nuclease library study 34, arrays were made from a random library and screened with mRNA from asexual trophozoite ; and sexual gametocyte ; stages. The RNAs were labelled with different fluorochromes and allowed to hybridise to the arrays. Genes transcribed during asexual stages were labelled green, sexual stages labelled red and yellow signal green + red ; for genes that were active during both stages. From this single experiment the authors identified several developmentally regulated genes, including some which had been previously identified, confirming the efficacy of this approach. The potential for these types of experiments is great but will require careful data handling and analysis. Hayward et al34 identified their candidate genes by sequencing the inserts after hybridisation but once the genome has been completely sequenced the address of each ORF open reading frame ; will be stored as part of the array information. An array covering all of the genes in the P. falciparum genome in duplicate would have approximately 12, 000-14, 000 spots, therefore every experiment would generate at least 14, 000 quantitative data points per probe, in addition to the array baseline information. It is not hard to see that without a highly efficient database, the efficiency and accuracy of any analysis would be greatly reduced, particularly as transcriptional changes are likely to be defined by `clusters' of genes35 which makes the contribution of individual genes difficult to interpret. The database must be accessible by the research community in order to take full advantage of the results and, as seen for C. elegans : wormbase ; , a centralised database is essential. Transcriptional analysis for P. falciparum is also being attempted by Serial Analysis of Gene Expression SAGE; 36 D. Wirth, pers. comm. ; . This technique uses PCR amplification of mRNA to derive short sequence tags that are and verapamil and tobradex, for example, tob5adex ophth.
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Swerdlow and Geyer 1999; Swerdlow et al. 2001 ; , offering many targets for pharmacological modulation. Swerdlow et al. 2000 ; have postulated that P50 and PPI are interrelated to the extent that hippocampal circuitry participates in both processes. Thus, the sites of pharmacological action and the subsequent modulation of each gating measure by different neurotransmitter systems may consequently show considerable variation. In conclusion, at the doses administered, ayahuasca induced a different pattern of effects on PPI and P50. The results obtained seemingly indicate no effect, or at best, a mild enhancing effect of the drug on PPI, a measure of sensorimotor gating. On the contrary, the observed significant dose-dependent decreases in P50 suppression after ayahuasca suggest a suppressing effect of the drug on normal sensory gating in humans. This differential modulation of sensorimotor and sensory gating by ayahuasca in humans could be due to differential drug effects on brain structures participating in each process. However, the fact that the subjective-effect profile induced by ayahuasca, which was typical of the psychedelics, did not resemble that of acute psychosis should also be taken into consideration. In addition, the pharmacological characteristics of the beverage, which combines MAO-inhibitors and DMT, precludes the generalization of the present findings to all 5-HT2A 2C agonists. Future studies with ayahuasca should examine wider dose ranges to better characterize the effects of this drug on gating mechanisms in the CNS.
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