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Midwives and that if midwife prescribing was to be progressed there was a need to extend the formulary further to include the medicines that midwives require for contemporary practice. However, it was acknowledged that many of the medicines that midwives utilise in practice are currently available under midwives exemptions. Therefore, a more practical approach would be the review of midwives exemptions to reflect current practice. Furthermore, it was recognised that if midwives exemptions ceased to exist and midwives were required to undertake training to enable them to prescribe there is a real.
4.2.3 Measurement of recirculation is not recommended as a surveillance technique in grafts. 4.3 Frequency of measurement for access complications: 4.3.1 Thrombosis in fistulae develops more slowly than in grafts. Flow measurements performed at a monthly frequency appear to be adequate. Until additional studies are performed to determine the optimal frequency, less frequent measurements are not recommended. 4.3.2 Because static pressure measurements are inherently less accurate in detecting access stenosis in fistulae, the frequency should not be less than in grafts. Direct measurements of static pressure ratios should be made every two weeks. Less direct measurements should be made weekly. Dynamic pressures should be measured with each dialysis. Increased recirculation can indicate reduced effective blood pump flow, resulting in inadequate dialysis. 4.4 Diagnostic testing: 4.4.1 Characteristics of access see CPR 4.1 ; , as well as blood pump flow and pressure performance, should be recorded and tracked in medical records. 4.4.2 Data should be analyzed at least monthly to evaluate access dysfunction. 4.4.3 After intervention, the surveillance parameter should be restored to normal. 4.4.4 Data should be analyzed to improve success rates and ensure that interventions are appropriately assessed. For example, PTA and surgical revision rates, recurrence rates, and number of procedures per patient-year should be systematically analyzed in a CQI process. 4.4.5 A multidisciplinary team should be involved. 4.4.6 Pre-emptive correction of hemodynamically significant stenoses should remain the standard of care and sorbitrate.
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The Cochrane Incontinence Group has been established now for 10 years. In that time we have completed reviews covering the most important areas of management including conservative management, surgery including prolapse ; , drugs and catheters. We would like to say a big thank you to all review authors who have contributed to our success. The editorial base is based in the University of Aberdeen, Scotland and imipramine.
Average daily gain and gain: feed were decreased P 0.01 ; in chicks fed the low CP-AA and low CP-AA + ISF diets compared with those fed the C-SBM diet Table 5 ; . Feed intake was not affected P 0.05 ; by diet. Abdominal fat pad weight as a percentage of final BW was increased P 0.01 ; in chicks fed the low CP-AA or low CP-AA + ISF diets compared with those fed the C-SBM diet.
Fenestra Oy Fenestra Oy is amongst the leading Nordic suppliers of wood-aluminium and wooden windows. The company is also a major player by international standards. It has three production plants: window factories in Forssa and Kuopio as well as a factory in Lempl that makes solid glass. Fenestra Oy has three subsidiaries, Fenestra Fenster GmbH in Germany, Sasmo AB in Sweden and AS Parmek in Estonia. In Russia the company has sales offices in Moscow and St Petersburg. Paloheimo Oy and Rakennustoimisto A. Puolimatka Oy presently PMA-Yhtym Oy ; established Fenestra Oy in 1992 by transferring their window businesses to the new company, which was owned on a fifty-fifty basis. Fenestra Oy's operating environment weakened owing to the lower-than-anticipated volume of new building and renovations in Finland. New housing production in Finland fell by 30%, to about 18, 000 housing units. The amount is the smallest in the post-war period. Renovations, too, declined substantially, by about 20%. The exceptional reduction in renovations in 1995 was due to the previous year's peak demand, largely as a result of the enactment of a value added tax in Finland. On average, renovations grow by 5% annually in Finland and they account for about half of the total value of building construction. The sharp fall in demand forced Fenestra to make significant adjustments in its operations. The company reduced its production capacity by consolidating the manufacture of windows, moving all these functions to its factories in Kuopio and Forssa. The factory in Lempl is focusing on the manufacture of insulation panels and Superglass panels. The sales and administration organization was also streamlined in line with demand. Exports, however, developed better than anticipated and the deliveries of Steni facade elements increased . The volume and profitability of Fenestra's operations fell markedly short of the budgeted level and the result was a loss and tofranil.
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16. Zincke H, Bergstralh EJ, Blute ML, et al.: Radical prostatectomy for clinically localized prostate cancer: long-term results of 1, 143 patients from a single institution. J Clin Oncol, 1994; 12 11 ; : 225463. 17. Lukka H, Warde P, Pickles T, et al. Controversies in prostate cancer radiotherapy: consensus development. Can J Urol, 2001; 8 4 ; : 1314-22 18. Pisansky TM, Kahn MJ, Rasp GM, et al.: A multiple prognostic index predictive of disease outcome after irradiation for clinically localized prostate carcinoma. Cancer, 1997; 79 2 ; : 337-44. 19. Asbell SO, Martz KL, Shin KH, et al.: Impact of surgical staging in evaluating the radiotherapeutic outcome in RTOG #77-06, a phase III study for T1BN0M0 A2 ; and T2N0M0 B ; prostate carcinoma. Int J Radiat Oncol Biol Phys, 1998; 40 4 ; : 769-82. 20. Forman JD, Order SE, Zinreich ES, et al.: Carcinoma of the prostate in the elderly: the therapeutic ratio of definitive radiotherapy. J Urol, 1986; 136 6 ; : 1238-41. 21. Zietman AL, Coen JJ, Shipley WU, et al.: Radical radiation therapy in the management of prostatic adenocarcinoma: the initial prostate specific antigen value as a predictor of treatment outcome. J Urol, 1994; 151 3 ; : 640-5. 22. Adolfsson J, Steineck G, Whitmore WF Jr: Recent results of management of palpable clinically localized prostate cancer. Cancer, 1993; 72 2 ; : 310-22. 23. Barry MJ, Albertsen PC, Bagshaw MA, et al.: Outcomes for men with clinically nonmetastatic prostate carcinoma managed with radical prostactectomy, external beam radiotherapy, or expectant management: a retrospective analysis. Cancer 91 12 ; : 2302-14, 2001. 24. Lu-Yao GL, Yao SL: Population-based study of longterm survival in patients with clinically localised prostate cancer. Lancet 349 9056 ; : 906-10, 1997. 25. National Comprehensive Cancer Network Practice Guidelines in Oncology, Prostate Cancer v.1.2005. NCCN, 2005 26. Whitmore WF Jr: Expectant management of clinically localized prostatic cancer. Semin Oncol, 1994; 21 5 ; : 560-8. 27. Partin AW, Kattan MW, Subong EN, et al.: Combination of prostate-specific antigen, clinical stage, and Gleason score to predict pathological stage of localized prostate cancer. A multiinstitutional update. JAMA, 1997; 277 18 ; : 1445-51. 28. Partin AW, Mangold LA, Lamm DM, et al.: Contemporary update of prostate cancer staging nomograms Partin Tables ; for the new millennium. Urology, 2001; 58 6 ; : 843-8. 29. Kattan MW, Eastham JA, Stapleton AM, et al.: A preoperative nomogram for disease recurrence following radical prostatectomy for prostate cancer. J Natl Cancer Inst, 1998; 90 10 ; : 766-71. 30. Kattan MW, Wheeler TM, Scardino PT: Postoperative nomogram for disease recurrence after radical prostatectomy for prostate cancer. J Clin Oncol, 1999; 17 5 ; : 1499-507.
Wednesday, May 12, is Fibromyalgia Awareness Day. This event was started in 1992 by a CFS sufferer, Tom Hennessy, who is president of RESCIND Repeal Existing Stereotypes about Chronic, Immunological and Neurological Diseases ; . He chose May 12 because it is the birth date of Florence Nightingale. As you know, she was a pioneer of the Red Cross Movement and founder of the first school of nursing, but did you know she was debilitated by pain and fatigue, resembling fibromyalgia or chronic fatigue syndrome? Since then, Fibromyalgia Awareness Day has become a worldwide effort to educate politicians, health care providers, and the public about this disease with almost invisible symptoms. For more information on this, visit the Web site of the National Fibromyalgia Association, fmaware . We have also updated our literature and revised our Spanish translation so we can provide information in the city and county health clinics. Our invitation to you is for each person who reads this and lozol.
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119 gavage beginning postnatal day PND ; 4 and sacrificed on PND 28. Hearts were removed rapidly, and ventricles were processed for electron microscopy. Morphometric and semiquantitative morphological analyses were performed on 3 micrographs from each of 3 blocks from each of 3 females and 3 males from the control and treated groups. Treated mice showed significant increases in the mean area and decreases in the mean number of cardiomyocytic mitochondria compared to controls. We observed clusters of damaged mitochondria more frequently in treated animals than in controls; damage included fragmentation and loss of cristae. These results, demonstrating alterations in cardiomyocytic mitochondria of mice exposed in utero and postnatally, may model cardiac damage reported in human infants similarly exposed to ZDV. Even before it was licensed by the FDA as an AIDS drug in 1987, AZT had been found to be carcinogenic by FDA toxicologist Harvey Chernov in a review of numerous studies entitled Review & Evaluation of Pharmacology & Toxicology Data that he sent up in December 1986 for consideration by the licensing panel. Since local GlaxoSmithKline medical director Peter Moore is on record candidly warning much the same `Long-term use of AZT [`for more than six months'] does contain risks, including cancer' Mail & Guardian, 1 December 1999 ; we won't lumber this memorandum with all the published studies. But as far back as 1997, the NCI group, particularly concerned about the potentially carcinogenic consequences of exposing human foetuses to AZT, conducted animal investigations into this, and found positively, as indicated in the title of their paper published in November that year in the Journal of the National Cancer Institute 89 21 ; : 1602-8 ; , Transplacental effects of 3'-azido-2', 3'-dideoxythymidine AZT ; : tumorigenicity in mice and genotoxicity in mice and monkeys. Pregnant mice and monkeys were given AZT in the second halves of their gestational terms. By one year of age, the mice exposed to AZT in utero `exhibited statistically significant, dose-dependent increases in tumor incidence and tumor multiplicity in the lungs, liver, and female reproductive organs'. `AZT, ' the NCI group accordingly noted, `is genotoxic in fetal mice and monkeys and is a moderately strong transplacental carcinogen in mice examined at 1 year of age.' They advised accordingly: `Careful long-term follow-up of AZT-exposed children would seem to be appropriate.' Having established that `AZT is unequivocally a transplacental genotoxin and carcinogen [and] given transplacentally to mice, benzopyrene [a known carcinogen employed in research laboratories to induce cancers].
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Oral fluid samples were collected by the police at roadblocks, the purpose of which, was to intercept drivers who were driving under the influence of drugs. The samples were collected at the roadside using the same procedure as described for the blank samples. An additional series of authentic samples were obtained from volunteers with a history of cannabis use. Once a week, and over 2 consecutive weeks, subjects received either a placebo cigarette where the THC had been extracted ; or a marijuana cigarette which contained 300 g cannabis per kg ; . Samples were collected 0.5 hour prior to drug administration and at various times following drug administration 0.25, 0.5, 1, hour ; . The study protocol was approved by the ethics committee of the University Hospital of Maastricht in the Netherlands.
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ACCIDENT ACCIDENTAL INJURY - A personal bodily injury due solely to external violent and unintentional means. All injuries sustained in connection with one accident will be considered one Accidental Injury. Accidental Injury does not include ptomaine poisoning, disease or infection except pyogenic infection occurring through an accidental cut or wound ; . ALLOWABLE CHARGES When Regence BlueShield or Asuris Northwest Health Preferred PPO ; or Participating PAR ; providers are used, eligible expenses covered by the Medical Plan are subject to the Regence or Asuris allowed amount. When NonPPO or NonPAR providers are used, expenses are subject to usual, customary and reasonable UCR ; allowances. APPROVED CHEMICAL DEPENDENCY TREATMENT FACILITY - For the purpose of treatment of chemical dependency, the definition of the term facility includes any public or private treatment facility providing services for the treatment of chemical dependency that has been licensed or approved as a chemical dependency treatment facility by the State in which it is located. APPROVED TREATMENT PLAN - A written outline of proposed treatment that is submitted by the attending physician to the Plan Supervisor for review and approval. BIOFEEDBACK THERAPY - Biofeedback therapy is an electronic method which allows the patient to monitor the functioning of the body's autonomic systems e.g., body temperature, heart rate ; that were previously thought to be involuntary. CALENDAR YEAR - The 12 months beginning January 1 and ending December 31 of the same year. CONTRIBUTORY OR CONTRIBUTION - The employee is required to pay a portion of the cost for enrolling in the Plan. COORDINATION OF BENEFITS ORDER OF BENEFITS DETERMINATION - The method for ascertaining the order in which the Plan renders payment when a Participant is covered by more than one plan. The principle applies when another plan has a Coordination of Benefits provision. COVERED INDIVIDUAL OR PARTICIPANT - An employee, spouse or child who is eligible for benefits under this Plan and is enrolled.
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