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6.7 India argued that the consultations factor relied upon by the Panel in what is now paragraph 7.16 was not relevant as there was nothing to be added. India also noted that the EC had requested the Panel to "extend its findings" and not to settle the dispute. India considered that there was no possibility in the scheme of the DSU for a panel to extend the findings of an earlier dispute. 6.8 Noting the Panel's discussion in what is now paragraph 7.22, India observed that the Panel had not found itself the appropriate forum for resolving certain issues raised by India. In India's view, proper consideration of the context and the object and purpose of the DSU as mentioned in the preceding paragraphs would have led to a different conclusion. 6.9 India argued that the security and predictability of the multilateral trading system envisaged by Article 3.2 of the DSU bound the parties to the statements made by them in earlier disputes, unless the context did not permit the same. According to India, India's argument in this regard at paragraph 4.2 had not been dealt with by the Panel. The complainant's statement in earlier cases before a panel should have been taken as an admission in the present case and the EC should not have been allowed to make a volte face in the present procedures. 6.10 India considered that the acceptance by the Panel at what is now paragraph 7.15 of the complainant's right to determine whether and when to pursue a complaint under the DSU was fraught with danger and was not consistent with the spirit of Article 3.10 and 3.12 of the DSU. India also considered that acceptance of such a right would be inconsistent with the principles of the DSU relating to non-contentious acts, good faith and achievement of positive solutions to disputes and would result in harassment of the defending Member. There would also be problems of implementation of different DSU decisions given at different points in time. India felt that this should have engaged the attention of the Panel. 6.11 In India's view, there was another inconsistency in the findings of the Panel. While the trouble, expense and exposure of India to successive WTO proceedings had not influenced the Panel's findings, in what is now paragraph 7.54 the Panel was relying on the mere possibility of the challenge of India's mailbox system under the administrative instructions and the further possibility of its being struck down by a court of law in India. The finding emphasized the guarantee that the public including interested nationals of WTO Members - be adequately informed, but denied a similar guarantee to a harassed defending party. 6.12 According to India, the Panel's findings would lead to a vacuum in the scheme of the DSU. India considered that it was an established rule of interpretation that where two views were possible, the one which promoted the scheme should be favoured. Non-examination of India's arguments caused prejudice to India's defence. 6.13 The Panel carefully examined these comments by India, but was not convinced that it should modify its findings regarding Articles 9.1 and 10.4 of the DSU. The Panel noted that India's arguments reflected in paragraphs 6.2 to 6.6 above were essentially a repetition of the arguments that had been reflected in paragraph 4.2 of the report. The Panel's view in this regard was clearly stated in what is now paragraph 7.23. In the Panel's view, India's criticism, as reflected in paragraphs 6.7 and 6.8 above, of what is now paragraph 7.16 was unwarranted because the Panel was not "relying on" the consultations factor. The Panel's view remained unchanged: it was not feasible to establish a single panel to hear the complaints of the United States and the EC in this instance. Nor did the Panel simply "extend its findings" in the prior case.87 Regarding India's argument about a volte face by the EC see paragraph 6.9 above ; , the Panel took the view that statements made by the EC in another context that is to say, not the context of the present dispute including, in the present situation, statements made in the context of dispute WT DS50 - were outside the purview of its examination of.
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One of the aims of the NoMix system is to produce fertilizers from sourceseparated urine. But urine also contains traces of pharmaceuticals and hormones, which need to be completely removed during treatment. To assess the efficiency of treatment processes, we developed a procedure combining chemical and ecotoxicological analytical methods.
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G-RC-11 SERUM LEPTIN AND VASCULAR RISK FACTORS IN OBSTRUCTIVE SLEEP APNOEA Mary SM Ip, Karen SL Lam, Chung-man Ho. Kenneth WT Tsang, Wah-kit Lam. University Department of Medicine, Queen Mary Hospital, Hong Kong Study objectives: To define the metabolic profile relevant to vascular risks in obstructive sleep apnoea OSA ; and the role of leptin resistance in this risk profile Design: Case control study Setting: Sleep Laboratory, Queen Mary Hospital, University of Hong Kong Methods: Thirty OSA subjects were compared with 30 non-OSA subjects, matched for body mass index BMI ; , age, sex and menopausal status, in the following parameters : girth of neck, waist and hip, skinfold thickness, fasting serum levels of lipids, glucose, insulin and leptin. Results: Compared to control subjects without OSA, despite a similar BMI, the OSA group had a significantly more adverse vascular risk factor profile including dyslipidemia, higher diastolic blood pressure, insulin resistance, and greater adiposity reflected by skinfold thickness. OSA subjects also had higher circulating leptin levels 9.24.2 vs 6.5 3.8 ng ml, mean SD, p 0.001 ; . Serum leptin levels correlated positively with BMI, skinfold thickness, serum cholesterol, LDL-cholesterol, insulin, insulin: glucose ratio, apnoea-hypopnea index and oxygen desaturation time, and multiple stepwise regression analysis identified skinfold thickness, waist : hip ratio, serum LDL-cholesterol, and diastolic blood pressure as independent correlates, while only serum insulin and diastolic blood pressure were independent correlates in OSA subjects. After treatment with nCPAP for 6 months, there was a significant decrease in circulating leptin p 0.01 ; and triglyceride levels p 0.02 ; without change in anthropometric and other metabolic characteristics. Conclusion: Despite controlling for BMI, OSA subjects showed a distinct profile with clustering of vascular risk factors. Hyperleptinaemia was present in OSA subject but it can be normalised by treatment with nCPAP, suggesting that increased leptin resistance was not the cause of OSA or its associated vascular risks and propranolol.
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P-glycoprotein; P170 ; 20 ; which, acting as a transmembrane pump, effluxes these agents out of the cell, thus leading to reduced drug accumulation and concentration at the respective intracellular target; tubulin and mitotic spindle for vinca alkaloids and taxanes, topoisomerase II for anthracyclines and epipodophylotoxins etc. Furthermore, MDR-dependent mechanisms lead to cross-resistance between the above agents; thus, exposure to vincristine and anthracyclines for NHL as in CHOP ; might lead to subsequent resistance to other anthracyclines and taxanes used for the treatment of BC 21 ; However, no significant differences were observed in MDR, MRP and LRP major vault protein expression between breast cancer after NHL versus matched-pair cases of de novo breast cancer, pointing out that other mechanisms of resistance might exist or that the sample size was considerably small in order to allow meaningful statistical comparisons with adequate power. In addition, the genetic background to which both NHL and subsequent BC develop might involve activation of oncogenes for instance c-myc ; or loss of tumor suppressor genes, such as p53 or Rb carrying inactivating mutations 22 ; , that will ultimately lead to reduced apoptosis induced on tumor cells by the chemotherapeutic agents through up-regulation of death repressor functions bcl-2, bcl-XL, bad, etc. ; 23, 24 ; . P53 mutations have been found to up-regulate the dihydrofolate reductase DHFR ; gene and lead to overexpression of the respective enzyme, target of the antimetabolite methotrexate, thus leading to resistance to this particular agent frequently used in the treatment of BC. In conclusion, our study indicates that BC developing after curative treatment of NHL with chemotherapy is a highly aggressive disease variant with rapid development of disease progression, poor response to chemotherapy and hormone treatment and short survival. Analysis of drug resistance mechanisms concerning MDR, MRP and LRP indicates that most of these patients have tumors that overexpress these proteins leading to the suggestion that these mechanisms might be a part of the aggressive disease phenotype and partially explains the poor outcome. Large cooperative efforts are required in order to delineate the extent of the underlying molecular mechanisms that will explain the out-come of these patients and provide the scientific background for developing novel therapeutic strategies in this subset in order to improve the current disappointing results. References and proscar.
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In contrast to the Rehab patients, MMTP patients with chronic pain compared with MMTP without chronic pain were significantly more likely to have seen a physician, to have seen a physician for a pain complaint, and to have been prescribed pain medications by a physician. Chronic pain was associated with the use of OTC pain medications, but it was not associated with use of illicit drugs or alcohol ; as a treatment for pain. Among respondents with chronic pain, 71 percent of the Rehab patients and 76 percent of MMTP patients reported that they were interested in medical treatment for chronic pain. The majority of patients with chronic pain reported that they had received a diagnosis for their pain complaint: Rehab patients 56 percent 69 124 MMTP patients 59 percent 53 90 ; . Description of Pain Complaints among Subjects with Chronic Pain Rehab patients: The most frequent pain among Rehab subjects were back pain, headache and neck pain 50 percent to 75 percent of respondents and the mean number of pains in the past week was 4.67. On the BPI, 46 percent had moderate to severe pain interference, while nearly all 95 percent ; reported moderate to severe pain intensity. MMTP patients: The most frequent pains were headache, back, knee and foot pain 50 percent to 75 percent ; . The mean number of pains was 4.96. On the BPI, 70 percent had moderate to severe pain interference, while nearly all 98 percent ; reported moderate to severe pain intensity. Summary and Discussion The results of this survey indicate that chronic pain is prevalent among persons in substance abuse treatment. These two groups of substance abusers, Rehab patients and MMTP patients had several factors in common, and several differences, associated with chronic pain. Consistent with the Jamison et al 2000 ; survey of methadone patients, Rehab and MMTP patients with chronic pain reported more chronic illness and psychiatric symptoms. This finding is consistent with reports from the general population that find that chronic pain is associated with psychiatric distress and illness. The two samples differed, however, in terms of drug use, time in treatment and ethnicity. Data suggests that Rehab patients with chronic pain appeared to be using illicit drugs to selfmedicate. Although a greater proportion of MMTP patients had chronic pain, this disorder did not seem to be associated with illicit drug use. However, similar to Rehab patients, MMTP patients were using OTC medications. Higher severity of pain among MMTP patients is consistent with experimental studies demonstrating that methadone patients are more sensitive to pain than the general population and other drug users Compton et al ; . Findings from this survey indicate that there is a significant need for extending and improving pain treatment for persons who are comorbid for pain and chemical dependence, with specific attention necessary to those who are in methadone maintenance treatment and provera.
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SARCOCYSTIS SPP. IN HUMANS TABLE 1. Parasite development and disease manifestations in humans and ramipril.
Tion of a quorum-sensing signal molecule in the facultative intracellular pathogen Brucella melitensis. Infect. Immun. 70: 30043011. Thanabalu, T., E. Koronakis, C. Hughes, and V. Koronakis. 1998. Substrateinduced assembly of a contiguous channel for protein export from E.coli: reversible bridging of an inner-membrane translocase to an outer membrane exit pore. EMBO J. 17: 64876496. Tibor, A., V. Wansard, V. Bielartz, R. M. Delrue, I. Danese, P. Michel, K. Walravens, J. Godfroid, and J. J. Letesson. 2002. Effect of omp10 or omp19 deletion on Brucella abortus outer membrane properties and virulence in mice. Infect. Immun. 70: 55405546. Ugalde, J. E., C. Czibener, M. F. Feldman, and R. A. Ugalde. 2000. Identification and characterization of the Brucella abortus phosphoglucomutase gene: role of lipopolysaccharide in virulence and intracellular multiplication. Infect. Immun. 68: 57165723. Utsumi, R., T. Yagi, S. Katayama, K. Katsuragi, K. Tachibana, H. Toyoda, S. Ouchi, K. Obata, Y. Shibano, and M. Noda. 1991. Molecular cloning and characterization of the fusaric acid-resistance gene from Pseudomonas cepacia. Agric. Biol. Chem. 55: 19131918. Wandersman, C., and P. Delepelaire. 1990. TolC, an Escherichia coli outer membrane protein required for hemolysin secretion. Proc. Natl. Acad. Sci. USA 87: 47764780. Wassif, C., D. Cheek, and R. Belas. 1995. Molecular analysis of a metalloprotease from Proteus mirabilis. J. Bacteriol. 177: 57905798. Webber, M. A., and L. J. Piddock. 2001. Absence of mutations in marRAB or soxRS in acrB-overexpressing fluoroquinolone-resistant clinical and veterinary isolates of Escherichia coli. Antimicrob. Agents Chemother. 45: 1550 1552. Zakharov, S. D., V. Y. Eroukova, T. I. Rokitskaya, M. V. Zhalnina, O. Sharma, P. J. Loll, H. I. Zgurskaya, Y. N. Antonenko, and W. A. Cramer. 2004. Colicin occlusion of OmpF and TolC channels: outer membrane translocons for colicin import. Biophys. J. 87: 39013911. Zgurskaya, H. I., and H. Nikaido. 2000. Multidrug resistance mechanisms: drug efflux across two membranes. Mol. Microbiol. 37: 219225. Zhang, Y., D. D. Bak, H. Heid, and K. Geider. 1999. Molecular characterization of a protease secreted by Erwinia amylovora. J. Mol. Biol. 289: 1239 1251.
31 Disproportionate Share and Medical Education, two politically charged reimbursement issues, are left out of the outlier percentage, though they are present in determining whether a discharge qualifies as an outlier. 32 Disproportionate Share and Medical Education, two politically charged reimbursement issues, are left out of the outlier percentage, though they are present in determining whether a discharge qualifies as an outlier and retin-a.
In addition, the following groups should be vaccinated: healthcare providers employees of nursing homes and chronic care facilities who have contact with patients or residents providers of home care to persons at high risk household members including children ; of persons in high-risk groups persons of any age who wish to decrease their chances of influenza infection, excluding persons who are allergic to eggs treatment for influenza: specific treatment for influenza will be determined by your child's physician based on: your child's age, overall health, and medical history extent of the condition your child's tolerance for specific medications, procedures, or therapies expectations for the course of the condition your opinion or preference the goal of treatment for influenza is to help prevent or decrease the severity of symptoms.
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This paper considers the overall problem of eating disorders in general and the impact that alternative treatment options, including natural health perspectives, have on the development of successful treatment for anorexia nervosa and rivastigmine.
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Fibres Dietary fiber The part of the plant fiber that you eat is called dietary fiber. Dietary fiber is the remnants of the edible part of plants and analogous carbohydrates that are resistant to digestion and absorption in the human small intestine with complete or partial fermentation in the large intestine: it includes polysaccharides, oligosaccharides, lignin and associated plant substances. Dietary fiber is made up of two main types - insoluble and soluble. Insoluble dietary fiber includes cellulose, some hemicellulose, and lignin whereas soluble dietary fiber includes gums, pectins and other hemicelluloses. Whole-wheat products, wheat oat, corn bran, flax seed, vegetables such as green beans, cauliflowers and potato skins, fruit skins and root vegetable skins Insoluble dietary fiber Oat Oat bran, dried beans and peas, barley, flax seed, fruits such as oranges and apples, vegetables such as carrots, psyllium husk Soluble dietary fiber ; AOAC 985.29 Total dietary fiber in foods Official Methods of Analysis of AOAC International 17th Edition, 2000 ; . Enzymatic-Gravimetric method: Duplicate test portions of dried foods, fat-extracted if containing 10% fat, are gelatinized with Termamyl heat stable alpha-amylase ; , and then enzymatically digested with protease and amyloglucosidase to remove protein and starch. Ethyl alcohol is added to precipitate soluble dietary fiber. Total residue is filtered, washed with 78% ethyl alcohol, 95% ethylalcohol, and acetone. After drying, residue is weighed. One duplicate is analyzed for protein, and the other is incinerated at 525C and ash is dtermined. Total dietary fiber weight residue - weight protein + ash ; . Adopted as a Codex defining method for gravimetry enzymatic digest of total dietary fiberin special foods ; Ref.: JAOAC 68, 677 1985 69, 259 1986 Foods Insoluble dietary fiber may promote regular bowel movement and prevent constipation, remove toxic waste through colon in less time and keep an optimal pH in intestines to prevent microbes from producing cancer substances; therefore preventing colon cancer. Soluble dietary fiber may lower total cholesterol and LDL cholesterol therefore reducing the risk of heart disease and regulate blood sugar for people with diabetes and sertraline and premphase.
The second standard calls for the sentencing court to look to the totality of the circumstances involved to determine if the individual's conduct was aberrant. See, e.g., United States v. Grandmaison, 77 F.3d 555 1st Cir. 1996 ; . Factors to consider include defendant's pecuniary gain, charitable activities, prior benevolent actions, and steps taken to mitigate the effects of the crime. Grandmaison, 77 F.3d at 563. Also to be considered are the defendant's lack of criminal record, United States v. Takai, 941 F.2d 738 9th Cir. 1991 ; , a defendant's -12.
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Groups, response rates in the MM and CT groups and change in diastolic sitting blood pressure in the MM group. Response to therapy was defined as attainment of sitting DBP 90 mmHg or a reduction in sitting DBP of at least 10 mmHg. Blood pressure was measured according to the Riva-Rocci method at each visit on the same arm, using always the same standard, recently serviced, sphygmomanometer and the same cuff. Phase V of Korotkoff was used to determine DBP At . each centre, measurements were made by a single nominated individual physician or study nurse ; . Measurements were commenced after patients had rested for 10 minutes in the clinic. Sitting DBP was calculated as the arithmetic mean of three measurements taken at 2-minute intervals. Heart rate was measured while the patient was seated. The patient was then invited to stand for 1 minute, after which blood pressure was measured once. Statistics Statistical analysis was performed at the Biometrics Department of Solvay Pharmaceuticals, Weesp, The Netherlands. Analyses were based primarily on the intention-to-treat ITT ; cohorts. The primary efficacy variable was the difference between the standard surgery measurement of sitting DBP mean of three successive measurements made before the morning dose ; before and after 4 weeks of combination therapy. The ITT patient sample for this analysis comprised all patients who received at least one dose of combination therapy and for whom sitting DBP assessments were made at the start and conclusion of the combination treatment phase. Analysis of variance including the factors, centre and treatment, plus interaction of centre and treatment, was intended but, because of the large number of centres and correspondingly small number of patients per centre, was restricted to analysis for the factor treatment. The mean error was used to derive confidence intervals and p-values for treatment difference. For pair-wise comparisons, an -level of 5 % adapted according to the Bonferroni-Holm principles ; was taken to indicate statistically significant treatment differences. Secondary efficacy parameters and adverse events were analysed using exploratory statistics. The ITT efficacy sample for the open phase comprised patients who received at least one dose of moxonidine during the open phase and an assessment of blood pressure during that phase or within 1 day of the conclusion of that phase. The safety sample for the CT group comprised all randomized patients who received at least one dose of combined medication and at least one safety assessment while taking combination therapy. The safety sample for the open phase of the trial comprised all patients who received at least one dose of moxonidine during the open phase and at least one safety assessment during open treatment. Ethics and patient consent The study protocol, patient information sheet and informed consent forms were approved by the Local Research Ethics Committees of all investigators. No patient was permitted to enter the study without first completing an informed consent form. Patients were entitled to withdraw from the study at any time, without stating their reasons. Investigators were required to withdraw a patient from the study if one or more adverse events occurred that were either intolerable to the patient and or prejudiced the patient's health in the view of the investigator. Investigators were required to withdraw a patient from the study if the patient's blood pressure was greater than 220 114 mmHg at any time during the trial, including the placebo run-in phase.
Susceptibility results using laboratory control organisms are shown in the table below. Table 4.
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ANOTHER SELF-SERVING SURVEY A nationwide survey shows that newer "reproductive health options" such as birth control patches, rings, new sterilization methods, and others are "poorly covered by insurance companies" when compared to "more traditional" methods such as the birth control pill. The study revealed that while newer options and technologies are approved by the U.S. Food and Drug Administration FDA ; , numerous insurance companies are not extending coverage for them as they have for procedures and products that have been in use for many years.
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Note : statistics in the table is 2 statistics * statistically significant at 0.05 METHODOLOGY QUALITATIVE RESEARCH ; Samplings used in the qualitative research came from purposive sampling method. They were from schools under the supervision of Office of the Basic Education Commision, viz., Chiang Rai, Lamphun, Chiang Mai, Mae Hong Son, Nan, Phrae, Phayao and Lampang. These are 8 provinces forming the Upper Northern region. Table 4. Displays classification of the samplings used in the qualitative research.
Table 2 Congenital and acquired forms of long QT syndromes. Mutations in six different genes have been identified in patients and families with congenital LQTS, allowing the classification of LQT1LQT6. The Andersen syndrome AND1 or LQT7 ; is a rare disorder characterised by neurological and morphological abnormalities in addition to a prolonged QT interval [62]. Three sporadic cases of prolonged QT interval associated with syndactyly have been reported [63]. However, the significance of this finding may be quite low because of its rarity!
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