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Report of the Meeting of the Expert Surveillance Panel on Equine influenza The Commission received a detailed report from Dr J. Mumford OIE Expert on Equine Influenza ; with the conclusions and recommendations of the equine influenza surveillance panel. The Report can be found at Appendix IX. The Commission commented on feedback received from vaccine companies, and requested Reference Laboratories to do everything possible to facilitate the supply of the recommended vaccine strains in a well controlled format suitable for submission of data to regulatory authorities. This would enable equine influenza vaccines to be updated when necessary to match currently circulating viruses, as is done for human influenza, because tylenol.
Further publications can be obtained from the HIV AIDS Unit, Department of Communicable Diseases, World Health Organization, Regional Office for South-East Asia, World Health House, Indraprastha Estate, Mahatma Gandhi Road, New Delhi 110002, India. Fax + 91-11-23370197, 23379395, 23379507 Email: hiv searo.who.int Library support: library searo.who.int.
The 2004 Judicial Hellholes Report shines a spotlight on the nine judicial districts that this year showed the most systematic bias. These are places where the law is not applied evenhandedly to all litigants, generally favoring local plaintiffs' lawyers and their clients against out-of-state defendants in civil lawsuits. Judicial Hellholes are sometimes referred to as "magic jurisdictions" they seemingly can pull million or billion dollar verdicts out of a hat and create causes of action previously unknown or procedural rules foreign to due process.8 They also are called "magnet courts" because their welldeserved plaintiff-friendly reputation attracts lawsuits from around the nation. While high-profile issues such as medical malpractice, asbestos lawsuits, and class action abuse dominated headlines in this year's Judicial Hellholes, we believe that such examples indicate a broader lack of fairness that is occurring in these courthouses. To highlight the ways in which a judge can affect the outcome of a case, this year's report details the tricks of the Judicial Hellholes trade in a new section titled, "The Making of a Judicial Hellhole." In a section called, "The Tale of Two Cities, " this report underscores the choice local judges and policymakers have when identified as a Judicial Hellhole: fix the problems or sink further into the abyss. There is no better example of that than the divergent paths taken by last year's top Judicial Hellhole: Madison County, Illinois, and Mississippi's 22nd Judicial Circuit. Madison County sunk deeper and deeper as a Judicial Hellhole; Mississippi, through the resolve of the executive, judicial and legislative branches, has started to turn its judiciary around. It is too early to give Mississippi a 100% bill of health, as many reforms only recently went into effect, but Mississippi is well on its way to judicial -- and economic -- recovery. In addition to Madison County and lingering concerns about Mississippi, ATRA members named eight other jurisdictions as Judicial Hellholes for 2004: 2. St. Clair County, Illinois 3. Hampton County, South Carolina 4. West Virginia entire state ; 5. Jefferson County, Texas 6. Orleans Parish, Louisiana 7. South Florida 8. Philadelphia, Pennsylvania 9. Los Angeles, California In addition to these Judicial Hellholes, the report calls attention to four "dishonorable mentions" places where particular abusive practices or warped litigation environments could lead them to being named a Judicial Hellhole in the future. Oklahoma Utah Supreme Court District of Columbia New Mexico Appellate Courts The report also highlights several "points of light, " where judges and legislators intervened to stem abusive practices. These include: upholding of several tort reform laws by state supreme courts, indicating an increasing respect for the policymaking authority of legislatures; growing evidence of improvement in health care access in Texas due to the enactment of medical malpractice reform; and the stemming of excessive punitive damage awards by judges that faithfully apply the U.S. Supreme Court's 2003 State Farm v. Campbell decision. Finally, this report highlights several reforms that can restore balance to Judicial Hellholes, including: tighten venue and forum non conveniens laws to rein in forum shopping in the jurisdictions; ensure that pain and suffering awards serve a compensatory purpose only and are not used to, because anacin headache.
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Synopsis According to Transkaryotic Therapies TKT ; , agalsidase alfa Replagal ; is beneficial in the long-term treatment of Fabry disease. The company claim that treatment with Replagal has positive effects on both the renal and neurological manifestations of the disease. The renal findings were based on an analysis of almost 300 patients, 70% of whom received Replagal for at least twelve months. Upon entry into the trial, 65% of these patients had impaired renal function, but after twelve months of treatment, this either stabilised or improved in patients with mild to moderate impairment. The company also add that the product had a beneficial effect on pain. At baseline, 85% of men and 63% of women were suffering from chronic pain and impaired pain related quality of life, according to pre-determined criteria. Treatment with Replagal was accompanied by significant improvement in eight out of eleven of these criteria. TKT's competitor Genzyme has already won US approval for its Fabry's treatment Fabrazyme agalsidase beta ; , entitling it to seven years' of market exclusivity. TKT must first prove that Replagal is more effective or safer than Fabrazyme in a head-to-head trial before it can launch its drug onto the US market.
The 63 fip pharmacy world congress and the 9th pharmacy australia congress fip-pac 2003 ; , to be held in sydney in early september, will be a showcase of pharmacy as practised in australia, where the profession enjoys one of the best reputations in the world and acetaminophen, for example, liver damage.
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Tion that is relevant and of help to most of the recipients. However, although appreciated by the majority, there is a diverse view of what actions the signals should lead to. Some centres do not even consider follow-up or taking actions while others are prepared to change labelling. In 1996, nine National Centres reported having changed labelling in up to five cases per centre. In the current study, three centres stated that change of labelling occurred in more than five signals in 2001 due to the information provided by `SIGNAL' alone. Considering the preliminary nature of signals from the WHO database, substantial regulatory actions based on UMC signals alone cannot normally be recommended. On the other hand, nor should there be no action at all. It must be noted that the topics discussed in `SIGNAL' are hypotheses based on often incomplete reports in the WHO Database. The signals are unconfirmed and, as already mentioned, primarily intended as an early warning about possible safety problems. In this light, the UMC encourages checking of national data, discussions in national or regional ADR committees, inclusion of `SIGNAL' in literature reference databases and, when required, initiation of further studies. However, unless there are other data supporting the signal from the UMC we would advise against actions such as labelling changes, informing the general public mass media or withdrawal of products from the market. the UMC's position is well summarised in the following comment from one of the centres: " We find SIGNAL an important contribution tool to making decisions concerning drug safety. However, SIGNAL alone is not usually sufficient". There is 100% agreement among the respondents on the WHO definition of a signal, which is as follows: "Reported information on a possible causal relationship between an adverse event and a drug, the relationship being unknown or incompletely documented previously." Further notes says: "A signal is an evaluated association which is considered important to investigate further"; "A signal may refer to new information on an already known association"; and "Usually more than a single report is required to generate a signal, depending upon the.
This chapter discusses the literature review undertaken for the study. Burns and Grove 2001: 107 ; describe the literature review as a critical step in the research process. The researcher obtained literature relevant to AMI, thrombolytic therapy and the outcome of this treatment from MEDLINE Medical Literature Online ; , and CINAHL Cumulative Index to Nursing and Allied Health Literature ; , the University of South Africa Library, the Tawam Hospital, Tawam Faculty of Medicine and Tawam Institute of Nursing and various recognised websites were accessed via the Internet. Polit et al 2001: 43 ; state that reviewing literature "enables the researcher to identify what aspects of the topic have been undertaken, the magnitude of the problem being studied, how it is being managed globally, pertinent aspects still to be researched and the theory relevant to the topic". The purpose of the literature review was to examine the existing information on and knowledge of AMI and thrombolytic therapy. The researcher used various key words related to the topic in the search, such as acute myocardial infarction, door to needle time, delays affecting patients prior to treatment, outcomes, and steps taken to reduce mortality and morbidity related to AMI. The review also prevented possible duplication and provided direction and guidelines for the development of an effective instrument questionnaire ; related to the topic. 2.2 ACUTE MYOCARDIAL INFARCTION and aralen.
The Administrative Appeal Plaintiff followed UNUM's instructions and appealed UNUM's decision administratively. UNUM reviewed the case "inhouse" again declining an opportunity to give an independent outsider an opportunity to evaluate the claim. Plaintiff took UNUM's various denial letters to his cardiologist and asked Dr. Jackson to specifically address UNUM's objections. The doctor prepared a report dated March 25, 200230 and that report was transmitted to UNUM under counsel's cover letter dated March 27, 2002. That report was reviewed by UNUM's Vice-President and Medical Director on April 23, 2002. AR 117 ; . Dr. Jackson, plaintiff's treating physician, answered all of UNUM's objections. He told UNUM: He understood that UNUM had denied disability benefits. That he understood the definition of disability under the policy to be that you are limited from performing the material and substantial duties of your regular occupation due to sickness or injury. That Client's occupation was public relations executive and that the job requires: o Account management; o Strategic consulting; o Managing people; o Managing clients; and o Travel That Jackson is Board Certified in Internal Medicine and Cardiovascular Disease That the diagnosis is neurocardiogenic syncope. That Jackson is experienced in the care and treatment of this disease entity since he began to see patients with this disease in the academic environment of Georgetown University Hospital in the late 1980's, for instance, side effect.
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Things don't get easier; they get busier, " says Dr. Chris Brooks, a Canadian doctor who runs a clinic in Malawi, Africa. Brooks was living in Calgary, Alberta with his wife and young daughter, practicing medicine as he had been doing for 30 years, when he met a missionary doctor from Malawi. "This man said the people in Malawi had nothing, " says Brooks. "I didn't believe him, so I went to see for myself. He was right." Brooks could hardly fathom the poverty, the illness and the total lack of services in a country where some 100 physicians serve a population of more than 12 million people. He realized that with a minimum of supplies and medicine, he could do something. "I wasn't exactly looking to make a career move, " he says. "I just wanted to go and help.
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The Royal Pharmaceutical Society is seeking nominations and applications for its two annual British Pharmaceutical Conference medals -- the Conference science medal and the Conference practice research medal. For both awards the closing date for applications is 31 March. The medals will be presented during BPC 2005, which takes place at Manchester International Convention Centre from Monday 26 September to Wednesday 28 September. The overall theme of the conference is "A common vision for health: linking science with practice". The science medal is awarded to a young scientist with a proven record of independent research whose published work shows outstanding promise. The winner receives a cheque for 750 and a medallion and will be invited to present a lecture on his or her work at BPC 2006. Applicants must work in a pharmaceutical or allied discipline in industry or academia and be aged under 35 years on 31 March. The practice research medal recognises an individual aged up to 45 years who has made a significant contribution to pharmacy practice research and has the potential to become a leader in his or her field. The winner will receive a cheque for 1, 000 and will give a lecture at BPC 2005 based mainly on his or her own research but also drawing on relevant published work from related fields, including health policy. Applicants do not have to be pharmacists or based in a school of pharmacy. Overseas applicants are welcome. Applicants for the science medal should submit a full curriculum vitae listing name, age, education, appointments held and research responsibilities. It should include a list of all forms of publication already accepted, including patents, consultancy reports and teaching packages. When listing jointly authored work, candidates should give all authors' names and indicate the candidate's contribution as principal investigator or co.
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Exploring Depression. Produced by the California Alliance for the Mentally Ill. An overall view of the causes and treatment of depression by William C. Wirshing, M.D. and Lori Altshuler, M.D. Dark Glasses and Kaleidoscopes B Living With Manic-Depression. Produced by the National Depressive and Manic-Depressive Association. Hosted by Tony Dow, this presentation explores the symptoms and up-to-date treatment for manic depression. Trapped Within. Produced by the California Alliance for the Mentally Ill. Actress Mariette Hartley hosts a documentary presenting new insights into Obsessive-Compulsive Disorder OCD ; and the new treatments and medications that have, at long last, brought hope to so many. 33 minutes. Women and Mental Illness. Narrated by Margot Kidder. An overall view of the experiences of women stricken with neuro-biological illnesses of the brain. 2 hours and asacol.
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Migraine is a common disorder, with a one year prevalence rate in the US of approximately 13%.80 Most migraine sufferers require pharmacologic treatment. Nonsteroidal anti-inflammatory drugs NSAIDs ; are considered first-line therapy by most organizations. The US Headache Consortium recommends migraine 56.
3.8.1 Schedule of Assessments The timing of the study visits, and the procedures to be carried out at each visit, are shown below see Table 2 Outline of Study Assessments, page 26.
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