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At the heart of ORBIS's sight-saving work is the world's only Flying Eye Hospital, a DC10 aircraft converted into a state-of-the-art operating room and teaching facility. On board is an international team of health professionals from more than ten different countries, working together to share sight-saving skills around the world. Additionally, more than 400 leading surgeons and medical volunteers donate their time to provide training and technical support for a wide range of blinding diseases and conditions. The unparalleled international cooperation demonstrated by the Flying Eye Hospital serves as an inspiration to health care providers and government leaders. Everywhere it travels, the plane's high profile, through front page media coverage, increases awareness of global blindness and builds local support for potential solutions. Through this unique medium, ORBIS is raising community consciousness regarding blindness prevention and the need for quality eye care. The mission of ORBIS actually began in 1972, when ORBIS founder Dr. David Paton, chairman of the Baylor College of Medicine's ophthalmology department, came up with the idea of a globally mobile eye care facility. He discussed with his friend Betsy Trippe DeVecchi the idea of outfitting an aircraft and Betsy sought the advice of her father, Pan American World Airways founder Juan Trippe, who invited Dr. Paton, Betsy and current ORBIS Chairman A.L. Ueltschi to New York City to discuss the idea. It was resolved to create ORBIS and in 1974 United Airlines agreed to donate the first ORBIS plane, a McDonnell Douglas DC-8. It took eight more years to pull together the necessary resources and convert the aircraft into the world's only Flying Eye Hospital, which finally took off from Houston on March 1, 1982 and flew to Panama to carry out the first ever ORBIS program. In 1994, the ORBIS aircraft was upgraded to the current DC-10, its purchase funded by Chairman and CEO of FlightSafety International A.L. Ueltschi, Hong Kong businessman Y.C. Ho and a third anonymous donor. Subsequently, its conversion into a fully-equipped and isordil.
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Mentioned investigations. While determining the extent of structural heart disease, it is important to remember that heart failure results not only because of structural heart disease but also because of maladaptations of the neuroendocrine system with resultant fluid overload. Where there is mild or little detectable structural heart disease, it may be possible to pharmacologically control the renin angiotensin system with greater ease than if there is severe structural heart disease, although this is not always the case. Where an objective assessment of left ventricular function by echocardiography is required, this can usually be done qualitatively [21]. Measurement of ejection fraction may not always be necessary and M-mode measurements can be misleading if there is asymmetry of the left ventricle [22]. Where a detailed quantitative measurement of left ventricular function is required, this may be obtained by radionuclide ventriculography or cardiac catheterization for appropriate patients, such as those undergoing additional treatments such as coronary by-pass surgery. Attempts continue to be made to improve the access to echocardiography for those patients with suspected heart failure [23]. The introduction of more portable echocardiography may make this more achievable in practice [24]. While all the above mentioned investigations may be appropriate to an extent in the assessment of the older patient with heart failure, not every patient will require all of these investigations before treatment is commenced. Additional simple blood tests such as a FBC and serum electrolytes should be performed regularly in the older patient with a confirmed diagnosis of heart failure. Table 3 summarizes the initial investigations for an older patient with chronic heart failure.
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Analysis by phase showed preoperative coronary artery type was significant in phase 1 p 0.009 ; but coronary type was not associated with early death in phase 2 p 0.061 ; . Significant risk factors in phase 2 were female gender and preoperative instability Table 5 ; . The cause of early death is shown in Table 6. Left ventricular failure and pulmonary hypertension were by far the leading causes of death. Two of 3 patients requiring ECMO preoperatively and 6 of 12 patients 50% ; requiring ECMO postoperatively were long-term survivors.
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Earlier this week may 31 ; , biovail and depomed received a notice of compliance from the therapeutic products directorate canada for biovail's new drug submission for 500mg and 1, 000mg dosages of glumetza tm ; see biovail news release - biovail, depomed announce regulatory approval of glumetza tm ; to treat type ii diabetes in canada - june 1, 2005.
This medication, which is related to the tricyclic antidepressants is used primarily as a muscle relaxant, and has no antidepressant activity.
From Dr P. M. Worling, FRPharmS he article by Anthony Cox on changing the name of the Royal Pharmaceutical Society PJ, 12 July, p44 ; may well raise a few eyebrows. However, it is for similar reasons the National Association of Pharmaceutical Distributors NAPD ; changed its name same years ago to the British Association of Pharmaceutical Wholesalers BAPW ; in order to make the activities of its members absolutely clear. If this suggestion is to find merit, perhaps it is worth considering the word "society" also. This gives the impression that we are a social organisation -- more of a club than a serious body of professionals. An alternative is the word "college" -- a body of persons having certain rights and privileges devoted to common pursuits. The "Royal College of Pharmacists of Great Britain" has an air of authority to it. Peter Worling Edinburgh.
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