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In other respects Nike appears to be an anomaly in finding against Complainant on Respondent's default. Compare Ed Servicio, S.A. v. LOGIC PROMO, D2003-0132 WIPO May 4, 2003 ; by the same Panel discussing the meaning of UDRP Rules, 5 e ; ["If a Respondent does not submit a response, in the absence of exceptional circumstances, the Panel shall decide the dispute based upon the Complaint"]: "Some have interpreted this to mean that assertions, even though not substantiated by evidence, will suffice in the absence of a Response being filed, while others have expressed the view that both the onus and standard of proof upon the Complainant remains the same no matter whether a Response is filed or not. This Panel prefers a middle ground which is that factual assertions made by the Complainant which are supported by evidence may be used against the Respondent, but a Panel ought not to draw any inferences from a default other than those which have been established or can fairly be inferred from the facts presented to the Panel by Complainant and that, as a result of the default, have not been rebutted by any contrary assertions or evidence.
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INTRODUCTION The following intends to summarise Risk Management activities undertaken during the first quarter, April June 2005 This report provides a position statement at the end of Quarter 1 for 2005 2006 in relation to the following areas that are regarded by the Primary Care Trust as a fundamental part of `Risk Management'. a ; b ; c ; Reporting of accidents, adverse incidents and near misses; Complaints and compliments; Serious Untoward Incidents SUIs Risk Group and Strategic activity; Safety Alert Bulletins SABs ; Reporting Injuries, Diseases and Dangerous Occurrences that require to be reported to the Health & Safety Executive; RIDDOR ; Insurance and litigation cases.
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Achieve BP targets and up to a third of people will require three or more drugs.1 Antihypertensives from different classes generally have an additive effect when prescribed together. Sub-maximal dosages of two drugs may result in larger falls in BP and fewer adverse effects than maximal dosages of a single drug. Sometimes a clinical decision may have to be made whether to intensify drug treatment to achieve target or settle for a BP that is less than target. People not achieving their target BP, or for whom further treatment is inappropriate or declined, will still obtain benefit from any reduction in BP.7 What does NICE recommend for addon treatment? NICE recommends a stepwise approach to adding drugs in an attempt to achieve the target BP. If a drug is tolerated but target BP is not achieved - add second line treatment. If a drug is not tolerated - discontinue and proceed to second line treatment. Second line treatment should be selected according to whether the person has a raised risk of new-onset Type 2 diabetes. In people at risk of Type 2 diabetes: Add an ACEI or A-II RA if ACEI not tolerated ; . In people not at risk of Type 2 diabetes: Add a beta-blocker or, Add a thiazide if a beta-blocker was used first line. [Note: It may be best to explore alternative options to a thiazide combined with a beta-blocker where possible.] If a third line treatment is required: Add a calcium-channel blocker. If further BP lowering is indicated consider: An ACEI or beta-blocker if not yet used ; , Another antihypertensive drug.
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Nutrition intervention is an integral component of diabetes management. Since many factors may affect nutritional status in elderly people with diabetes, nutrition intervention can be particularly challenging. These factors include co-existing illness and polypharmacy, cognitive dysfunction, age-related decline in taste perception, poor prior eating habits, impaired swallowing, impaired food shopping capabilities or food preparation skills, poorly fitting dental prosthesis, limited finances, poor motivation and a lack of sufficient education Binns, 1999 ; . In addition, the elderly may also develop nutritional deficiencies due to impairments in nutrition absorption associated with the use of certain medications. When recommending a nutrition intervention plan these factors should be taken into account to achieve overall better diabetes management. The goals of nutrition therapy in elderly people with diabetes are to: Provide adequate energy and nutrition intake; Maintain blood glucose within the target range; Facilitate effective management of coexisting morbidities; Prevent, delay, or treat nutrition-related complications; Promote quality of life, safety, and overall well being, and Meet cultural needs and risedronate.
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Badrinath Konety, MD, MBA, studied medicine at the MS Ramaiah Medical College of Bangalore University, India, where he received his medical degree. Konety was a research fellow with the UCSF Department of Urology at the Veterans Affairs Medical Center prior to completing his residency at the University of Pittsburgh in 1998. He was an American Foundation for Urologic Disease Research Scholar and a Ferdinand Valentine Fellow at the University of Pittsburgh's Department of Urology and Cancer Institute, concurrently studying business and receiving an MBA from the University of Pittsburgh Katz School of Business. Konety completed his medical education as chief clinical fellow at.
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