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Tower Urology: Harnessing the Internet. continued from page 3 tices, northPoint Domain enabled Tower Urology to achieve its vision of a customized web presence that is visually appealing, easy to use, and serves multiple functions: Practice information, which provides practice contact, location information, and directions, physician and staff biographies, areas of expertise, and new patient paperwork; "We invested a great deal of time Patient education library, which informs patients and consumers with nearly 70 of northPoint Domain's best-in-class, urologyspecific condition, test, treatment, and risk factor management articles, which stay up to date through regular medical advisory board reviews; Tower News, which contains articles written by Tower Urology physicians and staff that inform patients and consumers about common urologic conditions, late-breaking news and services in urology, preventive care, treatment options, and coping with certain urologic diseases; Newsletter sign-up, a tool for consumers, patients, peers, and referring physicians to subscribe to Tower Urology's Although Tower Urology focused on creating a web presence that answered the needs of its existing patients, the practice has found that it has attracted new patients and generated added revenue, as well. A survey by Tower Urology and northPoint Domain's Strategy & Implementation Team found that, in addition to the value that it provides by improving existing patient satisfaction ratings, the practice's website has proven continued on page 5.
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Table 2. Severe adverse reactions Adverse events N symptomatic bradycardia * sedation fatigue constipation acute dyspnea not pulmonary embolism ; deep venous thrombosis skin lesions epilepsy renal failure 8 4 2 Months from treatment initiation Maximum thalidomide dose min-max 0.2-6.9 median: 3.0 ; 0.5-7.2 median: 4.9 ; 0.7-2.8 1.9-5.1 0.9 median range ; , mg day 200 100-400 ; 200 100-400 ; 100-200 300-400 100.
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Sadness and Depression Three areas in Christel's life where she expressed a sense of sadness were the following. Firstly, she felt a physical sadness at the loss of her breasts, secondly, sadness at how people viewed her, and thirdly, sadness when alone. In terms of the physical sadness, it has been mentioned that women feel a great sense of loss when they lose their breasts. Breasts are a symbol of sexuality, femininity, and motherhood. Any threat to a woman's breasts is usually considered unacceptable, frightening or devastating. Although Christel did n equate her identity to her breasts, emotions of ot sadness were nevertheless expressed.
Date: 01 30 04ISR Number: 4283016-8Report Type: Expedited 15-DaCompany Report #WAES 0401USA01663 Age: Gender: Male I FU: I Outcome Dose Duration Hospitalization Initial or Prolonged 1 DAY PT Dizziness Dry Mouth Hyperhidrosis Hypotension Somnolence Speech Disorder Vision Blurred Report Source Product Vioxx Zanafoex Ultracet Role PS SS C Manufacturer Merck & Co., Inc Route ORAL and zyloprim.
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The journey is long and arduous, the risk of failure is high, the dangers numerous, the outcome uncertain. Yet, each year, many undertake it, some for the first time, some for the tenth or twentieth. Marc Pfeffer was speaking of Bill Bryson's account of his attempt to hike the Appalachian Trail, related in his best-selling book, A Walk in the Woods, but his application of Marc Pfeffer the analogy to heart failure research was clear to everyone in the audience. Hiking the Appalachian Trail, Dr. Pfeffer related, is a daunting task. The woods are full of perils from poisonous or predatory animals, toxic plants, virulent diseases, human violence, and unpredictable weather. The threat of hypothermia looms. Hikers lose their way, follow false trails, and retrace their weary steps to start again. The journey is arduous. The precise length of the trail is unknown, although it is approximately 2200 miles. Bryson writes, "What is certain is that it is a long way, and from either end it is not easy. The peaks of the Appalachian Trail are not particularly formidable as mountains go . but they are big enough and they go on and on . All together, it takes about five months, and five million steps, to walk the trail from end to end." Nevertheless, hundreds, even thousands, of people take on the challenge each year -- and, with the lessons of earlier hikers as guides, they are succeeding in increasing numbers. Marc Pfeffer In his Landmarks of Heart Failure lecture, "Remodeling and its Reversal in Heart Failure, " Marc Pfeffer recounted the Appalachian Trail of heart failure research. He began by tracing its origins to the discoveries of biologists such as Ludwig Traube in the last century, to the watershed contributions of Otto Frank and E. H. Starling in the earlier part of the 20th century, and the exploration of the plasticity of the heart by Alfred Chanutin and Edwin Barksdale, as well as Margaret Beznak's work on the weight of the heart and plasticity in the 1950s. He continued his narrative of the progress of the march by relating the work of Maurice Sokolow and Dorothea Perloff, the foundational work in epidemiology by M. E. Framingham, the contribution of Jay Cohn to the essential role of and accupril.
Women who are or may One must discontinue use and contact their doctor if they potentially be pregnant should not have any of the following reactions: 1 handle the crushed or broken tablets. If the active ingredient is 1. rapid heart rate 2. unexplained rapid weight gain of 2.5 kg [5.5 pounds] or more absorbed after oral use or through 3. swelling or puffiness of hands, face, ankles, or stomach the skin by a woman who is 4. dizziness, lightheadedness, or fainting pregnant with a male baby, it may 5. blurred vision cause the male baby to be born 6. new or worsening pain in the chest, arm, or shoulder with abnormalities of the sex 7. signs of sever indigestion 8. sever scalp irritation organs. 1, 2 Can effect a blood test called PSA Must consult a doctor prior to use if one thinks they have, prostate-specific antigen ; used or have had any heart problems or heart disease. 1 for the screening of prostate cancer. 1, 2 Is a topical product that requires two applications per day In a few men it may cause breast whereas Bio-Fen Plus is only one oral capsule per day ; . lumps, breast enlargement, pain tenderness or nipple discharge. Hypersensitivity reactions include rash, pruritus, swelling of the lips & face, and testicular pain. 2!
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NE - Not Established C - Ceiling Limit NOTE: All WHMIS required information is included. It is located in appropriate sections based on the ANSI Z400.1 1998 format CHEMTREC NUMBER: Use only in the event of a chemical emergency involving a spill, leak, fire, exposure or accident involving this drug and actos.
Therapeutic options for secondary kidney diseases Regardless of the type of secondary kidney disease, interventions focused on maximizing control of blood pressure, lipids, and diabetes, as well as management of the complications of the kidney disease, should all be considered or implemented to stop, slow, or reverse damage to the kidneys. With respect to blood pressure control, the goal of less than 130 80 mm Hg individuals with abnormal amounts of protein in the urine or the presence of kidney disease is recommended by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and echoed by the National Kidney Foundation. Multiple studies of patients with diabetes mellitus, HIV-related kidney disease, and other types of kidney disease demonstrate that the use of blood pressure medications in the ACE-I or angiotensin receptor blocker ARB ; categories provide additional protection by lowering pressure within the blood vessels of the kidneys. While the data surrounding the use of HMG Co-A reductase inhibitor drugs in slowing the progression of kidney disease are not as solid, given their beneficial effects on survival, they are also frequently utilized. Finally, among persons with diabetes mellitus, good control of blood sugar has been demonstrated to reduce complications within the kidneys. The use of a low-protein diet was also tested but was not found to affect loss of kidney function among non-diabetics. While the utility of a low-protein diet continues to be the subject of debate, most nephrologists warn against a high-protein diet, because .
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The next Network meeting will be held in Atlanta, Georgia, October 16-18, 1997, at the Grand Hyatt Atlanta. Attendees will again be eligible for Category 1 CME credits. Invited speakers include: Bruce Chabner, Derek Raghavan, Franco Cavalli, Vincent DeVita, Patrick Loehrer, William Wood, Eric Rowinsky, and Craig Henderson. Many important topics will be covered, including contemporary and developing treatments of breast, lung, and colon cancers, genetic technologies and new drugs. A separate meeting will be held for nurses and administrators to discuss practice management issues, such as defining cancer care or how to determine what services to include in a capitated contract; how the regulatory environment affects capitation; obtaining the best capitated rate for cancer care, and creative contracting and direct contracting strategies. Network membership is free. A cordial invitation is especially extended to European oncologists. For membership information and or meeting registration, contact Network For Oncology Communication & Research, 1450 S. Johnson Ferry Road, Atlanta, GA 30319 telephone: 404-252-9979; fax: 404-847-0409.
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Development in the field of infectious diseases progressed as phase III of the clinical trials for R964 Copegus, planned brand name ; concluded. Preparations to file an application for the drug are currently underway. In addition, in clinical trials conducted overseas it was found that combination therapy of Pegasys and Copegus dramatically improved the ability to eliminate the hepatitis C virus. Even for patients found to have a high viral load of genotype 1b, for which interferon is said to be less effective, the combination therapy resulted in an impressive 46% sustained virological response rate. Genotype 1b is a genomic strain of the chronic hepatitis C virus. 70% of chronic hepatitis C patients in Japan have this strain and zovirax.
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A group of Australian medical researchers need your help! This group is conducting important research in the area of cardiovascular disease, specifically cholesterol effects. The group includes: The George Institute, The University of Sydney; the School of Public Health, The University of Sydney; the Lipid & Cardiovascular Risk Assessment Clinic, Westmead Hospital; and the Lipid Clinic and the Royal Prince Alfred Hospital of Sydney. One of the major diabetes complications includes cardiovascular disease and the work this group is conducting will help find answers to this serious risk.
Prescribing a medication is identified as the first step in the medication administration process, but in reality is the final step of a complete and thorough assessment of a patient involving several steps. To be fully understood, prescribing in the long-term care setting is best characterized as a multidisciplinary process which may involve physicians, nurses, nursing assistants, pharmacists, and even family members. The prescribing process includes multiple steps: Recognize the problem perform initial assessment of the patient Complete assessment of the patient data collection Identify the need for treatment Select the appropriate medication or modify existing regimen Write the prescription Handler, 2004; American Medical Director's Association, 2003.
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The changes are those of an acute, subacute or chronic spongiotic dermatitis depending on the age of the lesion biopsied Figs 5.18 and 5.19 ; . In acute lesions there is focal, usually mild, spongiosis with overlying scale crust containing a few neutrophils; the crust is often centered on a follicle. The papillary dermis is mildly edematous; the blood vessels in the superficial vascular plexus are dilated and there is a mild superficial perivascular infiltrate of lymphocytes, histiocytes and occasional neutrophils.339 There is some exocytosis of inflammatory cells but this is not as prominent as it is nummular dermatitis.
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Subjects All patients n 101 ; referred for VFSS assessment between January and June 2005 at Kowloon Hospital. Main outcome measures Pneumonia and mortality according to public hospital information at 3 months, 6 months and 9 months after the VFSS were analyzed. Results The overall pneumonia rate was 27.7% n 28 ; at 3 months, 35.6% n 36 ; at 6 months, and 41.6% n 42 ; at 9 months. There was significantly more pneumonia in patients with tube feeding at: 3 months oral vs tube, 19.7% vs 42.9%, p 0.013 ; , 6 months oral vs tube, 24.2% vs 57.1%, p 0.001 ; , and 9 months oral vs tube, 30.3% vs 62.9%, p 0.02 ; . There was significantly more pneumonia in patients who were discharged to nursing homes at 6 months home vs institution, 18.6% vs 40%, p 0.025 ; , and at 9 months home vs institution, 20.9% vs 50%, p 0.004 ; . The overall mortality rate was 14.9% n 15 ; at 3 months, 20.8% n 21 ; at 6 months, and 24.8% n 25 ; at 9 months. Patients on tube feeding had a higher mortality at: 3 months oral vs tube, 6% vs 31.4%, p 0.002 ; , 6 months oral vs tube, 12.1% vs 37.1%, p 0.005 ; , and 9 months oral vs tube, 18.2% vs 37.1%, p 0.036 ; . Patients who were discharged to nursing homes also had a higher mortality at 3 months home vs institution, 0% vs 14%, p 0.014 ; . In patients with VFSS showing aspiration, there was a non-significant higher pneumonia rate. Aspirators who were put on tube feeding had significantly more pneumonia at 9 months oral vs tube, 35.3% vs 68.2%, p 0.041 ; and more deaths at 3 months oral vs tube, 0% vs 22.7%, p 0.046 ; . In stroke patients with VFSS showing aspiration, there was also a non-significant higher pneumonia and mortality rate. Stroke aspirators on tube feeding also had more pneumonia at 9 months oral vs tube, 38.5% vs 84.6%, p 0.041 ; and more deaths at 3 months oral vs tube, 0% vs 30.8%, p 0.048 ; . Conclusions Dysphagia is associated with significant morbidity and mortality. In patients with VFSS showing aspiration, there was a trend of higher pneumonia rate. There may be some prognostic value in VFSS detected aspirators. Aspirators who were put on tube feeding had more pneumonia and deaths comparing with oral feeding. In general, patients on tube feeding had a higher pneumonia and mortality rate. Dysphagic patients, despite being on tube feeding, were associated with unfavorable outcomes. Patients who were discharged to nursing homes had a higher pneumonia and mortality rate. Being institutionalized could be a risk factor in itself. OUTCOME EVALUATION OF A MAINTENANCE PROGRAM FOR PULMONARY REHABILITATION IN AN ACUTE RESPIRATORY MEDICINE DEPARTMENT IN HONG KONG Dr Myint Jennifer, Ma Wai Wai, Rehabilitation Medicine, Department of.
Z. Krivosikova * 1, V. Spustova1, A. Oksa1, K. Gazdikova1, V. Fedelesova1, K. Stefikova1, R. Dzurik1 Department of clinical and experimental pharmacotherapy, Slovak Medical University, Bratislava, Slovakia Introduction: Disturbances in mineral and bone metabolism are prevalent in chronic kidney disease CKD ; . Circulating iPTH levels have been used as an indicator of bone turnover together with measurements of serum Ca, P and ALP levels to evaluate, diagnose and guide the treatment of bone disease in CKD. The clinical importance of several other biochemical markers of bone turnover evaluation, like OPG and RANKL, remains to be established. The aim of the study was to investigate the relationship between OPG RANKL system, vitamin D status and bone markers in patients wit CKD. Methods: 141 patients 55M 86F ; with CKD from stage 1 to stage 4 ; were enrolled into the study. Serum and urinary Crea, Ca, P, and serum ALP and BALP were measured by routine biochemical methods; 25 OH ; D, 1, 25 OH ; 2D, iPTH and osteocalcin OC ; concentrations by RIA, CTx, OPG and RANKL levels by ELISA. Data were expressed as mean SD ; or median CI ; . Statistical analysis were done with SPSS for windows version 12.0.
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