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FMRI: effect of movement type and rate. J Neurophysiol 1999; 81: 306577. Derbyshire SWG, Whalley MG, Stenger VA, Oakley DA. Cerebral activation during hypnotically induced and imagined pain. Neuroimage 2004; 23: 392401. Eidelberg D, Moeller J, Antonini A, Kazumata K, Dhawan V, Budman C, et al. The metabolic anatomy of Tourette's syndrome. Neurology 1997; 48: 92734. Freeman RD, Fast DK, Burd L, Kerbeshian J, Robertson MM, Sandor P. An international perspective on Tourette syndrome: selected findings from 3, 500 individuals in 22 countries. Dev Med Child Neurol 2000; 42: 43647. Fried I, Katz A, McCarthy G, Sass KJ, Williamson P, Spencer S, et al. Functional organization of human supplementary motor cortex studied by electrical stimulation. J Neurosci 1991; 11: 365666. Friston KJ, Holmes AP, Poline JB, Grasby PJ, Williams SC, Frackowiak RS, et al. Analysis of fMRI time-series revisited. Neuroimage 1995; 2: 4553. Genovese CR, Lazar NA, Nichols T. Thresholding of statistical maps in functional neuroimaging using the false discovery rate. Neuroimage 2002; 15: 8708. Georgiou N, Bradshaw J, Phillips J, Bradshaw J, Chiu E. The Simon effect and attention deficits in Gilles de la Tourette's syndrome and Huntington's disease. Brain 1995a; 118: 130518. Georgiou N, Bradshaw JL, Phillips JG, Bradshaw JA, Chiu E. Advance information and movement sequencing in Gilles de la Tourette's syndrome. J Neurol Neurosurg Psychiatry 1995b; 58: 18491. Gironell A, Rodriguez-Fornells A, Kulisevsky J, Pascual B, Riba J, Barbanoj M, et al. Abnormalities of the acoustic startle reflex and reaction time in Gilles de la Tourette syndrome. Clin Neurophysiol 2000; 111: 136671. Hallett M. Neurophysiology of tics. In: Cohen DJ, Goetz CG, Jankovic J, editors. Tourette syndrome. Philadelphia: Lippincott, Williams and Wilkins; 2001. p. 23744. Hornse H, Banerjee S, Zeitlin H, Robertson M. The prevalence of Tourette syndrome in 1314-year-olds in mainstream schools. J Child Psychol Psychiatry 2001; 42: 10359. Hsieh JC, Hagermark O, Stahle-Backdahl M, Ericson K, Eriksson L, Stone-Elander S, et al. Urge to scratch represented in the human cerebral cortex during itch. J Neurophysiol 1994; 72: 30048. Hulsmann E, Erb M, Grodd W. From will to action: sequential cerebellar contributions to voluntary movement. Neuroimage 2003; 20: 148592. Ikeda A, Luders HO, Burgess RC, Shibasaki H. Movement-related potentials recorded from supplementary motor area and primary motor area. Role of supplementary motor area in voluntary movements. Brain 1992; 115: 101743. Ikeda A, Yazawa S, Kunieda T, Ohara S, Terada K, Mikuni N, et al. Cognitive motor control in human pre-supplementary motor area studied by subdural recording of discrimination selection-related potentials. Brain 1999; 122: 91531. Isnard J, Guenot M, Sindou M, Mauguiere F. Clinical manifestations of insular lobe seizures: a stereo-electroencephalographic study. Epilepsia 2004; 45: 107990. Jahanshahi M, Jenkins I, Brown R, Marsden C, Passingham R, Brooks D. Selfinitiated versus externally triggered movements. I. An investigation using measurement of regional cerebral blood flow with PET and movementrelated potentials in normal and Parkinson's disease subjects. Brain 1995; 118: 91333. Jeffries KJ, Schooler C, Schoenbach C, Herscovitch P, Chase TN, Braun AR. The functional neuroanatomy of Tourette's syndrome: an FDG PET study III: functional coupling of regional cerebral metabolic rates. Neuropsychopharmacology 2002; 27: 92104. Karp B, Porter S, Toro C, Hallett M. Simple motor tics may be preceded by a premotor potential. J Neurol Neurosurg Psychiatry 1996; 61: 1036. Kwan CL, Crawley AP, Mikulis DJ, Davis KD. An fMRI study of the anterior cingulate cortex and surrounding medial wall activations evoked by noxious cutaneous heat and cold stimuli. Pain 2000; 85: 35974. Laplane D, Degos JD, Baulac M, Gray F. Bilateral infarction of the anterior cingulate gyri and of the fornices. Report of a case. J Neurol Sci 1981; 51: 289300, for example, cyproheptadine mechanism of action.
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59 62% ; of patients were reviewed in the psychosexual clinic. Of those that attended, 15 25% ; of patients were referred onwards to different specialities. No new cases of diabetes were found. Detection of abnormalities was higher with increasing age. Conclusions: We found a high percentage of biochemical abnormalities in men presenting with ED, which increased with advancing age. Local guidelines have been revised so that only men with global ED who are over 50, or men under 50 with medical indications receive full biochemical assessment. Multicentre studies are needed to assess the value of incorporating routine biochemical screening into national standards, with the aim of treating underlying pathology rather than the lifelong commitment to expensive ED drugs. THIS ABSTRACT IS NOT ENTERING THE BEST POSTER COMPETITION, for example, cyproheptadine tablets bp.
Culturelle probiotics maintain gastrointestinal health, preventing intestinal inflammation and permeability that can trigger allergies; take 1 cap daily.
Avastin will be considered investigative and therefore not covered for all other indications. Claims received for Avastin for investigative indications will be denied as provider liability. Note: This coverage change does not apply to the use of Avastin for treatment of age-related macular degeneration. More details on the Avastin coverage change were included in the June 2007 edition of Medica Connections, on pages 6-7 available through this Web page: : provider.medica Connections default x ; . Medica Connections and diamicron.
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Less soluble h1-antagonists have a slower onset of action and are less likely to cause toxicity; cyproheptadine has moderate solubility and diclofenac.
Tion in patients with a history of heparininduced thrombocytopenia with or without thrombosis. Mild, transient, asymptomatic thrombocytopenia has been reported during the first days of therapy. However there is a risk of antibody-mediated heparininduced thrombocytopenia; regular platelet count monitoring should be considered prior to and during therapy. Thrombocytopenia, should it occur, usually appears between the 5th and 21st day following the beginning of therapy and may be complicated by thrombosis, which may be further complicated by organ infarction or limb ischaemia. If the platelet count is significantly reduced 30 to 50% of the initial value ; or thrombosis occurs, therapy must be discontinued immediately and an alternative therapy initiated. Spinal Epidural Anaesthesia: As with other anti-coagulants, there have been cases of neuraxial haematomas reported with the concurrent use of Clexane and spinal epidural anaesthesia or spinal puncture, resulting in varying degrees of neurological injuries, including long term or permanent paralysis. These events are rare with Clexane dosage regimens 40mg once daily or lower. The risk is greater with higher Clexane dosage regimens, use of post-operative indwelling catheters or the concomitant use of additional drugs affecting haemostasis such as NSAIDs. The risk also appears to be increased by traumatic or repeated neuraxial puncture. To reduce the potential risk of bleeding associated with the concurrent use of Clexane and epidural or spinal anaesthe.
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22.87, p 0.001 ; , "Alert" F1, 13 16.05, p 0.001 ; , and "Would like drug again" F1, 13 8.41, p 0.01 ; but not "Anxious" F1, 13 1.34, p 0.27 and dimenhydrinate.
Table 2. Ma lyte Concentratlonsa.
Among new peptides and proteins already characterized in the Bothrops moojeni venom, two novel phospholipases A2 PLA2 ; have been purified and fully sequenced. Both of them belong to the enzymatically non-active Lys49 PLA2 variants. They consist of 122 amino acids and share a characteristic sequence in the C-terminal region composed of clusters of basic and hydrophobic amino acids. This sequence is known from the literature to interact with heparin. So far, it has been reported that heparin could interact with basic PLA2s and was used in vivo and in vitro to neutralize different toxic effects caused by some snake venoms and their PLA2s. The two PLA2 variants were isolated using size exclusion chromatography and RPHPLC, fully sequenced by ESI-MS MS techniques and characterized by the means of PiCT and aPTT assays performed in heparanized plasma. They interact in vitro with unfractionated heparin UFH ; and low molecular weight heparin LMWH ; , neutralizing their anticoagulant properties. Although it is well known that PLA2s from snake venoms influence the blood coagulation system, the use of those substances to antagonize the anticoagulant effect of heparin in vivo or in vitro has never been proposed until now. This has convinced us to synthesize the peptides corresponding to the characteristic sequence positions 105-121 from the C-terminal region of B. moojeni PLA2 MjTX-III ; . In addition, the natural sequence has been modified in order to create different peptides and optimize their capability to neutralize the anticoagulant properties of LMWH. Since there is no available antidote, we decided to focus our efforts on peptidomimetic and structure-function studies on the putative LMWH neutralizing capacity of our peptides. The possible use of synthetic peptides derived from B. moojeni MjTX-III in diagnostic and or pharmaceutical applications is currently under investigation and ditropan.
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2. Cyprooheptadine 4mg tablets: Cyproheptad9ne tablets are indicated for the treatment of seasonal rhinitis. Cipla-actin is available as a generic for Periactin. The price comparison is indicated in the table below: Price Difference and
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Ss ASSESSING THE IMPACT OF GLYCEMIC CONTROL ON HEALTH RESOURCE UTILIZATION AND COSTS OVER A 1-YEAR PERIOD Gricar J * , Welz JA, Menditto L, Koo Y. 264 E. Broadway, #C402, New York, NY 10002 INTRODUCTION: The relationship between glycemic control and health resource utilization and costs was evaluated in a cohort of managed care members with diabetes over a 1-year period. METHODS: A retrospective analysis was conducted on a nationally representative administrative claims database of managed care enrollees aged 18 to 64 years between 2000 and 2002. Patients with an International Classification of Diseases, Ninth Revision, Clinical Modification ICD-9-CM ; code diagnosis of diabetes who were continuously enrolled for at least 365 days of follow-up were included. Glycemic control was measured by using the average score of 2 glycosylated hemoglobin A1c ; tests. Selected comorbidities were controlled for using multiple logistic regression techniques. Resource utilization hospitalizations, emergency department ED ; visits, office visits, pharmacy, and laboratory tests ; was assessed in the entire study cohort as well as in subpopulations with health care encounters for 7 diabetes-related conditions cardiovascular disease, hypoglycemia, nephropathy, neuropathy, retinopathy, embolic stroke, and transient ischemic attack ; . RESULTS: A total of 20, 914 subjects mean age 52 years ; met the inclusion criteria for analysis. Overall, a positive statistical relationship was observed between increasing A1c level and total direct medical cost over a 1-year period. In patients with an A1c level of 7, the average total direct medical cost was $1, 418.69; corresponding costs in patients with A1c levels 7 to 8.5%, to 10%, and 10% were $1, 867.53, $2, 382.26, and $2, 904.33, respectively. The relationship extended to rates of hospitalizations, ED visits, and office visits, and the number of prescriptions for diabetes-related drugs. Similar trends were evident in the subpopulations, with a positive statistical relationship observed between increasing A1c level and both total direct medical cost and hospitalization rate in all 7 subpopulations. CONCLUSIONS: Tighter glycemic control is associated with lower medical costs during a 1-year period. By promoting ways to improve glycemic control in their members with diabetes, such as optimizing drug therapy and high-risk member diabetes case management, health insurers may benefit from averted medical costs, even in the short term, because cyproheptadine and serotonin.
Sources: american academy of allergy asthma & immunology aaai ; , american college of allergy asthma & immunology acaai ; , webmd , and the allergy medication manufacturers’ official websites prev next fashion place 6095 fashion blvd and
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Products for the benefit of our patients." The QA unit at Eisai China Inc. has set its sights on achieving U.S. FDA manufacturing approval. To date, no pharmaceutical manufacturer in China has obtained FDA approval, with the exception of some drug substance manufacturers. To quote Yue, "Eisai is the leading pharmaceutical manufacturer in China and we are confident that we supply patients with the highest quality products. We are proud to be a part of Eisai China Inc. and feel a sense of responsibility in our work for the company. We believe in applying the human.
Inhibitor indicates inhibition of a competitive type. A double reciprocal plot of the data inset in Fig. 5 ; also illustrates the competitive nature of the inhibition, by LSD or BOL, of the serotonin-induced increase in enzyme activity. In other experiments it was found that stimulation of adenylate cyclase activity by dopamine, octopamine, or norepinephrine, could be inhibited to some extent by sufficiently high concentrations of any of the serotonin antagonists, LSD, BOL, or cyproheptadine. The inhibition appeared in all instances to be of competitive nature. Using competitive kinetics, the inhibitory constants Ki values ; of LSD, BOL, and cyproheptadind for serotonin-sensitive adenylate cyclase activity, as well as for octopamine-, dopamine-, and norepinephrine-stimulated activity, were calculated from the experimental data. The inhibitory constants shown in Table 1 were calculated from data of the type presented in Fig. 5, in which the inhibitor concentration was held constant and the concentration of putative neurotransmitter was varied, as well as from data of the type shown in Figs. 1-3, in which the concentration of putative neurotransmitter was held constant, and the inhibitor concentration was varied. The two types of experiments gave similar results. The apparent Kj of LSD and of BOL for the serotonin-sensitive adenylate cyclase was approximately 5 X 10-9 M. The apparent Ki of LSD for the serotonin-sensitive adenylate cyclase was independent of the concentration of ATP present. ; Both LSD and BOL were quite ineffective in inhibiting octopamine- and norepinephrine-stimulated adenylate cyclase activity Ki 1 X 10-5 M ; . LSD was also quite ineffective in inhibiting dopaminesensitive adenylate cyclase activity Kj 1 X 10-5 M ; , whereas BOL was somewhat more effective K1, 1 X 10-v M ; . The inhibition of serotonin-sensitive adenylate cyclase by cyprlheptadine was much less specific than that shown by LSD: the Ki of cyproheptadibe for serotonin-sensitive adenylate cyclase was 2.5 X 10-7 M, whereas the Ki of cyproheptadine for dopamine-, octopamine-, and norepinephrinesensitive adenylate cyclase was about 1 X 10- M, i.e., only about 4 times greater and
esomeprazole.
The observation that formed the basis for the hypothesis that TSH receptor-stimulating antibodies might inhibit TSH secretion is that TSH secretion recovers slowly after thyroid secretion is reduced in patients with hyperthyroidism. In practical terms this means that measurements of serum TSH do not provide useful information in the first months after the initiation of antithyroid drug therapy or administration of radioiodine. The slow recovery is exemplified by a study in which serum TSH and free T4 were measured at 2- to 4-week intervals for 6 months after radioiodine therapy in 21 patients with Graves' hyperthyroidism 1 ; . Among these patients, 19 90 percent ; had low serum free T4 concentrations and low or normal serum TSH.
Label Name CYCLOGYL 2% EYE DROPS CYCLOPHOSPHAMIDE 2MG ML ELIXIR CMPD CYTOXAN 25MG TABLET CYTOXAN 50MG TABLET CYTOXAN LYOPHILIZED 100MG CYTOXAN LYOPHILIZED 500MG CYTOXAN LYOPHILIZED 1GM RESTASIS 0.05% EYE EMULSION SandIMMUNE 50MG ML AMPUL SandIMMUNE 100MG ML SOLN NEORAL 100MG ML SOLUTION NEORAL 25MG GELATIN CAPSULE GENgraf 25MG CAPSULE NEORAL 100MG GELATN CAPSULE GENgraf 100MG CAPSULE CYPROHEPTADINE 2MG 5ML SYRUP CYPROHEPTADINE TAB 4MG CYTOSAR-U 100MG VIAL CYTOSAR-U 500MG VIAL CYTOSAR-U 1GM VIAL CYTOSAR-U 2GM VIAL CYTOGAM 2.5GM VIAL COSMEGEN 0.5MG VIAL DAKIN'S 1 2 STRENGTH DAKIN'S 1 4 STRENGTH DAKIN'S FULL STRENGTH FRAGMIN 2500 UNIT SYRINGE FRAGMIN 5000U SYRINGE DANOCRINE 50MG CAPSULE DANOCRINE 200MG CAPSULE DANTRIUM 25MG CAPSULE DANTRIUM 20MG VIAL DAPSONE 25MG TABLET CUBICIN 500MG VIAL ARANESP 100MCG ML VIAL ARANESP 200MCG ML VIAL and estrace and cyproheptadine.
Review a trial court's ruling on the admission or exclusion of evidence, including the testimony of an expert witness, our standard is wellestablished and very narrow. Our job is decidedly not to assess.
The effect of this drug is not immediately felt, unlike the dramatic improvement following a myestin dose and estradiol!
No special arrangements have been made for this study but you have the right to claim damages in a court of law. This will require you to prove a fault on the part of the Hospital. 9. Do I have to take part in this study? Please do not feel concerned if you not wish to take part in this study. The above information is supplied in order to explain the full extent to which you would be involved should you wish to take part. We should stress that you do not need to take part if you do not wish to, and that not taking part will not affect your care during pregnancy, nor the care of your baby after he she is born. 10. Who do I speak to if problems arise? You should contact your Obstetrician straight away if you experience any problems during your pregnancy. If you have any concerns about your baby after he or she has been born, you should contact the Paediatric Endocrinologist who is looking after your family. If you have any complaints about the way in which this study has been, or is being conducted, please in the first instance discuss them with your Paediatric Endocrinologist as it will be he or she who is co-ordinating your care. If the problems are not resolved, or you wish to comment in any way, please contact the Chairman of the Research Ethics Committee, by post The Research and Development Office, Institute of Child Health, 30 Guildford Street, London WC1N 1EH ; , or if urgent, by telephone 0207 905 2620 ; , and the committee administration will put you in contact with him. 11. Researcher who will have contact with the family The name and contact details of the Co-ordinating Physician will be provided for each individual patient. That Physician a Paediatric Endocrinologist ; will have 24 hr access to the team co-ordinating the Study at the Middlesex Hospital.
Among the favored sources of anticholinergic drugs, by the way, have been members of the botanical family called solanacea, which is well known for its many poisonous plants including jimsonweed.
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Primarily on the basis of per-member-per-month and per-employee-per-month measures. Similarly, Nair et al. employed measures of the median, rather than the mean, and per-patient rather than per-member, in their investigation of the effects of benefit design on prescription utilization and costs. Use of these alternate measures was made necessary by the nature of their study design, which used inclusion criteria that made their subjects "patients, " chronic users of prescription drugs. Readers of the article by Nair et al. should also note that the 3 study groups were dissimilar. The authors readily acknowledge this dissimilarity in the study groups. In fact, their Table 1 shows that the only factor that was not dissimilar among the study groups was the proportion of males versus females in each. Medicare + Choice members accounted for 57.2% of the 2-tier copayment plan members who stayed in 2-tier drug plans versus zero members in each of the other 2 study groups. Others have not been as careful or thorough in measuring characteristics of study groups in a longitudinal, preintervention and postintervention design with comparison groups. Nevertheless, the findings of the work by Nair et al. in this issue of the Journal are suggestive and not definitive. Preventable Drug-related Morbidity PDRM ; MacKinnon and Hepler in this issue of the Journal examine the incidence of potential examples of preventable drug-related morbidity PDRM ; in a senior, Medicare-risk population of a hospitalbased health system in Florida.6 This study does not tie these identifiable examples of PDRM to actual clinical outcomes. Yet, the work is of interest to those dedicated to continuous quality improvement CQI ; in health care, the reduction of threats to patient safety, and maximization of opportunities to increase the frequency of favorable clinical outcomes. The method used to develop these PDRM indicators was described in a previous article in the Journal.7 Expert panel consensus was reported for several clinical indicators of PDRM that included indicator no. 6, an emergency room ER ; visit or hospitalization due to hyperkalemia subsequent to the use of an ACE angiotensin converting enzyme ; inhibitor, without checking electrolytes and CBC at least every 6 months. By this measure, most of our elderly population on an ACE inhibitor could be at risk of PDRM.8 The distinction between drug-related morbidity DRM ; and preventable DRM PDRM ; is of obvious importance to managed care pharmacists since PDRM would, by definition, be reducible. More than 50% of the patients with identifiable PDRM risk factors in the study by MacKinnon and Hepler were in 3 categories pertaining to postmyocardial infarction MI ; treatment and diabetes management ; that have been addressed specifically by managed care organizations in clinical practice improvement interventions and CQI programs. In fact, significant strides have been made in the past few years to improve the quality of care for patients after MI and in the periodic and scheduled measurement of hemoglobin A1c in diabetic patients. The National Committee for Quality Assurance NCQA ; 2002 report of health care quality, for example, cyproheptadine children.
Table 2. Gene networks identified by pathway analysis Network ID 1 Genes in networka ACP1, ADRB3, ARNTL, ASC2, CAV1, CAV2, CBFA2T1, CCL3, CEACAM6, CLOCK, DIO1, EP300, GATA2, GJA1, GSN, H1F1A, IGF2, IGFBP2, lGFBP4, JUN, LEP, NCOA4, NCOR2, NFKB1, NR2F2, PPARG, PRNP, PTGS2, SCD, SMAD7, SNAP25, SRC, SYBL1, SYP, THRA ACTB, ATF1, BRAF, CAMK4, CCNA2, CDH1, CDH2, CREB1, CREM, FOS, FSTL1, ICAM1, ICAM2, IL2, KRAS2, LDHA, PDE6D, PRKAR2A, PRKAR2B, PRKCM, PTPRM, RAP1GA1, R1N1, RPS6KA2, RPS6KA4, SMARCDI, SMARCD2, SNX3, STAR, TSC1, VCL, VIL2, XBP1, YWNAQ, YWHAZ ABL1, ARL61P, BTG2, CABLES1, CDK5, CKS2, E2F4, EEF2, GPI, H2AFZ, HAS2, HLA-DRA, HLA-DRB3, HLA-DRB4, HMGN2, HMMR, IFI202B, MGST3, MYC, MYLK, NDEL1, NDN, PAK2, PCTK1, PLSCR1, PSAT1, RAD54L, SFPQ, SMARCA4, SUMO2, TAF9, TAGLN2, TMSB4X, TP53, ZNF148 Scoreb 21 Number of focus genesa 14 Principal categories Cellular growth and proliferation and
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Late fatty acids in the form of short-chain fatty acids ; removed by the initial Sephadex LH-20 column fractionation. Thus, the sample sizes for GLC analyses were correspondingly adjusted. We also adjusted the two sample sizes by normalizing the c 4 fatty acid content. GLC anal2 ysis of fraction D Fig. 5 ; showed that the lipids of the control cells contained two series of prominent long-chain fatty acid fractions, 24-28 and 34-38. When the lipids of the INH-treated cells were similarly examined, only fractions 24 and 26 were observed. All other long-chain fatty acids were absent. In order to obtain a GLC detector response for the C34-C38 methyl esters in fraction D of the INHtreated cells that was similar to the corresponding esters of the control cells as shown in Fig. 5, A, an amount greater than 1 mg had to be injected. These results showed that further elongation of fatty acids beyond fraction 26 corresponding to a c fatty acid ; was inhibited by INH. Both samples were then further fractionated on a silicic acid-AgN03 column to separate the saturated from the unsaturated fatty acids see Table 1 for results ; . The two preparations were again compared by GLC analysis. Fig. 6, A, shows that the lipids from the control cells contained a series of prominent fatty acid fractions, 24-28, but the series of fractions 34-38 present in Fig. 4 ; were absent. This provided evidence that these latter fatty acids were saturated and contained two cyclopropane rings. The.
Cyproheptadine is an antiserotonergic drug with antihistaminic properties that has been shown to have an appetite-stimulant effect in a number of human conditions.90, 91 A randomized, controlled trial found mild appetite stimulation in patients with advanced cancer, although it did not prevent progressive weight loss.107 Considerable evidence, both in.
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Last week, Michigan Attorney General Mike Cox joined the effort against HIMMA. Mr. Cox signed a letter from the National Association of Attorneys General in opposition to the legislation. This letter was sent to all 100 members of the US Senate. The letter states: "As the principal enforcers of consumer protection laws in our respective states, we, the undersigned Attorneys General, write to convey our strong opposition to S.1955. This bill contains provisions that will erode state oversight of health insurance plans and eliminate consumer protections in the areas of mandated benefits and internal grievance procedures. We know from past experience that exempting plans like this from state law harms consumers." The letter continues: "State mandate benefits were carefully considered by our state legislatures prior to adding the benefit to the list of mandates required by law. Allowing health insurers to abandon mandated benefits, many of which are preventative and or diagnostic, will result in an increasingly ill population and higher health care costs as the health care system treats a growing number of consumers in crisis." The letter concludes: "Consumers rightfully expect their state government to require a minimum of health benefit protections and to protect them from abuse by health care insurers. Elimination of strong state protections in exchange for weak federal oversight fails consumers." - From May 1, 2006.