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There is no agreement about how best to assess overall asthma severity. Assessment of asthma severity before or without treatment usually takes into account 3 factors, including 2 considered in the diagnosis: symptoms, physiologic indicators of airway disease and asthma morbidity. Thus, some algorithm based on frequency and severity of symptoms including the need for inhaled 2agonist rescue therapy ; , degree of airflow obstruction and indices of morbidity admissions to hospital, need for intubation, emergency room visits, time away from work or school, etc. ; can be used to classify asthma severity Table 1 ; . Because asthma is controllable, the factors that define its severity before treatment become markers of its control in the treated patient. The amount of anti-inflammatory medication required to control symptoms is often added to the severity algorithm. However, a case has been made that the primary measure of asthma severity in the treated patient should be the minimum anti-inflammatory medication required to achieve ideal control See Fig. 1, page S4 ; .11 and
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By jennifer rohn amid mounting gossip, scandal and accusation, south korea's `king of cloning' has requested that his high-profile 2005 science paper be retracted, raising doubts over the future of patient-specific stem cell lines for personalised medicine and
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Diabetes is the leading cause of new cases of blindness in people aged 20 to 74 years. Each year, from 12, 000 to 24, 000 people lose their sight because of diabetes.4 Most persons with Type 1 diabetes develop nonproliferative retinopathy, and 62% develop proliferative retinopathy. Even with the availability of laser therapy, 28% of persons with Type 1 diabetes may experience severe vision loss.9, 10 Diabetes is the leading cause of end-stage renal disease ESRD ; , accounting for about 42% of new cases. In 1995, approximately 33, 900 people initiated treatment for ESRD because of diabetes.11 Of persons with Type 1 diabetes, 25% to 50% develop microalbuminuria. Although a recent study has shown a decline in the cumulative incidence of nephropathy in Type 1 diabetes, many patients with Type 1 develop albuminuria and ESRD and require either dialysis or renal transplantation.12, 13, 14, 15 About 60% to 70% of people with diabetes have mild to severe diabetic nerve damage, which, in severe forms, can lead to lower limb amputations. In fact, diabetes is the most frequent cause of non-traumatic lower limb amputations. The risk of a leg amputation is 15 to times greater for a person with diabetes. Each year, more than 56, 000 amputations are performed among people with diabetes.4 People with diabetes are 2 to 4 times more likely to have heart disease, which is present in 75% of diabetes-related deaths more than 77, 000 deaths due to heart disease annually ; , and they are 2 to 4 times more likely to suffer a stroke.4 Health Care Costs The ADA reports that the economic cost of diabetes in the United States in 1997 was approximately $98 billion, which includes direct medical costs and indirect medical costs such as disability, work loss, and premature mortality. The per capita costs of health care for people with and without diabetes in 1997 amounted to $10, 071 versus $2, 699, respectively.4 Two studies specifically examined the health economic benefit of improved glycemic control.16, 17 Established Clinical Recommendations Another reason that diabetes was selected as the first condition for a Consortium Measurement Set is the existence of established clinical recommendations for the management of diabetes. These recommendations have been developed by a number of organizations including: The American Association of Clinical Endocrinologists and the American College of Endocrinology AACE ACE The American College of Physicians ACP The American Academy of Ophthalmology AAO The American Diabetes Association ADA The National Heart, Lung, and Blood Institute NHLBI The Advisory Committee on Immunization Practices ACIP The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNCVI and The National Kidney Foundation and
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INTRODUCTION The most satisfactory prophylactic and therapeutic agent for functional constipation is a diet rich in fiber. Dietary fibbers also benefit patients who need to avoid straining at stool, patients with irritable bowel disease and diverticular disease of the colon Tainter and Buchanan, 1954 ; . Dietary fiber increases the mass of stool; it's water content, and the rate of colonic transit. These effects are usually apparent within 24hours and with repeated administration, reach a maximum after several days. Lack of fiber in diets was established as a contributive factor in certain disorders of the bowel and other disease of man Painter and Burkitt, 1975; Mendeleloff, 1977 ; . The lignin and pectin in dietary fiber appear to also lower plasma cholesterol by reducing the plasma low-density lipoprotein fraction Anderson and Chen, 1979; Behall, 1984 ; . The mechanism of action of dietary fiber as laxative has been described as essentially devoid of any systemic effect Tainter and Buchanan, 1954 ; , but recent findings are contrary to this opinion. There are reports suggesting that some vegetables have pharmacological effects underlining their purgative action on the gastrointestinal tract Arowolo et al, 1989; Dina et al, 2001 ; , and hypotensive effect on the circulatory system in the body Arowolo et al, 1989 ; . This particular study is aimed at investigating the pharmacological reactivity of guinea pig ileum to aethopicum ; another vegetable Solanum commonly consumed in Nigeria. MATERIALS AND METHOD The vegetable was purchased from Bodija market in Ibadan. The leaves were removed and washed after identification by a qualified taxonomist at the botany department, Universtty of Ibadan. The leaves were cut into pieces and prepared for extraction as described by Dina et al, 2001 ; . The final concentration of 1gm ml was obtained as extract.
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Split this category into two separate classes, i.e., "Mood No change to the Model Guidelines. Agents use for the Stabilizers" and "Atypical Antipsychotics" to reflect the clinical treatment of bipolar disorder are accommodated for in the and pharmacologic distinctions among these medications. existing structure of the Model Guidelines and FKDTs. The MGEC does not believe additional granularity is needed to improve beneficiary access to these medications and may hinder drug plans' ability to manage the benefit. The "Bipolar Agents" contain several important omissions. There are no FKDTs listed although there are eight examples of agents that currently have FDA-approved label indications for treatment of bipolar disorder. These examples include a mix of anticonvulsants and atypical antipsychotics, all of which are commonly prescribed as mood stabilizers for patients with bipolar disorder. Although the drug listing is not meant to be comprehensive, it seems inconsistent that the listing for most categories is relatively exhaustive, while "Bipolar Agents" is brief and incomplete. Part D plan sponsors may be unfamiliar with current therapy and assume the list is reasonably complete. Urges the FKDTs be expanded to encompass all of the FDA-approved treatments for bipolar mania, bipolar depression, and bipolar maintenance. No change to the Model Guidelines. Agents use for the treatment of bipolar disorder are accommodated for in the existing structure of the Model Guidelines and FKDTs. The MGEC does not believe additional granularity is needed to improve beneficiary access to these medications and may hinder drug plans' ability to manage the benefit.
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The Pacific AIDS Resource Centre PARC ; Library's book catalogue is now accessible through AIDS Vancouver's website at aidsvancouver.bc . It is option on the menu tabs on the left-hand border. The video catalogue will be accessible soon. The Library has two computer workstations for Library patrons to use. Both provide access to word processing MS Word ; and the Internet . PARC Library 1107 Seymour Street Vancouver, BC V6B 5S8 Hours: Mon Fri, 9am 5pm Telephone: 604 ; 893-2294 Email: library parc.
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The facts about vitamin b the facts about vitamin b - you've probably heard that a diet rich in fruits, vegetables, and whole grains can lower your risk of heart disease due to their content of vitamin one of the most important facts about vitamin b, however, is that this nutrient also preserves nerves, banishes the blues, and might even prevent alzheimer's disease, for example, decadron asthma.
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Columbus, OH BlackNews. com ; - There is a killer on the loose and it is showing no signs of being caught. The silent killer: pediatric hypertension. A new study has been released by the American Medical Association of hypertension being missed in children nearly 75 percent of the time. That is equivalent to three out of four cases of undiagnosed hypertension. According to Dr. David Kaelber of Boston Children's Hospital, there are approximately two million children in the country aged three to 18 who have high blood pressure or hypertension. This is a scary situation for our young that are extremely vulnerable and depend on us for protection and safety. No doubt there is not a parent amongst us that wouldn't give our own life to protect our young from the danger of a killer. The good news is, we don't have to with hypertension. We need only to fortify them now with the proper arsenal to keep them safe. Here are some suggestions: 1 ; Get them to a healthy weight. Elevated BMI is strongly associated with elevated blood pressure; particularly in African American children. 2 ; Insure that their diet largely consists of organic fruits and vegetables high in fiber. There are some super food combinations in powder form for convenience that contain all the daily recommended values in the proper proportions. These can be supplemented along with some fresh varieties. 3 ; Increase their physical activity. With 20 million obese children in North America, fitness is paramount to decreasing the incidence of hypertension as it relates to obesity. There are many programs available that are focusing on fitness for kids, so get them involved.
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Whenever the intake of steroids are reduced or nullified, the return of cd symptoms seems inevitable cd history, 2001.