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Age structures of hospitalised are very different from one State to the other, reflecting the differences in the recruitment of data collection sites and in the age structure of the populations ; - For a given injury, a fracture for example, the percentage of hospitalised varies considerably between States. These results confirm that the inter-State macro-accidentologic analysis is a very delicate job due to the strong variability of the indicators. This variability can originate from factors that are difficult to isolate: difference in the data collection methodology, non stable hospital samples, evolution of data collection quality, difference in the structure health care systems or evolutions in practices. Nevertheless, for States with long and relatively homogeneous time series two trends can be observed: - A slow but relatively continuous decrease of the average RH can be seen for BE, DK, FR, IE, NL, PT between 1991 8, 62% ; and 1997 7, 42% ; . - The average ALS is relatively stable for BE, DK, FR, IE, NL between 1991 7, 91 days ; and 1997 7, 13 days ; , with the beginning of a slow decrease from 1995 on 7, 84 days ; . - Finally, over time we notice a convergence of the RH of all the States over time AT excepted ; towards the European average deviations between States decrease for those having more than two years of observations and flonase.

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Through a local formulary or insurance company. In acute arthritis, such as gout, full-dose NSAIDs should be started. For chronic musculoskeletal pain, the starting daily dose should be half the maximum, and the maintenance dose should be determined by assessing the benefits and side effects. When an NSAID has been tried at full dose for 2 weeks without satisfactory results, another NSAID from a different chemical class should be tried. Different forms of the same drug are often available. For example, sustained-release, controlled-release, entericcoated and suppository formulations may be available for many NSAIDs. Sustained-release and controlled-release formulations and NSAIDs with a long half-life may be more convenient because these are taken only once a day. Sustained-release, controlled-release and suppository formulations may be more effective in reducing morning stiffness in patients with inflammatory joint disease. Suppository and enteric-coated formulations may reduce upper GI symptoms of dyspepsia, but there is no evidence that they reduce serious upper GI complications.6, 7 In many instances the choice of formulation becomes one of personal preference and the preference of local third-party payers.
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Fourth, all information gathered on the implementation of the Decision shall be brought to the attention of the TRIPS Council in its annual review as set out in paragraph 8 of the Decision. In addition, as stated in footnote 3 to paragraph 1 b ; of the Decision, the following Members have agreed to opt out of using the system as importers: Australia, Austria, Belgium, Canada, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Japan, Luxembourg, Netherlands, New Zealand, Norway, Portugal, Spain, Sweden, Switzerland, United Kingdom and United States of America. Until their accession to the European Union, Czech Republic, Cyprus, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovak Republic and Slovenia agree that they would only use the system as importers in situations of national emergency or other circumstances of extreme urgency. These countries further agree that upon their accession to the European Union, they will opt out of using the system as importers. As we have heard today, and as the Secretariat has been informed in certain communications, some other Members have agreed that they would only use the system as importers in situations of national emergency or other circumstances of extreme urgency: Hong Kong China, Israel, Korea, Kuwait, Macao China, Mexico, Qatar, Singapore, Chinese Taipei, Turkey, United Arab Emirates. Companies have often used special labelling, colouring, shaping, sizing, etc. to differentiate products supplied through donor or discounted pricing programmes from products supplied to other markets. Examples of such measures include the following: Bristol Myers Squibb used different markings imprints on capsules supplied to sub Saharan Africa. Novartis has used different trademark names, one Riamet ; for an anti-malarial drug provided to developed countries, the other Coartem ; for the same products supplied to developing countries. Novartis further differentiated the products through distinctive packaging. GlaxoSmithKline GSK ; used different outer packaging for its HIV AIDS medications Combivir, Epivir and Trizivir supplied to developing countries. GSK further differentiated the products by embossing the tablets with a different number than tablets supplied to developed countries, and plans to further differentiate the products by using different colours. Merck differentiated its HIV AIDS antiretroviral medicine CRIXIVAN through special packaging and labelling, i.e., gold-ink printing on the capsule, dark green bottle cap and a bottle label with a light-green background. Pfizer used different colouring and shaping for Difljcan pills supplied to South Africa.
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