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| What is StarlixGe healthcare, in association with the Arab Medical and Scientific Allia e ance aMsa ; , has installed Jordan's firstcever fully integrated and digital rac diology workflow system at the al Khae e lidi Medical centre KMc ; to meet the massive increase in radiology patient data and images. GE Healthcare's Centricity Radiology Information and Picture Archiving & Communications System RIS PACS ; , installed at KMC, meets the demands of a modern healthcare enterprise. It assures fully integrated and digital workflow, high quality patient data, reliable functionality and user friendliness. Fully integrated into the Hospital Information System HIS ; via IHE profiles, GE's Centricity solution converts radiology from a conventional film based department into a digital filmless envic ronment. Equipped with modern technology and managed by a team of internationally qualified and experienced healthcare professionals, Al Khalidi Medical Centre has reaffirmed its commitment to delivc ering advanced healthcare by installing the first of its kind RIS PACS inside the country. Dr. Alif Al Saleh, Head of the Radiology department at KMC, said: "By installing this sophisticated information technology solution by GE Healthcare, KMC takes a quantum leap in the performance of our Radiology and Cath Lab dec partments, which in turn, supports the healthcare needs of the local population further." Implementing GE's Centricity RIS PACS system will have a significant positive impact on KMC, where over 700 medic cal staff members provide round-theclock personalized care to patients and roughly 30, 000 out-patients are treated and temovate.
Method: cross-sectional survey data were collected from 1999 to 2001 in 18 primary care clinics belonging to 8 health care organizations in 5 states.
Available. Sputum samples were considered suitable for culture if there were more than 25 polymorphonuclear leukocytes and fewer than 10 squamous epithelial cells per lowpower field on a Gram stain. The DNA banding patterns of Haemophilus influenzae were analyzed by means of pulsedfield gel electrophoresis of SmaI digests. Microbiological classification of pneumonia as definitive or presumptive and identification of atypical pathogens were defined as follows: Definitive identification: 1 ; blood or pleural fluid cultures yielding a pathogen; 2 ; isolation of Legionella species from respiratory tract samples or a 4-fold rise in Legionella antibody titer to 1: 256 or greater; 3 ; positive urinary antigen for L pneumophila serogroup 1; 4 ; positive polymerase chain reaction result with another positive test result fulfilling the criteria for a presumptive diagnosis for L pneumophila, C pneumoniae, or M pneumoniae; 5 ; 4-fold rise in IgG antibody titer for C pneumoniae to 1: 32 greater; or 6 ; 4-fold rise in IgG antibody titer for M pneumoniae to 1: 32 greater. Presumptive identification was defined as follows: 1 ; heavy or moderate growth of a predominant bacterial pathogen on sputum culture; 2 ; light growth of a pathogen in which the sputum Gram stain showed a bacterium compatible with the culture results; 3 ; in the case of multiple potential bacterial pathogens, if the Gram stain demonstrated the presence of multiple organisms consistent with those isolated on culture, then multiple pathogens were considered to be the cause; 4 ; L pneumophila: a single IgM antibody titer to 1: 512 or greater or positive direct fluorescent antibody stain only; 5 ; C pneumoniae: a single IgM antibody titer of 1: 32 more or a single IgG antibody titer of 1: 1024 or more; 6 ; M pneumoniae: a single IgM antibody titer of 1: 64 more; and 7 ; positive polymerase chain reaction assay results alone were considered presumptive evidence of infection with the atypical pathogens. Unknown etiology was defined as follows: 1 ; "normal flora" on sputum culture, 2 ; light growth of multiple organisms on culture, and 3 ; cases not fulfilling any of the above conditions. It should be noted that we applied stricter serological criteria for the establishment of an etiologic diagnosis of an atypical pathogen than were used in previous studies.12, 13 IN VITRO SUSCEPTIBILITY TESTING Susceptibility testing was performed using agar-based quantitative minimum inhibitory concentration MIC and terbinafine.
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Histamine seems to have an indisputable role in reproductive functions. In males histamine influences fertility: gonadal development, spermatogenesis and sexual behavior. In females the role of histamine in the reproductive processes has been described from several aspects. It is required for normal ovulation, for the process of menstrual cycle, for placental blood flow regulation. It regulates the contractile activity of the uterus and lactation as well. Histamine has multiple functions in the process of pregnancy due to its vasoactive, differentiating and growthpromoting characteristics. Histamine is produced either by mast cells and or by different cells of the reproductive organs. Pre and postimplantation events are accompanied by high histidine decarboxylase HDC ; enzyme activity. H1, H2 receptors and diamine-oxidase are co-expressed in both decidual and placental cells in humans. Furthermore, the expression of HDC is much higher in the placenta than in any other organ. Despite these results, exploring the influence of histamine in reproduction has not been a highlighted field. To fill this gap, our group has studied the regulatory role of histamine in reproduction using the HDC knockout in vivo mouse model. We found differences in the androgen production, gonadal development and sexual behavior in males. We measured alterations in the length of the menstrual cycle in histamine deficient mice. We found histamine dependency and differences in placental functions such as steroidogenic enzyme and cytokine expression. We described the importance of histamine in the establishment of proper Th1 Th2 Th3 balance at the placentalmaternal interface during pregnancy. Hereby we intend to present an overall summarizing picture about the influence of histamine in reproduction, underlining its special importance during pregnancy, for instance, starlix mechanism.
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TABLEAU VIII -- Medicago sativa L. -- Trifolium incarnatum L. -- Trifolium pratense L. -- Trifolium subterraneum L. -- Melilotus albus Medik. -- Melilotus officinalis L. ; Lam. -- Kummerowia striata Thunb. ; Schindl. Lespedeza striata Thunb. ; Hook. & Arn. ; -- Kummerowia stipulacia Maxim. ; Makino Lespedeza stipulacea Maxim. ; -- Lespedeza cuneata Dum.-Cours. ; G. Don -- Setaria italica L. ; P. Beauv. subsp. italica -- Echinochloa frumentacea Link ou E. esculenta A. Brown ; H. Scholz. Echinochloa crus-galli L. ; P. Beauv. var. frumentacea Link ; E.G. Camus & A. Camus ; -- Pennisetum glaucum L. ; R . americanum L. Leeke ; -- Panicum miliaceum L. subsp. miliaceum -- Securigera varia L. ; Lassen Coronilla varia L. ; -- Anthyllis vulneraria L. -- Astragalus cicer L. 3 4.
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There are several other considerations of anesthetic mportance: hypertension increased risk of coronary artery disease increased v q mismatching acromegaly has no effect upon our selection of drugs for the maintenance of anesthesia but it does influence our approach to the induction.
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Results In the follow-up period, most patients were examined once a year only Table 1 ; , 820 48 % ; patients were examined only once throughout the whole period. In each year, 57 different monotherapies, approximately 20 combinations of two drugs, and a similar number of three-drug combinations were administered. Combinations of four drugs varied around 45 in 1993, 19972000 ; , in 19941996 and in 2001, their number increased up to 1112 Table 2 ; . Combinations of five or six drugs were less frequent; none were registered in 1999 and 2000. Changes of applied combinations were performed in the course of the follow-up, therefore the total number of applied variants was higher, reaching the total number of 184 different medications. Approximately one half of samples contained one drug, one third two antiepileptics; combinations of several antiepileptics in combination were less frequent Table 3 and sumatriptan.
TABLE 1. NEW DRUGS APPROVED BY THE FDA: JUNE 1 SEPTEMBER 20, 2004 CONTINUED ; Generic Name Brand Name Company ; Indication Dosage Form and Strength Date of Approval ; Product Information Web Site.
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The psychological and physical response to moderate life stressors among older adults has not been well characterized. This research examines effects of voluntary housing relocation on distress and immune function in healthy older adults as a model for studying the effects of moderate life stress. Thirty older adults moving to congregate living facilities were assessed 1 month premove, 2 weeks postmove, and 3 months postmove. Twenty-eight nonmoving control subjects were assessed at similar time points. Subjects completed psychosocial questionnaires and had early morning blood draws in their homes. Blood samples were assayed for natural killer cell cytotoxicity NKCC ; , interleukin-6 IL-6 ; , and IgG antibody titers to the Epstein Barr virus EB V ; viral capsid antigen. Movers demonstrated decreased vigor and elevated thought intrusion 1 month premove and 2 weeks postmove. By the 3-month follow-up, vigor increased, and intrusion decreased to levels commensurate with the controls. Averaged across all time points, movers showed lower NKCC than controls; however, post-hoc analyses indicate that by the 3-month follow-up time point, these differences were no longer significant. There were no differences between groups in IL-6 or in EBV antibody titers. Independent of the effects of group, higher levels of vigor were associated with greater NKCC at all assessments and with lower EBV titers at 2 weeks postmove. Findings suggest that in general, healthy older adults recover well psychologically from moderate, temporary life stressors such as moving. Whereas movers showed generally lower NKCC than controls, IL-6 and EBV antibody titers appeared not to be strongly affected by the stress of moving.
Acknowledgments Preface About the Authors 1. Attracting, Developing, and Retaining and Paying Quality Teachers: Examining Motivation: Do Financial Incentives Work in Promoting Teacher Quality? How We Pay Teachers: A Brief History of Teacher Compensation Current Issues and Trends in Teacher Compensation Teacher Pay and Teacher Quality Conclusion: Where Do We Go from Here? 2. Teacher Pay and School Purposes: How Do They Relate?: Aligning Teacher Compensation with Organizational Purpose and Direction Moving Forward: Key Considerations for Developing a Compensation System Establishing Criteria: Defining and Measuring Quality Summing Up: Teacher Compensation in the Big Picture of School Purpose 3. Competitive Salaries and Benefits: How Do We Stack Up?: How Do Principles of Environmental Scanning Apply to Teacher Compensation Systems? How Can the Competitiveness of Teacher Salaries Be Assessed? How Can Non-Salary Benefits Contribute to a Competitive Salary Package? What Role Can Working Conditions Play in a Competing Market? Summary: Teacher Quality and Competitive Pay 4. Considering Options for Teacher Pay: What are the Promising Possibilities?: Single-Salary Schedule Extra Duty Additional Responsibility Pay Career Ladder Knowledge and Skills-Based Pay Individual Evaluation Pay Performance-Based Pay Creative Compensation: Other Ways of Recognizing Teacher Quality Summary 5. Building a Model Teacher Compensation System: What Will Work Best for Us?: Assumptions About Compensation Systems Design Principles: Considerations in Teacher Compensation A Component-Parts Approach to Teacher Compensation A Model for Teacher Compensation A Closer Look at the Components of Compensation Compensation and Quality Alternatives to Consider Designing a Compensation System Aimed at Quality Concluding Thoughts 6. From Planning to Implementation: How Do We Make This Change?: Step 1: Develop the Aims and Criteria of the Compensation System Step 2: Select Compensation Components Step 3: Plan for Implementation Step 4: Pilot the Restructured Compensation System Step 5: District-Wide Implementation and Evaluation Concluding Thoughts References Endnotes Index!
In re Sofamor Danek Group, Inc., 123 F.3d 394 6th Cir. 1997 ; , cert. denied, 523 U.S. 1106 1998 ; in a product liability action against bone screw manufacturer, plaintiff must show actual reliance by the doctor in order to establish that alleged fraud caused injury to plaintiffs ; . Huntman v. Danek Medical, Inc., 1998 U.S. Dist. LEXIS 13431 S.D. Cal. July 27, 1998 ; in a product liability action against bone screw manufacturer raising claims of fraud and failure to warn, plaintiffs were required to present evidence that their surgeons were misled by defendants or relied on defendants' representations to the detriment of plaintiffs ; . Lyon v. Caterpillar, Inc., 194 F.R.D. 206, 221 E.D. Pa. 2000 ; denying class certification in a consumer fraud class action, in part because "potential boat owners may have received different representations or no representations ; and purchased their particular boats and engines ; for different reasons" ; . Young v. Ray Brandt Dodge, Inc., 1997 WL 706623, at * 2-3 E.D. La. Nov. 5, 1997 ; denying certification of fraud and RICO claims because of individual issues of reliance and noting that "each plaintiff has a different set of personalized circumstances about his decision " ; Ford Motor Co. Bronco II Products Liability Litigation, 1997 WL 757686, at * 10 E.D. La. Feb. 27, 1997 ; denying certification of fraud claims and noting the "highly individualized fact issue of whether the class members relied on Ford's misrepresentation s ; ." ; . Freedman v. Arista Records, Inc., 137 F.R.D. 225, 229 E.D. Pa. 1991 ; denying certification of fraud and RICO claims because of the "highly individualized" issue of reliance ; . d. To The Extent The Complaints Seek Nationwide Classes, Choice-OfLaw Issues Render Such Class Actions Inappropriate.
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