20. World Health Organization. International Classification of Diseases, Ninth Revision ICD-9 ; . Geneva, Switzerland: World Health Organization; 1977. 21. Goodman DC, Stukel TA, Chang C. Trends in pediatric asthma hospitalization rates: regional and socioeconomic differences. Pediatrics. 1998; 101: 208-213. Wenneker MB, Weissman JS, Epstein AE. The association of payer with utilization of cardiac procedures in Massachusetts. JAMA. 1990; 264: 1255-1260. Ayanian JZ, Kohler BA, Abe T, Epstein AE. The relation between health insurance coverage and clinical outcomes among women with breast cancer. N Engl J Med. 1993; 329: 326-331. Link BG, Phelan JC. Understanding sociodemographic differences in health: the role of fundamental social causes. J Public Health. 1996; 86: 471-475. National Asthma Education and Prevention Program. Expert Panel Report 2: Guidelines for the Diagnosis and Management of Asthma. Bethesda, Md: National Institutes of Health; 1997: 31. 26. Donahue JG, Weiss ST, Livingston JM, Goetsch MA, Greineder DK, Platt R. Inhaled steroids and the risk of hospitalization for asthma. JAMA. 1997; 277: 887891. Eggleston PA, Malveaux FJ, Butz AM, et al. Medications used by children with asthma living in the inner city. Pediatrics. 1998; 101: 349-354. Shields AE. Medicaid Managed Care Plan Performance [dissertation]. Waltham, Mass: Florence Heller Graduate School for Advanced Studies in Social Welfare, Brandeis University; 1998: 147!
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When you or someone you love needs hospital care, there's a lot to think about. There may be several hospitals in your area. How do you know which one is the best choice for the care you need? Because of the important care and services hospitals provide, your choice can make a big difference in how you're treated, the success of your surgery or procedure, and how quickly you'll be back on your feet. BCBSHP is working with SUBIMOTM to help you make that choice. With Subimo's research it is easy to compare hospitals by logging in to the Member Access page at bcbsga , and selecting "Healthcare Advisor" on the main menu. The Healthcare Advisor lets you learn about health conditions and medical procedures. It also helps you pick a hospital that's the best fit for you or someone you care about.
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They are charged with manufacturing a controlled substance, cultivating marijuana, possessing marijuana for sale, conspiracy and poisoning. The trio appeared last week in Contra Costa Superior Court in Walnut Creek where a judge reduced their bail from $1.2 million to $620, 000 each. They have pleaded not guilty. Their attorneys did not return calls to the Times. Filkowski said they were making oil for Ken Estes, owner of a Richmond medical marijuana dispensary, who was arrested last month when police pulled his truck over on a routine traffic stop and found 27 pounds of marijuana inside. Honey oil is produced by extracting THC from marijuana leaves. Butane is added to crushed marijuana to separate the chemical from the leaves. Users consume the oil in food or smear it on cigarettes or marijuana joints.Filkowski said the men were working with dozens of canisters of butane, which could have been ignited by even a small spark. She said the idea behind the manufacturing charge, which carries a sentence of up to seven years in state prison, is that the men used the butane to transform one material into another with different properties. "It turns the marijuana into another substance, " she said. A half-dozen doctors who prescribe medicinal cannabis contacted by the Times said they were aware of the oil, but did not know how safe it is. Sausalitobased physician and psychiatrist Eugene Schoenfeld said butane might pose a threat of explosion to the makers, but not to the patient. "I don't think there would be enough butane in the hash oil to affect people, " he said. "I don't think the butane is much of a danger to the consumer." Dydek said people who consume the oil are not at risk. " The butane ; would tend to dissipate. It doesn't tend to hang around very long, " Dydek said. "The toxicity of butane is not very great. "I think there would be more problems with people manufacturing it, " he said. Source: CONTRA COSTA TIMES High-tech 'pot factories' popping up in suburban homes in California By DON THOMPSON Associated Press Writer ELK GROVE, California- Leon Nunn stepped out his front door one recent afternoon only to be waved back by a squadron of drug agents using a battering ram on a neighbor's home. The $500, 000 home in the quiet subdivision was stuffed with high-grade marijuana, plants covering nearly every square foot. The bust is one example of a phenomenon that has come to light recently in subdivisions around Sacramento, the capital of California. Marijuana growers with suspected ties to Asian organized crime have been buying suburban homes many in newer developments because of the anonymity the drug dealers believe the neighborhoods afford. They close the blinds and get to work gutting the inside, converting otherwise nondescript tract homes into the latest battleground in the state's campaign against marijuana cartels.The Nunns installed security lights and cameras and said some of their neighbors are talking of moving away. More than three dozen homes have been found to be hiding marijuana groves in just the past seven weeks, most in Sacramento, Elk Grove and Stockton. Like the others, the home on Elk Grove's Mainline Drive had been converted to what law enforcement officials call a hothouse, with 1, 000-watt lights for growing and irrigation networks feeding high-tech hydroponic growing systems. Walls and ceilings were smashed to allow for complex ventilation and air filtration systems that vented the telltale odor through the attic.
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Figure 4-3 below presents program comparisons of the Use of Appropriate Medications for People With Asthma for members 5 to 9 years of age. The eligible population is shown in Figure 4-3 and ranges from 52 cases for RMHP to 312 cases for the PCPP population. The total eligible Colorado Medicaid population for the 5 to 9 age group consisted of 736 cases and clomid.
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Prefilled syringes. Part 2: Plungers and discs for dental local anaesthetic cartridges. International Standard ISO 11040-2. 1994. Prefilled syringes. Part 3: Aluminium caps for dental local anaesthetic cartridges. International Standard ISO 11040-3. 1993. Prefilled syringes. Part 4: Glass barrels for injectables. International Standard ISO 11040-4. 1996. Prefilled syringes. Part 5: Plungers for injectables. International Standard ISO 11040-5. 1996. Containers and accessories for pharmaceutical preparations. Part 1: Drop-dispensing bottles. International Standard ISO 11418-1. 1996. Containers and accessories for pharmaceutical preparations. Part 2: Screw-neck bottles for syrups. International Standard ISO 11418-2. 1996. Containers and accessories for pharmaceutical preparations. Part 3: Screw-neck bottles vials ; for solid and liquid dosage forms. International Standard ISO 11418-3. 1996. Containers and accessories for pharmaceutical preparations. Part 4: Tablet bottles. International Standard ISO 11418-4. 1996. Containers and accessories for pharmaceutical preparations. Part 5: Dropper assemblies. International Standard ISO 11418-5. 1997. Containers and accessories for pharmaceutical preparations. Part 7: Screw-neck vials made of glass tubing for liquid dosage forms. International Standard ISO 11418-7. 1998. Pen-injectors for medical use. Part 1: Requirements and test methods. International Standard ISO 11608-1. 2000. Pen-injectors for medical use. Part 2: Needles -- requirements and test methods. International Standard ISO 11608-2. 2000. Pen-injectors for medical use. Part 3: Finished cartridges -- requirements and test methods. International Standard ISO 11608-3. 2000. Pen systems. Part 1: Glass cylinders for pen-injectors for medical use. International Standard ISO 13926-1. 1998. Pen systems. Part 2: Plungers and discs for pen-injectors for medical use. International Standard ISO 13926-2. 1999. Disposable hanging devices for transfusion and infusion bottles -- requirements and test methods. International Standard ISO 15010. 1998 and colchicine.
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Although renowned for his pioneering efforts in transplantation, Thomas E. Starzl, MD, PhD, also pioneered liver resection surgery for treating patients with hepatocellular carcinoma HCC ; and other liver diseases. As a result, surgeons and other physicians within the Starzl Transplantation Institute have always treated liver cancer patients through liver resection and other means. To further help these efforts the UPMC Health System in conjunction with the institute is establishing the UPMC Liver Cancer Center to treat liver cancer patients who are not yet candidates for transplants. "Our goal is to develop the most comprehensive liver cancer center in the United States, " says the institute's David Geller, MD see MATCH, Spring 2000 ; , co-director of the new center with Wallis Marsh, MD, and Brian Carr, MD, PhD see MATCH, Fall 1998 ; . "We offer a one-stop shop where the patient -- no matter what the diagnosis is -- can get a comprehensive evaluation and then the best individualized treatment by our multi-disciplinary team." Treatment options offered by the UPMC Liver Cancer Center include: Surgical resection laparoscopic & open ; Radiofrequency ablation RFA ; -- percutaneous, laparoscopic, open Intrahepatic chemoembolization Pump intra-arterial chemotherapy infusion Yttrium90 glass beads theraspheres, sirspheres ; Systemic chemotherapy Radiation therapy, cyberknife Liver transplantation Multi-modality approach Gene therapy intra-hepatic ; Palliative care, for example, voltaren pain.
Be the case with the CYP3A4 * 1B variant, deviation from Hardy-Weinberg equilibrium among cases is not unexpected. Almost all of the other DNA-sequence variants described fall into the category of rare polymorphisms frequency 0.010.03 ; or mutations frequency 0.01 ; . Many of the populations in which these variants were found were inadequate to properly determine genotypic and allelic frequencies tables 5 and 6 ; . Examples of inadequate populations for these purposes are those of mixed descent 33 ; or those with very small sample sizes 30 ; . The frequencies of nonsynonymous coding region CYP3A4 DNA-sequence variants are given in table 5. There are 22, of which nine are technically mutations. In addition, confirmation in a robust, independent population is needed for most of these alleles 24, 28, 30, ; . Several non-coding-region polymorphisms were reported with their allelic frequencies, but genotyping data were generally not available. In two studies of African Americans n 24 and n 21 ; , nine polymorphisms of moderately high frequency were found in intron 2 T C, 5917, 0.146 ; , exon 7 CYP3A4I193I, 0.05; also previously reported to be 0.046 by and doxycycline.
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Affiliated with McGill University and the World Health Organization, the Douglas Hospital is a centre of excellence for care, research, and teaching in mental health. Care is offered for people suffering from depression, anxiety, eating disorders, schizophrenia, autism, attention deficit hyperactivity disorder, and degenerative illnesses such as Alzheimer Disease. Its Douglas Facts & Figures Research Centre is the second largest of its kind in Here are a few facts and figures of interest about the country, with a team of over 60 scientists and the Douglas' internationally-renowned adult eating clinical researchers. The Douglas team is devoted to disorder program: making better sense of the causes of mental disorders Number of inpatient beds for adult patients: 6 whether genetic, environmental, cultural or social Length of treatment for adult patients as well as developing or improving diagnostic tools, admitted: 3 months treatments and prevention methods. Number of people seen last year: 340 New referrals last year: 327 Number of patients on the wait list: 300 To contact us at the Douglas Hospital Outpatient Clinic capacity : 150 and exelon and voltaren, for example, voptaren emugel.
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By Philip Larson Under some circumstances, the U.S. Robinson-Patman Act codified as part of the Clayton Act ; prohibits discrimination in the initial sale price of goods sold for use or resale within the United States and its territories. Counselors evaluating price differentials often properly focus on such traditional RobinsonPatman defenses as cost justification, meeting competition, and sales to a non-profit institution for its own use. However, many ignore the fact that a mere price differential, standing alone, is generally not sufficient to support a Robinson-Patman Act damages claim. A disfavored purchaser who paid more for a seller's goods than did another favored purchaser ; can normally obtain damages only if it can show in part that it suffered adverse competitive effects as a result of the price differential i.e., that it lost sales to the favored purchaser or had to cut its margins in order to maintain sales ; . This showing is often difficult to make in connection with the sale of life science products, particularly pharmaceuticals paid for by the federal government or private payers. For example, where the disfavored purchaser is reimbursed for the pharmaceuticals at a pre-determined fixed amount as is typical under Medicare or Medicaid ; or as part of a bundled charge for an entire procedure consisting of medical services, other products, and pharmaceuticals, it is often difficult or impossible to demonstrate that the higher price it paid for a particular pharmaceutical caused the necessary lost sales or margin. Similarly, if the complaining purchaser is a pharmacy, it will often be difficult for it to show any competitive harm attributable to the price differential, since many or most patients choose where to fill their prescription according to the policies of their current health plan, not by comparing the price of the pharmaceutical at various pharmacies. If the complaining purchaser is a health plan or other payer, it will often be difficult for it to demonstrate that the higher price it paid for one or more particular pharmaceuticals had a sufficient impact on its per capita or other premium rates to cause it to lose present or potential subscribers to a.
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View this table: table percentage number ; of patients with at least one unscheduled medical contact, with odds ratios adverse events general practitioners recorded adverse events in similar proportions of patients in each group 2 8% hydrofluoroalkane inhalers and 2 5% chlorofluorocarbon inhalers; odds ratio 01 88 to table 4!
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Significantly different from control group given only ENU; P 0.05. b Causes of death in all rats were progressive growths of the nervous system and kidney tumors. c Two adenomas of pituitary gland, adenocarcinoma of mammary gland, fibroadenoma of mammary gland, chondrosarcoma and squamous cell carcinoma of vagina. d Adenoma of pituitary gland, adenocarcinoma of mammary gland, adenocarcinoma of lung and leukemia. e Adenoma of pituitary gland. In the second experimental series, pregnant rats were treated as described above and their offspring divided into three groups; a control and those given theophylline or EACA. Theophylline was used as a pure powder and added to the diet at a concentration of 1000 mg kg. Before addition to the diet, theophylline was mixed with starch 1: 4 w The average intake of theophylline was 140 mg kg b.widay. EACA was added to drinking water at a dose of 1000 mg 1. The average intake of EACA was 80 mg kg b.wVday. Animals were killed either when sick or at 12 months of age. Pathohistological examination All animals were subjected to complete autopsy. At autopsy, the brain, spinal cord, peripheral nerves, kidneys and all other macroscopicaJly abnormal organs from all animals were fixed in 10% buffered formalin. Routine histological treatment of 5 7 thick sections was followed by staining with -- hematoxylin and eosin, and subsequent macroscopic examination. Assessment of toxic effects All rats were weighed weekly and observed daily for external signs of toxicity. In the first experimental series, additional pathohistological examination of the gastrointestinal mucosa was performed in 30% of the rats from each control and treated group given indomethacin or voltaren, because we suspected these would be toxic to the stomach and intestines. Statistical analysis For statistical analysis, Student's -test and chi-square tests were used.
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1990-1992 Member of Board of Directors - Samaritan Health Services Chief of Staff - Thunderbird Samaritan Medical Center Chairman, Medical Executive Committee - Thunderbird Samaritan Medical Center Member, Finance Committee - Samaritan Health System Chairman, Nominating Committee and Organizational Ad-Hoc Bylaws Rewrite Committee Thunderbird Samaritan Medical Center Immediate Post-Chief of Staff and Member of Medical Executive Committee - Thunderbird Samaritan Medical Center Chairman, Nominating Committee - Thunderbird Samaritan Medical Center Vice Chief of Staff - Thunderbird Samaritan Medical Center Co-director, Neurology section - Thunderbird Samaritan Medical Center Member, Physicians Advisory Committee - Thunderbird Samaritan Medical Center Member, Medical Executive Committee - Thunderbird Samaritan Medical Center Member, Medical Committee - Walter O. Boswell Memorial Hospital Co-director, Neurology section - Walter O. Boswell Memorial Hospital Co-chairman, Quality Assurance and Utilization Management Committee - Thunderbird Samaritan Medical Center, for example, voltaren emulgel side effects.
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