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Dr. Amisola is a developmental pediatrician at Dayton Children's and is assistant professor of pediatrics at Wright State University Boonshoft School of Medicine.
30 Final Resolutions, closing the examination of 137 and 274 cases ; , among which 33 and 27 took note of the adoption of new general measures. Some examples of extracts from the Resolutions adopted follow, in their chronological order. Full text of the resolutions is available on the Internet; see note 2, page 34. contains provisions similar to those into force at the relevant time. Moreover, the government considers that the direct effect of the case-law of the European Court, which domestic courts are beginning to recognise, will prevent new violations in future similar to that found in the present case by ensuring that the law is interpreted in conformity with the requirements of the Convention. With a view to facilitating this development, the authorities published the judgment of the European Court, in Croat, on the official website of the Ministry of Justice : provosudje.hr ; and transmitted it to all customs and police services and to the competent courts. Measures concerning the excessive length of civil proceedings Measures have already been adopted in the framework of the examination of the Horvat case judgment of 26 July 2001 ; closed by Resolution ResDH 2005 ; 60 following: the adoption of general measures to improve the efficiency of the judicial system and avoid new violations Act amending the Act on Civil Procedure, adopted on 14 July 2003, which aims at strengthening procedural discipline and simplifying civil proceedings ; and the introduction of an effective remedy against the excessive length of judicial proceedings new Article 63 of the Act on the Constitutional Court, into force since 15 March 2002 ; . introducing a constitutional appeal will run from the date of notification of the decision at extraordinary appeal such as an appeal on points of law ; regardless of the outcome. The deadline is also considered to be met in relation to an earlier decision given at appeal and having acquired the status of res iudicata. Subsequently, Parliament adopted Law No. 83 2004 which entered into force on 1 April 2004 ; , which modified the previous Law, No. 182 1993 on the Constitutional Court. According to the new law Article 75 1 ; , it not indispensable to have recourse to an extraordinary appeal, admissibility of which depends only on the discretionary assessment of the competent organ, such as the appeal on points of law at issue in the present case, before bringing the case before the Con.
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Horizontal and vertical eye-velocity signals were obtained by passing the eye-position voltages through analog differentiators 6 dB octave above 25 Hz ; . Data were digitized, sampled each channel at 1 kHz, and stored on disk for later analysis on a UNIX workstation. We initially reviewed the eye-position and -velocity traces for each trial on a video monitor, detected saccades visually, and marked them with a mouse-controlled cursor. Portions of the eye-velocity traces during saccades were not used for the subsequent analyses, which were done with Matlab The MathWorks ; . Most analyses consisted of aligning the eye movement responses to identical stimuli on the onset of target motion and computing averages of horizontal and vertical eye velocity as a function of time. Points from individual eye-velocity traces were included in the average only if they did not occur during a saccade, so that there was a different number of samples in the average computed for each time point. Time points were drawn in our figures and used for further analysis only if the average had been constructed from at least five trials. In some cases, further analysis consisted of measuring the magnitude of the response from the average eye-velocity trace. In other instances, measurements were made directly from individual traces. Details are provided at the relevant places in RESULTS. We assessed the effect of electrical stimulation by comparing the eye velocities from interleaved trials that had delivered identical target motions with and without electrical stimulation. First, we computed the "difference eye velocity, " defined as the millisecond-by-millisecond difference between the average eye velocities obtained from trials that provided identical target motions with and without electrical stimulation. This yielded estimates of the horizontal and vertical eye velocity evoked by the electrical stimulation, which we define as Eh[t] and Ev[t]. Then, for a 100-ms interval after the onset of electrical stimulation, we computed the electrically evoked eye speed as Eh[t]2 Ev[t]2. The maximum electrically evoked eye speed over the analysis interval was taken as an estimate of the response size. Finally, the direction of the electrically elicited eye movements was computed as tan 1 Ev[t] Eh[t] ; at the time of the maximum eye speed and expressed as a polar angle: rightward, upward, leftward and downward movements corresponded to 0, 90, 180, and 90, respectively. The latency of the electrically-elicited smooth eye movements was measured by applying a technique modified from Carl and Gellman 1987 ; . We obtained baseline eye speed by calculating eye speed in individual trials and obtaining the mean and SD of eye speed in the stimulation trials for the 100-ms interval before the stimulation onset. Then a regression line was fitted to the average eye speed for the period from 5 ms before to 10 ms after the average eye speed exceeded 2 SDs of the mean of the baseline. The point where the regression line crossed the baseline mean was taken as the movement onset. The latency of saccades was measured from individual eyeposition traces by determining the time when eye speed exceeded 100 s. For this analysis only, horizontal and vertical eye velocity were estimated by computing regression slopes of every seven eyeposition samples and novantrone.
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SSRIs Escitalopram Lexapro ; Fluoxetine Prozac ; Fluoxetime Prozac weekly ; Fluvomaxine Luvox ; 50 mg QHS 10-20 mg QAM 12.5-25 mg QAM 25-50 mg QAM 25 mg BID-TID 37.5 mg QD 20 mg BID 100 mg BID-TID 100 mg QD to 100 mg BID 150 mg 15 mg QHS 100 mg QHS 25-75 mg QHS 50 mg BID 25-75 mg QHS 25-75 mg QHS 25-75 mg QHS 25-75 mg QHS 25-75 mg QHS 25-50 mg QHS 15 mg QAM 50 mg QHS 25-75 mg QHS 100-300 mg 100-225 mg 50-150 mg 20-60 mg 150-600 mg 100-300 mg 100-300 mg 100-300 mg 100-250 mg 100-400 mg 100-300 mg 300-600 mg 15-45 mg 300-450 mg 150-200 mg BID 300-450 mg 60 mg 150-225 mg 150-375 mg 50-200 mg 25-62.5 mg 20-50 mg 100-300 mg Paroxetine Paxil ; Paroxetine Paxil CR ; Sertraline Zoloft ; SNRIs Venlafaxine Effexor-XR ; Duloxetine Cymbalta ; Other agents Bupropion Wellbutrin SR ; Bupropion Wellbutrin XL ; Mirtazapine Remeron or Remeron Sol-Tab ; Nefazodone Serzone ; v Tricyclics and older agents Desipramine Norpramin ; Doxepin Adapin, Sinequan ; Imipramine Tofranil ; Maprotiline Ludiomil ; Nortriptyline Aventyl, Pamelor ; Protriptyline Vivactil ; Trazodone Desyrel ; Trimipramine Surmontil ; Clomipramine Anafranil ; Amoxapine Asendin ; " Amitriptyline Elavil ; Bupropion Wellbutrin ; Venlafaxine Effexor ; 90 Qwk 90 mg 10-20 mg QAM 20-80 mg 10 mg QAM 10-20 mg Citalopram Celexa ; 10-20 mg QAM 20-60 mg and novolog!
Ill-Equipped diagnosis.'"359 Dr. Metzner described the case of a prisoner who was initially diagnosed as schizophrenic, and who had a history of smearing himself with feces, complaining of auditory and visual hallucinations, and claiming to be the Messiah. However, a Dr. Taylor later determined the prisoner was malingering and expressed interest in whether in the future he would consume his feces or just smear them. Another prisoner: entered the system with a history of suicide attempts, self-mutilations, hallucinations, and hospitalizations. His medications were discontinued and he was diagnosed as having no Axis I illness. After a brief visit to Skyview [an in-patient psychiatric facility] he was discharged with Dr. Tchokoev recommending no medication and heavy work in the field. The same day he returned to Beto [a prison unit], he cut himself and then attempted to hang himself. He is now in a vegetative state.360 In yet another example, a prisoner went to Skyview after a long history of psychiatric treatment for a number of Axis I and Axis II diagnoses, both in the free world and the Texas Department of Criminal Justice. Once there, Dr. Taylor discontinued his medication and asserted, "[t]his patient has a history of acting out at this facility when he is `found out' and is aware of the fact that he will be returned to his unit of assignment." By the end of the month, he had returned to Crisis Management and received two more, different Axis I diagnoses.361 In New York, psychiatrist Stuart Grassian made a site visit to Attica one year after a successful lawsuit ended concerning mental health services in that prison. Dr. Grassian found that appropriate mental health treatment for prisoners remained frustrated by "the inappropriate and long-standing preoccupation of Attica OMH [mental health] staff with rooting out malingering. The records that I have reviewed demonstrate that there is a persistent over-reliance on `malingering' and `manipulating' -- sometimes even in the face of a lifetime of illness."362 Similarly, in New York, a mental health clinician with over thirty years of forensic and community mental health care experience in New York State told the Correctional Association: Sometimes the [forensic mental health hospital] will say that a patient [sent from special housing units SHU ; ] isn't mentally ill, he is a manipulator, and they send him her back to the prison, back to SHU. To me, labeling someone a "manipulator" is pretty useless. If there is a secondary gain issue, our job is to talk about it, to find out what's really going on. There are clinicians who will tell you that eating feces isn't a mental illness but a behavior problem in some cases ; . Well, to me, eating feces certainly isn't.
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66 Devon Elliott U Western Ontario ; Spirit Theatre: The Role of Entertainment for Spiritualists and Skeptics in the Nineteenth Century David E. Long U Kentucky ; College Student Practice and the Symbolic Violence of Evolution Michelle Corbin U Maryland ; Crazy Wisdom: Resisting the abnegation of the possible with the inconceivable Julie Homchick U Washington ; Rhetoric, Epistemology, and the Intelligent Design Controversy Stephen Petrina U British Columbia ; , Karen Brennan; Franc Feng U British Columbia ; and Lauren Hall U British Columbia ; Technology, Religion, Spirituality and the Sacred Jan Palecek Charles U-Czech Republic ; , Zdenek Konopasek Charles U-Czech Republic ; Treating spirituality. Border work in psychiatric and pastoral practice. Thorvald Sirnes University Bergen-Norway ; , Ole Andreas Brekke U Bergen-Norway ; both authors wish to attend the conference co-present the paper ; The Meaning of life - Religious discourse in the science and politics of human biotechnology 15.9 Communication, Publics, and Science Chair: TBA James Weber Pacific Northwest National Laboratory ; and C.J. Schell Portland State U ; Translations, trading zones, and boundary issues: How do people try to meet their needs for science information in face-to-face communication? David Caudill Villanova U-School of Law ; Images of Expertise in Trial Movies Morten Andreasen U Copenhagen ; A sense of truth - on the seductive qualities of the deficit model Dirk Verdicchio U Basel-Switzerland ; What's at stake in popular science films? Petra Lucht Technical U Berlin-Germany ; Science fiction as discursive arena for "Boundary Work" Arild Boman U Oslo ; Integration, Resistance and Retraction in Youth Cultures Yoshiko Saitoh Nagoya U ; , Yasunori Yamanouchi Nagoya U ; , Toshiki Nakai, Nagoya U ; , and Kazuhisa Todayama Nagoya U ; A case of NANTEN relocation: successful "citizens' patronage towards science" Annamaria Carusi Oxford U ; , Michael Parker Oxford U ; , and Marina Jirotka Oxford U ; Trust in Internet-enabled Science 15.10 Sound, Visualization, and Senses Chair: Amy Metcalfe U British Columbia ; Amy Metcalfe U British Columbia ; Visualizing Science Studies: Photography as Subject in the "Images of Academic Science" Project Christian Day U Graz ; Interdisciplinarity in the making how expertise is negotiated within groups developing sonifications Robert Olivo Virginia Tech ; `Serato would be cool if.': Danielle Chabaud-Rychter CNRS, laboratoire Genre, Travail, Mobilits ; Writing standards for sensory analysis methodology Thomas Staley Virginia Tech ; Knowing by Smell: A Silent Language of Scent in the Natural History of Carl Linnaeus.
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Deactivated C18 column 4.6 mm 3 cm; 3- m particle size ; mounted in a Hewlett-Packard Model 1090L liquid chromatograph equipped with an autosampler. The entire system from sample injection to data acquisition was computer-controlled with standard Sciex software. Sample preparation. The range of serum cotinine concentrations can encompass 4 orders of magnitude when both smokers and nonsmokers are included. Therefore, all NHANES samples were first prescreened by an enzymelinked immunoassay EIA ; for cotinine STC Diagnostics, Bethlehem, PA ; and placed into one of two categories, high or low, on the basis of a nominal cutoff concentration of 25 g measured by the EIA. Individual LC MS MS assays of 50 samples each were then built from these preclassified groups. Each NHANES assay included 2 water blanks, 2 bench QC pools at the appropriate concentration, and 46 unknown samples, including a variable number of blind QC pools. Because the blind samples were indistinguishable to the analysts from normal study samples, they were treated as unknowns and were passed through the preliminary EIA screening procedure and subsequently allocated into LC MS MS assays like all other samples. Extraction and cleanup. Normally, 100 samples were prepared and analyzed each day in 2 assays of 50 samples each. Each run consisted of a water blank in positions 1 and 50, a bench QC sample in positions 2 and 49, and a variable number of blind QC samples interspersed among the unknowns in positions 3 48. All unknown and blind QC samples carried coded identifications that were not known to the analysts. Separate bench and blind QC pools with cotinine concentrations in the appropriate range were selected for use with high and low assays. In each run, printed labels were applied to a set of silanized culture tubes 13 100 mm ; , samples were thawed and carefully mixed, and 10 L of the ISTD and the appropriate sample volume were placed in each tube. Undiluted serum samples 1 mL ; were used for the low concentration assays, whereas samples classified as high concentration were assayed as 1: 20 dilutions 50 L of serum 950 L of water ; or greater, as necessary. The tubes were capped and placed on an Eberbach orbital shaker Eberbach, Ann Arbor, MI ; at low speed for 20 30 min to allow the ISTD to equilibrate with the sample. We then added 1 mL of 100 g L trichloroacetic acid to each tube with an automated pipetter. The tubes were recapped, vortex-mixed for 30 s on VWR MultiTube Vortexer VWR Scientific ; , and centrifuged at 1900g for 20 min. The trichloroacetic acid supernatants were transferred to labeled Oak Ridge-type Teflon tubes 16 80 mm ; , and 0.5 mL of 5 mol L KOH was added with an Eppendorf Repeater pipet to each sample and mixed briefly. We then added 6 mL of methylene chloride to each tube with the use of an automated pipet, capped the tubes with Teflon screw-caps, and mixed them vigorously.
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Amitriptyline proved significantly more effective than lorazepam in providing moderate relief of PHN pain. Equal numbers of patients withdrew from each group due to side effects. There was a significant correlation between degree of relief of symptoms and serum amitriptyline levels. The authors concluded that serum levels of amitriptyline and active metabolites must be maintained at a concentration of 100 ng mL for at least 3 weeks before a patient is considered to have failed TCA therapy. Due to anticholinergic side effects principally sedation and dry mouth ; , TCAs such as amitriptyline are of limited, if any, use in older patients. Desipramine HCl Norpramin ; and nortriptyline HCl Aventyl, Pamelor ; tend to produce the fewest side effects among the TCAs. A moderate benefit in PHN has been shown with desipramine mean dose, 165 mg d ; in a well-designed though small study.11 Five of the 19 total patients stopped desipramine due to side effects, compared with three patients who withdrew from placebo. In clinical practice, the recommended starting dose of desipramine for the older patient is 10 mg qhs, with gradual increases to a maximum dose of 30 mg qhs. Other antidepressants, such as selective serotonin reuptake inhibitors, have not been shown convincingly to be neuropathic analgesics.12 At least one randomized, double-blind, placebocontrolled study of patients with PHN or painful neuropathies failed to demonstrate analgesic activity for buspirone or m-chlorophenylpiperazine a metabolite of trazodone ; .13 Corticosteroids. Corticosteroids have been used in acute HZ in an attempt to reduce the incidence or duration of PHN, although several recent studies have been unable to demonstrate benefit. One large randomized trial failed to show a reduction in the incidence of PHN with a combination of acyclovir and prednisolone.14 More recently, a randomized, double-blind, placebo-controlled trial of acyclovir plus prednisone demonstrated bene geri and norpramin.
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