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Alexander, from both medical interests and the general public. Learning where she lived, people would mob her home. She became an expert at sorting out the legal red tape, so patients could obtain Essiac from their physicians via the Emergency Drug Release Act. Yet the complications were so serious that only a few could be helped. The pressure continued from 1984 onward. Then, in early 1988, Elaine got an idea. Simple enough, it would cut through all the red tape and bring Essiac to the people at last! The answer was to be found, for example, in a letter from Dr. A. Klein, at the Health Protection Branch of the federal government. "Relevant Factors: "Essiac has always been classified as a drug because the Resperin Corporation has made drug claims for this infusion. "According to the Food and Drug Act, a substance is a drug when it is a substance or a mixture of substances sold or represented for use in the diagnosis, treatment, investigation or prevention of a disease, disorder, abnormal physical state, or the symptoms thereof, etc. "Essiac has always been represented to be a `cure' for cancer; therefore, it is a drug due to the claim. "Suggested Response: "Essiac appears to be entirely nontoxic. "From the evidence to date Essiac has only a placebo or a phychological effect on cancer patients. "If Essiac were to be sold in health food stores, the implied claims for this substance could be considered fraudulent, and would also constitute a health hazard with regard to self-diagnosis and selftreatment of cancer."--"Briefing Information on Essiac, " A. Klein, M.D., Health Protection Branch, Department of Health and Welfare, Ontario, March 17, 1988. The solution was simple: Change the name of the formula from Essiac to something else, and sell it at low cost through the health-food stores, making no claims of any kind for it! Why fight a war that cannot be won? Instead, just give it to the people as an herbal "tonic"-- which is what the Objibwa Indians said it was. Charles Brusch was astounded. Resperin was essentially defunct; and, by this time, he knew that Elaine Alexander was a true friend of Essiac. Immediately, he signed a contract making her coowner of the formula, and he pled with her to take charge of getting the herbal formula to the people. On November 10, 1988, legal documents were drawn up and signed and an additional confirmatory contract was drawn up between them on April 23, 1993. Sheetsin tengerite- Y ; , the crystal structure of lanthanite La ; Dal Negro et al., 1977 ; consistsof platy sheetsparallel to 010 ; . Furthernore, lanthanite- La ; has a free H, O molecule betweenthe platy sheetsthat is not coordinated to any cations. The sheetsare connectedonly by H bonding, accountingfor the micaceous cleavage. the In crystal structure of lanthanite- La ; , the rare-earth elements occupy two independenttenfold-coordinated sites. One rare-earth atom bonds to six O atoms of carbonate groupsand four O atoms of HrO, and another atom bonds to eight and two O atoms. On the other hand, the Y atom in tengerite- Y ; is coordinated by eight O atoms of carbonate ions and one of HrO. Therefore, it may be reasonablethat the formation of these minerals dependson the ionic radii of the rare-earthelement.Our study showed that phasesidentical with tengerite- Y ; were synthesized from the Y rare-earth source, but not from La. Lanthanite- La ; was obtained only from the La rare-earthsource. Nagashimaet al. 1986 ; reportedthat there is a correlation between the lattice parametersand the number of.

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REST Drink lots of water Warm-up before singing Keep your throat wrapped with a scarf when outside! If you are stuffy: breathe steam; breathe in through your mouth and out through your nose to clear your head. Run a long steamy shower: read scripture while you `moisten' up. 6. Saline solution over the counter ; is GREAT for keeping head moist 7. Decongestants and anti-histamines de-hydrate: drink more water, use a liquid form, then you can take a smaller amount that will be effective 8. Tussin gualfenisin syrup thins mucus. There is a new robitussin capsule. Not the DM cough suppressant. Available over the counter, store brands 9. There is a `non-drying' Sudafed pseudoephedrine ; that contains gualfenesin. There are store brands of this. It is a gel capsule. 10. Sinus Rinse. If saline solution isn't working, there are two ways to rinse your sinuses. NETTI POT--looks like a teapot with no lid, or an `Alladin's lamp.' Use warm water around 98 ; . Add: tsp salt, tsp baking soda, 10 drops of glycerin. This is a gentle way to rinse your sinuses. SINUS RINSE KIT sold at pharmacies, by Neil-med: This is an 8 oz. water bottle with a special nozzle. Included in the purchase are packet of pre-mixed salt and baking soda. There is more pressure and it really shoots up into your sinuses. 11. Singers recipe.
Resuscitation Indicated if in shock - Use normal saline or Ringer's lactate 20 ml kg not use dextrose containing fluids ; over 1 hour. However, shorter periods of administration may be required. - Repeat if necessary until blood pressure , pulse and perfusion, return to normal - Monitor urine output. Be alert to the possibility of acute renal failure if the perfusion and blood pressure normalises and yet, no urine is produced. Medicines and vaccines that have made an enormous difference in the health and lives of millions. All of us a lot of work to do to return Merck to the leadership of patients, physicians, payers and shareholders in sense of nostalgia for the past, but by a vision of what Merck can be in the years ahead. We are determined Yet each of us is also keenly aware that we have together. Each of us is eager to build on that legacy of position it held for so long. We are driven, not by some. ASSESSING THE EFFECTIVNESS OF TRAINING METHODS FOR PHARMACY TECHNICIANS Jennifer T. Brown * Aurora Health Care, St. Luke's Medical Center, 2900 W. Oklahoma Ave., Milwaukee, WI, 53215 jennifer own aurora Data from the Joint Commission on Accreditation of Healthcare Organizations JCAHO ; implicated orientation training as the root cause of almost 60% of medication errors reported between 1995 - 2002. St. Luke's Medical Center is a 711-bed hospital that employs almost 100 pharmacy technicians. Their roles and responsibilities have evolved from merely delivering medications to a combination of both distributive tasks and technician order entry. Because of changes in the technicians' role, training has become a focus within the pharmacy department. Currently there are 35 different job functions divided between first, second, and third shift. Technicians receive approximately five days of on-the-job training for at least 4-5 different functions. Recently, a training manual was developed to ensure that the majority of necessary information would be consistently conveyed during training. The purpose of this project is to develop a standard tool that will be used to evaluate the effectiveness of the current training method. The evaluation tool is divided into two segments - a written and an observational section. Upon training completion, the technician will complete the written evaluation to assess if fundamental knowledge and skills were acquired. Next, a technician trainer or lead technician will imperceptibly observe their job performance for one day to assess if learned knowledge and skills are demonstrated. The score for job performance will be based on how well the technician performs on both the written and observational evaluation. If job performance scores are low, we will determine if the cause s ; are training knowledge and skills ; or non-training rewards, feedback, or working environment ; related. Currently, the evaluation tool focuses on one particular job function; however, the ultimate goal is to expand this evaluation tool to all 35 available job functions. Learning Objectives: Describe current training methods at St. Luke's Medical Center Describe one method of assessing the effectiveness of training methods Self Assessment Questions: Orientation training was implicated as the root cause of approximately 60% of medication errors. T or F Poor job performance could be related to both training and nontraining related problems. T or F and rocephin.

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White Pony Yada Yadidi - pr. Yah-did-eye ; shortened from Bay Area slang "yadidimean" to mean "do you know what i mean" Yak - Southwestern colliquial. Yale Yams - Orlando area Yay Yao - pronounced "yay-O" Yay-yo, or just "yay" Yeyo - from Scarface: "Chi-Chi, get the yeyo". Misspelling of the Spanish ghetto slang term "lello". Also used in hip-hop lyrics ; Yiz Yola Zing CCC - Abbreviation for Coricidin Cough and Cold; refers to the three C's on the pill. Also abbreviation for "Candy Coated Chaos" a play on the title Dex - Abbreviation for dextromethorphan. Dexed - To be under the influence of dextromethorphan. Dextro - Abbreviation for dextromethorphan. DXM - Abbreviation for dextromethorphan. Robo - Refers specifically to Robitussin brand cough syrup. Robotripping - Being under the influence of DXM by drinking bottles of Robitussin brand cough syrup and rogaine.

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Fractures. The purpose of the study was to evaluate the stress distribution in three-dimensional finite element analysis models of clasps and to select their preferable design. A three-dimensional finite element analysis was used for the investigations. Preformed clasp wax patterns for circumferential clasps were selected and three parameters namely length, thickness and width at the base and tip were measured to generate purposely designed experimental threedimensional models. Generated stresses and deformations were calculated numerically and plotted graphically. The study was made at the Specialization of Dental Technology of the University School of Dentistry Timisoara, Romania, in collaboration with the Politehnica's University Department of Strength of Materials from the same town during the period 2004-2005. Results were displayed as colored stresses and displacements contour plots to identify regions of different values. The correlations between maximal stress and deformation allow the selection of the preferable parameters of the clasp arm. Within the limitations of this study, the preferable cross-sectional shape of the retentive cast circumferential clasp arm was determined as half-round and the taper 0.6 mm.
Surgical intervention such as gastrojejunostomy is long term efficacy. A disadvantage is prolonged postoperative course. Endoscopic stent placement can be helpful in some non-surgical patients with gastroduodenal obstruction. Patients may resume oral intake almost immediately after the successful stent placement. However, some patients may not improve after the stent placement. They may have obstruction at multiple level, or functional obstruction due to gastrointestinal dysmotility. Around 20% of patients require re-intervention because of recurrent symptoms. [13, 14, 15] and rozerem.

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Sheffield Centre for Arctic Ecology, Department of Animal and Plant Sciences, University of Sheffield, Tapton Experimental Gardens, 26 Taptonville Road, Sheffield, S10 5BR, UK Computational Climate Dynamics Group, Computer Science and Mathematics Division, Oak Ridge National Laboratory, P.O. Box 2008, MS 6367 Oak Ridge, TN 37831-6367, USA.

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Many of these situations are true emergencies. Someone capable of performing endotracheal intubation must be present or immediately available, and all the required equipment immediately accessible . Airway management experts should be immediately summoned anytime airway obstruction is not immediately and completely reversed. Recovery Care and Discharge The end of the procedure is a particularly dangerous time for a sedated patient. Noxious stimulation is a natural antagonist to respiratory depression by opioids and other sedative agents. Respiratory depression may become evident after the noxious stimulation associated with a procedure ceases or decreases in intensity. Postoperative care of the patient encompasses three phases of recovery care: early recovery as the patient emerges from sedation, intermediate recovery where the patient achieves criteria for discharge home, and late recovery or post discharge recovery when the patient achieves full recovery from both surgery and sedation. Intra-operative monitoring should be continued into the recovery period at regular intervals during the first two of these phases until the patient is discharged. Extremely rapid recovery from sedation can be expected. Patients should be assessed immediately upon emergence to determine which phase of recovery should be initiated. Objective discharge criteria should be documented before appropriate monitoring is terminated and sanctura. Even with i. ; a cocktail containing seven pump substrates supplied slightly below their respective wild-type MIC levels, ii. ; competing drug substrates of the same structural class steroids or macrolides ; , and iii ; hyper MIC levels of the exogenously supplied agents. Thus, this pump system and possibly EmrAB-TolC ; may have an extraordinary capacity to simultaneously handle multiple drug substrates that is not necessarily reflected in MIC analyses. In addition, our study has extended the range of substrates recognized by the AcrAB- and EmrAB-TolC systems.
Alzheimer's Australia initiates the `Living With Memory Loss' program, an innovative group program providing support, information and education for people with early-stage dementia, as well as their families and carers. This is an important advance for support group interventions, as it produces significant improvements in the mental health of people with early-stage dementia and their carers and sandimmune.

[10] Synthetic Methods, Vol. 4 Ed.: R. Scheffold ; , Springer, Berlin, 1986, pp. 125 259. Nomenclature and Vocabulary of Organic Stereochemistry: G. Helmchen, Methods Org. Chem. Houben-Weyl ; Vol. E21a, 1995, pp. 1 74. Organic SynthesisWhere now?: D. Seebach, Angew. Chem. 1990, 102, 1363 Angew. Chem. Int. Ed. Engl. 1990, 29, 1320 Basic Principles of EPC Synthesis: J. Mulzer, Methods Org. Chem. Houben-Weyl ; Vol. E 21a, 1995, pp. 75 146. A book by Morrison and Mosher[14] that contained all the asymmetric organic reactions known up to 1971 consisted of 465 pages. The five-volume work on asymmetric synthesis[15] published by Morrison between 1983 and 1985 has 1828 pages, and treatment of the subject stereoselective synthesis in Houben-Weyl[16] 1996 ; required ten volumes with a total of 6989 pages. J. D. Morrison, H. S. Mosher, Asymmetric Organic Reactions, Prentice-Hall, Englewood Cliffs, NJ, 1971. J. D. Morrison, Asymmetric Synthesis, Vol. 1 5, Academic Press, New York, 1983 1985. Stereoselective Synthesis: Methods Org. Chem. Houben-Weyl ; Vol. E 21a f, 1995. Today there is in fact the risk of overemphasizing enantioselective syntheses and the synthesis of enantiomerically pure compounds EPC ; in organic chemistry in general: The chemist interested in synthesizing complex molecules[18] must be concerned primarily with reactivity, differentiation of similar structural groups, protection deprotection, and regio- and diastereoselectivity; the transformation called chirogenic by Eschenmoser[19] ; from achiral or racemic material to chiral, nonracemic educts, intermediates, or products represents only a single step in a multistep synthesis! The most straightforward and commonly employed approach to enantiomerically pure products entails incorporating into the structure of some naturally occurring substance such as lactic, malic, tartaric, or mandelic acid, or one of the amino acids ; : Enantiomerenreine Naturstoffe und Pharmaka aus billigen Vorlufern Chiral Pool ; Zur Frage nach der chiral konomischen und kologischen Totalsynthese: D. Seebach, H.-O. Kalinowski, Nachr. Chem. Techn. 1976, 24, 415 Beyond Natures Chiral Pool: Enantioselective Catalysis in Industry: W. A. Nugent, T. V. RajanBabu, M. J. Burk, Science, 1993, 259, 479 Jacobsen has lectured on the topic Expanding the Chiral Pool; see, for example: H. Lebel, E. N. Jacobsen, Tetrahedron Lett. 1999, 40, 7303 The Art and Science of Total Synthesis at the Dawn of the TwentyFirst Century: K. C. Nicolaou, D. Vourloumis, N. Winssinger, P. S. Baran, Angew. Chem. 2000, 112, 46 Angew. Chem. Int. Ed. 2000, 39, 44 S. Drenkard, J. Ferris, A. Eschenmoser, Helv. Chim. Acta 1990, 73, 1373 The following bar graph shows the increase since 1966 in the number of papers whose titles include the words or word fragments asym, enantio, diastereo, optical activ, or chiral CAS search, February 2000 ; . [22] [23].

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Outside of the production-based companies, Japan's distributors have also been forced to reevaluate corporate strategy. In Japan it could be suggested that the opening up of the market through deregulation has had a dramatic impact on the way Japanese domestic companies are able to compete. Japanese pharmaceutical wholesalers are restructuring their business operations in response to increased competition in the domestic market. "In-In" consolidatory activity has taken place between some of Japan's largest wholesalers. Major wholesaler companies have gone against traditional business practices and pursued consolidatory options in search of business survival Abrahams, 1999 ; . This is significant because in pharmaceutical distribution the wholesaler is fundamental to the marketing process in Japan and robitussin Described as a mixture of the home and host country. The authors' aim is to take a conceptual view of their behavior with particular emphasis on how the mixture of cultural influences affected their behavioral patterns. How do they respond to different contexts and situations? Do their behavioral patterns reflect an ease of switching from one culture to another or do they highlight the stresses and strains these individuals face on a dayto-day basis? The study begins by examining particular features of the community under study, Punjabi Asians. While highlighting the strains that might affect second generations living as they often do "between two cultures" Anwar, 1998: 172 ; , it suggests that British Punjabis are likely to be actively choosing their societal roles. Previous work on ethnicity and identity is then discussed with a particular focus on situational ethnicity. The authors note that the idea of a ` transitory psychological state' Stayman and Deshpande, 1989: 361 ; may be especially relevant to second generation Asians, in particular in relation to their emotional responses to different situations, what we have termed emotional situational ethnicity. Our case is that second generation Punjabis are likely to have developed a continuous emotional response in their lives that is more revealing than looking at their behavior purely in the context of discrete situations. We then examine the concept of acculturation and its relevance for this study and present a preliminary conceptual model of affiliation and acculturation for second generation Punjabis before embarking on an exploratory research project with the aim of beginning an understanding process of the differences and similarities amongst second generation Punjabis. PUNJABI BACKGROUND The research focuses on British Punjabis, a community well known to one of the authors. The research explored the inter relationship between commitment to the host country and attachment to a perceived place of origin as a basis of identity. The focus on British Punjabis allows for greater coherence when undertaking research and analyzing results, than if a broader ethnic range was explored. When referring to the subjects of the study, the authors use a fixed term, second generation British Punjabis. This informs the reader in a way that is concise, reasonably precise and as neutral as possible, that the respondents are of Punjabi background, are children of first generation immigrants and have British nationality. It is important to clarify the meaning of Punjabi and Sikhs in this research. Punjabis are individuals that come from Northern India, Punjab. Sikhism is a religion practiced predominantly in Punjab. The focus of this study is second generation Punjabis that are from Sikh families, thus the respondents are located by place and religious affiliation. As the research aims have highlighted, this paper seeks to consider the specific and general variables that affect ethnicity, acculturation roles and identity. These groups are of particular interest as their social environment inevitably contains many contradictions and is made up of a mixture of western English ; and eastern Punjabi ; values. Punjabis as a group have a somewhat unique identity, with their own Punjabi language, style of dress and particular family patterns. They are, however, still regarded as part of the overall "Asian grouping, " which is reinforced by outsiders' common perception of a homogenous "Asian" minority. The traditional family system for Punjabis is the extended family, bound together by a complex set of mutual obligations differentiated by gender ; , often involving the pooling of income and joint living and work arrangements. As a result of chain migration, extended families and wider networks of kin, communities have been established in many parts of Britain, from the Midlands to areas in London and the South. These family units aim to fulfill all the needs of the family members, but in turn demand a strong loyalty in every field. Families are often judged by the strength of these units and by "izzat", best translated as family honor. The term "izzat" has a strong bearing on British Punjabis. "Izzat" can and is applied in many contexts. It is used to convey both the sense that children in this case the second generation immigrants ; should behave in a decent manner and thereby avoid bringing shame on their families and show respect for their elders. The combined factors of joint family units and respect for elders make up an important element of the social structure Robinson, 1986 ; . British Punjabis have been categorized as living "between two cultures" Anwar, 1998: 172 ; , where there are "manifold contradictions between the and saquinavir.

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