The sensory evaluation scores indicated that the consumers could easily accept the fermented product, as its sensory attributes do not significantly differ from those of the control sample. The storage of the dried cowpea leaves did not significantly affect their sensory attributes either, considering the results obtained for freshly dried cowpea leaves Table 2 ; . Thus, storage for three or so months would not lower the sensory attributes of the dried vegetables, but would ensure they are available for consumption for longer periods. This could help in reducing seasonality of the vegetables and increasing food security. It is recommended that: 1. A microbiological study should be carried out to ascertain which specific species of microorganisms are involved in fermentation of cowpea leaf vegetables to give a uniform product and for large-scale production. 2. A study should be carried out on the storage of the dried vegetables in other types of packaging material, especially those that are conventionally used by communities to store dry foods and on other popular traditional vegetables. 3. Storage of the dried vegetables should be carried out for longer periods than the three months in this study. 4. Lastly, this technology being cheap and effective should be transferred to the local communities and women groups for preservation of seasonal vegetables like cowpeas. Together with it, the promotion for increased acceptability and consumption of the fermented and dehydrated vegetables should be done among the rural communities, where the deficiency of vitamin A and iron is likely to be rampant during the period of drought.
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Changes to the Preferred Drug List PDL ; , June 2007 The Department announces the following changes to the Preferred Drug List dated 1 2007 and last previously modified 2 9 2007. The changes will take place as close to June 1 as feasible. Sedative Hypnotic Non-Barbiturates Add generic zolpidem without prior authorization There will not be a reclassificiation of the category as recommended in March Angiotensin Receptor Antagonists Remove prior authorization from Micardis and Micardis HCT Add prior authorization to Ahacand and Ataand HCT Calcium Channel Blockers-Dihydropyridine Add amlodipine without prior authorization Add prior authorization to Norvasc Lipotropics-Statins Add prior authorization to Altoprev Remove prior authorization from pravastatin Remove prior authorization from Crestor. Nasal Steroids Remove prior authorization from Flonase Add prior authorization to fluticasone propionate Inhaled Anticholinergics Add Atrovent and Atrovent HFA without prior authorization Ophthalmic Antihistamines Add prior authorization to ketotifen Beta Adrenergic-Short Acting Add Ventolin HFA without prior authorization Add prior authorization to Xopenex HFA Add Proair HFA and Proventil HFA with prior authorization Create the following new PDL classes: Low Molecular Weight Heparins: Add Arixtra, Fragmin and Lovenox without prior authorization Add Innohep with prior authorization Hematopoietic Agents Add Aranesp, Epogen, Procrit without prior authorization Clinical PA remains ; Combination Benzoyl peroxide + clindamycin Add Benzaclin without prior authorization Add Duac with prior authorization and
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The BNF does not recommend polypharmacy, because even though the individual drugs may be within the recommended dose range, patients may end up having a high total dose. Research has shown that adding a second drug doesn't usually improve the outcome very much, but does increase the side effects, can diminish your quality of life, and may even be life-threatening. The NICE guidelines also say that it's best to use a single drug. They say that two or more antipsychotics should not be given at the same time, except for short periods when you are switching from one to another. If you are taking more than one antipsychotic drug, try working out the dose of each as a percentage of the maximum recommended in the BNF. Add the percentages together to see if you are taking more than 100 per cent in total. You can also ask your doctor or a pharmacist to help you work this out. If you are detained in hospital under the Mental Health Act 1983, you are far more likely to be taking more than one antipsychotic, or to be on high dose, than someone who is a voluntary patient and
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This protocol is used for patients who are exhibiting signs of pulmonary - CHF including: dyspnea with rales and or wheezing cardiac asthma ; . The patient may also have diminished air exchange. Other treatment for the causes of pulmonary edema - CHF should be considered eg. supraventricular tachycardia, myocardial infarction and cardiogenic shock ; . A patient with a history of CHF that has wheezing on auscultation of lung sounds should not be automatically classified as an "asthma patient". The paramedic must remember that patients with CHF may also present with wheezing. If the CHF patient does not have a history of asthma or allergic reaction, the more prudent assessment would be that of CHF cardiac asthma.
A P Weetman dean Sheffield University Medical School, Sheffield S10 2RX 1 Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination OSCE ; . Med Educ 1979; 13: 41-54. Newble DI, Swanson DB. Psychometric characteristics of the objective structured clinical examination. Med Educ 1988; 22: 325-34. Roberts J, Norman G. Reliability and learning from the objective structured clinical examination. Med Educ 1990; 24: 219-23.
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In Australia, we are ranked third in the market in terms of sales, with high volume growth of key brands such as Arimidex, Seroquel, Atacand and Nexium. Crestor was launched successfully in December. Latin America Latin America enjoyed strong sales performance of $732 million, up 23% + 26% reported ; , mainly driven by Mexico, Venezuela, Central America and the Caribbean. As a result, our market share grew to 2% in the prescription market, taking us to tenth position in the rankings of the prescription market. The Latin America region has experienced improved political and economic stability. This has led to us investing significantly in further development of our key growth products and in the fast-growing markets. As a result, they showed strong performance with sales of $219 million, which is up 53% versus last year + 58% reported ; . Nexium took over the number one position for Latin America with sales of $94 million up 48%, + 51% reported ; . Crestor enjoyed a strong year with sales of $57 million up 82%, + 88% reported ; . Mexico continued to be our largest market in the region, with sales of $286 million up 23%, + 23% reported ; . Our share in the prescription market moved up to 3% and we moved up to eleventh position in the rankings. Crestor is the market leader in terms of volume and second in terms of value. The over-thecounter OTC ; business increased $7 million to $30 million up 32%, + 31% reported ; , with particularly strong sales of Losec OTC $21 million ; . In Brazil, sales were $247 million with an underlying growth of 17% + 30% reported ; . The best-selling brand was Zoladex with sales of $37 million. The performance of other markets in the region was strong, particularly for Venezuela, Central America and the Caribbean. Middle East and Africa Middle East and Africa showed good growth of + 25% + 21% reported ; , driven by Nexium, Symbicort and Crestor. We outperformed the pharmaceutical market in terms of underlying growth rate in our key markets: Egypt, Saudi Arabia, the Gulf States and South Africa. Our new manufacturing site in Egypt was inaugurated in December. It is AstraZeneca's first manufacturing facility in the Middle East and demonstrates our commitment to invest in the region and our confidence in Egypt. The plant will have a capacity of 250 million tablets and represent a $32 million investment.
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Pharmacogenetics pharmacogenomics is the study of how genetic variation affects pharmacology, the use of drugs to treat disease. When drug responses are predicted in advance, it is easier to tailor medications to different diseases and individuals. Pharmacogenetics provides the tools required to identify genetic predictors of probable drug response, drug efficacy, and drug-induced adverse events--identifications that would ideally precede treatment decisions. Drug abuse and addiction genetic data have advanced the field of pharmacogenetics in general. Although major findings have emerged, pharmacotherapy remains hindered by issues such as adverse events, time lag to drug efficacy, and heterogeneity of the disorders being treated. The sequencing of the human genome and high-throughput technologies are enabling pharmacogenetics to have greater influence on treatment approaches. This review highlights key studies and identifies important genes in drug abuse pharmacogenetics that provide a basis for better diagnosis and treatment of drug abuse disorders. KEYWORDS: Pharmacogenomics, addiction, treatment, psychiatric disease, SNP.
He eating disorders have the reputation of being impossible to treat among the general public and the medical and psychiatric communities. Those with anorexia nervosa have a passionate refusal to change their behavior and a profound denial of the seriousness of their illness. Those with eating disorders often have a secondary positive effect from, which may alleviate anxiety and boredom. In this disorder about three fourths of the patients will have a chronic relapsing course that may go on for years. There is no treatment that can guarantee a cure for this disorder. Problems with the treatment of eating disorder patients fall into two broad categories: experience of the treatment team and type Dr S. Pillay of therapy. For the treatment-refractory eatPsychiatrist ing disorder patients, more imaginative and Musgrave, Durban creative combinations of cognitive-behavioral therapy, pharmacotherapy, and family counseling must be used. Professor Katherine A. Halmi, M.D., Department of Psychiatry, Cornell University, APA May 2003.
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From * the Casey Eye Institute, Oregon Health and Science University, Portland, Ore., the Departments of Infectious Diseases and Ophthalmology, Kaiser Permanente Northwest, Clackamas, Ore., and the Department of Internal Medicine, Providence Portland Medical Center, Portland, Ore. Originally received Mar. 1, 2004 Accepted for publication Sept. 8, 2004 Correspondence to: Dr. Andreas K. Lauer, Casey Eye Institute, Oregon Health and Science University, 3375 SW Terwilliger Blvd., Portland OR 97239-4197, USA; fax 503 ; 494-9259; lauera ohsu This article has been peer-reviewed. Can J Ophthalmol 2005; 40: 20810.
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MEDI 343 2-Acetylamino-3-[4- ; phenylcarbamoylsulfanyl]propionic acid and its derivatives as a novel class of glutathione reductase inhibitors Teresa Seefeldt, Chandradhar Dwivedi, Greg Peitz, Jocqueline Herman, Laura Carlson, Zhiling Zhang, and Xiangming Guan, Department of Pharmaceutical Sciences, South Dakota State University, Box 2202 C, Brookings, SD 57007, Fax: 605 ; 688-5993, Teresa efeldt sdstate Glutathione reductase GR ; catalyses the reduction of oxidized glutathione to reduced glutathione. The enzyme is an attractive target for the development of antimalarial agents, agents to decrease malarial drug resistance, and anticancer agents. In addition, inhibition of the enzyme has been employed as a tool in research for various purposes. In this presentation, a rational strategy for the design of irreversible GR inhibitors will be presented. This strategy was based on the structure of a lead compound and the binding site for the.
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Parasites and activates the lectin pathway of the complement system, an important defense mechanism of the immune system. Numerous studies have found a strong correlation between MBL deficiency and an increased susceptibility to infections in patients with a suppressed immune system, such as cancer patients undergoing treatment with chemotherapy. A number of publications have highlighted a strong correlation between MBL levels and the morbidity associated with severe infections. These studies were in a broad spectrum of diseases, including cancer and immuno-compromised disorders in both adult and pediatric populations. In December 2004, NatImmune completed Phase I clinical trials that evaluated the safety and pharmacokinetic profile of single- and multi-dose intravenous administration of rhMBL in 28 MBL-deficient volunteers. Results from the Phase I trials demonstrated that rhMBL replacement therapy is safe and has an attractive pharmacokinetic profile. NatImmune has also completed a prospective correlation study of 255 hematological cancer patients that documented that MBL-deficient patients have a significantly higher risk of severe infections following chemotherapy compared to patients with sufficient MBL levels. Given the broad therapeutic potential of rhMBL, we are evaluating several potential lead indications for this compound. To date, the FDA has accepted both of the INDs we submitted -- one for the prevention and treatment of severe infections in cancer patients; and one for those who have undergone liver transplant surgery. Clinical Trials are now underway in multiple myeloma and post operatively in liver transplant surgery. OTHER RESEARCH AND DEVELOPMENT PROGRAMS We are conducting preclinical studies with respect to a number of PEG-enhanced compounds while simultaneously seeking new opportunities to apply our PEG technology to develop and commercialize improved versions of therapeutics of known efficacy that lack the features of a useful or effective therapeutic. Our proprietary PEG platform has broad applicability to a variety of biologic therapeutics, including proteins, peptides, enzymes, and oligonucleotides, as well as small molecules. We are exploring the role of a PEG novel linker system for targeted delivery of LNA. DISCONTINUED RESEARCH AND DEVELOPMENT PROGRAMS During 2005, our new management conducted a detailed strategic analysis of our research and development programs in order to redirect our research and development investments to programs that were strategically aligned with the objectives of our business, including an increasing focus on cancer and adjacent therapeutic areas. Accordingly, we have implemented more stringent internal review criteria and since July 1, 2005, we discontinued a number of research and development programs that did not meet our standard for continued investment. In January 2006, we returned our rights to ATG-Fresenius S to Fresenius Biotech GmbH, a subsidiary of the health care company Fresenius AG. ATG-Fresenius S is a polyclonal antibody preparation used for T-lymphocyte suppression to prevent organ graft rejection in organ transplant patients. PROPRIETARY TECHNOLOGIES PEG TECHNOLOGY Since our inception in 1981, our core expertise has been in engineering improved versions of injectable therapeutics through the chemical attachment of polyethylene glycol or PEG. In some cases, PEGylation can render a compound therapeutically effective, where the unmodified form had only limited clinical utility. Currently, there are five marketed biologic products that utilize our proprietary PEG platform, two of which we market, Adagen and Oncaspar, and three for which we receive royalties, PEG-INTRON, Pegasys, and Macugen. Specific advantages of PEG include: i ; increased efficacy, ii ; reduced dosing frequency, iii ; reduced toxicity and immunogenicity, iv ; increased drug stability, and v ; enhanced drug solubility. In addition, our PEG platform is further distinguished by i ; demonstrated safety and tolerability, ii ; established clinical and commercial benefits, iii ; broad applicability to a variety of macromolecules or biologic therapeutics, including proteins, peptides, enzymes, and oligonucleotides, as well as small molecules, and iv ; proven commercial scale-up capability. 13.
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