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[Essential antioxidants in cardiovascular diseases--lessons for Europe] Gey KF, Stahelin HB, Ballmer PE Vitamin-Einheit, Institut fur Biochemie und Molekularbiologie, Universitat Bern. Ther Umsch 1994 Jul; 51 7 ; : 475-82 Complementary epidemiological studies consistently reveal a substantially increased risk of cardiovascular disease CVD ; at suboptimal plasma levels of essential antioxidants in comparison with optimum ranges of vitamin C 50 mumol l ; , of lipid-standardized vitamin E 30 mumol l or a tocopherol cholesterol ratio 5.2 mumol mmol ; , beta-carotene 0.4 mumol l ; . The poor level of any single essential antioxidant can increase the risk, and the combination of suboptimal levels has additive or even overmultiplicative effects on the risk for CVD. Suboptimal antioxidant levels are stronger predictors of the severalfold regional differences of CVD in Europe than classical risk factor such as hypercholesterolemia, hypertension, etc. Scotsmen and Fins tend to suboptimal levels of essential antioxidants, whereas German-speaking regions may mostly reveal a fair vitamin E status, but at least one out of four subjects can reveal suboptimal levels of vitamin C and carotene, particularly in smokers. This deficit can be avoided by 'prudent diets' rich in fruits and vegetables as practiced by Frenchmen, Italians and Spaniards. The simultaneous correction of all suboptimal antioxidant levels appears to be a promising new means for CVD prevention, particularly in the northern parts of Europe. In the USA the risk of CVD could substantially be reduced without dietary modifications by voluntary daily supplements as follows: vitamin C 140 mg, vitamin E 100 IU 100 mg d, l- or 74 mg d-alpha-tocopherylacetate ; , and in current smokers by gamma-carotene 8.6 mg. Hence, these antioxidants may be crucial constituents of diets rich in fruits and vegetables, which are by consensus associated with a lower risk of premature death from CVD and cancer as well.
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Manufacturers ability to facilitate laboratory accreditation according to ISO-17025 Karl-Wictor Oldn bioMrieux AB Sweden During the fast development of medical technique a demand for the guarantee of the measurement has arose. The demand originates from all actors in the medical area, from the healthcare planners to the patients. Additional to this, co-operation between laboratories is simplified if all laboratories work according to one standard. The use of one standard gives results from laboratories a global validity. This is the driving force to frame a global standard for accreditation. Accreditation means that an independent organ judges the competence of the applicant. This involves the whole chain of competence from personnel to technical equipment. In order to facilitate the laboratories aspiration for accreditation, the manufacturer of technical devices can provide the necessary documentation regarding the instrument of interest. Although the laboratory is responsible for providing the necessary documents, the manufacturer is best suitable to compose the ones applicable for instrument calibration. This paper will discuss the requirements that the Swedish national accreditation body have on the documentation. The requirements will be discussed in detail except the concept of traceability and error budget, which will be treated generally. To illustrate this work a real instrument has been used, Mini VIDAS, a multiparameter automated immunoanalyser. The following magnitudes were found to call for calibration, temperature, volume and the different optical magnitudes. Since all documentation that is being reviewed by the accreditation body in this matter is regarded classified, the result will be general with no specifications or statistics, because .
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The Law Reporter Annual Index is designed to make your 2006 issues of the Law Reporter a reliable and accessible research tool. Here are a few things you should know to make the best use of your index: General Index by Subject page LR-3 ; . The major subject headings in the General Index correspond to the areas covered in each issue of the Law Reporter. To locate a particular kind of case, first determine into which area your inquiry falls. Entries within each subject include both factual and legal issues. The numbers after the entries are the page numbers in Volume 49 of the Law Reporter where the cases appear. Table of Cases page LR-12 ; . This table includes the most complete citations available as of November 2006. Injury Awards page LR-26 ; . Entries in this section will direct you to cases in the Law Reporter that contain awards of damages for particular types of injuries. The following abbreviations are used in this section of the index: V for verdict, J for judgment, S for settlement, SS for structured settlement, PVS for postverdict settlement, AA for arbitration award, PAS for postarbitration settlement. An asterisk beside an entry indicates plaintiff suffered injuries in addition to the one s ; listed. Wrongful Death Awards page LR-28 ; . This table lists the wrongful death awards reported in Volume 49 of the Law Reporter. The following abbreviations are used in this section of the index: V for verdict, J for judgment, S for settlement, SS for structured settlement, PVS for postverdict settlement, AA for arbitration award, PAS for postarbitration settlement. An asterisk beside an entry indicates other plaintiffs suffered nonfatal injuries. To Obtain Further Information About a Case. The Law Reporter provides pleadings, depositions, briefs, and other court documents through the Court Documents section each month. That column also provides a list of Abstract Sets-- each set includes a collection of case summaries on a specific topic that have appeared in the Reporter since 1993. You can also order Ultimate Document Sets, which include documents from at least seven different cases on the topic, an Abstract Set, and a bylined article. The best source for additional information about a case is plaintiff's counsel. The name and location of plaintiff's counsel is provided, where possible, at the end of our report of the case. Your AAJ membership directory will provide you with the complete address and telephone number of any AAJ member. The directory is available online at justice.
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For age of population, the number is close to that of the United States as a whole, at 1.50. One flaw with this study is that the classification system for recording the cause of death for ALS includes both ALS deaths and deaths attributable to other neurological diseases. However, the number of neurological disease deaths not due to ALS is believed to be a relatively small number and to be offset by the number of deaths having to do with ALS where neurological diseases were not named as a cause of death Noon, Sykes & Hilsdon 2002 ; . Locally, concern has been expressed about the occurrence of ALS among residents near the former Kelly Air Force Base in San Antonio, and among those who previously worked at the base. In response to these concerns, the Air Force Institute for Environment, Safety, and Occupational Health Risk Analysis conducted a study of 32, 000 former Kelly AFB employees. This study concluded that former workers did not have a higher incidence of ALS than other populations living in Bexar County Ride for Life 2002 ; . The ALSA is pursuing federal money from the Department of Defense to help fund research into possible environmental causes or contributors to ALS ALS Association 2004c ; . Prior to the release of this study, the Agency for Toxic Substances and Disease Registry prepared a paper analyzing possible environmental factors contributing to the number of cases of ALS in other areas of the world. Environmental factors listed in this study include lead and other heavy metals, radiation, dietary exposure to trace elements, agricultural chemicals, and exposure to solvents and other non-agricultural chemicals. While many studies have suggested some relation between these agents and ALS, none have been conclusive. The same report states that, as a whole, Bexar County has an ALS rate similar to the state of Texas and the United States. In San Antonio, the ALS Association-South Texas Chapter works to promote research and help those suffering from ALS. The University of Texas Health Science Center in San Antonio and cephalexin.
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Choosing between treatment strategies for gastroesophagael reflux disease. Med Decis Making 2002; 22: 290308. Lhatoo SD, Sander JWAS, Shorvon SD. The dynamics of drug treatment in epilepsy: an observational study in an unselected population based cohort with newly diagnosed epilepsy followed up prospectively over 1114 years. J Neurol Neurosurg Psychiatry 2001; 71: 6327. Billingham LJ, Abrams KR, Jones DR. Methods for the analysis of quality-of-life and survival data in health technology assessment. Health Technol Assess 1999; 3 10 ; . 272. Abbott Laboratories. An open-label extension study of tiagabine HCl in the treatment of patients with partial seizures. Abbott Park, IL: Abbott Laboratories; 1998. 273. Office for National statistics. Mortality statistics: general. Review of the Registrar General on deaths in England and Wales, 2000. London: Office for National Statistics; 2000. 274. Ades A. A chain of evidence with mixed comparisons: models for multi-parameter evidence synthesis and consistency of evidence. 2002. URL: : ihs.ox.ac herc DEEM Ades . Accessed February 2003. 275. Netten A, Curtis L. Unit costs of health and social care. PSSRU, University of Kent; 2002. URL: : \\ ukc.ac PSSRU. Accessed February 2003. 276. Department of Health. NHS Executive. The new NHS: 2002 reference costs. Department of Health; 2002. URL: : doh.gov nhsexec refcosts #spred. Accessed February 2003. 277. Lhatoo SD, Johnson AL, Goodridge DM, MacDonald BK, Sander JWAS, Shorvon SD. Mortality in epilepsy in the first 11 to 14 years after diagnosis: multivariate analysis of a longterm, prospective, population-based cohort. Ann Neurol 2001; 49: 33644. Wilton LV, Stephens MDB, Mann RD. Visual field defect associated with vigabatrin: observational cohort study. BMJ 1999; 319: 11656. NHS North West Clinical Neuroscience Partnership. Clinical framework for the management of adults with epilepsy. A North West Clinical Framework. Manchester: North West Clinical Neuroscience Partnership; 2001. 280. Johannesson M, Weinstein S. On the decision rules of cost-effectiveness analysis. J. Health Econ. 1993; 12: 45967. Van Hout BA, Al MJ, Gordon GS, Rutten FF. Costs, effects and C E-ratios alongside a clinical trial. Health Econ 1994; 3: 30919 and
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The St. Louis Childhood Asthma Research & Education CARE ; Network Center is currently looking for children with asthma to participate in one of several pediatric research studies. Interested participants must have asthma and be 6 to years of age. They are seeking asthmatic children of all different levels of asthma severity. If you know someone that may be interested in participating in one of the CARE research studies, please contact a study coordinator at 314 ; 2861173 or toll free at 1-866-841-CARE 2273 ; . A study coordinator will then ask several questions to determine if the child is eligible for any of the existing asthma studies. Children who qualify for a CARE research study will receive free asthma medication, asthma education and compensation for their time. This study is being conducted by Dr. Robert C. Strunk and the Childhood Asthma Research & Education CARE ; Network.
Cafergot caffein + ergotamine ; Cafergot PB atropine + ergotamine + phenobarbital ; Caladryl calamine + diphenhydramine ; Calan verapamil ; Calcimar calcitonin ; calcitonin: Calcium regulating hormone. Decreases serum calcium levels. Tx: used to treat excessive bone growth, Paget's disease, hypercalcemia. Campain acetaminophen ; candesartan cilexetil: Angiotensin II receptor antagonist, antihypertensive Tx: hypertension Canestin clotrimazole ; capecitabine: Antineoplastic metabolite Tx: oral chemotherapy for colorectal cancer, breast cancer Capital with Codein acetaminophen + codein ; Capoten captopril ; Capozide captopril + hydrochlorothiazide ; captopril: Antihypertensive, Angiotensin Converting Enzyme ACE ; inhibitor Carafate sucralfate ; carbamazepine: Anticonvulsant Tx: seizures in all ages, nerve pain and some psychiatric disorders Toxicology drug to drug interactions: The effects of Adenosine may be prolonged consider lower dose ; carbidopa-Levodopa: Antiparkinsonian, Chem class: Catecholamine, dopamine agonist Carbolith lithium ; Cardene nicardipine ; Cardioquin quinidine ; Cardizem diltiazem ; Carxura doxazopine ; Carfin warfarin ; carisoprodol: Skeletal muscle relaxant - central acting carteolol: Beta adrenergic blocker, anti-hypertensive, anti-anginal exertional ; Cartia-XT diltiazem ; Cartrol carteolol ; carvedilol: Beta blocker, antihypertensive Tx: Essential hypertension, CHF, angina, ideopathic cardiomyopathy Action: non-selective beta blockade, alphaadrenergic blocking activity Casodex bicalutamide ; Cataflam diclofenac ; Catapres clonidine ; caverject alprostadil ; Ceclor cefaclor and
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OBJECTIVES: The purpose of this study was to describe pediatric traumatology in a general hospital with pediatric intensive care unit PICU ; . We wanted to confirm the importance of using pediatric trauma score PTS ; as a triage tool for major pediatric trauma. By using audit filters and measuring discharge disability score DDS ; , glasgow outcome score GOS ; and length of stay LOS ; , we wanted to evaluate the quality of care in pediatric traumatology according to : 1. age; 2. time of arrival; 3. presence of a pediatric intensivist in the emergency department ED ; . DESIGN: Retrospective cohort study. SETTING: General trauma center in a teaching hospital. PATIENTS: All pediatric major trauma victims identified through the trauma registry from April 1999 to March 2000. METHODS: Descriptive data and outcome were collected with a preestablished questionnaire. Thirty-two audit filters were used to evaluate pediatric trauma care. Deviations identified were discussed in a multidisciplinary committee on trauma care to determine the acceptability of the deviations. RESULTS: A total of 112 patients were identified. Mean age was 8.8 years SD 5.5 ; . Main incidents were falls and motor vehicles accident. Head trauma was present in 38%. Mean PTS was 9.3 SD 2.1 ; . Patients were admited during on-call service 70% of the time. Pediatric intensivist was present in ED 19% of the time. Outcome results were : mean LOS in hospital of 6.5 days SD 13 mean LOS in PICU of 4.1 days SD 8.4 mean DDS of -1.6 SD 1.6 abnormal GOS in 7% of the head trauma; mortality was 1.8%. One hundred seventy-seven audit filters were noticed in 82% of patients with a mean of 1.5 audit filters per patient SD 1.0 ; . There were more audit filters identified in younger patients than older ones. The comparison of PTS below or above critical triage point + 8 ; showed worse outcome with PTS 8. No differences were noticed during on-call service. A multivariate analysis showed that pediatric intensivist was present in ED with younger patients, lower PTS and during weekend. No differences were documented for the number of audit filters identified. CONCLUSIONS: This study confirmed the importance of using PTS as a triage tool for major trauma in the pediatric population. It also indicates the usefullness of a pediatric intensivist on trauma team especially for younger patients and trauma with lower PTS ; . More deviations of.
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