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Caduet clinical trialsMeasure #61: Gastroesophageal Reflux Disease GERD ; : Upper Endoscopy for Patients with Alarm Symptoms DESCRIPTION: Percentage of patients aged 18 years and older with a diagnosis of GERD, seen for an initial evaluation, with at least one alarm symptom who were either referred for upper endoscopy or had an upper endoscopy performed INSTRUCTIONS: This measure is to be reported once for all GERD patients seen for an initial evaluation during the reporting period. Patients with a diagnosis of GERD and at least one alarm symptom will be referred for upper endoscopy or have an upper endoscopy performed. It is anticipated that clinicians who provide care for patients with GERD will submit this measure. This measure can be reported using CPT Category II codes: ICD-9 diagnosis codes, CPT E M service codes, and patient demographics age, gender, etc ; are used to identify patients who are included in the measure's denominator. CPT Category II codes are used to report the numerator of the measure. When reporting the measure, submit the listed ICD-9 diagnosis codes, CPT E M service codes, and the appropriate CPT Category II code OR the CPT Category II code with the modifier. The modifiers allowed for this measure are: 1P- medical reasons, 2P- patient reasons, 3P- system reasons, 8P- reasons not otherwise specified. NUMERATOR: Patients who were either referred for an upper endoscopy or had an upper endoscopy performed Definition: Alarm symptoms for GERD include involuntary weight loss, dysphagia, and GI bleeding. Numerator Coding: Endoscopy Performed or Patient Referred for Upper Endoscopy CPT II 3130F: Upper gastrointestinal endoscopy performed OR CPT II 3132F: Documentation of referral for upper gastrointestinal endoscopy AND CPT II 1071F: Alarm symptoms involuntary weight loss, dysphagia, or gastrointestinal bleeding ; assessed; one or more present. 3266 PROTECTION OF THE RETINAL GANGLION CELLS IN GLAUCOMA SCHMIDT KG 1, 2 ; , BOEHM AG 1 ; , OSBORNE NN 2 ; , PILLUNAT LE 1 ; 1 ; Ophthalmology, University of Dresden, Germany 2 ; Nuffield Laboratory of Ophthalmology, Univ. of Oxford, UK The sequence of events to cause pathogenesis of ganglion cells in primary open angle glaucomas POAGs ; and loss of visual field is unknown. POAGs may be a group of multifactorial diseases resulting from increased IOP and or reduced optic nerve head blood flow to cause a common pathogenetic pathway that results in the neurodegeneration of retinal ganglion cells. Lowering of intraocular pressure IOP ; is the most effective way to treat POAG patients. However, in certain groups of patients, even when the IOP is controlled by surgery and or pharmacological treatment, progression in visual field loss and optic nerve head cupping continues. Alternative ways of treating POAG patients have therefore been discussed. One possibility is to increase blood flow in the optic nerve head vasoprotection ; . This idea is based on a battery of studies which have suggested that a malfunction in the dynamics of blood delivery to the optic nerve head is a major risk factor in POAG. Another possible way to treat POAG patients is to use drugs to directly slow-down the death of ganglion cells and this has been termed neuroprotection. While this idea is based on laboratory studies there is no good reason to believe that it cannot eventually be applied to the treatment of POAG patients and ascorbic.
MAJOR DEALS & INDUSTRY UPDATES 4. Staff. 2007, March 15 ; . Bristol-Myers Squibb Significantly Expands Research And Development Presence In India Through Collaborations With Biocon And Accenture. Retrieved online, pipelinereview . Bristol-Myers Squibb Company plans to expand its relationships with Biocon and Accenture in India. Biocon will help build a research and development R&D ; facility in Bangalore while Accenture will provide information systems and clinical data support at its Life Science Centers for Excellence. 5. Bhattacharjee, Ashok, and Cullen, Angela. 2007, March 13 ; . Ranbaxy Laboratories Bids Merck's Generic Unit Update 9 ; . Retrieved online, bloomberg . Ranbaxy Laboratories Ltd. has offered to buy a Merck KGaA in hope of increasing generic pharmaceutical sales. Because of the transaction size and its fallen share value, Ranbaxy's ability to purchase the unit remains in question. 6. Decker, Susan. 2007, March 13 ; . Pfizer Sues India's Ranbaxy to Block Generic Cadueet Update 1 ; . Retrieved online, bloomberg . Pfizer Inc. has filed suit against Ranbaxy Laboratories Ltd. in U.S. District Court to block the marketing of Caduet, a combination of Norvasc and Lipitor which are used to treat cholesterol and blood pressure problems. Although Pfizer's patents do not expire until 2010 and 2018, Ranbaxy hopes to begin production of Caaduet before their expiration. Caduet 10 40 mgNational Cancer Advisory Board National Cancer Institute American Cancer Society Oncology Nursing Society Office of Research on Women's Health. NIH Office of Research on Minority Health. NIH and strattera. Grandiosity, and instead become a grinding experience, a mixed state, like the depression but with energy. Less commonly, the episodes become longer and milder. After the mania comes shame and guilt at the excesses the patient has experienced. By itself, this reaction can trigger the onset of depression. " Psychotherapy can help the patient understand the nature of the illness, learn about and deal with it, and understand the medications and course of treatment, " Dr. Moorhead said. During the presentation, the doctor addressed many questions from the audience. Where does schizo-affective disorder fall between schizophrenia and bipolar? A person who meets the criteria for both may have schizo-affective disorder. Hallucinations and delusions, the symptoms of psychosis, can happen to anyone under sufficient stress. In the Korean War it was shown that everyone who spent 72 hours under fire in a foxhole became psychotic. One hundred percent. So it' not surprising that bipolar patients, under the stress of their mania, have s psychotic symptoms. Does manic depression start in childhood? People, including children, may have depression but are not diagnosed as bipolar until they have a manic episode. We now see that childhood depression and mania are different, as children are different from adults. The onset of a bipolar disorder may have been in childhood, and in retrospect you may see that there were signals before the person' twenties. But this is not something you s should watch for, because normal childhood and adolescence are also characterized by mood swings. Is the diagnosis based solely on behavior? At this point, diagnosis is based on " phenomenology." That is, a history of behavior over time. You cannot judge from behavior in the moment. Over the years there has been a lot of experimental work on imaging mental illnesses with things like PET scans, but as yet no X-ray will diagnose bipolar. My daughter has bipolar and the episodes seem to be linked to her menstrual cycle. Would hormonal therapy work on mental illness? We have not seen this. Some women with premenstrual anxiety and pain who are not helped by hormonal therapy can be helped by psychiatric medications. So perhaps your daughter' psychiatric illness could benefit from hormone s treatment. What percentage of people in the population have bipolar disorder? Under the old diagnostic standards, we used to say one percent. But with the " Not Otherwise Specified" category, that' risen to 15 percent. And 30 percent s of people with depression have had some bipolar incidents. We now think of these illnesses like a wagon wheel, with everyday moods in the center and the spokes radiating outward in progressions from normal feelings to cyclothymia to bipolar disorder, because casuet medication.
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