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Is a resource for primary care physicians and is published by CardioVascular Associates, PC. Editor in Chief Tom Eagan, MD, FACC teagan cvapc Associate Editor Greg Bryant gbryant cvapc Graphic Design Atticus Communications Montclair Baptist Medical Center 880 Montclair Road, First Floor Birmingham, AL 35213 205 599-3500 Brookwood Medical Center 2022 Medical Center Drive, Suite 510 Birmingham, AL 35209 205 877-9290 Shelby Baptist Medical Center 1022 North 1st Street, Suite 500 Alabaster, AL 35007 205 663-5775 Princeton Baptist Medical Center 817 Princeton Avenue SW, Suite 202 Birmingham, AL 35211 205 786-8815 Coosa Valley Baptist Medical Center 209 West Spring Street, Suite 104 Sylacauga, AL 35150 256 245-5833 Bessemer Carraway Medical Center 1088 9th Avenue SW Bessemer, AL 35022 205 425-3720 Walker Baptist Medical Center 3400 Highway 78 East, Suite 311 Jasper, AL 35501 205 221-9494 HealthSouth Medical Center 1201 11th Avenue South, Suite 301 Birmingham, AL 35205 Outreach Locations Hospital Coverage Childersburg - Clanton Columbiana - Hamilton Oneonta - Pell City - Talladega Physician Referral Line 800 676-9358.
CURE", even though the CURE Trial was not statistically powered to determine effects on total morality 5.7% clopidogrel, 6.2% placebo ; . They also felt "more information was needed in patients intolerant of aspirin" but noted "that specific groups of patients may benefit from clopidogrel, namely after coronary artery bypass grafting and patients with coronary stents." PTAC then referred the application to their Cardiovascular Sub-committee. Sanofi-Aventis responded to PTACs' comments in April 2002. However there was no response from PHARMAC for more than 2 years until September 2004 when PHARMAC offered to list clopidogrel for drug-eluting stents in exchange for a price reduction of 56%. Sanofi-Aventis was willing to accept the price reduction if the Australian criteria which were much wider and included patients with symptomatic atherosclerotic disease and patients suffering an acute coronary syndrome ; were accepted by PHARMAC. PHARMAC responded in December 2004 suggesting special authority criteria and expenditure caps above which there would be a financial penalty for Sanofi-Aventis. Sanofi-Aventis advised PHARMAC that this cap would result in the supplying of clopidogrel below cost, which would not be sustainable. In April 2005, PHARMAC replied with an increase in the expenditure cap but with the same restricted patients' access and limited treatment duration. Several other communications between PHARMAC and Sanofi-Aventis have transpired since then with Sanofi-Aventis stressing that access and duration of treatment should be aligned with the New Zealand guidelines12, 13 and PHARMAC offering a slightly increased list price and expenditure cap, but the same limited access. In the light of these discussions, and if the two parties come to an agreement, patients undergoing angioplasty and stenting may be able to receive clopidogrel for 6 months. Aspirin-intolerant patients may at last be able to access clopidogrel long-term if they have had a stroke, a transient ischaemic attack, or MI. However, no current provision is made for patients who are aspirin intolerant who have venous bypass grafts or for patients who have been stented and who suffer a stent thrombosis. For aspirin-tolerant patients, it is proposed that patients who were previously on aspirin may with specialist application ; be prescribed clopidogrel for 36 months if they have had an acute MI or have been admitted to hospital because of ischaemic pain lasting 20 minutes and occurring at rest. Based on the number of patients with acute coronary syndromes from the Cardiac Society Audit in 2002, 14, 15 assumptions based on 5% of patients being aspirinintolerant, and there being approximately 7000 patients with stroke, there are about 30, 000 patients per year who would fulfil current guideline recommendations12, 13, 16, 17 for prescribing clopidogrel. Given an assumption that the price of clopidogrel may be close to the Australian price it is to noted that in Australia clopidogrel has been available since 1999 ; and treatment might be for 6 months rather than the New Zealand, ACC AHA Guideline recommendations which are for clopidogrel treatment for 912 months; 12, 13, 16, this would cost about NZ$15 million. PHARMAC's approach when faced with a figure of this amount has often been to offer some much smaller amount and to try and fit the eligibility criteria to this and lopressor.
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FEATHER PARASITES Fleas causing nest dissertion 1974 220-221. Louse flies 1970 105-108. Squat fly on Swift Parakeet Lathamus discolor 1970 37. Treatment of fleas 1974 244. FEATHERS 1970 52-55illust. Bleeding 1970 39. Clipping wing 1969 226b. Macaw feathers to Panama 1992 257. Possible explanation of cause of colour change 1982 89. Stamping for identification 2000 299-301b w. Use of 1980 246. FEEDING 1968 57-58. Basement parrot room feeding routines 1977 246-248. Reluctance 2001 328. Thoughts on 1972 209. FIRST BREEDING RECORDS 1976 142. 1996 Aratinga Conures 1994 256. Amazons 2004 272-273 * . Australian Parakeets and Cockatoos 2004 226-229 * . FOODS SEE DIETS AND NUTRITION ; Foodstuffs for our birds 1999 291-292. Intake differs throughout year 1983 7. Other foods items from meal table ; 1978 63-64, 91-92. Sea birds eating Pretty Polly commercial foods 1996 131. Poisonous 1997 145-147, 196. The perfect food? 1989 321-324. Almonds Liking for 1977 276. Chickweed 1992 134. Chop bones 1978 64. Dandelion 2005 35-37 * . Dock 2005 35-37 * . Dog food 1980 62-63. Cuttlefish Useful tip for feeding 1982 182. Earthworms Stanley Parakeet Platycercus icterotis eating 1967 1 ; 11. Granulated charcoal 1970 247. 1983 Fruit pips are they poisonous 1990 394. Greenfood 1969 237-238. Hemp 1969 59-60. High price 1973 224. Problem with 1969 199-200. Honey 1981 13. Insectivorous food 1967 3 ; 8. Maggots Stanley Parakeet Platycercus icterotis eating 1967 2 ; 9-10. Marigolds Red-fronted Kakariki Cyanorhamphus novaezealandia enjoying seedheads 1999 78. Mealworms Golden-mantled Rosella Platycercus eximus, Stanley Rosella Platycercus icterotis and Crimson Rosella Platycercus elegans fond of 1967 3 ; 7-9. Meat 1967 3 ; 8. 1980 64. Meaty bones A question about feeding 2002 338-339. Milk Use of 1976 92. Nuts Beneficial to birds 2003 3437 * . Orange Skins dangerous to feed 1977 89. Paddy rice 1967 8 ; 6. Palm nut oil 1988 350-351. Parsley Stanley Rosella Platycercus icterotis eating 1968 165. Peanuts 1969 60. Danger 2000 158. Possible ban on 1972 94. Reliance on 1975 33-34. Shells used as grit 1975 108. Pelleted foods 1979 281. Pine cones suitability 1980 63. Pine nuts Contamination worry 1986 316. Prickly pear 1988 362. Rose petals Appreciated by parrots 2001 319. Slugs Stanley Rosella Platycercus icterotis eating 1967 1 ; 11. Soaked seeds 1974 111. Two methods of soaking 2002 261. Why bother 2002 188-189. Softfood Feeding 1967 2 ; 9. Soya 1997 145-147. Sprouting seeds Low cost sprouter 1983 21-22. Vegetables Fresh as food 1976 217-219. Walnuts Information needed 2004 281. Wildfoods Something special on the menu 1979 67-69. FOREIGN BIRD ASSOCIATION 1985 171.
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SATURDAY 8 JUNE SESSION 6: ATRIAL FIBRILLATION Chairpersons: F.W. Verheugt & L.H. Rasmussen 09: 00-09: 30 Warfarin, aspirin and clopidogrel: lessons from ACTIVE-W - R. De Caterina 09: 30-10: 00 Dabigatran, idraoarinux, oral FXa inhibitors S. Husted 10: 00-10: 30 ACE-inhibitors and sartans in AF L.H. Rasmussen 10: 30-11: 00 Coffee Break SESSION 7: FUTURE DEVELOPMENTS Chairpersons: S.D. Kristensen & R. De Caterina 11: 00-11: 30 Stem cells in cardiovascular therapy - Background biology and critical issues - J.F. Martin 11: 30-12: 00 Stem cells in cardiovascular therapy: a critical reading of clinical trials - S. Janssens 12: 00-12: 15 Concluding remarks R. De Caterina and S. D. Kristensen 12: 15-14: 00 Light Lunch.
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Part IV Item 15. Exhibits, Financial Statement Schedules and Reports on Form 8-K Page Herein a ; The following documents are filed as a part of this report: 1 ; Financial Statements: Consolidated Financial Statements of Bentley Pharmaceuticals, Inc. and Subsidiaries 3 ; Exhibits * b ; Reports on Form 8-K filed during the fiscal quarter ended December 31, 2003: On October 29, 2003, a Report on Form 8-K was filed under Items 7 and 12 which disclosed the press release dated October 29, 2003 reporting financial results of the Registrant for the three and nine months ended September 30, 2003. F-1 to F-24.
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Parametric models as models I and II. Both parametric models can be interpreted as special cases of 7 ; , with M 0 model II ; and M model I ; , respectively. Expected utilities under the two models are shown in Figure 1. While expected utilities differ slightly under the alternative models, the finally recommended sampling design remains unchanged. Inference about the optimal sampling design typically involves trading off competing goals related to prediction, sampling cost and inference loss. This is formalized in the utility function proposed in 2 ; . many biomedical decision problems specification of the trade-off weights c2 and c3 is a challenging problem. We have earlier proposed a pragmatic default choice for c2 and c3 . The additive nature of 2 ; allows an easy implementation of informal sensitivity analysis. Separately computing the expectations R d ; and T d ; corresponding to the second and third term in 2 ; facilitates a computationally efficient evaluation of expected utility U d ; for alternative choices of c2 and c3 . Figure 2 plots expected utility using c2 , c3 ; equal 5, ; , 5, 10 ; and 10, 0 ; . 5 DISCUSSION, for example, prednisone!
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Aspirin, 75 to 325 mg per day Clopidogrel Plavix ; , 75 mg per day, in patients who cannot tolerate aspirin or in addition to aspirin, with treatment given for up to nine months Beta blocker in patients without contraindications Lipid-lowering agent statin ; and diet therapy in patients with an LDL cholesterol level above 130 mg per dL 3.40 mmol per L ; , or in patients with an LDL cholesterol level higher than 100 mg per dL 2.60 mmol per L ; after diet therapy * Angiotensin-converting enzyme inhibitor in patients with congestive heart failure, left ventricular dysfunction ejection fraction below 40% ; , hypertension, or diabetes mellitus.
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Gerada C, Ashworth M. ABC of mental health: addiction and dependence--I: Illicit drugs. BMJ 1997; 315: 297-300. Fowlie DG. The misuse of alcohol and other drugs by doctors: a UK report and one region's response. Alcohol Alcohol 1999; 34: 666-71. Strang J, Wilks M, Wells B, Marshall J. Missed problems and missed opportunities for addicted doctors. BMJ 1998; 316: 405-6. BBC Crime. A to Z drugs. bbc.co. uk crime drugs tranquillisers.shtml accessed 24 Mar 2003 ; . General Medical Council. Problem doctors. gmc-uk probdocs default shtml accessed 24 Mar 2003 ; . General Medical Council. The new doctor. London: GMC, April 1997. General Medical Council. Helping doctors who are ill. London: GMC, November 1997.
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