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The decisions of the TUEC to be distributed to other relevant Anti-Doping Organizations under the provisions of the Code. 5.2 -- The members of the TUECs and the administration of the Anti-Doping Organization involved will conduct all of their activities in strict confidence. All members of a TUEC and all staff involved will sign confidentiality agreements. In particular they will keep the following information confidential: a ; All medical information and data provided by the Athlete and physician s ; involved in the Athlete's care; b ; All details of the application including the name of the physician s ; involved in the process. Should the Athlete wish to revoke the right of the TUEC or the WADA TUEC to obtain any health information on his her behalf, the Athlete must notify his her medical practitioner in writing of the fact. As a consequence of such a decision, the Athlete will not receive approval for a TUE or renewal of an existing TUE. 6.0 -- Therapeutic use exemption committees TUECs ; TUECs shall be constituted and act in accordance with the following guidelines: 6.1 -- TUECs should include at least three physicians with experience in the care and treatment of Athletes and a sound knowledge of clinical, sports and exercise medicine. In order to ensure a level of independence of decisions, a majority of the members of the TUEC should not have any official responsibility in the Anti-Doping Organization. All members of a TUEC will sign a conflict of interest agreement. In applications involving Athletes with disabilities, at least one TUEC member must possess specific experience with the care and treatment of Athletes with disabilities. 6.2 -- TUECs may seek whatever medical or scientific expertise they deem appropriate in reviewing the circumstances of any application for a TUE. The WADA TUEC shall be composed following the criteria set out in Article 6.1. The WADA TUEC is established to review on its own initiative TUE decisions granted by Anti-Doping Organizations. As specified in Article 4.4 of the Code, the WADA TUEC, upon request by Athletes who have been denied TUEs by an Anti-Doping Organization will review such decisions with the power to reverse them. 7.0 -- Therapeutic use exemption TUE ; application process 7.1 -- A TUE will only be considered following the receipt of a completed application form that must include all relevant documents see Appendix 1 TUE form ; . The application process must be dealt with in accordance with the principles of strict medical confidentiality. 7.2 -- The TUE application form s ; , as set out in Appendix 1, can be modified by Anti-Doping Organizations to include additional requests for information, but no sections or items shall be removed. 7.3 -- The TUE application form s ; may be translated into other language s ; by Anti-Doping Organizations, but English or French must remain on the application form s ; . 7.4 -- An Athlete may not apply to more than one AntiDoping Organization for a TUE. The application must and
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TABLE 1 Excess Profits Created by the Medicare Drug Act by Prescription Drug ; Prices in dollars ; Annual Veterans Part D Prescriptions Administration low ; millions ; 9.7 4.3 11.0 Excess Profits millions of dollars ; 223.8 143.9 216.4 $7, 647.9.
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However, the advent of "high-performance" liquid chromatography coupled with electrochemical detection LC-EC ; has provided a highly sensitive and specific means of determining catecholamines, indoleamines, and their respective metabolites for reviews see references 9, 10 ; . LC-EC has been used for determinations described for brain extracts 9, 10 ; , cerebrospinal fluid 11, 12 ; , and plasma 13-15 ; , the assays involving various degrees of complexity of sample preparation. However, serotonin from brain is measurable by directly injecting supernates of tissue homogenates into a suitable chromatographic system 10 ; . Here we report the determination of serotonin in simply-treated human plasma. The method is suitable for quantifying plasma serotonin in normal controls and in patients with various disease conditions. We verified the data obtained from the LC-EC analysis by comparison with a classical spectrofluorometric method 7, 16 ; , both for plasma standards and for samples from carcinoid patients. These patients are characterized by a serotonin-secreting tumor, which increases the concentrations of serotonin in blood and urine 3.
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Chin MH, Goldman L. Factors contributing to the hospitalization of patients with congestive heart failure. J Public Health 1997; 87: 643-648.
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NEWSLETTER used to violate civil rights, and it seems important for someone with sufficient medical training and experience to be the one to determine diagnosis and treatment, and, if necessary, involuntary status based on a decent and comprehensive assessment. Money needs to go to consultation labor psychiatrists and their clinical extenders ; , not more bricks and administrators. The establishment of WestCare, a mental health facility located in an abandoned motel, staffed primarily by non-psychiatric personnel, not Joint Commissioned, not reimbursable and devoid of accountability for psychiatric treatment standards sets a precedent for the way psychiatric services are disrespected. Although I appreciate and value WestCare stepping up to the plate and helping with this humanitarian crisis, the dilution of psychiatry should alarm the general medical community. The state of psychiatry in the state of Nevada is a blind extension of Nevada's traditions and its lack of medical direction in regard to broad policy. My concern is that as costs and administration continue to dominate medical decisions, procedures and public policies, the definition of what a hospital is, and what doctors do will continue to deteriorate. We have seen psychiatry's problems become everyone's problems. In response the Clark County Medical Society and the Nevada State Medical Association have adopted a resolution to encourage the integration of psychiatric services in all Nevada hospitals. However, our opinions and our resolution about the need for psychiatry in full service hospitals are being cast aside. We as physicians need to assure the public that in the event of a major community crisis, hospitals will have the staff, the experience and the tools to help with panic and stress. People see hospitals as places where they can get help for these problems, and will continue to present to emergency departments regardless of plans to transport them to a secluded location. Ironically, this issue of promoting consultation liaison instead of centralization is financially conservative as well as humane, since dollars would be spent on medical manpower to consult, treat and triage in existing facilities, rather than erecting, administrating, staffing, transporting back and forth and duplicating instruments and diagnostic machinery. Accurate identification and aggressive treatment can prevent hospitalization. Addressing all cooccurring disorders can reduce medical stays, and pathology. After years of practicing in this field, there is still rarely a day when we don't detect the probing influences of economics, government, and special interests trying to control decisions made in the examining room. They are distracting and often controlling. But more than ever, political processes demand the active participation of physicians representing patient interests and thus we need to act and speak like physicians, rather than Republicans, Democrats, Christians, Muslims or Jews. Even if our unanimous position on psychiatry integration fails to prevail, we must have one or we will be defined by others. This psychiatric crisis provides an opportunity for us to stand up for all patients, not just psych patients. Showing support for keeping our medical community unified is something we have already wrapped our minds around, and I encourage you who have had the terrible pain of psychiatric symptoms touch your lives, your medical practices, and your families to please be alert. How the community treats the medical specialty of psychiatry is relevant to your personal and professional lives. It is destructive and humiliating to be restrained for weeks, untreated, and then committed. Active treatment on site can prevent this repetition of the abuse of psychiatric patients, which unfortunately is another horrifying tradition.
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