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The level of remuneration for community pharmacies providing HMR services should be reviewed to more closely reflect the actual costs of delivering these services in various locations; pharmacy remuneration should be indexed to inflation into the future. The Pharmacy Guild of Australia, the Australian Association of Consultant Pharmacy and the Pharmaceutical Society of Australia should consider ways of providing practical support to pharmacists to encourage MMR accreditation. Such support might include a mentoring scheme to allow pharmacists access to the expertise of alreadyaccredited pharmacists. Given the limitations that flow from the current level of HMR referrals by GPs, the Department of Health and Ageing should commission national qualitative and or quantitative research with GPs to explore issues such as: - GPs' understanding of and attitudes towards the HMR and any specific barriers to uptake - the perceived benefits of HMRs for patients, GPs and the health system.

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According to an EU decision in 2002, stock-exchange-listed companies must prepare their consolidated financial statements according to accounting principles established by the International Accounting Standards Board. These principles are called the International Financial Reporting Standards and the International Accounting Standards IFRS and IAS the IAS were established before 2002. IFRS transition effects on Meda's profit loss and financial position were described in Meda's 2004 year-end report and 2004 annual report. The IFRS and IAS, which must be applied starting in 2005, are EU Commission-approved standards. Restatement of income statements, balance sheets, equity, and key data for 2004 as per the IFRS ; are reported in forthcoming sections; effect on the opening, 1 January 2004 balance sheet is SEK 0. GOODWILL AMORTISATION Goodwill amortisation is prohibited as per IFRS 3. Instead, write-down tests must be done at least once a year. Meda did write-down tests on 31 December 2003 and 31 December 2004. As per these tests, there is no need for write-downs; brought-back goodwill amortisation for 2004 totalled SEK 8.5 million. MARKET'S MEASUREMENT OF FOREIGN-EXCHANGE-DERIVATIVE HEDGING ITEMS * During application of the IFRS, all derivatives are continuously marked valued. As per previous accounting principles, derivatives are not market valued. Market value was SEK 0.4 million for outstanding foreign-exchangederivative hedging items; SEK 0.1 million was deducted for tax. In general, accounting principles applied on the opening balance must agree with each IFRS that applies at the time of reporting. Several exceptions from total retroactive application are allowed; when the opening balance is reported as per the IFRS, then Meda will apply exceptions in this manner: Employee benefits IAS 19 ; : introduction of IAS 19 is not considered a transition effect, because RR29 already has been applied from 1 January 2004. RR29 and IAS 19 are generally aligned. Accumulated actuarial profits and losses for pension plans were set to zero 0 ; at the time of transition and completely reported as pension liability and equity. Equity compensation benefits IFRS2 ; : the recommendation will be applied to plans that have an allocation date starting on 7 November 2002 and onward and that have an earning date of 1 January 2005 or later. Meda's plan doesn't fall within these dates, so it need not be restated. So for this plan, only disclosure as per IFRS 2 applies. Financial instruments IAS 39 ; : reporting and valuation will be applied from 1 January 2004. Restatement differences in relation to investments in foreign operations should, as per IAS 21, be reported as a separate item in equity. If foreign operations are sold, then accumulated restatement differences should be reported as part of the profit loss of the disposals. 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James A Best, MB BS, FRACGP, General Practitioner2 Bronwyn M Gould, MB BS, MPsycholMed, General Practitioner2 Gin S Malhi, MD, FRANZCP, MRCPsych, Senior Lecturer1 Geoffrey J Riley, MRCPsych, FRANZCP, FRACGP, Professor3 Ian G Wilson, PhD, FRACGP, Professor4 1 School of Psychiatry, Prince of Wales Hospital, University of New South Wales, Sydney, NSW. 2 Sydney, NSW. 3 School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, WA. 4 Medical Education, School of Medicine, University of Western Sydney, Sydney, NSW. Correspondence: phil tchell unsw .au. PATIENTS A series of 95 patients with HAE from 59 unrelated kindreds have been followed up at the angioedema service of the Department of Dermatology of the University of Mainz, Mainz, Germany, for up to 20 years. The patients were from various regions of Germany. Deficiency of C1-INH was confirmed for all 95 patients; 92 had HAE I, and 3 had HAE II. All patients had the typical clinical symptoms of HAE, ie, relapsing attacks of skin swelling and abdominal pain. Fortytwo of the patients had 1 or more episodes of sudden airway obstruction; 18 of them, all with HAE I, received C1INH concentrate for sudden airway obstruction. Information about the patients with laryngeal edema is given in Table 1. C1-INH CONCENTRATE The C1-INH concentrate used Berinert HS; Aventis Behring, Liederbach, Germany ; is derived from pooled plasma of healthy donors seronegative for hepatitis B surface antigen, antihuman immunodeficiency virus 1 HIV-1 ; , anti HIV-2, and antihepatitis C virus HCV ; . Furthermore, all donations were tested for the absence of hepatitis A virus HAV ; , hepatitis B virus HBV ; , HCV, and HIV-1 as well as high titers of Parvovirus B 19 by means of polymerase chain reaction PCR ; analysis. In addition, a plasma pool for fractionation is only released for further processing if results of a sensitive and selective PCR are nonreactive for HBV DNA, HCV RNA, and HIV-1 RNA. Therefore, the high virus reduction capacity of the manufacturing procedure of Berinert HS is facilitated by the starting material, nonreactive for transfusion-relevant viruses on PCR findings. Important steps in the production procedure included heat treatment in aqueous solution at 60C for 10 hours pasteurization ; . One clinical study showed that Berinert HS does not transmit HIV-1 infections, 17 and another which followed the International Committee on Thrombosis and Haemostasis protocol ; found no transmission of HBV or non-HAV HBV.18 and minipress and mevacor, for example, side effect. ThecurrentTBdrugregimen, aproductofthebest scientificadvancesofthe1960s, worksforactive, today's four-drugcombination, takenideallyunderdirect isburdensomeforpatientsandcare many knownasMDR-TBandXDR-TB, respectively. Further, theglobalHIV AIDSpandemicisfuelling anincreaseinTB, resultinginadramaticriseinthe HIV people, inHIV-infectedpeople, particularlyinlowincome countries.5Insub-SaharanAfrica, upto80percent Unfortunately, thecurrentTBdrugregimenisnot therapiesusedtotreatHIV AIDS. affordable, new, fasterandsimplerdrugregimens. TB transforming andgovernmentdonors, andtheappearanceof drugdevelopmentgap, thecurrentglobalTBdrug pipelineisthelargestinhistory. the nextfivetotenyears.

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Iowa Nurses Political Action Committee Event INPAC hosted a pre-convention activity moderated by Cindy Baddeloo. Gubernatorial candidate, Jim Nussle followed by candidate for Lt. Governor, Patty Judge and candidate Chet Culver addressed the sixty attendees. They discussed a variety of health care and nursing issues with the attendees. $ 3, 000 was raised for the PAC throughout the year and on Wednesday night. Comments received from members through the electronic survey process recommended that INPAC and the INA Board not make an endorsement, but rather encourage all nurses to work for, donate to, and vote for the candidate of their choice. Continuing Education CE presentations were offered over the three days for .57 hours of possible CEU credit or 5.7 of ANCC contact hours. The topics were: "Iowa Nursing Law: Legal Update 2006" by Lynn Bes; "Embracing Change" by Pat Donahue; "Pandemic and Avian Flu" panel discussion of Lisa Caffery, Fran Sadden, Jane Condon and Dennis Coon and "A New Look at How to Quit Smoking" by Nancy Bell. Keynote Address The keynote address by Pat Donahue looked at the great potential in change, how the nurse exists in an ever changing world, and an analysis of the always changing landscape of nursing and health care. Business Meeting The two sessions of the Annual Business Meeting were chaired by Karol Joenks, INA President. Both sessions were held on Thursday. Flu shots were offered during the Convention by the Visiting Nurses Association of Des Moines. Reports Karol Joenks gave the report of the Board of Directors and the Iowa Council of Nurses; Doris Ballantyne presented the Nominations Report. Reports were referenced as noted in the Convention book for the Public Policy Committee; the Membership Public Relations Committee; and the Economic and General Welfare Commission. Jean Ohlen provided the Resolutions Committee report; Vicki Hertko reported highlights of the Iowa Nurses Foundation activities, and Cindy Baddeloo reported on the Iowa Nurses' Political Action Committee activities. Attendees were directed to the Convention Handbook for greater detail. Other organizational reports were received from: Doreen Chamberlain for the Center for Healthcare Planning, which has lost its funded and been closed as well as for the Division of Health Promotion and Chronic Disease Prevention in the Iowa Department of Public Health. Sarah Pedigo, president for the Iowa Association of Nursing Students, presented a report as well as Lorinda Inman for the Iowa Board of Nursing.

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