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Description: In 2001, the 100 highest selling global drug brands included 18 CV drugs and five diabetes drugs, which generated sales of $41bn and accounted for 29.2% of the top selling drugs. The sheer size of these markets underlines the vital importance of cardiovascular and diabetes brands to overall market performance and positioning of major pharmaceutical company portfolios. However, competition is fierce, with patents expiring on several key drugs.Draws on the 2002 PharmaVitae brief entitled "The Top 100 Drugs of 2001, " and provides updated sales to H1 2002Looks at the winners and losers of the cardiovascular and diabetes markets and examines factors driving the markets' highest selling drugsForecasts future trends affecting the sales performance of top-selling products and the resulting impact on their marketing companiesThe battle of leading statins Zocor and Lipitor continues, despite new wars on the horizon - generic competition and new `superstatins.'The first ARBs, Cozaar and Diovan, still lead the market although they face a growing threat from new, more efficacious brands with new indications in the pipeline.BMS SanofiSynthelabo's antiplatelet drug Plavix, launched in 1998, experienced one of the highest growth rates following positive results from the Cure trial. Meanwhile, older products with new indications such as AstraZeneca's Seloken, and Aventis' Altace also continue to exhibit strong growth.Access insightful analysis of the most recent dynamics in the cardiovascular and diabetes markets with a view to predicting future trends.Identify the most effective lifecycle management strategies for major brands facing intense competitionBenchmark your marketing and product development strategies against those of leading performers.
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The following contains the background information for all MTOC members as at December 2006. Dr Emmanuel Addo-Yobo Department of Child Health School of Medical Sciences Kwame Nkrumah University of Science and Technology Komfo Anokye Teaching Hospital PO Box 1934, Kumasi Ghana.
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Multicast is the most efficient means for delivering multimedia content such as IPTV or broadcast video over an IP infrastructure. To ensure efficient delivery of multicast, a dedicated VLAN referred to as the MC-VLAN in Figure 3 above ; between the DSLAM and BSR should be used for delivery of multicast towards the DSLAM. The DSLAM can then replicate traffic to end subscribers based on IGMP Join requests. As the DSLAM is responsible for multicast group membership, it can enforce policy control over which end users can access which multicast groups. With this minimal IGMP snooping functionality, a DSLAM can proxy IGMP requests to the BSR to initiate the delivery of specific multicast content. Alternatively, static IGMP membership may be used on the BSR for continuous delivery of all multicast groups, regardless of membership. Static membership and streaming of all multicast groups may allow faster multicast channel changes at the end user and flomax.
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Members with our Three-Tier Drug Rider pay different co-payments or coinsurance for drugs based on whether they are: Generic Preferred Brand-name that is, on our Preferred Brand-name Drug list ; Non-preferred Brand-name not on our Preferred Brand-name Drug list ; RESTAT, our prescription drug manager, changes the Preferred Brand-name list in two circumstances: The list changes four times a year to reflect drugs entering or leaving the marketplace. Members receive notification through their Vigor newsletter. In most cases, we give 30 days notice of these changes. RESTAT automatically deletes drugs from the Preferred Brand-name list without notice throughout the year when generic forms become available. We will not be able to provide notice of these changes, as they can happen at any time. When members switch to the new generic form of the drug, their co-payments or coinsurance will be significantly lower. The following medications have been added to our Preferred Brand-name Drug List: CLIMARA LEVSIN-SL CONCERTA LEVSINEX FULVICIN P G NULEV FULVICIN U F ORTHO TRI-CYCLEN INTAL INHALER ORTHO TRI-CYCLEN LO LEVBID SANDIMMUNE The following medications have been deleted from our Preferred Brand-name Drug List: ACULAR DIOVAN HCT ACULAR PF VIOKASE DIOVAN The following medications are deleted because they are now available as generics: BUSPAR NITRODISC CORDARONE NITRO-DUR COUMADIN PRILOSEC DAYPRO ROCALTROL DECONAMINE SR LIQUID EURAX CREAM SARAFEM EULEXIN THEO-DUR FLORINEF UNIVASC HALDOL VASOCIDIN IMURAN WESTCORT KLOTRIX ZESTORETIC LOESTRIN FE ZESTRIL MEDROLS ZIAC MICRONOR and flovent.
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Are you having blurred vision with driving? Are you having glare with the headlights at night? Are you having more and more problems trying to read in slightly dim light? You may be suffering from cataracts. This is a condition that frightens many people because in the past it has meant blindness. Some can remember their parent or grandparents having to go through cataract surgery and staying in the hospital a week with sand bags. Actually the treatment of cataracts has changed dramatically over the past 25 years making it much more successful than it was previously. What is a cataract? A cataract is the loss of transparency of the normal lens within the eye. The lens is the focusing mechanism of the eye and is positioned just behind the pupil the small black opening in the center of the iris ; . What causes cataracts? Most cataracts are due to age. The tendency toward cataracts is often inherited and may affect some persons at a much earlier age than others. Severe injuries sometimes damage the lens .enough to cause cataracts. Other less common causes include diabetes, medications, viral infections before birth, etc. What symptoms characterize a cataract? A person realizes he has a cataract because of a gradual and progressive blurring of vision. Cataracts do not cause pain, or watering of the eye. Most types of cataracts scatter light within the eye. resulting i n an unpleasant glare when there is bright light. This glare and fosamax.
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You have the right to be fully informed and to share in decision-making about your healthcare. If you need further information about any aspects of your diabetes or treatment, please ask your GP or a relevant member of your healthcare team. You can discuss this guideline with them if you wish. For further information about the National Institute for Clinical Excellence NICE ; , the Clinical Guidelines Programme or other versions of this guideline including the sources of evidence used to inform the recommendations for treatment and care ; , you can visit the NICE website at nice . NICE has also issued other guidance that may be of particular interest to people with type 2 diabetes. This guidance can be found on the NICE website, and paper copies can be ordered from the NHS response line phone 08701 555 455 and quote the reference number. The guidance available covers.
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He Commission for Certification in Geriatric Pharmacy CCGP ; administered its 16th Certification Examination in Geriatric Pharmacy on May 14 and 15, 2005. A record 185 candidates from Australia, Canada, and the United States, representing a variety of practice environments, took the exam, of which 156 earned a passing score. "CCGP congratulates all those who achieved a passing score on the May exams" said CCGP Executive Director Lance Hoxie. "These professionals possess a level of training, experience, knowledge and skills that is deemed essential to providing comprehensive pharmaceutical care to the nation's senior population. They have met a rigorous national standard and they and their employers can be justifiably proud of this accomplishment." William Simonson, PharmD, CGP, FASCP, chairman of the CCGP Board of Commissioners said: "This class represents a continuing growth in Certified Geriatric Pharmacists that we have experienced since the beginning of the certification program. We believe that with the advent of the new Medicare Part D and medication therapy management services.
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Plans are more likely to establish quantity limits for covered drugs than to require step therapy, which is required slightly more often than prior authorization. On average across the Medicare drug plans and sample drugs that we studied, 14 percent of covered drugs are subject to quantity limits, seven percent are subject to step therapy, and six percent to prior authorization. See Exhibit 12 ; Utilization management tools are more commonly applied to brand-name drugs than generic drugs. At least half of the plans use these tools on five of the top 10 brandname drugs most often, quantity limits. Specifically, two hormonal agents used to treat osteoporosis Actonel and Fosamax ; , two statins for treating cholesterol Lipitor and Zocor ; , and one drug for gastrointestinal ailments Nexium ; are most likely to have quantity limits applied; Diovna for hypertension ; and Nexium are most likely to have step therapy requirements; and Nexium is most likely to require prior authorization. Restrictions are far less common for the top 10 generic drugs. Only two of the top 10 generic drugs are subject to utilization management practices, and only 12 plans restrict the use of either or both of these drugs. Lisinopril, like other ACE inhibitors, is subject to either step therapy or quantity limits. Several plans place quantity limits on hydrocodone, an addictive and commonly abused painkiller and effexor.
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A. Terminal learning objective: Given a simulated patient with simulated symptoms, the student will be able to recognize potential problems and properly perform the needed exam. B. Enabling learning objective: 1. Identify different bowel sounds. 2. Identify different types of hernias. 3. Identify different organs and their position in the abdominal cavity. 4. Identify the different symptoms of an acute abdomen. C. References: 1. Taber's Cyclopedic Medical Dictionary, 1989 2. The Merck Manual, Sixteenth Edition. I. Anatomy & Physiology A. The abdomen is divided into 4 quandrants. 1. RUQ: right upper quadrant 2. LUQ: left upper quadrant 3. RLQ: right lower quadrant 4. LLQ: left lower quadrant B. Normal palpable structures: 1. Sigmoid colon: LLQ - firm, narrow tube 2. Cecum and ascending colon: RLQ - a softer, wider tube 3. Pulsation's of ascending aorta: midline in upper abdomen C. Less commonly palpable, but normal: 1. Liver: just below right costal margin * Costal- To a rib ; 2. Transverse and descending colon: RUQ & LUQ 3. Lower pole of right kidney: RUQ deep, mostly in thin women 4. Iliac artery: pulsation's - LLQ & RLQ 5. Spleen tip: seldom felt - LUQ under ribs General principles of exam: A. Conditions required: 1. Good light 2. Relaxed patient 3. Full exposure of abdomen.
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