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Effects upon blood pressure were examined as exploratory endpoints. Reductions in systolic and diastolic blood pressure by 4.3 mmHg and 1.6 mmHg, respectively, were observed in the dapagliflozin plus metformin group. Glipizide plus metformin group was associated with an increase of 0.8 mmHg and a reduction of 0.4 mmHg, in systolic and diastolic blood pressure, respectively. Orthostatic hypotension was not observed lasix furosemide lasix and diabetes In patients with COPD the airways in the lungs typically lose their elasticity, produce excess mucus and become thick and inflamed, limiting the passage of air. The most common symptoms of COPD are breathlessness (or a "need for air"), abnormal sputum (a mix of saliva and mucus in the airway), and a chronic cough. Daily activities, such as walking up a short flight of stairs or carrying a suitcase, can become very difficult as the condition gradually worsens. There are significant unmet needs in the treatment of COPD including limited therapeutic options to improve lung function, reduce symptoms and control exacerbations
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A meal in the morning provides energy for the day's tasks, aids in brain functioning, and kick-starts the body's metabolism, making it crucial for weight loss and maintenance. And breakfast is the meal that most successfully regulates ghrelin, the hormone that increases hunger, explains Prof. Jakubowicz. While the level of ghrelin rises before every meal, it is suppressed most effectively at breakfast time lasix dosage cheap lasix BMJ News reports on the aims of President Barack Obama's Global Health Initiative (GHI), as described by senior members of his administration during a forum hosted by the Kaiser Family Foundation last Wednesday. The article details the officials' comments about creating programs that are sustainable and country owned; an emphasis on targeting the health needs of women and girls; and how the U.S. would work to implement GHI programs targeting marginalized populations, such as men who have sex with men (Roehr, 4/19). A webcast and transcript of the event are available online
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Diabetes and high blood sugar (hyperglycemia), changes in body fat, and increased bleeding in people with hemophilia have occurred in some people taking protease inhibitors including NORVIR. People should tell their doctor if they have diabetes or an increase in thirst or urinate often. The cause and long-term effects of body fat changes are not known at this time buy zithromax 500mg azithromycin zithromax buy Researchers said the study is the first to isolate the impact of specific chronic health conditions on the difference in disability rates between older men and women. While many people are studying how chronic conditions affect mortality, the investigators were surprised to see the extent to which these conditions explained the gender difference in disability
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Patients in the study treated with a SIMCOR combination containing 20 mg simvastatin had significantly better reductions in non-HDL cholesterol compared to 20 mg simvastatin therapy alone, as well as significant improvements in HDL and triglyceride levels. Patients receiving a SIMCOR combination with 40 mg simvastatin experienced reductions in non-HDL comparable to 80 mg simvastatin alone, and significantly better improvements in HDL and triglycerides compared with 80 mg simvastatin alone. Flushing is the most commonly reported side effect associated with Niaspan. It is generally mild and can be lessened by taking aspirin 30 minutes prior to taking the medication at bedtime. Six percent of patients on the combination discontinued therapy due to flushing compared to 0.8 percent with simvastatin alone zithromax buy zithromax where to buy The purpose of the Pilot Program is: (1) to allow HCDMs to login to the general System and become familiar with some of the features and functionalities, including the initial versions of an eRequest Tool and Manufacturer Directory; (2) to provide a time period for manufacturers to determine if they will make their product dossiers available on the AMCP eDossier System after its official launch; and (3) to gather feedback from HCDMs regarding the usefulness of the System's offerings to support their decision making processes
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"Based on today's announcement, LÄK-RLP (Landesärztekammer Rheinland-Pfalz, the State Medical Association of Rheinland-Pfalz, Germany) has reviewed 74 scientific articles describing clinical trials subject to the requirements of the German Medicinal Act. This includes the article by Professor Boldt recently retracted by Anesthesia & Analgesia and an article submitted by Professor Boldt to Anaesthesia but not published. By law these studies required IRB approval. Although the articles typically stated that IRB approval had been obtained, LÄK-RLP could not find evidence of approval for 68 of these articlesLÄK-RLP also identified 30 published articles that describe research that did not fall under the jurisdiction of the German Medicinal Act but physicians performing such human research must conform to the Code of Deontology, which includes a requirement for IRB review. Some articles describing epidemiological studies with non-identifiable data did not require IRB review. For six articles LÄK-RLP was able to document IRB approval. For the remaining articles LÄK-RLP has not been able to document IRB approval. According to Wikipedia, Joachim Boldt is a German anesthesiologist, and a leading colloids researcher. He was suspended from Klinikum Ludwigshafen, Germany, on November 10th, 2010 for a publication in Anesthesia & Analgesia without proper background research. In February of this year he was stripped of his professorship at the University of Giessen for failing to deliver teachingsThe Los Angeles Times on Sunday examined the pharm-free"" movement among academic medical centers to eliminate the influence of pharmaceutical sales representatives and industry gifts on physicians and medical students. Jerry Avorn, a professor of medicine at Harvard Medical School and author of Powerful Medicines: The Benefits, Risks and Costs of Prescription Drugs, said that physicians are becoming more concerned about being negatively associated with pharmaceutical companies. A Journal of the American Medical Association article published last year -- which advocated for bans on health care professionals accepting no-cost food and gifts from sales representatives -- might ""have been a tipping point"" for the movement, the Times reports. The JAMA article, signed by doctors at Harvard, Columbia University and other institutions, said, ""Academic medical centers, which include medical schools and their affiliated hospitals, should provide leadership for medicine in the United States,"" adding, ""Research reveals that the habits learned or acquired during training persist into practice."" Arthur Caplan, director of the Center for Bioethics at the University of Pennsylvania, said a study he coauthored that was published in the American Journal of Bioethics in 2003 found ""indisputable [evidence] that small gifts had a tremendous power in influencing favorable attitudes toward products."" Stanford University, Yale University and the University of Pennsylvania prohibit students, faculty and medical staff from accepting ""even small gifts,"" the Times reports. The University of California-Davis and the University of California-Los Angeles are implementing similar rules this year, and the University of California Office of the President ""is working on systemwide rules for all of its five medical schools,"" the Times reports. However, ""few private hospitals or physician groups"" -- with the exception of Kaiser Permanente -- ""have enacted restrictions,"" according to the Times. Scott Lassman, senior assistant general counsel at Pharmaceutical Research and Manufacturers of America, said that medical centers that ban sales representatives and gifts are ""going to be cutting themselves off from a lot of useful information"" (Engel, Los Angeles Times, 2/4)" online nolvadex buying nolvadex online Launched in 2002, AMSA's PharmFree campaign encourages medical schools and academic medical centers to develop policies that remove the influence of industry marketing from clinical decision making by, for example, limiting the access of pharmaceutical company representatives to their campuses and prohibiting medical students and physicians from accepting gifts of any kind from these representatives. AMSA also offers its members the opportunity to sign a PharmFree pledge that states they will "accept no money, gifts, or hospitality from the pharmaceutical industry" and "seek unbiased sources of information." AMSA was one of the first national medical organizations to ban all pharmaceutical advertising in its publications and at its events. For a detailed history of the PharmFree movement, visit http://www.pharmfree.org
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The foregoing press release contains forward-looking statements that can be identified by the use of forward-looking terminology such as "potential", "anticipated", "generally follows", "expected", "hope", "will", or similar expressions, or by express or implied discussions regarding potential future regulatory approvals of Aclasta, or potential future sales of Aclasta. Such forward-looking statements reflect the current views of Novartis regarding future events, and involve known and unknown risks, uncertainties and other factors that may cause actual results to be materially different from any future results, performance or achievements expressed or implied by such statements. There can be no guarantee that Aclasta will be approved for sale, or for any additional indications or labeling in any market, or that Aclasta will reach any particular level of sales nolvadexnolvadex If a person's BMI is between 19 and 24.9, they are normal weight. A BMI between 25 and 29.9 means they are overweight. Obese people's BMI is 30 or more. BMI is a commonly used measurement for working out whether somebody has an ideal or non-ideal bodyweight. It is derived from the individual's height and weight. BMI can be misleading, because a muscular athlete can have a higher BMI than a couch potato of the same height, but the athlete has a lower body fat content. However, for working out statistics involving thousands of people, BMI is still fairly reliable
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« Du 30 avril au 8 mai, le centre de vacances de Saint-Cyprien (Pyrénées-Orientales) a accueilli l’association Artémiss Compagnie (théâtre, création, handicap). Objectif : réaliser un court-métrage évoquant les relations amoureuses des personnes en situation de handicap.«
Le mercredi 26 janvier c’est déroulée le Critérium Breton de Boccia, à Guilliers (26). Ce tournois était qualificatif pour le national
Parmis les deux équipes de Ker Spi, celle formée par Mathieu et Mathias terminent à la 2ème place (catégorie « avec rampe ») et sont donc qualifiés pour l’étape nationale.
Celle de Yannick et Véronique termine à la 5ème place.
Hier, Mathieu, Mathias, Yannick Véronique et Séverine ont participé au Critérium Interdépartemental de Boccia (Côtes d’Armor et Finistère). Celui-ci était organisé par le Comité Départemental handisport des Cotes d’Armor.
Sur 12 équipes, Mathieu et Mathias ont terminé 2ème du tournois et sont qualifiés pour le championnat régional, qui aura lieu le 26 janvier, à Guilliers dans le Morbihan.
Un article est paru dans le Ouest-France du 09/12/2010 (aujourd’hui)
Une pétanque qui se moque du handicap
Interdiction pour le guide d’aider le concurrent en regardant l’air de jeu !
Hier, le gymnase de la Vallée accueillait une compétition de boccia,une variante de la pétanque accessible à tous.
Des balles en cuir de couleur rouge, blanche et bleue, des manches de 20 minutes, voici la boccia. Hier au gymnase de la vallée, se déroulait le critérium départemental de la discipline. Les règles sont les même qu’à la pétanque : deux équipes s’affrontent pour se rapprocher du cochonnet.
Avantage de ce jeu de boules presque comme les autres : les personnes très handicapées peuvent y participer. Elles utilisent pour cela une gouttière tenue par un guide, dos à l’action.
«Ce dernier n’a pas le droit de regarder l’air de jeu, explique Anne-Laure Le Yaouanc, agent de développement du comité départemental handisport. C’est le participant qui lui indique la direction et l’inclinaison qu’il souhaite pour sa gouttière. »
Bien implantée en Amérique du nord, la discipline s’impose progressivement en France depuis cinq ans. 26 personnes participaient hier au critérium départemental.
Les équipes, issues des foyers de Ker-Spi et de la Fraternité (Plérin), du club handisport de Saint-Brieuc et de Dinhandisport (Dinan) venaient chercher une qualification pour le championnat régional qui aura lieu le 26 janvier, à Guilliers dans le Morbihan.
Voici une petite vidéo réalisée lors ce cette journée (Ouest-France)
Depuis plusieurs mois, la ville de Plérin (où est situé le foyer) effectue un audit sur l’accessibilité de la voirie (trottoirs, etc… ). Différentes équipes de la ville (voirie, espaces verts… ) sont concernées mais également des associations représentatives des personnes à mobilité réduite. Cela pour répondre à ce qu’impose la Loi de février 2005, à savoir « obligation d’accessibilité à l’espace public, aux logements, aux transports et à la voirie d’ici 2015«
Deux personnes accueillies à Ker Spi (Yannick et Marilyne), ainsi qu’une professionnelle (Nathalie) font partis de cette commission et arpentent les rues de Plérin, équipés de leur appareil photos. Les endroits difficiles sont pris en photo et envoyés avec explications à la mairie.
Voici le journal et vous trouverez l’article aux pages 6 et 7.
« Les parents d’enfants handicapés font un rêve: celui d’un avenir où les années qui passent ne sont pas un éternel parcours du combattant, à la recherche d’une structure d’accueil. Celui-ci devrait se concrétiser, dans le champ de la déficience motrice, entre Plérin et Pordic.
La création des agences régionales de santé et la logique de territoire, tendant à voir le nombre de 33.000 établissements français réduit à 5.000b udgets, a été une révolution dans le domaine social et médico-social. Une petite association n’existe plus face au secteur privé, si elle est seule. Cela a été un élément déclencheur de la déclaration commune d’intention de coopération, signée dernièrement, entre les associations des IMC 22 (foyer et habitats autonomes Ker Spi), l’oeuvre d’hygiène sociale 22 (centre héliomarin de Saint-Laurent et future Maison d’accueil spécialisé de Plouha) et À fond la caisse (Courtil de l’Ic), mais pas le seul.
De l’enfance à la vieillesse
«L’ouverture prévue, en décembre2011, du foyer médicalisé Le Courtil de l’Ic, à Pordic, à l’intention de déficients moteur de plus de 20ans, nous a amenés à nous interroger sur sa gestion future», ont expliqué Paule Quéméré (administratrice AFLC) et Guy Fonteix (ancien maire de Pordic). «Pourquoi, alors qu’il existe des structures du même secteur d’activité, complémentaires, proches géographiquement et philosophiquement, ne pas profiter de leur expérience? Et par là même, offrir un parcours de vie complet, de l’enfance à la vieillesse, avec un vrai choix d’hébergements et d’accompagnement.»
Une mutualisation des moyens
Ce qui pourrait se traduire, dans un délai proche, par une mutualisation de certains moyens (logistiques, direction commune ou partagée, porosité des postes techniques entre les différents établissements), et à terme, par un Groupement de coopération sociale et médico-sociale à gestion commune. «Celui-ci permettrait à chacun de conserver sa spécificité et son pouvoir propre, en faisant des économies d’échelle qui ouvrent d’autres possibilités et perspectives d’avenir.» »
Les représentants des conseils d'administration de l'Oeuvre d'hygiène sociale, ADIMC 22 et A fond la caisse, et les directions différents établissements concernés, se sont réunis, jeudi soir, au centre héliomarin, pour aller plus avant dans leur projet de rapprochement.