Archive for the ‘Over-the-counter Medicine’ Category
EAS (Electronic Article Surveillance) A security system for preventing theft in retail stores that uses disposable label tags or reusable hard tags attached to the merchandise. ), Crouzet and Sfena – there was at least one additional reason to link up: the increasing trend towards systems integration in which individual units provide data to other systems or use data from other black boxes. All four firms were successful in their own individual field of specialization, even more so if one considers that Sfena holds 98 (yes, ninety-eight) percent of the world market for stand-by artificial horizon indicators. Thomson-CSF’s Avionics Division concentrated on head-up, head-level and head-down displays as well as on the development of new-generation liquid-crystal flat screens, Crouzet on navigation equipment (including laser gyroscopes and space-oriented systems), Electronique Aerospatiale on radios and Sfena on control systems; there was a slight product overlap in EFIS EFIS Electronic Flight Instrument System
EFIS European Federation of Immunological Societies (Berlin, Germany)
EFIS ERO Frequency Information System (Europe)
EFIS European Forest Information System and head-up displays for the civil aviation market (Airbus A310, 300-600, 320 and 330) this division is now actively developing new display systems for tomorrow’s synthesizer synthesizer
Machine that electronically generates and modifies sounds, frequently with the use of a digital computer, for use in the composition of electronic music and in live performance. board is also being developed for the Leclerc sideslip side·slip
intr.v. side·slipped, side·slip·ping, side·slips
1. To slip or skid to one side.
2. To slide sideways and downward in skiing.
3. indicators to Western hemisphere Western Hemisphere
Part of Earth comprising North and South America and the surrounding waters. Longitudes 20° W and 160° E are often considered its boundaries. including CASA Ca´sa
n. 1. A house or mansion.
I saw that Enriquez had made no attempt to modernize the old casa, and that even the garden was left in its lawless native luxuriance.
- Bret Harte. , Panavia, Embraer and attack helicopter A helicopter specifically designed to employ various weapons to attack and destroy enemy targets. . * Automatic Testing. This division is not directly involved in defence or aviation-related products, but supplies production test equipment for industry.
The origins of the sextant can be traced back to the 15th Century and is described by the
This week, Samsung announced several case studies showcasing how the company is enabling hospitals to digitize their work environment. Samsung recently worked with Olympic Medical Center (OMC) in Washington State in a pilot program that allows physicians and medical personnel to use electronic health records (EHR) and cutting-edge technology designed to improve operational efficiencies and cut costs.
Samsung installed smart display monitors which transfers and stores data on the cloud. The hi-tech monitors also eliminated the need for traditional pc hardware and mouse interaction. The company claims that the technology reduces acquisition costs as well as IT maintenance. “The new workflow is significantly faster and has cut my dictation and chart completion time by more than 30 minutes every day,” said Dr. Rebecca Corley.
If Samsung continues to deliver operational efficiencies at OMC, the medical center could soon become a benchmark for hospitals across the nation, especially in the wake of Obamacare’s full implementation next year. In 2011, politicians attached mandates to the Affordable Care Act that requires healthcare institutions to move towards electronic health records. Most hospitals and government agencies are falling behind schedule in meeting this requirement.
On its part, OMC’s leadership is intent on moving forward with electronic health records (EHR) and advanced clinical applications to improve productivity and care to patients. Later this year, the facility will begin rolling out software that will give health care providers secure access to a patient’s medical history and make it easier to achieve coordinated care across various medical providers.
The public sector is following Samsung’s efforts. Last week, the U.S. Defense Department announced that it probably wasted $1 billion of taxpayer money over the course of five years in trying to implement an EHR initiative. Without significant help from private contractors, the Pentagon’s program managers were simply not up to the gargantuan task of digitizing health records across multiple government agencies each using incongruent technologies and databases.
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We have an RV we are getting ready to sell. I am nostalgic already for the RV trips we have taken. There is nothing like the great outdoors, when you have the great indoors to come home to after a hard day site seeing. We have taken some great trips. We drove around the Great Lakes in a Circle Tour. This included Canada. We found the greatest place to camp. Our bedroom window was pointed towards the shore of the lake. We fell asleep to the sound of waves. It was lovely. In the middle of nowhere with hardly any camping company. It was one night of total relaxation.
In an RV you don’t have to worry about rain coming in if you touch the canvas of the tent. But we found out on our first trip how wet the floor of the bedroom could get if you didn’t tighten the plumbing for the camper down tight enough. We used every sheet, towel and rag in the camper and we still hear a little splish splash when we got up in the middle of the night. Water seems to be the downfall of campers, whether in a tent or an RV.
One of our exciting trips was when we were on our way to Phoenix, AZ. We were going up and down what I called mountains, and the road signs said were hills, when I started smelling something burning. We had a long ways to go. But there it was, the brakes were burning out. Up and down we went. Using the brakes as little as possible. Always aware of the smell of the brakes getting worse and worse. We finally got to a little place in the road, rolled up the freeway exit and parked for a minute glad of being alive. We then dropped off the RV for the brake job it needed and went to the Casino Hotel. It also was in the middle of nowhere. I won $1600.00 gambling. Just enough to pay for the brakes.
I am also nostalgic for all the trips I wanted to take. One was to go to New Jersey and seek out all the places that my ancestors had lived. Or another was to go to California where I have a cousin who is living close to the place that his ancestors had lived. Or go to Canada to see my cousins that still live where my Grandpa on my Fathers side was born. Oh for all the places there is to visit in the world. But right now we have neither the time or the money to do the RVing. My husband said that it was only a temporary situation. But even though we have not sold the RV yet. I already miss it.
Sense of DECORUM; Graham Crawford may have full control over the furnishings that will appear in his Glasgow store, Decorum, but at home it’s his wife who makes all the decorating decisions, as NAN ENSOR finds out.
IF you were decorating your villa in the Sauchiehall Street Sauchiehall Street is one of the main shopping/business streets in the city centre of Glasgow, Scotland. Along with Buchanan Street and Argyle Street, it forms the ‘Golden Z’ in Glasgow city centre, containing the majority of Glasgow’s high street and chain stores. might seem a strange stopover for some stylish shopping.
But in the world of high fashion home interiors, Graham Crawford and his brother Lindsay have built up a worldwide reputation for their family business, homely home·ly
adj. home·li·er, home·li·est
1. Not attractive or good-looking: a homely child.
2. Lacking elegance or refinement: homely furniture. than trendy.
“Neither of us likes anything too outrageous, although we’re getting a bit bolder as we get older.
“When we first decorated this house about six years ago, everything was done in pale colours. But now, our latest colour scheme in the dining room is a really rich, deep red, and we’re just about to stained glass stained glass, in general, windows made of colored glass. To a large extent, the name is a misnomer, for staining is only one of the methods of coloring employed, and the best medieval glass made little use of it. expert working in the shop, who is giving demonstrations of her work.
“And come the New Year, we’re opening a new kitchen and bathroom showroom in Sauchiehall Street, and we’re already planning all sorts of events, like cookery demonstrations and
Osteopathic clinic Surrey basically uses the textbook techniques that will help our body to get back in the normal position and functioning. The method of Osteopathic is very helpful for curing problems like headaches, sports injuries, back pain, disc and various muscular problems. This can cause our body to become unstable and to fight back and increase the ability of our body the technique of Osteopathic is used.
In the process of Osteopathic techniques a doctor knows the fact that a person’s fitness and health depends on four basic things if they are well and functioning then you don’t have to worry about anything. The four important things in our body are skeleton, muscles, ligaments and connective tissues. These are required for the best and full functioning of our body today. Osteopathic clinic Surrey makes sure all these basics are perfect for their places and with this they make sure your body works fine.
This is a process where drugs and surgery are not at all required for the patients. In this method like touch, manipulation, stretching and massage is employed in our body for the proper circulation of the blood to the areas of concern. This will make sure the body part works perfectly. Osteopathic clinic Surrey is popular for improving the immune system of our body and it also helps in the prevention of the common illness that our body suffers regularly. There are no specific age limits for performing these practices; it can be applied over the youngest to the oldest. It is also useful for women who are pregnant. People found the best thing about this treatment is that they don’t have to undergo any kind of surgery or take medicines on a regular basis. This can be a very good solution for those who don’t find any good results from visiting the doctors or hospitals regularly.
2. Pilates Classes
Pilates classes Surrey is set of exercise program that has a holistic way of approach and helping a person’s body and mind through the exercise. These exercises may help a person in saving a person from various issues and also will be very helpful for those who are suffering from life-debilitating problems. There is no specific age limit for carrying out these exercises can be beneficial for person of any ages. It is very important to find a good clinic or health club where these are performed along with proper attributes.
These exercises can be very helpful and these have a lot of benefits. These can help in the process of body sculpting, enhanced fitness levels, improved flexibility and common well-being of a person. Pilates classes Surrey has grabbed the importance among the individuals in the recent years. There are a huge number of benefits of the Pilates classes. These are basically very good for a general and healthy lifestyle. There are a number of common types of exercise that works on specific boy parts and forget the other. However, in this type the complete body receives attention and you don’t have to worry about any part being left off.
BALTIMORE, May 14, 2013 /PRNewswire-USNewswire/ – Patients with coronary artery disease who undergo treatment at the University of Maryland Medical Center now can receive long-term therapy based on information found in their genes. As part of a new personalized medicine initiative, the medical center is offering genetic testing to help doctors determine which medication a patient should take after a stenting procedure in order to prevent blood clots that could lead to serious – and potentially fatal – heart attacks and strokes.
Patients with suspected heart disease undergo coronary catheterization to identify blocked or narrow arteries. Tiny tubes, or stents, are often placed in the arteries to keep them open, and, after surgery, patients typically take antiplatelet drugs, such as clopidogrel (Plavix), to prevent platelets – blood cells produced in bone marrow – from sticking together and forming clots.
Now, patients who undergo coronary catheterization at UMMC and the Baltimore VA Medical Center, both of which are affiliated with the University of Maryland School of Medicine, can elect to be tested for variations in a gene called CYP2C19. Up to one-fourth of the U.S. population carries at least one abnormal copy of the CYP2C19 gene, and research has shown that as a result, these individuals do not metabolize the standard anti-clotting medication clopidogrel effectively.
“There is strong clinical data to support pharmacogenetic testing in regard to antiplatelet therapy,” says Alan R. Shuldiner, M.D., the John L. Whitehurst Endowed Professor of Medicine, associate dean for personalized medicine and director of the Program in Personalized and Genomic Medicine at the University of Maryland School of Medicine. “It’s time to incorporate genetics into the complex medical decisions that we make on behalf of our patients.”
In 2009, Dr. Shuldiner led a University of Maryland study, published in JAMA, which showed that patients with a CYP2C19 gene variation exhibited reduced clinical benefit from taking clopidogrel. Based on growing clinical evidence reported in Dr. Shuldiner’s study and others, the U.S. Food and Drug Administration issued a warning about the reduced efficacy of clopidogrel in people with the genetic variation.
“Pharmacogenetic testing enables us to tailor drug treatments to individual patients based on their unique genetic makeup, or genotype,” says Dr. Shuldiner, an endocrinologist and geneticist. “With genotype-directed therapy, we have the ability to change the ‘one size fits all’ approach to prescribing medication and ultimately improve the quality of care we provide to our patients. Patients want personalized and individualized medicine. They seek it out.”
The test is performed by analyzing the patient’s DNA, isolated from a blood sample, in a new state-of-the-art translational genomics laboratory at the University of Maryland School of Medicine. The tests are being conducted as part of a National Institutes of Health (NIH)-funded study to determine the best way to implement genetic-testing programs. Tests are free, and because of the partnership between UMMC and the University of Maryland School of Medicine, results are available within a few hours.
Dr. Shuldiner explains that the ability to provide test results within hours is crucial because cardiac stent patients are at risk for developing blood clots and other complications soon after they have the procedure. “This rapid turnaround time sets our program apart from other programs and commercial laboratories, where results may not be available for up to two weeks,” he adds.
Pharmacogenomics – how genes affect a person’s response to drugs – is a burgeoning area of research, but only a small number of hospitals in the United States have programs to offer routine genetic testing as part of their clinical practice. This new approach to patient care is part of the University of Maryland School of Medicine’s pursuit of more individualized, or personalized, medical treatment.
E. Albert Reece, M.D., Ph.D., M.B.A., vice president for medical affairs at the University of Maryland and the John Z. and Akiko K. Bowers Distinguished Professor and dean of the University of Maryland School of Medicine, says, “Personalized medicine is the future of health care, and we want to be at the forefront of not only advancing the science of genomics, but also using that knowledge in a clinical setting for the benefit of patients. Our Program in Personalized and Genomic Medicine, under Dr. Shuldiner’s direction, is helping to lead the way with this new genetic-testing initiative, created in partnership with the University of Maryland Medical Center and the Baltimore VA Medical Center.”
The University of Maryland launched its initiative in conjunction with a multi-center implementation study, the Translational Pharmacogenetics Project, funded by the NIH Pharmacogenomics Research Network (U01HL105198). Five other major hospitals across the United States are taking part in the study to evaluate the process for building such pharmacogenetic-testing programs.
“We plan to share lessons learned at our respective sites and to develop best practices for implementation of pharmacogenetics in everyday clinical practice. We are putting together a toolbox that will be useful to other institutions,” says Dr. Shuldiner, who is leading the multi-center study. Cardiologists Mark R.Vesely, M.D., and Shawn W. Robinson, M.D., assistant professors of medicine at the School of Medicine who care for patients at UMMC and the Baltimore VA Medical Center, are co-investigators.
It is expected that the test for the CYP2C19 gene variation will become standard care for all patients who receive stents at both medical centers once the initial research phase is completed.
Cardiologists receive guidelines on how to interpret the test results and recommendations for choosing medications. It is up to them to determine the most appropriate treatment for their patients, who might have other medical conditions that need to be considered. The test results also are entered in the electronic medical record, where they can be accessed by other physicians.
“Knowing a patient’s genotype is helping us to make more informed decisions for our patients,” Dr. Vesely says. “A combination of aspirin and clopidogrel is the routine choice of medications many physicians will prescribe for their stent patients. But patients who are likely to have a poor or moderate response may be better protected by other medications or possibly a higher dose of clopidogrel. It comes down to what is best for each patient.”
According to Dr. Vesely, limitations for the alternative medications include their association with higher bleeding rates. “The cost of the medications could also be a factor if patients cannot afford alternative medications or will not take them as prescribed.” Newer anti-clotting medications, such as prasugrel (Effient) and ticagrelor (Brilinta), are more expensive than Plavix, which has been available as a generic since May 2012.
Dr. Robinson notes that the response from patients to genetic testing has been positive. “Patients have been very receptive to discovering this new information about themselves that can possibly have a positive impact on their future cardiovascular health,” he says.
Dr. Shuldiner anticipates that the initiative will be expanded to include tests for other genes that may affect how patients respond to medications such as warfarin, an anticoagulant; simvastatin, a cholesterol-lowering drug; and codeine, a pain reliever. “Providing tailored therapy will better meet the health needs of patients and reduce the harmful side effects that can occur when a person is taking the wrong medication,” he says.
The University of Maryland School of Medicine’s Personalized and Genomic Medicine Program was established in April 2011 to help facilitate the pace of discovery in personalized and genomic medicine; to accelerate the translation of these new discoveries to improve patient care; and to enhance the training and education of future generations of physicians and scientists. The program is funded jointly by the School of Medicine and University of Maryland Medical Center.
To watch a video of Dr. Shuldiner discussing the new initiative, go to umm
About the University of Maryland Medical Center The University of Maryland Medical Center is an 800-bed teaching hospital in Baltimore and the flagship institution of the 12-hospital University of Maryland Medical System. As a national and regional referral center for trauma, cancer care, neurocare, cardiac care, women’s and children’s health and physical rehabilitation, UMMC treats patients who are referred nationally and regionally for advanced medical, surgical and critical care. It also has one of the nation’s largest kidney transplant programs, as well as scores of other programs that improve the physical and mental health of thousands of people daily. All physicians on staff at the Medical Center are faculty physicians of the University of Maryland School of Medicine. www.umm.edu
About the University of Maryland School of MedicineEstablished in 1807, the University of Maryland School of Medicine is the first public medical school in the United States, and the first to institute a residency training program. The School of Medicine was the founding school of the University of Maryland and today is an integral part of the 11-campus University System of Maryland. On the University of Maryland’s Baltimore campus, the School of Medicine serves as the anchor for a large academic health center which aims to provide the best medical education, conduct the most innovative biomedical research and provide the best patient care and community service to Maryland and beyond. www.medschool.umaryland.edu .
About the Baltimore VA Medical Center – VA Maryland Health Care SystemThe Baltimore VA Medical Center is the acute medical and surgical care facility for the VA Maryland Health Care System and offers a full range of inpatient, outpatient and primary care services. As a surgical specialty care facility, the medical center serves as the neurosurgery referral center for the VA Capitol Health Care Network.
The medical center’s “patient friendly” design features plant-filled atriums, natural light from overhead skylights and comfortable patient rooms and waiting areas. Located next to the University of Maryland Medical Center with a walkway connecting the two facilities, the Baltimore VA Medical Center maintains an active affiliation with the University of Maryland in sharing of staff, resources and technology. www.maryland.va.gov/facilities/Baltimore_VA_Medical_Center.asp
SOURCE University of Maryland Medical Center