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Pattison, J. R. & ManseU, P. E. 1973 ; . Fucidinreastant staphylococci in current hospital practice. Journal of Medical Microbiology 6, 235 44. Rahman, M., Noble, W. C. & Cookson, B. 1987 ; . Mupirocin-resistant Staphylococcus aureus. Lancet ii, 387. Rahman, M., Noble, W. C. & Cookson, B. 1989 ; . Transmissible mupirocin resistance in Staphylococcus aureus. Epidemiology and Infection 102, 261-70. Rode, H., de Wet, P. M., Millar, A. J. W. & Cywes, S. 1988 ; . Bactericidal efficacy of mupirocin in multi-antibiotic resistant Staphylococcus aureus burn wound infection. Journal of Antimicrobial Chemotherapy 21, 589-95. Rolinson, O. N. 1961 ; . "CelbenhT-resistant staphylococci. British Medical Journal i, 125-6. Simpson, N. B., Fitzsimmons, C. P., MacKenzie, J. & GcmmelL C. O. 1985 ; . Bactrobam ointment in flaring atopk dermatitis. In Bactr9ban Mupirocin ; Dobson, R. L., Leyden, J. J., Noble, W. C. & Price, J. D., Eds ; , pp. 171-6. Current Clinical Practice Series, 16. Excerpta Media, Amsterdam. Smith, O. E. & Kennedy, C. T. C. 1988 ; . Staphylococcus aureus resistant to mupirocin. Journal of Antimicrobial Chemotherapy 21, 141-2. Smith, M. D., Sanghrajka, M. & Lock, S. 1987 ; . Mupirocin-resistant Staphylococcus aureus. Lancet U, 1472-3. Sutherland, R. 1985 ; . Antibacterial activity of mupirocin discussion ; . In Bactrobah Mupirocin ; Dobson, R. L , Leyden, J. J., Noble, W. C. Drug Req. Drug Name Tier Limits ANTIDIARRHEALS Generics diphenoxylate w atropine 1 paregoric 1 ANTISPASMODICS Generics glycopyrrolate 1 hyoscyamine 1 COMBINATION ANTICHOLINERGICS Generics colytrol 1 pahomin 1.
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Devices, and during the care of immunocompromised patients. An antiseptic solution should also be used to decontaminate hands if contaminated with blood, body fluids or pathogenic micro-organisms. Soap as a detergent removes transient micro-organisms physically by suspending them in the solution and allowing them to be rinsed off. Unlike antiseptics, soap has no effect on the resident microbial population; it does not kill microorganisms or inhibit their growth. The effectiveness of soap is limited but is adequate when performing routine hand hygiene, and it is inexpensive. Liquid soap dispensers are the preferred option for use in the clinical setting. The optimum system is wall mounted, with individual replacement cartridges that are discarded when empty. Antiseptic hand washing solutions used with water will remove and destroy transient and resident micro-organisms on the hands, either by killing them or by inhibiting their growth. This process is referred to as chemical removal of micro-organisms. These solutions are also likely to be more effective than soap against potentially pathogenic bacteria. Some antiseptics have a detergent effect, or are marketed in a formulation that includes a detergent, and are suitable for use on hands that are physically soiled. Some antiseptic solutions have a residual activity and thereby provide continued anti-microbial activity. HAND GELS RUBS The active ingredients in these products are alcohol based. These products may sometimes contain other antiseptics such as chlorhexidine or triclosan. When combined with chlorhexidine, residual action is provided but, on its own, alcohol does not display this property. These products should always incorporate an emollient to protect the skin from dryness. They have excellent bactericidal activity against most Gram-positive and Gram-negative bacteria, but have no effect on spores. Alcohols destroy bacteria more swiftly than the aqueous solutions described above, but have no detergent effect and are not suitable in the presence of heavy contamination. They are extremely useful at times when physically clean hands require rapid decontamination. In areas where hand hygiene facilities may be at suboptimum levels, alcohol hand gels rubs can be used on hands that are not visibly dirty or contaminated. The alcohol hand products should be applied using the same hand hygiene technique, but they do not require rinsing. Build up of emollients in the alcohol hand products may necessitate washing hands with liquid soap and water after three to four applications.

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SATELLITE SYMPOSIUM & BREAKFAST Ballroom C ; Advances in Fibrinolytic Therapy: The Search for an Ideal Pharmacologic Regimen - Chair Cynthia Jackevicius Sponsored by Hoffmann La-Roche Ltd. ; The Pharmacological Pursuit of an Ideal Fibrinolytic Agent Glen Pearson Clinical Evidence with Novel Fibrinolytic Agents Jennifer Pickering Future Perspectives in the Pharmacologic Management of Acute Myocardial Infarction Chantal Pharand Question Period EVIDENCE-BASED CLINICAL PRACTICE WORKSHOP Ballroom A ; Welcome & Opening Remarks Roundtable Discussions Large Group Synopsis Debriefing Session CONCLUSION OF AFPC CCCP CONFERENCE 2001 and buspar.

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The dynamics of HIV transmission are changing in Phayao, as the epidemic matures and patterns of sexual networking change. Here we shall describe the most likely scenario of HIV transmission, based on a mix of data and of qualitative information. This scenario is serving as the basis for further planning, while it is being confirmed and refined as knowledge and understanding of the epidemic in Phayao and elsewhere improves. HIV infections still occur to a large extent among people who migrated outside the province. The first waves of HIV AIDS patients were men who returned from blue-collar work outside the Province. Then, an increasing number of sex workers came back with AIDS. Given the incubation period of HIV, that pattern depicts infections acquired five to ten years ago, and current infections may follow a different path. However, the pattern is likely to remain highly relevant, as men continue to migrate for work, still go to commercial sex establishments, and do not use condoms consistently with commercial sex workers. Still 40 per cent of 1997 military conscripts had visited a com.

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The competition was held in conjunction with an AQHA-approved show, and 4 ; No AQHA-approved cutting classes were held at that show. 472. SHOWMANSHIP AT HALTER. Available only in the amateur and youth divisions. a ; The showmanship class shall be judged strictly on the exhibitor's ability to fit and show a horse at halter. The horse is merely a prop to demonstrate the ability and preparation of the exhibitor. The ideal showmanship performance consists of a poised, confident, neatly attired exhibitor leading a well groomed and conditioned horse that quickly and efficiently performs the requested pattern with promptness, smoothness and precision. The showmanship class is not another halter class and should not be judged as such. b ; It is mandatory that the judge post any pattern s ; to be worked at least one hour prior to the commencement of the class; however, if the judge requires additional work of exhibitors for consideration of final placing, the finals pattern may be posted. Pattern s ; should be designed to test the showman's ability to effectively present a horse to the judge. All ties will be broken at the judges' discretion. c ; CLASS PROCEDURES: All exhibitors may enter the ring and then work individually or each exhibitor may be worked from the gate individually. When exhibitors are worked individually from the gate, a working order is required. The following maneuvers are considered acceptable: lead the horse at a walk, jog, trot or extended trot, or back in a straight or curved line, or a combination of straight and curved lines; stop; and turn 90 1 4 ; , 180 1 2 ; , 270 3 4 ; , 360 full turn ; degrees or any combination or multiple of these turns. The judge must have exhibitors set the horse up squarely for inspection sometime during the class. d ; SCORING: Exhibitors are to be scored from 0 to 20 with 1 2 point increments acceptable. Ten points should be allocated toward the overall appearance of exhibitor and horse and 10 points allocated toward performance. 1 ; OVERALL PRESENTATION OF EXHIBITOR AND HORSE 10 POINTS ; - The exhibitor's overall poise, confidence, appearance and position throughout the class, and the physical appearance of the horse will be evaluated. A ; Presentation and Position of Exhibitor Appropriate western attire must be worn. Clothes and person are to be neat and clean. The use of any type of artificial aid including, but not limited to lighters, hay, dirt, sharp pins, etc. will be considered a disqualification. Exhibitors should be poised, confident, courteous and genuinely sportsmanlike at all times, quickly recognizing and correcting faults in the positioning of the horse. The exhibitor should continue showing the horse until the class has been placed or they have been excused, unless otherwise instructed by the judge. The exhibitor should appear business-like, stand and move in a straight, natural and upright manner, and avoid excessive, unnatural or animated body positions. The exhibitor must lead on the horse's left side holding the lead.

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