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Depression during a complicated pregnancy is more common than the better known post partum depression. Remember the baby's father in your encouragement. He is not experiencing the physical symptoms that the mother is, but his emotional symptoms may be as intense, and in some cases, more intense. He is feeling pressure to be all supportivefinancially, emotionally, and taking on all aspects of the expectant mother's life. He may be subjected to her tears, rage, fears, all the while needing and attempting to remain calm and rational. He may have enormous fear for the health of both the mother and baby yet feel, for instance, antihistamine.
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3.5.1 The Market Will Decline Sharply 3.5.2 Corticosteroids Will Gain Market Share 4 The World Allergic Rhinitis Market by Geographic Region 4.1 The US Dominates the Rx Market 4.1.1 There are Regional Variations on the Class of Drugs Preferred 4.2 Europe Leads the OTC Market for Allergic Rhinitis 4.3 Growth in the Developing Markets Will Remain Low 5 The World Antihistamine Market for Allergic Rhinitis 5.1 Summary of the World Antihistamine Market, 2005 5.1.1 The Top Two Drugs Control over 70% of the Market 5.2 The Entire Prescription Antihistamine Market is Facing Decline 5.3 Zyrtex and Clarunex Face Imminent Patent Loss 5.3.1 Zrytec is Well Positioned for an OTC Switch 5.3.2 Allegra Revenues Will Continue to Suffer from Generic Competition 5.3.3 Clainex Prepares to Replace Claritin OTC 5.4 Other Brands Will Not Support the Market in the Future 5.4.1 Claritin Sales Will Decline as Clrainex Goes Generic 5.4.2 Xyzal 5.4.3 Allelock Will Thrive in the Japanese Market 5.5 Other Brands are Growing but Revenues are Relatively Small 5.6 Is OTC Switching a Viable Future Strategy for the Ailing Antihistamine Market? 6 The World Steroid Market for Allergic Rhinitis 6.1 Summary of the World Corticosteroid Market, 2005 6.1.1 Flonase Dominates the Market 6.2 World Steroids Market to Hold Steady Until 2011 6.2.1 Flonase Begins to Feel the Effects of Patent Loss 6.2.2 New Indications and Formulations Drive Nasonex Growth 6.2.3 Rhinocort 6.2.4 Nasacort 6.3 Conclusion: The World Market for Nasal Corticosteroids Will Maintain Value Due to Sales of Nasonex 7 The World OTC Market for Allergic Rhinitis 7.1 New Switches and New Formulations Drive OTC Revenue Growth 7.1.1 Claritin OTC-switch Had Little Effect on Existing OTC Brands 7.1.2 The European and US OTC Markets are Different 7.1.3 Flonase Switch in the US Will Drive the Market Early in the Forecast Period 7.2 OTC Switches are Favoured by Insurers and Health Services 7.3 Pharmacist Recommendations are Key in OTC Allergy Products 7.3.1 Decongestants Play a Large Role in OTC Anti-Allergy Treatments 7.4 The OTC Market Will Peak in 2008 8 SWOT Analysis of the Allergic Rhinitis Market 8.1 Summary of Strengths, Weaknesses, Opportunities and Threats 8.2 High Prevalence Drives the Market 8.3 Low Rate of Adverse Effects is a Clear Advantage 8.4 Anti-allergy Drugs are Obvious Targets for OTC Switching.
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In last year's report which was conducted in 1998 for FY97, the data was reported by seven HMOs serving four SDAs. Five studies focused on the elements of care for the following populations: pregnant women, pregnant women with substance abuse problems, children with asthma, children up to the age of two, and high utilizers of outpatient mental health services. Most studies examined elements of acute care delivered to members as documented in administrative and medical records. HMOs collected the data from medical and administrative records. Rates for each data element were reported to TDH in a standard format designated by TDH. In addition to the data, they submitted narrative reports summarizing their data collection and analysis methods including any problems or issues with conducting the studies and any quality improvement programs QIP ; developed to address identified problems.
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6. Chiropractic Care See Milliman "Chiropractic Care" guideline. Exclusion Criteria overrides the Milliman coverage criteria ; Children younger than 16 years of age Evidence of concomitant neurologic deficit or radiculopathy is present Preventive therapy Maintenance therapy NOTE: PEBB members may self refer for manipulation of spine and extremities chiropractic care ; , up to 12 visits per year prior authorization by the CHPW Utilization Review Nurse is required if 12 year ; . 7. Hypnotherapy A treatment intervention aimed at inducing an altered state of awareness whereby the patient's objective manifestations of the mind are inactive and accompanied by an increased susceptibility to suggestions. A. Required Referral Criteria Symptoms must have been present for more than 3 months AND refractory to usual medical treatment. Member must have been seen by the PCP within the 3 months prior to the referral request. A maximum of 8 visits over a 4-month period may be approved. Feedback must be given to the PCP regarding the patient's progress and status.
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Dr. John Hill -- Scholar Award Other iCAPTUR 4E-related trainees were also very successful in 200102. At the American Heart Association's Arteriosclerosis, Thrombosis and Vascular Biology Conference in May 2001, Trina McIlhargey from St. Paul's Hospital Healthy Heart Program's Atherosclerosis Specialty Laboratory received a New Investigator Award. This was a monetary award $1, 000 USD ; given to the top 30 abstracts for travel expenses. Shortly before the conference she was named one of five finalists for the Junior Investigator Award for Women. The finalists chosen for this award represented the top five abstracts submitted by women and cutivate.
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To the Editor: Culleton and colleagues' carefully performed and valuable observational study from the Framingham Heart Study reports that the positive association between a single baseline uric acid level and cardiovascular events was not sustained after accounting for other variables 1 ; . Other epidemiologic studies, arguably performed with equal care and with at least equally detailed knowledge of potential confounders, have found just the opposite 2, 3 ; . The National Health and Nutrition Examination Survey NHANES ; I epidemiologic follow-up study reported a significant, independent association between increasing uric acid levels and cardiovascular events in women 2 ; . More recently, among 7978 hypertensive participants with an average of 5.6 uric acid determinations per year, a robust, dose-dependent, specific, independent, and significant association with cardiovascular events was observed 3 ; . After adjustment for the variables assessed in the Framingham Study and also for serum creatinine levels which were not considered in the Framingham Heart Study ; , a difference of 1 standard deviation 0.086 mmol L ; in serum uric acid level was associated with a 22% difference in cardiovascular events. This effect was greater than that associated with a 40-mg dL difference in cholesterol level or a 10 difference in systolic blood pressure. Similar independent and significant associations of serum uric acid with cardiovascular events have recently been found in analysis of the Systolic Hypertension in the Elderly Program SHEP ; study 4 ; and other population studies 5 ; . The Framingham Heart Study is one of many. Despite the elegance of the study and the excellence of its investigators, the contention that the issue of uric acid and cardiovascular disease is settled cannot be justified on the basis of one observational study of one narrow population. A more circumspect position might be to add this new study to all the other evidence addressing the issue and attempt to understand the reasons for the apparently inconsistent results. Meanwhile, a wider review of all the available data suggests that the question of serum uric acid as a cardiovascular risk factor should remain open. Michael H. Alderman, MD Albert Einstein College of Medicine Bronx, NY 10461 and diamicron.
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