Macular translocation with outpouching of the choroid and sclera using clips Hilel Lewis, M.D., Motohiro Kamei, M.D., Cole Eye Institute Dr. Lewis was the senior author of this study in which 16 eyes of patients with subfoveal choroidal neovascularization were treated with vitrectomy, detachment of temporal retina using a self-sealing retinotomy, outpouching of the choroid and sclera with clips, and retinal reattachment with intraoperative rotation of the fovea. The median rotation of the fovea was 2638 microns. No serious complications were reported. Nine patients 56 percent ; experienced improved visual acuity. The authors conclude that macular translocation with outpouching of the sclera and choroid using clips is more predictable, has fewer complications and achieves a greater rotation of the fovea. Psychological abnormalities in children with non-organic visual loss Elias I. Traboulsi, M.D., Gregory S. Kosmorsky, D.O., Sue Crowe, Cole Eye Institute Dr.Traboulsi was senior author of this evaluation of the prevalence of psychological disturbances in children with non-organic vision loss NOVL ; . The retrospective chart review of 40 consecutive children with NOVL found that psychological psychiatric disturbances such as anxiety, depression and attention deficit disorders were present in 62.5 percent of patients, equally distributed between boys and girls ranging in age from 7 to 16 years. Eighty percent of patients who just "wanted glasses" were girls. Eye pain and monocular vision loss were found exclusively in patients with severe psychological psychiatric illnesses. The authors conclude that an underlying psychological psychiatric disturbance should be ruled out in all children who present with non-organic neuroophthalmic disturbances.
R. Alexy, J. Unger, A. Brunswik-Tietze, J. Wiethan, K. Kummerer Freiburg, D ; Introduction: Recent research has shown that antibiotics are present in the influent of municipal sewage treatment plants STP ; . Few data are available on elimination rates and effects of antibiotics on bacteria present in the aeration tanks of sewage treatment plants. Methods: We investigated the fate and effects of antibiotics during biological sewage treatment under standardized conditions in laboratory scale sewage treatment plants LSSTPs ; . The plants were fed with a mixture of antibiotics whose composition reflected the annual average input of antibiotics into German municipal STPs. Two different concentration levels were applied. In order to study its fate under antibiotic pressure, a multi-resistant strain of Acinetobaer baumannii was added in high concentration to some of the plants. The fate of the antibiotics and of the multi-resistant strain were monitored by chemical and microbiological means. Results: The antibiotics were not fully eliminated in the LSSTPs. After 2 weeks, the multi-resistant strain of Acinetobacter was no longer detectable by classical microbiological, chemotaxonomical and PCR-based methods, for example, floxin 20.
From page 16 ; heads, members of the Leading Committee for Organizing the fifth Myanma Traditional Medicine Practitioners' Conference and the work committee, traditional medicine producers and others. Next, Vice-Senior General Maung Aye and party viewed round the central booth, booth of Traditional Medicines Department, booth of Myanma Traditional Medicine Practitioners Association, booth of Medical Research Department Lower Myanmar ; , booth of Forest Department under the Ministry of Forestry and booth of the Ministry of Industry-1. Afterwards, Vice-Senior General Maung Aye and party inspected the booths of traditional medicine producers and traders, where they were conducted round by officials concerned and the medicine producers. After viewing the medicines and medical equipment, Vice-Senior General Maung Aye and party left the exhibition. MNA.
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One half of terminal cancer patients43; however, it can be controlled in most patients with appropriate therapy, even in the presence of a bowel obstruction. Nausea and vomiting are controlled by a midbrain vomiting center that receives input from sources that include the cerebral cortex intracranial tumor, elevated intracranial pressure, pain, and anxiety the gastrointestinal GI ; tract drugs, constipation, distension, obstruction the vestibular apparatus vestibular disease and motion sickness and the chemoreceptor trigger zone CTZ ; in the floor of the fourth ventricle drugs, electrolyte imbalances, and metabolic causes ; .44 Although nausea is usually multifactorial, a clear definition of the specific contributing factors is helpful to the treating physician. Treatment of nausea and vomiting should be prompt and prophylactic whenever possible, as conditioned reflexes develop quickly. Oral treatments are often effective, but a variety of parenteral routes are also available. The major categories of antinauseants are antihistamines, anticholinergics, corticosteroids, benzodiazepines, dopamine antagonists, and serotonin antagonists Table 5 ; . Physicians often find selecting a specific treatment difficult and frequently resort to selecting an agent empirically. Whenever possible, however, specific treatments should be chosen that address the underlying cause of a patient's symptoms. Cortical causes of nausea and vomiting typically and levocetirizine.
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California agriculture, vol 59, number 4, oct-dec 2005: article contributed by research staff associates, department of population health and reproduction, school of veterinary medicine, university of california at davis.
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Non-Formulary Drug Justification Report The Quarterly Non-Formulary Drug Justification Report and the Top 10 Non-Formulary Drug purchases for FY05 were reviewed. The top ten non-formulary drug items were also reviewed. The top agent purchased was celecoxib Celebrex ; . Over the years, the Committee has turned down several applications to add a COX-2 inhibitor like celecoxib to the Drug Formulary. It was noted that ofloxacin Floxun ; Otic made the top ten list. This may be due to the fact that the ciprofloxacin otic product contains hydrocortisone. However, the ophthalmic ciprofloxacin product could be used in the ear. At the next meeting, the Committee will consider the addition of an angiotensin II receptor blocker to the Formulary.
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