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| 1. HERNE S. 1993 ; Healthy eating in old age, British Food Journal, 95 5 ; , 36-39. 2. HARVEY J. 1993 ; Healthy eating in later life, Elderly Care, 1 ; , 35-37. 3. CAUGHEY P. et al 1994 ; Factors affecting dietary intake and nutritional status of tenants in sheltered housing, Journal of Human Nutrition and Dietetics, 7 5 ; , 263-268. 4. READ M. & SCHLENKER. 1993 ; Eleanor Food selection patterns among the aged in Schlenker, Eleanor 1993 ; Nutrition In Ageing, Mosby: St Louis, 284 - 309. 5. SHEPHERD R. 1990 ; Overview of factors influencing food choice from Why People Eat What They Eat ed. by M. Ashwell ; in Conference Proceedings of the 12 th British Nutrition Foundation Annual, 1990. British Nutrition Foundation: London. 6. PIACENTINI M. et al 1995 ; Factors affecting low fruit and vegetable consumption in Scotland; a review of factors affecting fruit and vegetable consumption, Journal of Consumer Studies and Home Economics, 19, 247 - 260. 7. MOORE L. 1990 ; Modelling store choice: a segmented approach using stated preference analysis, Transactions, Institute of British Geographers, 14 4 ; , 461 - 477. 8. BROMLEY D. & THOMAS C. 1995 ; Small town shopping decline: dependence and convenience for the disadvantaged, The International Review of Retail Distribution and Consumer Research, 5 4 ; , 433 - 456. 9. CONSUMER AFFAIRS. 1994 ; The challenge of healthy eating Scottish Consumer Council Report ; , Consumer Affairs, 130, July August. 10. NIELSEN. 1994 ; The retail pocket book 1995, Nielsen in association with NTC Publications Ltd: Oxford. 11. RAVEN H. & LANG T. & DUMONTEIL C. 1995 ; Off our trolleys ? Food retailing and the hypermarket economy, IPPR: London and lyrica, for example, side affects.
Lethal9, 10 but others without such a history have also been noted to remain unharmed.1, 3 Methanol is cheaper than ethyl alcohol, it is readily available and often it is substituted for ethyl alcohol as an inebriating beverage. In New Zealand, the abuse of methylated spirits "purple lady" ; , which contains 5% methanol and between 70 - 90% ethyl alcohol, is commonplace. Some countries, including Australia, have abolished the use of methanol to denature alcohol, limiting the availability of this substance for abuse, with a subsequent significant reduction in cases of toxicity. Symptoms of classical methanol toxicity are visual disturbance, nausea and vomiting. Clinical signs on presentation are hyperaemia of the optic disc, mydriasis and abdominal tenderness possibly due to gastritis or pancreatitis. Kussmaul respirations or tachypnoea are signs of metabolic acidaemia. Convulsions and coma are signs of severe toxicity.1, 6 The toxicity does not correlate with the methanol blood concentration. In this study levels up to 160 mmol L were measured in asymptomatic patients. However, the degree of the acidaemia appears to be the best prognostic indicator. All patients with blood pH 6.7 died. Methanol is oxidised to formaldehyde then to formic acid. Both these steps depend on the enzyme alcohol dehydrogenase ADH ; . The accumulation of formate is considered to be the reason for the acidaemia in the early and uncomplicated stages.11, 12 ADH has a 20-times higher affinity for ethanol, therefore if methylated spirits are ingested, the ethanol component will be metabolised before the methanol component. If, after the ingestion of methanol, further ethanol is administered the elimination of methanol will be delayed until the ethanol level has decreased below 20-30 mmol L and only then will formate begin to accumulate. 13-15 Formate interferes with oxidative metabolism. Accumulation of lactate is seen as a marker of secondary cellular dysfunction Table 2: Patients 5 and, 6 ; .6, 11 In some of our patients an almost complete inhibition of the elimination of methanol could be observed at blood ethanol concentrations of greater than 36 mmol L Table 2: Patients, 8, 11, 14 ; . Below a blood level of 22 mmol L, i.e.
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There were 94 new patented drug products, or DINs, for human use introduced in 2004. Some are one or more strengths of an NAS and others are new presentations of existing medicines. For purposes of our price review, any patented drug product introduced in Canada, or previously marketed but first patented, between December 1, 2003 and November 30, 2004, is considered a new patented drug product in 2004.5 Six 6.4% ; of the 94 new patented DINs were being sold in Canada prior to the issuance of a Canadian patent which brought them under the PMPRB's jurisdiction. These DINs are denoted by a "FPG" first patent granted ; in Annex 2 on page 46. Table 2, on page 12, identifies the number of patented drug products by the year in which they were first sold. The time delay between date of first sale and date of patent grant for these products ranged from several months to two years, because medications.
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