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Note: This section is to provide some "name recognition" to current or upcoming pharmaceutical drug problems. Some are controlled substances and some are not. Some really need to be controlled. Some are under consideration for control. Again, this is primarily for familiarity with the names. Hydrocodone products Vicodin, Lorcet, Lorcet Plus, Lortab. In the top 20 controlled substances of abuse, excluding the benzodiazepines which are so widely abused, hydrocodone was the highest ranked licit drug in 1996 statistics ; . It is analog of codeine but is six times more potent. By mouth it is also six times more potent than morphine, in terms of equivalent mg amounts. A 5-10 mg oral dose of hydrocodone is equivalent to a 30-60 mg oral dose of morphine in terms of pain relief. Oxycodone Percocet, Percodan ; --is a synthetic opioid analgesic for moderate to moderately severe pain. Similar to hydrocodone, it is more potent and has a greater abuse potential. It can cause drowsiness, confusion, nausea, vomiting, miosis, and perhaps decrease heart rate and blood pressure. It too possesses euphoric effects. Hydromorphone Dilaudid ; 4mg--called "drugstore heroin, " has long been an abused form of hydromorphone and it not difficult to find on the streets despite the high prices. Street prices range from in St. Louis to - in Louisville and - in Los Angeles. It sells for 75 cents at the pharmacy, according to a January 1997 LA Times article about the arrest by state and federal agents of an LA doctor for her involvement in a large narcotics ring that obtained thousands of fraudulent prescriptions for this drug. The doctor, plus three other doctors under investigation at the time, had written about 8, 100 prescriptions for Dilaudid for more than 800, 000 doses from 1993 to 1996. It is six to eight times more powerful than morphine. This is cancer-level pain killer, and is also indicated for heart attacks, surgeries and trauma. Levorphanol Levo-Dromoran ; is a similar opiate agonist. Carisoprodol Soma ; --another widely abused prescription drug used for relief of pain, muscle spasms and limited mobility associated with painful skeletomuscular conditions. This drug is being diverted, trafficked and abused. It is commonly abused in combo with narcotics analgesics such as codeine or hydrocodone products. According to the abusers, Soma plus Vicodin equals heroin. It is only controlled in a few states and California is not one of them. It is not controlled federally either. This is the most frequently encountered pharmaceutical currently at the U.S. Mexican border and is often counterfeited. In fact, its volume was nearly three times greater than the number two pharmaceutical, diazepam, in a survey done in early 1998 at the San Ysidro Point of Entry. Soma is a growing problem in California, especially in the San Francisco area. It is typically used by polydrug abusers in combo with such drugs as Tylenol #3 or #4. Street prices vary from -12 per tablet. Street names of DAN's, D's or Dance come from the imprint code "DAN5513" from the generic pharmaceutical manufacturer, Danbury Pharmaceuticals.
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Title: Late Effects 25 to 40 Years ; of the Early Medical and Industrial Use of Radioactive Materials, Part III. Document Type: Event Profile. Date: 1994
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| Dilaudid prescription informationA number of awards honour were felicitated to Dr. Ranganathan and he chaired so many Committees, Organizations. In 1957 Padamshree was given and in 1965, he was recognized by Govt. of India as the National Research Professor in Library Science. This was an honour to Library Science and Librarianship. It is really very difficult to list the awards honour given to him, he was the Member, Secretary, President Chairman, Founder, Editor, Consultant of so many Committees, Organizations Institutes, Journals and so on. His life was a symbol of immortality. The integral nature of Ranganathan's theory emerged from occasional intuition; and his intellect strove to make it more explicit to the national mind of the scientific worker. His contributions sometimes bordered on a poetic beauty and sometimes on uncouth prose but his life and work in the field of Library Science modelled an ever-inquiring mind, well-entrenched in the philosophy of Bhagwad Gita. We are indebted to Dr. Ranganathan for his tireless and endless effort and Dr. Garfield has rightly mentioned, "Ranganathan is to Library Science Einstein is to Physics" He further observes "Ranganathan's activity level throughout his life -time reflects a total selfless commitment to Library Science. According to Prof. P.N. Kaula Dr. Ranganathan breathe Library Science all the time. He remained actively engaged in research till his death in 1972. This total dedication to the subject what he called "Work Chasity", was unique. His self-abnegation and devotion was grounded in a deep spiritual perfection. In 1975 Eric de Grolier said at the Third International Conference on Classification Research held in Bombay in 1975 that Ranganathan was the `Guru' of us all. That sums up his impact on world Librarianship. It is our moral duty to remember and pay our tribute to Dr. S. R. Ranganathan on his forthth coming birth anniversary on 9 August 2004.
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A new BC Cancer Agency study gives younger women living with breast cancer the opportunity to meet peers and learn coping skills online. This 10-week at home program provides an educational handbook and the opportunity to join online BC Cancer Agency counselor-led discussion groups. Learning topics include communication and problem solving around cancer related issues, the value of goal setting, relaxation techniques, and healthy living. The pilot is part of a larger program initiative through Patient and Family Counseling to develop online supportive care resources for cancer patients. Enrolment is suitable for women 50 and under living in BC and the Yukon, who are within three years of breast cancer diagnosis. The study is currently enrolling participants for groups being offered over the next two years. For posters and patient handout information for your clinic, please contact the study coordinator, Jennifer Macdonald, 930-4055 ext 4588 or email jmacdonald3 bccancer.bc . Your patients can also be directed to the study website for more information : canada.thewellnesscommunity. org. Funding for the study has been provided by the Canadian Breast Cancer Foundation
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Criqui MH, Langer RD, Fronek A, Feigelson HS, Klauber MR, McCann TJ, et al. Mortality over a period of 10 years in patients with peripheral arterial disease. N Engl J Med 1992; 326 6 ; : 381-6. Hirsch AT, Criqui MH, Treat-Jacobson D, Regensteiner JG, Creager MA, Olin JW, et al. Peripheral arterial disease detection, awareness, and treatment in primary care. Jama 2001; 286 11 ; : 1317-24. Belch JJ, Topol EJ, Agnelli G, Bertrand M, Califf RM, Clement DL, et al. Critical issues in peripheral arterial disease detection and management: a call to action. Arch Intern Med 2003; 163 8 ; : 884-92. Dormandy JA, Rutherford RB. Management of peripheral arterial disease PAD ; . TASC Working Group. TransAtlantic Inter-Society Concensus TASC ; . J Vasc Surg 2000; 31 1 Pt 2 ; S1-S296. Hiatt WR, Hirsch AT, Regensteiner JG, Brass EP. Clinical trials for claudication. Assessment of exercise performance, functional status, and clinical end points. Vascular Clinical Trialists. Circulation 1995; 92 3 ; : 614-21. Hirsch AT, Hiatt WR. PAD awareness, risk, and treatment: new resources for survival--the USA PARTNERS program. Vasc Med 2001; 6 3 Suppl ; : 9-12. Meijer WT, Hoes AW, Rutgers D, Bots ML, Hofman A, Grobbee DE. Peripheral arterial disease in the elderly: The Rotterdam Study. Arterioscler Thromb Vasc Biol 1998; 18 2 ; : 185-92. Collins TC, Petersen NJ, Suarez-Almazor M, Ashton CM. The prevalence of peripheral arterial disease in a racially and disulfiram.
Kramer, Gene, American Dental Association, Neumann, Laura, American Dental Association Purpose: To specify the content domain associated with the National Board Dental Hygiene Examination Practice Analysis. For examinations involved in licensing decisions, contentrelated validity can be demonstrated by showing a strong relationship between content specifications and clinical practice. To demonstrate this relationship for the National Board Dental Hygiene Examination, a practice analysis was conducted. The content domain for the practice analysis was specified by a set of fifty-six competencies. A survey was conducted to determine the importance of the competencies to dental hygiene patient care. The survey directed participants to rate the competencies on a 5-level scale of uniformly increasing importance, with 1 indicating unimportant and 5 indicating critical. The actual content of the examination would involve the knowledge and problem-solving skill necessary to support the successful acquisition of the competencies. The extent of content devoted to each competency would be in accordance with the overall rating. The findings were expected to confirm the existing content specifications or to support adjustments. The survey was distributed to a sample of 3, 941 dental hygienists. Of these, 1, 841 responded, and 1, 284 were full-time practitioners. A principal components analysis of the ratings showed one primary factor and ten minor factors. Forty-seven of the fifty-six competencies loaded on the primary factor, which might be best characterized as dental hygiene patient care. The average ratings ranged from a high of 4.93 to a low of 2.80. Participants tended to rate most competencies as highly important. The ratings were converted to numbers of items based on a test length of 350 items. The greatest number of items twelve ; was devoted to the competency "Obtain medical histories, " and no items were devoted to "Participate in community service activities." The competencies synthesized from two sources adequately defined the domain of dental hygiene practice and are appropriate for use as the basis for the practice analysis. The number of examination items devoted to each competency will adequately reflect dental hygiene patient care.
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Curiosity is the wick in the candle of learning.
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