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A nanosuspension is as a liquid dispersion consisting of solid drug nanoparticles nanocrystals ; . By definition drug nanocrystals are nanoparticles being composed of 100% drug without any matrix material, with a mean diameter below 1000nm. The dispersion medium can be water, aqueous solutions or non-aqueous media. Surfactants and or polymeric stabilisers are used for the stabilisation of these systems.
Lipka et al. [37] in a recent study compared the efficacy and safety of statin monotherapy versus ezetimibe 10mg plus statin in older and younger adults with primary hypercholesterolemia. After washout and placebo run-in period, 1861 men and women 18 years of age with primary hypercholesterolaemia were randomized to either placebo, statin monotherapy lovastatin or pravastatin 10, 20 or 40 mg, simvastatin or atorvastatin 10, 20, 40 or 80 mg ; or ezetimibe plus statin for 12 weeks. In this study, age subset analyses on data pooled across these four trials were carried out to determine whether coadministration of ezetimibe and statin was equally efficacious across age groups: 65 versus 65 years, 75 versus 75 years. This study illustrated that the beneficial effects of ezetimibe plus statin on LDL-C, triglycerides and HDL-C were overall independent of age groupings. Furthermore the combination therapy was generally well tolerated, with similar incidence of adverse events, serious adverse events and changes in liver function and muscle enzymes in all age groups compared with statin therapy alone. In a recent meta-analysis of 14 randomized, double-blind clinical trials that compared the efficacy results of ezetimibe 10 mg with simvastatin or the ezetimibe simvastain combination product 10 mg ; with the efficacy results of rosuvastatin 5, 10, 20 and 40 mg in patients with primary hypercholesterolemia or combined hyperlipidemia. Those investigators used pooled data for LDL-C, HDL-C, non HDL-C, triglycerides, total cholesterol, apolipoprotein A-1 and apolipoprotein B for the two therapies at their lowest through the highest doses [38]. Percentage reductions from baseline in LDL-C for the pooled data were 46.2% and 41.8% for ezetimibe simvastatin 10 10mg and rosuvastatin 5 mg; 50.6% and 47.4% for ezetimibe simvastatin 10 20 mg and rosuvastatin 10 mg, respectively; 55.9% and 52.1% for ezetimibe simvastatin 10 40 mg and rosuvastatin 20 mg, respectively; and 59.7% and 58.5% for ezetimibe simvastatin 10 80 mg and rosuvastatin 40 mg, respectively. Similar results have been reported by Mikhailidis et al. in a position statement of a United Kingdom consensus panel, where the percentage reduction of LDL-C from baseline with a statin plus ezetimibe combination therapy was from 34% to 53% [39], while the proportion of patients achieving LDL-C goals according the recent guidelines was substantially increased. COADMINISTRATON FIBRATES OF EZETIMIBE WITH.
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[tm18 CPIV] The term flat glass strictly includes all glasses made in a flat form regardless of the form of manufacture. However, for the purposes of this document it is used to describe float glass and rolled glass production. Most other commercially produced flat glasses are either covered in the Special Glass Sector e.g. ceramic hobs ; or the scale of production is below the 20 tonnes day specified in Directive 96 61 EC. Other methods of producing large quantities of flat glass for building and automotive applications are considered obsolete in the European Union. These products are referred to as sheet glass and plate glass, and are discussed briefly in Chapter 1. Most flat glass is produced with a basic soda lime formulation, a typical float glass composition is given in Table 2.5. Float glass and rolled glass are produced almost exclusively with crossfired regenerative furnaces.
One day, they knew that something was going to happen. Because of very small signs, vans packed with men speeding through the area, strange noises at night. These signs could multiply over a few days. But they knew, everybody knew. People say " is going to hit" In Bentalha, in the it . suburbs of Algiers, the atmosphere grew heavy for one week in the middle of September, a resident explained. We will call him Yahia, he took refuge in Brussels since the massacre in which 400 residents out of 2 or 3, 000 perished. " not doing politics nor religion. What I going to tell I you, I would not have believed it myself before it happened" Behind closed doors " hit"on 22 September between 6 and 7 o' It clock PM. " saw about fifty I men emerge, but others said they were a hundred. They started to break some houses doors all around and sat down at the tables. They got some food served to them and after they had enjoyed it they said: " today is your day" Then, they massacred everybody. They collected gas bottles in the . kitchen to break the next doors, killing each family one after the other" Yahia speaks without . showing emotion. All of a sudden he stopped, lost in the middle of a sentence. " What did I just say? Where I at?"his eyes are full of tears. " around nine o' At clock in the evening, women started to shout: " Here comes the army. We are saved" On the main road, the only one leading to Bentalha, soldiers posted themselves with several . small armoured vehicles. They turned on spotlights. We could see them from our houses. They were one kilometre away, not more. But after a while, the military turned their lights off. Policemen and municipal guards from Baraki, the area next to ours, came to offer some help. The army blocked them. The soldiers said that nobody had the right to intervene because the captain was not there and only he could give the order. Ambulances were parked a bit further, also waiting" . Behind closed doors in Bentalha, fear was at its peak among the residents locked up in their homes. Almost no one had weapons. Some people did request some at the barracks after several massive massacres took place in Algiers' green belt"the string of cities around the capital where a " , majority of residents had voted for the Salvation Islamic Font FIS ; in the 1991 elections. " officer An gave them three rifles with five bullets. They got this reply at the Ministry: " When you were feeding terrorists, when you were hosting them you did not come. Now, deal with this"Yahia added. That night, we did not even think about fleeing. To go where? Some just gathered in the same house. Everybody was waiting, hoping that the killers would not come as far as their place" Hoods. From his terrace, Yahia saw a young attacker panic at the sight of soldiers. " was the He only one. The others were very calm. The chief told the young man: " your job calmly, take your Do time. They will not intervene" What struck Yahia was the extreme organisation of these armed men . " They were robust fellows, dressed in normal clothes. Only some of them were wearing black hoods, others were dressed up as Afghans, with a beard and long hair. Each one was doing his job: one group was in charge of the watch, another one smashed the doors opened, a third one massacred. They killed bit by bit, a leg, an arm, the head. They were rubbing their hands doing this. At times it was like a show. We found in a house a woman kneeling down clutching her two children against her. Neither of the three had their head anymore"Yahia stopped. He added that the killers also said " things to people" " that I cannot repeat"We had to insist. Yahia, who can talk about death : but without flinching, became muddled and lowered his eyes. Then he said: " These are swear words you do not say in front of women and factive.
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The past year was one of important advances in Penwest's overall strategic development. In 2003 we finalized steps to fully focus on drug development, increased our capabilities in the drug development process and took decisive actions to expand our product pipeline using our proprietary oral drug delivery technologies. Importantly, we made significant progress in developing the resources and expertise necessary to generate and develop our own product concepts. STRATEGIC DIRECTION The year began with the completion in February of the sale of our excipient business to Josef Rettenmaier Holding GmbH & Co. KG. This transaction allowed us to focus all of our energies and resources on executing our drug development strategy, while generating approximately million in cash to fund the further development of our product pipeline. We strongly believe that the best way for our company to build long-term value is to use our drug formulation technologies and expertise to develop new products that provide benefits to patients with unmet medical needs. By controlling the drug development process, we believe we can better manage development timelines and retain more value for our shareholders. Our drug delivery expertise is our clear competitive advantage in executing our drug development strategy. Our drug delivery technologies -- TIMERx, the foundation of our.
Despite all the negative things people say about cholesterol, the fact is that you couldn't live without it. Cholesterol helps build the walls of every cell in your body; it's involved in making hormones, which send messages throughout your body; and it helps you digest your food. It's possible, however, to get too much of a good thing. When your body produces more cholesterol than you need, the excess gets into your bloodstream, where it begins to clog your blood vessels. That, in turn, increases your risk of heart disease and stroke. Besides making your own cholesterol, you get more from the foods you eat. It's found only in animal-based products such as meat, chicken, fish, eggs, milk, and and faslodex
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This model is indicative of a positive linear correlation between lnPF4 and lnPLT P 0.000 ; . Furthermore, the value of R2, the coefficient of determination, was 0.861, indicating that ~86% of the observed variability in the response lnPF4 ; was modeled by lnPLT. From the linear correlation curve, we found that the PF4 level corresponding to a platelet count of 100 103 mm3 is 2.492 g mL: lnPF4 3.83 + 1.03lnPLT 3.83 + 1.03ln 100 ; 0.913 PF4 2.492 and felbamate.
Y. WATANABE, M. T. LITTLETON-KEARNEY, R. J. TRAYSTMAN, AND P. D. HURN Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287.
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Abstract--Inflammation is a recognized key component of acute coronary syndromes. Such pathogenetic achievement has led to the use of inflammatory cells and proteins as prognostic markers in these syndromes. A number of markers have been proposed, including proinflammatory cytokines such as interleukin-6, interleukin-1RA, and tumor necrosis factor- , adhesion molecules such as intracellular adhesion molecule-1 and vascular adhesion molecule-1 and markers of cell activation. Although all are of scientific interest, the clinical use of these markers is limited by their high cost, low availability, and unfavorable biological profile. Conversely, common markers of inflammation such as C-reactive protein CRP ; , the prototypic acute phase protein, and to a lesser extent fibrinogen, have been proven to be reliable and important markers of risk in ischemic heart disease. CRP, in particular, has been found to be associated with short- and long-term prognosis in acute coronary syndromes, including ST-elevation myocardial infarction, and in stable angina, and to predict the risk of restenosis and major events, including death, after revascularization procedures. CRP has been consistently found to be independent from other risk factors and to have an incremental value beyond the common risk factors and biochemical markers of risk, including troponin. Whether CRP also should be used as a guide to therapy is still a matter of discussion that deserves further, properly designed studies. Circulation. 2004; 110: e560-e567. ; Key Words: AHA Scientific Statements inflammation revascularization angina risk factors.
Figure 3. Measurement of intra-atrial conduction velocity during stable entrainment of AF. During AF, atrium was paced with an interval equal to median AFCL 106 ms ; at border of mapping electrode. During stable capture, activation maps were made left ; and local conduction velocities were calculated within each triangle of electrodes right ; . Two unipolar electrograms at top were recorded at 5 and 22 mm from pacing site circled electrodes on isochrone map and fenoprofen.
The Audit Committee "AC" ; comprised two independent Directors and the CEO. The chairman of the AC, Mr Hwang Soo Jin, is an independent Director and a Chartered Insurer with over 40 years' experience in the insurance industry. Upon retirement of the CEO on 31 March 2003, Dr Hong Hai remains on the AC as a non-executive Director of the Company. He has over 20 years' experience in senior management. The AC comprises only independent and non-executive Directors from 1 April 2003. The Board is of the view that the members of the AC have the financial management expertise or experience to discharge the AC's responsibilities. The principal responsibilities of the AC are: to review and examine the scope of the audit plans of the internal and external auditors; to consider the internal and external auditors' reports, including their evaluation of the system of internal controls, and to make recommendations where appropriate; to recommend to the Board, the appointment of the external auditor and their audit fees, review annually the independence and objectivity of external auditor, the cost effectiveness of the audit, and the nature and extent of non-audit services; to ensure adequacy, independence and objectivity of the internal audit function and that it meets professional standards; to review the Group's quarterly and annual financial statements for approval by the Board, and the appropriateness and consistency of accounting principles and policies adopted across the Group; and to review interested person transactions. The AC had fulfilled its responsibilities as stated above during the year. In the review of all non-audit services, the AC was satisfied that they were not material and would not affect the independence of the external auditors. It also met with the external and internal auditors separately during the year without the presence of Management. The AC has explicit authority to investigate any matter, full access to and co-operation by management and full discretion to invite any personnel to attend its meetings.
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Dual approach to the treatment of hypercholesterolaemia It is therefore logical that a strategy employing a statin for blockade of cholesterol synthesis and ezetimibe for selective inhibition of cholesterol absorption should result in an enhanced effect on cholesterol reduction, greater than either agent used alone. This strategy should also allow additional patients with possibly more complex dyslipidaemia to achieve their lipid goals figure 4 ; . Co-administration trials The theoretical advantage of the additive effect of ezetimibe to statin therapy has been tested clinically. In one study, a group of patients n 11 ; given placebo had little change in their LDL-C levels. Those given simvastatin 10 mg day n 12 ; , or ezetimibe 10 mg day n 46 ; had statistically significant reductions in LDL-C levels from baseline of 35% and 19%, respectively. However, patients given the combination of 10 mg of simvastatin and 10 mg of ezetimibe n 11 ; achieved a reduction of 52% in LDL-C levels, i.e. an additional 17% reduction beyond that achieved with simvastatin and fenugreek.
Children younger than age 2 years have the highest rates of invasive pneumococcal disease and play an important role in its transmission. In the United States, seven pneumococcal serotypes cause approximately 80% of invasive disease and represent approximately 60% of middle-ear isolates in children younger than age 2 years; the majority of penicillin-resistant strains are confined to these same few serogroups. Although unconjugated polysaccharide pneumococcal vaccines have demonstrated effectiveness in preventing invasive disease in adults, these vaccines fail to protect against otitis media or nasopharyngeal carriage and are poorly immunogenic in children younger than age 2 years. A new generation of pneumococcal vaccines has been developed, linking the capsular polysaccharide of seven to 11 serotypes to a protein carrier. The only pneumococcal vaccine approved to date for children younger than age 2 years is a seven-valent conjugate vaccine PnCRM-7 ; Prevnar; Wyeth Vaccines, Pearl River, New York ; , which contains serotypes 4, 6B, 9V, and 23F. PnCRM7 is more immunogenic than the polysaccharide pneumococcal vaccines and is 80100% effective against vaccine-type invasive disease and 5060% effective against vaccine-type pneumococcal otitis media. Routine immunization with pneumococcal conjugate vaccines should substantially reduce the morbidity, mortality, and costs associated with pneumococcal disease in children. child; communicable diseases; immunization; pneumococcal diseases; Streptococcus pneumoniae and ezetimibe.
The number, sex, body and lung weights, end expiratory volume eev ; , and deflation lung volume of each group of animals are shown in table 1 and ferret.
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| Ezetimibe riskIn patients treated with cyclosporine, the potential effects of the increased exposure to ezetimibe from concomitant use should be carefully weighed against the antilipemic benefits provided by ezetimibe.
Knopp RH, et al. Efficacy and Safety of Atorvastatin in the Prevention of Cardiovascular End Points in Subjects With Type 2 Diabetes: The Atorvastatin Study for Prevention of Coronary Heart Disease Endpoints in Non-InsulinDependent Diabetes Mellitus ASPEN ; . Diabetes Care. 2006 Jul; 29 7 ; : 1478-85. Krum H, et al. Impact of Statin Therapy on Clinical Outcomes in Chronic Heart Failure Patients According to Beta-Blocker Use: Results of CIBIS II. Cardiology. 2006 Sep 8; 108 1 ; : 28-34 [Epub ahead of print] Lachaine J, et al. Persistence and adherence to cholesterol lowering agents: evidence from Regie de l'Assurance Maladie du Quebec data. Heart J. 2006 Jul; 152 1 ; : 164-9. Laufs U, Custodis F, Bohm M. HMG-CoA reductase inhibitors in chronic heart failure: potential mechanisms of benefit and risk. Drugs. 2006; 66 2 ; : 145-54. Law M, Rudnicka AR. Statin safety: a systematic review. J Cardiol. 2006 Apr 17; 97 8A ; : 52C-60C. Epub 2006 Feb 3. Lenderink T, et al. Patients using statin treatment within 24 h after admission for ST-elevation acute coronary syndromes had lower mortality than non-users: a report from the first Euro Heart Survey on acute coronary syndromes. Eur Heart J. 2006 Aug; 27 15 ; : 1799-804. Epub 2006 Jul 4. MacLean CH, et al. Effects of omega-3 fatty acids on cancer risk: a systematic review. JAMA. 2006 Jan 25; 295 4 ; : 403-15. Majumdar SR, et al. Statins and outcomes in patients admitted to hospital with community acquired pneumonia: population based prospective cohort study. BMJ. 2006 Oct 23; [Epub ahead of print] Manuel DG, et al. Effectiveness and efficiency of different guidelines on statin treatment for preventing deaths from coronary heart disease: modelling study. BMJ. 2006 Jun 17; 332 7555 ; : 1419. Epub 2006 May 31. McKenney JM, et al. Safety and efficacy of long-term co-administration of fenofibrate and ezetimibe in patients with mixed hyperlipidemia. N 587 48 wks ; J Coll Cardiol. 2006 Apr 18; 47 8 ; : 1584-7. Epub 2006 Mar 30. McKenney JM, et al. Efficacy and safety of torcetrapib, a novel cholesteryl ester transfer protein inhibitor, in individuals with below-average high-density lipoprotein cholesterol levels on a background of atorvastatin. J Coll Cardiol. 2006 Nov 7; 48 9 ; : 1782-90. McKenney JM, Davidson MH, Jacobson TA, Guyton JR; National Lipid Association Statin Safety Assessment Task Force. Final conclusions and recommendations of the National Lipid Association Statin Safety Assessment Task Force. J Cardiol. 2006 Apr 17; 97 8A ; : 89C-94C. Epub 2006 Feb 28. Mehta JL, et al. Comparison of mortality rates in statin users versus nonstatin users in a United States veteran population. J Cardiol. 2006 Oct 1; 98 7 ; : 923-8. Epub 2006 Aug 7. The benefit observed in this study is unique because almost 1 2 the patients were 70 years of age when statin therapy was initiated. Miller M, et al. High attributable risk of elevated C-reactive protein level to conventional coronary heart disease risk factors: the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2005 Oct 10; 165 18 ; : 2063-8 and feverfew.
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FIGURE LEGENDS Fig. 1. Overexpression of hABCG5 and hABCG8 in Liver of LDLr-KO Mice on a Western Diet With or Without Ezetimibe. Northern analysis of hepatic ABCG5 and ABCG8 expression in LDLr-KO or ABCG5 G8-Tg x LDLr-KO mice fed a Western diet or a Western diet plus Ezetimibe for 24 weeks. RNA was extracted from livers of individual male mice n 4 each genotype ; , separated on the same 1% agarose glyoxal gel, transferred to the same membrane and sequentially hybridized to four different radiolabeled cDNA probes that recognize only human ABCG5 hG5 ; , human ABCG8 hG8 ; , mouse ABCG5 mG5 ; , or mouse ABCG8 mG8 ; as reported 23 ; . A radiolabeled cyclophilin cDNA was used as a loading control. The panels shown in Fig. 1 are representative of 4 independent mice per study group. Fig. 2. Decreased Hepatic Cholesterol Content Alters the Expression of ABCA1, ABCG1 and HMG-CoA Reductase in ABCG5 G8-Tg x LDLr-KO Mice. Eight-month-old LDLr-KO n 6 and factive.
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