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D-pseudoephedrine, the muscle was thoroughly washed with Krebs-Ringer solution and was exposed to 30 M phenylephrine. The results were expressed as a percentage of the maximal contraction induced by phenylephrine at 30 M concentration producing maximal response for phenylephrine ; . Human umbilical cords were obtained at cesarean deliveries from healthy Japanese women between the 37th and the 38th wk of gestation after approval of the Ethics Committee of Hokkaido University Hospital. Segments of umbilical arteries and veins were carefully dissected from the cords and were cut into rings 5 mm in length. Rings were placed in a water-jacketed chamber filled with 25 mL of Krebs-Ringer solution. The solution in the chamber was gassed with 95% O2 5% CO2, and its temperature was maintained at 36C. Each ring was suspended by a pair of stainless steel hooks under a resting tension of 2 g. The resting tension was confirmed to be the optimal resting preload for the vessel. Isometric tension was monitored with a transducer and recorded on a pen recorder. The rings were allowed to equilibrate for at least 60 min before the start of recordings. The rings were repeatedly challenged with 60 mM K until reproducible contractile response was obtained. This procedure ensured that the preparation had stabilized before the challenge with test drugs. Then, the vessel was exposed to 10 M l-ephedrine or 10 M d-pseudoephedrine for the appropriate time. When each challenge was complete, the vessel was thoroughly washed with Krebs-Ringer solution. Finally, the vessel was exposed to 10 M phenylephrine, which consistently produced contraction. l-Ephedrine hydrochloride and d-pseudoephedrine hydrochloride were donated by Alps Pharmaceutical Industries Gifu, Japan ; . 6-OHDA hydrochloride, tyramine hydrochloride, l-isoproterenol hydrochloride, l-phenylephrine hydrochloride, l-norepinephrine hydrochloride, and dl-propranolol hydrochloride were purchased from Sigma Chemical St. Louis, MO ; . Prazosin hydrochloride was a gift from Pfizer Pharmaceutical Tokyo, Japan ; and atenolol was obtained from AstraZeneca Pharmaceutical Osaka, Japan ; . Data are expressed as means sd. Statistical assessment of the data was made by Student's t-test for unpaired data or one-way analysis of variance followed by the Scheffe multiple comparison test to lo cate differences between groups. Nonparametric data were analyzed by the Mann-Whitney U-test or Wilcoxon's signed rank test. A significant difference was assumed to exist if the P value was 0.05.
TABLE 1. Characteristics of 220 former organolead manufacturing workers in New Jersey, by ATP1A2 3 ; genotype, 19961997, for example, atenolol anxiety dose.
P 0.006 ; , but there was no interaction with introversion-extroversion p 0.798 ; . Thus, by the final day of sleep restriction, initial mood differences between introverts and extroverts were no longer significant p 0.404 ; . Analyses of POMS subscales generally fit the results for TMD, except for anger hostility ratings, which remained higher for introverts throughout the study p 0.017 ; . Conclusion : These data suggest that sleep loss affects mood states and PVT performance similarly in introverts and extroverts, despite the former showing higher mood disturbance when not sleep deprived. Support optional ; : Supported by NASA cooperative agreement NCC 958-159 with the National Space Biomedical Research Institute, NIH NR04281 and RR00040.
In 1, 826 patients, intensive glycemic management in a medical-surgical icu demonstrated a reduction in new onset renal failure, #rbc transfused, mortality and los and atrovent.
BIBLIOGRAPHY JANUARY DECEMBER 2005 ; Original Articles Bradley SV, Oravecz-Wilson KJ, Bougeard G, Mizukami I, Li L, Munaco AJ, Sreekumar A, Corradetti MN, Chinnaiyan A, Sanda MG, Ross TS. Serum Antibodies to Huntingtin Interacting Protein-1: a new blood test for prostate cancer. Cancer Res 2005; 65 10 ; : 4126-33. Miller, D, Sanda MG, Dunn RL, Monty JE, Pimentel H, Sandler HM, McLaughlin WP, Wei JT. Long-term outcomes among localized prostate cancer survivors: HRQOL changes 4 to 8 years following radical prostatectomy, external radiation and brachytherapy. J Clin Oncol 2005; 23 12 ; : 2772-80. Wang X, Yu J, Sreekumar A, Varambally S, Shen R, Giacherio D, Mehra R, Montie JE, Pienta KJ, Sanda MG, Kantoff PW, Rubin MA, Wei JT, Ghosh D, Chinnaiyan AM. Autoantibody signatures in prostate cancer. N Engl J Med 2005; 353 12 ; : 1224-35. Original Articles submitted or in press ; Miller DC, Wei JT, Dunn RL, MontieJE, Pimentel1 H, Sandler HM, McLaughlin PW, Sanda MG. Utilization of medications or devices for erectile dysfunction among long-term prostate cancer treatment survivors: the potential influence of sexual motivation and or indifference. Urology 2005; in press.
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445 previously undergone two aortic valve replacements 17 and 12 yr earlier, and an abdominal aortic repair 10 yr previously, presented with acute dissection of his thoracic aorta which required a Bentall's procedure replacement of the aortic valve and ascending aorta in continuity 22 days later, while still in hospital, a further deterioration with interscapular back pain and angiographic and ultrasound evidence of a rapidly expanding thoracic aortic aneurysm required endoluminal repair. This endoluminal repair was immediately distal to the left subclavian artery. At angiography the coronary arteries were normal with moderately impaired left ventricular function. The patient was receiving i.v. heparin, and captopril 50 mg three times daily, sotalol 80 mg twice daily, diltiazem 240 mg mane, amiloride 5 mg mane, frusemide 40 mg twice daily, minoxidil 10 mg twice daily, atenolol 100 mg mane, digoxin 25 g mane and allopurinol 300 mg mane. Preoperative creatinine was 67 mol litre91 increasing to 182 mol litre91 after operation ; , haemoglobin 89 g litre91 decreasing to 73 g litre91, 2 days after operation, and then increasing to 92 g litre91, 4 days after operation, all without blood transfusion ; and platelets 365 109 litre91 decreasing to 64 109 litre91, 2 days after operation, and then increasing to 102 109 litre91, 4 days after operation ; . After premedication with papaveretum 15 mg and hyoscine 0.3 mg, anaesthesia consisted of tracheal intubation using thiopentone and tubocurarine pancuronium block and low flow oxygen and nitrous oxide with isoflurane. Intra-arterial, pulmonary arterial, capillary wedge and central venous pressures were measured. Surgical access was via the left common femoral artery and right brachial artery. Adenosine was used at the time of balloon inflation to expand the stents in the descending thoracic aorta. Two grafts were used, one inside the distal part of the other WhiteYu GAD 24 mm 15 and 24 mm 7 With the patient heparinized, receiving 100% oxygen, and after trial doses of 9 and 15 mg administered centrally via the pulmonary artery catheter to determine the correct dose to stop the heart for the required time of 2030 s, a dose of adenosine 21 mg was used on the first occasion and 27 mg on the second occasion at the time of balloon inflation to expand the stent grafts. The patient's oxygen saturation was never less than 100% at this time and his temperature was 35.5 C, again solely from environmental conditions. There were no adverse complications of the procedure. The patient was nursed initially in the ICU but his trachea was not intubated or his lungs ventilated. The patient was transferred to the ward the next day and discharged from hospital on the fifth postoperative day.
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Table 4. Multivariate Analyses of Overall Survival in PP and SPORE Patients Who Received Endocrine Adjuvant Treatment and avandia.
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How effective is it? Three randomised, double-blind trials have been carried out in patients with mild to moderate hypertension.1-3 Lercanidipine 10mg daily was compared with atenolol 50mg daily in 204 patients.1 In those who did not respond, both drugs were used, and or doses were increased up to 30mg of lercanidipine and 150mg of atenolol daily. At 16 weeks, 90% of patients in both groups responded to treatment, defined as those with a reduction in diastolic blood pressure DBP ; of 10mmHg compared to control, or with DBP 90mmHg. This definition of response was used in all three studies.1-3 Another study compared lercanidipine 10mg daily with slow-release nifedipine 20mg twice daily in 116 patients.2 If no response was seen after four weeks, doses were doubled. Hydrochlorothiazide, in doses up to 25mg daily, was added in nonresponders after eight weeks of treatment. After 16 weeks, both groups had similar proportions of responding patients.
Comment: This trial has major implications for antihypertensive therapy. JNC 7 guidelines adopted in 2003 advocate thiazide diuretic use as initial therapy for most patients with hypertension, either alone or in combination. ASCOT-BPLA, however, suggests that newer agents have the potential to significantly reduce the burden of CHD events in hypertensive patients and may be preferable first-line drugs. The mechanism of this advantage is unclear; the modest blood pressure advantage in favor of amlodipineperindopril seen in ASCOTBPLA may explain its advantage. Alternatively, independent beneficial effects of these agents and or deleterious effects of atenolol-thiazide could be involved and avapro.
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Including but not limited to ; Dr Lorenzo Savioli WHO ; Dr Dirk Engels WHO ; Dr Antonio Montresor WHO ; Dr W. Scott Gordon Harvard School of Public Health ; Prof Roy Anderson Imperial College DIDE ; Prof Christl Donnelly Imperial College DIDE ; Dr Lesley Drake Imperial College DIDE ; Dr Joanne Webster Oxford University ; Prof G. Richard Olds Medical College of Wisconsin ; Dr Dan Colley University of Georgia ; Dr Don Hopkins Carter Center ; Dr Frank Richards Carter Center ; Dr John Horton GSK ; Dr James Maguire CDC ; Dr Pascal Magnussen DBL ; Dr Simon Brooker London School of Hygiene and Tropical Medicine ; Dr Jean Baptiste Roungou WHO-AFRO ; Dr Likezo Mubila WHO-AFRO ; Dr Don Bundy World Bank and azmacort.
7. Slovic, P. 1992. Perception of Risk: Reflections on the Psychometric Paradigm. Chapter 5 in Social Theories of Risk, S. Krimsky and D. Golding eds. ; , Praeger, Westport, Connecticut. 8. Slovic, P. 1999. Trust, Emotion, Sex, Politics, and Science: Surveying the Risk-assessment Battlefield. Risk Analysis 19 4 ; : 689-701. 9. Slovic, P. and E.U. Weber. 2002. Perception of Risk Posed by Extreme Events. Paper prepared for discussion at the conference "Risk Management Strategies in an Uncertain World, " Palisades, New York, April 12-13. 10. Renn, O. 1992. The Social Arena Concept of Risk Debates. Chapter 7 in Social Theories of Risk, S. Krimsky and D. Golding eds. ; , Praeger, Westport, Connecticut. 11. Fischhoff, B. 1995. Risk Perception and Communication Unplugged: Twenty Years of Process. Risk Analysis 15 2 ; : 137-145. 12. Lfstedt, R.E. and O. Renn. 1997. The Brent Spar Controversy: An Example of Risk Communication Gone Wrong. Risk Analysis 17 2 ; : 131-136. 13. NRC National Research Council. 1989. Improving Risk Communication. Washington D.C.: National Academy Press. 14. MacGregor, D.G., P. Slovic, and T. Malmfors. 1999. How Exposed Is Exposed Enough? Lay Inferences about Chemical Exposure. Risk Analysis 19 4 ; : 649-659. 15. Raynor, S. 1992. Cultural Theory and Risk Analysis. Chapter 4 in Social Theories of Risk, S. Krimsky and D. Golding eds. ; , Praeger, Westport, Connecticut. 16. Weber, E.U. 2003. Origins and Functions of Perceptions of Risk. Presented at the NCI Workshop on Conceptualizing and Measuring Risk Perceptions, February 13-14. 17. Sjoberg, L. 1998. World Views, Political Attitudes and Risk Perception. Risk: Health, Safety and Environment 9: 137-152, for example, atenolol sexual.
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Migraine is a common, debilitating condition affecting up to 15% of the population. The ventroposteromedial nucleus of the thalamus relays trigeminal sensory input to the primary somatosensory cortex. In vivo electrophysiological recordings were made from the cell bodies of thalamocortical relay neurons in rats. We investigated whether microiontophoretic ejection of b antagonists could inhibit thalamocortical activity in response to superior sagittal sinus SSS ; stimulation. We also studied `postsynaptic' actions of these drugs through their modulatory actions on L-glutamate-evoked third order neuronal firing. Propranolol inhibited responses to SSS stimulation P 0.001 ; and L-glutamate ejection P 0.001 ; . This was due to an action on b receptors as it could be partially reversed by co-ejection of isoproterenol SSS, P 0.02; L-glutamate, P 0.006 ; . Serotonin 5-HT ; Keywords: thalamus; migraine; b blockers; trigeminovascular Abbreviations: SSS superior sagittal sinus; VPM ventroposteromedial Received June 1, 2004. Revised July 26, 2004. Accepted July 28, 2004. Advance Access publication December 1, 2004 receptor antagonism did not contribute to propranolol's action since the 5-HT1A receptor antagonist, S ; -WAY 100135 P 0.2 ; , and the 5-HT1B 1D receptor antagonist, GR127935 P 0.6 ; , did not affect L-glutamate-evoked neuronal firing. Ateholol inhibited both responses SSS, P 0.003; L-glutamate, P 0.001 ; . The b2 antagonist ICI 118, 551 had no effect SSS, P 0.9; L-glutamate, P 0.4 ; , nor did the b2 agonist procaterol SSS, P 0.6; L-glutamate, P 0.9 ; . SR 59230A b3 antagonist ; also produced no significant inhibition SSS, P 0.7; L-glutamate, P 0.2 ; , indicating an inhibitory role for b1 antagonists only. b Blockers therefore may exert some of their therapeutic effects in migraine through b1 adrenoceptor antagonist actions in the thalamus. Thalamic involvement in migraine is attractive given the complex and widespread nature of the sensory disturbance and baycol.
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Section 5: Banned Substances Apo-Furosemide furosemide ; Apo-Hydro hydrochlorothiazide ; Apo-Indapamide indapamide ; Apo-Methazide hydrochlorothiazide ; Apo-Metoprolol metoprolol ; Apo-Metoprolol type L metoprolol ; Apo-Nadol nadolol ; Apo-Orciprenaline orciprenaline ; Apo-Pindol pindolol ; Apo-Prednisone prednisone ; Apo-Propanolol propranolol ; Apo-Sotalol sotalol ; Apo-Selegiline selegiline ; Apo-Spirozide hydrochlorothiazide, spironolactone ; Apo-Tamox tamoxifen ; Prohibited in males only ; Apo-Timol timolol ; Apo-Timop timolol ; Apo-Triazide hydrochlorothiazide, triamterene ; Aquafor xipamide ; Arimidex anastrozole ; Prohibited in males only ; Aristocort parenteal, tablet triamcinolone ; Aromasin exemestane ; Prohibited in males only ; A5enolol Balminil DM + Decongestant + Expectorant pseudoephedrine ; Balminil Decongestant pseudoephedrine ; Balminil DM + Decongestant pseudoephedrine ; Balminil Nasal Ointment ephedrine ; Bambec bambuterol ; Bambuterol Benadryl Allergy Sinus Headache pseudoephedrine ; Bendrofluazide bendroflumethiazide ; Bendroflumethiazide bendrofluazide ; Benuryl probenecid ; Benylin Codeine 3.3 mg - D-E syrup pseudoephedrine ; Benylin DM-D pseudoephedrine ; Benylin DM-D-E pseudoephedrine ; Benylin DM-D-E Extra Strength pseudoephedrine ; Benylin 4 Flu pseudoephedrine ; Benzedrex propylhexedrine ; Benzfetamine benzphetamine ; Benzhydroflumethiazide bendroflumethiazide ; Benzphetamine benzfetamine ; Benzthiazide Benuryl probenecide ; Berotec Inhalation Aerosol fenoterol ; Berotec Inhalation Solution fenoterol ; Betagan levobunolol ; Betaject betamethasone ; Betaloc metoprolol ; Betaloc Durules metoprolol ; Betaxolol Betnesol tablets betamethasone ; Betoptic betaxolol ; Bisoprolol Bolasterone Boldenone Brevibloc esmolol ; Brinaldix clopamide ; Bromantan Broncospamine reproterol ; Bumetanide Bumex bumetanide ; Buprenex buprenorphine ; Buprenorphine Burinex bumetanide ; Caffeine Calmydone etafedrine, hydrocodone ; Calmylin with codeine pseudoephedrine ; Calmylin Cough & Flu, - Syp #2, - Syp #3 pseudoephedrine ; Camphorated opium Tincture morphine ; Canrenone Cardiorapide pentetrazol, pentylenetetrazol ; Carphedon Carteolol Cartrol carteolol ; Cathine norpseudoephedrine ; Celestone Soluspan betamethasone ; Celiprolol Cheque veterinary ; mibolerone ; Chi Formula ephedrine ; Chlor-Tripolon Decongestant pseudoephedrine ; Chlor-Tripolon N.D. pseudoephedrine ; Chlormerodrine Chlorphentermine Chlortalidone Chlorpropylamphetamine Chlortestosterone Chlorthalidone Chorionic gonadotrophin hCG ; Prohibited in males only and biaxin.
Overview 1995-1997 Over this three year period, 75 notifications were received and 71 95% ; questionnaires were returned. From these, 51 confirmed cases of congenital and neonatal varicella infection, including one termination, were identified. The annual incidence, shown in Table 13, is expressed per 100, 000 live births and excludes the termination of pregnancy. Of the 50 incident cases, 20 were males, 26 females and the sex of four remains unknown. Maternal ages ranged from 18 to 39 years. No cases were reported from Tasmania. Table 13 Annual incidence of congenital and neonatal varicella, 1995-1997 Congenital varicella 1995 1996 1997 Total 3 1 # 2 Incidence * 95% CI ; 1.2 0.3-3.7 ; 0.4 0.02-2.6 ; 0.8 0.3-1.8 ; 0.8 0.3-1.8 ; Neonatal varicella 15 16 13 Incidence * 95% CI ; 5.9 3.4- 9.9 ; 6.3 3.7-10.5 ; 5.2 2.9- 9.1 ; 5.8 4.3- 7.8.
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IS THE QUALITY OF LIFE OF ASTHMATIC OUTPATIENTS RELATED TO THEIR PULMONARY FUNCTION TESTS Branislav S. Gvozdenovic, MD, MSc * ; Nebojsa Tasic, MD, MSc; Danijela Tasic, MD. Vozdovac, Belgrade, Yugoslavia PURPOSE: The aim of our study was to evaluate the relationship between the quality of life QoL ; and pulmonary function in asthmatic outpatients. METHODS: Thirty two ambulatory patients 19 females; mean age was 45 18 years; mean asthma duration - 14 18 years ; have filled four QoL questionnaires: disease specific - the Mini Asthma Quality of Life Questionnaire MiniAQLQ ; and the St George's Respiratory Questionnaire SGRQ ; , and generic forms - the SF-36 and 15D. Total SF-36, 15D, SGRQ and MiniAQLQ scores, as well as the scores for individual domains of SF-36 physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health and health transition ; , SGRQ symptoms, activity and impacts scores ; and MiniAQLQ limitation of activity, asthma symptoms, emotional state, environmental stimuli ; , were calculated for each patient. Pulmonary function was determined by means of spirometry, with following parameters: FVC L ; , FVC% predicted, FEV1 L ; , FEV1% predicted and PEF L ; . RESULTS: Among all of the spirometric parameters examined, the highest degree of correlation with QoL scores was found with Pearson s coefficient of linear correlation ; for the values of PEF L ; . The highest correlation was found with the MiniAQLQ environmental stimuli domain score r 0.496; p 0.002 ; , the SGRQ symptoms domain score r -0.498; p 0.006 ; and total SF-36 score r 0.411; p 0.027 ; . CONCLUSIONS: The QoL in asthmatics, that could be well determined by the questionnaires we used in our study, strongly reflects and cardizem.
TABLE 23 Included non-drug studies cont'd ; Study ID TAIM, 1992 Methods Randomisation: stratified within clinical centre and by race, computer allocated by coordinating centre. Allocation concealment: A Assessor blinding: blinded to drug status only ITT: no Participants Location: 3 clinical centres in USA Period of study: before July 1991 Inclusion criteria: either gender, 2165 years, 110160% IBW, BP untreated or BP medication discontinued 2 weeks before start of study, 1 member per household, treated DBP 99 mmHg or untreated DBP 90104 mmHg at preliminary screening, 90100 mmHg at first clinic visit, 115 mmHg at second visit prerandomisation ; Exclusion criteria: MI during past year or history of MI, history or other evidence of stroke, bronchial asthma, diabetes mellitus requiring insulin; history or other evidence of allergy to thiazides or -blockers, creatinine 180 m l at baseline, other major disease, e.g. kidney disease, liver disease, cancer, pregnancy or likelihood of pregnancy during study, lifestyle or other conditions likely to affect compliance Gender: 100 women, 100 men Age years ; : mean SD ; a: 48.6, b: 46.8 BMI kg m2 ; : mean a: 30.45, b: 30.14 Baseline comparability: significantly more women than men in group a Interventions Timing of active intervention: a: 30 months, contacted minimum 25 times baseline, 10 group sessions held weekly and monthly assessment in initial 6 months then every 612 weeks up to a maximum of 30 months ; b: contacted 5 times baseline, and 6, 12, 18 and 24 months ; Description of intervention: b: no change in diet and given placebo a: diet counselling and nutrition education aimed at behaviour change, related activities exercise ; aimed at weight loss to achieve blood pressure control, given individual goal of calorie intake and weight loss of 10% baseline weight or 4.5 kg whichever greater given placebo a + b: all participants given step-up medication if necessary to control blood pressure, administered in double-blind fashion; if DBP 99 mmHg or 9094 mmHg at 2 visits with 3-month interval or 9599 mmHg at 2 visits with 2-week interval then 25 mg chlorthalidone or 50 mg atenlol prescribed, if still not controlled then open-label therapy used known antihypertensive medication ; Allocated: a: 100, b: 100 Completed: not clear % Dropout: not clear Assessed: a: 57, b: 61 at years 1 and 2 participants excluded from analysis if failed to attend all 6, 12, 18 and 24-month assessments ; Outcomes Length of follow-up: 2.5 years minimum Outcomes: weight data, treatment failures, deaths Notes Sponsorship: part funded by National Institutes of Health, ICI Americas, AH Robins Company.
Tively preserved renal function, despite hypertension and overt proteinuria. It is possible that in a population with more advanced renal impairment, a superiority of the ACE inhibitor in retarding nephropathy may have been detected. In a range of studies by Bakris et al. 12 ; in proteinuric diabetic patients with advanced nephropathy, it appeared that ACE inhibitor treatment, in addition to reducing urinary protein excretion, was associated with a less rapid decline in GFR when compared with the group treated with the -blocker atenolol. Interestingly, in that study, similar beneficial effects on renal function were also observed with the nondihydropyridine CCBs verapamil and diltiazem 12 ; . These investigators have suggested significant differences in terms of renoprotection between different classes of CCBs in diabetic nephropathy, and this issue remains unresolved 13 ; . It must be appreciated that the studies performed by the Bakris group were in type 2 diabetic subjects, which could represent an additional potential confounding factor. Ultimately, these antihypertensive drugs must be considered not only in terms of renal protection, but also in terms of cardiovascular protection 14 ; . This context is particularly relevant when considering dihydropyridine CCB treatment. These agents have recently been subjected to intensive investigation in the setting of diabetes with a number of studies, suggesting a possible deleterious effect of dihydropyridine CCBs on cardiovascular mortality in diabetic subjects 15 ; . These studies have generally been performed in type 2 diabetic patients and cannot be extrapolated to the type 1 diabetic population. Furthermore, the recent HOPE study has suggested a specific cardioprotective effect of the ACE inhibitor ramipril in high-risk type 2 diabetic patients 16 ; . These findings must be considered in the context that cardiovascu1723.
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In Novopharm Ltd. v. Bayer Inc.3, hereinafter "Novopharm" and "Bayer" ; Bayer had applied for the registration of the trade-mark CIRCLE DESIGN TMO 657, 397 ; , namely a dusty rose colour applied to the whole visible surface of its nifidepine tablets. Novopharm opposed Bayer's application based on, amongst others, the ground that Bayer's trade-mark lacked the distinctiveness required to constitute a trade-mark. The Registrar rejected Novopharm's opposition on the issue of distinctiveness because it was inferred from Bayer's evidence that, although there were dozens of pink tablets of different sizes on the pharmaceutical market, none had a reputation in Canada. The Registrar further concluded that since there were no other interchangeable products for Bayer's nifidepine pills, it would be likely for pharmacists and patients to associate the colour and shape of the pills with Bayer's nifidepine product. On appeal before the Trial Division of the Federal Court, Novopharm submitted significant additional evidence relating to the crucial issue of the distinctiveness of Bayer's trade-mark. Based on all of the evidence, the Trial Judge considered that pink round small tablets were commonplace in the pharmaceutical market. Consequently, Bayer had a heavy burden to discharge in order to prove, on a balance of probabilities, that at the date of Novopharm's opposition, the appearance of its tablets was associated by "ordinary consumers", namely patients4, physicians and pharmacists, with one source. The Court found that pharmacists rely on the colour and shape of pills as a "secondary check", their primary source of identification being the label on the package in which the product is supplied. Furthermore, other evidence also indicated that pharmacists and physicians also identified Bayer's tablets by appearance, to a very minimal degree, if at all. It was also inferred from the evidence that patients tended to associate the colour and shape of their pills with their therapeutic effect5, rather than with a single source. The Court opined that the evidence suggested that patients were more likely to identify Bayer's product by its brand name, or manufacturer, rather than by its appearance. Consequently, the Court reversed the Registrar's decision, ruling that Bayer had not discharged its onus of proving that its mark was distinctive of its wares.
Table 2. Generation of EBV-specic CTL cultures from EBV-seronegative transplant patients.
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Contraception--Khon Kaen . Szontagh TCu 380A : Study the acceptability and effectiveness of Szontagh's IUDs compared to TCu 380A in Thai women : case study in Khon Kaen province. : , [2539]. 25 . 97945 ; Contraception--Laos Chanthanom Manithip. Acceptability of contraception among married women in Vientiane, LAO P.D.R. Bangkok : Mahidol University, 1996. 95 p. T E10541 ; Contraception--Malaysia Loh, Lee Lee. Traditional methods of contraception of the Malays-an exploratory study. Penang : University Sains Malaysia, 1981. iii, 26 p. R E494 ; Contraception--Nigeria Avbayeru, Taiwo. Factors influencing contraceptive use in Nigeria. Bangkok : Mahidol University, 1993. vii, 67 p. T E6108 ; Contraception--Philippines Reoma, Joseto M. A profile of college students' information sources, . Cebu City : University of San Carlos, 1981. iv, 48 p. R E496 ; Contraception--Side effects Aye Aye Sein. The study of side effects of temporary contraceptive methods among currently contraceptive users in Rajvithi hospital, Bangkok. Bangkok : Mahidol University, 2000. 60 p. T E15035 ; Contraception--Thailand, Southern Martin-6upid, Claudette E. The practice of contraception among the Thai-Moslems and Thai-Buddhists in the south of Thailand. Bangkok : Mahidol University, 1990. viii, 71 p. T E8112 ; Contraceptive devices, Female . Szontagh TCu 380A : Study the acceptability and effectiveness of Szontagh's IUDs compared to TCu 380A in Thai women : case study in Khon Kaen province. : , [2539]. 25 . 97945 ; Contraceptive drugs Chitkavee Pavaro. Searches for the antimalarial and male antifertility agents. Bangkok : Mahidol University, 1993. iv, 266 p. T E7230 ; Darunee Winarungsiyakorn. Antifertility effect of Thai dietary plant extracts in the malerat and nomster . Bangkok : Mahidol University, 1984. 4 microfiches 198 fr. ; . T MF20201 ; 25442.
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45. The Acute Infarction Ramipril Efficacy AIRE ; Study Investigators. Effect of ramipril on mortality and morbidity of survivors of acute myocardial infarction with clinical evidence of heart failure. Lancet. 1993; 342: 821-8. RA 46. Kober L, Torp-Pedersen C, Carlsen JE, et al. A clinical trial of the angiotensin-convertingenzyme inhibitor trandolapril in patients with left ventricular dysfunction after myocardial infarction. Trandolapril Cardiac Evaluation TRACE ; Study Group. N Engl J Med. 1995; 333: 1670-6. RA 47. Cohn JN, Tognoni G. A randomized trial of the angiotensin-receptor blocker valsartan in chronic heart failure. N Engl J Med. 2001; 345: 1667-75. RA 48. Pitt B, Zannad F, Remme WJ, et al. The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators. N Engl J Med. 1999; 341: 709-17. RA 49. Braunwald E, Antman EM, Beasley JW, et al. ACC AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction--summary article: A report of the American College of Cardiology American Heart Association task force on practice guidelines Committee on the Management of Patients With Unstable Angina ; . J Coll Cardiol. 2002; 40: 1366-74. PR 50. -Blocker Heart Attack Trial Research Group. A randomized trial of propranolol in patients with acute myocardial infarction. I. Mortality results. JAMA. 1982; 247: 1707-14. RA 51. Hager WD, Davis BR, Riba A, et al. Absence of a deleterious effect of calcium channel blockers in patients with left ventricular dysfunction after myocardial infarction: The SAVE Study Experience. SAVE Investigators. Survival and Ventricular Enlargement. Heart J. 1998; 135: 406-13. RA 52. The Capricorn Investigators. Effect of carvedilol on outcome after myocardial infarction in patients with left-ventricular dysfunction: The CAPRICORN randomised trial. Lancet. 2001; 357: 1385-90. RA 53. Pitt B, Remme W, Zannad F, et al. Eplerenone, a selective aldosterone blocker, in patients with left ventricular dysfunction after myocardial infarction. N Engl J Med. 2003; 348: 1309-21. RA 54. UK Prospective Diabetes Study Group. Efficacy of atenolol and captopril in reducing risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 39. BMJ. 1998; 317: 713-20. RA.
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