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Markswise Tentative ; list of Candidates : General Category Page No 198 * The list prepared is likely to change on submission of proof of weightage as permissible under the PU rules. * Rank combined: PCB PCM PCT PCS S.No Roll No Candidate's Name Code Rank Marks Rank Category CET Combined 5714 407203 DARPANDEEP KAUR PCB 3895 65.00 5697 GN PCT[4655] 5715 403669 NEHA SHARMA PCB 3895 65.00 5697 GN 5716 407417 PAYAL CHOPRA PCB 3895 65.00 5697 GN PCT[4682] 5717 401323 GARIMA PRUTHI PCB 3895 65.00 5697 GN 5718 406480 VIKRAM NARULA PCB 3895 65.00 5697 GN SP 5719 405133 NIDHI SHARMA PCB 3895 65.00 5697 GN 5720 401630 TARUN PCM 896 65.00 5697 GN 5721 410104 BHANU PRIYA ARORA PCM 896 65.00 5697 GN PCS[4551] 5722 408880 MAHIMA YADAV PCM 896 65.00 5697 GN 5723 402102 SWARANDEEP SINGH PCM 896 65.00 5697 GN 5724 408517 ANKITA AGARWAL PCM 896 65.00 5697 GN NI PCB[5201] PCT[4761] 5725 408356 POONAM KUMARI PCM 896 65.00 5697 GN D5 PCB[6019] 5726 409846 RISHAMJOT KAUR PCM 896 65.00 5697 GN SP 5727 409724 SATVIR SINGH PCM 896 65.00 5697 GN 5728 410334 RAMNEEK PCM 896 65.00 5697 GN PCT[5373] 5729 408379 RAJINDER SINGH PCM 896 65.00 5697 GN PCB[6280] 5730 402116 NANIKA PCS 36 65.00 5697 GN PCM[5084] 5731 406920 ZAFAR IQBAL SINGH PCT 873 65.00 5697 GN PCB[3599] 5732 407648 TARRANUM JASPAL PCT 873 65.00 5697 GN NI PCB[2145] 5733 407094 SHAMINDER MANDI PCT 873 65.00 5697 SC PCB[6204] 5734 407452 SHEETAL NEGI PCT 873 65.00 5697 ST PCB[6310] 5735 407390 GURINDER KAUR PCT 873 65.00 5697 GN PCB[6377] 5736 407722 SUSHMA NEGI PCT 873 65.00 5697 ST PCB[4400] 5737 404526 RAMANJEET KAUR PCB 3918 64.50 5737 GN 5738 408212 PRAGATI SHARMA PCB 3918 64.50 5737 GN 5739 404300 KRITIKA KAJLA PCB 3918 64.50 5737 SC 5740 407863 VIDUSHI PCB 3918 64.50 5737 GN PCT[5121] 5741 405463 MANDEEP KAUR PCB 3918 64.50 5737 GN 5742 406406 MANPREET KAUR PCB 3918 64.50 5737 GN.
In this paper, we develop static and dynamic models of global supply chain networks with multiple tiers of decision-makers who are faced with environmental concerns and with electronic commerce. We analyze the model theoretically and propose a discrete-time algorithm for tracking the product and financial flows.
Regulatory status of the test in which the ASR has been used, is consistent with other in vitro diagnostic labeling, and addresses the concern raised by the Panel that practitioners ordering the tests made from class I exempt ASR's or from class II or III ASR's marketed independently of an approved test may be unaware that the clinical performance characteristics of those tests have not been independently reviewed by FDA. The statement would not be applicable or required when test results are generated using the test that is cleared or approved in conjunction with review of the class II or III ASR. It will be FDA's responsibility to enforce the disclaimer requirement. H. Sale Restrictions The final rule does not regulate the sale of ASR's to nonclinical laboratories. FDA has amended 809.30 a ; 3 ; to clarify that ASR's may be sold for nonclinical uses or uses not directly related to patient care to academic and other research laboratories as well as to other nonclinical laboratories. It is not the intent of the ASR regulations to prevent the continued sale of ASR's to research institutions that are using these devices for nondiagnostic testing. I. Labeling Changes and Ordering Restrictions FDA has amended 809.10 e ; 9 ; to clarify that labeling for class I exempt ASR's must include the statement, ``Analyte Specific Reagent. Analytical and performance characteristics are not established.'' For class II and III ASR's, FDA has amended 809.10 e ; 9 ; to clarify that labeling must include the statement ``Analyte Specific Reagent. Except as a component of the approved cleared test Name of approved cleared test ; , analytical and performance characteristics are not established.'' Such labeling is consistent with other IVD labeling and provides accurate information to users and purchasers of these products. FDA has added 809.10 f ; to restrict ordering in-house developed tests using ASR's to physicians or other health care practitioners authorized by the law of the State in which the test is being offered. FDA believes that interpretation of results from in-house developed tests that use ASR's requires the expertise of a health care practitioner authorized by the State to provide a reasonable assurance of the safe and effective use of commercially marketed ASR's. Because the performance characteristics of the individual tests have not been cleared or approved by FDA, consumer use of such tests without the benefit of the experience of a health care professional would significantly undermine safe and effective use of these ASR's. III. Response to Comments A. Comments Received in Response to FDA's Solicitation of Opinions on Specific Issues 1. Genetic Testing Comment 1 ; Several comments supported regulating ASR's used in genetic testing as class I exempt devices. Those comments asserted that: a ; Use of genetic test results are better addressed through regulations pertaining to confidentiality of results, discrimination based on genetic information, and the qualifications of genetic counselors and physicians, and through standards and guidelines established by professional organizations rather than through more stringent device controls. b ; CGMP requirements, labeling restrictions, as well as CLIA requirements for qualifying laboratories to perform high complexity testing adequately, address FDA concerns about the safety and effectiveness of ASR's used for such tests. c ; More stringent classifications of ASR's used in genetic tests may hamper the availability of genetic testing, which would adversely affect the development and practice of genetic medicine by adding substantially to the time and expense associated with test development. d ; Clinical laboratories have the responsibility and expertise to validate genetic tests, to establish standard operating procedures so that tests can be consistently replicated by technicians, and to generate in-house reference standards to test any new reagent lot for specificity. e ; ASR's should not be singled out for more stringent classification because ASR's are only one component of the clinical assay; properties of the general reagents used in the assay, such as ionic strength, pH and concentration, as well as conditions and procedures at the test site, are also critical for determining analytical specificity. f ; Genetic tests are not fundamentally different from other diagnostic technologies. g ; The proposed ASR category would allow flexibility for medical decision making but a system that attempts to distinguish among different genetic categories of testing, such as diagnostic, carrier, population screening, or prenatal diagnosis, would be unwieldy. h ; Many ASR's could be unintentionally overregulated if a higher.
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Stated they were worried, and a significant number who received secobarbital were euphoric. Otherwise there were no appreciable differences, although the active drugs especially secobarbital ; caused a sleepy feeling more often than the placebo. Postinduction replies by the anaesihesiologist Table IV ; The only statistically significant difference among the replies was a higher incidence of euphoria with secobarbital. This was in agreement with the feelings expressed by the patients. The occurrence of discomfort, tenseness, and talkativeness was judged less frequent in the diazepam group, but the difference was not statistically significant.
Dominic P Coppolo MBA RRT FAARC is affiliated with Monaghan Medical Corporation, Syracuse, New York. Jolyon P Mitchell PhD CChem CSci and Mark W Nagel are affiliated with Trudell Medical International, London, Ontario, Canada. This study was funded by Monaghan Medical Corporation and was performed at the Aerosol Research Laboratory of Trudell Medical International, London, Ontario, Canada. Sepracor Incorporated provided racemic albuterol formulation for the study but was not involved with the study design. Dominic P Coppolo MBA RRT FAARC presented a version of this paper at the OPEN FORUM of the 51st International Respiratory Congress of the American Association for Respiratory Care, held December 36, 2005, in San Antonio, Texas. Correspondence: Jolyon P Mitchell PhD CChem CSci, Trudell Medical International, 725 Third Street, London, Ontario, Canada, N5V 5G4. E-mail: jmitchell trudellmed.
It was considered that the local authority was their focal point for daily assistance to gather people in community to help. This is seen as their work Therefore if we provide incentive to the local authority it will work better, however, they should be defined clearly and used consistently and senna.
Hormone treatment along with good pain control, protein diet, stretching exercises, and positive mental attitude give you the best hope for neurogenesis and permanent healing. Replacement means that you take hormones that are depleted by pain and or medications. Be clearly advised that a most serious complication of opioids is hormone depletion, particularly testosterone. You will need a blood test to determine whether this is the case. Testosterone, in males and females, is necessary for good pain control, energy, weight control, bone growth, libido, and relief of depression. Severe IP may deplete certain pituitary and adrenal hormones. Although research on hormones is in its early stage, I have found that the adrenal hormone, pregnenolone, is almost always depleted by IP. This hormone naturally acts to heal nerves and promote energy and mental ability. Patients who don't have enough pregnenolone are depressed, exhausted, and have poor mental concentration, memory, and pain control. If you have IP, I recommend a daily dose of 50 to 200mg. The only known side effect at these dosages is acne, and if this occurs, reduce your dosage. Some IP patients appear to have inadequate thyroid or estrogen levels. You may need to be tested for these hormones and take replacements. Some hormones such as chorionic gonadotropin and growth hormone cause tissue growth i.e. anabolic effect ; and appear to offer hope in permanently reducing IP.
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Pharmacologic Treatment of Insomnia Until the late 1960s, barbiturates such as pentobarbital and secobarbital were widely used in the treatment of insomnia. However, the use of these drugs declined with the recognition that barbiturates were associated with abuse and could produce clinical dependence, including severe withdrawal symptoms with abrupt cessation of use. The discovery of the benzodiazepine anxiolytic chlordiazepoxide and subsequent development of numerous analogs with similar pharmacologic profiles rapidly led to replacement of and septra.
UmetaniS, 2006. Molecular Design of Organic Ligands Highly Selective for Lanthanide Metal Ions, J. Alloys Compd. 408412, 981984. vanGoethemG, HugonM, BhatnagarV, ManolatosP, CasaltaS, DefrennesM, 2006. Euratom innovation in reactor systems and fuel cycles; EU response to some of the main S T challenges in nuclear fission. In proceedings of FISA 200 131 March 200. pp 329. European commission DG Research 200. ISBN 92-9-01214-2 VaraineF, GrouillerJP, DelpechM, WarinD, 2004.Results on transient scenarios towards Gen IV systems, 8th IEMPT, Las Vegas, NV, November 911. VillazanaR, 2006.Methylene Substituted Derivatives of the Actinide Extractant tbytylphenyl ; -N, N- ibutyl ; carbamoylmethylphosphine oxide, Abstracts, 2nd Regional Meeting of the American Chemical Society, Houston, TX, October 1922. VoitSLetal.2005. The design and production of nitride fuels for the AFCI programme, In Proc. GLOBAL 200, Tsukuba, Japan, October 913. WadeDC, HillRN, 1997. The design rationale of the IFR, Prog. Nucl. Energy. 31, 2. WaiCM, 2006. Reprocessing spent nuclear fuel with supercritical carbon dioxide, ACS Symposium Series, 933 Separations for the Nuclear Fuel Cycle in the 21st Century ; ISSN: 009-1. WalleniusJ, ErikssonM, 2005. Neutronics of minor actinide burning accelerator driven systems with ceramic fuel, Nucl. Tech. 12, 3. WalleniusJ, HaasD, MaschekW, PillonS, SobolevV, ThetfordR, 2006 lection of the preliminary fuel candidate for DM1, EUROTRANS Deliverable D3. WalleniusJ, OlssonP, MalerbaL, TerentyevD, 2007. Simulation of thermal ageing and radiation damage in Fe-Cr, Nucl. Inst. Meth. Phys. Res. B 2, 8. WeiY, 2005. Development of an Advanced Ion Exchange Process for Reprocessing Spent Nuclear Fuels, J. Ion Exch. 1 2 ; , 102114. WeiY, AraiT, HoshiH, KumagaiM, BruggemanA, GoethalsP, 2005. Development of a New Aqueous Process for Nuclear Fuel Reprocessing: Hot Tests on the Recovery of U and Pu from a Nitric Acid Solution of Spent LWR Fuel, Nucl. Technol. 149 2 ; , 21231. WeiY-Z, HoshiH, KumagaiM, GoethalsP, BruggemanA, 2006. A Hot Test on Minor Actinides Separation from High-Level-Waste by CMPO SiO2-P Extraction Resin, Proceedings from Actinides 200, Manchester July 48, 449. WestlnD, SeltborgP, 2006. Source efficiency as function of fuel and coolant in acceleratordriven systems, Ann. Nucl. Energy 33, 829. WestlnD, WalleniusJ, 2006a. Neutronic and safety aspects of a gas-cooled subcritical core for minor actinide transmutation, Nucl. Tech. 14, 41. WestlnD, WalleniusJ, 2006b. On TiN-particle fuel based helium cooled transmutation systems, Ann. Nucl. Energy 33, 1322. WigelandRA, BauerTH, FanningTH, MorrisEE, 2006 parations and transmutation criteria to improve utilization of a geologic repository. Nuclear Technology Vol 14 April 200, pp 910. YanC, JiaJ, LiaoC, WuS, XuG, 2006 e Earth Separation in China, Tsinghua Science and Technol. 11 2 ; , 24124. ZaitsevBN, KvasnitskiiIB, KorolevVA, BabainVA, PokhitonovYA, 2005. Recovery of Pd from Spent Fuel: 3. Recovery of Pd from Nitric Acid Solutions Using Carbamoyl Phosphine Oxides, Radiochemistry 4 ; , 343.
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Am J Physiol Lung Cell Mol Physiol 291: 466-472, 2006. First published Apr 14, 2006; doi: 10.1152 ajplung.00011.2005 You might find this additional information useful. This article cites 33 articles, 18 of which you can access free at: : ajplung.physiology cgi content full 291 3 L466#BIBL This article has been cited by 1 other HighWire hosted article: Functional characterization of voltage-gated K + channels in mouse pulmonary artery smooth muscle cells E. A. Ko, E. D. Burg, O. Platoshyn, J. Msefya, A. L. Firth and J. X.-J. Yuan J Physiol Cell Physiol, September 1, 2007; 293 ; : C928-C937. [Abstract] [Full Text] [PDF] Updated information and services including high-resolution figures, can be found at: : ajplung.physiology cgi content full 291 3 L466 Additional material and information about AJP - Lung Cellular and Molecular Physiology can be found at: : the-aps publications ajplung.
General population; BMI 25 Individuals 45 years Baseline and q 3 years 2. High risk population 18 years; BMI 25 Baseline and yearly 3. Children and youth at risk Baseline at age 10 and q 2 years Overweight BMI 85th %'ile for age and gender and two risk factors ; Risk Factors and sevelamer.
Risk for the development of fatal late cardiac pulmonary and abnormalities and second malignancie~~~~-particularly acute myelogenous leukemia AML ; . A determination of whether similar delayed organ toxicity and second malignancies will present problems in our patients receiving intensive therapy and BMT as their initial salvage therapy will require longer follow-up. Whenmarrow autografting is part of the salvage approach, the complication of secondary AML is of particular concern. Secondary AML and myelodysplasia have now been reported after autologous BMT in H D patient , "" and cytogenetic abnormalities detected before marrow harvest have precluded BMT in somepatients.40Of 12 patients harvested and autografted at our centerin a second or greater relapse, one has subsequently developed AML 4 years post-BMT data not shown ; . In all of these cases, the marrow had been exposed to multiple chemotherapy regimens with or withoutradiotherapy ; before harvest. To date, none of our HDpatients transplanted in first relapse have developed AML. These observations suggest the desirability of procurement of marrow for autografting before multiple attempts at salvage therapy are undertaken. Our overall progression-free survival is higher than that usually reported with nontransplant salvage modalities in HD.5, 34, 43-45We do not feel that patient selection alone accounts for these favorable results, because the majority of our patients not transplanted were excluded because they were felt to have an excellent prognosis without BMT, 3leaving poorer risk patients for BMT. However, our analysis of risk factors confirms the importance of several biologic fea~.~ tures of this disease in determining o ~ t short initial CR interval, presence of "B" symptoms at relapse and extranodal disease at relapse independently and multiplicatively predicted for a reduced post-BMT progression-free survival in our prognostic model. These factors overlap with those previously described with the use of either conventional- or high-dose salvage therapy appro ache . - . However, most of the previous reports of BMT regimens in progressive H D combine the results in patients with different disease statuses at BMT ie, induction failure, multiple relapses, and resistant relapse ; . Our study was able to define three useful predictors of outcome in a less heterogenous group of patients, all of whom presented in an initial relapse after first-line chemotherapy. Whereas it might be argued that our best-risk groups of patients ie, those with no or one adverse factor ; might have done well with salvage chemotherapy alone, our preliminary results showing low mortality and relapse rates in these groups supportthe further developmentofthis approach in patients relapsing after primary chemotherapy. Future efforts will be directed at reducing the morbidity, mortality, and cost oftreatment in this s ~ b Conversely, patients with two adverse factors had a significant risk of disease progression, although 40% survived free of disease progression. Finally, newer strategies are required for patients with all three risk factors, a group in which no long-term survivors were seen. Possible approaches in these unfavorable patient groups include use the of more than one course of dose-intensive therapy with.
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Granule cells of the olfactory bulb provide GABAergic output to mitral and tufted cells, and receive GABAergic inputs from other granule cells and from short-axon cells. It is unclear whether the different inputs to the granule cells are mediated by the same type and sirolimus.
1. Respiratory problems are the most frequently encountered complications in the PACU, with the majority related to airway obstruction, hypoventilation, or hypoxemia. 2. Hypoxemia A. Causes: right-to-left intrapulmonary shunt atelectasis ; , mismatching of ventilation-to-perfusion decreased functional residual capacity ; , decreased cardiac output, alveolar hypoventilation, diffusion hypoxia, upper airway obstruction, bronchospasm, aspiration of gastric contents, pulmonary edema, pneumothorax and pulmonary embolism, obesity, advanced age, and posthyperventilation hypoxia. B. Clinical signs of hypoxia restlessness, tachycardia, cardiac irritability hypertension, hypotension ; are nonspecific; obtunded, bradycardia, hypotension, and cardiac arrest are late signs. C. Increased intrapulmonary shunting relative to closing capacity is the most common cause of hypoxemia following general anesthesia. D. Treatment: oxygen therapy with or without positive airway pressure. Additional treatment should be directed at the underlying cause. 3. Hypoventilation A. Causes: drug-induced central nervous system depression residual anesthesia ; , suboptimal ventilatory muscle mechanics, increased production of carbon dioxide, decreased ventilatory drive, pulmonary, and respiratory muscle insufficiency preexistent respiratory disease, inadequate reversal of neuromuscular blockade, inadequate analgesia, and bronchospasm ; . B. Hypoventilation in the PACU is most commonly caused by residual depressant effects of anesthetic agents on respiratory drive or persistent neuromuscular blockade. C. Treatment: should be directed at the underlying cause. Marked hypoventilation may require controlled ventilation until contributory factors are identified and corrected. 4. Upper airway obstruction stridor ; A. Causes: include incomplete anesthetic recovery, laryngospasm, airway edema, wound hematoma, and vocal cord paralysis. Airway obstruction in unconscious patients is most commonly due to the tongue falling back against the posterior pharynx. B. Treatment: supplemental oxygen while corrective measures are undertaken. Jaw thrust, head-tilt, oral or nasal airways often alleviate the problem. 5. Laryngospasm and laryngeal edema A. Laryngospasm is a forceful involuntary spasm of the laryngeal musculature caused by sensory stimulation of the superior laryngeal nerve. Triggering stimuli include pharyngeal secretions or.
Figure 3. Associations between transplant variables and chimerism. A ; Kinetics of T-cell engraftment according to underlying diseases. B ; Kinetics of T-cell engraftment according to chemotherapy history. There were 17 patients who did not receive chemotherapy or received agents such as chlorambucil, hydroxyurea, imatinib mesylate, or immunomodulators who were termed "no prior chemotherapy, " while those who received more intensive chemotherapy n 103 ; were termed "prior chemotherapy." C ; Comparison of kinetics of T-cell engraftment in recipients of HLA-matched related or unrelated G-PBMCs and skelaxin.
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545 in some patients may be influenced by psychological factors. The VPS-2 study showed that in patients with a DDD-RDR device the placebo effect may be important, because the cumulative risk of syncope at 6 months was 31% in the paced group versus 40% in the placebo group relative risk reduction 30% e not statistically significant ; . Remarkably, the INVASY study showed that the cumulative risk of syncope at 12 months in patients with the pacemaker programmed in DDI without medication ; was 78%, while the risk dropped to zero in the treated CLS group and secobarbital.
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