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Merck & co inc 8-k for 12 10 02 ex-9 c filed on 12 10 sec file 1-03305 accession number 950123-2-11685 as of filer filing as for on docs: pgs issuer agent 12 10 02 merck & co inc 8-k 12 10 bowne of ny city fa current report form 8-k filing table of contents document exhibit description pages size 1: 8-k merck & co, inc 3 13k 2: ex-9 a opening remarks given by raymond gilmartin 6 27k 3: ex-9 b closing remarks given by raymond gilmartin 2 11k 4: ex-9 c press release 8 41k ex-9 c press release ex-9 c 1st page of 8 toc top previous next bottom just 1st exhibit 99 c ; press contact: janet skidmore investor contact: mark stejbach 908 ; 423-3046 908 ; 423-5185 chris loder 908 ; 423-3786 broadened portfolio of breakthrough medicines will drive merck's growth - large in-line franchises rank no 1 or worldwide sales in their class; outcomes studies continue to demonstrate clinical benefits - company plans to expand its existing franchises and enter new therapeutic categories with novel compounds - new cycle of medicines and vaccines expected to be filed or launched by 2006 whitehouse station dec and plavix.
Mistaken for Demerol-Phenergan-Thorazine Mistaken for Hydrochlorothiazide Mistaken for Mitoxantrone Mistaken for Sodium Nitroprusside Infusion Mistaken as "right eye" Mistaken for "left eye" Mistaken as "qh or every hour" Mistaken as "every 6 hours" Mistaken for q.d. daily ; or q.i.d. 4 times daily ; if the "o" is poorly written Mistaken for "IV" or "IM" Mistaken for "three doses" Mistaken for "BID" twice daily ; Mistaken for number "55.
| Phenergan intravenous warning10. For conscious patients or for previously unresponsive patients who become conscious ; : Lidocaine: 30mg IO slowly ; to reduce discomfort from infusion. 11. Flush the IO catheter with 10mL of normal saline. 12. Utilize a pressure bag for continuous infusions where applicable. If a pressure bag is not available, wrap a BP cuff around the bag of normal saline and inflate the cuff until desired flow rate is achieved. 13. Dress site, secure tubing and apply wristband as directed. 14. Morphine Sulfate: 2-5mg IO every 5 minutes to reduce the patient's pain from infusion if the patient's systolic BP is 90mmHg ; . Promethazine Henergan ; : 12.5mg IO diluted with 10mL NS and administer over 60 seconds if systolic BP 90mmHg ; for nausea and or vomiting. Promethazine 12.5mg IO may be repeated one time in 15 minutes to a total dose of 25mg. If the patient is allergic to Morphine or if Morphine is not effective: Fentanyl: 50mcg IO over 2 minutes for pain. Fentanyl 50mcg IV may be repeated one time in 5 minutes to a total of 100mcg if the patient's systolic BP is 90mmHg ; . 15. Closely monitor EZ-IO site en route and plendil.
Poisoning Overdose . 144 Respiratory Distress. 145 Seizure . 147 Shock - Hypovolemic . 149 Trauma. 150 Drug Definitions Acetaminophen Tylenol ; . 153 Activated Charcoal . 154 Adenosine Adenocard ; . 155 Afrin oxymetazoline hydrochloride ; . 156 Albuterol Proventil, Ventolin ; . 157 Amiodarone Cordarone ; . 158 Aspirin . 159 Atropine. 160 Calcium Chloride . 161 Dextrose 50% . 162 Diazepam Valium ; . 163 Diphenhydramine Hydrochloride Benadryl ; . 164 Dopamine Hydrochloride. 165 Epinephrine. 167 Etomidate amidate ; . 169 Fentanyl . 171 Flumazenil Romazicon ; . 172 Furosemide Lasix ; . 174 Glucagon . 175 Haloperidol haldol ; . 176 Heparin. 177 Ipratropium Bromide Atrovent ; . 180 Labetalol Trandate ; . 181 Lidocaine . 182 Magnesium Sulfate . 184 Midazolam Versed ; . 186 Morphine Sulfate. 187 Naloxone Narcan ; . 188 Nitroglycerin. 189 Oxytocin pitocin ; . 191 Potassium Chloride . 192 Procainamide . 194 Promethazine Phenergan ; . 195 Proparacaine Alcaine ; . 196 Racemic epinephrine . 197 Sodium Bicarbonate. 199 REMSA Protocol Manual Approved 3 1 2007 - iii.
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Prevention of bone loss and recently concluded studies show that it is effective for prevention of breast cancer. However, there is no current information regarding its efficacy in patients with established breast cancer. Before consideration of such treatment, the patient should have an indepth discussion with her oncologist and potassium.
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Treatment Group: Paroxetine Adverse event: Pyelonephritis Pyelonephritis ; This 15-year-old white female was a participant in the trial of BRL-29060 701, which was conducted in children and adolescents with major depressive disorder MDD ; . The patient entered the study with no significant previous medical or surgical history reported. Current medical history includes periodontal abscess. Psychiatric history measured by K-SADS-PL interview ; includes previous and current MDD with an onset of March 1998, and Post-Traumatic Stress Syndrome PTSD ; with an onset of August 1998. No other psychiatric disorders were identified. Previous medications included amfebutamone HCl Wellbutrin ; for major depressive disorder, and paracetamol hydrocodone bitartrate Vicodin ; for dental surgery. Concomitant medications were given for pyelonephritis; these were promethazine HCl Phenergan ; given on Days 57-62, and sulphamethoxazole trimethoprim Septra ; given on Days 57-71. The patient was randomized to the paroxetine regimen and took the first dose of paroxetine on 10 July 2000. The patient began treatment at a dose of 10 mg day and was titrated up, in 10 mg week increments, to the highest dose of 40 mg day on 09 August 2000. On 22 August 2000 Day 44 ; , while at a dose level of 40 mg day, the patient experienced moderately severe pyelonephritis. Pyelonephritis was treated with Phenergan and Septra and resolved within 28 days. This event was considered by the investigator to be unrelated to treatment with study medication, but the patient was withdrawn from the study. The patient discontinued study medication on 12 September 2000. The patient also experienced moderately severe insomnia Day 9 ; that continued beyond the end of the study, and mild nausea Day 24 ; that resolved in one day.
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Prolonged hospital admission by mean 7.8 days - 43.9% of cases preventable associated with error ; - 12.3% associated with permanent disability & death and prednisone.
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By Michael Tetkoski, PhD continued from page 8 one, you need to be that compassionate and supportive to yourself as you make this journey through grief. While I don't want you to run and hide from your grief, I also do not want you to make it your full time job 24 hours a day, 7 days a week. Make sure that you make time to do those things that give you pleasure and help you recharge your emotional battery. Finally, be advised that holidays and anniversaries can be particularly painful to deal with even though you may feel that you are through the grieving process. Make a point of establishing some new traditions and refrain from spending these occasions by yourself. Loss, grief and mourning are all natural parts of life. The more comfortable you become with the idea that loss will occur in your life and that the grieving and mourning that you do are natural parts of life, the easier it will be for you to go on with your own life in a healthy and productive manner and prempro.
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OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , azithromycin Zithromax ; , clarithromycin Biaxin ; , clindamycin Cleocin ; , fluconazole Diflucan ; , isoniazid INH ; , itraconozole Sporonox ; , leucovorin Wellcovorin ; , rifabutin Mycobutin ; , rifampin rimactane Rifidin ; , sulfadiazine Microsulfon ; , TMP SMX Bactrim, Septra ; , valgancyclovir Valcyte ; . Other OIs - ciprofloxacin Cipro ; , clotrimazole Mycelex ; , dapsone, ethambutol Myambutol ; , ketoconazole Nizoral ; , nystatin Mycostatin ; , Primaquine, trimethoprim Proloprim ; . ALL OTHERS loperamide Imodium ; , pantoprazole Protonix ; , promethazine HCI Phenergan ; , Prenatal Vitamins, Vaccines for Hepatitis A&B. TREATMENTS FOR METABOLIC DISORDERS Wasting- megestrol acetate Megace ; . Removed in 2005- amprenavir Agenerase ; , zalcitabine ddC, Hivid and prevacid.
Pharmacologic Effects: 1. Increases blood pressure. 2. Increases myocardial contractility cardiac output increases ; . 3. Increases renal blood flow and urine output beta-adrenergic and dopaminergic stimulation ; at low and intermediate dosage only 1-5 mcg kg ; . 4. Slight increase in pulse rate beta-adrenergic stimulation ; . 5. Increases potential for tachydysrhythmia or ventricular irritability. Metabolism: In the liver, kidney, plasma, and adrenergic nerve terminals by monoamine oxidase MAO ; and catechol-o-methyltransferase to inactive compounds. Indications: Shock due to: 1. Myocardial infarction. 2. Septicemia. 3. Congestive heart failure. Contraindications: 1. 2. 3. Pheochromocytoma. Uncorrected tachydysrhythmias. Concomitant monoamine oxidase inhibitor therapy. Hypovolemia.
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Gary: I hope this helps "1. The exam is up to and including antivirals. 2. NO alkylating agents. 3. For the Med Chem questions, you should know review sheet 1 only and the slides. 4. The test will be multiple choice 25 questions from med chem and I assume 25 from pharmacology ; . 5. The questions are based on the review list and the slides. You should be able to differentiate the various structures and their names. I'll be in tomorrow about 1: 30 and Wednesday about the same time, if you still have questions. Or you can e-mail or leave me a phone number. Dr. Jochsberger.
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Patient of mine, who is also a faculty member here at Ohio State, called me a few weeks ago to ask me my thoughts on the university's Your Plan for Health initiative. He wanted to know how his Personal Health Assessment PHA ; would help me and how I would access his new electronic medical record that is established through the PHA questionnaire process. First, let me say that the overarching goal of Your Plan for Health is to encourage faculty and staff to live as healthy as possible, which not only benefits the employee and his her family, but the university in containing ever-rising health care costs and creating a more productive workforce. As a physician, the tools and resources of Your Plan for Health reinforce my advice to my patients to practice healthy habits, stay fit and remain true to any treatment regimens I've outlined. One of these tools, the PHA, enables OSU faculty and staff to identify early symptoms or areas of their lifestyle in which a change could provide opportunities to ward off The average diseases and complications if made known to their personal physician. American spends As their physician, I may or may not be aware of such just 15 minutes health risks because I see many of my patients only once a year--and some even less frequently. However, the PHA and with their doctor. other screenings they may take throughout the year provide me with an assessment of their current health state and lifestyle. The CareAllies Health Coach and Care Coordination programs offer an additional safeguard by notifying faculty and staff who need assistance or support in managing a risk or chronic condition. The health education experts and nurse coordinators can serve as liaisons with primary care physicians, so together, we become a team dedicated to the care of that patient. The electronic medical record EMR ; created by the PHA process gives me access to a central repository of health information for my patients. Since I practice within the OSU Medical Center, * I can enter this secure site to view my patients' health history, lab results, previous procedures, medications, allergies and even X-rays, putting a holistic view of their profiles at my fingertips. And through a tool called Secure E-mail, I can stay in touch with patients, answer questions, and be kept abreast of their progress. Today's supplemental health check opportunities, like the PHA and even blood pressure machines in grocery stores, give individuals the power to be proactive and track their health status.
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1. Gupta VB, "Drug Delivery and allied Applications of Guggul" Patent Application No. 1715 DEL 2004 ; . 2. Raj A, Edwin S, Jarald E, Rupesh S & Gupta VB, "Antihyperglycemic and antihypercholestraemic activity of Bouganvillea glabra. Choisy". Application filed with complete specification on 22 7 2005 at Patent Office, Mumbai ; 3. Dubey S, Edwin S, Jarald E, & Gupta VB, "Hepatoprotective activity of ethanolic extracts of Euphorbia hirta. Linn". Application filed with complete specification on 22 7 2005 at Patent Office, Mumbai ; 4. Gupta Y, Rathore MS & Gupta VB, "Self-Emulsifying Drug Delivery Systems for Poorly Water Soluble Drugs". Application filed with complete specification on 3 6 2005 at Patent Office, Mumbai ; 5. Kushwaha SK, Jain Avijeet, Jain Anurekha & Gupta VB, "Hepatoprotective activity of fruits of Momordica dioica Roxb. And its extracts and isolated fractions". Application filed with complete specification on 3 6 2005 at Patent Office, Mumbai ; 6. Paliwal P, Mishra R & Gupta VB, "Immunomodulating Potential of Solanum xanthocarpum". Application filed with complete specification on 4 6 2005 at Patent Office, Mumbai ; 7. Gupta VB & Jain Shailesh, "Disintegration Improvisation of Gelatin Containing Pharmaceutical Preparations". Provisional specifications filed on 30 8 2004 at Patent Office, Delhi and plavix.
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A child is scolded by the head surgeon, "Why are you crying. Why are you crying. You don't need to be crying." And then my personal favorite, "If you stop crying I won't use needles." "As a child psychiatrist, " one doctor writes, "one of my missions in life has been to teach medical students that children have feelings."[53] From Ernest Hemingway's "Indian Camp.
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Provision of services. If specialized rehabilitative services such as, but not limited to physical therapy, speechlanguage pathology, occupational therapy, and mental health rehabilitative services for mental illness and mental retardation, are required in the resident's comprehensive plan of care, the facility must- 1 ; Provide the required services; or 2 ; Obtain the required services from an outside resource in accordance with 483.75 h ; of this part ; from a provider of specialized rehabilitative services.
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