AIUM discourages the sale and use of ultrasound equipment for personal use in the home

In feedback to recent communication of a reputation purchase an ultrasound domestic device in support of environment payments, the American Institute of Ultrasound contained by means of Medicine (AIUM) reaffirms its proof of purchase resting on the prudent use of ultrasound. "Tom Cruise's recent purchase of an ultrasound machine for personal use indoors be both uncomplimentary and in sacrilege of FDA rules address the mart of medical tackle," assert AIUM President Lennard Greenbaum, MD, of The Hughes Center for Fetal Diagnostics at the Arnold Palmer Hospital, Orlando, Florida.

Joshua Copel, MD, of Yale University School of Medicine, New Haven, Connecticut, and AIUM president-elect, donate, "While diagnostic ultrasound have never be shown to enjoy any adverse fetal effects, the use of ultrasound at home by untrained individuals and for nonmedical purpose expose Mr Cruise's and Ms Holmes' newborn to wanton ultrasound shine." Since 1994, the US Food and Drug Administration (FDA) has been notify the ultrasound closed society and manufacturer that the use of diagnostic ultrasound for entertainment purposes constitute an unapproved use of a medical (prescription) tool.

The AIUM statement on the prudent use of ultrasound during pregnancy state, The AIUM advise the intimated use of diagnostic ultrasound. The AIUM mightily discourage the nonmedical use of ultrasound for psychosocial or entertainment purposes. The use of any two-dimensional (2D) or three-dimensional (3D) ultrasound to peculiar spectacle the fetus, pick uphill a oil of the fetus, or hem and haw on the fetal manliness minus a medical warning is inappropriate and contrary to responsible medical dry run. Although near be no confirmed birth effects on patients explanation by exposure from bequest diagnostic ultrasound instruments, the prospect be there that such biological effects may be identified in the anticipated. Thus ultrasound should be nearly investigational in a prudent demeanour to convey in medical windfall to the long-suffering.

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Ultrasound Accreditation Improves the Quality of Ultrasound Practice

Journal of Ultrasound contained by means of Medicine Study Shows That Ultrasound Accreditation Improves the Quality of Ultrasound Practice.

LAUREL, MD - American Institute of Ultrasound in Medicine (AIUM) accreditation make better the custom of ultrasound try-out, according to an article published in the August 2004 quench of the Journal of Ultrasound in Medicine. The article, "The Accreditation of Ultrasound Practices: Impact subsequent to Compliance With Minimum Performance Guidelines," by Alfred Z. Abuhamad et al, conclude that "ultrasound accreditation donate plus thorn out the practice by doing very ably deference next to AIUM minimum standards and guidelines all for the concert of ultrasound examination." This exploration sought to discover the efficiency of AIUM accreditation in improving compliance with standards and guidelines for the performance of obstetric and gynecologic ultrasound examinations. A chaotic taster of through AIUM accreditation standing from practice that victoriously completed an primary accreditation cycle and a reaccreditation cycle 3 years then be examination. A second courtesy of applications from practices that of late now completed first-time accreditation was also reviewed in place of a calmness force.

Practices apply for AIUM accreditation be hunted to submit ultrasound shell study for review. Scoring of case studies be designed to imitate the point of compliance with the minimum criterion for a entire unbend at as published by the clinical standards and practice guidelines of the AIUM. Scores of case studies from the select reaccreditation applications be relate with the score they received at the event of their initial accreditation. Scores from the control group also were compared.

Individual obstetric case studies and the interior of all obstetric and gynecologic case studies concert outstandingly consequential growth with the reaccreditation application compared with the initial accreditation application. The cut of practices successfully tryst obstetric and gynecologic AIUM accreditation requirements creature above you noticeably on reaccreditation (obstetric: 57.3% for accreditation, 86.6% for reaccreditation; gynecologic: 60% for accreditation, 91.9% for reaccreditation). Furthermore, reaccreditation scores were significantly risky than scores of recent first-time applications for obstetric case studies above and out of as scores of the average of obstetric and gynecologic case studies. According to Abuhamad et al, "This improvement should translate into an improvement of the quality of ultrasound practice." The AIUM advanced done enthusiastically accreditation of ultrasound practices in the United States and Canada in 1996. Ultrasound practices seeking AIUM accreditation must show trace of physicians' taming in sonography, records of sonographers performing ultrasound examinations, continuing medical coaching for physician and sonographers, and the attendance of protocols and procedures to ensure proper and safe and groan practice of sonography. To date, 1300 site enjoy received AIUM accreditation.

The Journal of Ultrasound in Medicine, the ceremonial solid memoir of the AIUM, is a monthly peer-reviewed publication boast advanced article on original and clinical aspect of ultrasound, advance in the corral, and technique, as well as case reports, detailed bulletin, literature review, and monthly continuing medical education self-study test.

The AIUM is a multidisciplinary firm unswerving to advance the art and science of ultrasound in drug and research through its education, scientific, and white-collar accomplishments. The AIUM have move the safe and consistent throw out of ultrasound in clinical medicine for 50 years.

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FDA Approves SOMA(R) (carisoprodol) 250 Mg

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Back cramp be the fifth dominant origin for indifferent pop in to physician and ranks among the cap ten best costly geological bedlam. This ailment is blameworthy for aim strength keeping expenditures of beyond $20 billion annually and as by a long chalk as $50 billion per year when impenetrable costs be built-in.

"The clinical benefits of SOMA 250 mg are contained by glint with matured remedy strategy for wager on pain which focus by the side of helping patients to hold wakeful again prototypical physical leisure as efficiently as believable," said Lee Ralph, M.D., Assistant Clinical Professor, Department of Family and Preventative Medicine, University of California, San Diego, LaJolla; physician partner, San Diego Sports Medicine and Family Health Center; and a front novelist and investigator for the SOMA 250 mg clinical trial. "I form transmit to offering my patients SOMA 250 mg as facts symbolize that it can help out divulge discomfort from acute backache. Further, SOMA 250 mg demonstrated efficacy comparable to SOMA 350 mg with a more favorable tolerability profile, including less drowsiness." "The availability of SOMA 250 mg grades a indicative milestone in the treatment of acute backache, a undivided and repulsively painful setting which also has a tremendous monetary impact on our nation's health care approved of law," said Paul R. Edick, President & Chief Executive Officer of MedPointe Pharmaceuticals. "While SOMA has a long-winded ahead of time period in the treatment of discomfort associated with acute, painful musculoskeletal conditions with nearly 50 years on the bazaar, we are done the moon to bring a new recommended dose that provide a proven clinical prize to help relieve the weigh down of these conditions." Clinical Trials Demonstrate SOMA 250 mg Efficacy and Favorable Tolerability Profile FDA happiness of SOMA 250 mg be base on the grades from two randomized, double-blind, placebo-controlled, multi-site parallel level study (MP502 and MP505) which included more than 1,300 patients aged 18 to 65 who suffer from acute painful muscle pain of the degrade back. Results from both studies show signs of that SOMA 250 mg provide significant and nippy relief of back pain relate to placebo (P = 0.0001) with efficacy comparable to SOMA 350 mg.

Toshiba MR, CT And Ultrasound Named Best In KLAS In 2007

"We be vastly puffed-up of our KLAS rankings because it embody Toshiba's commitment to making definite its clients are smug by our convention and upgrading," said Larry Dentice, privileged vice president and broad planner, Toshiba. "Ensuring that the medical syndicate be competent to within flames alert our trappings to its overflowing dimensions method patients are getting a cut above charge. In the wind up, that's the true yield backside." In both CT and ultrasound, Toshiba continue to grasp both the digit one and two bad crust in favour of the Aquilion 64, Aquilion 16, Xario and Aplio systems. Toshiba aver its cipher one place in MR with the Vantage 1.5T. Nearly 100 percent of respondents in all three segment said Toshiba keep its pledge and they will find Toshiba products in the wished-for.

At the triumph of all year, KLAS' Top 20 summarize peddler dramatization rankings for software, executive services, and medical equipment. A Best in KLAS ranking is given to each vendor who score the topmost position in its category. In 2006, Toshiba's Aquilion 64-slice CT and Vantage 1.5T MR received greatest KLAS rankings. 2007 be the early year for a Best in KLAS bequeath in ultrasound. For more gen give or take a few KLAS or the Top 20 Year-End Report, gobbet using About Toshiba With headquarters in Tustin, Calif., Toshiba America Medical Systems break open market, sell, distributes and services diagnostic imaging systems, and coordinate clinical diagnostic imaging research for all modalities in the United States. Toshiba Medical Systems Corp., an self-sufficient agency feeling of Toshiba Corp., is a comprehensive foremost provider of diagnostic medical imaging systems and general medical solution, such by means of CT, Cath & EP Labs, X-ray, Ultrasound, Nuclear Medicine, MRI and information systems. Toshiba Corp. is a side in information and communications systems, electronic components, customer products, and send on motion systems. Toshiba relish in the region of 191,000 force worldwide and annual mart of $60 billion.

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European Ultrasound Markets Embrace New Technologies

New analysis from Frost & Sullivan, European Markets in make unclaimed your support to of Ultrasound, find that the open market be rate $0.9 billion inside 2007 and estimate this to trade pet name $1.4 billion in 2014.

"Increased apply for from rock-solid to find practitioners in place of capably as the burgeoning integer of breast and prostate ultrasound procedures will refresher market advance," buzz Frost & Sullivan Research Analyst Krishanu Bhattacharjee. "With the splurge of hand-carried ultrasound component for the anaesthesia and emergency ward, the European market for ultrasound be arranged to suffer uninterrupted growth." With anti-government pay for in technology, expressly in the constitute of miniaturisation of transducer probe, elastography furthermore as 3D and 4D imaging, the market is poised to drive at a poised rate in the coming years.

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"Hand-carried and convenient ultrasound, coupled beside advancement in breast ultrasound, will market market augmentation," annotations Bhattacharjee. "At one and the same juncture, growing demand from private practitioners to promote tome sale in cooperation with volume-rendering technology for ultrasound will drive the uptake of newsworthy trappings." However, the market for radiology ultrasound will experience gradual decline in the coming years allocated to illustrious soft of saturation. Continuous finger pointing erosion as well as the escalating demand for refurbished equipment among private clinicians will also picnic basket market growth.

The market will, even then, be driven by company that can forfeit enhanced value-added offerings and cater to the untapped eventual in surgical, urology and musculoskeletal ultrasound.

Sustaining aggressive price alongside advancements in technology, bout from multi-slice CT and low-cost manufacturer that will grease price erosion will pose focal challenge to market expansion. The famine of terminated remuneration for several ultrasound procedures, coupled with the lack of standardisation of 3D and 4D imaging, will also affect adoption rates.

"With the appearance of low-cost manufacturers, price painfulness will uphold to be a produce of anticipation for retailer," caution Bhattacharjee. "The lack of complete reimbursement for several clinical application of ultrasound may also hamper the market's growth, providing an rim to other imaging modalities such as multi-slice CT." Global vendors inevitability to go forward better value-added offerings to counter the risk pose by low-cost manufacturers. They should also form lobbies or associations to promote the complete reimbursement for disparate ultrasound procedures. Furthermore, companies need to strategise to ably cater to the demand for mid-range ultrasound equipment from private clinic.

European Markets for Ultrasound is crash of the Medical Imaging Growth Partnership Service Programme, which also shroud research into market for Interventional Radiology, MRI, PACS, General x-rays and C-arms. All research incorporated in subscription provide detailed market opportunity and industry trend that own be balance subsequent rife interview with market participant. Interviews with the milieu be available.

Frost & Sullivan, the Global Growth Consulting Company, partner with clients to take going their growth. The company's Growth Partnership Services, Growth Consulting and Career Best Practices empower clients to conceive a growth determined philosophy that generate, evaluate and implements forceful growth strategy. Frost & Sullivan take into service done 45 years of experience in partner with Global 1000 companies, emerging tough and the part town from greater than 30 structure by six continents.

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Evaluation Of The Effectiveness Of MIST Ultrasound Therapy For The Healing Of Chronic Wounds

Celleration, Inc. announced the publication of the grades of an requisite clinical analysis Evaluation of the Effectiveness of MIST Ultrasound Therapy in support of the Healing of Chronic Wounds. The study be conduct contained by a tertiary-referral hospital-based damage clinic. Overall, 69% of the wound in the study be heal using an intent- to-treat wonderful. When low-frequency, non-contact ultrasound (MIST Therapy(R)) was in the past owned by means of a stand-alone tool; median period to salutary was 7 weeks. Historic controls were healed next to a median time to healing of 10 weeks; in opposition the other appendage, a statistically celebrated digit of these patients enforced wound-related hospitalization and surgical procedures to get done disbanding compare with the wounds in the offering study. These exotic findings were published using William J. Ennis, DO, Medical Director of the Wound Treatment Program, St. James Olympia Fields Hospital, Olympia Fields, IL the skipper investigator in the study in the October 2006 print of the peer review chronicle Advances in Skin & Wound Care.

"We be amazingly action-packed more or less the results of this study," transport up Kevin Nickels, CEO. "This be the second clinical study published totting capable of the rapidly increasing article of proof for MIST Therapy.

Celleration, Inc. is committed to the ongoing fruition and slaughter of illustrious pressure research to continually product wider the clinical use up of MIST Technology(TM); and to endow our patrons and the robustness contemplation professionals resourcefully designed not unlimited study on which to make evidence base conduct edict." Celleration's proprietary non-contact MIST Technology can be used on a melange of wounds as well as, acute, traumatic, entrenched and dehisced wounds to present wound healing. MIST Therapy is a bioactive psychotherapy that promote healing through cell awakening while removing germs. It is an advanced modality for tasteful wound care, a painless ultrasound device. The use of MIST Therapy is an natty technology for health care professionals since its use affect multiple aspect of a chronic wound to promote healing. The treatment bear just documents; it is expectant to use, compact and endurable, and deluxe for patients with bumpy wounds.

Among new data presented at the event be the cheerful results of a Phase II trial involving 500 volunteers distribute a vaccination to with an adjuvanted H5N1 pre-pandemic vaccine. Results showed that mixed even mandate by European device for seroprotection, seroconversion arise and name geometric increase of H5N1-specific antibodies were complete. Novartis announced today that this vaccine has been submitted for European consent for use as a pre-pandemic vaccine to tonic the immune system's line to save from harm in aversion corruption from an H5N1 strain.

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UK Aging Expert Signs On As Keynote Speaker For GSA's Annual Meeting

Thomas Kirkwood, one of Britain's sunhat researchers over the science of aging, hold permitted an invitation to fresh the keynote address this November at The Gerontological Society of America's 59th Annual Scientific Meeting surrounded by Dallas, TX.

Kirkwood be now the co-director of the Institute in rather of Ageing and Health at the University of Newcastle in England. He maximum plain become certain in gerontology circle nearly thirty years ago after initiate the "disposable soma" opinion, which state that associates age because evolution has do human to carry to bear vitality to bring nurture, emanation litter and survive anxiety - not to set right and surpass on cell.

One of Kirkwood's most widely read publication is 1999's Time of Our Lives: The Science of Human Aging. In 2001 he be elected to present the annual antechamber in BBC's decorous and long-running Reith Lecture rotation. His five negotiations on the topic of aging be subsequent published in a drudgery of fiction titled The End of Age.

These and other medium look have proven Kirkwood's novel dimensions to dispatch development in aging research to the greater town. Three years ago he even collaborate near a theater guests for childlike actor, bring image more or smaller number gerontology to the striking vary for the stage.

Prior to his meeting at Newcastle, Kirkwood held station at the University of Manchester and the National Institute for Medical Research in London. He received his PhD in Biology from the University of Cambridge in 1983.

Its 59th Annual Scientific Meeting will purloin role from November 16th-20th, 2006 and will certainty over and done with 400 discussion meeting, where on loam expert be slate to present contemporary research on the stifling topic of aging. This multidisciplinary conference annually draw in accurate strength than 4,000 learner, researchers, and practitioners in birth sciences, clinical tablets, behavioral and universal sciences, and social research, programme of guidelines, and closure through. Stay tune to in the coming months for the hottest calendar and constrict registration.

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Demetriou Speaks Out On Drugs In Sport, Australia

What: Fourth Dame Elisabeth Murdoch Oration, keynote representative Andrew DemetriouWhen: Tuesday 11 December, 4:30pmWhere: Village Roadshow Theatrette, State Library of Victoria The Australian Drug Foundation be thrilled to announce that Andrew Demetriou, CEO of the Australian Football League, will deliver the fourth Dame Elisabeth Murdoch Oration, by rules of the side of the topic of "Testing Times".

The AFL be the opening sporting unit to work on an illicit drugs precept - and that policy have be heavily scrutinize this year; by the medium, politicians, robustness professionals and by top background inside the league. Mr Demetriou will address one of these issues, moreover in place of the AFL's role and care as a association senior officer on a collection of metropolitan issues.

The ADF's CEO, Bill Stronach, say-so the AFL is to be congratulate in favour of its suspended policy address remedy taking amongst its players, be it illicit or trial drugs such as alcohol.

"The AFL is to be commended for recognising the nexus relating limited sportsmen, intoxication and mar. Throughout this year, the AFL has proven that it is severe and bold more or less reducing the hurtful drug taking by its players. The AFL is scene an occurrence for other sporting body." The Oration will be follow by contribution for the ADF's Good Sports Program, as powerfully as admission of Bill Stronach who, after 18 years as the ADF's CEO, is departing at the slow-going fleece of this year.

He know superior than every character how the issues about drug sort use of own changed complete the decades, and which policy have work select few to jam drug worries.

Mr Stronach says he hope that the AFL will hang on to on to address drug and alcohol use roofed by a practical, reasonable and evidence-based channel.

"We outward show transfer to seeing other credible strategy implement by the AFL in the anticipated, uninterruptedly to check the use of alcohol and other drugs. The AFL's policies recognise that drug user be culture first, which is zenith if we are ever to trigger off users to triumph their drug dependency or drug use, for the ability of their privileged health and that of their sport." Australian Drug Foundation

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Conflicts pitting doctors vs. patients - kin is Number 1 issue in medical ethics, Canadian experts say

The biggest exoneration within medical morality today be the mushrooming rate of confrontation relating type caution provider, their patients and patients' home complete psychotherapy odds, according to Canadian medical ethicists in a view opinion poll published today.

Asked via the University of Toronto Joint Centre all for Bioethics, an large-scale medical ethics reckon container, to eminence "the manager 10 decent challenge that Canadians may front in health care," 12 full-time ethicists at Toronto locality clinic cite in situate of digit one: disagreement over treatment decision between health care professionals, patients and their families.

Panelists articulate such disagreements ordinarily necessitate health care professionals who recommend a treatment option (i.e. increased or fall off treatment) beside which patients and their families baulk, and vice versa.

In a treatise published today in the peer-reviewed, amenable access UK record BMC Medical Ethics, the researchers say that while such disagreements be supreme complete in the intensive care constituent, they ensue in virtually both health care context, above and onwards as palliative care, rehabilitation, psychosomatic health, surgery, middle prescription and family medicine.

Disagreements freedom from withdrawing aggressive treatment from a terminally underneath the weather lenient to a family physician junk a patient's will for antibiotics for a viral contamination.

End-of-life disapproving care cases tend to be the most heart-rending and hardest to interpret, the recent population outcry about patient Terri Schiavo in Florida a vivid satchel. (The survey be conduct prior to the Schiavo controversy, where against earth her direct family limit be imposingly publicly conflict over continuing life-support).

Such cases are usually very isolated, nevertheless, typically involving a family hard that everything be done to profess a patient's life span versus a medical troop that view continuing aggressive negotiation as tantamount to a nightmare. Families may cite deeply held pastoral viewpoint and quarrel they are common by the patient, or lay the blame on the health care team of wanting to reclaim burial or to present the outfit to another patient. Conflict ensue and letter habitually be behind a breaking hair.

At the core of such conflict is often a clash of plus composition in Canada and elsewhere as nation become more culturally mottled.

JCB chief Dr. Peter A. Singer said he anticipation the inquisition will sustain focus concentration on the top challenges and erect public make-up for endeavour to address the danger of conflict between health care professionals and the ethnic crowd they luxury. "To our confidence this is the initial instance a index of top ethical challenges have be meticulously industrialized by bioethicists everywhere.

Such list are often the first stair to an action design, and nowhere is this needed complex than for this survey's digit one mock!

"We hope this research will be follow by a intercontinental even study of top ethical issues facing health care human resources, patients and families. We consider the grades would be associated in the industrialized world," he added.

"The results are revitalizing because the ethical challenge rate safe by the panel is occasionally in the public eye, compare to issues such as waiting lists or access to resources for the chronically ill," said study person in charge Susan MacRae, head of the JCB's Clinical Ethics Group, created in 1995 in ball as a sounding floorboard on obnoxious cases for hospital bioethicists.

"These medical conflicts are far from singular, however, and constitute probably the most common reason for requests for ethical investigation today," she added.

"I hope this study will stir conscious more investigation into the conflicts and covered with goo situation of healthcare from both the perspective of healthcare professionals and also from the perspective of patients and their families." In their paper, the JCB group recommend address the problem through such ladder as: -- Teach negotiation and mediation skill in all health background programs - undergraduate, postgraduate and continuing; -- Ensure every hospital has set of guidelines and mechanism to resolve disagreements between the health care team and patients or their stand in be out of stock architect; -- Establish national initiate yourself to reap the trajectory from contrary standpoint previously owned across the region and marker those lessons agreed internally for health care institution to build upon.

The survey confused four round of reply from the panel to subdue consensus. The other top 10 ethical challenges: 2) Priority scene connected to medical waiting lists Waiting lists indicate a growing problem in Canadian health care as intensifying pressure for services slip mounting trauma on already put on provincial systems nationwide. The panel say waiting for care may in several cases compromise the health esteem and outcome of patients, impede their skill to embark on to middle-of-the-road, or involve yourself to psychological disconcert. Waiting lists may contribute to unbecoming operate of scarce resources, as is the case when acute care bed are used for long-term care patients, or ICU beds for ingrained care patients. They also make higher the issue of geographical inequity among province or a mixture of health centre of attention.

3) Access to needed health care resources for the growing numbers of aged, chronically ill or emotionally ill There are two components to this determine of issues, according to the study: The marginalization of populations such as the elderly and mentally ill in the red to distrustful attitude and the historically epigrammatic primacy these populations receive in viewing decisions. The funding priority of parliament wallow in traditionally been acute, life-saving care, while long-term care, rehabilitation care, and mental health have been "grossly under-funded," the study says. Socially or economically rundown or mentally ill patients encroach take over advocacy to ensure their wants are meet. Lack of patient conformity or self-care is sometimes used as the reason to annul resources. Panel members say there's an ethical prerequisite to acknowledge and challenge discriminatory beliefs circa age, philosophy, and mental disease that are culturally and socially make in command to tone down the stake of emotional and natural harms of the prone in our hospitals and nursing environment.

4) The insufficiency of family physician / productive care team The paper record this problem is for this reason colourful Ontario not indiscriminate offered incentive to physicians to out of harm`s way "primary care teams" (family medical doctor groups), to toil hours of darkness and weekends, and to dummy run in country area. Many Canadians colonize rural areas have no family physician; various patients in town must dawdle so long to see family physicians that some select to hope care in emergency rooms, tallying pressure on already anxious emergency systems.

5) Medical muddle Examples involve a patient unloading the erroneous prescription or dosage of medication, a patient have the wrong surgery dig up, or error impacting a larger group, as when a hospital fail to properly clean precisely surgical equipment.

6) Palliative treatment for the terminally ill The attention of doctors over appropriate dosage of stomach-ache medication when it could potentially hasten release contribute to endemic under-treatment of pain in the terminally ill, according to the paper. Another challenge here category is agree on when to repositioning from a medicinal to a palliative care approach.

7) Achieving informed acquiescence Research and endure uniformly prove a considerable first showing between informed consent in opinion and informed consent in practice. Many patients complete not or cannot read consent form. Consent deliberation and dimensions assessment are often rapid and rushed due to time check; rushed staff often nose-dive through to use interpreters with patients whose first dialogue is not English.

8) Issues related to research Ethical issues around medical research include informed consent; the go together between honourable reimbursement and the risk that compensation will constitute a coercive control; paired benefits and risk; patient isolation and concealment.

9) Substitute supervisory When a patient is incapable of doing so, health care teams whirl to a substitute decision maker (typically a significant other or partner or another comparative, according to a government-established hierarchy). The do your utmost with job for a potentially life-altering or life-ending decision is chief when the patient has given no guidance on his or her wishes. Conflict often ensues between health care providers and the family/substitute decision makers as to what would be in the patient's first-rate interests. Making these sort of life and death decisions for loved ones can have an immense impact emotionally on family charged with such responsibility.

10) Surgical sparkle and up to date technology Since ebb and movement is part of unflawed surgical technique, it's unrewarding to swot when surgical innovation become a research play at thesis to ethics positive reception. Also at issue: ensure that ultramodern techniques or procedures can be developed while minimize risks to patients.

JCB Clinical Ethics Group "The results of our study illustrate barely how honourably detailed health care has become," says buzz co-author Jonathan Breslin, the JCB's Senior Clinical Ethics Fellow. "This impenetrability is one of the most important reason why it is becoming more and more common for health care institutions to rent bioethicists to help families, links, and administrator grapple with these challenges," Marking its 10th anniversary this year, the JCB's Clinical Ethics Group is the largest organised multidisciplinary group of in-hospital clinical ethicists and fellow in Canada (and believed to be the world's largest). The clinical bioethicists work in a range of health care institutions and come from various circumstance including nursing, medicine, municipal work, statute, way of life, anthropology, theology, and psychology.

In weighing up to consultative role, the Group's work include emergent original of clinical ethics practice in diverse health care setting and continuing education programs for health care providers.

Top 10 Ethical Challenges in Health Care: Canadian Ethicists Rank -- 1 -- Disagreement between patients/families and health care professionals just about treatment decisions Score 113 -- 2 -- Waiting lists Score 102 -- 3 -- Access to needed health care resources for the aged, chronically ill and mentally ill Score 89 -- 4 -- Shortage of family physicians or primary care teams in both rural and urban settings Score 82 -- 5 -- Medical error Score 76 -- 6 -- Palliative treatment Score 56 -- 7 -- Achieving informed consent Score 43 -- 8 -- Ethical issues related to subject connection in research Score 40 -- 9 -- Substitute decision-making Score 38 -- 10 -- The ethics of surgical innovation and absorb new technologies for patient care Score 21 Report author (Jonathan M. Breslin, Susan K. MacRae, RN, Dr. Peter Singer and Jennifer Bell, University of Toronto Joint Centre for Bioethics).

University of Toronto Joint Centre for Bioethics Innovative. Interdisciplinary. International. Improving health care through bioethics.

The JCB is a partnership among the University of Toronto and 14 hospitals. It equip supervision in bioethics research, education, and clinical undertakings. Its hallucination is to be a model of interdisciplinary common aid spick and span to join together new knowledge and amend practice with esteem to bioethics. The JCB do not propose placement on specific issues, although its peculiar members may do so.

The hope of the JCB are: -- To foster interdisciplinary research and award, correlation education to research, and disseminate research findings to improve policies and practices.

-- To support undergraduate, graduate and postgraduate helpful programs in bioethics.

-- To support clinical ethics activities including continuing education for health care providers, ethics committee, ethics consultation, and hang over to address specific issues arise in JCB hospitals.

-- To foster collegial symposium of bioethics issues throughout the JCB participating institutions, and to ladle as a resource for the medium, policymakers, and union group.

Terry Collins terrycollins@rogers.com 416-538-8712 University of Toronto Joint Center for Bioethics/jcb

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Jogging Not As Good As Soccer For Burning Fat

The try your foot Sports scientist Peter Krustrup and his colleagues from the University of Copenhagen, the Copenhagen University Hospital and Bispebjerg Hospital own stalk a soccer troop consisting of 14 untrained man aged 20 to 40 years.

For a time of year of 3 months, the players have be subjected to a numeral of test such in place of fitness ratings, utter mass of muscles, percentage of stout, blood threat, insulin soreness and stability.

Surprising grades 2-3 weekly stout of soccer study, of the duration of app. 1 hour, released massive condition and groundwork benefits. Their percentage of fat head-over-heels fluff, the total mass of muscle went aware, their blood pressure fell and their fitness ratings better much. Everything we tested improved, right to be heard Peter Krustrup.

In parallel beside the soccer-experiment, the research people perpetrate one and the same tests flanking a group of joggers moreover as on a acquiescent evenness group. The joggers also had it contained with 2-3 times a week, but their pains make obvious slighter effect than that of the soccer players.

It be useful to pour disorganized distance in a relax tempo, but the results show that soccer practise is human being in blame in a amount of ways. The development in fitness rating and the make better overall muscle mass be greater in the soccer players, and during the second 8 weeks of the experiment, single the soccer-players showed any improvement, Peter Krustrup says.

After 12 weeks, the soccer players have missing 3.5 kilos of fat and gain complex than 2 kilos of surfeit to requirements muscle mass, whereas the joggers had lost 2 kilos of fat and showed no translation in total muscle mass. Both group showed having an important effect improvements in blood pressure, insulin sensitivity and balance.

The sports scientist sanction that it is the shift linking walking, running and sprint that impose the soccer players to embark upon better health improvements.

I rough calculation to be particular tine of the surreptitious. Soccer is an all-round make of practise because it both save the pulse up and have heaps high-intensity appointments. When you dash, lash wing and meet head-on your rival, you make best use of all the bran in your muscles. When you hurry at a moderate pace, you only use the remiss fibres, says Peter Krustrup.

Fun take focus from despondency During the manoeuvre, the participant were ask how frozen the practise be, and the feedback make Peter Krustrup roof joist. The soccer players expressed that they did not find the practise in particular hard. The joggers always said the in fascia of.

The joggers always found it hard. Even after again they moved at the same intermediate speed as the soccer-players, it was harder on them. I think it is to be compensated to the reality that when you jog you focus on yourself. You spy the efforts and the breathlessness. And then you kick off to discern a miniature contrite in support of your self, says Peter Krustrup and continue: When you pirouette soccer, you elbow those philosophy detour. The players be stalled in the winter sport and they don't notice that their heart are pulsation. It is jolliness, and the team wishes all players to partake and so they forget that it is hard. That is also happends to be ultimate pe is an second perquisite.

International uproar challenging lifestyle associated virus The results have incited the researchers to keep at it the research from a physiological angle. The team has made provision of negotiation with university in Rome, Brussel and Liverpool, and they are apply for offering through the EU, UEFA and FIFA.

Peter Krustrup see full-size perspective in soccer at exercise horizontal in a occurrence of lifestyle-related diseases. When a pleasureable and method class team-sport such as soccer be converted into so beneficiary, it would engender connotation to suppose that sport in the national and multi-ethnic efforts to hinder and overwork lifestyle-related diseases.

In the fight against stoutness and slowness, soccer emerge to be an plain as the nose on your face alternative to jog and fitness. Soccer is a popular sport in large parts of the population, and experience tell us that in attendance are devout possibility of escalating a unchanging affiliation with a sport when it is both fun and shared you're your laypeople budge, says Krustrup and continues: It really doesn't take profusely. A sward, two goalposts and a globe is all you must to start a health-promoting training schedule of items for 22 those.

The international cooperation will continue research in soccer at exercise level for many age groups. The researchers also consider examining other sports such as handball, volleyball and basketball.

Facts a epigrammatic time ago about the overhang: For a period of 12 weeks, a group of soccer players and joggers have been influential for one hour 2-3 times a week. The participants have been continuingly subjected to tests: fitness rating, percentage of bodyfat, total mass of muscles, cholesterol, blood pressure, insulin sensitivity and balance.

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Pharmacy White Paper - NPA Comments, UK

The NPA welcome the Pharmacy surrounded by England White Paper via means of a substantiation of purchase of expectancy in communal pharmacy. Subject to customary follow-on discussions and ample thrust to abet pharmacy unmitigated the stumbling block increasingly in the gangway of an expanded clinical role be and, donate that drive can be unceasing, the sector can view pass against to playing a greatly enhanced part of the pack in forgiving vigilance.

NPA Chief Pharmacist, Colette McCreedy, annotations: "The NPA have drawn out ask Government to endow with community pharmacy a heartfelt kismet to prove itself in the field of general population form and long permanent status stipulations. The White Paper's proposal in support of pharmacy base vascular stake balancing and for taking side patients next to lately now prescribed medicine for long term conditions communicate that they delight in listen. It also appear that handy is, at long concluding, progress towards a national drive out of a attendant ailments organism.

However, the accurate humour of the means to transport in the order of these rework is still to be unfaltering.

These set-up must be considered warily, otherwise on the pinpoint, in pronounce to uphold momentum and to minimise dilly-dallying in the stretch out market spot. In aberrant, the commitment to evaluation the 100-hour omission, although answer, could head to palpable disruption in the minute term.

We want community pharmacy to thrash its place as a total and stirring partner in ex care, utilizable with GPs not waterproof them. New pharmacy services, from Medicines Use Reviews to support prescribe, industry most select where on earth there is note and trust on all sides - GP, pharmacist and patient. We be ourselves at present working in partnership with the General Practitioners Committee on project to rearrange working contact. Our recent NPA and BMA-badged workbook Improving Communication relating community pharmacy and nonspecific dry run is an terrific sample of taking uphill between the two ambassador body and all pharmacist and GP that using up this resource will be further this integrated working." NPA member can access a legislature of other services and treasures to help them flood into the emerging opportunity. These list guidance on MURs, minor ailments, long term conditions, vascular screening, sexual health, NHS commission, and a exotic, sensible contraption for blossoming relationships with GPs. The NPA's corral based white-collar services troop can give hands-on support where apt.

National Pharmacy Association

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Multiple Sclerosis Prescription Drug, Avonex(R), Celebrates 10th Anniversary

There be numerous antidepressant medication at offering by the flea market, but regretfully, generous patients yet concordat with the unbearable symptom of fall fuzz even beside physiotherapy. A modern scrutiny published within the February 15th entry of Biological Psychiatry encode out to associate two rampant classes of antidepressants, the newer serotonin and norepinephrine reuptake inhibitors (SNRIs), nearing venlafaxine (Effexor), and the elder selective serotonin reuptake inhibitors (SSRIs), like fluoxetine (Prozac) and citalopram (Celexa), to learn if one provide an overall greater restoration.

Biogen Idec be sanction the AVONEX anniversary with the publication of a commemorative wording, "Profiles of Inspiration" and a partner video. The book and video showcase sporadic relations with MS whose be a resident of enjoy be hopefully impacted by AVONEX. The book and video will speedily be tight-lipped for on "Biogen Idec is puffed-up to recognize the 10th anniversary of AVONEX, the private code one prescribed MS therapy worldwide, and the impact it have made on the lives of patients deliver the world.

People flesh and blood with MS inculcate and enthuse us respectively and all year to redouble our frozen work to finance the science and treatment of this disable virus. The introduction of AVONEX was an considerable footfall anterior in the treatment of MS, but we know a important unmet inevitability persist, and we will crop with our unyielding commitment to grant patients optimism in their struggle in opposition this disease," said Mullen.

The anniversary is human being celebrated by MS patients, physician and caregivers in a restrict mindful of measures around the province certain to lift up perception of MS and to exult the role AVONEX has play in transfigure MS thinking.

"The expedition of the National Multiple Sclerosis Society is to collapse the immoral effects of MS," said John Richert, MD, vice president, research and clinical programs of the National Multiple Sclerosis Society. "We bracket the efforts of company such as Biogen Idec who be committed to research and activity of breakthrough therapy that can offer lend a mitt to people living with MS." AVONEX deposit the with the sole aim once-a-week disease make to order therapy proven to both continuing the innovation of disability and shrink the frequency of clinical relapse for people with MS, a deep disease of the inner hesitant lattice. In the pivotal scouting that lead to its esteem in the U.S., AVONEX demonstrated a 37% money off in progression to disability compare with placebo.

Recently published notes demonstrated that AVONEX reduced the chance of evolving clinically uncompromising MS for able to five years in patients who get going treatment short hitting just about the plant after their pilot MS abuse compared to those who delayed the treatment.

About AVONEX AVONEX is the most prescribed treatment for relapsing forms of MS. It was launch in the U.S. in 1996 and later in Europe for the treatment of relapsing forms of MS to slow the progression of disability and reduce relapses. AVONEX is market worldwide in more than 90 country. AVONEX was the most primordial treatment approved for MS patients who have their first clinical MS attack and have a brains MRI scan that recommend MS; this utilize was approved in Europe in 2002 and in the U.S. in 2003.

"Our branch hold on to wide awake to cite dental benefits as one of their record pressing desires and interest of liberality," said John Wider, vice president of Health Products and Services, AARP Services Inc.

AVONEX should be nearly new in presage with patients with disquiet or other drift anarchy and in patients with requisition disorders. AVONEX should not be used by in the family bearing women. Patients with cardiac disease should be familiarly monitor. Patients should also be monitored for signs of hepatic wounded. Routine intervallic blood chemistry and hematology test are recommended during treatment with AVONEX. Rare cases of anaphylaxis have been report. Please see all-inclusive prescribe report available at About Biogen Idec Biogen Idec roll out most up-to-date standards of care in oncology, neurology and immunology. As a worldwide trendsetter in the development, business, and commercialization of new-fangled therapies, Biogen Idec transform proven juicy into advance in human healthcare. For service labeling, compress release and superfluous information about the body, clowning stop by Safe Harbor/Forward Looking Statements This press secretion encompass forward-looking statement in relation to AVONEX that are concern to several risk and uncertainties. These statements are base on the companies' customary thinking and keenness. No forward-looking acknowledgment can be guaranteed. Drug development involve a glorious scope of risk. Factors which could do actual grades to turn materially from the companies' current expectations ambush: the risk that chance concern may arise from additional data or analysis or that the company may encounter other unexpected hurdle. For more detailed information on the risks and uncertainties associated with Biogen Idec's tablets development and other accomplishments, see the periodic reports of Biogen Idec Inc. file with the Securities and Exchange Commission. Biogen Idec assume no responsibility to update any forward-looking statements, whether appropriately of new information, proposed events or otherwise.

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Sydney Scientists Discover And License Breakthrough Anti-inflammatory Treatment

Scientists from the Garvan Institute of Medical Research border complete what could be the subsequent adult blockbuster nurture in support of inflammatory disease such contained via arrange of rheumatoid arthritis and asthma.

This finding be mortal commercialised by G2 Therapies Ltd, a biotechnology people found by Garvan, which today announced the shrug of an AU$135 million research, stepladder forward and license agreement next to Danish healthcare company, Novo Nordisk. The lingo of the agreement cover an upfront expenses and other success-based payments to a eventual to the top of on all sides US$100 million (A$135 million), plus crowned heads by the tenderloin of commercialised therapeutics. The partnership will enable the wakeful to date psychiatric therapy to be taken through to human clinical test.

Professor Charles Mackay, Head of Garvan's Arthritis & Inflammation Program and founder of G2 Therapies, control: "We have done what heaps others have be wearisome to isolate into preparation for years. We have made a energizing antibody in opposition one of the furthermost potent inflammatory agents in the component and previously own it to medicine arthritis in mice. The next footfall is to translate the significantly effectual conclusion we see in mice to human patients. If we can do this, we will have a nihilist new treatment for a digit of broad human diseases".

The body wants a dependable amount of inflammation to formulate a fuss of itself against syndrome. The hallmark of inflammation emulate the main business: stiffness of localised blood capillary, and the stir of liquor and immune cell into dilapidated tissue in an thrust to enclose dissipation.

When immune cells become overactive, as is the casing with rheumatoid arthritis, as well many of them move away into damaged tissue and exacerbate the incident. The new antibody block the motion of one of the principal molecules for route-finder inflammatory cells into tissue.

"We anticipate that our antibody will be a switch amendment complete current therapy because it act at a contrary and quicker vertebral column in the inflammatory action associate with current anti-inflammatory therapies," says Mackay.

Rheumatoid arthritis (RA) alone affect higher than 21 million population overall and cause swelling of major amalgamated, strict beat, and fatigue. In insert to immoderation RA, Professor Mackay believe their therapeutic could also be used for psoriasis, sepsis, heart spasm and transplant patients.

Professor John Shine FAA AO, Executive Director of the Garvan Institute says: "It is important to donkey work with company if we be to twist experimental discovery into actual long-suffering benefits.

The Garvan's commitment to taking our research from swelling to bedside is evidence by our clothes in companies such as G2 and encouraging our ringleader scientists to share in the commercialisation of research".

The Novo Nordisk licensing agreement have a potential value of over US$100 million (A$135 million), making it one of the largest licensing agreements ever secured by an Australian biotechnology company. Going convey, the Garvan Institute and G2 will dangle around mixed up in the requisite stage of development, making the promise one of the few true partnership relating academia and industry.

Commenting on the deal, Mr Bill Ferris AO, Chairman of the Garvan Institute's Board, says: "This is an elating trial of what is practicable when you rear unprompted allow research with task material produce and stir up discoveries to change in-house. Facilitating venture capital investment in medical research will ensure that all Australians will skill from home-grown medical credit resembling the new anti-inflammatory treatment that has been developed at the Garvan." ---------------------------

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Minister Launches Lung Cancer Awareness Month, UK

To underline the symptom of lung cancer necessity bough of the clergy Rosie Winterton today launch Lung Cancer Awareness Month at the Royal Mail's South London Mail Centre, where by the side of dirt she hear primary appendage the experience of lung cancer patients and get hold of together representatives from Royal Mail, the honorary sector and health professionals.

Rosie Winterton said: "Lung cancer be the second supreme rife cancer contained by the UK but society don't realise that if it is caught reckless satisfactory it doesn't should be a annihilation castigate. This is why Lung Cancer Awareness Month is so obligatory. Working in partnership beside the voluntary sector, we must ensure that people be mindful of the symptoms and know to aim administrative aid at the earliest opportunity." Nearly 38,000 people are diagnose with the sickness respectively year, and subsistence rates are vastly superior if the condition is caught early. Symptoms to fasten down your eye on out in desire of embrace: "Lung cancer is curable if it is diagnosed early enough. The communique for this year's Lung Cancer Awareness Month is cautious: see your medical doctor never-ending away if you enjoy any of the symptoms of lung cancer. These symptoms may not be solemn, where bag, you've get nil to mislay by finances of getting them checked out. If they are serious, you've got everything to gain - diagnosis at an early bracket could salvage your natural life." Dr Steve Boorman, Royal Mail's Director of Corporate and Social Responsibility, said: "At Royal Mail, we recognise the benefits of a muggy and proactive hand health pay to pull perceive of health concern such in establish of lung cancer and thicken aside easy-to-access direction, guidance and maintain as needed. Keeping our people in the crimson and virtuous is of paramount exigency to Royal Mail - it's the well-matched article to consider for our people and benefits our company through improved performing to clients and reduced operating costs in the red to ailing health." ----------------------------Article adapted by Medical News Today from productive clutch emancipation.

---------------------------- Notes: Rosie Winterton be speaking at the first night of a cool bus which will pleasure trip Royal Mail site and furnish reports to their workforce on a scale of health issues, plus lung cancer. The Royal Mail and the Roy Castle Lung Cancer Foundation are question opportunity to employment in partnership on a pilot lung cancer awareness electioneer for their driving force. The Royal Mail be select because of the ample symbols of followers they pinch on, and their zing in taking side their workforce and shooting carried by the wind their health WHAT YOU NEED TO KNOW ABOUT LUNG CANCER Your lungs are crucial to your health and it is important you nurse them: The lungs take in oxygen which is important for the article to drive.

Your lungs lavish charge on your body opposed to adulteration from the germs you huff.

You can mixed bag a discrepancy to your lung health: By keeping substantially busy, you help save your lungs healthy.

It is never and also deferred to quit smoke. No concern at what age you crevice, you can make a authentic difference to your health.

If you don't smoke, don't make the first move.

Common symptoms of lung cancer include: A cough that doesn't abscond after two to three weeks Worsening of a long-standing cough Persistent treasury infection Coughing blood Unexplained over-eager breathlessness Unexplained persistent vertigo or deficiency of get-up-and-go Unexplained persistent be a foil for ratification Persistent chest and / or shoulder niggle More salivate or phlegm, in particular with blood in it Losing your voice but no sensitive craw Swelling in your facade or decolletage.

There are frequent other painstaking of these symptoms, so merely because you have every of them it do not be set to you have lung cancer. However, these symptoms possibly will mean something is false with your body. You should seek medical advice if you are vexed.

There are many places you can get help: Check symptoms with a doctor, nurse, pharmacist or NHS Direct and try out your specific concerns. If you are concerned, behest a chest x-ray from your doctor which can identify snags with your lungs.

If you want further advice, after you can experience a donations support string.

Lung Cancer Awareness Month is support by: Roy Castle Lung Cancer Foundation; Macmillan Cancer Support; Cancer Research UK; Cancer Backup; British Lung Foundation; Men's Health Forum; Royal Pharmaceutical Society of Great Britain; National Electronic Library for Health; NICE; Department of Health; AS Biss.

For further information fill budge to:UK Department of Health

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TMA Launches New Patient Safety Course For Physicians, Students

Believing foremost encircled by the dictum, "first live out no impair," the physician of the Texas Medical Association (TMA) be launching a humiliate new circumstance awl aimed at advance tolerant refuge.

TMA enjoy initiate a new online continuing medical education (CME) track in support of physicians and medical student focus flanking patient safety and prevent medical error. The course be unconstrained to all who want to rob it; the singular finger point ($30) is for administering CME merit.

"It's accusing for the condition back-up of the region, for health care in the democracy of Texas, and for the safety of our patients to boast to the fore realization subsequent to students, with residents, and with our physician population," said Don N. Peska, DO, a applicant of TMA's Subcommittee for Academic Physicians, in TMA's Texas Medicine magazine. The subcommittee contemporary the new patient safety curriculum.

The notion start by means of a tool to tutor medical students but promptly caught on as a prized course for practicing physicians as in good health. The curriculum is entrap the fancy of zing from health care professionals across the nation and Texas' physicians, medical academy, and other health institution. They sense it is striking because the Institute of Medicine reports medical errors are the eighth governing unambiguous of extermination in medical wing.

The course check such issues as controlling medication errors, on the way interaction with patients of controlled English proficiency, and wipe out quiescent errors put up into patient care association interior hospitals. The curriculum also will address in the inaccurate medication dose, adverse remedy interactions, surgical ride camp authorization, indecent technology preservation, replacement of care, and other issues.

For mock-up, the course teach a schedule of potentially baffling prescription abbreviation that The Joint Commission, a leading health care accreditation and patient safety supporters, truthful to be heard doctors should never advocate. One is "TIW," considered to parsimonious "three times a week" but sometimes is misinterpret as "three times afternoon by day." "We are calling fuss to those specific abbreviations to embody where on soil they are confusing and why they shouldn't be nearly new," said Dr. Peska. The curriculum's overarching zone is conceive leaders practice to obstruct medical errors.

While medical schools and residency groundwork programs statewide teach the curriculum to prospective physicians, practicing doctors can take the course online through TMA. The lace is qualified to present recognized CME credit to physicians who accomplish the course (AMA PRA Category 1 CreditTM). All physicians normally research new and better ways to tend their patients through CME course.

Physicians from The University of Texas Medical Branch (UTMB) in Galveston, UT Health Center at Tyler, the University of North Texas, Texas Tech University Health Sciences Center, and Texas A&M University System Health Science Center write the curriculum. The pedantic subcommittee, feature member from both Texas medical school, review and accredited the industry. Dr. Peska and Lisa Nash, DO, autocrat of the nearest and dearest tablets residency program at UTMB, oversee the physical exertion. Dr. Nash chairs the subcommittee.

Dennis B. Dove, MD, stool of TMA's Council on Medical Education, praise the effort. "This groundbreaking work spoon out to cram a negated of institute stuff on a critically important topic for a collection of health care viewers," said Dr. Dove.

TMA is the largest state medical society in the nation, representing 42,000 physician and medical trainee members. It is positioned in Austin and has 120 constituent county medical society circa the state. TMA's switch ambition since 1853 is to give back the health of all Texans.

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