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He research findings from the NHS R&D Health Technology Assessment HTA ; Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence NICE ; and the National Screening Committee NSC ; who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the `National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS. The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. `Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care. The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, service-users groups and professional bodies such as Royal Colleges and NHS Trusts. Research suggestions are carefully considered by panels of independent experts including service users ; whose advice results in a ranked list of recommended research priorities. The HTA Programme then commissions the research team best suited to undertake the work, in the manner most appropriate to find the relevant answers. Some projects may take only months, others need several years to answer the research questions adequately. They may involve synthesising existing evidence or conducting a trial to produce new evidence where none currently exists. Additionally, through its Technology Assessment Report TAR ; call-off contract, the HTA Programme is able to commission bespoke reports, principally for NICE, but also for other policy customers, such as a National Clinical Director. TARs bring together evidence on key aspects of the use of specific technologies and usually have to be completed within a short time period. Criteria for inclusion in the HTA monograph series Reports are published in the HTA monograph series if 1 ; they have resulted from work commissioned for the HTA Programme, and 2 ; they are of a sufficiently high scientific quality as assessed by the referees and editors. Reviews in Health Technology Assessment are termed `systematic' when the account of the search, appraisal and synthesis methods to minimise biases and random errors ; would, in theory, permit the replication of the review by others. The research reported in this monograph was commissioned by the HTA Programme as project number 96 13 04. The contractual start date was in February 1999. The draft report began editorial review in May 2003 and was accepted for publication in November 2005. As the funder, by devising a commissioning brief, the HTA Programme specified the research question and study design. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the referees for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report. The views expressed in this publication are those of the authors and not necessarily those of the HTA Programme or the Department of Health. Editor-in-Chief: Series Editors: Managing Editors.
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Figure 4. The Number of Convicted Drug Offenders and the Number who Received Drug Treatment The majority of the cases were in the criminal justice process thus the imprisonment and detention rate in the prisons and juvenile detention centres were high due to narcotic law offences as shown in figure 5. The source of the data was derived from the Annual Report of Department of Correction and Juvenile Detention Centre.
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Mercado G, Adelstein DJ, Saxton JP, Secic M, Larto MA, Lavertu P. Hypothyroidism: a frequent event after radiotherapy and after radiotherapy with chemotherapy for patients with head and neck carcinoma. Cancer 2001; 92: 2892-7. SUMMARY Background External-beam radiation therapy to the head and neck is well known to cause thyroid disease, especially hypothyroidism, in children and young adults. This therapy also causes hypothyroidism in older people with head and neck cancer. However, the overall risk of hypothyroidism and the contribution of patient or treatment factors to the risk have not been studied in much detail. In this study the frequency of hypothyroidism was determined in patients with head and neck cancer treated with radiation alone or radiation and chemotherapy. Methods The study subjects were 143 patients with nonmetastatic, resectable squamous-cell carcinoma of the head and neck oral cavity, 6 patients; oropharynx, 68; larynx, 39; hypopharynx, 27; and unknown or multiple sites, 3 ; . There were 110 men and 33 women, with a median age of 58 years range, 24 to 77 127 patients were white and 16 were black. Four patients had stage II tumors tumor size 2 cm to patients had stage III tumors tumor size 4 cm, or tumor size 4 cm and metastasis to a single ipsilateral lymph node ; , and 103 had stage IV tumors tumor of any size and invasion of local structures or metastases to one or more lymph nodes ; . Patients with thyroid dysfunction before treatment and those who underwent thyroid resection to control tumor were excluded. Among the 143 patients, 89 were enrolled in a randomized trial of radiation therapy versus radiation therapy plus chemotherapy. The radiation dose was 6600 to 7200 cGy, given as single daily fractions of 180 to 200 cGy, and the COMMENTARY, for example, acipyex pariet.
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THE ASSISTED REPRODUCTIVE TECHNOLOGIES ART'S ; The Assisted Reproductive Technologies ART's ; are a group of treatment options used for couples with infertility that cannot be treated using simpler methods. These procedures have excellent success rates but require significant effort and can be expensive. For all of these reasons, advanced treatment options can be stressful. These natural stresses can be minimized if you understand the nuances of the various procedures. We encourage you to learn more and to freely ask questions of your medical team. Understanding the applications for each procedure will help you obtain the appropriate treatment and maximize your chance for success. There are a number of different types of treatments encompassed under the ART umbrella. These include In Vitro Fertilization IVF ; , Gamete Intrafallopian Transfer GIFT ; and Zygote Intrafallopian Transfer ZIFT ; . components of an IVF cycle. To better understand the differences in techniques and indications for these procedures, it is important to understand the four basic.
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Greiter AG develops and produces a line of elegant sunscreen and after-sun products that combine sun protection with special moisturizers. Its products are sold throughout Europe and other markets. The mission of Independence Technology, L.L.C. is to develop products using innovative technologies to help meet the needs and desires of people with disabilities. The first product expected to be launched will be the revolutionary INDEPENDENCE IBOT 3000 Mobility System, a gyro-balanced device designed to operate either on two or four wheels ; that is being developed for people with mobility-related disabilities. The Janssen-Cilag companies produce and market a broad range of pharmaceutical products, mainly discovered and or developed by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Leading products include EPREX ERYPO hematology ; , RISPERDAL psychiatry ; , SPORANOX dermatology fungal infections ; , DURAGESIC DUROGESIC pain management ; , TOPAMAX epilepsy ; , PARIET ACIPHEX gastroenterology ; , and REMINYL Alzheimer's disease ; . Janssen Pharmaceutica Inc. produces and markets prescription medications in four therapeutic areas: central nervous system disorders, gastrointestinal health, pain management and the treatment of fungal infections. Leading products include RISPERDAL risperidone ; , an antipsychotic; ACIPHEX rabeprazole sodium ; , a proton pump inhibitor; DURAGESIC fentanyl transdermal system ; , a skin patch for the treatment of moderate to severe pain; SPORANOX itraconazole ; , an antifungal; and REMINYL galantamine hydrobromide ; , for Alzheimer's disease. The primary businesses of Johnson & Johnson Consumer Products Company are baby care, wound care and skin care. The company's wide range of products includes the familiar line of baby and child care products, a complete line of family first aid and home health care products, skin care products such as cleansers, astringents, moisturizers, acne treatments and body powders, and BabyCenter , the online parenting resource. The Johnson & Johnson Development Corporation makes equity investments in early-stage venture and young publicly-traded health care companies, where promising new technologies are under development. Portfolio companies include those in the fields of pharmaceuticals, biotechnology, medical and surgical devices, health care information technology, diagnostics and consumer products. Johnson & Johnson Gateway, L.L.C. develops and manages the Web-based resource of information created for health care professionals by Johnson & Johnson medical devices and diagnostics companies. Accessed in a global Internet destination are product information, clinical content, professional education, patient materials, and in many countries, e-commerce transaction and inquiry capabilities. Johnson & Johnson Health Care Systems, Inc. provides national, managed care, government and large hospital customers with a single point of contact for products from Johnson & Johnson domestic companies. In addition to customer account management, the company offers business support services, including contract management, supply chain, electronic business resources, and health and fitness services for employers. Johnson & Johnson Merck Consumer Pharmaceuticals Co. is a 50 joint venture formed to develop and market a broad range of nonprescription products derived primarily from Merck & Co., Inc. prescription medicines, as well as products licensed and acquired from outside sources. Current products include PEPCID AC Acid Controller, for both the prevention and relief of heartburn and acid indigestion; PEPCID Complete, a combination acid controller and antacid, and MYLANTA Antacid, a leading line of antacid antigas products in liquid and solid forms.
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Accreditation JCAHO ; has never reviewed Clinton Satellite Unit operations.35 The courts have broadly exempted state officials and employees from liability under the doctrine of qualified immunity.36 Even when found culpable by "deliberate indifference, " the respective DOCS and OMH Commissioners are merely slapped with modest damages paid by the state. 37 Nor has the Governor ever been held accountable.38 New York's crusading attorney-general Elliot Spitzer supervised the government's denial of accountability in the Clinton prisoner claims of Perri v. Coughlin and Brooks v. Berg.39 Protection of psychiatrists from accountability is an incentive for relatively low-status but secure employment in the state penal system. Few instances appear in the last decade where OMH staff at Clinton Prison or other satellites received public censure or rebuke.40 1 ; In the 1994 "suicide" death of Felix Jorge George ; , a prior treatment plan developed at CNYPC was lost or.
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