[The editors of the first formulary of drugs of the Hôtel-Dieu (1739)].
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Health care delivery in the United States has changed dramatically during the past 10 years. Dermatologists are faced with challenging changes in the way they learn new skills, practice, and provide dermatologic care. Dermatologists can survive and flourish in this environment if they learn proper management and enhancement skills. These skills include proper coding and documentation, regulatory compliance, and new levels of practice effectiveness and efficiency. Dermatologists can offer also the benefit of cosmetic procedures and ethical office-based dispensing to their patients. Greater future unification of this specialty will allow dermatology to flourish and show its need, efficiency, and cost-effectiveness.
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A gamma extremity monitoring system (GEMS) has been used to measure finger doses during radio-nuclide dispensing procedures. GEMS uses a small semi-conductor probe that can be attached to a finger from which a continuous read-out can be obtained that is related to dose rate. The pattern of dose accumulation can be analysed to allow doses received from individual operations within a procedure to be evaluated. GEMS has been used to compare the radiation dose reduction afforded by a syringe shield and an automatic dose dispenser. Dispensing procedures were simulated using 10% of the activity normally administered in order to avoid problems with detector saturation. Results show that the syringe shield and the automatic dose dispenser reduced finger doses by more than a factor of 10 for the procedures tested. The disadvantages of the automatic dispenser tested were a failure to transfer activity in 10% of cases and a longer time taken for the dispensing process. GEMS has the potential to facilitate greater optimization of finger doses through analysis of finger dose patterns.
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This compendium provides a quick reference to available tricyclic antidepressants, monoamine oxidase inhibitors, lithium carbonate, and stimulants. The charts include adult dosages, drug precautions, side effects, interactions with other drugs, and effects on clinical laboratory tests. Basic information on the prevention and management of overdose with these agents is also covered. Although the guide alone is no substitute for a thorough review, it can serve as a reminder of how these drugs are used in various clinical settings and of the problems associated with their use.
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Results of a survey characterizing drug information services and resources from a defined practice area are presented. At the end of 1992, a questionnaire was mailed to 167 Veterans Affairs Medical Centers and Outpatient Clinics. One hundred fifty-one of the surveys (> 90%) were completed and analyzed. The knowledge obtained from this survey may provide a basis for future development of an essential clinical service within the Veterans Affairs health care system.
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This article offers the Spanish translation of the theoretical introduction that Abu-l-Salt of Denia (1068-1134) placed at the beginning of his treatise on simple drugs. In his introduction he explained the reasons for preparing compound drugs, and how to prepare them. Although the rest of the book was translated from Arabic into Latin by Arnau de Vilanova (c. 1283) this introduction is not found in any of the extant Latin manuscripts and therefore does not appear in the critical edition of the works of Arnau.