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5-Year Study Published In Diabetologia Demonstrated Long-Term Safety Of Lantus(R) Compared To NPH
Sanofi-aventis (EURONEXT: SAN and NYSE: SNY) announced that the results of the long-term, 5-year study of Lantus(R) (insulin glargine [rDNA] injection) versus NPH insulin on progression of retinopathy in patients with type 2 diabetes, published on-line in Diabetologia (DOI 10.1007/s00125-009-1415-7) showed similar effects on retinopathy and overall safety in the two treatment groups. This is the longest controlled study ever reported using insulin glargine.
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NCAR Teams With Inter-American Development Bank To Help Latin America Prepare For Climate Change
The National Center for Atmospheric Research (NCAR) has teamed with the Inter-American Development Bank (IDB) to launch a far-reaching program to help Latin American and Caribbean nations prepare for the impacts of global warming.
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Dysport(R) Cosmetic Injection - For Erasing Wrinkles - Receives U.S. FDA Approval
A new wrinkle-smoother will be arriving in doctors" offices in July: the U.S. FDA has approved the cosmetic injectable Dysport®. Dysport®, approved in the European Union, Brazil, Argentina and more than 26 countries worldwide is a form of botulinum type A, similar to the protein found in Botox® Cosmetic, approved for fighting wrinkles in the U.S. since 2004. Dysport® and Botox® are both cosmetic injections that temporarily relax the muscles in the face that create expressions, such as frown lines between the brows, that over time result in visible facial lines and deeper creases. "Although their action is similar, Dysport® and Botox® Cosmetic are two different drugs," said oculoplastic surgeon Dr. Brian Biesman, Coalition leader and Assistant Clinical Professor at Vanderbilt University Medical Center in Nashville, TN. "Both temporarily modify the action of facial muscles, smoothing out undesirable lines between the brows, across the forehead or crow"s feet to restore a more youthful, less stressed appearance. But they are not interchangeable, they have distinct dosing differences."
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Why Is It Important To Get A Second Opinion For A Total Knee Replacement?

While total knee surgery is a common procedure with a high success rate in the US, getting a second opinion is still recommended. Each surgeon has had a specific training and education, and more experience with certain procedures over others. Some surgeons embrace new technologies and methods while others are more traditional in their practice. Furthermore, you want to feel comfortable with your surgeon. Taking the additional steps to research, interview, and visit more than one doctor can pay off in the long run. Here are three scenarios that illustrate why getting a second opinion for a total knee replacement can save you time, money, and medical complications. The surgeon recommends something not appropriate for the current condition of your arthritic knee. For example, the surgeon will recommend a total knee replacement but only a partial knee replacement is necessary (or vice versa). Total knee surgery is far more common than partial knee surgery, but in some cases the damage to the joint is confined to a limited area and a less invasive surgery is more appropriate. By getting a second opinion, you will discover whether another doctor thinks a total knee surgery is necessary. The surgeon installs the prosthesis poorly and it needs to be removed. Revision is quite common in total knee surgery. Revision can be due to misalignment of the prosthesis or a loose artificial joint. You can find out how many joint procedures your surgeon does each year by simply asking. On average, surgeons in the US do about 7-10 joint procedures each year. Anything higher is desirable in a surgeon; for example, 1-2 procedures in a week is good. The surgeon has financial ties to the company that manufactures the artificial joints they recommend. There have been reports of surgeons receiving "consulting fees" from leading artificial joint manufacturers. A surgeon"s decision to use a certain joint for total knee replacement should not be dictated by monetary gain. A surgeon is required by law to declare any such relationships. For these reasons, it is a good idea to bring a list of questions with you to the doctor"s office. At the top of your list, you want to ask your surgeon why they recommend this procedure over others and how many they do of this procedure each year. In addition, have the surgeon give you a simple explanation of the surgery and the technique involved. Don"t be afraid to ask your surgeon what their experience is with the procedure they recommend. This includes good and poor outcomes, infection rate, and information about the setting where the operation will take place. You also want to ask the surgeon about alternatives to the procedure, nonsurgical or otherwise. Lastly, you can ask your surgeon about the anticipated outcome of the procedure. Different surgeons will have different ideas on how to treat your condition. There may be more than one procedure suitable for your knee and getting a second or third opinion will most likely reveal what"s best for you.longevity and suitability for various applications. With this information the potential patient may be better informed when discussing options with his or her surgeon. BoneSmart®


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