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Other References ASHP Commission on Therapeutics. ASHP therapeutic position statement on the use of statins in the prevention of atherosclerotic vascular disease in adults. J Health Syst Pharm. 2003; 60: 593-98. Irons BK, Snella KA, McCall K, et al. Update on the management of dyslipidemia. J Health Syst Pharm. 2002; 59: 1615-25. Abramowicz M, ed. Three new drugs for hyperlipidemia. The Medical Letter. 2003 March3 45: 17-19. Abramowicz M, ed. Choice of lipid-regulating drugs. The Medical Letter. 2001 May 28 43: 43-48. Wickersham R. Antihyperlipidemic agents. Drugs Facts and Comparisons. St. Louis, MO. 2003. Pasternak RC, Smith SC, Bairey CN, et al. ACC AHA NHLBI clinical advisory on the use and safety of statins. Circulation. 2002; 106: 1024-28, for example, xenical obesity drug.

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Hi-Tech Park in Shanghai; 108 and AstraZeneca is planning to do likewise.109 Meanwhile, Novartis is building an $83m R&D centre in Suzhou, near Shanghai; and GlaxoSmithKline is contemplating a move to China, too.110 Similarly, Eli Lilly, Novartis and GlaxoSmithKline have all set up research centres in Singapore.111 Novartis has also just embarked on a new clinical research venture in Indonesia.112 AstraZeneca has opened a process R&D laboratory in Bangalore.113 And GlaxoSmithKline plans to set up a global drug development support centre in Mumbai with Indian software firm Tata Consultancy Services.114 But these investments are tiny, compared with the amount Big Pharma is spending on R&D in the West. Moreover, although the majority of multinationals are keen to expand their presence in Asia, relatively few are focusing on research. In a survey recently conducted by PricewaterhouseCoopers, only 8% of respondents said they were interested in doing more research in Asia, whereas 50% wanted to increase their sales and marketing activities, and 25% to increase their manufacturing activities, in the region.115 This may prove a rather short-sighted approach. If Pharma is to get access to the basic research it needs, it will either have to establish a much stronger footprint in Asia or forge close links with the most reputable centres of scientific excellence in the area. That, in turn, means it will have to overcome barriers of language and culture. And, as experience in the IT sector shows, following the herd can prove a costly mistake. Many parts of India are now short of the very. For dermatitis, the steroid should be used alone or in a low sensitizing preparation like Orlex HC or VoSol HC. Anesthetic agents such as Auralgan or Lidosporin, which contain benzocaine or lidocaine, may provide some relief of pain in otitis media and bullous myringitis and some relief from itching in dermatitis. A few people become allergic to these medications. There are ceruminolytic agents in use, the most popular agent being carbamide peroxide in glycerol Debrox ; . Using this agent or simple 3% peroxide solution may take several days to soften hard wax. Ceruminex, an agent that softens wax rapidly, has been cited as occasionally causing a severe eczematoid reaction and should be limited to 15 to minutes of skin contact and then thoroughly removed. Remember also, the disadvantages of otic preparations: All drops produce debris requiring further cleaning after use. Most preparations are painful, due to the acid and alcohol base, when used in the middle ear. The water based suspensions or ophthalmic preparations cause less pain and reaction with the mucosa and are the best preparations applied in treatment of a perforated tympanic membrane. Use your otic preparations wisely. Clean the ear first, use only what is necessary, discontinue as soon as possible and remove remaining debris. MIDDLE EAR Anatomy Tympanic Membrane-Landmarks Pars Flaccida - Shrapnell's membrane over the notch of Rivinus Pars Tensa Manubrium and Umbo Short process Light reflex Behind the membrane Chorda Tympani nerve Incus Stapedial Tendon Round window niche Promontory Special features Migratory surface epithelium Tympanic cavity Epitympanum, Mesotympanum, and Hypotympanum Mastoid antrum and air cells are connected to the Tympanic Cavity through the Addus an Antrum. 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