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Reprinted with permission from the IFFGD. Originally printed in Participate -- Vol 7 No 1, Spring 1998. Go to the IFFGD website for Information on subscribing to Participate (and becoming an IFFGD member). People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called chronic functional abdominal pain (CFAP). CFAP is a functional GI disorder. There are no abnormal x-rays or laboratory findings to explain the pain. It occurs because of altered sensitivity to nerve impulses in the gut and brain, and it is not associated with altered motility in the intestines. For people with CFAP, the pain can be so all-consuming that it becomes the main focus of their lives. Not only does it impact on quality of life, but it has a major economic impact as well. The US Householders Survey of Functional GI Disorders published in 1993 found that people with CFAP missed an average of 12 days of work annually due to illness compared to 4 missed days for people without gastrointestinal symptoms. Also, the number of doctor visits in a year averaged 11 for those with CFAP compared with only 2 for those without CFAP.
Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999–2008 Farida A. Bhuiya, M.P.H.; Stephen R. Pitts, M.D., M.P.H., F.A.C.E.P.; and Linda F. McCaig, M.P.H., Division of Health Care Statistics Key findings Data from the National Hospital Ambulatory Medical Care Survey: 1999–2008 • The number of noninjury emergency department (ED) visits in which abdominal pain was the primary reason for the visit increased 31.8%. • The percentage of ED visits for which chest pain was the primary reason decreased 10.0%. • Use of advanced medical imaging increased strongly for ED visits related to abdominal pain (122.6%) and chest pain (367.6%). Chest and abdominal pain are the most common reasons that persons aged 15 years and over visit the emergency department (ED) (1). Because EDs provide both emergency and nonemergency care (2,3), visits for these symptoms may vary in their acuity. Advanced medical imaging is often ordered to assist in both diagnosing and ruling out serious illness associated with these symptoms (4,5). This report describes trends in visits for chest and abdominal pain in adults and the seriousness of illness and use of imaging in these visits. All data shown are for persons aged 18 and over whose visit was not injury related. Keywords: National Hospital Ambulatory Medical Care Survey • advanced medical imaging • reason for visit Are ED visits for chest or abdominal pain increasing?
Starting mid-2008, Roche introduces a new global packaging design for prescription medicines. This will meet requirements and expectations of health authorities, medical professionals and patients worldwide. The new packaging allows quick and easy identification of the medicine and dosage strength. one product colour specific dosage colour icon of pharmaceutical form dosage colour is repeated How was the design selected? Roche sought feedback from medical professionals and health authorities and reviewed possible design options with more than 700 doctors, pharmacists, nurses and patients worldwide. There was clear support for the selected new design and respondents particularly highlighted that it was easy to recognise. What are the new features? The new packaging design includes d • istinct product and dosage colours for quick identification c • olour banding visible from three sides p • lunger rods and flip-off caps in dosage colours The design is in line with recent regulatory labelling guidelines and industry best practices. There will be no changes in pack dimensions and text. How will the design be implemented? The new packs will be phased in for Roche prescription medicines between mid-2008 and 2010 (approx.). C • ellCept, Copegus, Pegasys and Xeloda will be the first medicines to feature the new packaging design (some country-specific exceptions) T • he remaining medicines will change over the coming months Packs in the old design will not be replaced and can be used until expiry. Please contact your local Roche Office for country-specific details. F. Hoffmann-La Roche Ltd 4070 Basel Switzerland www.roche.com © 2008
W elcome to Banfield Pet Hospital’s State of Pet Health 2012 Report—the only report of its kind to capture and analyze the medical data from more than 2 million dogs and nearly 430,000 cats. As the largest veterinary practice in the world, Banfield operates more than 800 hospitals in 43 states, and more than 13,000 associates—including 2,600 licensed veterinarians—work at Banfield. As such, Banfield has a unique understanding of the health of companion animals. Through our extensive commitment to innovation, our practice has created this ground-breaking report, now in its second year. Our commitment to ongoing preventive care and early disease diagnosis was the driving force behind our focus on the chronic diseases and conditions highlighted in this year’s report, including: overweight and obesity, arthritis, kidney disease, thyroid disease and heart disease. Over the past five years, many chronic conditions have continued to increase, in some instances, at an alarming rate. In this report, the overweight and obesity findings are some of the most concerning—since 2007, overweight and obesity have increased by 37 percent in dogs and 90 percent in cats. When pets are diagnosed as overweight, their waistline is not the only concern; the condition is associated with other serious diseases such as arthritis, diabetes mellitus, heart disease and hypothyroidism.