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As noted above, poor households were much more likely to be solely engaged in farming or in a mix of NR-based enterprises, or in activities with low social status casual labour ; , a high degree of drudgery beer brewing, construction ; or with low entry barriers and returns to labour `services' ; . The numbers of households in each `livelihood portfolio' is shown in Table 11. Average per capita income for each livelihood portfolios is given in Table 12. Non-farm income, wage income and remittances were all significant sources for a significant proportion of households. Higher income households typically received more wage and remittance income, while lower income households were more dependent on retained agricultural output and were generally less likely to be strongly engaged in markets, with the exception of those in Matopo where markets worked better. Table 11: Numbers of households involved in livelihood activities, by IG 1998 ; . IG 1 Farm Garden Farm + Poultry Farm + Garden Farm + Garden + Poultry NR Agric Agric + Remittances Agric + Construction Agric + Trade Wage + Agric Casual + Agric Agric + Services Mixed NR & Non-NR ; Wage only Construction + Trade Construction Wage + Trade Beer Brewing + 42 Knitting + 43 Trading Non-Farm Remittances Casual Labour Remittances + Casual Other None Total 42 6 4 Totals 96 19 14 and actos. Side effects of zanaflex Members-Only Listserv Thread Placement of patient after receiving tPA January 2006 Question: I would like to ask the group three questions: 1. Do any of the hospitals place patient who receive tPA in the ER on an "intermediate unit" for the first 24 hours? 2. If so, what type of education did the nurses receive ? 3. What is the nurse patient ratio when caring for the stroke patient who received tPA during the first 24 hours? Stroke Coordinator Traverse City, MI Our patients go to the ICU for the 1st 24 hours. The ratio there is usually 2 pts 1 RN. Neuroscience Clinician Louisville, KY Most of our IV TPA patients go to the stroke unit, which has telemetry and 3: 1 nursing coverage. They stay there for 48 hr in most cases. Director, Stroke Program Chicago, IL ICU. We do not have a step-down unit. 1: 2 pts ; Nurse Coordinator Palo Alto, CA Depending on the patient acuity; we do admit post IV tPA patient to our Neuro stepdown unit. Nurse to patient ratio 1: 3. Telemetry monitoring and NIBP spO2 monitoring capabilities. Staff education includes annual competency on NIHSS and stroke updates. Post tPA orders cover vital sign neuro check frequency. This SD unit receives patients from our Neuro Trauma ICU and is part of the general neuro unit. Stroke Nurse Coordinator Asheville NC t-PA patients always go to neuro intensive care unit here. The ratio is 2: 1. Stroke Coordinator Columbus, OH Once a patient receives tPA for acute stroke, he she should be sent to the ICU with a 1: ratio. I do not know of any centers admitting tPA patients to intermediate care units. I personally would not accept these patients being sent to a unit with less than 2: 1 ratio. The nurse in charge of the patient should know the drug, its side effects mainly bleeding and anaphylaxis ; , the contraindicated procedures during the first 24 hours and a detailed neurological examination with items finer than just the NIHSS. The nurse should have a pre-written orders about alerting the attending physician and orders for CT scan and preparing to reverse tPA. I believe there should be an alert code for the stroke team to be activated at least part of it ; for deterioration of a stroke patient within the first 24 hours after tPA and such code should be attended with the same speed and sense of urgency as Code Gray. 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Author: Kanaan VT, Pajor EA Title: The effects of early social environments on the pre- and post-weaning behaviour and growth of raccoons Procyon lotor ; in a rehabilitation center Author: MacKinnon KM, Newberry RC, Wielebnowski NC, Pelican KM Title: Identifying early indicators for successful pairing of clouded leopards in captive breeding programs ROOM: YUCATAN II and adalat. 1Zdravlje Actavis Company, Pharmaceutical and Chemical Industry, Quality Control Department, Leskovac, Serbia and 2Faculty of Pharmacy, Department of Pharmaceutical Chemistry, Belgrade, Serbia e-mail: jstojanovic zdravlje.co.yu. 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This is worrisome, especially considering that most health centres are short staffed and their standards have deteriorated beyond acceptable levels. Acorda Therapeutics Partners with Cardinal Health to Expand Sales Force for ZANAFLEX CAPSULESTM 160 Contract Sales Representatives Will Target Primary Care Market Hawthorne, NY November 10, 2005 Acorda Therapeutics announced today that it has entered into an agreement with the Contract Sales and Services business of Cardinal Health NYSE: CAH ; Pharmaceutical Technologies and Services segment to expand the sales force for Acorda's Zanadlex CapsulesTM tizanidine hydrochloride ; with approximately 160 contract sales representatives to address the primary care market. The additional sales representatives will target approximately 4, 000 primary care physicians. The primary care team will join Acorda's 14-person, in-house specialty sales force, which is focused on the neurology and physical medicine and rehabilitation markets. The combined sales and marketing infrastructure will be able to reach virtually all the potential high-volume prescribers of Zanafoex Capsules. The two-year, performance-based agreement will provide Acorda with access to experienced sales professionals who will make dedicated physician visits on behalf of Zanaflxe Capsules. Compensation is based on the achievement of performance objectives. Financial terms were not disclosed. "We are delighted to have been selected by Acorda Therapeutics for this important initiative. The immediate addition of this sales force to promote Zanalfex Capsules will enable national coverage on an important segment of the market currently not covered by Acorda's sales force, " said Thomas Dimke, Senior Vice President and General Manager for Cardinal Health Contract Sales and Services. Acorda acquired all US sales, marketing and distribution rights to Zanaflex Capsules and Zanaflex tablets from Elan Corporation, plc in July 2004. Zanaflex Capsules are a new, capsule formulation of tizanidine. Elan continues to manufacture Zanaflex Capsules for Acorda at its Athlone, Ireland facility. Zanaflex is a registered trademark of Elan. Zanaflex CapsulesTM is a trademark of Elan, for which registration is pending. Both trademarks are exclusively licensed to Acorda. For full prescribing information, please go to zanaflexcapsules . About Elan Elan Corporation plc NYSE: ELN ; manufactures Zanaflex CapsulesTM at its Elan Drug Technologies facility in Athlone, Ireland, using its proprietary SODAS Spheroid Oral Drug Absorption System ; multiparticulate drug delivery technology. The Athlone campus, an FDA European Medicines Agency-approved site, comprises of 421, 000 square feet under roof, of which 138, 000 square feet has dedicated, fully-equipped current good manufacturing practices "cGMP" ; manufacturing capacity. Elan packages Zanaflex CapsulesTM at its FDA approved manufacturing facility in Gainesville, Georgia. 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Large or small doses of daily short-acting opioids are not appropriate, as these agents may add to analgesic overuse headache.45 They may be used as occasional rescue therapy. Since too frequent use of acute medication can lead to medication overuse headache, preventive medication should also be considered whenever patients require acute medication more than 2 days per week. Guidelines for dosing and appropriate choice of preventives is available through the US Headache Consortium Guidelines, available on-line : aan public practiceguidelines 03 ; . These evidence-based guidelines were produced through a multidisciplinary panel of headache experts. Muscle relaxants. Botulinum toxin injections have been used for migraine.46 They are potentially worthwhile in patients with active trigger points that precipitate their headache episodes. Tizanidine Zanaflex ; , another muscle relaxant, has been shown to have both muscle relaxant and antinociceptive properties. 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