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Their agendas on policy debates. Thus, in political contests, both structure and agency exert significant influence on each other.9 This paper proceeds as follows. Section one examines the strategies of the business network in its quest to structure the TRIPS regime. Section two explores the Access Campaign, contrasting corporate strategy with the NGO strategy, and explains how the NGO network gained ground. Section three provides the conclusions of our comparative analysis and outlines issues for further research. TRIPS: Why and How the Corporate Network Prevailed TRIPS ushered in a fundamental change, normative and substantive, in the global IPR regime. Before TRIPS, countries were free to establish intellectual property laws of their own design responding to comparative advantages in innovation or imitation, levels of economic and industrial development, and local needs. TRIPS introduced an unprecedented "one size fits all" approach, based on the richest and most powerful nations' laws and extending stringent norms for intellectual property Aoki, 1996; Dhar and Rao, 1995; Thurow, 1997; Oddi, 1987; Scotchmer, 1991; Trebilcock and Howse, 1995 ; . International intellectual property rules had been administered by the World Intellectual Property Organization WIPO ; , which had no real enforcement mechanisms. IPR advocates succeeded in shifting administration of these issues out of WIPO and into the GATT, and ultimately into the WTO. Unlike earlier eras, the failure to adhere to the stringent IPR standards could result in punitive trade sanctions by developed countries that are major destinations for exports from developing countries.10 Major norm changes are `disruptive' Keck and Sikkink, 1998: 35 ; and some kind of crisis or exogenous shock usually precedes such changes Haggard, 1990 ; . In this case, IP-based industries faced what they believed was a crisis stemming from increased appropriability of their property. Technological change had made the appropriation of intellectual property-based goods and processes easy, inexpensive, lucrative, and therefore, rampant. Imitators replicated expensively developed software, recorded music, videos, and pharmaceuticals. Intellectual property owners were looking for ways to staunch the economic losses from IPR violations. Although such shocks may create the `political opportunity structure, ' to make a difference the agents must be able to exploit them. In the years leading up to TRIPS, such political opportunities were provided by twin budget and trade deficits in the U.S. and the U.S. policymakers' obsession about competitiveness Tyson, 1992; for a critique, Krugman, 1994 ; . Between 1980 and 1985, the U.S. trade deficit increased by 309% from $36.3 to $148.5 billion Hughes, 1991: 177 ; . The trade problem was exacerbated by an overvalued dollar that made U.S. exports less competitive. After the failure of the 1985 Plaza Accords to realign the dollar's value to solve these problems, policymakers increasingly turned to trade policy for solutions Bhagwati, 1989: 443 ; . The rhetoric of "fair trade" as opposed to "free trade" escalated. Policymakers were looking for trade solutions to America's apparently declining economic fortunes. While perceived crises create the political space for change, it takes the activities of agents to exploit these crises and bring about change. As we will describe below, corporate networks advocating stringent IPR norms identified a problem, specified a cause, and proposed a solution. They engaged in issue construction by defining intellectual property protection as a trade issue. This network defined and promoted a global IP agreement as a solution to this policy problem, for example, serevent fda.
ARMADALE BROOME ALBANY GERALDTON HOSPITAL Audit Period FEB 2000 FEB 2000 JUL 1999 JUN 1999 RECORDS 226 182 251 CASES 120 66 87 TOTAL EPISODES 173 108 151 Medical Episodes 59 80 65 Surgical Episode 114 28 87 ANTIBIOTIC PRESCRIBING 53% 36% 35% FREQUENCY AV. PRESCRIPTION 1.4 1.6 1.7 PER CASE PERCENT APPROPRIATE ANTIBIOTIC USE WITHIN DIVISIONS ROCKINGHAM.
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International Institute for Population Sciences IIPS ; and ORC Macro. 2000. National Family Health Survey NFHS-2 ; , 199899. Mumbai, India: IIPS. Janowitz, B., D. Measham, and C. West. 1999. Issues in the Financing of Family Planning Services in Sub-Saharan Africa. Research Triangle Park, NC: Family Health International. Jato, M. N., C. Simbakalia, J. M. Tarasevich, D. N. Awasum, C. N. M. Kihinga, and E. Ngirwamungu. 1999. ``The Impact of Multimedia Family Planning Promotion on the Contraceptive Behavior of Women in Tanzania.'' International Family Planning Perspectives 25 2 ; : 607. Jensen, E. R., N. Kak, K. Satawinata, D. D. Wirawan, and N. Nangoy. 1994. ``Contraceptive Pricing and Prevalence: Family Planning Self-Sufficiency in Indonesia.'' International Journal of Health Planning and Management 9: 34959. Key Social Marketing. 2002. Available at: : key .pk aboutus [accessed on January 3, 2002]. Marie Stopes International. 2002. ``Social Franchising Reproductive Health Services: Can It Work? A Review of the Experience. Research in Focus, No 5.'' London: Marie Stopes International. McBride, J., and R. Ahmed. 2001. Social Franchising as a Strategy for Expanding Access to Reproductive Health Services: A Case Study of the Green Star Service Delivery Network in Pakistan. New Directives in Reproductive Health, Technical Paper Series. Available at : cmsproject resources PDF CMS GreenStar . [accessed on May 6, 2002]. Washington, DC: Commercial Marketing Strategies. Montagu, D. 2002. Clients of Social Franchises: Behavior and Beliefs. Paper presented at Population Association of America Annual Conference, Atlanta, May 911. Population Services International. 2002. ``What is Social Marketing?''. Available at: : psiwash [accessed on July 3, 2002]. Schearer, B. S. 1983. ``Monetary and Health Costs of Contraception'' in Determinants of Fertility in Developing Countries, vol. 2, Fertility Regulation and Institutional Influences, edited by R. A. Bulatao and R. D. Lee, pp. 89150. New York: Academic Press. Smith, E. 1997. Social Franchising for EU Member States Experts Meeting on HIV AIDS. Summary. London: Options Department for International Development. Stewart, J. F., G. Stecklov, and A. Adewuyi. 1999. ``Family Planning Program Structure and Performance in West Africa.'' International Family Planning Perspectives 25 supplement ; : S22S29. Suyono, H. 1989. ``BKKBN National Family Planning Coordinating Board ; and the Expanding Role of Private Sector Family Planning Services and Commercial Contraceptive Sales in Indonesia.'' Integration 20: 1923. Turner, R. 1992. ``Ghanaian Midwives Have New Family Planning Role: Field Briefings.'' International Family Planning Perspectives 18 2 ; : 712. World Population Data Sheet. 2003. Population Reference Bureau. Available at: : prb pdf WorldPopulationDS03 Eng [accessed on May 3, 2003].
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Emilio Nuzzolese, DDS, PhD * , Sezione di Medicina Legale, Dipartimento di Medicina Interna e Medicina Pubblica, Universit Degli Studi di Bari, Policlinico, Piazza G. Cesare, Bari, 70125, Italy; Biagio Solarino, MD, MDS, and Sabrina Lusito, DDS, Dottorato in Patologia Medico-Legale e Tecniche Criminalistiche, Universit di Bari, Policlinico, Piazza G. Cesare, Bari, 70125, Italy; and Giancarlo Di Vella, MD, MDS, PhD, Sezione di Medicina Legale, Dipartimento di Medicina Interna e Medicina Pubblica, Universit degli Studi di Bari, Policlinico, Piazza G. Cesare, Bari, 70100, Italy After attending this presentation, attendees will learn the potential use of a radio frequency identification RFId ; tag implanted in an upper complete denture for identification process. This presentation will impact the forensic community and or humanity by demonstrating how the use of a microchip transponder in dentures can open a new prospective to the storing of dental patient clinical history, information regarding dental materials used and ultimately, personal medical data used for potential identification. Forensic odontological identification is based on the comparison of antemortem and postmortem dental records. The insertion of a radio frequency identification RFId ; tag in dentures could be used as an aid to identify decomposed bodies by storing personal identification data in a small transponder that can transmit to a reader connected to a computer. The RFId technology was introduced for the first time in 1940, but only in 1997 did its use in this field become a possibility thanks to the production of low cost tags. These are a branch of technology called "automatic identification and data capture" and are used to identify, locate and track people, animals and assets. A possible new use of this technology is forensic, namely as an aid in identification. In pursuit of this development, an Italian RFId manufacturer was asked to provide specimen tags. With the assistance of a dental technician's laboratory a small RFId tag was incorporated into the final manufacturing of a sample complete upper denture and tested for transmission. For this preliminary work the authors will present the technical manufacture of dental prosthetics with the incorporation of the microchip transponder. Twenty ready made upper dentures were geometrically evaluated in order to deduce the best sight for implantation of the tag and obtain a wearable denture. Finally, the RFId implanted in the denture was tested to verify its efficacy and distance of effective data transmission. The authors will give a general overview of the different RFId's available in the market, their technical descriptions and their working principles. In this study a passive, 10 mm length, read-only tag with a low frequency operative frequency was chosen. T his choice will be explained with special emphasis as to the frequency as RFId's are categorized by their radio frequency. In fact, only low frequency, 125 - 134 kHz, are employed for veterinary use and are regarded acceptable for human use. The main object of this presentation is to demonstrate the feasibility in the manufacturing of a dental prosthetic and the technical protocols for its implantation in the denture resin and its working principle. The information from this study should be considered a preliminary test for RFId-tags for forensic deployment, and to give some indication and suggestions for the design, selection and implantation of the ideal tag in a complete upper denture. Further research and tests are needed in order to verify human compatibility and technical performance of the tagged denture under static and dynamic conditions, as it would be in an ordinary use during mastication and under conditions in which a forensic identification is necessary as is the case after major accidents or mass disasters. Radiofrequency Identification Tag, Denture, Forensic Odontology.
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Case reports All four patients fulfilled the diagnostic criteria of the Polycythemia Vera Study Group7 and had a normal karyotype. Patient #1 was diagnosed as having ET at the age 30 in September of 1986 when she presented spontaneous hematomas and severe paresthesias. Her platelet count was 1.9 10 9 L, bleeding time 11 min; platelet aggregation induced by ADP, arachidonic acid and epinephrine was markedly reduced. She was given melphalan 5 mg day for 5 days a week but this treatment was stopped after 4 weeks because of myelosuppression hemoglobin 9.5 g dL, white blood cell count 1.2 109 L, platelets 11 109 L ; , which resolved with drug suspension. She became pregnant for the first time in February 1990, 40 months after suspension of cytoreductive therapy, when her platelet count was 850 109 L, but she aborted spontaneously at the 6th week of gestation platelet count 970 109 L ; . Patient #2 was 32 when ET was diagnosed in July 1988. Her platelet count was 910 109 L.
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