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Self-Treatment Results In Lower Overall Health Care Costs For COPD Sufferers
Individuals suffering from chronic obstructive pulmonary disorder (COPD) can experience significant savings in healthcare costs by employing a self-treatment program with the judicious use of medications, according to the results of a new study. The self-treatment program achieves these savings by reducing the duration of flare-ups.
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Sepracor Pharmaceuticals Ltd Withdraws Its Marketing Authorisation Application For Lunivia (eszopiclone)
The European Medicines Agency has been formally notified by Sepracor Pharmaceuticals Ltd of its decision to withdraw its application for a centralised marketing authorisation for the medicine Lunivia (eszopiclone), 2 and 3 mg tablets.
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Opinion Pieces Respond To Obama's Call For 'Empathy' In Supreme Court Justice
Two newspapers recently published opinion pieces responding to President Obama"s comments on the need for "empathy" in candidates to replace retiring Supreme Court Justice David Souter. Summaries appear below.~ Ellen Goodman, Boston Globe: When discussing Souter"s replacement, Obama said he will seek a nominee ""who understands that justice isn"t about some abstract theory. ... It is also about how our laws affect the daily realities of people"s lives,"" Globe columnist Goodman writes in an opinion piece. According to Goodman, Obama"s emphasis on the need for judicial "empathy" has sparked outrage among a "phalanx of horrified conservatives" who claim that "empathy is just a code word for the sentimental liberal bias in favor of underdogs over the Constitution." However, she continues, "let us remember that empathy is not sympathy. It doesn"t require that we take sides. Nor is it an emotional shortcut that upends all legal reasoning to declare a winner." According to Goodman, empathy "is rather the ability to imaginatively enter into the experience of others." She writes that the "capacity to recognize another person"s reality is not just liberal," adding that empathy "doesn"t trump reason, it informs reason." Goodman writes, "The truth is that we want judges who "get it,"" adding that the "myth of justice as a matter of pure objective reasoning that could be meted out by a computer is just that, a myth" (Goodman, Boston Globe, 5/22).~ Mike Rosen, Denver Post: Although Obama"s emphasis on empathy might seem "[c]ompassionate and seductive" to some, his stance "represents a radical and dangerous departure from traditional American jurisprudence," radio host Rosen writes in a Post opinion piece. Rosen writes, "When empathetic judges rule on their feelings, they are exceeding their authority," adding that the "role of the judicial branch of our government is to rule on the Constitution as written and the law as passed by Congress and signed by the president." According to Rosen, the courts "are a co-equal branch of government, not a superior branch," and judges should not "rule on what they think the law ought to be" because that would be "government by a presumptuous, unelected judiciary." Rosen continues that "judges are referees, not rule makers" because they are "not there to empathize with the fans or the players. They represent the rule book, and they aren"t authorized to … make it "fairer."" According to Rosen, the "dispute between conservatives and liberals on judicial activism is philosophical and irreconcilable." He concludes that Senate confirmation hearings for Obama"s nominee "should make for an interesting debate on these principles" (Rosen, Denver Post, 5/22).
Public Health

Ibuprofen And Paracetamol For Fever In Pre-School Children, UK

New research published by the National Institute for Health Research Health Technology Assessment (NIHR HTA) programme has found that while ibuprofen and paracetamol is more effective when used together when treating fever in pre-school children, ibuprofen should be used first as this will reduce the temperature quicker. Fever is very common in young children, affecting seven in every 10 pre-school children each year and ibuprofen and paracetamol are increasingly used together to treat it, despite a lack of evidence regarding their clinical or cost-effectiveness. The Bristol-based trial recruited 156 children aged between six months and six years across three recruitment settings termed: "local" where research nurses recruited from NHS primary care sites; "remote" where NHS sites notified the study of potentially eligible children and "community" where parents contacted the study in response to local media advertisements. The research team found that using both medicines together cleared the fever 23 minutes faster than paracetamol alone, but no faster than ibuprofen. Over the five day study period using both medicines was also found to be the cheapest option for the NHS due to the lower use of health services. Lead researcher Dr Alastair Hay, consultant senior lecturer in primary health care at the University of Bristol says "Doctors, nurses, pharmacists and parents wanting to use medicines to treat young, unwell children with fever should be advised to use ibuprofen first. However, parents should keep a careful record of when doses are given to avoid accidentally giving too much". To view the full project details visit http://www.hta.ac.uk/1412 The results have also previously published in the BMJ Notes 1. The HTA programme is a programme of the National Institute for Health Research (NIHR) and produces high quality research information about the effectiveness, costs, and broader impact of health technologies for those who use, manage and provide care in the NHS. It is the largest of the NIHR programmes and publishes the results of its research in the Health Technology Assessment journal, with over 470 issues published to date. The journal"s 2007 Impact Factor (3.87) ranked it in the top 10% of medical and health-related journals. All issues are available for download free of charge from the website, http://www.hta.ac.uk The HTA programme is coordinated by the NETSCC, HTA based at the University of Southampton. 2. The National Institute for Health Research provides the framework through which the research staff and research infrastructure of the NHS in England is positioned, maintained and managed as a national research facility. The NIHR provides the NHS with the support and infrastructure it needs to conduct first-class research funded by the Government and its partners alongside high-quality patient care, education and training. Its aim is to support outstanding individuals (both leaders and collaborators), working in world class facilities (both NHS and university), conducting leading edge research focused on the needs of patients. http://www.nihr.ac.uk National Institute for Health Research


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