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People war over names with the passion and righteousness seen in ancient battles for parcels of land. A select few names -- think of them as the pinnacles and hilltops -- develop a tremendous concentration of economic value. The word nike is thought by analysts to be worth $7 billion; coca-cola is valued at 10 times as much. No wonder the lawyers gird their loins. Computer science offers a useful term of art: namespace -- a territory within which all names are distinct and unique; no fuzziness allowed. The world has long had namespaces based on geography and other namespaces based on economic niche. You could be bloomingdale's as long as you stayed out of New York; you could be ford as long as you weren't making cars. All the world's rock bands live in a namespace where pretty boy floyd and pink floyd and pink and the 13th floor elevators and the 99th floor elevators happily co-exist. The Screen Actors Guild manages a formal namespace of its own -- one julia roberts per universe. But traditional namespaces are overlapping and melting together. Certain namespaces have grown dangerously overcrowded. Pharmaceutical names are a special case: a subindustry has emerged to coin them, research them and vet them. The Food and Drug Administration now reviews proposed drug names for possible collisions, and this process is complex and subjective. Rigor may be impossible, and mistakes cause death. methadone for opiate dependence ; has been administered in place of methylphenidate for attention-deficit disorder ; , and taxol a cancer drug ; for taxotere another cancer drug ; . Doctors fear both lookalike errors and sound-alike errors: zantac xanax; verelan virilon. Linguists are devising scientific measures of the ''distance'' between drug names. But lamictal and lamisil and ludiomil and lomotil are all approved drug names. Meanwhile, of course, drug companies have other worries; they spend millions on market research to make sure their names are both serious and sexy. rogaine, the hair-growth treatment, was deliberately chosen to make you think ''regain.'' ''Names are perhaps the single-most important issue of corporate communication today, '' said Naseem Javed, founder of a corporate naming company called ABC Namebank International. ''With millions and millions of product names clashing in cyberspace, a name is no longer something people can sit around a kitchen and come up with.'' A company can no longer say, ''We make machines for business and we are international, so we will be international business machines.'' ''general motors worked for an industrial giant in the 20's, but it doesn't work today, '' Javed said. ''The loose change is gone -- all those zodiac signs and constellations, genesis and pegasus, they're all gone. Apples, oranges, pineapples. Look at the newspaper business -- you have thousands of papers, and they're all courier or journal or dispatch or post. These people have a hell of a problem going into cyberspace.'' The desperation of company founders and marketing departments to find new names sometimes brings ludicrous results. To single out some of the worst, a California naming company has created the Shinola Awards; recent ''winners'' -- futuristic, forgettable, pseudo-Latinate, barely pronounceable -- include achieva, altria and cruex. The Royal Mail of Britain spent millions of pounds to reinvent itself in 2001 as consignia -- a name that lasted barely a year before dying under the weight of derision. Occasionally, though, desperation can lead to brilliance. It is surely not a coincidence that the two spectacular naming triumphs of the cyberworld are coinages verging on nonsense: yahoo! never omit the exclamation point ; and google. Globalization tears down the walls that divide our collective mental universe. Some walls are geographic; others are just semantic. What is, for example, domino? It depends on the context. Maybe your first thought involved pizza? Or was it sugar? In the software world, Domino is the.
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According to Dr. Langsam, no one contacted his agency to discuss the matter or ask for an opinion. After discussion, a motion was made to refer the issue to REMAC for reconsideration. The motion passed. The possible discontinuance of Cardiazem was discussed. The main concern is it would not be available, but as of now it appears that the drug will continue to be available. The committee is continuing to follow the issue. The next Regional Paramedic oral exam is scheduled for Wednesday, January 31, 2007 at 09: 00, FDNY BOT in Fort Totten, Queens. Examiners able to attend should notify the REMAC Liaison at 718-999-2671. The start time of the REMAC meeting has been changed to 6: 00 pm. Dosimeters and radiation training are being provided by the Regional EMS Council of NYC through funding from the NYC Department of Health & Mental Hygiene. Operational protocols have been developed in consultation with FDNY Hazmat. EMS agency reps have already attended a "train the Trainer" course for the Canberra dosimeters. Dosimeters were distributed to each agency that attended and an Educational Advisory was handed out. - In response to a question by James Downey, personal dosimeters are to be worn by a member of the crew on his her person as stated in the educational advisory distributed ; . Also, there is no policy requiring an ambulance unit to carry a dosimeter. Dosimeters are being distributed for use as a method of better protecting EMS providers and the citizens of this city. Ambulances will not be put out of service for lack of a dosimeter. A motion was made and approved that unless invited by the by the Chair of REMAC, vendors should not be allowed to present. A TAG was created to examine the legality of not inviting vendors to public meetings and to create a formal written policy. - A correction was made to explain that a motion was made that unless invited by the Chair of REMAC, vendors should not be allowed to present. A vote was conducted and the motion did not pass. A TAG was created to examine the legality of not inviting vendors to public meetings and to create a formal written policy. - Jeffrey Horwitz, DO suggested that the Regional Council also create a formal written policy. REMAC has decided not to re-visit its decision to approve single medic First Response NonTransporting Units. The Next REMAC meeting will be held on February 22, 2007 at 6pm and accupril.
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However, literature data on DA doses and their efficiency are conflicting: in our experience with Br no further suppression of GH values was obtained at doses greater than 20 mg day 11 ; , whereas Besser & Wass 21 ; reported a greater GH decline by increasing Br up to mg day. The comparison of our data on CAB with the results obtained by OC and the newer long-acting SAs shows that SAs provide a far better control of hormonal hypersecretion, since IGF-I levels are normalized in up to 65% of the treated patients 2224 ; . However, it should be considered that these high figures have sometimes been obtained in a series of patients selected on the basis of previously demonstrated sensitivity to OC. Moreover, very strict criteria of evaluating IGF-I results were adopted in our series, i.e. age-adjusted normal values. CAB treatment resulted in tumor size reduction in the three patients in which neuroradiological imaging was repeated. The effect of CAB on the size of the pituitary tumor was studied in a large series of patients bearing macroprolactinoma and the results were comparable with those obtained by Br treatment 25 ; . Tumor size reduction was reported in 13 out of 21 patients by Abs et al. 20 ; , with a mass reduction greater than 50% in 5 GH-PRL cosecreting tumors. The long-lasting experience with DA treatment in PRL- and GH-secreting pituitary tumors suggests that complete suppression of tumoral hypersecretion is a prerequisite to obtain a decrease in tumor size i.e. the tumor never shrinks without hormone suppression ; , whereas in some patients the size does not change even in the presence of hormone suppression. As far as GH tumors in particular are concerned, our group 26 ; has reported the occurrence of tumor size reduction during DA treatment in only a few patients, whereas another study 11 ; in a larger series stressed that tumoral shrinkage occurred mainly in patients with mixed GH-PRL tumors. It is too early to draw conclusions after the performance of only three imaging studies in our CAB-treated patients: we can speculate that CAB treatment resulted in tumor shrinkage owing to the much more potent suppression of GH IGF-I hypersecretion with CAB compared with Br and the other DA drugs. Our very promising results need further evaluation in a larger series of previously untreated patients with GH-secreting pituitary adenoma to verify the effects of the drug on tumor size and or a hypothetical antiproliferative effect on the adenoma mediated by the decrease in IGF-I concentrations. In conclusion, the normalization of IGF-I levels and the tumor size reduction found in some patients during chronic treatment with CAB suggest that long-acting DAs could still play a role in the treatment of acromegalic patients. CAB is a relatively inexpensive, orally effective drug that can be administered in a single dose every 2472 h, thus improving acromegalic patients' compliance. Owing to the very good and albuterol.
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