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Infection, in patients with high titers 1: 32 ; of nontreponemal serological tests and in HIV-infected persons with CD4 lymphocyte counts 350 cells mm3, should be treated with high-dose penicillin in the same manner as symptomatic neurosyphilis CM Marra et al, J Infect Dis 2004; 189: 369 ; . Ceftriaxone for 10 days is probably as effective as IV penicillin for treatment of neurosyphilis in HIV-infected patients, but its efficacy for parynchymal or late forms of neurosyphilis has not been studied CM Marra et al, Clin Infect Dis 2000; 30: 540 ; . Syphilis in Pregnancy Syphilis in pregnant women should be treated with penicillin in doses appropriate to the stage of the disease. When pregnant women with syphilis are allergic to penicillin, the US Public Health Service recommends hospitalization, desensitization and treatment with penicillin. Re-treatment in subsequent pregnancies is unnecessary in the absence of clinical or serological evidence of new or persistent infection. Congenital Syphilis A positive serological test for syphilis in a newborn without stigmata of syphilis may be due either to passive transfer of maternal antibodies or to prenatal infection. If there is no definite evidence of adequate treatment of the mother with penicillin during the pregnancy, Medical Letter consultants recommend prompt treatment of such infants rather than waiting 3 to 6 months to see if the antibody titer falls. CHANCROID -- Chancroid, caused by Haemophilus ducreyi, is rare in the US. A single dose of azithromycin or ceftriaxone is usually effective, but may be less effective in HIV-infected patients. PEDICULOSIS AND SCABIES -- Phthirus pubis pubic lice ; , which can be found on eyelashes, back, axillary and leg hairs as well as pubic areas, and Sarcoptes scabiei infestation scabies ; can both be transmitted sexually. The drug of choice for pubic lice is topical 1% permethrin, and for scabies is 5% permethrin. Oral ivermectin Stromectol ; 200 mcg kg ; is also effective as a single dose for treatment of lice, and has been used once daily for 3 days for resistant infections with scabies. Crusted scabies, a serious complication usually seen in patients with AIDS or other immuno-deficiencies, should be treated with both permethrin and ivermectin P del Giudice, Curr Opin Infect Dis 2002; 15: 123 ; . GENITAL WARTS AND HUMAN PAPILLOMAVIRUS HPV ; INFECTION -- External genital warts are caused by human papillomavirus, usually type 6 or 11; other types 16, 18 and others ; cause dysplasia and neoplasia of the cervix, anus and genital skin. No form of HPV-specific treatment has been shown to eradicate the virus or to modify the risk of cervical dysplasia or cancer, and no single treatment is uniformly effective in removing warts or preventing recurrence. Trichloroacetic acid, podophyllin, and cryotherapy with liquid nitrogen or a cryoprobe ; remain the most widely used treatments for external genital warts, but the response rate is only 60% to 70%, and at least 20% to 30% of responders will have a recurrence. Imiquimod 5% cream Aldara ; , an immune modulator, and podofilox 0.5% solution or gel Condylox ; are no more effective, but they offer the advantage of self-application by patients at home. No treatment is recommended for subclinical HPV infection in the absence of dysplasia or neoplasia. The short duration of most HPV infections in young women suggests that these infections and the lowgrade cervical dysplasia often associated with them should both be treated conservatively as they often regress spontaneously AB Moscicki et al, JAMA 2001; 285: 2995 ; . Vaccines to prevent HPV infection are in development and appear promising LA Koutsky et al, N Engl J Med 2002; 347: 1645 ; . In Pregnancy Imiquimod, podofilox and podophyllin are not recommended for use during pregnancy. Topical trichloroacetic acid, cryotherapy, electrodesiccation and electrocauterization are options and can be used in pregnancy. Scissor excision or laser therapy are effective and well-tolerated if the clinician is properly trained. GENITAL HERPES -- Acyclovir Zovirax, and others ; , famciclovir Famvir ; or valacyclovir Valtrex ; taken orally for 7-10 days shorten the duration of pain, viral shedding and systemic symptoms in initial herpes simplex virus genital infection. Continuous suppressive therapy with the same drugs decreases symptomatic recurrences and subclinical shedding without cumulative toxicity or apparent development of resistance in immunocompetent persons. Acyclovir-resistant strains of HSV have been reported, however, in previously treated HIV patients M Reyes et al, Arch Intern Med 2003; 163: 76 ; . Acyclovir, famciclovir or valacyclovir also speed healing of symptomatic recurrent lesions if treatment is started early; treatment with 2 days of "high-dose" acyclovir 800 mg t.i.d. ; or a 3-day course of valacyclovir appears to be as effective as longer regimens in healthy patients A Wald et al, Clin Infect Dis 2002; 34: 944; PA Leone et al, Clin Infect Dis 2002; 34: 958 ; . Most patients experience little improvement, however, and most Medical Letter consultants prefer continuous suppressive therapy to waiting for recurrences and treating them episodically. The speed of information processing is delayed significantly with valacyclovir hydrochloride increasing frequency of use pcr valacyclovir manufacture but is unaffected by valacyclovir cold sores duration of use. Spectrometry method was modified to monitor the conversion of valacyclovir to acyclovir. WinNonLin 3.1 was used to perform noncompartmental pharmacokinetic analysis. Acyclovir concentration-versus-time curves were integrated and extrapolated by the linear log trapezoidal rule and the 1 concentration weighted method to yield the AUC from zero to infinity AUC03 ; . z was calculated by selecting the terminal portion of the curve and subsequently used to extrapolate the AUC from the last measurable concentration to infinity AUClast3 ; . Eleven previously identified single-nucleotide polymorphisms SNPs ; in and surrounding the hPEPT1-encoding gene were selected for sequencing on the basis of their allelic vari.
3 d 1b, 1l, 1d ; 1 day 2 d 1l, 1d ; 3 d 1b, 1l, 1d ; 1-5 day 1-2 d 0-1l, 1d ; 3-6 d 1-2b, 1-2l, 1-2d ; 6-12 d 2-4b, 2-4l, 2-4d ; 1 - 3 tablets daily with meals.
Remember, your copayment responsibility is highest for all non-preferred brand name medications not listed in this brochure. Herpes Simplex Viruses Ten to thirty percent of adults worldwide are infected with HSV-2; 25% to 90% are infected with HSV-1 108 ; . Most HSV-1 cases are acquired non-sexually as children, although the prevalence of HSV1 genital infection is increasing in Europe and in the United States as a result of orogenital sex 109 ; . HSV-2 is acquired predominantly through sexual transmission, with a higher prevalence in high-risk populations and women, although most cases go undiagnosed 109, 110 ; . HSV-2 is the most common cause of genital ulcer disease in the developed world, with an estimated incidence of 500, 000 annually in the United States 111 ; . HSV-2 appears to be more prevalent in Africa than previously believed, though few data are available, as many people do not present in the hospital. In a study of the effects of STIs on HIV incidence in Kenya, a baseline seroprevalence rate of 72.7% was detected among HIV-negative women 4 ; . A 43.5% incidence rate was also reported in Uganda 56 ; . HSV-1 and HSV-2 infections are characterized by vesicles that later evolve into pustules and shallow ulcers of different sizes and shapes. They vary in severity from mild and unrecognized, to widespread and painful herpetic lesions, especially in the immunocompromised 112, 113 ; . Primary lesions typically resolve in approximately three weeks without therapy, while recurrences may occur every 5 to 12 days. Lesions may be extensive across the perineum, causing so much debilitating pain that the person requires hospitalization 112, 114 ; . HSV-2infected genital lesions can be identified by light microscopy using the Tzanck smear scrapings from the base of the ulcer can be stained with WrightGiemsa stain ; , but the test has poor sensitivity and specificity 115, 116 ; . Serologic tests can distinguish between HSV-1 and HSV-2 by identifying type-specific viral glycoproteins 117 ; . As there is currently no cure for HSV, the goal of therapy is to hasten resolution of the lesions and to reduce infectivity. Oral acyclovir, an inhibitor of viral DNA polymerase, is the most commonly used chemotherapeutic agent; however, newer agents, such as valacyclovir and famciclovir, have longer halflives and are more bioavailable when given orally 118 ; . Drug-resistant strains may also occur 119, 120 ; . In patients with HIV infection, treatment time may be increased and prolonged 109, 118, 120 ; . There is no vaccine for HSV. Patients who have markers of high risk such as advanced age greater than 70 years ; , prior MI, revascularization, ST-segment deviation, CHF or depressed resting LV function i.e., EF less than 0.40 ; on noninvasive study, or noninvasive stress test findings that suggest severe ischemia see Section III. C ; . The remaining larger subgroup of patients, however, do not have the findings that portend a high risk for adverse outcomes. Accordingly, they are not likely to receive such benefit from routine revascularization, and invasive study is optional for them. It can be safely deferred pending further clinical developments. Decisions regarding coronary angiography in patients who are not high risk according to findings on clinical examination and noninvasive testing can be individualized on the basis of patient preferences. The data on which these recommendations are based are from 4 randomized trials, TIMI IIIB 19 ; , VANQWISH 266 ; , Medicine versus Angiography in Thrombolytic Exclusion MATE ; 265 ; , and FRISC II 278 a large prospective multinational registry, the OASIS registry 279 and 2 retrospective analyses 280, 281 ; . In TIMI IIIB, 1, 473 patients with UA 67% ; or NSTEMI 33% ; with chest pain of less than 24-h duration were randomized to either an invasive or early conservative strategy. At 42 days, 16.2% of the early invasive patients had died, had experienced a nonfatal MI, or had a strongly positive exercise test vs. 18.1% of early conservative patients p 0.33 ; . Similarly, there was no difference in the outcome of death or MI in comparison of treatment strategies 4, 282 ; . An analysis of factors associated with the failure of medical therapy in TIMI IIIB predicted patients who could be directed to a more invasive strategy in a cost-efficient manner. Among the 733 patients randomized to the conservative strategy, the factors that independently predicted failure of medical therapy included ST-segment depression on the qualifying ECG, prior ASA use, and older age. For most patients with 3 or more such risk factors, medical therapy had failed, defined as death, MI, rest angina, or markedly abnormal stress test results at 6 weeks. A combination of factors should be considered in the selection of patients for expedited angiography and revascularization 282 ; . NSTEMI represents a high-risk acute ischemic syndrome. The VANQWISH Investigators randomly assigned 920 patients with NSTEMI defined on the basis of CK-MB to either early invasive 462 patients ; or conservative 458 patients ; management within 72 h of the onset of an NSTEMI 266 ; . The number of patients with either death or recurrent nonfatal MI and the number who died were higher in the invasive strategy group at hospital discharge 36 vs. 15 patients, p 0.004 for death or nonfatal MI; 21 vs. 6, p 0.007 for death ; , and these differences persisted at 1 month and at 1 year. Mortality rates during the almost 2-year follow-up also showed a strong trend toward reduction in patients assigned to the conservative strategy compared with those assigned to the invasive strategy hazard ratio, 0.72; 95% CI, 0.51 to 1.01 ; . The investigators concluded that most patients with NSTEMI do not benefit from routine, early invasive management and that a conservative, ischemia-guid and clavulanate. ANTIRETROVIRALS NRTIs- abacavir Ziagen ; , abacavir lamivudine zidovudine Trizivir ; , didanosine ddI, Videx ; , lamivudine Epivir, 3TC ; , lamivudine zidovudine Combivir ; , stavudine d4T, Zerit ; , tenofovir Viread ; , zalcitabine ddC, HIVID ; , zidovudine AZT, Retrovir ; . PIs- amprenavir Agenerase ; , indinavir Crixivan ; , lopinavir ritonavir Kaletra ; , nelfinavir Viracept ; , ritonavir Norvir ; , saquinavir Fortovase, ; . nNRTIs- delavirdine Rescriptor ; , efavirenz Sustiva ; , nevirapine Viramune ; . Other- hydroxyurea Hydrea ; . OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , azithromycin Zithromax ; , cidofovir Vistide ; , clarithromycin Biaxin ; , famciclovir Famvir ; , fluconazole Diflucan ; , foscarnet Foscavir ; , ganciclovir Cytovene ; , isoniazid Nydrazid, Rifamate ; , itraconazole Sporonox ; , leucovorin, pyrimethamine Daraprim, Fansidar ; , Rifadin, Rimactane ; , sulfadiazine, TMP SMX Bactrim ; . Other OIs- amphotericin B Fungisone ; , atovaquone Mepron ; , ciprofloxacin Cipro, Ciloxan ; , clindamycin Cleocin ; , clotrimazole Lotrimin, Mycelex ; , dapsone, daunorubicin citrate liposomal DaunoXome ; , ethambutol Myambutol ; , epoetin alpha Epogen, Procrit ; , filgrastim Neupogen ; , fomivirsen Vitravene ; , ketoconazole Nizoral ; , miconazole Monistat ; , nystatin Mycostatin ; , paromomycin Humatin ; , pentamidine Pentam, Nebupent ; , pyrazinamide, rifabutin Mycobutin ; , rifampim, valacyclovir Valtrex ; , valganciclovir Valcyte ; . Hepatitis C- interferon alpha-2A Roferon-A, Intron-A ; . TREATMENTS FOR METABOLIC DISORDERS Hyperlipidemia- atorvastatin Lipitor ; , pravastatin Pravachol ; . Wasting- megestrol acetate Megace ; , nandrolone, oxandrolone Oxandrin ; , testosterone injection and patches ; , thalidomide Thalomid ; . ALL OTHERS amitriptyline Elavil ; , buproprion Wellbutrin, Zyban ; , citalopran HBr Celexa ; , clotrimazole betamethasone Lotrisone Cream ; , diphenoxylate-atropine Lomotil ; , divalproex Depakote, Depakene ; , fluoxetine Prozac ; , fluphenazine Prolixin ; , gabapentin Neurontin ; , haldoperidol Haldol ; , hydroxizine Atarax ; , imiquimod Aldara ; , loperamide Imodium ; , nortriptyline Aventlyl, Pamelor ; , octreotide Sandostatin ; , olanzapine Zyprexa ; , oxymetholone Anadrol-50 ; , paroxetine Paxil ; , prochlorperazine Compazine ; , risperidone Risperdal ; , sertraline Zoloft ; , trazadone Desyrel Desyrel Dividose ; . Removed 2002- saquinavir Invirase. Saatzucht Schweiger Germany ; : wheat breeding for organic farming The limited nitrogen availability in organic systems is a specific problem for yield and baking quality parameters like gluten content. The variety kostar Naturastar ; was developed as a compromise between these breeding targets. It is a polycross of the varieties Severin, Monopol, Huntsman, Mission, Ares and Urban. In 1998, an application was submitted for varietal registration and addition to the German national variety list. Selected results from the 3-year variety registration tests are presented and compared with standard varieties. Results for 1999 show a short growth period, above average plant height, relative yields of 98%, and relatively high protein and gluten contents. Sedimentation value and baking volume were also high. A comparison between the standard field test and tests under organic conditions revealed that kostar had similar quality parameters above the minimum standard for Ewheat Elite-wheat ; in both tests. Only the parameter baking volume was clearly different: under conventional conditions it was below standard while under organic conditions it was well above. It is concluded that kostar, successfully registered in 2002, can produce superior qualities under organic conditions. For future organic breeding programmes, improving baking quality and gluten content are seen as key objectives and clarithromycin! CMV infection may decrease cell mediated immunity, reducing the T-helper to suppressor cell ratio as well as the ability of T-cells to produce interferon-. This may allow coincident infection with other viral or bacterial, protozoal or fungal organisms. Despite the immunosuppressive effects of acute CMV disease it has long been recognised that CMV infection can be coincident with acute allograft rejection [25]. Prophylaxis with valacyclovir reduced biopsy-proven acute graft rejection by 50% in the D + R- subgroup [26] although the mechanisms involved are not defined. CMV increases the expression of major histocompatibility MHC ; class I and II molecules on both vascular endothelial and tubular epithelial cells which are targets for renal allograft rejection. The mechanism may be via. Quently a medication needs to be taken, the greater the likelihood a dose will be missed or administered at an incorrect time.11 Omission of a dose of acyclovir poses a risk to men and women with histories of recurrent HSV infections because serum acyclovir concentrations, which are much lower than those achieved with valacyclovir HCl, can decrease below the IC50 for HSV isolates, possibly contributing to treatment failure. The safety findings reported for once-daily valacyclovir HCl in the present study are consistent with previous evaluation of long-term valacyclovir HCl treatment.12 Valacyclovir HCl was well tolerated, adverse events were generally mild and infrequent, and none were considered drug related. The adverse event profile and incidence during 4 months to 1 year of valacyclovir HCl were not different from those of placebo.12 The success rate of valacyclovir HCl 500 mg once-daily ; suppressive therapy in the present study was similar to that of other recent studies.12, 13 and lincomycin. That this requirement is fulfilled completely. Even though the majority of readers will scan the advertisements quickly, the importance of advertising as a source of information should not be undervalued. Correctly used, pharmaceutical advertising is an excellent channel for providing circumstantial information on drugs for the prescribing physician. Products that employ DTCA, professional promotion continues to command a larger share of marketing budgets [Table 2]. The change in marketing mix by pharmaceutical manufacturers is likely a response to recent changes in market and regulatory conditions.4 Consumers are increasingly seeking active participation in their own health care, aided in part by the wealth of information available on the Internet. At the same time, physicians may have less discretion over choice of brand name drugs than they once did as a result of direct and indirect constraints placed on their prescribing behavior by managed care. In addition, in 1997 the FDA released tentative guidelines finalized in 1999 ; regarding advertising to consumers via electronic media such as radio and TV. These guidelines may have facilitated more widespread use of these media. In particular, the new FDA guidelines clarified the requirements for adequate disclosure of information concerning indications, risks and effects of a drug, thus removing a major barrier to television and radio advertising [Rosenthal et al. 2002]. The release of updated FDA guidelines and independent changes in consumer behavior provide an opportunity to study the effects of DTCA in the prescription drug market as well as the effects of various physician-oriented promotions. In this paper, we examine the effects of two types of promotional spending for brands in five therapeutic classes of drugs, using monthly aggregate U.S. data from August 1996 through December 1999. Specifically, we provide and lomefloxacin.
P&G Folgers and Millstone ; Sustainable Coffee Statement We recognize the social problems many coffee-growing families face given the current situation of global overproduction and low prices. P&G is committed to help address the underlying social and economic issues which contribute to this situation, and we work with reputable organizations that can help provide long-term systemic solutions. Sustainability Efforts 1. Our most important contribution as a roaster, to help solve the oversupply situation, is to promote demand with better products and strong marketing programs. Since acquiring Folgers in 1963, P&G has doubled the volume. We acquired Millstone in 1995 and have tripled volume since that time. In addition, P&G continues to launch products with innovative marketing programs, such as Folgers new flavored coffee and Millstone organics. 2. P&G is participating in broad industry efforts to create a more sustainable coffee business for all those involved. We are actively involved in the National Coffee Association's NCA ; efforts to identify ways to ensure an adequate, sustainable supply of coffee in the range of qualities demanded by consumers, while addressing social and ecological needs. We are participating in key industry dialogues, such as the United Nations Conference on Trade and Development International Institute for Sustainable Development UNCTAD IISD ; . This group is aimed at developing research on the feasibility and potential of concrete tools for implementing an integrated approach to sustainable development at the global level. We are working with NCA to persuade the U.S. government to rejoin ICO International Coffee Organization ; . In addition, we are working with McKinsey and TechnoServe on a coffee industry analysis of the coffee situation and examination of alternative approaches to help address the problems facing those growers affected. 3. We are dedicated to helping farmers today to ensure they have a sustainable livelihood. To date, we have signed a 10-year alliance with TechnoServe. This NGO provides assistance to small farmers to help them become better entrepreneurs. Meyer UA. Overview of enzymes of drug metabolism. J Phar. Prevalence of obesity in dogs examined by Australian veterinary practices and the risk factors involved. McGREEVY PD, Thomson PC, Pride C, Fawcett A, Grassi T, Jones B. Vet Rec. 2005 May 28; 156 22 ; : 695-702. Faculty of Veterinary Science, University of Sydney, NSW 2006, Australia. A study was undertaken to determine the prevalence of obesity in dogs examined by veterinary practices across Australia, and to determine the risk factors involved; 1700 practices were asked to complete a veterinarian opinion survey, and of the 428 practices that responded, 178 were selected to complete an RSPCA Australia Pet Obesity Questionnaire, together with additional practices selected by Australian State and Territory RSPCA societies. This questionnaire was sent to a total of 209 practices which were asked to record details of eligible dogs, and the reason why they had been examined during the previous month. Fifty-two 24.9 per cent ; of the practices responded and provided data on 2661 dogs, of which 892 33.5 per cent ; were overweight and 201 7.6 per cent ; were obese. A further 112 dogs 4.2 per cent ; were classified as thin or very thin, but these were excluded from subsequent analyses. Of the remaining 2549 dogs, approximately half were female and 1905 74.7 per cent ; were neutered. The dogs' weight category was influenced by several factors. Breed influenced the importance of sex and neutering as risk factors. The prevalence of overweight and obese dogs combined was 41 per cent; the prevalence increased with age up to about 10 years old, and then declined. Rural and semirural dogs were more at risk of obesity than urban and suburban dogs. Binswanger's disease.23 In practice, the two clinical pathways can overlap; lacunes and white-matter lesions are often seen together, which is not surprising given their common origins. In addition, a combination of small-vessel and largevessel cerebrovascular disease in the same patient is not unusual. In over half of these cases, cortical and basalganglia microinfarctions may be present, even though these lesions are not apparent on MRI.24 Important physical principles and pathophysiological mechanisms involving the microcirculation in SIVD are summarised in panel 2. These mechanisms include haemorheological factors, increased resistance to flow, decreased autoregulation, endothelial changes, dysfunction of the bloodbrain barrier, and dilatation of perivascular spaces. Their combined effects result in hypoperfusion and incomplete infarction of deep white matter. Valacyclovir resistantANTIRETROVIRALS NRTIs- abacavir Ziagen ; , abacavir lamivudine Epzicom ; , abacavir lamivudine zidovudine Trizivir ; , didanosine ddI, Videx, Videx EC ; , efavirenz emtricitabine tenofovir disproxil fumarate Atripla ; , emtricitabine Emtriva ; , lamivudine Epivir, 3TC ; , lamivudine zidovudine Combivir ; , stavudine d4T, Zerit ; , tenofovir Viread ; , tenofovir emtricitabine Truvada ; , zalcitabine ddC, Hivid ; , zidovudine AZT, Retrovir ; . PIs- amprenavir Agenerase ; , atazanivir sufate Reyataz ; , darunavir Prezista ; , fosamprenavir Lexiva ; , indinavir Crixivan ; , lopinavir ritonavir Kaletra ; , nelfinavir Viracept ; , ritonavir Norvir ; , saquinavir Fortovase, Invirase ; , tipranavir Aptivus ; . NNRTIs- delavirdine Rescriptor ; , efavirenz Sustiva ; , nevirapine Viramune ; . Entry Inhibitors- enfuvirtide Fuzeon ; . OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , amphotericin B, azithromycin Zithromax ; , clarithromycin Biaxin ; , fluconazole Diflucan ; , foscarnet Foscavir ; , ganciclovir Cytovene ; , isoniazid INH ; , itraconazole Sporonox ; , leucovorin folinic acid ; , pyrimethamine Daraprim, Fansidar ; , pentamidine NebuPent Pentam ; , pyrazinamide Rifater ; , rifabutin Mycobutin ; , rifampim If not covered by County Health ; , sulfadiazine, TMP SMX Bactrim ; , Valacyclovir Valtrex ; . Other OIs- amoxicillin, atovaquone Mepron ; , caspofungin Cancidas ; , ciprofloaxin, clotrimazole oral Mycolex Troches ; , dapsone, erythropoietin alpha Epogen ; , ethambutol hydrochloride. IOM Report, supra, at 90-91 stating that compared to tobacco and alcohol, dependence on cannabis is relatively rare and that marijuana withdrawal "has been reported only in a group of adolescents in treatment for substance abuse problems and in a research setting where subjects were given marijuana or THC daily [and then precipitously withdrawn from it]." Even then, the withdrawal symptoms "were short lived" and "[i]n four days they had abated." ; citing T.J. Crowley, et al., Cannabis Dependence, Withdrawal, and Reinforcing Effects Among Adolescents with Conduct Symptoms and Substance Use Disorders, 50 Drug & Alcohol Dependence 27-37 1998 ; M. Haney, et al., Abstinence Symptoms Following Smoked Marijuana in Humans, 141 Psychopharmacology 395 1999 R. Jones, et al., Clinical Studies of Tolerance and Dependence, 282 Annals of New York Academy of Sciences 221-239. 35 See Marc Kaufman, Study Finds No Cancer-Marijuana Connection, Washington Post, May 28, 2006 at A03. See also Lynn Zimmer and John P. Morgan, Marijuana Myths, Marijuana Fact 113-15 The Lindesmith Center, NY 1997 ; available at : drugpolicy marijuana factsmyths questioning claims of marijuana's purported health risks Stephen Sidney et al., Marijuana Use and Cancer Incidence, 8 Cancer Cause & Control 722 1997 ; . 36 ALJ Opinion, supra, at 56-59. See also, Robert S. Gable, The Toxicity of Recreational Drugs, 94 3 ; American Scientist Online May-June 2006 ; , available at : americanscientist template AssetDetail assetid 50773?&pr int yes reporting "[t]he least physiologically toxic substances, those requiring 100 to 1, 000 times the effective dose to cause death, include. 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