Announcement. March 25, Cosmetic Ingredient Review Expert Panel 126 th Meeting (March 18-19, 2013) - Findings

Size: px
Start display at page:

Download "Announcement. March 25, Cosmetic Ingredient Review Expert Panel 126 th Meeting (March 18-19, 2013) - Findings"

Transcription

1 March 25, 2013 Csmetic Ingredient Review Expert Panel 126 th Meeting (March 18-19, 2013) - Findings Final Safety Assessments Alkyl esters 237 ingredients Alkyl ethylhexanates 16 ingredients 6-Hydrxyindle 1 ingredient Mdified terephthalate plymers 6 ingredients Nyln plymers - 8 ingredients Talc 1 ingredient Tentative Safety Assessments Animal- and plant-derived amin acids 21 ingredients Brn nitride 1 ingredient Methyl glucse plyethers & esters 25 ingredients Nitrcellulse 2 ingredients Re-review and New Data HC range n. 1 nt repened HC yellw n. 4 nt repened Hydrquinne and p-hydrxyanisle - repened Methylisthiazlinne - repened 126 th Meeting Ntes Directr s reprt Reprts tabled Animal- and plant-derived hydrlyzed prteins Hypericum perfratum-derived ingredients Palmityl ligpeptides Trmethamine Draft 2014 ingredient review pririties cmments sught Scientific literature reviews psted n the CIR website Re-reviews fr the next Panel meeting Scientific Literature Reviews under develpment Next CIR Expert Panel Meeting Mnday and Tuesday, June 10-11, 2013 Annuncement Csmetic Ingredient Review th Street, NW, Suite 412, Washingtn, DC ph fax cirinf@cir-safety.rg

2 Final Safety Assessments Any interested persn wh believes that a final safety assessment r final amended safety assessment is incrrect may petitin the CIR Expert Panel t amend the safety assessment. Unpublished data cited as references in CIR safety assessments are psted n the CIR website and available fr review at the CIR ffice. Final safety assessments and final amended safety assessments will be psted n the CIR website at Alkyl Esters The 237 alkyl esters listed belw are safe as csmetic ingredients in the present practices f use and cncentratin described in the safety assessment when frmulated t be nn-irritating. arachidyl behenate arachidyl erucate* arachidyl prpinate batyl isstearate* batyl stearate* behenyl beeswax behenyl behenate behenyl erucate behenyl isstearate* behenyl livate behenyl/isstearyl beeswax* butyl avcadate butyl babassuate* butyl isstearate* butyl myristate butyl leate* butyl stearate butylctyl beeswax* butylctyl behenate* butylctyl candelillate* butylctyl cetearate* butylctyl leate* butylctyl palmitate* C10-40 isalkyl acid ctylddecanl esters* C14-30 alkyl beeswax* C16-36 alkyl stearate* C18-38 alkyl beeswax* C18-38 alkyl c24-54 acid ester* C20-40 alkyl behenate* C20-40 alkyl stearate C30-50 alkyl beeswax* C30-50 alkyl stearate* c32-36 isalkyl stearate* C40-60 alkyl stearate* C4-5 isalkyl ccate* caprylyl butyrate* caprylyl caprylate caprylyl eicsenate cetearyl behenate cetearyl candelillate cetearyl isnnanate cetearyl nnanate* cetearyl livate cetearyl palmate* cetearyl palmitate* cetearyl rice branate* cetearyl stearate cetyl babassuate cetyl behenate* cetyl caprate cetyl caprylate cetyl dimethylctanate* cetyl esters cetyl isnnanate* cetyl laurate cetyl myristate cetyl myristleate* cetyl leate* cetyl palmitate cetyl ricinleate cetyl stearate cetyl tallwate chimyl isstearate* chimyl stearate* cc-caprylate cc-caprylate/caprate cc-rapeseedate* decyl castrate* decyl ccate decyl isstearate* decyl jjbate* decyl laurate* decyl myristate* decyl leate decyl livate decyl palmitate* decyltetradecyl cetearate* erucyl arachidate* erucyl erucate* erucyl leate* ethylhexyl adipate/palmitate/stearate* ethylhexyl C10-40 isalkyl acidate* ethylhexyl ccate ethylhexyl hydrxystearate ethylhexyl isnnanate ethylhexyl ispalmitate ethylhexyl isstearate ethylhexyl laurate ethylhexyl myristate ethylhexyl nepentanate* ethylhexyl leate* ethylhexyl livate ethylhexyl palmitate ethylhexyl pelargnate ethylhexyl stearate heptyl undecylenate heptylundecyl hydrxystearate hexyl isstearate hexyl laurate hexyldecyl hexyldecanate* hexyldecyl isstearate hexyldecyl laurate hexyldecyl leate* hexyldecyl palmitate* hexyldecyl stearate hexylddecyl/ctyldecyl hydrxystearate* hydrgenated castr il behenyl esters* hydrgenated castr il cetyl esters * hydrgenated castr il stearyl esters* hydrgenated ethylhexyl livate hydrgenated ethylhexyl sesamate* hydrgenated iscetyl livate* hydrgenated isprpyl jjbate* hydrxycetyl isstearate* hydrxyctacsanyl hydrxystearate isamyl laurate isbutyl myristate* isbutyl palmitate* isbutyl perlargnate* isbutyl stearate* isbutyl tallwate* iscetyl behenate* iscetyl isdecanate* iscetyl isstearate* iscetyl laurate* iscetyl myristate iscetyl palmitate iscetyl stearate isdecyl ccate isdecyl hydrxystearate* isdecyl isnnanate isdecyl laurate isdecyl myristate isdecyl nepentanate isdecyl leate isdecyl palmitate* isdecyl stearate* ishexyl caprate ishexyl laurate* ishexyl nepentanate* ishexyl palmitate* islauryl behenate* isnnyl isnnanate isctyl caprylate/caprate* isctyl tallate* isprpyl isstearate isprpyl arachidate* isprpyl avcadate* isprpyl babassuate* isprpyl behenate* isprpyl hydrxystearate isprpyl isstearate isprpyl jjbate isprpyl laurate* isprpyl linleate isprpyl myristate isprpyl leate* isprpyl palmitate isprpyl ricinleate isprpyl stearate isprpyl tallwate* isstearyl avcadate isstearyl behenate isstearyl erucate* isstearyl hydrxystearate isstearyl isnnanate isstearyl isstearate isstearyl laurate isstearyl linleate isstearyl myristate isstearyl nepentanate isstearyl palmitate istridecyl isnnanate istridecyl laurate* istridecyl myristate* istridecyl stearate lauryl behenate* lauryl ccate* lauryl isstearate* lauryl laurate lauryl myristate* lauryl leate/ lauryl palmitate lauryl stearate/ lignceryl erucate* myristyl isstearate* myristyl laurate

3 myristyl myristate myristyl nepentanate myristyl stearate ctyldecyl leate* ctylddecyl avcadate* ctylddecyl beeswax* ctylddecyl behenate* ctylddecyl ccate* ctylddecyl erucate ctylddecyl hydrxystearate* ctylddecyl isstearate ctylddecyl meadwfamate* ctylddecyl myristate ctylddecyl nedecanate* ctylddecyl nepentanate ctylddecyl ctylddecanate ctylddecyl leate* ctylddecyl livate ctylddecyl ricinleate ctylddecyl safflwerate* ctylddecyl stearate leyl arachidate* leyl erucate leyl linleate leyl myristate* leyl leate leyl stearate* prpylheptyl caprylate stearyl beeswax stearyl behenate* stearyl caprylate stearyl erucate* stearyl heptanate stearyl linleate* stearyl livate stearyl palmitate stearyl stearate tetradecyleicsyl stearate* tetradecylctadecyl behenate* tetradecylctadecyl hexyldecanate* tetradecylctadecyl myristate* tetradecylctadecyl stearate tetradecylprpinates* tridecyl behenate* tridecyl ccate* tridecyl erucate* tridecyl isnnanate tridecyl laurate* tridecyl myristate* tridecyl nepentanate tridecyl stearate *Nt reprted t be in current use. Were ingredients in this grup nt in current use t be used in the future, the expectatin is that they wuld be used in prduct categries and at cncentratins cmparable t thers in this grup. Alkyl esters is the name that CIR devised t describe this large grup f csmetic ingredients, which are reactin prducts f fatty acids and alchls. Althugh there are data gaps in this reprt, the relatedness f mlecular structures, physicchemical prperties, and functins and cncentratins in csmetics allw gruping these ingredients tgether and extraplating the txiclgical data t supprt the safety f the entire grup. The data n many f the ingredients, especially the previusly reviewed ingredients and n sme f the cnstituent alchls and acids, are sufficient, and similar structure-prperty relatinships, bilgic characteristics, and csmetic prduct usage suggest that the data may be extraplated t supprt the safety f the entire grup. One ingredient riginally included in this safety assessment, isprpyl srbate, was remved because it differs in functin and chemical structure frm the ther ingredients in this grup. The Panel recgnized that sme f these ingredients can enhance the penetratin f ther ingredients thrugh the skin and cautined that care shuld be taken in frmulating csmetic prducts that cntain these ingredients in cmbinatin with any ingredients the safety f which was based n their lack f dermal absrptin, r when dermal absrptin was a cncern. The Panel als recgnized that the ptential exists fr dermal irritatin with the use f prducts frmulated with sme f the alkyl esters. Therefre, the Panel specified that prducts using these ingredients must be frmulated t be nn-irritating. Alkyl Ethylhexanates The 16 alkyl ethylhexanates listed belw are safe as csmetic ingredients in the present practices f use and cncentratin described in this safety assessment when frmulated t be nn-irritating. C12-13 alkyl ethylhexanate C12-15 alkyl ethylhexanate C14-18 alkyl ethylhexanate* cetearyl ethylhexanate cetyl ethylhexanate decyltetradecyl ethylhexanate* ethylhexyl ethylhexanate hexyldecyl ethylhexanate* iscetyl ethylhexanate isdecyl ethylhexanate* isstearyl ethylhexanate* lauryl ethylhexanate* myristyl ethylhexanate* ctylddecyl ethylhexanate* stearyl ethylhexanate tridecyl ethylhexanate *Nt reprted t be in current use. Were ingredients in this grup nt in current use t be used in the future, the expectatin is that they wuld be used in prduct categries and at cncentratins cmparable t thers in this grup. A cmmn cncern addressed in the review f the safety f alkyl ethylhexanates was that 2-ethylhexanic acid, a pssible metablite, is a liver and develpmental txicant in animal studies at high dses. The mechanism is attributed t a cascade f effects that includes metallthinein (MT) inductin fllwed by zinc accumulatin in the liver due t MT binding, and a cnsequent zinc deficiency in the develping embry. The Panel determined that results f testing with di-2-ethylhexyl terephthalate (a 2- ethylhexanic acid precursr used as a mdel fr ethylhexanic acid expsures that d nt induce MT in the liver) suggested that the lw rate f metablic cnversin f di- 2-ethylhexyl terephthalate fllws a time curse that allws clearance f the 2-ethylhexanic acid metablite befre sufficient levels can arise t prduce zinc deficiency. The Panel cncluded that the lw rate f metablism f alkyl ethylhexanate cmpunds that culd be absrbed thrugh the skin wuld nt generate 2-ethylhexanic acid at levels sufficient t trigger the MT-inductin-dependent effects bserved in animal studies. The Panel cnsidered that the ratinale described abve applied t the entire grup f alkyl ethylhexanates. Additinally, the similar chemical structures, physicchemical prperties, functins, and cncentratins in csmetics allw interplatin f the available txiclgical data t supprt the safety f the entire grup. 6-Hydrxyindle 6-Hydrxyindle is safe as a hair dye ingredient in the present practices f use and cncentratin. The Panel expressed cncern that 6-hydrxyindle appears t be a phtsensitizer at a cncentratin f 5%. Data, hwever, did nt indicate phtsensitizatin at 2%. The Panel nted that this ingredient has 104 uses in hair dye prducts at cncentratins up t 0.5%. The Panel recgnized that 6-hydrxyindle is cnsidered a cal tar hair dye. Accrdingly, prducts cntaining this ingredient are exempt frm certain adulteratin and clr additive prvisins f the Federal Fd, Drug, and Csmetic Act, when the prduct label bears a cautin statement and patch test instructins fr determining whether the prduct causes skin irritatin. The Panel cnsidered cncerns abut such selftesting, but agreed that fllwing this prcedure enables cnsumers t determine, prspectively, whether they will have an irritatin/sensitizatin reactin, and allw them t avid subsequent significant expsures. In the future, the Panel will cnsider the results f nging studies by the industry t evaluate the risks and benefits f cnsumer self-testing.

4 Mdified terephthalate plymers The 6 mdified terephthalate plymers listed belw are safe fr use in csmetics in the present practices f use and cncentratin. adipic acid/1,4 butanedil/terephthalate cplymer* plybutylene terephthalate plyethylene isterephthalate plyethylene terephthalate plypentaerythrityl terephthalate* plyprpylene terephthalate *Nt reprted t be in current use. Were ingredients in this grup nt in current use t be used in the future, the expectatin is that they wuld be used in prduct categries and at cncentratins cmparable t thers in this grup. These ingredients mstly functin as exfliants, bulking agents, hair fixatives, and viscsity increasing agents-nnaqueus. Plyethylene terephthalate (PET) is used in leave-n prducts up t 100%. The Panel cnsidered the presence f a phthalate miety in these ingredients. Terephthalates incrprate a para-phthalate ismer. This is different frm the rth-phthalate esters (cmmn plasticizers such as di(2-ethylhexyl)phthalate (DEHP)) that have been cnsidered as ptential endcrine disruptrs. Given the nature f the terephthalates used in csmetics, there wuld nt be any significant rth-phthalate impurities in these terephthalate plastics, and n reasn that rth-phthalate esters wuld be added t them as sfteners during manufacturing. The data indicate the absence f endcrine disruptin assciated with mdified terephthalate plymers as used in csmetics. The lack f case reprts, alng with several use tests f eye prducts cntaining mdified terephthalate plymers up t 46%, led the Panel t cnclude that cular injury frm these prducts is unlikely. Nyln Plymers The 8 nyln plymers listed belw are safe in the present practices f use and cncentratin in csmetics. nyln-6 nyln-11 nyln-10/10* nyln-12 nyln 6/12 nyln-66 nyln-611* nyln-12/6/66* *Nt reprted t be in current use. Were ingredients in this grup nt reprted t be in current use t be used in the future, the expectatin is that they wuld be used in prduct categries and at cncentratins cmparable t thers in this grup. The Panel cnsidered that unpublished data submitted by the Cuncil supprted the cnclusin that nyln ingredients in csmetics wuld nt cause irritatin r sensitizatin. The Panel reviewed human repeat insult patch test data n nyln-12 at its maximum use cncentratin f 35%. N sensitizatin r irritatin was bserved in this study. Likewise, in vitr studies f nyln, as used in csmetics, fund n evidence f gentxicity. Frm these data, the Panel determined that residual mnmers in nyln-12 were nt present, r nt released, at cncentratins sufficient t cause dermal reactins in subjects tested at the maximum use cncentratin. Talc Talc is safe in the present practices f use and cncentratin in csmetics. The Panel warned that talc shuld nt t be used n skin where the epidermal barrier is remved r n skin that has greater than 1st degree burns, because case reprts indicate that granulmas frmed when talc was applied t skin where the epidermal barrier was nt intact. The Panel received dcumentatin frm industry f the analytical methds used t cnfirm the purity f talc, particularly the absence f asbests, quartz and ther inrganic substances. The Panel als reviewed representative certificates f analysis f talc frm tw suppliers. Taken tgether, the infrmatin prvided sufficient evidence f cmpliance with the 1976 csmetics industry specificatin that talc used in csmetic prducts is free f asbestifrm fibers. Tentative Safety Assessments These tentative safety assessments will be psted n the CIR website at n r befre March 29, Interested persns are given 60 days t cmment, prvide infrmatin and/r request an ral hearing befre the CIR Expert Panel. Infrmatin may be submitted withut identifying the surce r the trade name f the csmetic prduct cntaining the ingredient. All unpublished data submitted t CIR will be discussed in pen meetings, psted n the CIR website, and are available at the CIR ffice fr review by any interested party. Please submit data and/r cmments t CIR by May 10, 2013, r sner if pssible. These reprts may be scheduled fr review by the CIR Expert Panel at its June 10-11, 2013 meeting. Animal- and plant-derived amin acids The Panel issued a tentative safety assessment fr public cmment fr the 21 animal- and plant-derived amin acids ingredients listed belw with the cnclusin that they are safe in the present practices f use and cncentratin as described in the safety assessment. aprict kernel amin acids* cllagen amin acids crn gluten amin acids* elastin amin acids* garcinia mangstana amin acids* hair keratin amin acids jjba amin acids* keratin amin acids lupine amin acids lycium barbarum amin acids* milk amin acids at amin acids rice amin acids sesame amin acids* silk amin acids sy amin acids spirulina amin acids* sweet almnd amin acids* vegetable amin acids wheat amin acids yeast amin acids* *Nt reprted t be in current use. Were ingredients in this grup nt reprted t be in current use t be used in the future, the expectatin is that they wuld be used in prduct categries and at cncentratins cmparable t thers in this grup.

5 The abve ingredients had been included in a safety assessment that als included plant- and animal-derived hydrlyzed prteins, but the Panel segregated the amin-acid grup and tabled the hydrlyzed-prtein grup (see 126 th meeting ntes). The Panel expressed cncern abut the lack f infrmatin regarding methd f manufacturing and impurities that may be present in these amin acids derived frm plant and animal surces. The Panel cnsidered that vigrus acid hydrlysis wuld yield amin acids with little r n residual peptides, because such acid hydrlysis attacks all f the peptide bnds in a prtein in a nn-preferential manner. The Panel was cncerned that enzymatic hydrlysis f prteins can disrupt the peptide bnds in a prtein in a site-specific manner, and may prduce di-, tri- r ther peptides, as well as amin acids. Such residual impurities may have the ptential t cause allergic reactins in sensitive individuals. Input was sught n the usual methds used t prduce amin acids frm animal and plant prteins. If the methdlgy invlves rigrus acid hydrlysis, there is less cncern that residual small peptides will be present. In any case, the Panel wuld emphasize that industry shuld manufacture plant- and animalderived amin acids in a way that ensures that residual peptides culd nt cause allergic reactins in sensitive individuals. Brn Nitride The Panel issued a tentative safety assessment fr public cmment with the cnclusin that brn nitride is safe in the present practices f use and cncentratin. The Panel remarked, hwever, that irritatin and sensitizatin data were nt prvided frm tests f the maximum reprted use cncentratin (25%) in eye frmulatins. Because human repeat insult patch test (HRIPT) data were available fr 18.7% in frmulatin, the Panel determined that the data culd be cnsidered adequate, althugh HRIPT data frm tests using up t the 25% maximum wuld be preferable. Further, the available HRIPT study tested nly 55 subjects. Thus, additinal HRIPT data wuld greatly imprve the basis fr the Panel s cnclusin. The Panel als nted that, althugh there are data gaps, this ingredient is an insluble plymer that is nt expected t penetrate the skin and, even if it did, it wuld nt be expected t cause adverse effects. Althugh nanparticles f brn nitride are nt reprted t be used in csmetic frmulatins, the lack f txicity bserved in a single-dse intravenus study f brn nitride nantubes supprts the safety f the ther frms f brn nitride that are used in csmetics. The discussin f the physical/chemical frm(s) f brn nitride that are used in csmetics indicated that further chemical characterizatin data culd clarify their chemical structures and strengthen the safety assessment. Methyl Glucse Plyethers and Esters The Panel issued a revised tentative safety assessment fr public cmment with a cnclusin that the 25 methyl glucse plyethers and esters listed belw are safe as used in csmetics in the present practices f use and cncentratin, except that the available data are insufficient fr evaluating the safety f methyl glucse sesquistearate and PEG- 20 methyl glucse sesquistearate in lipsticks. Ethers: Plyethers Esters and plyethers: methyl glucse caprylate/caprate* PPG-10 methyl glucse ether PEG-120 methyl glucse dileate methyl glucse dileate PPG-20 methyl glucse ether PEG-20 methyl glucse distearate methyl glucse isstearate* PPG-25 methyl glucse ether* PEG-80 methyl glucse laurate* methyl glucse laurate* PPG-20 methyl glucse ether acetate* PEG-20 methyl glucse sesquicaprylate/ sesquicaprate* methyl glucse sesquicaprylate/ sesquicaprate* PPG-20 methyl glucse ether distearate PEG-20 methyl glucse sesquilaurate* methyl glucse sesquiccate* methyl gluceth-10 PEG-20 methyl glucse sesquistearate methyl glucse sesquiisstearate methyl gluceth-20 PEG-120 methyl glucse triisstearate* methyl glucse sesquilaurate* PEG-120 methyl glucse trileate methyl glucse sesquileate methyl glucse sesquistearate *Nt reprted t be in current use. Were ingredients in this grup nt reprted t be in current use t be used in the future, the expectatin is that they wuld be used in prduct categries and at cncentratins cmparable t thers in this grup. As previusly issued, the tentative reprt n these ingredients indicated that the plyether frm f these methyl glucse ingredients reprtedly functin as skin and hair cnditining agents, whereas the methyl glucse esters and the ester/plyether frms functin nly as skin cnditining agents in csmetic prducts. Uses f three ingredients in lipsticks raised the cncern abut repeated ingestin as a rute f expsure that Panel had nt previusly cnsidered. There was, hwever, sme cnfusin regarding use f these ingredients in lipsticks. Infrmatin frm FDA s 2013 VCRP database indicated uses f methyl glucse sesquistearate and PEG-20 methyl glucse sesquistearate in lipsticks. Use cncentratin data were supplied by the Persnal Care Prducts Cuncil fr methyl glucse sesquistearate and PEG-20 methyl glucse distearate (nt reprted in the VCRP) in lipsticks, but n use cncentratin data were available fr PEG-20 methyl glucse sesquistearate. The absence f use cncentratin data fr PEG-20 methyl glucse sesquistearate in lipsticks was particularly cncerning because n systemic txicity data sufficient t supprt the safety f uses in lipsticks were available. Until such infrmatin is available, the Panel determined that the data are insufficient fr evaluating the safety f these methyl glucse plyethers and esters in lipsticks. Use cncentratin data are needed fr PEG-20 methyl glucse sesquistearate in lipsticks (r a determinatin that this ingredient is nt actually used in lipsticks). Regardless, tw ingredients clearly are used in lipsticks and, s that the Panel can assess the risks f ingestin, adequate repeated-dse ral txicity data r ther apprpriate systemic txicity data are needed. Nitrcellulse The CIR Expert Panel issued a tentative safety assessment fr public cmment with the cnclusin that nitrcellulse and clldin are safe in the present practices f use and cncentratin. The Panel debated the need t include clldin in this reprt. While nitrcellulse is widely used in nail plish and nail enamel, basecat, and undercat frmulatins, n uses f clldin appeared in the VCRP data. It is presumed, hwever, that there is at least ne use f clldin, because a maximum cncentratin f use in a nail prduct was reprted in respnse t a survey cnducted by the Persnal Care Prducts Cuncil. The Panel cnsidered, therefre, that the tentative reprt can address clldin as well as nitrcellulse.

6 Clldin is listed in the Internatinal Csmetic Ingredient Dictinary and Handbk as a csmetic ingredient. Based n its definitin, hwever, it appeared t the Panel that clldin is a slutin f nitrcellulse, ethanl, and ether, which culd be termed a trade name mixture rather than a distinct ingredient. Accrdingly, the Panel remved the wrd clldin frm the reprt title. If the Panel is crrect that clldin is simply nitrcellulse in a vlatile vehicle, then data supprting the stability f nitrcellulse in that matrix wuld be useful. If clldin is the de nv prduct f a manufacturing prcess, rather than the prduct f simply disslving nitrcellulse in ethanl and ether, then data n that methd f manufacture wuld be essential; Otherwise, clldin culd be mitted frm the cnclusin, r require an insufficient data annuncement. The Expert Panel did nte that sensitizatin testing was cnducted using a cncentratin that was less than the maximum reprted use cncentratin. Because mst use is in nail care prducts, significant expsure t the skin wuld be minimized, s that these data likely are adequate. Als, the high mlecular weight and chemical prperties preclude significant absrptin f this nail frmulatin ingredient. Re-review and New Data HC range n. 1 nt repened The Panel reaffirmed the riginal cnclusin that HC range n. 1 is safe as a hair dye ingredient at cncentratins 3%. The Panel reviewed the evaluatin f this hair clr ingredient in Eurpe and nted n new safety issues. The cncentratin f use fr this hair dye has increased frm 0.15% t 0.55%, but the use cncentratin is still well belw the maximum cncentratin f 3% supprted by the available data. The Panel recgnized that HC range n.1 can be cnsidered a cal tar hair dye. Accrdingly, prducts cntaining this ingredient are exempt frm certain adulteratin and clr additive prvisins f the Federal Fd, Drug, and Csmetic Act, when the prduct label bears a cautin statement and patch test instructins fr determining whether the prduct causes skin irritatin. The Panel has cnsidered cncerns abut such self-testing, but agreed that fllwing this prcedure enables cnsumers t determine, prspectively, whether they will have an irritatin/sensitizatin reactin, and allw them t avid subsequent significant expsures. In the future, the Panel will cnsider the results f nging studies by the industry t evaluate the risks and benefits f cnsumer self-testing HC yellw n. 4 nt repened The Panel reaffirmed the riginal cnclusin that HC yellw n.4 is safe fr use in hair dyes in the present practices f use and cncentratin. The Panel reviewed the evaluatin f this hair clr ingredient in Eurpe and nted that this clr culd be subject t n-nitrsatin t frm ptentially carcingenic reactin prducts. Accrdingly, the Panel cautined frmulatrs that HC yellw n. 4 shuld nt be used in frmulatins where N-nitrs cmpunds may be frmed. The Panel als cnsidered new studies examining reprductive utcmes in rats dsed with HC yellw n.4. While there was sme evidence f reprductive txicity in these studies using rats, all were ral txicity studies using high cncentratins, and the findings are nt relevant t csmetics uses. HC yellw n.4 is nt expected t penetrate the skin in hair clring usage, s n systemic expsure wuld ccur, and reprted use cncentratin fr csmetics are nly 0.75%. These new reprductive txicity data, therefre, d nt suggest a cncern fr use f HC yellw n.4 in hair clring. New data shwing an absence f sensitizatin ptential at cncentratins up t 10% added supprt that the riginal safety cnclusin was crrect. The Panel recgnized that HC yellw n. 4 can be cnsidered a cal tar hair dye. Accrdingly, prducts cntaining this ingredient are exempt frm certain adulteratin and clr additive prvisins f the Federal Fd, Drug, and Csmetic Act, when the prduct label bears a cautin statement and patch test instructins fr determining whether the prduct causes skin irritatin. The Panel has cnsidered cncerns abut such self-testing, but agreed that fllwing this prcedure enables cnsumers t determine, prspectively, whether they will have an irritatin/sensitizatin reactin, and allw them t avid subsequent significant expsures. In the future, the Panel will cnsider the results f nging studies by the industry t evaluate the risks and benefits f cnsumer self-testing Hydrquinne and p-hydrxyanisle - repened These ingredients were previusly reviewed by the Panel in separate reprts. A new use f these ingredients, alne r in cmbinatin, has been reprted in UV-cured nail plish gels, and this use is nt addressed in either f the previus safety assessments. The Panel agreed t repen these safety assessments t address the new usage. Interested parties are encuraged t prvide all available data relevant t this new use. Methylisthiazlinne - repened The Panel reviewed newly prvided clinical data indicating a higher than expected frequency f individuals wh have allergic reactins t the preservative methylisthiazlinne. In sme cases, cmparative data are available indicating a higher frequency f psitive reactins than currently seen with the cmbinatin preservative, methylisthiazlinne/methychlristhiazlinne. The Panel repened this safety assessment t gather and evaluate further clinical data. Interested parties are encuraged t prvide all available data relevant t this cncern abut allergic reactins. 126 th Meeting Ntes Directr s Reprt Dr. Andersen cngratulated the Panel n their handling f the review material presented t them slely as PDF and Micrsft Wrd files. While the mve t ging paperless has been discussed ver the past year, he explained that the equipment needed t prduce the paper cpies was n lnger ging t be available, and the cst f printing the bks using an utside vendr was prhibitive. S, CIR just did it. In additin t making safety assessment decisins, this meeting was a learning experience n the new paperless apprach. Prjecting the reprts n a screen turned ut t be unnecessary, because everyne fcused n using their laptps instead! Feedback frm the audience and the Panel members still will be needed, s that we may imprve hw we d this in the future.

7 Dr. Andersen als fficially annunced that he will retire frm CIR effective at the end f June, Dr. Gill will take ver the prgram and wrk t develp a plan t address CIR s nging staffing needs. Dr. Andersen indicated that he will cntinue t be available n a cnsultant basis after he retires. Reprts Tabled Animal- and plant-derived hydrlyzed prteins - The Panel tabled further discussin n animal- and plant-derived hydrlyzed prteins t allw CIR staff t rerganize the reprt and t analyze further data frm Japan regarding Type I allergic reactins t hydrlyzed wheat prtein in a sap prduct. These ingredients had been presented in a single reprt package with animal- and plant-derived amin acids, but the Panel split the amin acid ingredients int their wn reprt (see Tentative Reprts). Amng the appraches that have been prpsed as alternatives t gruping all hydrlyzed prteins tgether is t rganize the ingredients by plant/animal surce. In that scheme, prteins derived frm wheat, fr example, wuld be the fcus f a grup that culd include hydrlyzed wheat prteins and hydrlyzed wheat prtein derivatives. Ideally, such an apprach wuld facilitate cnsideratin f the cncern abut hydrlyzed wheat prtein in Japan and nt dilute the evaluatin with ther unrelated ingredients. The ther perspective is that, while the parent prteins are frm different animal and plant surces, the prtein hydrlysates are unlikely t represent nvel prtein sequences with unique txicities. In this view, hydrlyzed wheat prtein and the Type I allergic reactins reprted in Japan are unique t hydrlyzed wheat prtein, and are nt assciated with expsures t hydrlyzed prteins frm ther surces. At the time the reprt was tabled, the 54 ingredients included in this safety assessment were: ammnium hydrlyzed cllagen* calcium hydrlyzed cllagen* hydrlyzed actin hydrlyzed albumen hydrlyzed amaranth prtein hydrlyzed avcad prtein* hydrlyzed barley prtein hydrlyzed brazil nut prtein hydrlyzed casein hydrlyzed cnalbumin* hydrlyzed cnchilin prtein hydrlyzed cttnseed prtein hydrlyzed egg prtein* hydrlyzed elastin hydrlyzed extensin hydrlyzed fibrin hydrlyzed fibrnectin hydrlyzed gadidae prtein hydrlyzed gelatin* *Nt reprted t be in current use. hydrlyzed hair keratin hydrlyzed hazelnut prtein hydrlyzed hemglbin* hydrlyzed hemp seed prtein* hydrlyzed hney prtein hydrlyzed jjba prtein hydrlyzed keratin hydrlyzed lactalbumin* hydrlyzed lupine prtein hydrlyzed maple sycamre prtein* hydrlyzed milk prtein hydrlyzed at prtein hydrlyzed pea prtein hydrlyzed ptat prtein hydrlyzed reticulin* hydrlyzed ryal jelly prtein* hydrlyzed sericin hydrlyzed serum prtein* hydrlyzed sesame prtein* hydrlyzed silk hydrlyzed sy prtein hydrlyzed symilk prtein hydrlyzed spngin* hydrlyzed sweet almnd prtein hydrlyzed vegetable prtein hydrlyzed wheat gluten hydrlyzed wheat prtein hydrlyzed whey prtein hydrlyzed yeast prtein hydrlyzed ygurt prtein hydrlyzed zein* MEA hydrlyzed cllagen MEA hydrlyzed silk* sdium hydrlyzed casein* zinc hydrlyzed cllagen* Hypericum perfratum- derived ingredients - The Panel tabled further discussin f hypericum perfratum-derived ingredients t develp language fr the discussin t reflect a grwing cncern abut cnstituents that may be present in multiple btanical ingredients in csmetic frmulatins, resulting in greater than expected expsures t said cnstituents. Fr these ingredients, hypericin, a knwn phtsensitizer, might be a gd example f such cnstituents f cncern. The seven ingredients in this amended safety assessment are: hypericum perfratum extract, hypericum perfratum flwer extract, hypericum perfratum flwer/leaf extract, hypericum perfratum flwer/leaf/stem extract, hypericum perfratum flwer/twig extract, hypericum perfratum leaf extract, and hypericum perfratum il. Palmityl ligpeptides - The reprt was tabled pending rerganizatin f this dcument. These ingredients were preliminarily gruped tgether, as they are related structurally by an identical fatty, hydrphbic tail cnnected t a variable sequence f peptides. The Panel nted, hwever, that the terminlgy used fr these ingredients des nt enable adequate evaluatin. Further infrmatin is sught t better understand the extent and manner in which slid-phase peptide synthesis is used t create the peptide prtin f such fatty acid peptide ingredients. If additinal infrmatin enables a better understanding f the amin acid sequences f the peptides f these ingredients than affrded by their definitins in the dictinary, then gruping them tgether in sme fashin may be reasnable. If there is a substantial degree f randmness assciated with the peptides f these ingredients, then it wuld be imprtant fr the Panel t cnsider hw that might influence the safety evaluatin. Fr example, sme small peptides are ptent stimulatrs f angigenesis. The ptential fr such an activity t prmte tumr grwth and metastasis in peple with undiagnsed skin cancer might then be an issue. Given the present uncertainties, gruping a large number f these ingredients tgether might be inapprpriate. At the time the reprt was tabled, the fllwing ingredients were included: palmityl ligpeptide palmityl dipeptide-7

8 palmityl dipeptide-10 palmityl dipeptide-13 palmityl dipeptide-17 palmityl dipeptide-18 palmityl tripeptide-1 palmityl tripeptide-4 palmityl tripeptide-5 palmityl tripeptide-8 palmityl tripeptide-28 palmityl tripeptide-29 palmityl tripeptide-31 palmityl tripeptide-36 palmityl tripeptide-37 palmityl tripeptide-38 palmityl tripeptide-40 palmityl tripeptide-42 palmityl tetrapeptide-7 palmityl tetrapeptide-10 palmityl tetrapeptide-20 palmityl pentapeptide-4 palmityl pentapeptide-5 palmityl hexapeptide-12 palmityl hexapeptide-14 palmityl hexapeptide-15 palmityl hexapeptide-19 palmityl hexapeptide-26 palmityl hexapeptide-32 palmityl hexapeptide-36 palmityl hexapeptide-27 acetate palmityl heptapeptide-5 palmityl nnapeptide-6 palmityl decapeptide-21 palmityl ligpeptide-70 palmityl hydrlyzed cllagen palmityl hydrlyzed milk prtein palmityl hydrlyzed wheat prtein ptassium palmityl hydrlyzed crn prtein ptassium palmityl hydrlyzed at prtein ptassium palmityl hydrlyzed rice prtein ptassium palmityl hydrlyzed sweet almnd prtein ptassium palmityl hydrlyzed wheat prtein sdium palmityl hydrlyzed cllagen sdium palmityl hydrlyzed wheat prtein Trmethamine - The Panel tabled the safety assessment f trmethamine s that aminmethyl prpanedil (AMPD) and aminethyl prpandil (AEPD) may be incrprated int the reprt. The Panel nted that there were n sensitizatin data fr trmethamine and that it is used up t 4% in bth leave-n and rinse-ff prducts. The nly available sensitizatin data is fr AEPD up t 0.5%. It was als nted that impurity data were lacking. The Panel invites additinal sensitizatin data at the maximum use cncentratin and data n impurities. If such data are nt submitted, the CIR Expert Panel may issue an insufficient data annuncement r a maximum cncentratin f use may be specified in the cnclusin f a tentative reprt psted fr public cmment in the future. Draft 2014 Ingredient Review Pririties Interested parties are invited t cmment n the inclusin f the ingredients listed belw as 2014 CIR pririties based n thse unreviewed ingredients with the largest number f 2013 VCRP uses. Cmment als is sught n the additinal ingredients that might be included in each ingredient family. Nte that the first three are gruped tgether in anticipatin that they wuld be evaluated as a grup. It is likely that nt all f thse listed will be chsen fr wrk in Ingredient Number f frmulatins cntaining ingredient sdium hydrxide 3961 ptassium hydrxide 1032 ammnium hydrxide 946 algae extract 805 ginkg bilba leaf extract 530 phsphlipids 527 sdium benztriazlyl butylphenl sulfnate 473 sdium methylparaben 466 ethylene/prpylene/styrene cplymer 449 avena sativa (at) kernel extract 444 plysilicne butylene/ethylene/styrene cplymer 435 centella asiatica extract 420 buteth PEG-150 pentaerythrityl tetrastearate 408 cetyl PEG/PPG-10/1 dimethicne 387 malus dmestica (apple) fruit extract 382 ptassium cetyl phsphate 377

9 butyrspermum parkii (shea) butter extract 363 hydrflurcarbn 152a 360 triethxycaprylylsilane 354 tridecyl trimellitate 353 panthenyl ethyl ether 351 t be determined hair dye na 2014 Re-reviews While there is n requirement fr CIR t publish an annual list f scheduled re-reviews, belw is the list f the ptential re-reviews fr This list is based n thse safety assessments cmpleted in 1999 r earlier, and nt yet re-reviewed. The need fr re-review f ne r mre f these ingredients may already have been addressed, met by ther effrts already underway (e.g. PEG-5 ccamine), r planned fr Ingredient glyceryl stearate plysrbate 20 ascrbyl palmitate plysrbate 60 sdium PCA glyceryl stearate se bisabll srbitan stearate plysrbate 80 erythrbic acid PEG-7 glyceryl ccate PEG-150 distearate prpylene glycl dicaprylate/dicaprate sdium lactate azulene hydrxystearic acid isstearamidprpyl mrphline lactate nnxynl-4 PEG-5 ccamine PEG-20 hydrgenated lanlin PPG-9 diethylmnium chlride Scientific Literature Reviews These literature reviews are currently psted n the CIR website at amin acid alkyl amides alumina hydrxyprpyl bis(n-hydrxyethyl-p-phenylenediamine) HCl alkyl PEG-PPG ethers Chammilla recutita-derived ingredients Draft reprts fr these ingredients, alng with any unpublished data submitted by interested parties may be presented t the Panel at its meeting n June 10-11, In additin, re-reviews f the safety assessment listed belw may be cnsidered at the June 2013 meeting: dictyl sdium sulfsuccinate plyvinylpyrrlidne These literature reviews are currently in preparatin betaine camellia sinensis leaf citrus limn (lemn) fruit hydrgenated plydecene magnesium sulfate pentaerythrityl tetra-di-t-butyl hydrxyhydrcinnamate phytsterls plant plysaccharide gums (maltdextrin, etc.) rsemarinus fficinalis (rsemary) leaf trehalse & glucse Next CIR Expert Panel Meeting - Mnday and Tuesday, June 10-11, 2013 at the Madisn Htel, 1177 Fifteenth Street, NW, Washingtn, DC Please cntact Carla Jacksn (jacksnc@cir-safety.rg) at CIR befre the meeting if yu plan t attend. IMPORTANT CHANGE CIR n lnger includes an rder frm listing CIR safety assessments available fr sale. Because all CIR dcuments frm this meeting will be psted n the web site, they will be freely available.

FDA Dietary Supplement cgmp

FDA Dietary Supplement cgmp FDA Dietary Supplement cgmp FEBRUARY 2009 OVERVIEW Summary The Fd and Drug Administratin (FDA) has issued a final rule regarding current gd manufacturing practices (cgmp) fr dietary supplements that establishes

More information

VITAPRO. Detoxification properties of Apple pectin formulation, PROPECTIN. CENTRE D ETUDE ET DE VALORISATION DES ALGUES FINAL REPORT.

VITAPRO. Detoxification properties of Apple pectin formulation, PROPECTIN. CENTRE D ETUDE ET DE VALORISATION DES ALGUES FINAL REPORT. CENTRE D ETUDE & DE VALORISATION DES ALGUES 2400 Detxificatin prperties f Apple pectin frmulatin, PROPECTIN. VITAPRO FINAL REPORT PrPectin July 2015 CENTRE D ETUDE ET DE VALORISATION DES ALGUES PRESQU

More information

P02-03 CALA Program Description Proficiency Testing Policy for Accreditation Revision 1.9 July 26, 2017

P02-03 CALA Program Description Proficiency Testing Policy for Accreditation Revision 1.9 July 26, 2017 P02-03 CALA Prgram Descriptin Prficiency Testing Plicy fr Accreditatin Revisin 1.9 July 26, 2017 P02-03 CALA Prgram Descriptin Prficiency Testing Plicy fr Accreditatin TABLE OF CONTENTS TABLE OF CONTENTS...

More information

A pre-conference should include the following: an introduction, a discussion based on the review of lesson materials, and a summary of next steps.

A pre-conference should include the following: an introduction, a discussion based on the review of lesson materials, and a summary of next steps. NAU Mdel Observatin Prtcl The mdel prtcl was develped with supprt and expertise frm the Natinal Institute fr Excellence in Teaching (NIET) and is based in great part n NIET s extensive experience cnducting

More information

CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION

CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION INSTRUCTIONS This is an infrmed cnsent dcument which has been prepared t help yur Dctr infrm yu cncerning fat reductin with an injectable medicatin, its risks,

More information

GUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH

GUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH GUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH Aurra Health Care s Research Subject Prtectin Prgram (RSPP) This guidance dcument will utline the prper prcedures fr btaining and dcumenting

More information

Year 10 Food Technology. Assessment Task 1: Foods for Special Needs. Name: Teacher:

Year 10 Food Technology. Assessment Task 1: Foods for Special Needs. Name: Teacher: Year 10 Fd Technlgy Assessment Task 1: Fds fr Special Needs Name: Teacher: Due Date: Term 2, Week 1 Type f Task: Design Task Planning Fd Requirements Cllectin f Assessment: Submit in Class Assessment Plicy:

More information

Bariatric Surgery FAQs for Employees in the GRMC Group Health Plan

Bariatric Surgery FAQs for Employees in the GRMC Group Health Plan Bariatric Surgery FAQs fr Emplyees in the GRMC Grup Health Plan Gergia Regents Medical Center and Gergia Regents Medical Assciates emplyees and eligible dependents wh are in the GRMC Grup Health Plan (Select

More information

Completing the NPA online Patient Safety Incident Report form: 2016

Completing the NPA online Patient Safety Incident Report form: 2016 Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject

More information

Assessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams

Assessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams Assessment Field Activity Cllabrative Assessment, Planning, and Supprt: Safety and Risk in Teams OBSERVATION Identify a case fr which a team meeting t discuss safety and/r safety planning is needed r scheduled.

More information

Breast Cancer Awareness Month 2018 Key Messages (as of June 6, 2018)

Breast Cancer Awareness Month 2018 Key Messages (as of June 6, 2018) Breast Cancer Awareness Mnth 2018 Key Messages (as f June 6, 2018) In this dcument there are tw sectins f messages in supprt f Cancer Care Ontari s Breast Cancer Awareness Mnth 2018: 1. Campaign key messages

More information

EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS

EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS 1 SECTION 1 INTRODUCTION: EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS The Nature Of Assessment The Definitin Of Assessment The Difference Between Testing, Measurement And Evaluatin Characteristics

More information

Public consultation on the NHMRC s draft revised Australian alcohol guidelines for low-risk drinking

Public consultation on the NHMRC s draft revised Australian alcohol guidelines for low-risk drinking Public cnsultatin n the NHMRC s draft revised Australian alchl guidelines fr lw-risk drinking Recmmendatins frm The Cancer Cuncil Australia The Cancer Cuncil Australia is Australia s peak nn-gvernment

More information

PET FORM Planning and Evaluation Tracking ( Assessment Period)

PET FORM Planning and Evaluation Tracking ( Assessment Period) Divisin f: Behaviral Studies PET FORM Planning and Evaluatin Tracking (2010 2011 Assessment Perid) Persn Respnsible fr this Divisin: Jerry Mller Department f: Behaviral Sciences Persn Respnsible fr this

More information

How to become an AME Online

How to become an AME Online Hw t becme an AME Online 1. Check that yu meet the minimum technical requirements in rder t use the AME Online system: Operating System: Windws Vista (Service Pack 2) Windws 7 Windws 8, 8.1 Windws 10 Please

More information

A foot x-ray series is required only if there is pain in the midfoot zone and any one of the following:

A foot x-ray series is required only if there is pain in the midfoot zone and any one of the following: RADIOGRAPHY OF THE ANKLE AND FOOT (OTTAWA ANKLE RULES) Clinical Practice Guideline January 2007 This guideline has been adapted frm the Ottawa Ankle Rules develped by Dr. Ian Stiell et al. Dr. Stiell received

More information

2018 Medical Association Poster Symposium Guidelines

2018 Medical Association Poster Symposium Guidelines 2018 Medical Assciatin Pster Sympsium Guidelines Overview The 3 rd Annual student-run Medical Assciatin f the State f Alabama Research Sympsium will take place n Friday and Saturday, April 13-14 at the

More information

Specifically, on page 12 of the current evicore draft, we find the statement:

Specifically, on page 12 of the current evicore draft, we find the statement: Octber 23, 2016 evicre Healthcare Attn: Dr Greg Allen 400 Buckwalter Place Bulevard Blufftn, SC 29910 RE: evicre Draft Onclgy Imaging Guidelines, v 19.0 Gentlepersns: Prstate Cancer Internatinal is a nt-fr-prfit

More information

EDPS 475: Instructional Objectives for Midterm Exam Behaviorism

EDPS 475: Instructional Objectives for Midterm Exam Behaviorism EDPS 475: Instructinal Objectives fr Midterm Exam Behavirism 1. Given a nvel example t chse frm, identify the characteristics f classical cnditining. General mdel: Stimulus (S) elicits >Respnse (R) Based

More information

PROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS

PROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS PROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS INTRODUCTION This ntice prvides an verview f the parental special educatin rights, smetimes called prcedural safeguards

More information

GSB of EDA Meeting Minutes

GSB of EDA Meeting Minutes Hell Everyne! We held a General Service Bard meeting n 04/10/2013. Attendees: Alita, British Clumbia, CAN Annette H, Phenix, AZ Fran, IL Rachel F, Tempe, AZ Rger, MA Vanessa S, Lngwd, FL Ntes: Rger asked

More information

A Unified Approach to Conflict Mineral Compliance for the Tungsten Industry. The Westin, Sydney, 23 September 2013

A Unified Approach to Conflict Mineral Compliance for the Tungsten Industry. The Westin, Sydney, 23 September 2013 A Unified Apprach t Cnflict Mineral Cmpliance fr the Tungsten Industry The Westin, Sydney, 23 September 2013 Backgrund Cmpliance f public US dwnstream tungsten users with the reprting requirements f the

More information

Intravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion

Intravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion Backgrund This plicy cvers the use f intravenus vancmycin prescribed as an intermittent (pulsed) infusin. This can be used fr treatment r prphylaxis. Evidence supprting this guidance is detailed belw.

More information

Part 1. Nicotinate Derivatives

Part 1. Nicotinate Derivatives Mass spectra f fatty alchls. Part 1. ictinate derivatives. MASS SPECTRA OF FATTY ALCOHOLS Part 1. ictinate Derivatives Fatty alchls can be characterized by GC-MS mst readily as the nictinate derivatives,

More information

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQ s) Fr PA Health & Wellness Prviders Questin GENERAL Why is PA Health & Wellness implementing a Medical Specialty Slutins Prgram? Answer

More information

Cancer Association of South Africa (CANSA)

Cancer Association of South Africa (CANSA) Cancer Assciatin f Suth Africa (CANSA) Fact Sheet and Psitin Statement n Cannabis in Suth Africa Intrductin Cannabis is a drug that cmes frm Indian hemp plants such as Cannabis sativa and Cannabis indica.

More information

Herbal Medicines: Traditional Herbal Registration

Herbal Medicines: Traditional Herbal Registration Herbal Medicines: Traditinal Herbal Registratin In the UK, cmpanies can nly sell herbal medicines with the apprpriate prduct licence, as fllws: A full marketing authrisatin based n the safety, quality

More information

The principles of evidence-based medicine

The principles of evidence-based medicine The principles f evidence-based medicine By the end f this mdule yu shuld be able t: Describe what evidence based medicine is Knw where t find quality evidenced based medicine n the internet Be able t

More information

DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 2016 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS

DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 2016 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 216 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS This briefing has been specifically prepared fr the Ministry f Health t prvide infrmatin frm this

More information

Corporate Governance Code for Funds: What Will it Mean?

Corporate Governance Code for Funds: What Will it Mean? Crprate Gvernance Cde fr Funds: What Will it Mean? The Irish Funds Industry Assciatin has circulated a draft Vluntary Crprate Gvernance Cde fr the Funds Industry in Ireland. 1. Backgrund On 13 June 2011,

More information

Frequently Asked Questions: IS RT-Q-PCR Testing

Frequently Asked Questions: IS RT-Q-PCR Testing Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld

More information

Imaging tests allow the cancer care team to check for cancer and other problems inside the body.

Imaging tests allow the cancer care team to check for cancer and other problems inside the body. IMAGING TESTS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between yu

More information

S.K.J Construction Ltd Groundwork & Civil Engineering

S.K.J Construction Ltd Groundwork & Civil Engineering S.K.J Cnstructin Ltd Grundwrk & Civil Engineering SUBSTANCE MISUSE POLICY 1 2 SUBSTANCE MISUSE POLICY 1 INTRODUCTION Plicy Aims Frm the viewpint f health and safety at wrk, SKJ Cnstructin Ltd (the Cmpany)

More information

Appendix C. Master of Public Health. Practicum Guidelines

Appendix C. Master of Public Health. Practicum Guidelines Appendix C Master f Public Health Practicum Guidelines 0 Gergia State University, Schl f Public Health Master f Public Health Practicum Guidelines Fr mre infrmatin, cntact Jessica Hwell Pratt, MPH Practicum

More information

A fake medicine that passes itself off as a real, authorised medicine. (1)

A fake medicine that passes itself off as a real, authorised medicine. (1) Falsified medicines Index 1 Intrductin 2 Types f falsified medicines 3 Eurpean regulatin n falsified medicines 4 Risks f falsified medicines 5 Buying medicine nline safely 6 References 7 Further resurces

More information

Benefits for Anesthesia Services for the CSHCN Services Program to Change Effective for dates of service on or after July 1, 2008, benefit criteria

Benefits for Anesthesia Services for the CSHCN Services Program to Change Effective for dates of service on or after July 1, 2008, benefit criteria Benefits fr Anesthesia Services fr the CSHCN Services Prgram t Change Effective fr dates f service n r after July 1, 2008, benefit criteria fr anesthesia will change fr the Children with Special Health

More information

Section 6 Students School District No. 71 (Comox Valley)

Section 6 Students School District No. 71 (Comox Valley) Sectin 6 Students Schl District N. 71 (Cmx Valley) Administrative Prcedure 6011 MR2 Allergies and Anaphylaxis 1. Intrductin The Bard f Educatin expects schls t reasnably accmmdate students with medically

More information

Annual Assembly Abstract Review Process

Annual Assembly Abstract Review Process Annual Assembly Abstract Review Prcess AAHPM and HPNA cllabrate t review and select abstracts fr Annual Assembly. The cmmittees meet prir t the calls t review and update the Assembly bjectives (Planning

More information

Immunisation and Disease Prevention Policy

Immunisation and Disease Prevention Policy Immunisatin and Disease Preventin Plicy Quality Area 2: Children s Health and Safety 2.1 Each child s health is prmted 2.1.4 Steps are taken t cntrl the spread f infectius diseases and t manage injuries

More information

MGPR Training Courses Guide

MGPR Training Courses Guide MGPR Training Curses Guide fiscal cde 92107050921 1. Descriptin The training prgram supprted by MGPR is prpsed by a grup f excellent mentrs/educatrs, accmplished in Pesticides Management and Analysis,

More information

Campus Climate Survey

Campus Climate Survey Campus Climate Survey Executive Summary www.ecu.edu/ecyu 2016 A prject spnsred by the Office fr Equity and Diversity Executive Summary Prject Backgrund In FY 2013-2014, the Campus Climate Cmmissin prpsed

More information

Call for evidence on the use of skin sensitisers, skin irritants and corrosive substances in textile and leather articles, hides and furs

Call for evidence on the use of skin sensitisers, skin irritants and corrosive substances in textile and leather articles, hides and furs Call fr evidence n the use f skin sensitisers, skin irritants and crrsive substances in textile and leather articles, hides and furs Backgrund dcument Backgrund Prductin and prcessing f textile and leather

More information

LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST

LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST OPTUM LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY / APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED

More information

Independent Charitable Patient Assistance Program (IPAP) Code of Ethics

Independent Charitable Patient Assistance Program (IPAP) Code of Ethics Independent Charitable Patient Assistance Prgram (IPAP) Cde f Ethics Independent charitable patient assistance prgrams (IPAPs) fcus n the needs f patients wh are insured, meet certain financial limitatin

More information

WHAT IS HEAD AND NECK CANCER FACT SHEET

WHAT IS HEAD AND NECK CANCER FACT SHEET WHAT IS HEAD AND NECK CANCER FACT SHEET This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice

More information

Service Change Process. Gateway 1 High-level Proposition. Innovation project name: Patient Self-Monitoring/Management of Warfarin

Service Change Process. Gateway 1 High-level Proposition. Innovation project name: Patient Self-Monitoring/Management of Warfarin Service Change Prcess Gateway 1 High-level Prpsitin Innvatin prject name: Patient Self-Mnitring/Management f Warfarin NHS Bury Please describe the service change being prpsed. Please describe what service(s)

More information

Sugar Rush: The Science of Sweet

Sugar Rush: The Science of Sweet Sugar Rush: The Science f Sweet FRAMEWORK I. Scientific and Engineering Practices II. Crss-Cutting Cncepts III. Physical Sciences SKILLS/OBJECTIVES T bserve the results f hands-n experiments and make inferences/draw

More information

Alcohol & Substance Misuse Policy. St Mary s CE Academy Trading Company. Date: Spring 2017 Date of Next Review: Summer 2018

Alcohol & Substance Misuse Policy. St Mary s CE Academy Trading Company. Date: Spring 2017 Date of Next Review: Summer 2018 St Mary s CE Academy Trading Cmpany Alchl & Substance Misuse Plicy Date: Spring 2017 Date f Next Review: Summer 2018 Signed by: Family Supprt Crdinatr Signed by: Grup Manager Alchl and Substance Misuse

More information

Intravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion

Intravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion Intravenus Vancmycin Use in Adults Intermittent (Pulsed) Infusin Backgrund This plicy cvers the use f intravenus vancmycin prescribed as an intermittent (pulsed) infusin. This can be used fr treatment

More information

Frontier School of Innovation District Wellness Policy

Frontier School of Innovation District Wellness Policy Frntier Schl f Innvatin 6700 Crprate dr. Suite 150 Phne: 816-363-1907 http://www.kcfsi.rg/ Frntier Schl f Innvatin District Wellness Plicy The Bard prmtes healthy schls, by supprting wellness, gd nutritin,

More information

NIA Magellan 1 Spine Care Program Interventional Pain Management Frequently Asked Questions (FAQs) For Medicare Advantage HMO and PPO

NIA Magellan 1 Spine Care Program Interventional Pain Management Frequently Asked Questions (FAQs) For Medicare Advantage HMO and PPO NIA Magellan 1 Spine Care Prgram Interventinal Pain Management Frequently Asked Questins (FAQs) Fr Medicare Advantage HMO and PPO Questin GENERAL Why is Flrida Blue implementing a Spine Management prgram

More information

Module 6: Goal Setting

Module 6: Goal Setting Mdule 6: Gal Setting Objectives T understand the cncept f gal setting in Brief CBT T acquire skills t set feasible and apprpriate gals in Brief CBT What is gal setting, and why is it imprtant t set gals

More information

1100 Marie Mount Hall College Park, Maryland Tel: (301) Fax: (301)

1100 Marie Mount Hall College Park, Maryland Tel: (301) Fax: (301) UNIVERSITY SENATE 1100 Marie Munt Hall Cllege Park, Maryland 20742-7541 Tel: (301) 405-5805 Fax: (301) 405-5749 http://www.senate.umd.edu March 31, 2017 Jrdan Gdman Chair, University Senate 2208G Physical

More information

STANDARD FOR POMEGRANATE (CODEX STAN )

STANDARD FOR POMEGRANATE (CODEX STAN ) CODEX STAN 310-2013 Page 1 f 5 1. DEFINITION OF PRODUCE STANDARD FOR POMEGRANATE (CODEX STAN 310-2013) This Standard applies t fruits f cmmercial varieties f pmegranates grwn frm Punica granatum L., f

More information

Module 1: Overview of soil fertility, plant nutrition, and nutrient management. To view the chapter for this topic click here.

Module 1: Overview of soil fertility, plant nutrition, and nutrient management. To view the chapter for this topic click here. Mdule 1: Overview f sil fertility, plant nutritin, and nutrient management T view the chapter fr this tpic click here. Mdule 1: Overview Intrductin Understanding the principles f sil fertility is vital

More information

Human papillomavirus (HPV) refers to a group of more than 150 related viruses.

Human papillomavirus (HPV) refers to a group of more than 150 related viruses. HUMAN PAPILLOMAVIRUS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between

More information

Meeting the Nutritional Requirements of Individuals with Dementia

Meeting the Nutritional Requirements of Individuals with Dementia Unit 15: Understanding and Meeting the Nutritinal Requirements f Individuals with Dementia Unit reference number: D/616/7124 Level: 3 Unit type: Optinal Credit value: 3 Guided learning hurs: 26 Unit summary

More information

ALCAT FREQUENTLY ASKED QUESTIONS

ALCAT FREQUENTLY ASKED QUESTIONS 1. Is fasting required befre taking the Alcat Test? N. It is recmmended t drink water and t avid stimulants like caffeine prir t the test. 2. With regard t testing children, must a child be a certain age

More information

Reliability and Validity Plan 2017

Reliability and Validity Plan 2017 Reliability and Validity Plan 2017 Frm CAEP The principles fr measures used in the CAEP accreditatin prcess include: (a) validity and reliability, (b) relevance, (c) verifiability, (d) representativeness,

More information

UNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES

UNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES UNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES This page intentinally left blank. UNIT INTRODUCTION Visual 6.1 This unit presents infrmatin n annexes that shuld be included in a schl emergency peratins

More information

Chapter 6: Impact Indicators

Chapter 6: Impact Indicators Overview Chapter 6: Impact Indicatrs The best measure f the lng-term impact f all HIV preventin activities is the HIV incidence rate, namely the number f new cases f HIV infectin per year divided by the

More information

Health Consumers Queensland submission

Health Consumers Queensland submission Health Cnsumers Queensland submissin Inquiry int Public Health (Medicinal Cannabis) Bill 2016 Queensland Parliament Health, Cmmunities, Disability Services and Family Vilence Preventin Cmmittee Cntact:

More information

Cardiac Rehabilitation Services

Cardiac Rehabilitation Services Dcumentatin Guidance N. DG1011 Cardiac Rehabilitatin Services Revisin Letter A 1.0 Purpse The Centers fr Medicare and Medicaid Services (CMS) has detailed specific dcumentatin requirements fr Cardiac Rehabilitatin

More information

Novel methods and approaches for sensing, evaluating, modulating and regulating mood and emotional states.

Novel methods and approaches for sensing, evaluating, modulating and regulating mood and emotional states. Nvel methds and appraches fr sensing, evaluating, mdulating and regulating md and emtinal states. 2018 Jy Academic Grant Call fr Prpsals Intrductin The Annual Jy grant initiative aims t prmte and cntribute

More information

Swindon Joint Strategic Needs Assessment Bulletin

Swindon Joint Strategic Needs Assessment Bulletin Swindn Jint Strategic Needs Assessment Bulletin Swindn Diabetes 2017 Key Pints: This JSNA gives health facts abut peple with diabetes r peple wh might get diabetes in Swindn. This helps us t plan fr medical

More information

To remind workers that contact with poison oak can cause skin irritations. To educate workers about how to recognize poison oak.

To remind workers that contact with poison oak can cause skin irritations. To educate workers about how to recognize poison oak. Safety Training Tpic Purpse f Meeting T remind wrkers that cntact with pisn ak can cause skin irritatins. T educate wrkers abut hw t recgnize pisn ak. T cnsider ways t prtect yurself frm skin irritatins

More information

Code of employment practice on infant feeding

Code of employment practice on infant feeding Cde f emplyment practice n infant feeding An Emplyer s guide t: Sectin 69Y f the Emplyment Relatins Act 2000 Frewrd As Minister f Labur, I am pleased t publish the Cde f Emplyment Practice n Infant Feeding.

More information

Nutrition Care Process Model Tutorials. Nutrition Monitoring & Evaluation: Overview & Definition. By the end of this module, the participant will:

Nutrition Care Process Model Tutorials. Nutrition Monitoring & Evaluation: Overview & Definition. By the end of this module, the participant will: Nutritin Care Prcess Mdel Tutrials Nutritin Care Prcess and Terminlgy Cmmittee Academy f Nutritin and Dietetics Nutritin Care Prcess Terminlgy 2015 Editin Nutritin Mnitring & Evaluatin: Overview & Definitin

More information

SECTION O. MEDICATIONS

SECTION O. MEDICATIONS SECTION O. MEDICATIONS 1. NUMBER OF MEDICA TIONS (Recrd the number f different medicatins used in the last 7 days; enter "0" if nne used) O1. Number f Medicatins (7-day lk back) Intent: Prcess: Cding:

More information

Test 3 Study Guide: Photosynthesis, Respiration, and the Cell Membrane

Test 3 Study Guide: Photosynthesis, Respiration, and the Cell Membrane Name Blck Date Test 3 Study Guide: Phtsynthesis, Respiratin, and the Cell Membrane Test Dates: December 13 (1 st and 7 th blck) and 12 (6 th blck) SOL: BIO.2d, 3d-e Related Ntes Phtsynthesis Respiratin

More information

This clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data.

This clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data. abcd Clinical Study Synpsis fr Public Disclsure This clinical study synpsis is prvided in line with Behringer Ingelheim s Plicy n Transparency and Publicatin f Clinical Study Data. The synpsis which is

More information

Natural Products Association Standard and Certification for Natural Home Care Products

Natural Products Association Standard and Certification for Natural Home Care Products Natural Prducts Assciatin Standard and Certificatin fr Natural Hme Care Prducts In rder t prtect the cnsumer and best equip the cnsumer and t maximize the cnsumer s wellbeing, we have develped Natural

More information

ARLA FOOD FOR HEALTH 4 th ANNUAL CALL FOR EXPRESSIONS OF INTEREST

ARLA FOOD FOR HEALTH 4 th ANNUAL CALL FOR EXPRESSIONS OF INTEREST ARLA FOOD FOR HEALTH 4 th ANNUAL CALL FOR EXPRESSIONS OF INTEREST 7 th July 2017 Cntent 1 Intrductin 2 Tpics fr EOI in the 4 th call 3 The applicatin prcess and imprtant dates 4 Guideline fr EOIs Deadline

More information

Record of Revisions to Patient Tracking Spreadsheet Template

Record of Revisions to Patient Tracking Spreadsheet Template Recrd f Revisins t Patient Tracking Spreadsheet Template Belw is a recrd f revisins made by the AIMS Center t the Patient Tracking Spreadsheet Template. The purpse f this dcument is t infrm spreadsheet

More information

Pennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain

Pennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain Pennsylvania Guidelines n the Use f Opiids t Treat Chrnic Nncancer Pain Chrnic pain is a majr health prblem in the United States, ccurring with a pintprevalence f abut ne-third f the US ppulatin.(1) Mre

More information

Widening of funding restrictions for rituximab and eltrombopag

Widening of funding restrictions for rituximab and eltrombopag 20 February 2014 Widening f funding restrictins fr rituximab and eltrmbpag PHARMAC is pleased t annunce the apprval f prpsals t widen the restrictin n rituximab use in DHB hspitals and expand the funding

More information

Interpretation. Historical enquiry religious diversity

Interpretation. Historical enquiry religious diversity Name: Year 8 Histry Prject 3: D The Cmmnwealth Games Still Matter In The 21 st Century? Mdule: Date Set: Deadline: Descriptin f the task: The prject is split int three separate parts: The prject is split

More information

Rate Lock Policy. Contents

Rate Lock Policy. Contents Rate Lck Plicy Cntents Rate Lcks... 2 Rate Lck Cnfirmatin... 2 Lck Term... 2 Pre-Lck... 2 Maximum Qualified Rate... 3 Extensins... 3 Cst t Extend... 3 Relcks... 4 Re-Negtiatin r Flat Dwn Plicy... 4 Prgram

More information

SCALES NW HEARING PROTECTION PROGRAM

SCALES NW HEARING PROTECTION PROGRAM PURPOSE Expsure t excessive nise in the wrkplace can cause permanent hearing lss. The Hearing Prtectin Prgram has been established t help ensure that emplyees f Scales NW, Inc. d nt suffer health effects

More information

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Louisiana Healthcare Connections Providers

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Louisiana Healthcare Connections Providers Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQs) Fr Luisiana Healthcare Cnnectins Prviders Questin GENERAL Why did Luisiana Healthcare Cnnectins implement a Medical Prgram? Answer

More information

Commissioning Policy: South Warwickshire CCG (SWCCG)

Commissioning Policy: South Warwickshire CCG (SWCCG) Cmmissining Plicy: Suth Warwickshire CCG (SWCCG) Treatment Indicatin Criteria FreeStyle Libre Flash Cntinuus Glucse Mnitring System Type I Diabetes Prir apprval must be requested frm the Individual Funding

More information

HSC 106 Personal Health Plan for Learning Activities & Assessment linked to Michigan Teacher Preparation Standards

HSC 106 Personal Health Plan for Learning Activities & Assessment linked to Michigan Teacher Preparation Standards HSC 106 Persnal Health Plan fr Learning Activities & Assessment linked t Michigan Teacher Preparatin Standards Standard 1 Cmpetency 1.1 Understand basic health cntent as it relates t schl health educatin.

More information

Amended Safety Assessment of Alkyl Esters as Used in Cosmetics

Amended Safety Assessment of Alkyl Esters as Used in Cosmetics Amended Safety Assessment of Alkyl Esters as Used in Cosmetics Status: Final Amended Report Release Date: April 12, 2013 Panel Meeting Date: March 18-, 2013 The 2013 Cosmetic Ingredient Review Expert Panel

More information

Improving Surveillance and Monitoring of Self-harm in Irish Prisons

Improving Surveillance and Monitoring of Self-harm in Irish Prisons HSE Mental Health Divisin Stewart s Hspital, Palmerstwn, Dublin 20 Tel: 01 6201670 Email: inf@nsp.ie www.nsp.ie Imprving Surveillance and Mnitring f Self-harm in Irish Prisns Prject Scpe Dcument 8 th June

More information

Part 5. Trienoic Fatty Acids

Part 5. Trienoic Fatty Acids MASS SPECTRA OF METHYL ESTERS OF FATTY ACIDS Part 5. Trienic Fatty Acids As cautined in the Intrductin t these dcuments, the mass spectra f methyl esters btained under electrn-impact inizatin affrd limited

More information

Podcast Transcript Title: Common Miscoding of LARC Services Impacting Revenue Speaker Name: Ann Finn Duration: 00:16:10

Podcast Transcript Title: Common Miscoding of LARC Services Impacting Revenue Speaker Name: Ann Finn Duration: 00:16:10 Pdcast Transcript Title: Cmmn Miscding f LARC Services Impacting Revenue Speaker Name: Ann Finn Duratin: 00:16:10 NCTCFP: Welcme t this pdcast spnsred by the Natinal Clinical Training Center fr Family

More information

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Managed Health Services (MHS)

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Managed Health Services (MHS) Questin GENERAL Why did MHS implement a Medical Specialty Slutins Prgram? Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQs) Fr Managed Health Services (MHS) Answer Effective Nvember

More information

2017 PEPFAR Data and Systems Applied Learning Summit Day 2: MER Analytics/Available Visualizations, Clinical Cascade Breakout Session TB/HIV EXERCISE

2017 PEPFAR Data and Systems Applied Learning Summit Day 2: MER Analytics/Available Visualizations, Clinical Cascade Breakout Session TB/HIV EXERCISE 2017 PEPFAR Data and Systems Applied Learning Summit Day 2: MER Analytics/Available Visualizatins, Clinical Cascade Breakut Sessin TB/HIV EXERCISE Created by the ICPI TB/HIV Wrkstream Abut this Handut

More information

Part 3. Monoenoic Fatty Acids

Part 3. Monoenoic Fatty Acids MASS SPECTRA OF METHYL ESTERS OF FATTY ACIDS Part 3. Mnenic Fatty Acids As cautined in the Intrductin t these dcuments, the mass spectra f methyl esters btained with electrn-impact inizatin ften affrd

More information

MASS SPECTRA OF DERIVATIVES OF ALICYCLIC FATTY ACIDS WITH 5- AND 6-MEMBERED RINGS

MASS SPECTRA OF DERIVATIVES OF ALICYCLIC FATTY ACIDS WITH 5- AND 6-MEMBERED RINGS MASS SPECTRA OF DERIVATIVES OF ALICYCLIC FATTY ACIDS WITH 5- AD 6-MEMBERED RIGS The dcument des nt aim t be a cmplete accunt f mass spectrmetry f all cyclic fatty acids, but rather is a persnal accunt

More information

Fact Sheet: What Can Be Done Now

Fact Sheet: What Can Be Done Now Breast Cancer and the Envirnment Fact Sheet: What Can Be Dne Nw General Facts Accumulating evidence suggests that interactins between genetic and envirnmental factrs may play a part in wh gets breast cancer

More information

Generic Immunosuppressants in the Specialist Area of Transplantation Consensus on Implications and Practical Recommendations

Generic Immunosuppressants in the Specialist Area of Transplantation Consensus on Implications and Practical Recommendations Dear Clleague Generic Immunsuppressants in the Specialist Area f Transplantatin Cnsensus n Implicatins and Practical Recmmendatins Executive Summary Slid-rgan transplants are the best pssible treatment

More information

US Public Health Service Clinical Practice Guidelines for PrEP

US Public Health Service Clinical Practice Guidelines for PrEP Webcast 1.3 US Public Health Service Clinical Practice Guidelines fr PrEP P R E S ENTED BY: M A R K T H R U N, M D A S S O C I AT E P R O F E S S O R, U N I V E R S I T Y O F C O L O R A D O, D I V I S

More information

2017 Optum, Inc. All rights reserved BH1124_112017

2017 Optum, Inc. All rights reserved BH1124_112017 1) What are the benefits t clients f encuraging the use f MAT? Withut MAT, 90% f individuals with Opiid Use Disrder (OUD) will relapse within ne year. With MAT, the relapse rate fr thse with OUD decreases

More information

Name: Anchana Ganesh Age: 21 years Home Town: Chennai, Tamil Nadu Degree: B.Com. Profilometer Score. Profilometer Graph

Name: Anchana Ganesh Age: 21 years Home Town: Chennai, Tamil Nadu Degree: B.Com. Profilometer Score. Profilometer Graph Ms. Archana Ganesh Candidate Analyzed n: August 7 th, 2012 Candidate Infrmatin: Name: Anchana Ganesh Age: 21 years Hme Twn: Chennai, Tamil Nadu Degree: B.Cm Abut Prfilmeter Prfilmeter is a Psychmetric

More information

Social Learning Theories

Social Learning Theories Scial Learning Theries - Careful scientific prcedures and methdlgy that characterize the behaviurist apprach Albert Bandura - Brn in small twn Alberta - Plish decent - Only sn with 5 sisters - Interested

More information

Monensin and Extruded Urea-Grain for Range Beef Cows

Monensin and Extruded Urea-Grain for Range Beef Cows Mnensin and Extruded Urea-Grain fr Range Beef Cws R. P. Lemenager, F. N. Owens, w. E. Sharp, Merwin Cmptn and Rbert Ttusek Stry in Brief Tw trials were cnducted t evaluate the supplemental value f mnensin

More information

23/11/2015. Introduction & Aims. Methods. Methods. Survey response. Patient Survey (baseline)

23/11/2015. Introduction & Aims. Methods. Methods. Survey response. Patient Survey (baseline) Intrductin & Aims Drug and Alchl Cnsultatin Liaisn (AOD CL) services aim t imprve identificatin and treatment f patients with AOD mrbidity. The csts and cnsequences f targeting AOD patients presenting

More information

AUTHORISED BY: CEO. Introduction. Whistle Blowing

AUTHORISED BY: CEO. Introduction. Whistle Blowing GUIDELINE NAME: Field Cmplaints Disclsure Guidelines SECTION : Refer t Excel Guidelines list Dcument N: DISTRIBUTION: All Emplyees FIRST ISSUED: April 2013 DATE UPDATED: Dec 2014 ISSUED/UPDATED BY: Peple

More information

ACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals.

ACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals. 27 March 2014 Prfessr Debra Picne Chief Executive Officer Australian Cmmissin n Safety and Quality in Health Care c/ Ms Jennifer Hill, Senir Prject Officer Level 5, 255 Elizabeth Street SYDNEY NSW 2000

More information