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In addition to Tcr blood pressure wrist band order vasodilan 20mg without a prescription, there are 3 or more distorter loci that combine additively to cause Tcr to drive (Lyon 1991). Curiously, for at least 1 of the distorter loci, a chromosomal dele26 Autosomal Killers tion behaves like the t allele, suggesting that the latter is itself a knockout (Lyon 1992, Lyon et al. If so, this rules out perhaps the most obvious possible mechanism for drive, in which the drivers produce some toxin that is distributed to all sperm and the Tcr allele produces some antidote that remains associated with the sperm carrying it. Perhaps instead the distorter loci are members of a multigene family making partially or fully redundant products, of which the amounts produced are critical. Knockouts of these genes progressively impair sperm function, but Tcr rescues the knockouts in a haploid-specific manner, perhaps by making something similar itself. That is, the t complex may be failing to make an important protein at a time or in a form that is shared among meiotic products, but it makes a private supply only for itself. However, this "stash" is not sufficient by itself-perhaps it comes too late-and hence t homozygotes are sterile. Too much of the product is also harmful-hence the drag of Tcr in a wildtype background. There are hints that the degree of dysfunction depends on features of the female reproductive tract. For example, fertilization in vitro results in a normal transmission ratio (McGrath and Hillman 1980). Moreover, if copulation is experimentally delayed to occur just prior to ovulation (rather then being allowed to occur, as is normal, about 6 hours prior), then the rate of drive decreases substantially (Braden 1958). The sabotage must occur during spermiogenesis, as sperm from wildtype males is fully functional when mixed with sperm from t-heterozygous males prior to artificial insemination (OldsClarke and Peitz 1986). Importance of Mating System and Gamete Competition the strategy adopted by the t is one of spite: getting ahead by killing the competition. This in turn depends on the lifecycle and mating system of the host species (Hartl 1972). For example, in a completely monogamous rodent, the only sperm competition is between the sperm of a single male, and, in the ideal situation, any eggs not fertilized by wildtype sperm will be fertilized by killer sperm from that same male. In such a case, there is complete compensation for the killed sperm, the heterozygous male suffers no loss in fertility, all the benefits of killing accrue to the killers, and the strength of selection for the killer is maximized. But house mice are not completely monogamous: in a survey of 179 pregnant females from wild populations, 10 wildtype females were found to have mated with a t-heterozygous male; and of these, 3 had also mated with another male (Ardlie and Silver 1996). Though the numbers are small, they suggest multiple paternity is not a rare occurrence (30%). Thus, some of the benefits of killing wildtype sperm are shared with sperm from a different male that do not carry t (and this sharing is even greater if the t-bearing sperm show any damage from the action of their distorters). The return benefits of killing are presumably even less for pollen killers, and lower still for spore killers, because spores from a single fungus are not usually in competition to fertilize. Fate of Resistant Alleles the degree to which the benefits of reduced competition accrue only to killer alleles is also important for the fate of resistant alleles that neither kill nor are killed. Even if they do not preexist when the killer first arises, we would expect resistant alleles to arise in all killer systems as degenerate forms of the killer that have one of the phenotypes but have lost the other. If the host organism compensates completely for the lost gametes and all the benefits of killing accrue to the killer itself, then resistant alleles would be selectively neutral and, if rare, could be lost by drift. But if the benefits of killing were shared more widely, resistant alleles would also benefit and would increase in frequency along with the killer. If the sensitive allele eventually disappears, killing would no longer be observed, and there would be a cryptic polymorphism of killer and resistant alleles. If the killer allele has additional costs for the host (for example, reducing fertility when homozygous), a resistant allele that is otherwise normal would increase in frequency and go to fixation, driving the killer to extinction. As noted earlier, alleles resistant to the t complex that have arisen in the lab by recombination. Whatever the mechanistic basis for this, it presumably explains the low frequency of resistant alleles in natural populations and thus has probably contributed to the long-term persistence of the t complex in mouse populations.

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Where reference is made to "association patent claims blood pressure medication with the least side effects vasodilan 20 mg with amex," the Committee means patent claims upon the act of simply associating a genotype with a phenotype. Composition of matter/manufacture claims to isolated nucleic acid molecules that correspond to naturally occurring genes are commonly referred to as "gene patents," although this phrase, in some forms, can include patent claims upon the act of simply associating a genotype with a phenotype. For that reason, this report generally avoids the phrase "gene patents" in order to avoid confusion. It is generally difficult if not impossible to "invent around" patent claims on genes and associations. Inventing around a technology involves making an invention that accomplishes the same thing as the original patented invention but that does not infringe the patented invention. To invent around patent claims on a gene associated with a particular disease and fragments of that gene to create a genetic test for that disease, one might use probe or primer molecules corresponding to a second gene that is also associated with the disease, but unpatented. In this way, one would in theory have avoided using the patented molecules and still accomplished the end of the first invention-testing for the disease. However, such a strategy of utilizing only freely accessible genes in a diagnostic test without the ability to use the patent-protected gene would, by definition, result in an incomplete and clinically unacceptable test since all of those individuals with the disease who have a mutation in the patented gene would go undetected and undiagnosed. For a diagnostic test to be useful, it must encompass all (or at least most) of those particular genes associated with a disorder. A test that fails to assay even one gene that can cause a given disease is, by definition, an incomplete clinical test. Moreover, given the number of existing patents protecting genes, in some cases an unpatented substitute may not be available. In other cases, a particular gene or genetic marker that is patent-protected may well be the only unique sequence related to the underlying condition, eliminating completely the possibility to invent around it. As discussed later in this report, it is also not possible to invent around patents on genes and associations by testing for unpatented genetic markers that are in linkage disequilibrium with the patented molecules. Finally, because association patent claims often claim a method of associating a particular genetic marker with a phenotype, in the absence of a substitute marker it is impossible to invent around an association patent claim. A recent study confirms that a substantial number of patents relating to genetic testing will be difficult to invent around. On the other hand, 30 percent of claims to methods of detecting particular sequences (38 percent of the 267 patent claims) were impossible to circumvent, and a total of 77 percent of these method claims were either difficult or impossible to circumvent. Subtracting, from 100, the total percentage of patents that were either easy to circumvent or blocking indicates that, when the authors say that "nearly half" of the patents were difficult to circumvent, the exact percentage of difficult-to-circumvent patents was 49 percent. Rather, it grants the patent holder the right to exclude others from making, using, selling, offering for sale, or importing the invention, for a term of 20 years from the date of filing of a patent application. All patent licenses by their nature constitute an agreement that the patent holder will not exclude the licensee from practicing the claimed invention. Some patent licenses include terms requiring the licensee to practice the invention. The licensee typically has the right, although usually not the obligation, to enforce the patent rights and the right to sublicense the patent rights to others. For example, a license could be "exclusive in New Jersey," "exclusive in ophthalmology," "exclusive when the analyte is a nucleic acid," "exclusive when the analyte is a protein," "exclusive for vaccines," or "exclusive for multiplex tests that analyze 20 or more loci at once. Typically, within the field, the licensee may further sublicense the patent rights. In general, the narrower the scope of the field, the more likely the patent owner is to retain control of enforcement. Exclusive-by-field-of-use licenses can also contain a requirement to use or develop the invention within the field or risk losing exclusivity or the entire license. A co-exclusive license restricts the number of additional licenses the patent owner can grant. Unless this license is also restricted by field, the starting assumption is that the license is for all fields. The patent holder can agree to grant no more than one, or two, or any specified finite number of additional licenses. Generally, the licensee would have sublicensing rights, but probably not the right to enforce without coordination with the patent owner. These licenses also generally contain a requirement to use or develop the invention or risk losing license rights.

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Kava appeared to be a promising treatment for anxiety blood pressure for stroke cheap vasodilan 20mg with mastercard, but reports of serious liver damage - even with shortterm use - caused the Food and Drug Administration to issue warnings about the use of dietary supplements containing kava. In many commercial products, passion flower is combined with other herbs, making it difficult to distinguish the unique qualities of each herb. Passion flower is generally considered safe when taken as directed, but some studies found it can cause drowsiness, dizziness and confusion. Limited data shows that short-term use of chamomile is generally considered safe and can be effective in reducing symptoms of anxiety. But chamomile can increase the risk of bleeding when used with blood-thinning drugs. Use of chamomile can cause allergic reactions in some people who are sensitive to the family of plants that includes chamomile. Some evidence suggests that oral lavender or aromatherapy with lavender can reduce anxiety; however, evidence is preliminary and limited. It can also increase appetite, increase the sedative effect of other medications and supplements, and cause low blood pressure. Preliminary research shows lemon balm can reduce some symptoms of anxiety, such as nervousness and excitability. Lemon balm is generally well-tolerated and considered safe the Explorer cast off with no particular place to go and plenty of time to get there. Iraneta, of Nokomis, was on board alone because her husband, Marshall, had opted for a fishing boat. The Breiningers spend four months living on the Explorer at Burnt Store Marina and the rest of the year at their place in South Carolina. However, regulations passed under the Obama administration to go into effect this quarter will not be implemented by the Trump administration, they said. Your doctor can quality of some suphelp you understand plements may still be possible risks and an issue. Moretalk to your doctor serious forms of anxiety first, especially if you generally need medical take other medicatreatment or psychologtions. The interaction ical counseling (psychoof some herbal suptherapy) for symptoms plements and certain to improve. Organic certification also covers natural fibers like cotton and wool, but definitions can get blurry once fibers become textiles, said Marci Zaroff, founder and chief executive officer of MetaWear, an organic textiles manufacturer who is on the board of directors of the Organic Trade Association. For textiles like apparel, bedsheets and mattresses, look for the the strategy did not pay immediate dividends. And then, there he was, a swimmer in the wake, getting his photos taken by an excited Ortiz. As the boat returned to the marina, two more dolphins appeared in shallow water and looked up at the passengers. That includes avoiding toxic pesticides and processing chemicals and ensures fair working conditions. Campbell, 51, who suffers from posttraumatic stress disorder, was among five Veterans Village residents who were entertained by the clubs. Those terms may conjure up images of small Norman Rockwell-esque farms, but again, Goldstein and Karr say that only organic products have specific guidelines about animal welfare and access to outside. Organic certification is an expensive and long process for farmers, and those costs are passed on to consumers, which is why organic commands a premium price. A 112-bed, skilled nursBayfront Health ing facility, HealthPark Medical Group welcomes Care & Rehabilitation the addition of Hernбn Center combines leadingFuentes, M. He is seeing patients need to reach patients in a new office their maximum potential. Fuentes specializes goal of enabling those in in prenatal care, labor and their care to return home delivery, high-risk pregor to their prior living nancies, and comprehenarrangement. He Rehabilitation Center offers laparoscopic, minimally invasive, traditional, offers all the services of a skilled nursing and robotic-assisted surgical options - as well facility, including a full range of rehabilitative as conservative non-surand sub-acute services. Fuentes to our medical staff and Sarasota Memorial Bayfront Health Medical Hospital offers comGroup. With his arrival, we are able to open an addi- prehensive childbirth tional location in Arcadia education classes at its North Port Health Care so that the residents of Desoto County now have Center facility located at 2345 Bobcat Village local, convenient access Center Road, 2nd Floor to the specialty services Conference Room in of obstetrics and gynecology," says Tim Cerullo, North Port.

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  • Fussing
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  • Mixed incontinence -- involves more than one type of urinary incontinence.
  • G6PD deficiency
  • Bluish color to the lips and face
  • Hay fever (allergic rhinitis) and asthma symptoms that are not well controlled with medicine
  • Excessive alcohol intake
  • Blood in the stool
  • When did you first notice this?

Trisomy 3 mosaicism

These possibilities should always be considered when evaluating a patient complaining of constipation blood pressure medication used for sleep vasodilan 20mg. What information (signs, symptoms, lab values) indicates the presence of ascites in this patient? What are the goals of pharmacotherapy for managing ascites and related complications of cirrhosis? Outline a suitable pharmaceutical care plan for the acute management of this patient. Outline a suitable pharmacologic care plan for the chronic management of this patient. If the initial therapy fails or is intolerable for the patient, what pharmacologic alternatives should be considered? Recommend appropriate pharmacologic therapy for controlling bleeding esophageal varices and adjunctive therapy in the setting of acute variceal bleed. Provide appropriate education for patients receiving therapy for portal hypertension. On discharge from the hospital, what information should be provided to the patient to enhance compliance, ensure successful treatment, and minimize or prevent adverse effects? What other diseases should the patient be tested for that could impact her liver function? What vaccinations should she receive upon discharge, assuming that she has not had any vaccinations for over 20 years? He was in his usual state of health until approximately 4 months ago, when he had one episode of vomiting a large volume of blood followed by a second episode 1 month later. Subsequently, he did fine until approximately 3­4 weeks ago, when he had several more similar episodes. He still did not seek treatment but states that he stopped drinking and smoking at that time. Today, he reports having two more episodes of vomiting blood, which prompted his coming to the hospital. Identify which pain medications may be used safely in patients with cirrhosis and ascites. This complication requires the patient to undergo frequent large-volume paracenteses (one to two times per month) and indicates a poor prognosis. Current management of the complications of portal hypertension: variceal bleeding and ascites. Current management of cirrhosis and portal hypertension: variceal hemorrhage, ascites, and spontaneous bacterial peritonitis. What information supports the diagnosis of bleeding esophageal varices, and what indicates the relative severity of disease? How might the pharmacotherapeutic plan change if the etiology of the bleed is yet to be determined? Laboratory values show severe anemia, hypoalbuminemia, increased serum aminotransferases, and coagulopathy. History of significant alcohol consumption suggests that the patient likely has varices secondary to alcoholic liver disease. What clinical and laboratory parameters should be followed to evaluate the therapeutic interventions and to minimize the risk of adverse effects? However, once the source of bleeding is determined to be variceal, the continuous infusion should be stopped because there are no data to support its use in this setting. Describe the benefits of antibiotic therapy for preventing infections in the setting of acute variceal bleeding. Describe the role of primary prophylaxis in patients presenting with a diagnosis of esophageal varices. Two days ago, she noticed that her husband, who is typically very sharp about his illnesses, was now confused and continually asking where his dress was for the party. Sustained rise of portal pressure after sclerotherapy, but not band ligation, in acute variceal bleeding in cirrhosis. Pantoprazole reduces the size of post-banding ulcers after variceal band ligation: a randomized controlled trial. Recommend appropriate nonpharmacologic and pharmacologic intervention for a cirrhotic patient who develops hepatic encephalopathy.

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About the Security Industries Authority Staff

The Security Industies Authority is headed by a Registrar as the CEO and has thirteen (13) other staff members from all four (4) regions of the country working under him. These includes the Manager Finance and Administration, Manager Licensing and Compliance and four (4) Regional inspectors(MOMASE, Islands, Highland and Southern).

The Inspectors job are very challenging because they are at the front line of enforcement to ensure that private security companies are compliant with the provisions of the Security Protection Act to operate a security company. Most of them are former officers of the Royal PNG Constabulary. Apart from them we also have a efficient staff made up of the Executive Secretary, Accounts Officer, HR Officer , I.T Officer & an Office Janitor in Head Office Port Moresby while Admin Assistance/ Driver and an Office Admin/ Reception in Lae Momase & Highlands Region branch office.

Staff Profiles


Mr. Paul Kingston Isari

Registrar & CEO of PNG Security Industries Authority


Mr. Philip Gene, BAC, CPA PNG

Manager Finance & Administration


Mr. Spencer Gelo

Manager Licencing & Compliance

POM Office Staff

Front left – right Ms Margaret Biskum- Security Inspector New Guinea Islands, Ms Alicia Nana – Executive Secretary & Mrs Mackey Kembi Office Janitor

Back left – right Mr. Rinson Ngale – Security Inspector NCD/Southern Region, Mr. Emmanuel Tumbe HR Officer, Mr. Elijah Fave – Accounts Officer, Mr. Andrew Kaiap – I.T Officer


Lae Office Staff

Front left – right Ms Nelison Roberts – Office Secretary / Reception , Mr. Elvis Otare – Office Admin Assistance / Driver & Acting Momase Region Inspector

Back left – right Vacant – Office Manager & Security Inspector Momase Region, Mr. Pius Moi – Acting Office Manager Security Inspector Highlands Region

Security Industries Authority organizational chart


Vacancies for Council Representatives from the Security
Industry to sit in the Council

The Security Industries Authority currently does not have any vacant Council Representative position. There in total six (6) nominated representative from Security Industries in the council.(see SIA Council)

Qualified candidates will be made known here if there is a vacant in Council Representative positions.

Security Industries Authority Position Vacancies

SIA Currently has no vacancy positions available. Public will be notified for any positions available in the future.

Criteria for appointment to the Security Industries Council

  1. The candidates must have a sound knowledge in the operations of private security companies and are quite versed with the Security Protection Act 2004.
  2. The candidates shall not be currently employed in any licensed security companies that are currently registered with the Security Industries Authority or were not previously employed by any licensed security companies.
  3. The candidates shall not be a current owner or a shareholder of a licensed security company currently registered with the Security Industries Authority and the IPA (Investment promotion Authority).
  4. The candidates shall not be a previous owner or a shareholder of a licensed security company registered with the Security Industries Authority or with the IPA. (Investment promotion Authority).
  5. Interested persons may submit their application with a CV with three (3) references named and attached with their latest passport size photos.
  6. Both male and females are encouraged to participate.
  7. Only registered security companies and permitted security guards will participate in the nominations.
  8. All candidates shall be subjected to a fit and proper persons test before they are formally appointed for 3 years term by the Minister for Police & Internal Security.

For enquiries on this matter

Visit us at the Top floor of the Former Fraud Squad blue building, Gorobe Street, Badili, 2 Mile, Port Moresby NCD or Lae at Post Office Building, second street, top floor, suite # 14, Lae Morobe Province or write to the Chairman Security Industries Council PO BOX 80 Port Moresby National capital District. You can also contact Manager Licensing & Compliance – Mr. Spencer Gelo on telephone 3239851 / 3257930, or email executivesecretary@sia.gov.pg

Invitation to the Stake Holders and the Industry to make a submission on the amendments to current security Protection Act

The Registrar now invites all the registered security companies, service receivers and interested stake holders for their written submission to amend the current Security Protection Act to cover many grey areas of the law.

The submissions should clearly state what provisions of the current Security Protection Act 2004 and the Security Protection regulation 2012 are to be amended to enhance the growth of the industry. This is necessary in light of numerous complaints from the security companies and interested stake holders of the short falls in the current Act which is said to be hindering the growth of the industry.

All submissions must be dropped at The Authority Head Office: Former Fraud Squad Office, Top Floor, Gorobe Street, 2 Mile Drive, Badili,Boroko NCD in Port Moresby. They can also be posted or emailed using the address on the last page. Copies of the current Security Protection Act 2004 can be obtained at the Security Industries Authority office for K35 to use as a guide to prepare the submissions.

Appointment to the Board of Complaints

The Security Industries Authority in compliance with section 57 of the Security Protection Act 2004 has already advertised in the media in early February 2013 seeking for two (2) interested persons to sit on the Board of Complaints.

The purposes of the Board of Complaints is to hear allegations made against licensed security companies by the general public and to award appropriate disciplinary penalties to protect the integrity of the security industry. Several applications have already been received and the short listed candidates will be advised in writing by the chairman shortly before a final selection is made for their three (3) yeas appointments by the Minister for Police and Internal Security.