Figure 1 lists different stimulant medications. Each of them works basically the same way. Compared to placebos, each has the same effectiveness for attention and roughly the same incidence of side effects. However, Canada has recently taken Addderall XR off the shelf due to cardiac deaths. Our FDA is investigating but has stated that doctors should continue to prescribe Addrall XR as they have been. This not withstanding, for any given individual, one of the stimulants may work better than another or may have fewer or less intense side effects as compared to another. Thus, if one is not working well, it makes sense to try switching to a different stimulant medication, or from one stimulant class to another, before changing to a whole new type of medication.
1. On may 25, 1997 18 year old Jeremy Strohmeyer raped and murdered a 7 year old African American girl in Las Vegas, Nevada. Strohmeyer had been diagnosed with ADD and prescribed Dexedrine, a Ritalin-like drug, immediately prior to the killing. 2. On Dec 1, 1997, Michael Carneal, a 14 year old, opened fire on students at a high school prayer meeting in West Paducah, Kentucky. Three teenagers were killed, five others were wounded, one of whom was paralyzed. Carneal was reportedly on Ritalin. 3. Then in February 1998, a young man in Huntsville, Alabama on Ritalin went psychotic chopping us his parents with an axe and also killing one sibling and almost murdering another. 4. On March 24, 1998 in Jonesboro, Arkansas, 11 year old Andrew Golden and 14 year old Mitchell Johnson shot 15 people, killing four students, one teacher, and wounding 10 others. According to one report, the boys were believed to be on Ritalin. 5. Two months later another grisly school massacre occurred. On May 21, 1998, 15 year old Kip Kinkel of Springfield, Oregon murdered his parents and proceeded to his high school where he went on a rampage killing two students and wounding 22 others. Kinkel has been prescribed both Prozac and Ritalin. 6. On April 16, 1999, 15 year old Shawn Cooper of Notus, Idaho took a 12 gauge shot gun to school and started firing, injuring one student and holding the school hostage for about 20 minutes. Terrified students ran for their lives, some barricading themselves in classrooms. Cooper has been taking Ritalin when he fired the shotgusn's rounds. 7. Fourteen year old Rod Mathews, who had been prescribed Ritalin since the third grade, beat a classmate to death with a bat. 8. According to national news reports in January 1999, ten days after Ryan Ehlis, a college student in Bismark, North Dakota, began taking Adderalp to control his attention deficit disorder and help him with his college studies, he slipped into a psychotic fog and killed his infant daugther. He said God told him to do it. The courts found him innocent after testimony by a psychiatrist and by the manufacturer of the drug that the "psychotic state" was a very rare side effect of Adderal use.
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Fresh off the Bench Some horses run well after an extended period of rest, and some trainers excel with this move, too, getting a horse ready to run one big effort after resting for an extended period of time. If a horse is running off of an extended rest also known as a "layoff, " this is indicated in the DRF PPs by a thin line after his prior race or two thin lines if he's been resting for more than a year ; , this angle should be considered. Two ways to look for this angle: Take a look back at a horse's previous efforts running off of a layoff. Did he win or run better than he did in races when he had less rest? If so, then consider betting on him today. Take a look at the trainer angle section at the bottom of the PP. Does this trainer excel a win percentage of 15 percent or more ; with horses running off of layoffs? If that's the case, you may want to play this horse today. Beyer Beware Beyer Speed Figures are the gold standard in the industry. They are arguably the most reliable speed figures out there. To learn more about how to use them, see pages 4-5. But here's one quick tip. If a horse ever has a Triple Beyer Advantage, it makes good sense to take that horse seriously. A Triple Beyer Advantage is when a horse's last three Beyer Speed Figures are better than the last three Beyer Speed figures of anyone else in the race. This numerical superiority won't usually lead you to too many longshots, but it's a reliable indicator of horses who should tower over their competition. Although Beyer figures are a highly accurate measure of how fast a horse ran in past starts, it is important to remember that because of race conditions, level of competition and a variety of other factors, they're not a guarantee of how fast that horse will run today. However, one of the surest angles with Beyer Figures is using them to eliminate horses that are simply too slow to win. In a race with established form, if the contenders all regularly earn Beyers in the 70s, a horse who has never cracked 40 can be safely eliminated because he is simply too slow to win. Often, in such races with well-established form, you will be able to eliminate much of the field, boiling the race down to the few true contenders.
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One of the principal recommendations is to cut down sharply on high-glycemicload carbohydrates. Beyond this, the proportion of carbohydrates in the diet depends on your health condition. Our "low-carbohydrate group" consists of five subgroups of people that should cut down their carbohydrate consumption to no more than one sixth of their calories and virtually eliminate high-glycemic-load carbohydrates. As an example, the maintenance calorie level for someone weighing 150 pounds who is moderately active is 2, 250 calories. This would translate into a carbohydrate limit of 94 grams per day. The five subgroups of people are, for instance, adderall 10mg.
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DR. DAVID HELMS: Let me remind you about Gail, certainly well-known to this audience. She's the John M. Olin Senior Fellow at Project HOPE. She, of course, has been our leading health policy analyst in issues of health reform and changes in the medical marketplace. She now co-chairs the President's Task Force to improve healthcare delivery for our nation's veterans, which cover both veterans and the military retirees. We know that she chaired the Medicare Payment Advisory Commission, and also the Physician Payment Advisory Commission. She also served as Deputy Assistant to the first President Bush, and was also the Administrator of what we then affectionately knew as HCFA. Gail? DR. GAIL WILENSKY: David, thank you. It's a pleasure to be here this morning. I have two jobs to do. One is spend a very few minutes talking about the issues of healthcare and the economy and the future. And the second and, more importantly, to introduce our two very distinguished panelists, Bruce Bradley and Dan Crippen. I'm going to take just a few minutes to review with you where we are now. The alternative definition of looking at 2002 might be called "1991 Revisited." That is, for many of us, there is a certain familiarity at looking around with what we are seeing. We have just gone through a decade where we have had remarkably stable expenditures on healthcare as a share of GNP. Now, we had two things going for us during this last decade: one is a very vibrant, growing economy, and it's a lot easier to have a stable share of GNP on healthcare when the denominator is growing at a healthy clip. But, we also had some real help from the numerator as well, that is, healthcare spending. Different sides helping at different points. When we look back at the first half of the 1990's, up until about 1996, maybe into 1997, we saw the effects of very aggressive actions in the private sector, rapidly declining growth in spending in the private sector in healthcare, producing a period around 1994 to 1996 where we ended up in a position that people of my generation, at least, thought we would never find ourselves, that is, healthcare spending in the private sector growing at a rate that was less than the overall economy, something quite astounding to have private sector healthcare spending growing at less than consumer price index. Now, it happened in part because of aggressive actions by people like Bruce Bradley's company and other corporations aggressively making use of extra capacity, being aggressive purchasers in healthcare, driving down prices, growth in managed care of various sorts, also spurred on by both and
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