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Cite as: Perras C. Sativex for the management of multiple sclerosis symptoms [Issues in emerging health technologies issue 72]. Ottawa: Canadian Coordinating Office for Health Technology Assessment; 2005. * CCOHTA takes sole responsibility for this bulletin and appreciates comments from its reviewers. Reviewers: Scott B. Patten MD PhD, University of Calgary, Calgary AB. Production of this report is made possible by a financial contribution from Health Canada's Health Care Strategies and Policy, federal, provincial and territorial partnership grant program. CCOHTA takes sole responsibility for the final form and content of this report. The statements, conclusions and views expressed herein do not necessarily represent the view of Health Canada or any provincial or territorial government. Diagnosing pancreatic cancer is often challenging. There is difficulty in diagnosing pancreatic cancer in the early stages due to symptoms that are vague, mimic other common ailments or are simply not present. If a patient has symptoms that suggest pancreatic cancer, a variety of tests may be performed to make an accurate diagnosis. Imaging studies are tests that provide visual information about the pancreas and surrounding tissues. These tests are very important in diagnosing and monitoring pancreatic cancer. Computed tomography CT ; also called Computerized Axial Tomography or CAT scan ; is a diagnostic procedure that uses special x-ray equipment to obtain cross-sectional, three-dimensional pictures of the body. A CT scanner rotates around the body and produces image "slices" of the body while the patient lies on the table. A computer then compiles the images to give a series of detailed cross-sectional pictures of the inside of the body. unlike an x-ray image, which shows only bone, CT images have the unique ability to show soft tissue, bone, and blood vessels. When the CT scan is used with an oral or intravenous contrast substance, it can show tumors of the pancreas and areas where the cancer may have spread. There are many applications for the CT scan as it is used in pancreatic cancer. The CT scan can be used to detect the presence of a tumor, provide information in the form of pictures about the size and location of a tumor, and determine whether the tumor has spread. This information can help plan for surgery or radiation. Additionally, CT scans can be used to guide biopsies and even to determine whether tumors are responding to treatment. There are two types of CT scans available. The conventional CT scan uses an x-ray beam directed at several different angles and levels in the abdomen. Very small, controlled amounts of x-ray radiation are passed through the body and the different tissues absorb the radiation at different rates. With a standard x-ray, an image of the inside of the body is captured when special film is exposed to the absorbed x-rays. With a CT scan, the film is replaced by an array of detectors that measure the x-ray profile. A computer processes the images into approximately 1 2-inch cross-sectional slices of the body. Often, a contrast dye may be administered orally or intravenously IV ; to help make the organs visible on the resulting images. The second type of CT test is known as a spiral, or helical, CT scan. In this imaging test, the x-ray beam remains on continuously, unlike the conventional CT scan. In spiral CT scans, the x-ray beam rotates around the patient as the patient lies on a slowly moving table. The spiral CT is more efficient and produces three-dimensional images that are more detailed than conventional CT images. CT scans are not painful, have very few associated risks and are considered non-invasive imaging studies. Patients undergoing CT scans will be exposed to a small amount of radiation. The amount of radiation exposure from a CT scan can be slightly higher than from a regular x-ray. In rare instances, some people experience an allergic reaction to the contrast dye used during a CT scan. Symptoms of a mild allergic reaction include itching and small bumps on the skin. A more serious allergic reaction may include shortness of breath and swelling of the throat or other parts of the body. The patient should notify the technician immediately if he she experiences any of these symptoms during or after the CT procedure. For more information about CT scans, contact a Patient and Liaison Services PALS ; Associate by phone at ; 22-22 or by email at pals pancan.

Proper storage of oxaprozin : store oxaprozin at 77 degrees f 25 degrees c. Morning ghOf&lj w&s faoalea 10 ttbsut 40 choral members, represesMLtfrei of tho press and other guests Tfciiri. day afternoon At her studio. A s * . ered dlih lunsheen was serve * ! US' dor the eupervtiion of Mrs. FhiHp B. Walton, entertainment ohalrmin of tho choral. Brief greeting! wars extended by Mies Shropshire, WUiard Sefctberg, efiera! oonduotori and Mrs. Theresa, ISedllntselc, president. Others attending were Mrs. w . w Armstrong, Mrs. John H. Balily, Jr. * M M . Harrison Banee, Mrs, J, 20. Ban. nott, Mrs, Watson L. Bennett, Mrs, Cooll O, Crawford, Mrs, J, H, BigenTile Tatternlim Mmionettefi In raueh, Mrs, Charles R, English, Mrs, Alton V, Evans, Mrs, Allan Frsst, -Jason and tfaa QaWcn Hceco will M n , Charles E. Gallagher, M n , Charles J, Oroenfleld, Mrs, Dorothy be , ppagented fey tho Tattotmnn Hoffman, Mrs, Clinton Kraus, Mrs, Marionettes Monday afternoon Ue William M, I barger, Mrs, ' It. W, eember Ht a t the Meeh&nio street Morgan, .Mrs. Marjorlo Morris, Mrs, . B hesl auditorium a t 2: s'eleek M John H Osborn, Mrs, F r a n Li. ROM, Ule first ef a ssrlsa of flva pfogrami M n , William H. Smith. Mrs. Edith under the ausplees of tho "Bfitis? R, atahl, Mrs, Allen O, Thompson, Katsrtalnmsat' * e o m R.fd Mrs, Dorothy Uzdllla, Mrs, Stewart Bank and vielnlty. The progrsjiii . egseatlaliy for the sntertaiament VanVliet, Mrs, Harold N, West, Mrs, Clinton Wlibor, Mrs, Kdmund vera- and education ol eblldrgn. Support steeg, Mrs, Mabel Buhler, Mrs, HI- received by the 'committee in the iiott Brainard, Mrs. Monte B L Jones past two years encouraged the mgm. and Misses Eisie K, Linda, EjQuella ber to continue the work, Frey and Marguerite Hegenh&rd Stella Marek CustJlng will present a program on the Slavonfe eoUutrles on J&nuary 6 * She will appear in various costumes and will interpret life Junior High School in the Slavonic countries through folk stories, dances and music and oxazepam. ZSUZSANNA BEBOK, 1, 2 ALBERT TOUSSON, 3 LISA M. SCHWIEBERT, 2, 4 AND CHARLES J. VENGLARIK2, 4 Departments of 1Medicine, 4Physiology and Biophysics, and 3Cell Biology and 2 Gregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Birmingham, Alabama 35294-0005. It is possible to experience a drop in your heart rate, but patients do not usually notice these changes and they usually do not require treatment. What can I do? Tell your doctor if you have a history of heart disease and oxymorphone.

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