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Downstream Effects of Market Changes on Inhalers: Impacts on Individuals With Chronic Lung Disease

COPD and asthma are two of the most common chronic lung diseases, affecting over 545 million people globally and 34 million in the United States. Annual health care costs related to chronic lung disease are estimated at €380 billion in the European Union, and $24–$50 billion in the United States averaging to $4,000 in out-of-pocket costs per person in the U.S. A full-text literature search was conducted for English publications between January 1, 2005–March 18, 2024. It returned over 5,000 publications that were further narrowed using key search words, resulting in 172 peer-reviewed articles. Using their experience and subject expertise, the authors further narrowed the peer-reviewed articles to 55 that were in their opinion relevant. Also, 38 recently published industry reports and news articles specific to downstream effects of inhaler market changes and the future impact were included. The literature suggests that individuals with chronic lung disease face increased challenges with access to inhaled medication due to rising medication costs, discontinuation of branded medications, introduction of generic medications not covered by insurance, exclusionary preferred drug list tactics that force health care providers into non-medical switching of medication or devices, and ongoing medication shortages. Providers experience ongoing hurdles in prescribing appropriate inhaled medications for individuals with chronic lung disease, including increased time and costs spent on administrative tasks due to inhaler denials, a loss of patient trust, and limits on their ability to prescribe appropriate inhaled medication for individuals with chronic lung disease.




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Roles of Individual Human Cytochrome P450 Enzymes in Drug Metabolism [Review Article]

Our knowledge of the roles of individual cytochrome P450 (P450) enzymes in drug metabolism has developed considerably in the past 30 years, and this base has been of considerable use in avoiding serious issues with drug interactions and issues due to variations. Some newer approaches are being considered for "phenotyping" metabolism reactions with new drug candidates. Endogenous biomarkers are being used for noninvasive estimation of levels of individual P450 enzymes. There is also the matter of some remaining "orphan" P450s, which have yet to be assigned reactions. Practical problems that continue in drug development include predicting drug-drug interactions, predicting the effects of polymorphic and other P450 variations, and evaluating interspecies differences in drug metabolism, particularly in the context of "metabolism in safety testing" regulatory issues ["disproportionate (human) metabolites"].

Significance Statement

Cytochrome P450 enzymes are the major catalysts involved in drug metabolism. The characterization of their individual roles has major implications in drug development and clinical practice.




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Squid Game Season 2 Will Be All About Divisions—and the Fight to Overcome Them



Netflix's mega-violent mega-hit series returns December 26.




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Take-Two are selling Private Division and closing Roll7 and Intercept, because they're in "the business of making great big hits"

Take-Two Interactive have sold their publishing label Private Division to an unnamed party, along with five of Private Division's "live and unreleased titles". The GTA 6 publisher have also finally confirmed that they have shut down OlliOlli World and Rollerdrome devs Roll7 together with Kerbal Space Program 2 creators Intercept Games, months after performing mass layoffs at both studios.

Read more





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English partnership Matty Lee and Noah Williams win synchronised diving gold at Commonwealth Games

  • Commonwealth Games 2022 schedule: Daily guide plus key events to watch out for
  • Geraint Thomas wins bronze but early crash costs him gold
  • Andrea Spendolini Sirieix wins diving gold with famous father Fred in crowd
  • ]]>




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    Diving gold again for brilliant 17-year-old Andrea Spendolini-Sirieix on final day of Commonwealth Games

  • Oliver Brown on the 'lunacy' of Team Australia's Covid policies
  • Laura Muir's 1500m gold | England women's hockey gold report
  • England women stripped of their relay title for lane infringement 
  • Delicious Orie, gold medal boxer who wants to be the next AJ
  • Commonwealth Games 2022 medal table: which country came top 
  • ]]>




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    How Did Two Bowhead Whales That Were 60 Miles Apart Sync Their Diving?

    Researchers suspect the marine mammals may have been communicating across the vast distance




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    Activist investor calls for Honeywell to separate aerospace, automation divisions

    An activist investor with a $5 billion stake in Honeywell International is calling for the company to separate its Phoenix-based aerospace division into a separate business.




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    Stalker skirt shot divides internet

    THIS footage of the US Open winner’s wife’s short skirt was far too long or not long enough depending on who you ask.




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    Energy smart meter issues creating north-south divide

    Technology differences mean meters in northern England and Scotland may not work properly, energy firm body admits.




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    Les fromages en portions individuelles au banc d’essai

    Les fromages vendus en portions individuelles sont des plus pratiques pour l’école et le bureau.




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    221726: Indian information inadequate to warrant listing of three Pakistan-based individuals

    Chinese officials had approached the Indian government for more information but had since been reportedly told by the Indian government that the information presented was sufficient to justify the listing.




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    213853: China thanked for support of nominations of 3 Pakistan-based individuals for UNSCR 1267 designation

    Deputy Director Shen acknowledged the message but offered no further comment.




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    Diving deep into disagreements on the Israeli-Hamas war at Harvard Kennedy School

    In a semester-long series, HKS Professor Tarek Masoud interviewed Middle East scholars and policymakers—from a Trump administration strategist to Palestinian intellectuals—on their vastly different views on the war.





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    Garlock Bankruptcy Affects Individuals Who Worked Around Gaskets or Packing Containing Asbestos - Garlock Bankruptcy Overview Video

    Garlock Bankruptcy Overview Video




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    Cousin tries to guilt-trip woman into giving up family heirloom their grandma personally left to her in her will, woman refuses but family is divided: ‘She hoped I’d keep it safe’

    When a family member we hold near and dear to our hearts passes on to the next life, everything they leave behind holds astronomically more sentimental value—especially those who had special bonds with this family member. We can only hope that this family member can live on in the life they lived with and without us, and the items they pass down to us stick with us for as long as we are here, too.

    That's the thing about passing on—this event really makes certain individuals show their true colors. Family members who have been nice to you all of your life now turn sour. Others creep out of the woodwork and assume they were grandma's favorite (which means they get everything she left in the will, despite her last wishes.) It's baffling that some folks use somber life events like this to gain something instead of grieving, going so far as to try and rip family heirlooms away from those who have the legal right to keep them.

    The woman in this story is dealing with an entitled cousin who, despite not having a close, personal relationship with their grandmother, automatically assumes she is entitled to a necklace grandma left behind. Their grandmother personally gave the woman this necklace in hopes that she'd "treasure" it, and also wrote it into her will before she left them. Their family is divided, though it doesn't make sense as to why. Going against someone's last wishes in order to "keep the peace" is an entitlement that knows no bounds.




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    Badenoch's win and Labour's big Budget mean we now have sharper left-right divide

    With the government announcing big spending and tax, the differences between the two main parties feel sharper, writes Laura Kuenssberg.




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    Too much debt or value for money? Students divided over tuition fee rise

    University fees are rising to £9,535, meaning students will be left in more debt after their course.




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    Divided Arizona contends with Trump's sweeping border plan

    The state is likely to be on the frontline of the president-elect's immigration policies.




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    Tax-News.com: Netherlands Invites Input On New Dividend Withholding Taxes

    On September 25, 2020, the Dutch Ministry of Finance launched a consultation on plans to introduce a withholding tax on dividend payments to low-tax jurisdictions.




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    Tax-News.com: Malta Extends Individual Tax Deadlines

    Malta's Commissioner for Revenue has extended the deadline for submitting income tax returns.




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    Tax-News.com: Cyprus, Russia Agree Tax Hike On Cross-Border Dividends, Interest

    Russia's Ministry of Finance has announced that it signed a Protocol to amend its double tax agreement with Cyprus on September 8, 2020.




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    Tax-News.com: Jersey Launches Individual Tax Season

    The Jersey Government has announced that islanders can now file their 2020 tax return and has issued advice to Prior Year Basis (PYB) taxpayers that have been moved to the Current Year Basis (CYB) for paying income tax.




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    Tax-News.com: Hong Kong Issues Tax Returns For Individuals

    On May 3, 2021, the Hong Kong Inland Revenue Department issued over 2.62 million tax returns for individuals for the year of assessment 2020-21.




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    Tax-News.com: Cyprus, Russia Agree Tax Hike On Cross-Border Dividends, Interest

    Russia's Ministry of Finance has announced that it signed a Protocol to amend its double tax agreement with Cyprus on September 8, 2020.




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    Tax-News.com: COVID-19: Belgium Clarifies Tax Deadlines For Non-Resident Individuals

    On June 24, 2020, the Belgian Ministry of Finance issued a clarification of tax payment deadlines for non-resident individuals after the tax authority issued tax statements with the wrong due dates.




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    Tax-News.com: Belgium Confirms Upcoming Filing Dates For Individuals

    The Belgian Ministry of Finance has confirmed that the deadline for submitting personal income tax returns for flat-rate taxpayers is December 11, 2020.




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    Tax-News.com: Belgium Launches Tax Filing Season For Non-Resident Individuals

    The Belgian Ministry of Finance has announced that non-resident taxpayers may now file their tax return electronically for the 2020 tax year.




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    Tax-News.com: Netherlands Reforms Dividend WHT Refund Rules

    The Dutch Government has issued a decree to ensure the country's dividend withholding tax rules comply with the European Court of Justice's ruling in the Sofina case.




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    Tax-News.com: Netherlands Reforms Dividend WHT Refund Rules

    The Dutch Government has issued a decree to ensure the country's dividend withholding tax rules comply with the European Court of Justice's ruling in the Sofina case.




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    Tax-News.com: Hong Kong Issues Tax Returns For Individuals

    On May 3, 2021, the Hong Kong Inland Revenue Department issued over 2.62 million tax returns for individuals for the year of assessment 2020-21.




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    Corynebacterium's Rare Cell Division Strategy in the Mouth

    A surprisingly diverse ecosystem exists right in your mouth, housing more than 500 species of medlinkbacteria/medlink in organized communities known as biofilms.




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    Reality of Stigma Against LGBTQ Individuals

    The medlinkLGBTQ/medlink individuals experience less stigma than anticipated, while people with mental health conditions continue to encounter greater




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    Expanding the Donor Pool: Considering Organ Exchange Among Unrelated Individuals

    Experts suggest that opening up organ exchange among unrelated individuals could expand the donor pool, potentially saving many lives. While this move




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    Quest Diagnostics Declares Quarterly Cash Dividend

    Quest Diagnostics Declares Quarterly Cash Dividend




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    Radisson Hotel Group bolsters presence in Devbhumi Uttarakhand by opening Namah Nainital, a member of Radisson Individuals Retreats

    With a strategic focus on strengthening its presence in the leisure towns of India, Radisson Hotel Group is proud to announce the opening of Namah Nainital, a member of Radisson Individuals Retreats. This new addition is the Group’s fourth operational hotel in Uttarakhand where its portfolio includes hotels and resorts under multiple brands like Radisson Blu and Radisson Individuals. Nestled in the heart of Nainital Valley, the hotel provides excellent connectivity via road, rail, and air, making it accessible for both international and domestic travelers. Positioned close to Kathgodam Railway Station and Pantnagar Airport, the hotel is also well-connected by road to Almora, Ranikhet, Bhimtal, Mukteshwar, and Ramgarh. Its proximity to Namah Jim Corbett, another member of the Radisson Individuals brand, underscores the Group’s commitment to enhancing the guest experience, offering seamless connections within a four-hour drive of the property. Guests can visit the Mall which is only a s...




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    Find Peace within Yourself while Cruising through the Divine Land of Ladakh

    Living amidst the hustle and bustle of urban life, people often feel the need for a long journey away from their busy routine.




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    Zynga CEO on its blockchain gaming division and navigating the advertising crisis

    Beating the street and its own guidance, Zynga reported record third-quarter revenue of $705 million, up 40% from the same period last year and reaching its largest mobile audience ever of 183 million monthly active users, up 120% year over year. Despite warning in the second quarter of a material impact from Apple’s privacy policy […]

    © 2024 TechCrunch. All rights reserved. For personal use only.




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    Surender And Anr vs Divisional Canal Officer, Rohtak And ... on 6 November, 2024

    Present revision petition is directed against order dated 3rd of May, 2024 passed by Civil Judge (Junior Division), Rohtak whereby application filed by the defendants under Order VII, Rule 11 CPC read with Section 151 CPC seeking rejection of the plaint, stands dismissed.

    2. For convenience, the parties hereinafter are referred to by their original position in the suit i.e. the petitioners as the defendants and respondent No.2 as the plaintiff.

    1 of 8 Neutral Citation No:=2024:PHHC:144672

    3. Respondent/plaintiff filed suit seeking declaration to the effect that order passed by Divisional Canal Officer, Rohtak Water Services Division, Rohtak, dated 7th of March, 2017 sanctioning water course AB be declared illegal, null, and void. Further prayer was for decree in form of permanent injunction restraining the respondents from digging the water course.




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    Deepak S. Kavadiya vs Addl. Divisional Commissioner Konkan ... on 12 November, 2024

    1. Revision Application is allowed.

    2. The order of Competent Authority Konkan Division in case No.178 of 2023 dated 06.08.2024 is set aside.

    3. The Parties be informed accordingly.

    24) Thus, the Revisional Authority has relied upon Section 55 of the MRC Act for accepting the contention of the licensee that in absence of registration of the licence agreement, her version of ___Page No.19 of 33___ 12 November 2024 Megha 908_wp_14856_2024_fc.docx licence being granted for commercial use would prevail. Section 55 of the Act provides for providing for compulsory registration of tenancy agreement and consequences of non-registration. Section 55 provides as under:




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    Food-Delivery Apps vs. Restaurants: The Dining Industry’s Covid Divide

    Demand for food delivery has soared amid the pandemic, but restaurants are struggling to survive. In a fiercely competitive industry, delivery services are fighting to gain market share while facing increased pressure to lower commission fees and provide more protection to their workers. Video/Photo: Jaden Urbi/WSJ




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    Dividend Stock: ఒక్కో షేరుకు రూ.250 డివిడెండ్.. నష్టాల మార్కెట్లోనూ లాభాల దూకుడు

    Page Industries Dividend: దేశీయ స్టాక్ మార్కెట్లలో ఇన్వెస్టర్లు క్యూ 2 ఫలితాలపై ప్రస్తుతం తమ ఫోకస్ కొనసాగిస్తున్నారు. కార్పొరేట్ కంపెనీలు తమ ఆర్థిక ఫలితాలను ప్రకటించే సమయంలో ఇన్వెస్టర్లకు డివిడెండ్, బోనస్ షేర్ల ప్రకటన వంటివి అందిస్తున్నాయి. దీంతో ఈక్విటీ మార్కెట్ల పతనంలోనూ ఇన్వెస్టర్లు మాత్రం పండుగ చేసుకుంటున్నారు. ఇప్పుడు మనం మాట్లాడుకోబోతున్నది పేజ్ ఇండస్ట్రీస్




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    Seeing nanoscale electrocatalytic reactions at individual MoS2 particles under an optical microscope: probing sub-mM oxygen reduction reaction

    Faraday Discuss., 2024, Advance Article
    DOI: 10.1039/D4FD00132J, Paper
    Open Access
      This article is licensed under a Creative Commons Attribution 3.0 Unported Licence.
    Nikan Afsahi, Zhu Zhang, Sanli Faez, Jean-Marc Noël, Manas Ranjan Panda, Mainak Majumder, Naimeh Naseri, Jean-François Lemineur, Frédéric Kanoufi
    Interferometric scattering microscopy (iSCAT) allows visualizing individual petal-like MoS2 sub-microparticles and monitoring operando their activity towards oxygen reduction reaction.
    To cite this article before page numbers are assigned, use the DOI form of citation above.
    The content of this RSS Feed (c) The Royal Society of Chemistry




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    A war of individuals : Bloomsbury attitudes to the Great War [Electronic book] / Jonathan Atkin.

    Manchester : Manchester University Press, [2018]




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    Unions and divisions : new forms of rule in Medieval and Renaissance Europe [Electronic book] / edited by Paul Srodecki, Norbert Kersken and Rimvydas Petrauskas.

    Abingdon, Oxon ; New York, NY : Routledge, 2023.




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    The treatise on the divine nature [Electronic book] : Summa theologiae I, 1-13 / Thomas Aquinas ; translated, with commentary, by Brian Shanley ; introduction by Robert Pasnau.

    Indianapolis : Hackett Publishing Company, Inc., [2006]




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    Latin epic and didactic poetry [Electronic book] : genre, tradition and individuality / edited by Monica Gale ; contributors, Ray Clare [and ten others].

    Swansea, Wales : Classical Press of Wales, 2004.




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    Dynasty Divided : A Family History of Russian and Ukrainian Nationalism [Electronic book] / Fabian Baumann.

    Ithaca, NY : Cornell University Press, [2023]