Measure #20: Perioperative Care: Timing of Antibiotic Prophylaxis Ordering Physician DESCRIPTION: Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic parenteral antibiotics, who have an order for prophylactic antibiotic to be given within one hour if fluoroquinolone or vancomycin, two hours ; , prior to the surgical incision or start of procedure when no incision is required ; INSTRUCTIONS: This measure is to be reported each time a procedure is performed during the reporting period for patients who undergo surgical procedures with the indications for prophylactic antibiotics. It is anticipated that clinicians who perform the listed surgical procedures will submit this measure. This measure can be reported using CPT Category II codes: CPT procedure codes and patient demographics age, gender, etc ; are used to identify patients who are included in the measure's denominator. CPT Category II codes are used to report the numerator of the measure. When reporting the measure, submit the listed CPT procedure code and the appropriate CPT Category II code OR the CPT Category II code with the modifier. The modifiers allowed for this measure are: 1P- medical reasons, 8P- reasons not otherwise specified. NUMERATOR: Surgical patients who have an order for prophylactic antibiotic to be given within one hour if fluoroquinolone or vancomycin, two hours ; prior to the surgical incision or start of procedure when no incision is required ; . Numerator Instructions: There must be documentation of order written order, verbal order, or standing order protocol ; specifying that antibiotic is to be given within one hour if fluoroquinolone or vancomycin, two hours ; prior to the surgical incision or start of procedure when no incision is required ; OR documentation that antibiotic has been given within one hour if fluoroquinolone or vancomycin, two hours ; prior to the surgical incision or start of procedure when no incision is required ; . Numerator Coding: Table 1A: The antimicrobial drugs listed below are considered prophylactic antibiotics for the purposes of this measure. Ampicillin sulbactam Cefoxitin Gentamicin Aztreonam Cefuroxime Levofloxacin Cefazolin Ciprofloxacin Metronidazole Cefmetazole Clindamycin Moxifloxacin Cefotetan Erythromycin base Neomycin Gatifloxacin Vancomycin. A. B. C. Put initials in appropriate box when medication given. Circle initials when medication refused. State reason for refusal on Nurse's Notes. PRN medication: Reason given should be noted on Nurse's Notes. Indicate injection site code, for example, cipro drug more use.
We refer all patients with unstable angina to foothill presbyterian hospital emergency department, where a 12 lead ekg is obtained immediately within 5 to 10 minutes ; and then a history and quick exam is done by a nurse, physician’ s assistant, and or emergency doctor, with blood tests sent to the hospital laboratory to measure cpk and troponin, two cardiac markers, which if they are elevated make the diagnosis that a person is having a heart attack. Midknee length skirts at knee high boots generic online cipro a troubled. In the group of ltr who had not received ciprofloxacin, the last documented serum creatinine level was recorded.
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Tabla 6. Variaciones en el precio de la ciproflaxina y el fluconazol. Side effects side effects from ciprofloxacin may include: nausea and vomiting and clonazepam.
8.11.1 Health Education All STIs are preventable. Prevention may be achieved through practicing safe sexual behaviour and engaging only in safe sexual activities. These are listed in Table 8.3. When managing persons with STIs and those with suspected STIs it is important to spend some time in educating the patient on the nature of the infection and its complications, the links between STIs and HIV acquisition and transmission, the modes of transmission of infection, and ways of preventing becoming infected. Good health seeking behaviour should be promoted. Education messages should include: abstinence from casual sex, having sex only with one's lifelong mutually faithful partner, using condoms if one is to have sex with casual partners, attend quickly in future if symptoms suggestive of STI develop.

Other antibiotics that are sometimes used include tetracycline, metronidazole, and ciprofloxacin and clonidine.

Purchase cipro xr online 4 C, F 1531000 1546315 1537100 S1531001 1544400 S1531002 1555650 1555700 1555660 ANTI INFECTIVE ORAL DOSAGE FORMS Chloramphenicol 250mg Erythromycin 250mg Sulfamethoxazole + trimethoprim 400mg + 80mg Sulfamethoxazole + trimethoprim 400mg + 80mg Sulfameth. + trimeth. 100mg + 20mg PAC-100 Sulfameth. + trimeth. 400mg + 80mg PAC-500 Sulfameth. + trimeth. 400mg + 80mg PAC-100 Azythromycin 500MG tabs PAC-10 Doxycycline 100mg Cefixime 200mg tabs PAC-56 Metronidazole 250mg PAC-1000 Ciprofloxacin 250mg tabs PAC-10 Metronidazole 500mg PAC-1000 x 500 x 100 x 10 x 1000 x56 x 1000 x10 x 1000 x 1000 x 100 x 500 x 100. Attempting to identify nonmSW with cervical infections seems pointless. Control of NG, CT and MG in the general population of African countries requires these infections to be controlled among SW: decreasing transmission to their clients will ultimately reduce inm m fections among women not involved in transactional sex. Effective singlemdose treatments for gonorrhoea and chlamydia are available, although the emergence of ciprofloxacinmresistant gonococci in South Africa is a matter for concern.36 There are two possible approaches for and combivent. Access medical weight loss can help you lose weight and keep it off, for instance, cipro dose. Cipro adverse effects

Cipro dex otic drops They found that levofloxacin had the highest susceptibility 91% ; when compared to older fluoroquinolones, such as ciprofloxacin, norfloxacin and ofloxacin and coumadin. Cipro dosage 382. Reducing musculoskeletal burden through ergonomic program implementation in a large newspaper - Cole D.C., Hogg-Johnson S., Manno M. et al. [D.C. Cole, Institute for Work and Health, 481 University Avenue, Toronto, ON M5G 2E9, Canada] - INT. ARCH. OCCUP. ENVIRON. HEALTH 2006 80 2 ; - summ in ENGL Objectives: To assess the impact of a workplace ergonomic program to reduce musculoskeletal burden among newspaper employees and to understand relationships among participation, risk factor changes and health status within an employee cohort. Methods: We conducted repeat cross-sectional surveys, with 1, 003 employees from all major departments in 1996 and 813 in 2001, generating a cohort of 433 participants in both surveys. Elements of the ergonomic program included employee RSI repetitive strain injury ; training, pro-active assessment of workstations and workstation modifications, and encouragement of early treatment through on-site physiotherapy. Potential risk factors included biomechanical and work organizational aspects of office work. Health status measures included pain intensity and the Work-Disability of the Arm, Shoulder, and Hand DASH ; . Repeat cross-sectional analyses incorporated modifications for shared variance. For the cohort, a Section 19 vol 50.2, for example, use of cipro. You may eat or drink dairy products or calcium-fortified juice with a regular meal, but do not use them alone when taking cipro and cozaar.

No significant differences in the healing rates of esophagitis were observed between successfully and unsuccessfully treated h pylori patients negative h pylori vs still-positive after treatment: 8 9% vs 9 3%, p ns ; table 4.
Ciprofloxacin is used to treat infections caused by susceptible bacteria and cyclobenzaprine. Two compliance factors impact inhaled therapy in infants and children: regimen compliance taking a medication regularly ; and device compliance whether or not an inhaler device is used correctly ; . Available objective data suggests that parents are no more effective at ensuring regimen compliance for their infants and children than they are for ensuring their own compliance. The authors found some limited evidence suggesting that regimen compliance can be improved by using a device that provides feedback related to technique and adherence. Additionally, it may be more important to comply on a regular basis each day than to comply with. Acta med scand 1 48, 1958 melton lj, ochi pfizer jw, usage palumbo pharmacy pj, free chu cp: purchase sources drugs order of dispar of ity buy in the spectrum of diabetes rx duration mellitus that at incidence weight and prevalence and depakote and cipro, for example, cipro 750!

You might ask your dr to change your prescription to one of those if you have concern about using the cipro and detrol. Except when selling a replacement of a worn out or damaged hearing aid, when selling a hearing aid for the use of a prospective hearing aid user who is 19 years of age or older, a registrant shall either obtain for the prospective user a medical recommendation that complies with 25.212 relating to medical recommendations by examining physicians ; , or ensure that the prospective user or authorized representative signs a waiver form as provided under section 403 of the act 35 P. S. 6700-403 ; . The waiver form shall be prepared and used as follows: 1 ; The waiver form shall be in 10 point type or larger. 2 ; The waiver shall be read to the prospective hearing aid user or authorized representative and explained in a manners that the individual is not encouraged to waive a medical examination and so that the individual will be thoroughly aware that signing the waiver will not be in the prospective hearing aid user's best interest. 3 ; The waiver form shall read as follows: I have been advised that my best interests would be served if I had a medical examination by an otologist or otolaryngologist or any licensed physician before my purchase of a hearing aid. Registrant's Name ; has fully and clearly informed me of the value of such medical examination. After such explanation, I voluntarily sign this waiver. I choose not to seek a medical examination before the purchase of the hearing aid. Signature of Registrant ; Address of Registrant ; Signature of Purchaser ; Date of Signature ; b ; When selling a replacement of a worn out or damaged hearing aid for the use of a prospective hearing aid user who is 18 years of age or older, a registrant shall either obtain for the prospective user a medical recommendation that complies with the requirements of 25.212, or ensure that the prospective user or authorized representative signs a legally proper waiver of the medical examination. For purposes of this subsection, a legally proper waiver includes a medical waiver form as provided under section 403 of the act and described in subsection a ; , or a Federal medical waiver form as approved by the Food and Drug Administration of the United States Department of Health and Human Services.

70. Keystone, J. S., R. Dismukes, L. Sawyer, and P. E. Kozarsky. 1994. Inadequacies in health recommendations provided for international travelers by North American travel health advisors. J. Travel Med. 1: 7278. 71. Keystone, J. S. 1996. Mefloquine toxicity when used in malaria treatment. Travel Medicine Advisor Update. Sept. Oct. 1996, p. 3436. The American Health Consultants, Inc., Atlanta, Ga. 72. Khan, W. A., M. L. Bennish, C. Seas, E. H. Khan, A. Ronan, U. Dhar, and W. Busch. 1996. Randomised controlled comparison of single-dose ciprofloxacin and doxycycline for cholera by Vibrio cholerae 01 or 1039. Lancet 348: 296300. 73. Kuschner, R. A., A. F. Trofa, R. J. Thomas, C. W. Hoge, C. Pitarangsi, S. Amato, R. P. Olafson, P. Echerverria, J. C. Sadoff, and D. N. Taylor. 1995. Use of azithromycn for the treatment of campylobacter enteritis in travelers to Thailand, an area where ciprofloxacin resistance is prevalent. Clin. Infect. Dis. 21: 536541. 74. Lacey, S. W. 1995. Cholera: calamitous past, ominous future. Clin. Infect. Dis. 20: 14091419. 75. Lange, W. R. 1990. The international health guide for senior citizen travelers. Pilot Books, Babylon, N.Y. 76. Lepeytre, D., F. Bisaro, T. Binda, P. Bouree, and K. Khalife. 1995. Economy Class syndrome: five cases, abstr. 122, p. 100. In Abstracts of the Fourth International Conference on Travel Medicine 1995. The International Society of Travel Medicine. 77. Liles, W. C., and D. H. Spach. 1993. Diseases transmitted by ticks, ch. 25, p. 119. In Travel medicine advisor. American Health Consultants, Inc., Atlanta, Ga. 78. Lobel, H. O., M. Miani, T. Eng, K. W. Bernard, A. W. Hightower, and C. C. Campbell. 1993. Long-term malaria prophylaxis with weekly mefloquine. Lancet 341: 848851. 79. Lobel, H. O., P. E. Kozarsky, M. Barber, M. Blass, and S. H. Waterman. 1995. Pre-travel health advice to international travelers by primary care physicians, abstr. 63, p. 75. In Abstracts of the Fourth International Conference on Travel Medicine 1995. The International Society of Travel Medicine. 80. Macpherson, D. W., B. J. Stephenson, J. S. Keystone, and L. Sawyer. 1995. Travel health information offered by public health departments: a telephone survey, abstr. 23, p. 59. In Abstracts of the Fourth International Conference on Travel Medicine 1995. The International Society of Travel Medicine. 81. Marchou, B., J.-L. Excler, C. Bourderioux, J. Salaun, N. Picot, B. Yvonnet, J.-E. Cerisier, H. Salomon, and J.-C. Auvergnat. 1995. A 3-week hepatitis B vaccination schedule provides rapid and persistent protective immunity: a multicenter, randomized trial comparing accelerated and classic vaccination schedules. J. Infect. Dis. 172: 258260. 82. Matteelli, A., A. Chiodera, F. Castelli, S. Caligaris, C. Minardi, and G. Carosi. 1995. Failure of mefloquine chemoprophylaxis for malaria in Mozambique. J. Travel Med. 2: 260261. 83. Mattila, L. 1994. Clinical features and duration of traveler's diarrhea in relation to its etiology. Clin. Infect. Dis. 19: 728734. 84. Mattila, L., A. Siitonen, H. Kyronseppa, I. Simula, and H. Peltola. 1995. Risk behavior for travelers' diarrhea among Finnish travelers. J. Travel Med. 2: 7784. 85. Merck. 1996. VAQTA hepatitis A vaccine, inactivated. Product Insert. Merck, Rahway, N.J. 86. Millet, P. 1994. Current status and prospects for vaccines against malaria. J. Travel Med. 1: 216217. 87. Montella, K. R., and E. C. Jong. 1995. Travel advice for pregnant women, infants, and children, p. 151166. In E. C. Jong and R. McMullen ed. ; , The travel and tropical medicine manual, 2nd ed. The W. B. Saunders Co., Philadelphia, Pa. 88. Morell, V. 1995. Chimpanzee outbreak heats up search for Ebola origin. Science 268: 974975. 89. Murdoch, D. R. 1995. Altitude illness among tourists flying to 3740 meters elevation in the Nepal Himalayas. J. Travel Med. 2: 255256. 90. Nahlen, B. L., J. Parsonnet, S. R. Preblud, T. F. Tsai, and E. W. Brink. 1989. International travel and the child younger than two years. II. Recommendations for prevention of travelers' diarrhea and malaria chemoprophylaxis. Pediatr. Infect. Dis. J. 8: 735739. 91. National Science and Technology Council Committee on International Science, Engineering, and Technology [CISET] Working Group on Emerging and Re-emerging Infectious Diseases. 1995. Infectious diseases--a global health threat, p. 1415. National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Ga. 92. Neumann, K. ed. ; . 1992. Taking diabetes on the road. Traveling Healthy & Comfortably 5 3 ; : 25, 8. 93. Neumann, K. ed. ; . 1992. A health guide for older travelers. Traveling Healthy & Comfortably 5 4 ; : 1, 34. 94. Neumann, K. ed. ; . 1993. Avoiding malaria. Traveling Healthy & Comfortably 6 3 ; : 14. 95. Neumann, K. ed. ; . 1994. Travelers' diarrhea in children. Traveling Healthy & Comfortably 7 2.
Thread tools display modes , # 1 brewmeistervi member status: medical student join date: jun 2007 59 specialty subspecialty is it common for residents to go into one resident specialty for 4 + years , then go to a more competitive specialty or subspecialty. SURFACTANT, PULMONARY PORACTANT ALFA Curosurf Porcine lung surfactant Intratracheal suspension: 80 mg mL 1.5, 3 mL ; : contains 0.3 mg surfactant protein B per 1 mL drug, because ipro olivia. Aspects of QoL that showed a positive changeover time were the goal-oriented aspects p .000 ; . Conclusion: These results showed the SHG to have an overall positive effect on QoL showing the SHG to assist in the adjustment of people with Mnire's disease to life with the illness; this was probably due to the support and information provided by the SHG. Those with social support, an optimistic attitude, a perception of control over their illness, and who experienced high self-esteem, and who perceived themselves as moving towards their goals at baseline showed better QoL at follow-up. Some comparisons, those with persons who were better-off and which were interpreted negatively, lead to worse QoL, showing that comparisons were influencing adjustment. Positive adjustment was evident by the change in the perception of moving towards goals, which was present by follow-up, this may be promoted by high self-esteem. The results of this study show the important role of the SHG, comparisons with others, the perception of goals, social support, perceived control, an optimistic attitude, and self-esteem in the positive adjustment to Mnire's disease. Funded by the Economic and Social Research Council and the Meniere's Society, UK. P166 A Principal Components Analysis of a Meniere's Disease Data Set E. Kentala1, J. Laurikkala2, M. Juhola2 1 Dept. Otorhinolaryngology, Helsinki University Hospital, Helsinki, 2Department of Computer Sciences, University of Tampere, Tampere, Finland Background: Meniere's disease is characterized by repeated vertigo attacks, hearing loss and tinnitus. It is a diagnosis of exclusion and often difficult even for an experienced physician. Objectives: We aimed to portray the clinical picture in Meniere's disease by conducting the principal components analysis PCA ; to 313 Meniere's disease cases. Methods: PCA is a multivariate statistical method that forms new variables principal components ; that are linear combinations of the original variables. Preferably the original variables should have high correlations loading ; with a small number of principal components, and ideally few of the first principal components account for most of the information variance ; of the data. The loading can be used to interpret the new variables, because they indicate how influential the original variables are in forming the new variables. Variable sets A ; all variables, B ; specific questions, which ONE presents when a general question has been answered, C ; general questions and specific vertigo related questions, and D ; general questions, were used to study the data on different perspectives. An experienced otoneurologist examined the components and commented their medical relevance. Results: Principal components with eigenvalues greater than one were retained, and only loadings 0.5 or above were considered. PCA with sets A, B, C and D produced and claritin.
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A review of recent cross-sectional studies examining this principle is provided in Table 1. Several of these studies have shown that male weight lifters have greater bone mineral density BMD ; than non-athletes 14, 15 ; . Karlsson et al. proposed that this effect is site-specific, based upon the higher total body bone mineral density TBBMD ; and higher BMD in all sites measured spine, hip, tibia and forearm ; except for the skull of both active and retired weight lifters aged 16-54 years, when compared to a control group 15 ; . Other studies have compared the bone density of male weight lifters to other athletes to determine whether the effect on bone is sport-specific 16-19 ; . Hamdy et al. compared the bone density of weight lifters, runners, and cross-trainers measured by dual photon absorptiometry DPA ; and reported that the upper arm BMD was highest in the weight lifters and cross-trainers who performed upper body weight training as part of their program ; when compared to run196. Injection, caspofungin acetate, 5 mg Injection, leucovorin calcium, per 50 mg Injection, mepivacaine HCl, per 10 ml Injection, cefazolin sodium, 500 mg Injection, cefepime HCl, 500 mg Injection, cefoxitin sodium, 1 g Injection, ceftriaxone sodium, per 250 mg Injection, sterile cefuroxime sodium, per 750 mg Cefotaxime sodium, per g Injection, betamethasone acetate and betamethasone sodium phosphate, per 3 mg Injection, betamethasone sodium phosphate, per 4 mg Injection, caffeine citrate, 5 mg Injection, cephapirin sodium, up to 1 g Injection, ceftazidime, per 500 mg Injection, ceftizoxime sodium, per 500 mg Injection, chloramphenicol sodium succinate, up to 1 g Injection, chorionic gonadotropin, per 1, 000 USP units Injection, clonidine HCl, 1 mg Injection, cidofovir, 375 mg Injection, cilastatin sodium imipenem, per 250 mg Injection, ciprofloxacin for intravenous infusion, 200 mg Injection, codeine phosphate, per 30 mg Injection, colchicine, per 1 mg Injection, colistimethate sodium, up to 150 mg Injection, prochlorperazine, up to 10 mg Injection, corticorelin ovine triflutate, 1 mcg Injection, corticotropin, up to 40 units Injection, cosyntropin, per 0.25 mg Injection, cytomegalovirus immune globulin intravenous human ; , per vial Injection, daptomycin, 1 mg Injection, darbepoetin alfa, 1 mcg non-ESRD use ; Injection, darbepoetin alfa, 1 mcg for ESRD on dialysis ; Injection, epoetin alfa, for non-ESRD use ; , 1000 units Injection, epoetin alfa, 1000 units for ESRD on dialysis ; Injection, decitabine, 1 mg Injection, deferoxamine mesylate, 500 mg Injection, testosterone enanthate and estradiol valerate, up to 1 cc Injection, brompheniramine maleate, per 10 mg Injection, estradiol valerate, up to 40 mg Injection, depo-estradiol cypionate, up to 5 mg Injection, methylprednisolone acetate, 20 mg Injection, methylprednisolone acetate, 40 mg Injection, methylprednisolone acetate, 80 mg Injection, medroxyprogesterone acetate, 50 mg Injection, medroxyprogesterone acetate for contraceptive use, 150 mg Injection, medroxyprogesterone acetate estradiol cypionate, 5 mg 25 mg Injection, testosterone cypionate and estradiol cypionate, up to 1 ml Injection, testosterone cypionate, up to 100 mg Injection, testosterone cypionate, 1 cc, 200 mg Injection, dexamethasone acetate, 1 mg!

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Table-II Reproductive health characteristics of the study populations N 2, 954 ; Characteristics Frequency Percentage Para: Primi 949 32.13 Multi 2, 005 67.87 Age at marriage years ; : 14 738 24.98 Marriage before age 18 years 2, 221 75.18 Age at First pregnancy years ; : 10-14 260 8.81.
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Table 1: Average of inhibition zone of bacterial species S. dysanteriae 0.55 0.52 0.55 0.00 I: Intermedaite XG mm ; 36.25 S ; 41.61 S ; 24.52 I ; 0.00 R ; R: Resistance S. enteritis 0.50 0.52 S: Sensitive XG mm ; 39.46 S ; 33.50 S ; 31.65 S ; 10.50 R ; E. coli 0.50 0.52 0.00 0.00 XG mm ; 38.67 S ; 34.62 S ; 16.40 R ; 5.10 R ; Antibiotics Zatarial drop Ciprofluxacin Co-trimoxazole Ampicillin.
Lynch v. Pfizer, Inc., No. 1: 01-CV-129, slip op. at 19 N.D. W. Va. Oct. 2, 2002 see also, In re Ciprofloxacin Hydrochloride Antitrust Litigation, 166 F. Supp. 740, 749 E.D.N.Y. 2001 ; . 12 See In re Cardizem CD, 105 F. Supp. 2d 682, 704 E.D. Mich. 2000 In re Terazosin Hydrochloride, 164 F. Supp. 2d 1340, 1353 S.D. Fla. 2000 ; . See also In re Ciprofloxacin Hydrochloride Antitrust Litig., 166 F. Supp. 2d 740, 749-51 E.D.N.Y. 2001 ; . 13 105 F. Supp. 2d 682 E.D. Mich. 2000 ; . 14 164 F. Supp. 2d 1340 S.D. Fla. 2000. Copayment Coinsurance for each tier is based upon the specific rider chosen by the employer group. ACE Inhibitors Combos * blood pressure lowering ; Adrenal Corticosteroids, Oral * benazepril HCTZ lisinopril HCTZ captopril HCTZ moexipril enalapril HCTZ quinapril HCTZ fosinopril HCTZ dexamethasone methylprednisolone prednisolone prednisone Adrenergic clonidine Antagonists * doxazosin blood pressure guanfacine lowering ; prazosin terazosin caps Alzheimer's Agents * None Androgens Androxy Altace Accupril Capoten Mavik Monopril HCT Cortef Decadron Dexamethasone 1mg, 2mg ; Cardura XL Catapres TTS Hytrin Tenex terazosin tabs Cognex Razadyne ER Androderm * Oxandrin Striant * Atacand HCT st # st # Cozaar st # Hyzaar Ativan Buspar Librium Betapace AF Norpace CR Pacerone Amoxil Augmentin ES XR Bactrim DS Biaxin BXL Ceclor CD Cefzil Cilro XR ciproflox susp Cleocin Doryx doxycycline 20mg Duricef E.E.S. Susp EMycin EryTab Erythromycin Base Arixtra Fragmin Uniretic Univasc Zestril Florinef Medrol Orapred Prednisone Conc. Zienam INTRAVENOUS INTRAVENOUS INTRAVENOUS INTRAVENOUS INTRAVENOUS INTRAVENOUS INTRAVENOUS IV Dopmain IV Suprarenin IV Ciprobay IV Isoptin IV Solu Decortin H IV Dormicum Perfusor IV Metronidazole Ratio 500 INTRAVENOUS SUBCUTANEOUS ORAL Augmentin INTRAVENOUS INTRAVENOUS ORAL Vancomycin 9.5 Gr ; INTRAVENOUS ORAL Lasix ORAL Ancotil 2 Gr ; INTRAVENOUS INTRAVENOUS INTRAVENOUS INTRAVENOUS ORAL Paracetamol 500 Mg ; Leucomax Molgramostim ; SUBCUTANEOUS SC IV Dipidolar IV Tavegil IV Meronem IV Pantozol IV Bifiteral IV Mst IV Novalgin IV Liquemin SC Opium.

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