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ADUBATO: So they shouldn't--and they're not even prescribed to them. Mr. McALEER: And it's not just in their own family. They're not pilfering from their own medicine cabinets. They're over at Johnny's house and they use the bathroom, and they look in Johnny's parents' medicine cabinet, taking it from there, also. So this is a problem that's growing. ADUBATO: Let me--let me ask you this. Stay on this for a second--sorry for interrupting. The Internet. Our producers are saying that, in the research for this program, they found out the Internet more and a more becomes a place, Lucky, where you can get access to some of these drugs? I'm not following that. How does that one work? LUCKY: You can buy drugs, I guess, with your parents' credit card, and I know that it's not--it's beyond prescription pills, it's into diet pills now. It's into all these different horrible things that just punish your body. ADUBATO: Hold on. It's a credit card. I'm confused. How do parents not know if a kid using a parent's credit card to get--Marion, what, you're looking at me like it's a stupid question. Ms. FRITSCH: I don't know either. If they get the bill and it's--I don't know whether it's, they say something other than what they're ordering or what. But I can't understand how they can get it on the Net. ADUBATO: And I don't want to be unfair to the parents, but I'm confused by this. Do you understand like what. Mr. McALEER: The surveys aren't indicating that teenagers are using--are buying the drugs off the Internet. The surveys are indicating that they're getting it from their families and from their friends, OK? ADUBATO: So the Internet is not contributing to this problem? Mr. McALEER: Internet--no, it's a contributor, but it's not a significant one for teenagers. It's a major problem for adult users. ADUBATO: Go ahead, jump back in, Diane. Ms. LITTERRER: I think also the knowledge of what the different drugs might do, so for them to be purposefully looking for particular prescription drugs that might have side effects that they're interested in getting and so forth. ADUBATO: Hm. Ms. LITTERRER: That information is on the Internet that they can be researching. Mr. BOWEN: And also from the medical community. I mean, we're a medical community where, in terms of psychiatrists and terms of prescription drugs, mood-altering drugs are widely prescribed and abused. ADUBATO: But that's not for--but that's not for kids. Mr. BOWEN: Right, exactly. But it's not for kids, but it's also--there's so--in terms of, we talk a lot with a lot of pediatricians, a lot of medical, for example, cabergoline orgasm.
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Committee on Genetics, 1998 1999 Franklin Desposito, MD, Chairperson Christopher Cunniff, MD Jaime L. Frias, MD Susan R. Panny, MD Tracy L. Trotter, MD Rebecca S. Wappner, MD Liaison Representatives James W. Hanson, MD American College of Medical Genetics Sherman Elias, MD American College of Obstetricians and Gynecologists Cynthia A. Moore, MD, PhD Centers for Disease Control and Prevention Michele Lloyd-Puryear, MD, PhD Health Resources and Services Administration Felix de la Cruz, MD, MPH National Institutes of Health Section Liaison Beth A. Pletcher, MD Section on Genetics and Birth Defects.
Trigeminal neuralgia TN ; is a common microvascular compression syndrome of cranial nerves. Medical treatment is regarded as the first line treatment; however, a group of patients do not respond to medical treatment satisfactorily and develop persistent and refractory symptom s ; . Surgical microvascular decompression MVD ; is usually then advised. We reviewed the surgical MVD outcome of this group of patients, for instance, cabergoline and sex.
Perachon, S.; Schwartz, J. C.; Sokoloff, P. Functional potencies of new antiparkinsonian drugs at recombinant human dopamine D1, D2 and D3 receptors. Eur. J. Pharmacol., 1999, 366 2-3 ; , 293-300. Lees, A. J.; Stern, G. M. Pergolide and lisuride for levodopa-induced oscillations. Lancet, 1981, 2 8246 ; , 577. Langtry, H. D.; Clissold, S. P. Pergolide: a review of its pharmacological potential in Parkinson's disease. Drugs, 1990, 39 3 ; , 491-506. Hubble, J. P. Long-term studies of dopamine agonists. Neurology, 2002, 58 Suppl 1 ; , S42S50. a ; Clarke, C. E.; Deane, K. H. Cabergolije for levodopa-induced complications in Parkinson's disease. Cochrane Database Syst. Rev., 2001, 1, CD001518. b ; Fariello, R. G. Pharmacodynamic and pharmacokinetic features of cabergoline. Rationale for use in Parkinson's disease. Drugs, 1998, 55 Suppl 1 ; , 10-16. c ; Hadj Tahar, A.; Gregoire, L.; Bangassoro, E.; Bedard, P. J. Sustained cabergoline treatment reverses levodopa-induced dyskinesias in parkinsonian monkeys. Clin. Neuropharmacol., 2000, 23 4 ; , 195-202. Curran, M. P., Perry, C. M. Cabergoline: a review of its use in the treatment of Parkinson's disease. Drugs, 2004, 64 18 ; , 2125-2141. Geminiani, G.; Fetoni, V.; Genitrini, S.; Giovannini, P.; Tamma, F.; Caraceni, T. Caberg9line in Parkinson's disease complicated by motor fluctuations. Mov. Disord., 1996, 11 5 ; , 495-500. Demirel, M.; Yazan, Y.; Muller, R. H.; Kilic, F.; Bozan, B. Formulation and in vitro-in vivo evaluation of piribedil solid lipid micro- and nanoparticles. J. Microencapsul., 2001, 18 3 ; , 359371. Eden, R. J.; Costall, B.; Domeney, A. M.; Gerrard, P. A.; Harvey, C. A.; Kelly, M. E.; Naylor, R. J.; Owen, D. A.; Wright, A. Preclinical pharmacology of ropinirole SK&F 101468-A ; a novel dopamine D2 agonist. Pharmacol. Biochem. Behav., 1991, 38 1 ; , 147-154!
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Treadaway, general manager, drug-delivery device division, The Tech Group. The Tech Group, a division of West Pharmaceutical Services Inc. Lionsville, PA ; , is a custom injection molder offering contract manufacturing to the consumer and healthcare markets. The company has recently focused on the drug-delivery segment. "We want to take advantage of the growth in drug delivery. Many of the major OEMs are looking to subcontract manufacturing. As pharmaceutical companies look for innovative ways to deliver their drugs, we are seeing intranasal delivery and transdermal systems expand quite rapidly. Our injectables business is growing significantly, with the alarming growth rate of diabetes. As more [patients] address symptoms earlier and maintain compliance with more-convenient devices, the overall insulin device market will expand, " Treadaway says. ImageTherm Sudbury, MA ; has worked with companies testing oral sprays and nasal devices for locally acting and systemic drug dosing. "There is new interest in developing systemic nasal drug-delivery products, particularly for treating brain-related conditions and pain management. Biopharmaceutical companies are exploring nasal delivery for large peptide molecules for a variety of indica.
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Unlike the medical use of x-rays, which represents a paradigm for proper engineering and administrative controls in the use of dangerous substances, the mixing and administration of cancer chemotherapeutic agents provide an example of working conditions that have in many cases remained poorly conceived and controlled. The toxicity of drugs used as antineoplastics is well documented, yet until 1979, when a serendipitous experiment revealed elevated levels of mutagens in the urine of nurses who administer the drugs, 10 no routine precautions were taken to prevent potential exposure, particularly to pharmacy and nursing staff. The major route for possible exposure arises from the aerosolization of drugs during mixing and administration. The presence of a vacuum in the syringe in which drugs are dissolved and from which they are administered leads to an imperceptible spraying of droplets unless a special "blow-back" device is used. Other preventive methods for avoiding contamination include the use of chemical hoods to provide exhaust ventilation during mixing and the use of personal protective equipment--such as disposable gloves, masks, and clothing--during drug administration. Such precautions are straightforward, yet they are not routinely followed in all health care settings. Indeed, as the number of patients requiring treatment with cancer chemotherapeutic agents grows and as the availability of in-hospital facilities decreases, one can envision that the possibilities of occupational exposures will increase rather than decrease. Despite the extreme biologic potency of antineoplastic drugs, including carVol. 46 No. 2 March April 1996 and calan, for example, cabergoline therapy.
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NY2d 753, 581 NYS2d 281 ; . The duration of the injury must be more than "fleeting" Partlow v Meehan, 155 AD2d 647, 548 NYS2d 239 [1989] ; . The term "consequential" means important or significant Kordana v Pomellito, 121 AD2d 783, 503 NYS2d 198 [1986], app. dis. 68 NY2d 848, 508 NYS2d 425 ; . A "permanent loss" of use of a body organ, member, function or system must be total Oberly v Bangs Ambulance, Inc., 96 NY2d 295, 727 NYS2d 378 [2001] ; . In order to prove the extent or degree of physical limitation, an expert can designate a numeric percentage of a plaintiffs loss of range of motion or give a "qualitative assessment of a plaintiffs condition.provided that the evaluation has an objective basis and compares the plaintiffs limitations to the normal fbnction, purpose and use of the affected body organ, member, function or system" Toure v Avis Rent A Car Sys., 98 NY2d 345, 746 NYS2d 865, 868 [2002]; rearg. den. Manzano v O'Neil, 98 NY2d 728, 749 NYS2d 478 ; . On a motion for summary judgment to dismiss a complaint for failure to set forth a prima facie case of serious injury as defined by Insurance Law $5 102 d ; , the initial burden is on the defendant "to present evidence, in competent form, showing that the plaintiff has no cause of action" Rodriguez v Goldstein, 182 AD2d 396, 582 NYS2d 395, 396 [ 19921 ; . Once the defendant has met the burden, the plaintiff must then, by competent proof, establish aprima facie case that such serious injury exists DeAngelo v Fidel Corp. Services, Znc., 171 AD2d 588, 567 NYS2d 454, 455 [ 19911 ; . Such proof, in order to be in competent or admissible form, shall consist of affidavits or affirmations Pagano v Kingsbury, 182 AD2d 268, 587 NYS2d 692 [ 19921 ; . The proof must be viewed in a light most favorable to the non-moving party, here the plaintiff Cammarere v Villanova, 166 AD2d 760, 562 NYS2d 808, 810 [1990] ; . The defendants submit in support of their motion, inter alia, the affirmation of their attorney, the verified complaint and answer, the verified bill of particulars, the plaintiffs deposition testimony of March 17, 2006, an application for motor vehicle No- Fault benefits and the plaintiffs records for emergency care treatment at Mather Memorial Hospital. The defendants also submit the reports, notes and records of the plaintiffs treating physicians and other treating health care providers which include the reports of Dr. David M. Heckler Dr. Heckler ; , concerning the plaintiffs visits of August 27, 2004, September 1, 2004, September 13, 2004 and September 27, 2004, a report of the plaintiffs treating dentist, Richard N.Cohen Dr. Cohen ; , dated January 18, 2005, the reports of the plaintiffs treating physicians at South Shore Medical Care & Diagnostics, P.C., doctors Andrea Coladner Dr. Coladner ; and Maria Herrera Dr. Herrera ; , dated September 16, 2004, October 27, 2004, December 6, 2004, January 4, 2005, May 3, 2005 and July 22, 2005, the reports of the plaintiffs chiropractor at South Shore Medical Care & Diagnostics, P.C., Dr. Paul Priolo Dr. Priolo ; , dated January 11, 2005 and February 23, 2005, records of the plaintiffs physical therapy and acupuncture treatments and the handwritten notes of the plaintiffs acupuncture treatment. Defendants further submitted the MRI reports of the plaintiffs lumbar and cervical spines dated November 29, 2004 and the sworn reports of defendants' experts, doctors Michael J. Katz Dr. Katz ; and E. Kojo Essuman Dr. Essuman ; , dated May 24, 2006 and June 15, 2006, respectively. The plaintiffs emergency treatment hospital records, except those documents or portions of documents which are illegible and or irrelevant see, Tornatore v Haggerty, 307 AD2d 522, 763 NYS2d 344 [2003]; Huron Group, Inc. v Pataki, 5 Misc3d 648, 785 NYS2d 827 [2004], aff. 23 AD3d 1051, 803 NYS2d 465, lv. app. granted 6 NY3d 803, 8 12 NYS2d 440 ; , were considered by the court Winkler v Lombardi, 205 AD2d 757, 613 NYS2d 430 [ 19941 ; . The Court did consider the aforementioned unsworn reports of the plaintiffs treating physicians and health care providers Pagano v Kingsbury, supra ; , but not the physical therapy and acupuncture records which cannot be considered as competent evidence on the motion Tornatore v Haggerty, supra; Scott v Basdeo, 6 Misc3d 1020[A], 800 NYS2d 357 [2004].
As additional supervision may be needed, be sure you mentioned: antidepressants tramadol tranquilizers haloperidol acetaminophen omeprazole hiv protease inhibitors medicines for mental illness, parkinson's disease, convulsions, hypertension, urinary problems, motion sickness, blood pressure ropinirole antihistamines ofloxacin fluoroquinolone antibiotics sedatives carbamazepine levodopa methtrexate dopamine agonists pergolide levofloxacin nicotinic acid cimetidine norfloxacin isoniazid ipratropium iron products ticlopidine gatifloxacin sleeping pills statins cabergoline 7 discuss with your doctor the possibility to eat grapefruit and drink its juice during the treatment and capoten.
Read our articles on women's mental health search our site by phrases or key words northern county psychiatric associates offices in monkton and lutherville, maryland contact us: telephone: 410-329-2028 fax: 410-343-1272 postal address: we have two locations in baltimore county monkton office16829 york road po box 544 monkton, md 21111 lutherville office: 2360 west joppa road suite 223 lutherville, md email: ncpa qis please use telephone for appointments or medical questions.
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His study of 116 patients with subacute stroke from a United Kingdom based district general hospital, who received 12 sessions of either real or sham acupuncture over 2 weeks, found that the improvements in the Barthel activities of daily living scores in the real and sham acupuncture groups were not significantly different. Interestingly, post hoc analysis in the severely disabled subgroup with a baseline Barthel score less than the median showed greater improvement with acupuncture in leg function compared with the less severely disabled group. Park and colleagues conclude that acupuncture is not superior to sham acupuncture for recovery in activities of daily living and health-related quality of life after stroke, although there may be a limited effect on leg function in more severely affected patients. See page 2026 and carbidopa.
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Quantitation of low plasma concentrations of the pharmaceutical ccabergoline is performed to demonstrate the sensitivity and selectivity of the TSQ Quantum mass spectrometer. Samples with analyte concentrations ranging five orders of magnitude are analyzed to demonstrate precision and accuracy over a linear dynamic range suitable for pharmacokinetic applications. Analysis of 50 fg cahergoline on column in minimally treated plasma samples is performed to demonstrate the sensitivity, ruggedness, and practicality of the bioanalytical method in a complex matrix. matography coupled with tandem mass spectrometry LC MS MS ; Techniques utilizing HPLC alone proved to have insufficient detection limits.[3, 4] RIA also does not have an adequate lower limit of quantitation LLOQ ; suitable for monitoring vabergoline when administered at low doses.[1, 5] And while recent LC MS MS methods have shown improvement in sensitivity through the use of selected reaction monitoring SRM ; , they still require large sample volumes and time-consuming sample preparation.[6, 7] Consequently, these methods either lack the sensitivity, dynamic range, or practicality required for routine, high-throughput pharmacokinetic applications. To assess the feasibility of using the TSQ Quantum to address these application requirements, cabergoline was analyzed in the LC ESI SRM, unit-resolution mode. Significant improvement in sensitivity was demonstrated on the TSQ Quantum compared to the previous generation triple quadrupole mass spectrometer from Thermo Finnigan, the TSQ 7000.[811] Using the TSQ Quantum, low femtogram-levels of cabergoline were resolved from the complex plasma matrix. Excellent precision and accuracy were maintained over five orders of magnitude, demonstrating a linear dynamic range suitable for real-world, pharmacokinetic applications.[8, 9, 12].
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Admin R O O BNF Name Amantadine Cabergolinee Co-beneldopa 12.5mg 50mg Co-beneldopa 25mg 100mg Co-beneldopa 50mg 200mg Co-beneldopa MR 25mg 100mg Co-careldopa 10mg 100mg Co-careldopa 12.5mg 50mg Co-careldopa 25mg 100mg Co-careldopa 25mg 250mg Co-careldopa MR 25mg 100mg Co-careldopa MR 50mg 200mg Entacapone Lysuride Pergolide Pramipexole * Ropinirole Selegiline including lyophilisate ; Selegiline liquid DDD 200 4 ADQ 200 1 3 Unit mg mg tablet capsule tablet capsule capsule tablet tablet tablet tablet tablet tablet tablet mg mcg mg mg mg tablet mg Notes and carvedilol.
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Health benefits. How can we justify a higher standard for safety expectations if those standards prevent or significantly delay access to new medicines with both measurable risks and benefits? Access to new drugs is also dependent on the approval of a physician as an authorized prescriber. This is already a much higher standard of consumer protection than applied to non-medical products associated with a demonstrably higher risk of causing adverse health conditions. Assessing whether the risk associated with drugs is acceptable should depend at least partially on a comparison of the risk accepted from less-regulated consumption goods. We are constantly exposed to risk in our daily lives even through the most mundane activities and we actually accept significant risk regularly. In many instances, the risks associated with these activities are significant and yet we do not see governments banning any of these activities in the way they ban drugs that affect much smaller percentages of the population. For example, according to a report by the US Center for Disease Control, 47% 138 million ; [8] of Americans could be classified as current regular drinkers in 2004. The data show that the number of alcohol-induced deaths, excluding accidents and homicides, was 20, 687. The number of deaths caused by alcoholic liver disease alone was 12, 360. Therefore, the overall risk of mortality associated with the use of alcohol occurred at a rate of approximately 1 in every 6, 671 or 150 per 1, 000, 000 ; users. The risk of death from liver disease alone occurred at the rate of 1 in every 11, 165 or 90 per 1, 000, 000 ; users. These figures do not even account for the less serious health conditions affected by alcohol use in the United States. While the number of doses of alcohol required to produce such statistics is different than that required by some prescription medications, in this context, the adverse health risks statistically associated with the use of new medicines do not appear to justify extreme precaution, especially when one considers that new medicines also represent real health benefits for large numbers of people, for example, cabergoline side effects.
This protocol is divided into separate sections that cover the different situations of death in the field that the paramedic will be presented with. All patients found in cardiac arrest will receive cardiopulmonary resuscitation unless an exception is met as outlined in the following sections: I. II. III. Advanced Directives Do Not Resuscitate Order DNRO ; . Determination of Death. Discontinuance of CPR and cilostazol.
65. Duseja A, Dhiman RK, Bhargava K, Chawla YK, Singh V, Sapru RP, Suri S. Treatment of Budd-Chiari syndrome by percutaneous luminal angioplasty. Bulletin PGI 1999; 33: 75-78. Dhiman RK, Chawla YK. Is the technique of endoscopic sclerotherapy and ligation optimum? Gastrointestinal Endoscopy 2000; 51: 639-40. Gupta D, Chawla Y, Dhiman RK, Suri S, Dilawari JB. Clinical significance of patent paraumbilical vein in patent with liver cirrhosis. Digestive Diseases and Sciences 2000; 45: 1861-4. Dhiman RK, Biswas Rakesh, Aggarwal Neelam, Sawhney Harjit, Chawla Y. Management of variceal bleeding in pregnancy with endoscopic variceal ligation and N-butyl-2-cyanoacrylate: Report of three cases. Gastrointestinal Endoscopy 2000; 51: 91-93. Dhiman RK, Sawhney MS, Chawla YK, Das G, Ram S, Dilawari JB. Efficacy of lactulose in cirrhotic patients with subclinical hepatic encephalopathy. Dig Dis Sci. 2000; 45: 1549-52. Gupta D, Lalrothuama, Aggarwal P. N., Aggarwal A.N., Dhiman R. K., Behera D., Chawla Y. Pulmonary function changes after large volume paracentesis. Tropical Gastroenterology 2000; 21: 68-70. Sanjay Kumar Satpathy and Yogesh Chawla. Pharmacotherapy of portal hypertension.2000; 24: 25-52. 72. Satpathy SK, Sajith N, Varma N, Dhiman RK, Varma S, Chawla Y. Hyposplenism in patients with portal hypertension. Hepatology 2000; 32: 1468. Bhattacharya A, Mittal BR, Biswas T, Dhiman RK, Singh B, Jindal SK, Chawla Y. Radioisotope scientigraphy in the diagnosis of hepatic hydrothorax. Gastroenterology and Hepatology 2001: 16, 317-321 Aggarwal N, Sawhney H, Vashista K, Dhiman RK, Chawla Y. Non-cirrhotic portal hypertension in pregnancy. 2001; 72: 1-7. Govind Makharia, Radha K Dhiman, Yogesh K Chawla, Rakesh K Vasishta. Noncirrhotic portal fibrosis in patients with rheumatoid arthritis. Indian J Gastroenterology. 2001; 20: 198-199. International J of Gynaecology and Obstetrics J of.
Hile providers strive to aggressively manage their patients with diabetes, one screening test often falls through the cracks -- annual albuminuria assessments. "In recent years, diabetes has become the most common cause of end-stage renal disease, " says Wagner Schorr, M.D., medical director of Renaissance Health Care, which provides renal care services for PacifiCare members. "Yet studies have shown that medical interventions can influence the onset and course of diabetic nephropathy. That's why testing for albuminuria is important and ciprofloxacin.
To combat the disparity between what the patient feels should be the management priority and what the health teams thinks should be the primary focus, goals must be collectively set, with the patient leading the process. Without common goals, the team lacks direction, cohesion and purpose. Without the sharing of resources, interdisciplinary knowledge can become sketchy and fuelled by ignorance.Without shared responsibilities, individuals can feel.
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6.5 the organism to survive in a viable, but non-culturable form in the environment greatly enhances its epidemic potential. Only two serogroups, V. cholerae O1 and V. cholerae O139 have been associated with epidemic disease. V. cholerae O1 has 3 recognisable serotypes, Ogawa, Inaba and Hikojima, the last being an unstable intermediate between the first two. This serogroup can also be divided into two biotypes, classical and El Tor, which may be differentiated both biochemically and epidemiologically.8, 9 Classical V. cholerae O1 causes inapparent infection in approximately 60% of cases, as opposed to 75% of those due to V. cholerae O1 El Tor. Moderate to severe cholera cholera gravis ; due to classical V. cholerae O1 is seen in 25% of cases as opposed to approximately 10% of cases of V. cholerae O1 El Tor.
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5.2. Database for results of analyses of drug samples At present, a Royal Decree is being developed that will regulate the transmission of anonymous data on results of analysed drugs from the laboratory to the Focal Point. This Royal Decree will specify which data the laboratory can communicate to the Focal Point without danger of obstructing any on-going judicial research. The Royal Decree will also apply to medical doctors in order to obtain clinical data related to overdoses.
Correspondence: S. Kapur, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, 33 Russell Street, Ontario, M5S 2S1. Tel: 416 979 6890. Fax: 416 260 4206. E-mail: shitij kapur camh ISSN: 0954-898X print ISSN 1361-6536 online c 2006 Taylor & Francis DOI: 10.1080 09548980500361624.
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Identify how relative relatives are to be informed of the patient's impending death. If requested after death make arrangements for family to view the body. Explain to relatives if Procurator Fiscal must be informed e.g. industrial disease Mesothelioma. Ensure prompt provision of death certificate and if necessary cremation forms. Inform the patient's own GP of the death within one working day. Notify other key health professionals involved in patient's care. Offer opportunity for family to return to discuss situation with health professional involved in patient's care.
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Planning & Development Committee: Professor M. A. Hadi Chairperson Professor Mobin Khan Member Professor S. A. M.Golam Kibria " Professor T.I.M. Abdullah-Al-Faruque " Professor A.H.M. Ahsanullah " Professor Abdul Bayes Bhuiyan " Professor Tofayel Ahmed " Professor Md. Nurul Amin " Professor Sultana Jahan " Professor Abu Zafar Md. Zahid Hossain " Professor Mohammad Saiful Islam Member Secretary Faculty of Anaesthesiology: Professor Md. Khalilur Rahman Chairperson Professor S. N. Samad Choudhury Member Professor K. M. Iqbal " Professor A.K.M. Shafiqur Rahman " Professor Salim Md. Jahangir " Professor U. H. Shahera Khatun " Dr. Manzurul Alam " Professor Abu Yousuf Fazle Elahi Chowdhury " Dr. Kamal Ibrahim " Professor A.K.M. Shamsul Alam " Professor Wahiduddin Mahmood " Dr. Brig. Gen. Retd. ; Razia Khanam " Professor Mohammad Manirul Islam " Dr. Muhammad Ali " Dr. Md. Azharul Islam " Dr. Nezam Uddin Ahmed " Dr. Zerzina Rahman " Dr. Lutful Aziz " Dr. Abdul Khaleque Beg Member Secretary Faculty of Medicine including Dermatology & Venereology: Professor Md. Tahir Professor Mobin Khan Professor Quazi Deen Mohammad Professor Md. Abul Kashem Khandaker 95.
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