Doctors Consider Nonverbal Cues in ... - Health Nutrition and Fitness

FRIDAY, Sept. 30 (HealthDay News) ? Unspoken clues ? like behavior and appearance ? influence the doctor-patient relationship, according to a new study. Researchers from the University of Michigan found subtle, nonverbal signs not only have an impact on how patients view their relationship with their doctor, they also affect doctors? medical decisions.

The findings could help doctors better understand how they make decisions and what underlying messages their behavior might send to their patients, the researchers said.

?Our findings show that both doctors and patients identified tacit clues involving the behavior or appearance of the other, but they were not always able to articulate precisely how these clues informed their judgments and assessments,? said the study?s lead author, Dr. Stephen G. Henry, a research fellow at the Veterans Affairs Ann Arbor Healthcare System and at the University of Michigan, in a university news release. ?Not surprisingly, patients and doctors discussed these clues very differently.?

After interviewing 18 doctors and 36 patients and examining video recordings of routine checkups, the study found patients took their doctor?s behavior into account in evaluating their relationship, such as whether the doctor seemed hurried, was able to put them at ease, made eye contact or listened to them.

On the other hand, although awareness of nonverbal clues varies from doctor to doctor, the study revealed physicians incorporate their patients? nonverbal clues, such as body language, eye contact, physical appearance and tone of voice, into their medical decisions.

?It?s mostly looking at the patient. Do they look healthy?? one doctor commented on a recording.

Doctors also consider how often they examined their patients in making judgments and in observing them for signs of depression or signals that they are withholding information or medical concerns, the study showed.

Patients? behavior may also tell doctors if certain nonspecific symptoms such as weight gain, fatigue and high blood pressure are red flags for depression or some other underlying condition, such as Cushing syndrome, the study?s authors noted.

?Our findings are consistent with research from the social sciences suggesting that doctors? and patients? judgments in the examining room are often complicated and take into account many subtle, unspoken clues,? said senior study author Dr. Michael Fetters, at the University of Michigan Medical School, in the release. ?In the future, we hope this method of recording and reviewing these types of interactions can inform interventions designed to improve medical decision making and doctor-patient interaction by providing a more complete understanding of the kind of signals upon which doctors and patients rely.?

The study was published Sept. 26 in the Journal of Evaluation in Clinical Practice.

More information

The American Medical Association provides more information on the doctor-patient relationship.??

(SOURCE: University of Michigan Health System, news release, Sept. 26, 2011)

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Source: http://health-nutrition-fitness.net/health-fitness-and-nutrition/doctors-consider-nonverbal-cues-in-medical-decisions/

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Safety Tips in the Subway | Security World News

Number of View: 23

Picture this scenario: You are sauntering towards the subway so as to board the train that?ll take you to your place of work.? The subway station is virtually empty, however out of the blue you hear footsteps coming from behind you. The footsteps start to gain momentum and unexpectedly a stranger grasps your handbag, slamming you to the ground. Before you realize what?s going on, you hear footsteps racing up the subway station staircase. Believe it or not, you have just become part of the subway station crime statistics.

According to statistics that was recently released and disputed by several people, crime in the subway station is supposed to be going down by approximately 85% in the city of New York. ?The crime in the subway stations was an agenda in the elections for the mayor of New York. A majority of people that rely on subway station for transportation concur that there are still criminals lurking in the subways searching for their next prey.

Nonetheless, that next prey does not have to be you. The most critical means through which you can avoid becoming part of the statistics is staying alert. At no particular time should you allow your mind to wander off. You need to stay focused on your environs. By being aware of what is happening around you, you are sending a silent signal to your would be attacker that you are not only calm, but also confident.

This in turn means that you are not supposed to listen to your iPod or studying a map if you are a tourist. Instead, you are supposed to be standing on the platform while sizing up your surroundings. If you have to use a map, then use the one pinned on the car wall. Whilst waiting for your subway train to arrive, do not stand too close to the tracks, rather look for a place where there is a large crowd and be close to them.

Before boarding a car, take time to select the most suitable car to board. If you notice someone looking at you in a suspicious manner, walk to another car. Of significance is that you ought not to board an empty car as it will only make you an easy target. The best subway car to board is one where the train driver is. In case someone is harassing you while in the train, reprimand them with a loud voice. In case someone tries to assault you, jerk the emergency device inside the car.

Whilst embarking and disembarking the train, utilize well lit stops. Dark stops are a provocation to danger. Do not be tempted into counting your money while preparing to embark or disembark a train. As a matter of fact, you ought to have your fare on your hand prior to entering the subway station. This way, criminals will not notice you reaching for your wallet.

Filed Under: Personal Protection

Source: http://www.securityworldnews.com/2011/09/30/safety-tips-in-the-subway/

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APNewsBreak: Navy explores longer sub deployments

The U.S. Navy Los Angeles Class attack submarine USS Annapolis passes downtown New London, Conn., as the sub returns to the Navy Submarine Base in Groton, Conn. Friday, Sept. 23, 2011 after a one-month training mission. (AP Photo/The Day, Sean D. Elliot) MANDATORY CREDIT

The U.S. Navy Los Angeles Class attack submarine USS Annapolis passes downtown New London, Conn., as the sub returns to the Navy Submarine Base in Groton, Conn. Friday, Sept. 23, 2011 after a one-month training mission. (AP Photo/The Day, Sean D. Elliot) MANDATORY CREDIT

In a Wednesday, Sept. 28, 2011 photo, the commander of the U.S. Navy's submarine force, Vice Adm. John Richardson, is interviewed by The Associated Press at Naval Submarine Base New London in Groton, Conn. The Navy is considering extending the length of deployments on attack submarines, but won't say for how long, as it faces rising demands with a fleet that has been shrinking since the end of the Cold War, the commander of American submarine forces says. (AP Photo/Jessica Hill)

In a Wednesday, Sept. 28, 2011 photo, the commander of the U.S. Navy's submarine force, Vice Adm. John Richardson, is interviewed by The Associated Press at Naval Submarine Base New London in Groton, Conn. The Navy is considering extending the length of deployments on attack submarines, but won't say for how long, as it faces rising demands with a fleet that has been shrinking since the end of the Cold War, the commander of American submarine forces says. (AP Photo/Jessica Hill)

(AP) ? The Navy is considering lengthening the standard deployment of attack submarines beyond six months as it faces rising demands with a fleet that has been shrinking since the end of the Cold War, the commander of American submarine forces told The Associated Press in an interview.

Already, attack submarines are at times asked to stay out longer than six months ? extensions that can be trying for sailors who serve in tightly confined spaces with limited outside communication as members of the "silent service."

Vice Adm. John Richardson told the AP this week that keeping subs out longer is one of several options the Navy is considering as the number of attack subs is projected to continue dropping in the next decade and beyond.

"I think we're looking at all the options," he said. "As you try and maintain the same presence with fewer hulls, there are all sorts of variables in that equation. One would be extending deployment lengths. So that's certainly on the table."

Submariners are not alone in seeing deployments extended periodically, as two wars and evolving threats strain the entire U.S. military. A spokeswoman for the admiral, Navy Cmdr. Monica Rousselow, said it is impossible to say how long sub deployments might become because so many factors are involved.

Extending deployments permanently would save resources because the Navy could complete more missions with the nuclear-powered submarines that it has available. The fast-attack subs travel to far-flung corners of the globe for missions including intelligence gathering and firing missiles, but they can maintain a presence only for so long before making the time-consuming journey back to U.S. bases.

Navy contractors began stepping up submarine production this year, but pressure on the defense budget has raised uncertainty about future procurement. While some critics describe the multibillion-dollar vessels as costly relics of a different era, Richardson says submarines remain integral to America's nuclear deterrence strategy and the security of a nation that conducts the vast majority of its trade by maritime channels.

Enlisted crew members on the attack subs sleep six to a room, stacked in bunks areas barely larger than a closet, and navigate corridors so narrow only one person can pass at a time. The deployments are typically broken up by port calls, but they can remain at sea for weeks or months at a time. The bigger, roomier ballistic missile subs generally stay closer to their home ports and have shorter deployments.

Sailors in the elite, all-volunteer submarine force go through psychological screening to make sure they can cope with the tight quarters and extended time beneath the ocean's surface. Nobody with claustrophobic tendencies is allowed on board.

But retired submariners say the time at sea does take a physical and emotional toll, particularly when a mission is suddenly extended.

"You establish a battle rhythm in your mind where 'Six months is how long I'll be' and then, if it becomes seven months, you have to shift your mind a bit," said retired Rear Adm. John Padgett III, who remembers a particularly grueling 7 1/2-month submarine deployment during the Vietnam War. "You get a little tired of it."

Deployments longer than six months are unlikely to cause problems for specially trained sailors, but they would probably entail challenges for their families, said Army Col. Tom Kolditz, a psychologist at the U.S. Military Academy at West Point.

"You can probably find business decisions in the community based on that six-month cycle. You can find various kinds of financial planning done on that six-month cycle. If you take something like that that people are used to and change it, it can create problems," said Kolditz, director of the military academy's Department of Behavioral Sciences and Leadership.

At Naval Submarine Base New London in Groton, support services are available to help sailors' families deal with prolonged deployments, said Beth Darius, a services facilitator for the base's Fleet and Family Support Center.

"We honestly try to tell them, 'Yes, you have a fixed date, but remember that date can always change,'" she said. "We try to help them not cement that date, but I personally know how easy it is to get that date and count down, and then have it change on you."

Richardson said in the interview Wednesday that constraints on communication are part of the nature of submarining, but that the Navy is working to improve bandwidth on the vessels. He said sailors will be able to communicate with family members more than ever, although e-mail will remain available only when it can be sent without the risk of giving up the sub's location.

Beyond the strain on sailors and their families, U.S. Rep. Joe Courtney said, the longer deployments reflect an increasingly acute security problem. Although Navy contractors received approval this year to double production of Virginia-class attack subs to two a year, he said that will only slow the decline in the size of the fleet and will not fully replace older ships as they are taken out of commission.

The number of nuclear-powered attack submarines in the U.S. force has fallen from a peak of 98 in the late 1980s to 53 at the end of fiscal year 2010, a decline that roughly matches a drop in the overall size of the Navy since the end of the Cold War. Each Virginia-class attack submarine costs about $2.6 billion and carries a crew of roughly 135 officers and sailors.

Courtney, who is pushing for an increase in attack sub procurement, said they are unmatched in their ability to deliver firepower and do surveillance without being detected.

"Look at Libya. When President Obama said 'unique capabilities,' what he was really referring to was the USS Scranton, the Providence and the Florida, which in a matter of an hour obliterated Gadhafi's air defenses," said Courtney, a Democrat whose eastern Connecticut district includes the sub base and the Groton headquarters of the Navy's primary submarine contractor, General Dynamics' Electric Boat.

Currently, the submarine force can accommodate only about half the support requests from combatant commanders, according to Richardson, who said sub deployments are currently extended a month or more to meet demands on a case-by-case basis. He noted that surface ships also face extended deployments, as all branches of the military contend with increased demands.

As the Navy deals with rising security demands and budget pressures, he said, the force is also looking into repositioning submarines around the globe to reduce transit times and pressing builders to reduce maintenance periods and wring more deployments from aging vessels.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2011-09-30-Submarine%20Deployments/id-bba0805ab5974dea85972ba828d7cc4b

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Payday Loans Are Splendid Finance Grants | Loans

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Source: http://www.articleloans.com/2011/09/29/payday-loans-are-splendid-finance-grants/

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Will Eno's ?Middletown? - Triangle Arts and Entertainment

"Middletown" opens Sept. 29th (image by Bethany Bash)

"Middletown" opens Sept. 29th (image by Bethany Bash)

Manbites Dog Theater will stage the regional premiere of Middletown by critically acclaimed Brooklyn, NY playwright Will Eno on Sept. 29-Oct. 1 and Oct. 6-9 and 12-15 in its downtown Durham, NC theater. Eno?s rambling one-man show Thom Pain (based on nothing), which Manbites Dog performed in June 2006, was a finalist for the 2005 Pulitzer Prize for Drama.

Manbites Dog artistic director Jeff Storer will stage Middletown with a cast that includes David J. Berberian, Chris Burner, Barbara Dickinson, Thaddaeus Edwards, Madeleine Lambert, Bart Matthews, Jeffrey Moore, Tara-Whitney Rison, and Chaunesti Webb.

According to Manbites Dog Theater:

?Welcome to Middletown. We?ve all been there. Meet the inhabitants of a small town whose lives seem unsurprising and ordinary. But life is always more complicated than it appears, and beneath the ordinary lies something epic, elusive, and mysterious. Experience a deeply moving and deeply comic new work by the author of Oh, the Humanity,? which Manbites Dog performed in December 2010.

When Middletown opened Off-Broadway on Nov. 3, 2010, some critics raved:

CURTAIN UP: ?More than likely the title of Will Eno?s new play will bring to mind [Our Town,] Thornton Wilder?s classic story of a small town. It follows that the character known only as Cop who ? is Eno?s version of the [Stage] Manager.?

THE NEW YORK TIMES: ?The strange beauty of life and its sometimes unbearable weight are both considered with a screwball lyricism in Will Eno?s new play Middletown ?. In this delicate, moving and wry amble along the collective road to nowhere, the folks are friendly, and the view of star-dappled skies and modest homes is familiar and comforting.?

NEW YORK MAGAZINE: ?Middles of every variety are irresistible Petri dishes for the absurd. Middle America, middling lives, ?the middle distance? (a phrase Edward Albee lip-smackingly macerated in his latest, Me Myself & I): Nothing beckons the Beckettian like the gaping promise of empty space. (Luckily, it?s still this nation?s top export.) The suspension of a body, or a country, or a cosmos, between two poles that are themselves increasingly obscure and abstract and arbitrary, the closer one looks at them ? that?s a gleaming beacon for the pomo wanderer. So it?s no surprise that Will Eno, author of the celebrated shoegazer monologue Thom Pain (based on nothing), has pitched his tent in the vast, empty American Middle.?

Other critics had some reservations:

VARIETY: ?Will Eno seems determined to subdue his minimalist impulses in Middletown, a provocative but egregiously overwritten piece about life and death and the monumental struggle to get through the day without killing yourself. Something of a postmodern cut-and-paste job on Our Town, this surreal fantasy of daily life in a small town allows residents to step out from behind their ordinary persona and assert their individuality in the eccentric idiom that the scribe perfected in Off-Broadway hit Thom Pain (based on nothing). A fine idea, if only Eno hadn?t focused his play on the two dullest citizens in town.?

NEW JERSEY NEWSROOM: ?Some people will find Middletown to be a beautiful ? perhaps even a profound ? study in human existence. Others may well dismiss Will Eno?s latest drama as just so much obvious, overwritten bosh.?

SECOND OPINION: Sept. 25th Raleigh, NC News & Observer preview by Glenn McDonald: http://www.newsobserver.com/2011/09/25/1512194/thats-25-in-theater-years.html.

Manbites Dog Theater presents MIDDLETOWN at 8:15 p.m. Sept. 29-Oct. 1 and Oct. 6-8, 3:15 p.m. Oct. 9, and 8:15 p.m. and Oct. 12-15 at Manbites Dog Theater, 703 Foster St., Durham, North Carolina 27701.

TICKETS: $12 weeknights and $17 Friday-Saturday, except Sept. 29th pay-what-you-can preview (door sales only, $5 minimum), $5 Student Rush Tickets, and $2 discount for seniors 62+ and active-duty military personnel.

BOX OFFICE: 919/682-3343 or http://manbitesdogtheater.tix.com/.

SHOW: http://www.manbitesdogtheater.org/383/.

PRESENTER/VENUE: http://www.manbitesdogtheater.org/.

DIRECTIONS/PARKING: http://www.manbitesdogtheater.org/5/.

OTHER LINKS:

The Playwright: http://en.wikipedia.org/wiki/Will_Eno (Wikipedia).

The Director: http://theaterstudies.duke.edu/ (Duke University Department of Theater Studies).

EDITOR?S NOTE:

Robert W. McDowell is editor and publisher of Triangle Theater Review, a FREE weekly e-mail theatrical newsletter that provides more comprehensive, in-depth coverage of Raleigh, Durham, and Chapel Hill theater than all of the other news media combined. This preview is reprinted with permission from Triangle Theater Review.

To start your FREE subscription to this newsletter, e-mail RobertM748@aol.com and type SUBSCRIBE TTR in the Subject: line.

To read all of Robert W. McDowell?s Triangle Theater Review previews and reviews online at Triangle Arts & Entertainment, click http://triangleartsandentertainment.org/author/robert-w-mcdowell/.


Tagged as: Jeff Storer, Manbites Dog, Manbites Dog Theater, Middletown, Will Eno

Source: http://triangleartsandentertainment.org/2011/09/will-enos-middletown-is-a-deeply-moving-and-profoundly-comic-look-at-small-town-life/

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Writing Books for Children ? Submissions to Contract to Promotion ...

[unable to retrieve full-text content]Along with keeping the momentum goings with writing books for children, having published books opens other writing opportunities, such as speaking engagements, conducting workshops and/or teleseminars, and coaching. ...

Source: http://www.karencioffi.com/2011/09/writing-books-for-children-%E2%80%93-submissions-to-contract-to-promotion-to-writing-career-part2/

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Investing in debt securities against inflation

Home ? opinion ? Investing in debt securities against inflation

Bond outlook

Thailand Bond Market
September 30, 2011 9:03 am

But rather than accepting the situation and doing nothing to combat the rising cost of living, investors should be looking for sources of higher returns to cover the effects of inflation pressure. Investing in debt securities is one possible source where risk is relatively low.

First of all, it helps to understand how inflation can impact our daily lives. High inflation usually occurs after economic expansion, and a simple example of its effects is a rise in food prices. Over the last 10 years, food prices have increased continually. A dish that sold for Bt15-20 a decade ago now typically costs Bt30-40. Travel costs are another obvious marker of inflation: bus fares have more than doubled for the same distance of travel.

Situations like these should spur us to find alternatives to increase our purchasing power.

Debt securities have become an interesting alternative for three main reasons. First, the rate of return on debt securities is higher than the inflation rate. Over the past eight years (2002-2010), only in 2005 were returns from debt securities lower than the inflation rate. For the remaining seven years, investing in debt securities brought higher returns than inflation.

Second, the rate of return on debt securities is higher than the interest rate on bank deposits. Comparing data from the same period (2002-2010), return on debt securities was usually higher than the two-year fixed-deposit interest rate.

Finally, the risk of investing in debt securities is low when compared to other channels of investments. In particular, the debt securities issued by the government are considered a risk-free instrument (with no default risk). However, investors must consider that debt securities still contain other risks, such as interest-rate risk and pre-payment risk.

Source: http://www.nationmultimedia.com/new/opinion/Investing-in-debt-securities-against-inflation-30166487.html

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How Facebook's New Features Will Fuel Social Shopping ...

Many of the new features introduced at?Facebook?s f8 Developer Conference last Thursday, such as a customizable?Open Graph?and real-time news?Ticker, will have a tremendous impact on social commerce and social shopping in the very near future.

Developers will now be able to build a Facebook commerce experience more relevant to shoppers and also offer more effective social discovery for sellers. Sellers will be able to access new insights into shopper preferences and will use this data to better promote their products. These new opportunities will make the Facebook shopping experience richer and more social.

Here are five ways Facebook?s new features will fuel social commerce and product discovery.


1. Better Self-Expression for Shoppers


Custom Open Graph gestures will bring a new level of relevance to the Facebook shopping experience. By enabling new buttons such as ?Want,? ?Own? and ?Love,? shoppers will be able to express themselves more specifically around a particular product. Consequently, News Feed stories can also be customized to generate phrases such as ?Jim reviewed? or ?Jane loved? a particular product. These types of posts will drive much more effective social discovery than a simple ?Like? story.

These new buttons will also be used to enrich the social shopping experience within Facebook storefronts themselves. For example, in the future, you will be able to see who ?owns? a product you?re considering and connect with that friend for recommendations. This functionality will also enable sellers to engage more deeply with shoppers. For example, if I discover that Jim owns a product in my storefront, I might ask him for a product review.


2. Product Discovery Through Ticker


The new Ticker creates a persistent real-time stream that sellers can use to publicize products to shoppers, just as Ticker allows users to discover music their friends are listening to. For example, if my friend Jane visits a Facebook store and clicks the ?Want? button on a product, the resulting Ticker story could read, ?Jane wants a Granite Fountain at the Fountain Shop on Facebook.?

As powerful as this capability is, developers should be careful to publish only the activities that shoppers agree to promote. For instance, if a boyfriend is secretly checking out engagement rings, he might not want his whole friend list to know about it.


3. The Ability to Create Wishlists


As part of the new design, Facebook will aggregate application activity to create persistent modules on a person?s Timeline. Different social shopping widgets will post to a person?s profile, such as holiday and birthday wish lists or wedding and baby registries. These lists are created automatically based on the custom action buttons. For example, all ?Want? button clicks will create a wish list on the Timeline.

?
Adding product-focused lists to your profile lets people know what you want, and makes it easier for friends to know what to buy you when those special events come around. Now when your friends get a birthday reminder for you, they can click through to your profile, and may even be able to buy you something from your birthday wish list immediately.

The Ticker will also play a role in promoting these wish lists. Want to remind people about your wish list before your upcoming birthday? Just ?Want? a more recent product and it will automatically generate a fresh Ticker story.

4. Clearer Permissions


Have you ever started to use a new Facebook application, but hesitated when seeing how the application could use your data? The current permissions dialog box did not allow developers to explain why they want your permissions, so users didn?t always have enough information to make an informed decision.

Developers will now have more control over the content displayed in the permissions dialog, and thus can better articulate how a person?s data will be used. Social shopping applications can explain exactly what type of data will be used and what benefits it will provide the shopper; they can even include screenshots of posts that might appear on your Timeline. For example, a permissions dialog might explain that your Facebook interests will be used to provide product recommendations and special deals targeted to you. This option could, in turn, build trust and increase participation by users.


5. Shopping With Friends


The Facebook custom Open Graph and Ticker opened the door to social music discovery ? so why not social shopping as well?

In the near future you might see an ?invite friends to shop? button within a social storefront. Clicking on it would generate a post in the Ticker that says, ?Jane is shopping for baby strollers.? When a friend clicks on the post, they would be taken to a chat room-style panel or comment box where they can share stroller recommendations. That feedback might become part of the public comments in the store, or may only be visible to the two of you. The end result is that you have enlisted your friend?s help to make a purchase decision, as if you were both shopping together at the mall.


These kinds of experiences are only the beginning. Just as developers have used Facebook to bring people together to play social games, so too will developers use this new functionality to make Facebook shopping a much more interactive ? and social ? experience.

What features would you like to see in a Facebook shopping experience?


Source: http://club246.com/blog/2011/09/30/facebook-feature/

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Pending home sales tumbled last month

Pending-home sales tumbled in August, a victim of the sluggish economy??and Hurricane Irene, data from the National Association of Realtors showed Thursday.

The National Association of Realtors Home Sales index dropped 1.2 percent to 88.6 percent in Augustl. The index is based on signed contracts in the month.

It was?the lowest level in four months, Reuters reported. The drop was not as steep?as economists had predicted, however. Economists polled by Reuters had expected a drop of 1.8 percent.

?The biggest monthly decline was in the Northeast, which was significantly disrupted by Hurricane Irene in the closing weekend of August,? said NAR chief economist Lawrence Yun.???But broadly speaking, contract signing activity has been holding in a narrow range for many months.?

Source: http://bottomline.msnbc.msn.com/_news/2011/09/29/8035315-pending-home-sales-drop-to-lowest-in-4-months

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J&J sees continued supply shortages of cancer drug (Reuters)

(Reuters) ? Johnson & Johnson has told doctors it expects a limited supply of its Doxil cancer drug to become available within the next six weeks, but warned the amount would not be sufficient for all patients currently on waiting lists.

Supplies of the drug will fluctuate over the next several months as a contracted specialty manufacturer works to increase production, the company said in a Sept 23 letter posted on its website.

The specialty manufacturer will continue producing Doxil until J&J has transitioned to a new manufacturer, the company said.

The injectable drug, which had annual global sales of about $500 million as of July, is used to treat ovarian cancer and multiple myeloma.

In July, the company cautioned doctors not to begin treating patients with Doxil as it expected supply shortages of the drug because of production constraints at the contracted specialty manufacturer.

J&J's shares closed at $62.69 on Monday on the New York Stock Exchange.

(Reporting by Divya Sharma in Bangalore; Editing by Matt Driskill)

Source: http://us.rd.yahoo.com/dailynews/rss/cancer/*http%3A//news.yahoo.com/s/nm/20110928/hl_nm/us_cancer_drug

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