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Bacterial patterns found in surgery patients with chronic sinusitis W. HADLEY HOYT III, no Aseptic samples of sinus mucosa or aspirates from maxillary sinuses were taken from 197 patients who underwent sinus surgery and were cultured for aerobic bacteria.Anaerobic cultures were also obtained from 143 of these patients.( continued on page 209) JAOA • Vol 92 • No 2 • February 1992 • 205 A powerful case for 0 [?)ll!DJ B (gemfibrozil) ~~gi~~ LOP I Dis indicated for reducing the risk of coronary heart disease in type lib patients with low HDL, in addition to elevated LDL and triglycerides, and who have had an inadequate response to weight loss, diet, exerci se, and other pharmacologic agents such as bile acid sequestrants and ni cotinic acid .Raised low HDL 25% -in patients whose baseline HDL was< 35 mgldL and median baseline LDL was 186 mgldL in the landmark Helsinki Heart Study (HHS) ?Reduced heart attack incidence up to 62%* -in these HHS patients?Incidence of serious coronary events was similar for LOPID and pfacebo subgroups with baseline HDL above the median (46.4 mgldL) ? RAISES HDL, LOWERS LDL AND TRIGLYCERIDES DRAMATICALLY REDUCES HEART ATIACKContraindicated in patients with hepatic or severe renal dysfunction, including primary biliary cirrhosis, preexisting gallbladder disease, or hypersensitivity to gemfibrozil.LOPID may increase cholesterol secretion into the bile, leading to cholelithiasis.Caution should be exercised when anticoagulants are given in conjunction with LOPID.*Defined as a combinati on of definite corona ry death and/or defin ite myocardi al infarction.P -.013; 95 % Cl13.3 to 111.5.References 1. Goldstein )
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W. Hadley Hoyt (1992) studied this question.
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