PLoS ONE Journal Publishes Mechanistic Model of Alzheimer's Disease Endorsing Prana's PBT2

MELBOURNE, AUSTRALIA--(Marketwire -03/26/12)- Prana Biotechnology (NASDAQ: PRAN - News) (ASX: PBT.AX - News) today announced the publication, in the journal PLoS ONE, of an article that strongly endorses PBT2's potential to treat Alzheimer's Disease. The paper, entitled "The Zinc Dyshomeostasis Hypothesis of Alzheimer's Disease"(1), presents an integrated explanation of the major pathological features of Alzheimer's Disease, based upon a combination of new experimental data and mathematical modeling.

The senior author on the paper is Professor Rudy Tanzi, the Joseph P. and Rose F. Kennedy Professor of Neurology at Harvard University and Prana's Chief Scientific Advisor.

Dr. Tanzi explained that "the hallmark pathological features of Alzheimer's Disease are the amyloid plaques, composed of the Abeta protein, and neurofibrilliary tangles (NFTs), composed of Tau protein. Everything we have learned from the genetics of Alzheimer's Disease indicates that the disease is caused by excessive accumulation of the Abeta protein in the brain. We also know that hyperphosphorylation of the Tau protein which forms NFTs is the feature of the disease which correlates with neuronal damage and cognitive loss. Prana's drug PBT2 reduces levels of both Abeta and hyperphosphorylated tau in animal studies(4) and improved cognition and lowered Abeta in a Phase 2a clinical trial of Alzheimer's Disease patients(2),(3).

"So, Alzheimer's Disease can be defined as an amyloid-induced tauopathy. The big question is this -- how does amyloid aggregation lead to NFTs? In this paper we propose that at least part of the answer to that question is zinc dyshomeostasis, that is to say, abnormal distribution of zinc in the brains of Alzheimer's Disease sufferers. The drug PBT2 directly addresses this problem by binding zinc and normalising its distribution. This bodes very well for the current PBT2 clinical trial that is in progress," concluded Dr. Tanzi.

This paper builds on Prana's previously published findings that as we age our ability to maintain normal zinc distribution deteriorates. Abeta forms amyloid by capturing and holding zinc, which in turn further reduces our ability to maintain normal zinc distribution. "This is a vicious pathological cycle. PBT2 interrupts this cycle, re-distributing zinc needed for healthy brain function," commented Prana's Head of Research, Associate Professor Robert Cherny.

Supporting this, the Journal of Alzheimer's(5) Disease recently published data from an independent laboratory showing the ability of the brain to move zinc in and out of neurons deteriorates with the progression of Alzheimer's Disease. These two papers are the latest of a number of high profile scientific articles that have been published on the role of metals in neurodegenerative diseases, supporting Prana's therapeutic strategy to treat these disorders.

Prana has recently commenced clinical trials for Alzheimer's Disease and Huntington's Disease, both using the drug PBT2.

Synopsis of PLoS ONE paper In the paper the authors propose that sequestration of zinc by Abeta-amyloid deposits (Abeta oligomers and plaques) not only drives Abeta aggregation, but also disrupts zinc homeostasis in zinc-enriched brain regions important for memory and vulnerable to Alzheimer's Disease pathology, resulting in intra-neuronal zinc levels, which are either too low, or excessively high. Moreover, they carry out modeling to suggest that this can lead microtubule instability and the abnormal tau pathology, including neurofibrillary tangles (NFT).

To evaluate this hypothesis, the authors:

1) used molecular modeling of zinc binding to the microtubule component protein tubulin, identifying specific, high-affinity zinc binding sites that influence side-to-side tubulin interaction, the sensitive link in microtubule polymerization and stability.

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PLoS ONE Journal Publishes Mechanistic Model of Alzheimer's Disease Endorsing Prana's PBT2

What are Yips? (Mayo Clinic video)

Yips are involuntary wrist spasms that occur most commonly when golfers are trying to putt. However, the yips can also affect people who play other sports - such as cricket, darts and baseball.

It was once thought that the yips were always associated with performance anxiety. However, it now appears that some people have yips that are caused by a focal dystonia, which is a neurological dysfunction affecting specific muscles.

Charles H. Adler, M.D., neurologist at Mayo Clinic in Arizona, discusses study findings related to the yips, a condition affecting a significant number of already anxious golfers during putting or chipping.

References:

Yips. Mayo Clinic.

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Symptomatic knee osteoarthritis (OA) increased during the past 20 years but radiographic OA did not

A recent surge in knee replacements is assumed to be due to aging and increased obesity of the U.S. population.

This cross-sectional study used data from 6 NHANES (National Health and Nutrition Examination Survey) surveys between 1971 and 2004 and from 3 examination periods in the FOA (Framingham Osteoarthritis) Study between 1983 through 2005 of the U.S. population.

Prevalence of knee pain increased by 65% in NHANES from 1974 to 1994.

In the FOA Study, prevalence of knee pain and symptomatic knee osteoarthritis doubled in women and tripled in men over 20 years.

However, no such trend was observed in the prevalence of radiographic knee osteoarthritis.

Prevalence of knee pain has increased substantially over 20 years. Obesity accounted for only part of this increase.

Symptomatic knee osteoarthritis increased but radiographic knee osteoarthritis did not. Why the patients are more symptomatic now than 20 years ago?

What is Boomeritis?

In 2006, the NYTimes described the health problems of aging baby boomers who continue to exercise: osteoarthritis which needs "knee and hip replacements, surgery for cartilage and ligament damage, and treatment for tendinitis, arthritis, bursitis and stress fractures." Some doctors call this phenomenon "boomeritis" or "Generation Ouch."

References:

Increasing Prevalence of Knee Pain and Symptomatic Knee Osteoarthritis: Survey and Cohort Data. ANN INTERN MED, December 6, 2011, vol. 155 no. 11 725-732.

What is Boomeritis?

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Motion sickness – what to do?

From a 2011 BMJ review:

Travel by car, train, or other transport is part of everyday life for most people, and therefore motion sickness is a quite common problem. It was recognized in the early days of sea travel and the word for sickness, “nausea,” derives from the Greek word ????, meaning “ship.”

Motion sickness is also a potentially disabling problem, thought to be due to sensory conflict or “mismatch” involving the vestibular system.

Symptoms can be provoked by:

- externally imposed motion
- implied self motion from a moving visual field, such as in a cinema

Symptoms

Motion sickness manifests with:

- nausea, vomiting, and stomach awareness
- increased salivation
- belching
- pallor
- sweating
- headache
- dizziness
- apathy, drowsiness, and malaise
- hyperventilation

Habituation

Behavioral treatments such as habituation can be effective but at the same time they can be unpleasant and time consuming

Hyoscine

Hyoscine is an effective preventive medication. There are oral forms and transdermal patches. Hyoscine nasal spray is also effective in preventing motion sickness

Evidence to support the use of other drugs is weaker, especially taking into account the trade off between efficacy and adverse effects. Traditional remedies such as ginger and acupressure bands have not been effective.

References:

Managing motion sickness. BMJ Review 2011; 343 doi: 10.1136/bmj.d7430
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Prevalence of migraine by Dr.Vivek Kumar DM (Neurology) – Video

23-03-2012 09:46 This patient educational video is brought to you by Dr.Vivek Kumar MD DM (Neurology) Sr.Consultant Neurologist, Metro Multispeciality Hospital, Noida. The presentation is based on the clinical experience and the evidences available. Note : Please Consult you doctor before following anything given or spoken in this patient education video.

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Prevalence of migraine by Dr.Vivek Kumar DM (Neurology) - Video

The neurology professor is honored by Islam.(HARUNYAHYA) – Video

21-03-2012 02:21 The neurology professor is honored by Islam.(HARUNYAHYA) en.harunyahya.tv http://www.harunyahya.com http://www.awaitedmahdi.com http://www.darwinistsdefeated.com http://www.darwinistpanic.com http://www.darwinistsinpain.com http://www.famousdarwinistdeceptions.com http://www.evolutionisnotscientific.com http://www.naturalselectionanddarwinism.com darwinistsdilemma.com http://www.atheismrefuted.com http://www.living-fossils.com http://www.collapseofatheism.com http://www.baltic-ambers.com http://www.darwinslostcause.com http://www.transitionalformdilemma.com http://www.servingislam.com http://www.adnanoktarinterviews.com http://www.englishkuran.com http://www.jesuswillreturn.com http://www.atlasofcreation.com http://www.creationofuniverse.com http://www.dayofjudgment.com http://www.womaninthequran.com http://www.whatisdestiny.com http://www.wisdomfromtorah.com http://www.riseofislam.com http://www.economicsinislam.net http://www.callforanislamicunion.com http://www.turkishislamicunion.com http://www.harunyahyasays.com http://www.theprophetmuhammad.org http://www.primepeace.com http://www.psychologicalwarfaremethods.com http://www.confessionsofevolutionists.com http http://www.miracleintheeye.com http://www.whatisdestiny.com http://www.fossil-museum.com http://www.harunyahyaimpact.com http://www.perishednations.com http://www.nightmareofdisbelief.com

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The neurology professor is honored by Islam.(HARUNYAHYA) - Video

What is migraine by Dr.Vivek Kumar DM (Neurology) – Video

23-03-2012 01:07 This patient educational video is brought to you by Dr.Vivek Kumar MD DM (Neurology) Sr.Consultant Neurologist, Metro Multispeciality Hospital, Noida. The presentation is based on the clinical experience and the evidences available. Note : Please Consult you doctor before following anything given or spoken in this patient education video.

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What is migraine by Dr.Vivek Kumar DM (Neurology) - Video

Research and Markets: The Animated Pocket Dictionary of Neurology & Psychiatry – A Must-Have Resource

DUBLIN--(BUSINESS WIRE)--

Research and Markets (http://www.researchandmarkets.com/research/5dad2aee/the_animated_pocke) has announced the addition of the "The Animated Pocket Dictionary of Neurology & Psychiatry" report to their offering.

The FOCUS Animated Pocket Dictionary of Neurology and Psychiatry, the first ever animated dictionary in the subject, fills that void quite effectively. A must-have resource for physicians and students who would greatly benefit from this module, it covers 80 neuropsychiatry related terms and definitions. All the definitions have been described with breathtaking, state of the art 3D animations.

Visual media is particularly well suited to the visual science of medicine. Health information has never been so easily understandable or more accessible. Focus Medica a subsidiary of Panther Publishers, committed to simplifying medicine through the use of visual media has become synonymous with creating innovative Medical and Health Animations.

At Focus Medica, they have the knowledge, expertise and support of internationally reputed opinion leaders to translate print into visual media with the right creative platforms. Their collection of IPs include unique Health Animations and Printed Content with exceptional images and illustrations.

For more information visit http://www.researchandmarkets.com/research/5dad2aee/the_animated_pocke

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Research and Markets: The Animated Pocket Dictionary of Neurology & Psychiatry - A Must-Have Resource

Alzheimer's Disease – Antioxidants Have No Effect On Cerebrospinal Fluid Biomarkers

Editor's Choice Academic Journal Main Category: Alzheimer's / Dementia Also Included In: Neurology / Neuroscience Article Date: 22 Mar 2012 - 8:00 PDT

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In the brain, oxidative impairment is linked to aging and is common in individuals with Alzheimer's disease (AD). Even though some studies have indicated that a diet rich in antioxidants may lower the risk of developing AD, results from antioxidant studies in AD have been mixed.

Douglas R. Galasko, M.D., of the University of California, San Diego, and his team enrolled 78 patients from the Alzheimer's Disease Cooperative Study (ADCS) Antioxidant Biomarker study in order to analyze alterations in cerebrospinal fluid (CSP) biomarkers associated to AD and oxidative stress, function and cognition.

The researchers assigned participants to one of three groups:

The researchers explained:

The researchers found that although participants in the E/C/ALA group saw a decrease of CSF F2-isoprostane levels, indicating a reduction of oxidative stress in the brain, the treatment raised caution regarding faster cognitive decline as evaluated by the Mini-Mental State Examination (MMSE).

The researchers said:

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Alzheimer's Disease - Antioxidants Have No Effect On Cerebrospinal Fluid Biomarkers

Memory problems may increase after being hospitalized

Public release date: 21-Mar-2012 [ | E-mail | Share ]

Contact: Rachel Seroka rseroka@aan.com 651-695-2738 American Academy of Neurology

ST. PAUL, Minn. A new study suggests that older people may have an increased risk of problems with memory and thinking abilities after being in the hospital, according to research published in the March 21, 2012, online issue of Neurology, the medical journal of the American Academy of Neurology.

"Our study is timely as the United States population continues to rapidly age and researchers try to identify factors that could reduce memory and thinking problems in the elderly," said study author Robert S. Wilson, PhD, of Rush University Medical Center in Chicago. "Understanding a possible link to something as common as hospital stays is extremely important."

The study involved 1,870 people over the age of 65 who lived in Chicago and were interviewed every three years for up to 12 years to test their memory and thinking skills. Of those, 1,335 people, or 71 percent, were hospitalized at least once during the study.

On average, elderly people's scores on tests of memory and thinking skills decline slightly as they age. In the study, researchers found that people's overall scores declined twice as fast after a first hospital stay, compared either to their previous rate before the hospital stay or to people who were not admitted to the hospital. On specific tests, the rate of decline after the first hospital stay was more than three times faster on a long-term memory test and 1.5 times faster on a complex attention test. The results stayed the same even after considering factors such as severe illness, longer hospital stay and older age.

"Further research may help to develop strategies to prevent medical problems in older people that lead to hospital stays. It could also lead to changes in hospital inpatient and discharge policies," said Wilson.

###

The study was supported by the National Institutes of Health and the National Institute on Aging.

To learn more about dementia, visit http://www.aan.com/patients.

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Memory problems may increase after being hospitalized

Clinical trial fails to find antioxidant Alzheimer’s benefit

Supplementation with an antioxidant-rich combination of vitamin E, vitamin C and alpha-lipoic acid (ALA) is not associated with changes in important markers for Alzheimers disease, finds new research.

The randomized controlled trial published in JAMAs Archives of Neurology reports thatthe vitamin E, C and ALA combination had no significant effect on cerebrospinal fluid biomarkers related to Alzheimer disease.

Led by Dr Douglas Galasko, of the University of California, San Diego, USA, the research team examined changes in cerebrospinal fluid (CSF) biomarkers related to Alzheimer disease and oxidative stress, cognition and function finding that the combination of the omega-3 fatty acid ALA and vitamins C and E did not affects key biomarkers for Alzheimers disease.

They added that the combination resulted in a lowering of CSF F2-isoprostane levels suggesting a reduction of oxidative stress in the brain. However, Galasko and his colleagues said supplementation also led to faster cognitive declines as assessed by the Mini-Mental State Examination (MMSE).

"It is unclear whether the relatively small reduction in CSF F2-isoprostane level seen in this study may lead to clinical benefits in Alzheimers disease, commented Galasko and his colleagues.

The more rapid MMSE score decline raises a caution and indicates that cognitive performance would need to be assessed if a longer-term clinical trial of this antioxidant combination is considered," they concluded.

Commenting on the study, Dr Harry Rice, vp regulatory & scientific affairs for the omega-3 trade group GOED, told NutraIngredients that he contended such conclusions.

Rice argued that the absence of any cognitive benefits in the current study does not exclude the possibility that supplementation with antioxidants prior to the onset of Alzheimer Disease could provide a neuroprotective benefit such as delaying the onset of symptoms, or slowing the progression of the disease.

Study details

The researchers studied the effects of the combined supplements in 78 patients from the Alzheimer's Disease Cooperative Study (ADCS) Antioxidant Biomarker study. The participants were divided into one of three groups: 800 IU/per day of vitamin E (-tocopherol) plus 500 mg/per day of vitamin C plus 900 mg/per day of -lipoic acid (E/C/ALA); 400 mg of coenzyme Q (CoQ) three times a day; or placebo.

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Clinical trial fails to find antioxidant Alzheimer’s benefit

American Academy of Neurology Foundation Hosting FREE Brain Health Fair on April 21

Free event connecting local patients, families and caregivers with important resources to win the battle against brain disease

WHAT: Brain Health Fair WHERE: New Orleans Ernest N. Morial Convention Center (MCCNO), Exhibit Hall B WHEN: Saturday, April 21, 2012; 9:30 a.m.-3:30 p.m. HOW: FREE Registration Now Open at http://www.BrainHealthFair.com

DETAILS: On Saturday, April 21, the American Academy of Neurology Foundation will host the Brain Health Fair, a free, day-long family event connecting patients, families and caregivers affected by a neurologic disorder with important resources to battle brain disease. Free registration is now open for everyone at http://www.BrainHealthFair.com. This event is scheduled for the opening day of the 64th Annual Meeting of the American Academy of Neurology, which will bring more than 10,000 healthcare professionals to New Orleans April 21-28.

Attendees of the Brain Health Fair will have the opportunity to learn from more than 30 exhibitors and neurologists from around the world about the latest research advances in Alzheimers disease, autism, brain injuries, epilepsy, headaches, multiple sclerosis, Parkinsons disease, stroke and other types of brain disease. The exhibitors will offer tips on topics such as how to prevent diabetes and stroke, how to spot a concussion, support groups, activities for kids and teens and free giveaways and resources.

List of exhibitors includes: American Academy of Neurology (AAN), AAN Patient Education Resources Booth, Agency for Toxic Substances and Disease Registry, Allergan, Inc., Amerigroup Louisiana Healthcare, AxelaCare Health Solutions, Benign Essential Blepharospasm Research Foundation, Inc., Brain Injury Association of Louisiana, Cadwell Laboratories, Inc., Critical Patient Care/Balanceback, Culicchia Neurological Clinic, Dance for PD, Centers for Disease Control and Prevention Division of Injury Response, DiscoverMI.org, Electrical Geodesics, Inc. (EGI), Epilepsy Foundation Louisiana, ForMemory, Inc., Building Hope in Early Onset Cognitive Challenges, Genentech, Genzyme A Sanofi company, Glut1 Deficiency Foundation, International Essential Tremor Foundation (IETF), MedMerits, Inc., Multiple Sclerosis Foundation, National Ataxia Foundation, National MS Society, Louisiana chapter, National Parkinson Foundation, National Spasmodic Torticollis Association, Nicolet CareFusion, Office of Public Health, Parkinson's Action Network, Parkinson's Disease Foundation, Pfizer Inc., Society of Nuclear Medicine, The Secret Gardens Tour, The Sturge-Weber Foundation, UCB, Inc.

The event is sponsored by Genzyme Corporation, a Sanofi company, Neurology Now magazine, PSAV Presentation Services, Peoples Health, Teva Neuroscience, Inc. and in-kind donations from Dance for Parkinsons Disease, the Centers for Disease Control and the National Institute of Neurological Disorders and Stroke.

The AAN, an association of more than 25,000 neurologists and neuroscience professionals, is dedicated to promoting the highest quality patient-centered neurologic care. This years Annual Meeting, including the Brain Health Fair, is expected to generate more than $11 million in economic impact.

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American Academy of Neurology Foundation Hosting FREE Brain Health Fair on April 21

Alzheimer's Biomarkers Unaffected By Antioxidants

Featured Article Academic Journal Main Category: Alzheimer's / Dementia Also Included In: Nutrition / Diet;Neurology / Neuroscience Article Date: 20 Mar 2012 - 3:00 PDT

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2.2 (5 votes)

First author Dr Douglas R. Galasko, from the Department of Neuroscience at the University of California San Diego, and colleagues describe how they tested for the effects of a combination of vitamin E, vitamin C and alpha-lipoic acid (E/C/ALA) on levels of CSF biomarkers.

Alzheimer's disease is characterized by an abundance of beta-amyloid protein plaques that clog up the spaces between brain cells and tau-based neurofibrillary tangles that clog up the insides of brain cells. Certain proteins in spinal fluid relate to this amyloid and tau pathology and serve as reliable biomarkers for the disease.

Metabolic reactions in the body produce free radicals that interact with other molecules to cause oxidative damage to proteins, membranes and genes. This influences the aging process and is also linked to disease, including cancer and Alzheimer's. In fact, oxidative damage in the brain is widespread among people with Alzheimer's disease.

The body defends against oxidative damage by producing antioxidants to mop up free radicals. Genes, environment and lifestyle (eg diet, smoking, exercise) determine how well it does this.

Increasing intake of antioxidants can boost the body's ability to defend itself against oxidative damage, and Galasko and colleagues write that some observational studies have suggested that a diet rich in antioxidants can reduce the risk of Alzheimer's disease, but randomized clinical trials have shown mixed results.

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Alzheimer's Biomarkers Unaffected By Antioxidants

Essential tremor: what are the treatment options?

Essential tremor is a common neurologic problem. It should be differentiated from secondary causes of tremor and Parkinson disease.

Impact of essential tremor

Essential tremor causes motor dysfunction (e.g. a dentist may have to quit his/her job). However, more importantly, the tremor can have a psychological impact on the patient, especially since it usually gets worse in social situations.

Diagnosis

Essential tremor is a clinical diagnosis. A thorough review of the medical history and medication exposures is a good start. Laboratory and imaging tests may be ordered to rule out a secondary cause.

Treatment

The two first-line agents in drug therapy for essential tremor are:

- nonselective beta-blocker propranolol (Inderal)
- antiepileptic primidone (Mysoline)

They can be used alone or in combination.

Severe, resistant, or atypical cases should be referred to a specialist. Botulinum toxin injection and deep brain stimulation are reserved for resistant tremor or for patients who do not tolerate drug therapy.

Dr. Young from Swedish Medical Center discusses some of the new treatments for essential tremor in this video:

References:

Essential tremor: Choosing the right management plan for your patient. CCJM, 2011.

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March Madness Vasectomies: Postop period is "a perfect situation for television", says Cleveland Clinic urologist

Vasectomy is a surgical procedure for male sterilization, and consequently, birth control. During the procedure, the vasa deferentia of a man are severed, and then tied/sealed. This prevents sperm from entering into the seminal stream (ejaculate). You can watch a video how the procedure is done here.

From Cleveland Clinic YouTube channel: A urologist talks about the increase in the number of vasectomies he does this time of year. "Guys get it done, then watch the NCAA Basketball tournament all weekend long." The procedure takes 5-10 minutes. Patients need to ice the area for 2-3 days.

The NCAA Men's Division I Basketball Championship is a single-elimination tournament held each spring in the United States, featuring 68 college basketball teams, to determine the national championship in the top tier of college basketball. The tournament, organized by the National Collegiate Athletic Association (NCAA), was created in 1939 by the National Association of Basketball Coaches, is held mostly in March, and it is known informally as March Madness (source: Wikipedia).

Private urology practices advertise on TV their "Vasectomy Madness" campaigns:

CNN RidicuList with Anderson Cooper: Vasectomy and free pizza (video):

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Medical Equipment Annual Deals Analysis 2012

NEW YORK, March 19, 2012 /PRNewswire/ --Reportlinker.com announces that a new market research report is available in its catalogue:

http://www.reportlinker.com/p0180789/Medical-Equipment-Annual-Deals-Analysis-2012.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Medical_Equipment_and_Supply

Medical Equipment Annual Deals Analysis 2012

Data presented in this report is derived from GlobalData's proprietary in-house Medical eTrack deals database as well as primary and secondary research.

Scope

- Analyze market trends for the medical equipment/medical devices market in the global arena - Review of deal trends in anesthesia and respiratory devices, cardiovascular devices, dental devices, diabetes care devices, diagnostic imaging, drug delivery devices, endoscopy devices, ENT devices, healthcare IT, hospital supplies, in vitro diagnostics, nephrology and urology devices, neurology devices, opthalmic devices, patient monitoring, surgical equipment, and wound care management segments- Analysis of M&A, Equity/Debt Offerings, Private Equity, Venture Financing and Partnerships in the medical equipment market-

of medical equipment deals globally in the last five years- Information on the top deals that took place in the medical equipment market- Geographies covered include North America, Europe, Asia Pacific, South & Central America, and Middle East & Africa- League Tables of financial advisors in M&A and equity/debt offerings. This includes key advisors such as Morgan Stanley, Credit Suisse, and Goldman Sachs- Review the financial metrics, such as operating profit ratio, P/E ratio, and EV/EBITDA on mergers and acquisitions

Reasons to buy

- Enhance your decision making capability in a more rapid and time sensitive manner- Find out the major deal performing segments for investments in your industry- Evaluate type of companies divesting / acquiring and ways to raise capital in the market- Do deals with an understanding of how competitors are financed, and the mergers and partnerships that have shaped the medical equipment market- Identify major private equity/venture capital firms that are providing finance in the medical equipment market- Identify growth segments and opportunities in each region within the industry- Look for key financial advisors where you are planning to raise capital from the market or for acquisitions within the industry- Identify top deals makers in the medical equipment market1 Table of contents1 Table of contents 21.1 List of Tables 41.2 List of Figures 72 Medical Equipment, Global, Deals Summary 102.1 Medical Equipment, Global, Deals Analysis, 2011 102.1.1 Medical Equipment, Global Deals Analysis, 2011 by Quarter 112.2 Medical Equipment, Global, Number of Deals by Type, 2011 132.3 Medical Equipment, Global, Top Deals, 2011 142.4 Medical Equipment, Global, Top Deals, Summaries, 2011 152.4.1 Johnson & Johnson Enters Into An Agreement To Acquire Synthes 152.4.2 Takeda Pharmaceutical Completes Acquisition Of Nycomed International For $13.7 Billion 152.4.3 Apax Partners, CPPIB And PSPIB Complete Acquisition Of Kinetic Concepts For $6.1 Billion 162.4.4 Johnson & Johnson Completes Public Offering Of Notes For $4.4 Billion 162.4.5 Thermo Fisher Completes Acquisition Of Phadia 162.4.6 Texas Instruments Completes Public Offering Of Notes For $3.5 Billion 172.4.7 Blackstone Group Completes Acquisition Of Emdeon For $3 Billion 172.4.8 Endo Pharmaceuticals Acquires American Medical Systems 172.4.9 Kinetic Concepts Completes Public Offering Of Second Lien Senior Secured Notes For $2.5 Billion 172.4.10 Thermo Fisher Scientific Completes Public Offering Of Senior Notes For $2.1 Billion 183 Medical Equipment, Top Deal Makers, 2011 194 Medical Equipment, Global, Deal Summary, by Type 204.1 Medical Equipment, Global, Deals by Type, 2007-2011 204.2 Medical Equipment, Global, Merger and Acquisition Deals, 2011 214.2.1 Medical Equipment, Global Merger and Acquisition Deals, 2011 by Quarter 224.2.2 Top M&A Deals in 2011 234.3 Medical Equipment, Global, Equity Offerings, 2011 244.3.1 Medical Equipment, Global, Equity Offerings, 2011 by Quarter 254.3.2 Medical Equipment, Global, IPO Deals, 2011 264.3.3 Medical Equipment, Global, Secondary Offerings Deals, 2011 284.3.4 Medical Equipment, Global, PIPE Deals, 2011 294.4 Medical Equipment, Global, Debt Offerings, 2011 304.4.1 Medical Equipment, Global, Debt Offerings, 2011 by Quarter 314.4.2 Medical Equipment, Global, Public Debt Offerings, 2011 324.4.3 Medical Equipment, Global, Private Debt Placements, 2011 334.5 Medical Equipment, Global, Partnership Deals, 2011 344.5.1 Medical Equipment, Global, Partnership Deals, 2011 by Quarter 354.5.2 Partnership Deals in 2011 364.6 Medical Equipment, Global, Private Equity Deals, 2011 384.6.1 Medical Equipment, Global Private Equity Deals, 2011 by Quarter 394.6.2 Top Private Equity Deals in 2011 404.7 Medical Equipment, Global, Venture Financing Deals, 2011 414.7.1 Medical Equipment, Global, Venture Financing Deals, 2011 by Quarter 424.7.2 Medical Equipment, Global, Venture Capital Deals by Stage of Financing, 2011 434.7.3 Medical Equipment, Global, Top Venture Financing Firms, 2011 444.7.4 Medical Equipment, Global, Top Venture Financing Deals in 2011 455 Medical Equipment, Global, Deal Summary, By Market 465.1 Medical Equipment, Global, In Vitro Diagnostics Deals, 2011 465.1.1 Medical Equipment, Global, In Vitro Diagnostics Deals, 2011 by Quarter 485.1.2 In Vitro Diagnostics - Deals of the Year 495.2 Medical Equipment, Global, Healthcare IT Deals, 2011 515.2.1 Medical Equipment, Global Healthcare IT Deals, 2011 by Quarter 525.2.2 Healthcare IT - Deals of the Year 535.3 Medical Equipment, Global, Cardiovascular Devices Deals, 2011 545.3.1 Medical Equipment, Global, Cardiovascular Devices Deals, 2011 by Quarter 555.3.2 Cardiovascular Devices - Deals of the Year 565.4 Medical Equipment, Global, Orthopedic Devices Deals, 2011 575.4.1 Medical Equipment, Global, Orthopedic Devices Deals, 2011 by Quarter 585.4.2 Orthopedic Devices - Deals of the Year 595.5 Medical Equipment, Global, Diagnostic Imaging Deals, 2011 605.5.1 Medical Equipment, Global, Diagnostic Imaging Deals, 2011 by Quarter 615.5.2 Diagnostic Imaging - Deals of the Year 625.6 Medical Equipment, Global Surgical Equipment Deals, 2011 635.6.1 Medical Equipment, Global, Surgical Equipment Deals, 2011 by Quarter 645.6.2 Surgical Equipment - Deals of the Year 655.7 Medical Equipment, Global, Drug Delivery Devices Deals, 2011 665.7.1 Medical Equipment, Global Drug Delivery Devices Deals, 2011 by Quarter 675.7.2 Drug Delivery Devices - Deals of the Year 685.8 Medical Equipment, Global, Anesthesia and Respiratory Devices Deals, 2011 705.8.1 Medical Equipment, Global, Anesthesia and Respiratory Devices Deals, 2011 by Quarter 715.8.2 Anesthesia and Respiratory Devices - Deals of the Year 725.9 Medical Equipment, Global, Hospital Supplies Deals, 2011 735.9.1 Medical Equipment, Global Hospital Supplies Deals, 2011 by Quarter 745.9.2 Hospital Supplies - Deals of the Year 755.10 Medical Equipment, Global, Neurology Devices Deals, 2011 765.10.1 Medical Equipment, Global, Neurology Devices Deals, 2011 by Quarter 775.10.2 Neurology Devices - Deals of the Year 785.11 Medical Equipment, Global, Ophthalmic Devices Deals, 2011 795.11.1 Medical Equipment, Global, Ophthalmic Devices Deals, 2011 by Quarter 805.11.2 Ophthalmic Devices - Deals of the Year 815.12 Medical Equipment, Global, Patient Monitoring Deals, 2011 825.12.1 Medical Equipment, Global, Patient Monitoring Deals, 2011 by Quarter 835.12.2 Patient Monitoring - Deals of the Year 845.13 Medical Equipment, Global, Nephrology and Urology Devices Deals, 2011 855.13.1 Medical Equipment, Global, Nephrology and Urology Devices Deals, 2011 by Quarter 865.13.2 Nephrology and Urology Devices - Deals of the Year 875.14 Medical Equipment, Global, Wound Care Management Deals, 2011 885.14.1 Medical Equipment, Global, Wound Care Management Devices Deals, 2011 by Quarter 895.14.2 Wound Care Management - Deals of the Year 905.15 Medical Equipment, Global, Diabetes Care Devices, Deals, 2011 915.15.1 Medical Equipment, Global, Diabetes Care Devices, Deals, 2011 by Quarter 925.15.2 Diabetes Care Devices - Deals of the Year 935.16 Medical Equipment, Global, Dental Devices Deals, 2011 945.16.1 Medical Equipment, Global, Dental Devices Deals, 2011 by Quarter 955.16.2 Dental Devices - Deals of the Year 965.17 Medical Equipment, Global, Endoscopy Devices Deals, 2011 975.17.1 Medical Equipment, Global, Endoscopy Devices Deals, 2011 by Quarter 985.17.2 Endoscopy Devices - Deals of the Year 995.18 Medical Equipment, Global, Ear, Nose and Throat Devices Deals, 2011 1005.18.1 Medical Equipment, Global, ENT Devices Deals, 2011 by Quarter 1015.18.2 ENT Devices - Deals of the Year 1026 Medical Equipment, Deal Summary, By Geography 1036.1 Medical Equipment, North America Region, Deals, 2011 1036.1.1 Medical Equipment, North America Region, Deals, 2011 by Quarter 1046.1.2 North America Deals of the Year 1056.2 Medical Equipment, European Region, Deals, 2011 1076.2.1 Medical Equipment, European Region, Deals, 2011 by Quarter 1086.2.2 Europe Deals of the Year 1096.3 Medical Equipment, Asia-Pacific Region, Deals, 2011 1106.3.1 Medical Equipment, Asia-Pacific Region, Deals, 2011 by Quarter 1116.3.2 Asia-Pacific Deals of the Year 1126.4 Medical Equipment, Rest of the World (ROW), Deals, 2011 1136.4.1 Medical Equipment, Rest of the World, Deals, 2011 by Quarter 1146.4.2 Rest of the World Deals of the Year 1157 Medical Equipment, Global, Top Financial Advisors 1167.1 Medical Equipment, Global, Top Financial Advisors, M&A, 2011 1167.2 Medical Equipment, Global, Top Financial Advisors, Equity Offerings, 2011 1177.3 Medical Equipment, Global, Top Financial Advisors, Debt Offerings, 2011 1188 Medical Equipment, Global, Top Legal Advisors 1198.1 Medical Equipment, Global, Top Legal Advisors, 2011 1199 Further Information 1209.1 Methodology 1209.2 About GlobalData 1209.3 Contact Us 1219.4 Disclosure information 1219.5 Disclaimer 121

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Medical Equipment Annual Deals Analysis 2012