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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;background:white'><tr><td width=30 valign=top style='width:22.5pt;padding:3.75pt 3.75pt 3.75pt 3.75pt'></td><td valign=top style='border:none;border-bottom:solid #EEEEEE 1.0pt;padding:3.75pt 3.75pt 3.75pt 3.75pt'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><a href="http://www.sciencedirect.com/science?_ob=GatewayURL&_method=citationSearch&_urlVersion=4&_origin=SDVIALERTHTML&_version=1&_piikey=S0048-9697%2812%2901529-X&md5=99b76410179ad4d8707563501fb3312d&graphAbs=y"><span style='font-weight:normal'>Quantitative study of controlled substance bedside wasting, disposal and evaluation of potential ecologic effects</span></a></span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:#7E7E7E'>Original Research Article</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> <br><br><i>Pages 298-310</i> <br>Russell F. Mankes, Charles D. Silver<o:p></o:p></span></p><h4><span style='font-family:"Arial","sans-serif"'>Highlights<o:p></o:p></span></h4><p><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>► This study evaluated controlled drug wasting of two hospitals in Albany, NY from 12,345 drug records. ► Only 15 controlled substances (CS) were bedside wasted (of a total 8528g of 38,268g dispensed). ► Three CS (midazolam, acetaminophen-codeine and fentanyl) accounted for 87.5% of the total wasted. ► Of the 13 CS with acute ecotoxicity data in crustaceans and/or fish, diazepam was the most toxic. ► We recommend avoidance of flushing of CS by healthcare and other DEA registered facilities.<o:p></o:p></span></p></td></tr></table><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><a href="http://www.sciencedirect.com/science/journal/00489697"><span style='font-size:11.0pt'>Science of The Total Environment</span></a> <br><a href="http://www.sciencedirect.com/science/journal/00489697/444">Volume 444</a>, Pages 1-602, 1 February 2013<o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Dr. Russell Mankes<o:p></o:p></p><p class=MsoNormal>141 Mohawk Dr<o:p></o:p></p><p class=MsoNormal>Schenectady, NY 12303-5732<o:p></o:p></p><p class=MsoNormal>518-355-1330<o:p></o:p></p><p class=MsoNormal>518-495-9775 (cellular)<o:p></o:p></p><p class=MsoNormal>Rmankes@nycap.rr.com<o:p></o:p></p><p class=MsoNormal>Tpathology@aim.com<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>