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During his more than 40 year career with the WHPD, Chief Perno has received numerous commendations, accolades, and distinctions.

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During his more than 40 year career with the WHPD, Chief Perno has received numerous commendations, accolades, and distinctions. In, during his time as a Patrolman, he received two letters of commendation. His first was for his exceptional police work in apprehending an armed subject with an automatic weapon. His second was received for apprehending an armed subject who was threatening to take the life of a victim while armed with two weapons. In, Chief received a commendation for his apprehension of a person who was armed and wanted on robbery and conspiracy charges from a West Haven business. He also received commendation for apprehending a subject who had fired a gun inside his residence and threatened to kill his girlfriend. Officer Perno assisted in securing the area and provided cover for the wounded officers and medical personnel who were attending to the injured officers.

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It has been estimated that up to up to Many adverse reactions are well known. Information about them can be found in patient information leaflets supplied with medicines, in the Monthly Index of Medical Specialties (MIMS) or in the British National Formulary.

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After five years of treatment about half of patients will experience the drug becoming less effective and a gradual recurrence of symptoms, especially hypokinesia, occurs. Another type of deterioration is the shortening of action of each dose with time (end of dose deterioration) and unpredictable fluctuations in response to treatment, which can happen quite abruptly. It is not known why these effects occur, but they may be due to advance of the disease process. End of dose deterioration can be alleviated to a certain extent by the use of modified release preparations of levodopa or by the concurrent use of catechol-o-methyl transferase inhibitors, for example entacapone. COMT inhibitors prevent the peripheral breakdown of levodopa by an enzyme, COMT.


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