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                                                                    EXHIBIT 3.16

[SEAL]

                               ARTICLES OF MERGER
                                       OF
                             MOANA LOA MEDICAL, INC.
                                      INTO
                           ANAMED INTERNATIONAL, INC.

          FIRST:    The name of the surviving corporation is Anamed
International, Inc., a Nevada corporation ("Anamed"). The name of the
corporation being merged with and into the surviving corporation is Moana Loa
Medical, Inc., a Nevada corporation ("Moana Loa").

          SECOND:   A Plan of Merger was adopted by the Board of Directors of
each corporation that is a party to this merger.

          THIRD:    A Plan of Merger was approved by the stockholders of each
corporation that is a party to this merger by an Action by Written Consent.

          FOURTH:   The complete executed Plan of Merger is on file at the place
of business of Anamed located at 3305 Spring Mountain Road, Suite 60, Las Vegas,
Nevada 89102, and copy of the Plan of Merger will be furnished by Anamed on
request and without cost to any stockholder of any corporation which is a party
to this merger.

          FIFTH:    This merger shall be effective upon the filing of these
Articles of Merger with the Nevada Secretary of State.

          IN WITNESS WHEREOF, the undersigned have executed these Articles of
Merger on March 31, 1995.

                                               ANAMED INTERNATIONAL, INC.,
                                               a Nevada corporation

                                               By: /s/ James Weigl
                                                   -----------------------------
                                                   James Weigl, President


                                               By: /s/ Burrell E. Clawson
                                                   -----------------------------
                                                   Burrell E. Clawson, Secretary

                                                                          [SEAL]

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STATE OF CALIFORNIA                     )
                                        )
COUNTY OF ORANGE                        )

     On March 31, 1995, before me, W. JEAN NEWFIELD, a Notary Public in and for
said State, personally appeared James Weigl, personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature on the instrument the
person, or the entity upon behalf on which the person acted, executed the
instrument.

          WITNESS my hand and official seal.

                                                 Signature: /s/ W. Jean Newfield
                                                            --------------------

[SEAL]

STATE OF CALIFORNIA                     )
                                        )
COUNTY OF ORANGE                        )

     On March 31, 1995, before me, W. JEAN NEWFIELD, a Notary Public in and for
said State, personally appeared Burrell E. Clawson, personally known to me (or
proved to me on the basis of satisfactory evidence) to be the person whose name
is subscribed to the within instrument and acknowledged to me that he executed
the same in his authorized capacity, and that by his signature on the instrument
the person, or the entity upon behalf of which the person acted, executed the
instrument.

          WITNESS my hand and official seal.

                                                 Signature: /s/ W. Jean Newfield
                                                            --------------------

[SEAL]

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