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The Pharmacists' Defence Association (PDA) has called for a mandatory training for those who wish to sign fit notes. The union said it will be seeking urgent clarification around the rollout of guidance and timescales of when this will be available to PDA members working in primary care and hospitals, who will be at the forefront of the implementation. "As with any activity, regulated health professionals will be expected to ensure they have received adequate training and guidance before taking on new elements of practice and to ensure they are acting within the limits of their professional competency," said the association. It also highlighted that completing a fit note may have an impact on the income received by the patient and therefore the consequences of supplying the document could mean a direct financial consequence for them, such as eligibility for sick pay or insurance claims, as well as a health outcome. The PDA expects the mandatory training to cover any factors which will need to be considered in this regard so that pharmacists understand any limitations on when, how, and for who they might complete the fit notes.

Esperion Therapeutics' non-statin therapy "bempedoic acid" has shown modest results in reducing the risk of major cardiovascular events in statin-intolerant patients in the cholesterol lowering via bempedoic acid, an ACL-inhibiting regimen (CLEAR Outcomes) trial, revealed GlobalData, a leading data and analytics company. As a result, there is substantial room for improvement in this space as a potential approval is expected in Australia in near-term based on these results, said GlobalData. According to GlobalData's Pharmaceutical Intelligence Center, the total number of diagnosed prevalent cases of dyslipidemia in Australia is expected to increase at a compound annual growth rate of approximately 1.2% from 5.2 million in 2022 to 5.4 million in 2025. Neha Myneni, Pharma Analyst at GlobalData, comments: "Bempedoic acid joins several statin alternatives that have shown the potential to reduce cardiac illnesses. However, with not much significant improvement in the outcomes, there exists a clear room for improvement for non-statin therapies in this space." Bempedoic acid is the sixth class of cholesterol-lowering drugs (other than cholesteryl-ester transfer protein isoform (CETPi) inhibitors), that has demonstrated the potential to reduce heart attacks and strokes. Other class of therapies with similar potential currently marketed in Australia include statins, bile acid resins, niacin, ezetimibe, and proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors (alirocumab, evolocumab, and inclisiran).

Usually as we head into winter, we can all predict what our patients will be asking us about. But, just like the rest of the year has been like no other in community pharmacy, I'd expect this winter to be different too. This will present us with challenges, but also some great opportunities too. One shift we have seen over the last seven months of Covid is that more and more people in the community are turning to their pharmacy for help, support and advice. With our doors remaining open throughout the height of the pandemic, we've established ourselves firmly at the heart of local healthcare - a trend I'd expect to see continue over the winter, especially now that a second wave, it seems, is upon us. I think there's three different types of patients who we'll be seeing this winter coming to us for help and advice. First, we'll see those with a simple winter illness - for example, a common cold. For these patients our advice will be focused around self-care and home treatments. There is a wide range of products that we can recommend in the pharmacy from decongestants to combination products such as Night Nurse and nasal sprays.

In this blog, we will cover everything you need to know about breast surgery procedure in Thailand, from the initial consultation to post-operative care. We will provide you with valuable information about the different types of breast surgery procedures available, how to choose the right surgeon, and what to expect during recovery.

Did you know that pancreatic cancer has the least survival rates of all cancers? check out everything you need to know about the disease

Medicare's basic monthly premium will rise significantly less than expected next year, the government announced Thursday.

Department of Health and Social Care (DHSC) has issued a medicine supply notification for GLP-1 receptor agonists used in the management of type 2 diabetes on Tuesday (27 June). "There are very limited, intermittent supplies of all glucagon-like peptide-1 receptor agonists (GLP-1 RAs) licensed in the management of Type 2 Diabetes Mellitus (T2DM)," said DHSC. The supply issues have been caused by an increase in demand for these products for licensed and off-label indications and it is not expected to return to normal until at least mid-2024. Pharmacists are urged to refer to the SPS Tool for Medicines Shortages for an up-to-date supply stock situation and clinical guidance on alternative treatment options.

The Department of Health and Social Care (DHSC) has issued an alert to update healthcare professionals on the shortage of glucagon-like peptide-1 receptor agonists (GLP-1 RAs), which are used to treat type 2 diabetes. It has informed that the supply of the drugs continues to be limited, and is not expected to return to normal until at least the end of 2024. An increase in demand for these products for licensed and off-label indications is cited as the cause of the supply issues. "Rybelsus® (semaglutide) tablets are now available in sufficient quantities to support initiation of GLP1 RA treatment in people with type 2 diabetes (T2DM) in whom new initiation of GLP-1 RA therapy would be clinically appropriate," the DHSC's National Patient Safety Alert reads.

Komondor is thought to have originated in Hungary more than 500 years ago. It still retains the mantle, somewhat unusual weight consists of white rope, which makes the dog look like animals so it was bred to protect: the sheep. A. History and Background The earliest record of the Komondor date back to 1555, but is expected to multiply there much earlier. Its main role is to guard the flock against predators. They are so effective, in fact, that some believe is fully depleted populations of wolves in Hungary. Komondor is derived from Owtcharka, the leggy Russian, who was brought to Hungary by the Huns. Dogs bear such a striking resemblance to the sheep Racka or Magyar, with curly wool and train like dogs, that they easily mixed with sheep and appears to be part of the flock. The Komondor was first introduced to the United States in 1933, four years later, the American Kennel Club officially recognized the breed. Since the devastation of World War II, however, the breed was almost destroyed in Europe. Fortunately, dedicated breeders able to revive the popularity of the breed and their numbers. Komondor is one of the most interesting dog in the show ring, but only the best on display. Thus, the Komondor breed is commonplace throughout the world, except in Hungary. Although there are a few breeders in the U.S. the new generation of pastors who have taken an interest in the Komondor, because it enhances the ability of pastors to keep livestock. B. Personality and Temperament Dogs good with livestock and other pets, and are very happy when given the opportunity to watch someone or something. A true guardian, was always protective of his family, but may misinterpret rough play among children as aggression. It is an independent, calm, and quiet, but can be dominant or stubborn. Komondor is not a dog for the light at heart. In addition, early socialization is important to familiarize Komondor with strange people and dogs. C. Physical characteristics

Princess of boxer shorts are seriously bent on one moth. But the little one, fortunately, was protected by glass. We would expect from a cat that jumps for the butterfly and trying to gobble, but it seems that it had developed some boxers playful feline instincts. Princess ga was spotted as she stood on the other side of the window and its persistence is really impressive.

Sehat is an online leading Health information service provider which provides you all health related articles for free like health and medicine articles, health and fitness articles and health and wellness articles etc to take care of your health. Sehat.com is a web driving Health information provider which gives all of you health related articles with the expectation of complementary like Health & Medication Articles , Health & wellness articles and Health & Fitness articles and so forth to deal with your Health. Solid living is more than basic day by day propensities - it's a way of life. Whether you're attempting to eat an all around adjusted eating regimen, locate another wellness schedule, or carry on with a more satisfied life, here are some basic systems to help you generally pick well. Categories of Health Articles Diet & Fitness Articles Health Living Articles Beauty & Relationships Articles Pregnancy Articles

Premature ejaculation may seem like 'just another thing' to you, but it is not! It can be quite frustrating for both, you and your partner, when you 'give up' before expected and before even getting completely indulged in the sexual practice.

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How soon can we expect to see brain implants for perfect memory, enhanced vision, hypernormal focus or an expert golf swing?

Right now it is difficult to make predictions . Influenza viruses have not appeared yet in the Northern Hemisphere. According to the World Health Organization can expect the emergence of flu strains AH1N1 California, it is possible in some areas to meet and flu strains of AH3N2 Perth , which is known to us from two years ago. This is somewhat reassuring that the two flu strains have passed through our society and should have some residual immunity in people who have suffered them . On the other hand , as we know , one of the flu virus is very variable , and should not exclude new mutations. Therefore, to estimate what will be the flu pandemic wave weak or strong by now I can't say.

If a patient is mentally stable, but physically unfit, then IVF cannot be performed and if the patient is physically fit but mentally unstable then also the IVF task cannot be performed keeping the view that they may end up causing harm to themselves.

Heavy duty wheelchair can either be manually-operated or motorized, each with its own pros and cons. A manual heavy-duty wheelchair gives full control of motion to the user, but the added weight from the reinforcements makes pushing or propelling the wheelchair much harder than normal. A motorized heavy duty wheelchair offers a solution to this dilemma, but is often more expensive and harder to maintain than a manual wheelchair. Some designs offer a combination of both, with a small motor assisting those pushing the wheelchair. The proper choice between types of Heavy Duty wheelchair depends largely on the user's expected level of activity. Heavy duty wheelchairs typically have larger seats than conventional wheelchairs. The frames of these wheelchairs can be made from several different reinforced metals, although a titanium wheelchair is often the most popular choice. The wheels themselves are made of thicker rubber than normal, preventing any possible failure due to the greater amount of weight supported. Most makes of heavy duty wheelchairs fold like regular wheelchairs, making storage relatively easy despite the wheelchair increased size. Heavy Duty Wheelchair specialy design for disabled and handicapped persons. They are two types of Heavy Duty Wheelchair for handicapped and disability product like- Karma 8020 X Heavy Duty Wheelchair Karma 8520 Heavy Duty Wheelchair Karma 8020 X Heavy Duty Wheelchair: It comes with detachable swing away footrests. The wheel chair has flip-back armrests. It comes with centre of gravity adjustment. The wheel chair has wide profile casters. Seat Size 20'' inch & 22'' inch Total Weight 17 K.G. Designed for maximum strength & weight capacity for people over 250 lbs. These end to be heavier and wider. This heavy duty bariatric wheelchair has seat dimensions of 24 inches wide by 18 inches deep to accommodate a weight capacity of up to 400 lbs. This wheelchair is dual axle, which means that the floor to seat heigh

There are pros and cons to both sides of this argument. With the private arrangement, you will first of all need to find your surrogate mother. This is usually much easier done through an agency, as all surrogate mothers to be will have been screened and will have gone through a comprehensive health screening. Also, all of the surrogate mothers with an agency will have had psychological screenings to guarantee the fact that they will be able to deal with the very strong emotions that will be coursing around their bodies during the pregnancy. Unless, of course, your surrogate mother is a relative or close friend of the family in which case it would seem to be a lot easier. Ethics, moral code and emotions will still loom large in all of the concerned parties worlds. So it would still be wise to involve an attorney and legal contracts so that everyone knows exactly where they stand, and what is expected of them. In most countries and states legal and binding contracts written up by attorneys, are needed by the parents to be anyway. As they are going to have to be legally adopting the child everything, will need to be written clearly and legally about the birth and how it came about. Very often during the pregnancy the doctors and nurses will need to know why there are two women, one pregnant, the other not, and very often two fathers who are so interested in this one child. If you have gone through an agency, they will be able to advise you on what to do and say in this situation. If you are sorting out surrogacy arrangements privately then yes but if anything unexpected should happen and you are unable to deal with the problems there is a reasonable chance you will end up wishing you had gone to the agency. Agencies do have trained professionals that can help you with all of the different issues that are involved in surrogacy. From the emotional feeling of all parties, the majority of agencies will have counselors who can help you work your way through any difficul

A woman must fully comprehend what it means to be a surrogate mother. She needs to know what her body will go through, what the couple she is working for will expect of her while she is carrying their child and what the risks are in all of this. A woman may enjoy the idea of being pregnant and carrying a child but she must think of the risks of surrogate motherhood before she embarks on such a long journey. One of the risks involved in surrogate motherhood is the pregnancy itself. A natural pregnancy is dangerous; let alone an artificial one. Complications happen that can't always be avoided. It is simple fate that may lead you to miscarry, or acquire health problems from the pregnancy. Though using a surrogate motherhood agency is the safest way to go, no one can promise you that there will be no complications. If and when you are pregnant with someone else's child, you are responsible for taking care of it while in your womb. What you eat, drink and take into your body will affect the child. Not everyone has the self discipline to take their vitamins every day or not smoke a cigarette. If something happens and the child is born with a problem that could possibly be because of you and what you did to your body during pregnancy, then you will be investigated. It may not have been your fault, but if the possibility exists then the agency has to look into it. When you get into surrogate motherhood, you become business partners with the parents of the child for the duration of the pregnancy. There is no backing out. If the couple that you chose turns out to be mean or irresponsible, you are stuck with them until the baby is born. This is especially dangerous if you are not using a surrogate agency. If the couple skips town, you won't be taken care of and will be stuck with a baby to raise. What happens if the child is born with some kind of deformity or disease? The parents may not want the child. So then, is it you that takes care of it? Is it put up for a