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~he initial draft of this Position Paper was prepared by J. A. Vale. An update was prepared by K. Kulig in 2004. * Correspondence: Donna Seger, MD, Medical Director, Middle TN Poison Center, Assistant Professor of Medicine and Emergency Medicine, Department of Medicine, Vanderbilt University Medical Center, 501 Oxford House, VUMC Nashville, TN 37232-4632, USA; E-mail: donna ger vanderbiltedu. * Correspondence: Jan Meulenbe1t, MD, PhD, Department of Intensive Care and Clinical Toxicology, BOO.118 ; , University Medical Center, Utrecht, P.O. Box 85500, 3508 GA, Utrecht, ~TheNetherlands; Fax: + 31-30-2541511; E-mail: j.meulenbelt azu.nl. 933.
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Pharmacists are reminded that they can legally fill faxed prescriptions, but only under specific conditions. The prescription must be written on the form provided by the Society or a form containing all the same elements ; and must be faxed directly from the prescriber's office. The receiving fax machine MUST BE LOCATED WITHIN THE DISPENSARY! Prescription orders written on "Prescription Discharge Notes" forms and faxed from the Colchester Regional Hospital may be filled. These forms, if properly completed by the prescriber, contain all the elements required by the Nova Scotia Pharmaceutical Society's Facsimile Transmission of Prescription policy document, including the prescriber certification section.
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Male blue-collar workers in Vienna: a population with high CVD risk Dorner T1, Allichhammer D2, Kiefer I1, Lawrence K1, Hbl U3, Schmidl H3, Fodor G4, Rieder A 1. Institute of Social Medicine, University of Vienna, Medical School, 2Center for Occupational Medicine, Red Cross Vienna, 3"A Heart for Vienna", City of Vienna, 4 University of Ottawa, Heart Institute Background: Within the general population, risk factors and risk behaviour for CVD are most prevalent in the lower socio-economic groups. The city of Vienna organizes a CVD prevention program, "A Heart for Vienna", aimed particularly at groups with high CVD risk, such as persons in lower socio-economic groups e.g. blue -collar workers, primarily male. Aims: Purpose of the program was to improve blood-pressure awareness among blue-collar workers, to identify new hypertensives and to motivate them to consider lifestyle changes and to visit their doctor. Study Design: Five companies in the region of Vienna were selected for the study and from these five companies 1, 321 male blue-collar workers were invited to participate. Responses were received from 24.8% 327 ; . A questionnaire regarding blood pressure, anthropometrical parameters and smoking habits was completed. Blood pressure and waist circumference were measured. In the framework of "A Heart for Vienna" the workers were informed, during a personal counselling session, about the relation of hypertension and CVD and the risk factors for the development of hypertension. Results: 31.8% N 104 ; of the men were hypertensive. 59.0% of persons taking antihypertensive drugs remained hypertensive. 50.0% of the male blue-collar workers were overweight, 16.0% were obese and 25.4% had a waist circumference more than 102 cm. 50.5% of the subjects were smokers. Risk factors for CVD varied extremely between subjects with different job profiles. Skilled workers who had relatively flexible work timetables and attended health examinations Company A ; had a lower prevalence of risk for CVD tha n less skilled workers with relatively rigid work timetables. The survey showed that the risk factors for CVD increased with increase in age. Conclusion: Our findings, which show a greater prevalence of risk factors for CVD amongst male blue-collar workers compared to the general male population, suggest, that more effort should be made in primary prevention of cardiovascular disease among blue-collar workers. Life-style counselling regarding blood pressure, obesity and smoking cessation should be implemented in companies for blue-collar workers. 34.
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The risk of fracture has been found to be almost twice as high in patients with epilepsy as in other people. A study from Utrecht Institute for Pharmaceutical Sciences in The Netherlands revealed that although menopause might be a contributing factor to low bone mineral density, antiepileptic drugs clearly exacerbated the hormonal effect on bone loss. Sources: Doctor's Guide, December 20, 2004, docguide ; American Epilepsy Society meeting, 2004 and casodex.
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Cells." A ligament is a band of fibrous tissue that holds bones together. Just like a rubberband, a ligament can become "overstretched." The resulting laxity can cause severe pain as bones rub together or muscles are over-worked as they tighten in an attempt to stabilize the bones. Prolotherapy is a treatment where a proliferate solution of natural substances, such as growth factors or growth factor stimulators, is injected directly into the site where the weakened ligament attaches to the bone. These injections trigger the body's own immune system to grow new and healthy tissue which then properly stabilizes the bones and joints, relieving musculoskeletal pain and stiffness. ROLE FOR ANTI-AGING: Prolotherapy is one of the treatments of choice for chronic pain. A study by Reeves and Hassanein in 2000, found that prolotherapy significantly improved the symptoms and pain associated with osteoarthritis of the knee. The technique is also beneficial to people suffering from back pain. SIDE EFFECTS CONTRAINDICATIONS: Prolotherapy usually causes some discomfort at the injection site that may last between a few minutes and several days, however this discomfort is seldom severe. Some patients have reported severe headaches after receiving prolotherapy to treat back pain. Therapeutic Massage GENERAL DESCRIPTION: Therapeutic massage involves the manipulation of the soft tissue structures of the body to prevent and alleviate pain, muscle spasm, and stress. There are several different types of therapeutic massage available, including Swedish massage, deep-tissue massage, and craniosacral massage. Therapeutic massage is carried out by a suitably qualified practitioner. ROLE FOR ANTI-AGING: Research suggests that medical massage can strengthen the immune system as well as relieve acute and chronic pain, reduce the level of damaging stress hormones, and alleviate symptoms of depression and anxiety. Massage also has been linked to reducing acute and chronic inflammation, helping people with asthma breathe easier, the alleviation of chronic fatigue and migraines, and ease the symptoms of irritable bowel syndrome. Scientists speculate that massage accomplishes all this by improving circulation, boosting the flow of lymph, flushing out lactic acid, and stimulating the release of endorphins. SIDE EFFECTS CONTRAINDICATIONS: Not applicable and bisoprolol.
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MSF's experience in Abkhazia provides a practical example of how registration issues can act as a serious impediment to the procurement of SLDs. Drug importation is possible in Georgia as long as the product is registered, but secondline drug manufacturers are not interested in marketing their product in this country amongst others due to the lack of financial incentive, and do not apply for commercial registration. To overcome this barrier, the Georgian government authorises international organisations to apply for drug registration on humanitarian grounds. In Georgia, the registration of DR-TB drugs was handled not by the manufacturer but by MSF, and proved to be a tedious, labour-intensive and time consuming process for an organisation. A further constraint is the reluctance of some manufacturers to share sensitive information necessary for registration with external bodies, effectively making registration impossible for those products. Furthermore, some DR-TB drugs, such as Eli Lilly's cycloserin and capreomycin, Panpharma's kanamycin, and clofazimin registration permits expire in 2006 and bupropion and benazepril, because benazepril medication.
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