Prescribed medicines

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  • It is thought that between a third and a half of all medicines1 prescribed for long-term conditions are not taken as recommended. If the prescription is appropriate, then this may represent a loss to patients, the healthcare system and society. The costs are both personal and economic. Adherence presumes an agreement between prescriber and patient about the prescriber’s recommendations. Adherence to medicines is defined as the extent to which the patient’s action matches the agreed recommendations.

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  • This guideline offers best practice advice on how to involve patients in decisions about prescribed medicines and how to support adherence. All NICE clinical guidelines state that treatment and care should take into account patients’ needs and preferences and patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals. Good communication between healthcare professionals and patients is essential.

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  • In 1970, Henry L. Nadler and Albert B. Gerbie helped usher in the era of prenatal genetic diagnosis in their landmark paper ‘‘Role of amniocentesis in the interuterine detection of genetic disorders’’ (N Engl J Med 1970;282:596-9). Since that time, advances in genetics and perinatal medicine have occurred at an amazing pace, allowing physicians to detect and treat genetic disorders in utero with increasing success. There has also been an escalating demand by the public for translational medicine where discoveries in the laboratory are rapidly brought to the bedside.

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  • Only recently have Indigenous Peoples in North America begun to revitalize traditions openly and without fear of persecution. We must remember that it is only since the 1970s that legal bans on healing/religious ceremonies such as the Sundance have been lifted. This Indigenous literature is often found outside of academia and within Native organizations and their resource libraries, research reports (founded either by government or community bodies) and Web sites such as American Indian Physicians Association, the World Health Organization and Pan American Health Organization.

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  • Midwife – Often, these practitioners are women with specialized knowledge in prenatal care, birthing assistance and aftercare. The midwife may employ the use of massage, diets, medicines and ritual, prayers and/or counselling. Traditional midwifery exists worldwide and involves a variety of skills, often biophysical, but can also include spiritual and ritual activity as well. None of the specialized categories are solely exclusive; rather, they are often interdependent and some practitioners may hold a number of specialized knowledges.

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  • As with all medical practice in the United States, safety in reproductive medicine is assured by a combination of state and federal government regulation and professional self-regulation that includes facility accreditation and practitioner certification. On the state level, there is a strict physician licensure system. On the federal level, several agencies enforce standards and practices designed to protect public health and safety. Several national groups accredit laboratories as well.

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  • Another result of FCSRCA has been the development of a model program for certification of embryology laboratories. The CDC published these requirements in 1999. They include requirements for administration of a continuing certification program by the states, quality assurance and control standards, an inspection system, and conditions under which certification can be suspended or revoked. Adoption of such a laboratory certification program is left up to the states.

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  • It might seem bizarre that scientists should turn to deadly snakes to discover new medicines to treat life threatening conditions like hypertension (high blood pressure). but medicine and snake venom share a common aim – to change biological function. Venoms are extremely complex, each containing as many as 100 differen substances, and scientists believe they can yield a wide range of medicines. Research into the brazilian pit viper venom produced the first in a new class of anti-hypertensive medicines – the angiotensin-converting enzym (ACE) inhibitors9.

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  • Cancer registries can play an important role in monitoring and evalu- ating the effectiveness of primary prevention measures. As mentioned in Section 16.2.2, trends in cancer incidence can be related to changes over time in exposure to risk factors. Occasionally, when implementation has been confined to one area, comparisons of the changes in the intervention area versus ‘control’ areas may be possible.

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  • This research showed how animal models can predict patient response not just to a particular medicine, but to different combinations of therapy – a critical factor in cancer treatment. for example, animal studies with combinations of tamoxifen and aromatase inhibitors did not show any improvement over established treatments. Professor brodie described how aromatase inhibitor therapy alone had been shown to be the most effective16. Her preliminary research excited doctors who ran the first clinical trial.

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  • This guideline makes recommendations about how healthcare professionals can help patients to make informed decisions by facilitating the involvement of patients in the decision to prescribe, and how they can support patients to adhere to the prescribed medicine. We have not made separate recommendations for carers and families. The principal relationship is between patient and healthcare professional, and the patient has a right to decide who should be involved in their care. With the patient's consent, carers should have access to appropriate levels of information and support.

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  • Secondary prevention refers to the detection and management of presympto- matic disease, and the prevention of its progression to symptomatic disease. Screening is the dominant practice in this space, exemplified by cancer screening (e.g., mammography, colonoscopy), and cardiac risk screening (e.g., lipid testing, blood pressure screens). The margins between primary and secondary prevention can at times blur, depending on definitions used for diseases, their risks, and their antecedents.

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  • As the modern era has ended formal assimilation policies and introduced multicultural policies that support Indigenous traditionalism, an interesting challenge is now faced by Indigenous Peoples, the institutionalization of tradition! (RCAP, 1996; Waldrum, 1997; Frideres, 1993). The fact that government agencies “support” the revitalization of Aboriginal “culture and heritage” creates the need to analyze what kind of impact these new policies will have on specific areas, most critically, traditional medicine.

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  • (BQ) This concise manual is for sports medicine specialists who want to effectively prescribe footwear and orthotics for the athlete. The book provides a logical approach designed to maximize performance and minimize injury. In addition to the fundamentals, including athletic foot types, basic biomechanics, and gait evaluation, the text also addresses the assessment and prescription of shoes, inserts, and orthotics. The work covers new technologies and sports-specific recommendations as well.

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  • (BQ) Part 1 book "Prescribing at a glance" presentation of content: Basic principles of prescribing (Using the british national formulary, taking a medication history, reviewing current medicines,..), drug selection, prescribing for special groups.

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  • (BQ) Part 2 book "Prescribing at a glance" presentation of content: Logistics of prescribing (How to write a drug prescription, communicating with patients about medicines, therapeutic drug monitoring, avoiding drug interactions,...), specific drug groups (using drugs for the respiratory system, using drugs for the neurological system I, using drugs for infection, an approach to common prescribing requests,...).

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  • In any science there are two basic requirements — classification and nomenclature (names): • Classification: drugs cannot be classified and named according to a single rational system because the requirements of chemists, pharmacologists, and doctors differ. • Nomenclature: nor is it practicable always to present each drug under a single name because the formulations in which they are presented as prescribable medicines may vary widely and commercial considerations are too often paramount.

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  • It started through word of mouth. People ask you to do this as a favor and it really is a job. I found that having children, people assumed that I would be in town more often so they would ask me to watch their house. Also because I love animals and have a dog and two cats, they assumed that it was OK to ask me if they could drop one more pet off while they were out of town, “just for the weekend.” Well it is still a job. So, because I am too nice, I would always say...

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  • The genus Camelus was probably among the last of the major domestic species to be put to regular use by man. There is a little direct evidence for an exact time of domestication, mainly because the camel has changed relatively little as a result of selection and, whereas it is possible at archaeological sites to observe the changes in other species, this is not the case for camels. Since the early camel owners were nomadic, they left few permanent mementoes of their presence. The most likely time of domestication, however, is about 4000 years BP (before present).

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  • The American Society for Reproductive Medicine (ASRM) is the specialty society for physicians that focus on infertility. The organization has a Practice Committee that issues regular reports, including guidelines on minimal standards for providing ART, informed consent, and on the number of embryos to be transferred in IVF procedures. The guidelines are distributed to all members of ASRM, are published in the Society's journal, Fertility and Sterility, and are available to the public on ASRM's website (www.asrm.org).

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