APRO Newsletter, Issue No. 14

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Since its birth in Singapore in 2001, the International Pharmaceutical Students’ Federation Asia Pacific Regional Office (IPSF APRO) has endeavoured to represent pharmacy students across the Asia Pacific in over 10 countries. Our purpose is to support and advance the aims and objectives of the Federation at the regional level.

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E X E C R A B L E Life as an IPSF Executive is an incredible experience, made even more so by the wonderful IPSF family we are all in.

Mian Zheng - Chairperson IPSF Exceutive Meeting 2 @ The Hague, Netherland

Ever wondered what it’s like to be an IPSF ing through the IPSF archives and history, having the chance to meet the FIP 3 team, and the long Executive? To be part of the IPSF Team?

discussions we had on Ethics, IPSF Memberships and Student Exchange for example. However it wasn’t without some fun as well, a whole team crammed into the IPSF Flat, we shared stories, had drinks, took to the streets one night, and even visited Amsterdam. Life as an IPSF Executive requires time and effort, it is challenging but worthwhile, and it will put you into a position to see new perspectives, to improve upon yourself and to make a difference.

Recently I had the opportunity to attend Executive Meeting 2 and to finally come face to face with the team. All the way from Sydney, Australia, halfway around the world, to the IPSF Headquarters in The Hague, The Netherlands. Having worked with everyone for months, communicating through Skype and spread across the globe, it was a wonderful feeling to finally be there together as a group of young pharmacists working to further IPSF. Executive Meeting 2 is spread over a week, consisting of meetings to report on previous proj- Life as an IPSF Executive is an incredible experience, made even more so by the wonderful IPSF ects, address issues on current ones and to plan for the future. As tedious and boring as that may family we are all in. sound, as an Executive member, seeing everything come to fruition was heartwarming, to see that IPSF was accomplishing so much, and felt I proud to be part of such an organisation. It was by no means perfect, there were problems and points to be argued, but together as a team, we are able to engage in discussions to solve them. IPSF is a family, we support each other, learn from each other and have fun together. Some key moments for myself during the Executive Meeting were go-

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E X E C R A B L E APRO Attended APS-Japan Annual Congress for the first time Janet Mirazei - Secretary APS-Japan Annual Congress @ Kyoto, Japan I didn’t really know what to expect when I first walked into the room with all the executives’ eyes on us. The pressure was definitely on. The week prior to this moment, Dora and myself had been preparing our presentations on the IPSF Asia Pacific Regional Office that we were going to present at the APS-Japan Annual Congress, but all the while doing it, I was nervous about how it was going to turn out and I kept questioning myself as to whether I had done enough. Is my presentation too informal? Have I covered enough? Will they even be interested in what I have to say?

But when I walked in and realised they were aware of our presence, I was surprised to see most of them jump up from their seats and run over to greet us. I knew that Dora, since she was the immediate past Chairperson of the Asia Pacific Regional Office, had met many of them before so it was no surprise that she was hugging everyone and busy catching up with each person. What did surprise me, on the other hand, was how welcoming they were towards me. I didn’t know a single person in the room and knowing I was going to be meeting the executives, I expected everyone to formally introduce themselves and then go back to their work. But instead I was welcome to a room where everyone mentioned a bit about themselves and then ask questions about what I did and where I came from. Everyone in the room was talking and laughing and sharing food; it was a very relaxed and enjoyable atmosphere.

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After our presentations were done, five of the junior members had volunteered to spend the day with Dora and I to go sightseeing around Kyoto. Throughout the rest of the day, while we visited many famous attractions such as Kinkaku-ji and Togetsukyo bridge, we talked about a lot of things and became really close with one another. After we had worn ourselves out from all the walking we had done, and once the sun had set, it was time for us to make our way to the city centre to go to the executives’ welcoming, otherwise known as drinking, party. It was the birthday of one of the members, Akiko, and so we had bought a cake and planned a surprise for her as well. We spent the entire night chatting with each other, eating amazing food and overall, having a really great time.

I certainly didn’t know what to expect on my first day there, but with all the fond memories that I now have, it definitely turned out to be a day I would not forget.

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E X E C R A B L E All behind the scenes – The preparation for an amazing APPS Brian Wong - Regional Media and Publication Officer APRO Face-to-face pre-symposium meeting @ Pattaya, Thailand The APRO Regional Working Group (RWG) Face-to-face Pre-Symposium meeting was held from 24th to 26th April in Thailand. This is my first term in RWG and I do not know what to expect in this meeting. Things were nothing like what I expected, even after reading the agenda before attending. It was better and more exciting than I could have imagined!

12 hours of continuous meetings, riding a motorcycle through the busy-as streets, meeting the reception committee, lots to talk about.

cover the majority of it by the end of the day, before we had met with the reception committee. Many problems arose, which was discouraging at first, but 3 to figure out a solution working together as a team was always exciting. At the end of the day, Mark, the APPS chairperson took us to a beachside restaurant for dinner. The dinner was absolutely beautiful, and tasted even better after such a long hardworking day.

Work hard, play hard.

If you have been to APPS Malaysia, and believe that the 5-star hotel was one of the best APPS accommodation ever, I will guarantee that you will have a new answer after this year. Day Two field trip was amazing. The hotel was absolutely incredible both with Arriving in Bangkok after 18 hours of travelling from Dunedin, New Zealand, the first thing to hit me was the its facilities, as well as the beach just seconds away.

More importantly most symposia and workshops will heat, coming from 10 to 30 degrees was a surprisingly nice change. The second thing was the tiredness. Howev- be held in the hotel, meaning more rest time, and er there was no time for rest, as my job started immedi- even more beach and pool time! ately after I arrived, with the PSUT executive committee I really enjoyed the evening spent with all the recepas well as my RWG waiting for me join them for the tion committee members. They showed how well lovely greeting dinner. prepared they were as well as how passionate they A good night’s sleep before business meetings isn’t al- were about this APPS. They were exciting to talk to ways the case. After 28 hours awake followed by 4 hours and the night went so quickly. I am really looking sleep, we began our day One 12 hour continuous meet- forward to seeing them all again this August. Again ing. We started with a 100 page agenda and managed to work hard play hard, we spent our night with some of

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them at the beach chatting, playing games, and getting to know each other better. Wonderful time and best night of the trip!!!

Meetings finished on Sunday as Mian, Janet and Kimmy needed to leave. Dora and I stayed for another night at Mark’s. It is the first time of my life experiencing how close to death you come by riding on a motorcycle speeding through the busy traffic in Thailand, cars and bikes are so close that you can touch them by causally swinging your arms, which I was too scared to do as I had to keep both of my hands holding tightly onto my seat. This may be very normal in South-Asia countries, but definitely not in New Zealand!! And not too sure if I will try it again‌ Overall, it is an amazing experience being in the RWG to be able to see everything that goes on behind the scenes for an APPS, the chance to meet and work with students studying same degree around the world as well as the chance of a wee break from my busy school life in a very cold town. If that sounds like something you would like to do, apply to be in the RWG next term!!! It is all worth it!

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Regional Working Group

Pre-APPS Symposium Meeting 24th - 27th April 2015

@ Burapha University & Pattaya, Thailand

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India: Rx NEXUS 2K15, the platform to encourage the spirit of competition among pharmacy students across Maharashtra- IPA-SF-MSB Annual Rx Festival for students in Maharashtra Every year, IPA-SF-MSB organizes the Rx festival where all pharmacy students across Maharashtra come together to compete and set new records.

events took place & the Sports trophy was bagged by Bhartiya Vidyapeeth’s College of Pharmacy. An one day Seminar- Maharashtra Pharma Congress was organized which was attended by more than 250 students.

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Rx is one of the biggest of its kinds in From 10th January’15 to 14th JanuMaharashtra with over ary’15 Technical events Nextech 2k15 was held where students showed their 8,000 footfalls, 14 knowledge and innovative ideas in the sports event, 6 techfield of pharmacy. Rx festival ended nical events, 1 nation- with a 3 day celebration i.e. Rx Cultural from 15th to 17th January 2015 at al seminar, 32 cultural Bombay College of Pharmacy, Santacruz. More than 20 pharmacy colleges events & 2 Big Stage across Mumbai and Navi Mumbai events over the 25 days including one college from Pune enthusiastically participated in 30 plus of the festival. events conducted during these three Rx is a platform to encourage the days of the Rx Cultural festival. The spirit of competition among pharmacy students across Maharashtra.

Rx-Sports started on 24th December 14 with the Torch Run. The torch was ignited by Ms. Sumaiya Khan, Chairperson, IPA-SF-MSB and handed over to the Sports Secretaries of participating colleges. Overall 14 sports

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IPA-SF-MSB: Rx Nexus 2K15

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The top 3 colleges for the year 20142015 were also announced where the first position was bagged by Dr. Bhanuben Nanavati College of Pharmacy followed by Bharati Vidyapeeth College of Pharmacy at second position and Vivekanand Education Society’s College of Pharmacy at third position. theme for Rx 2K15 was ‘Nexus’ meaning “connection”. The opening ceremony of Rx Nexus was marked by the IPA Council march followed by the colleges where each college marched with their participants displaying their college flag and sportsmanship.

Students enthusiastically participated during all the 3 days, small stage events like Graffiti, Junk Jamming, Singing, Ad Mad, Mono-acting, Solo & Duet Dancing were major attractions whereas Big Stage events like Group Dance & Fashion Show witnessed more than 1000 spectators.

First position was bagged by Bombay College of Pharmacy in Fashion Show and Dr. Bhanuben Nanavati College of Pharmacy in Group Dance.

The Chief Patron for this year was Cipla, our official beauty sponsor was Clean and Clear by Johnson & Johnson and our official media partner was Line. Other sponsors were Ajanta Pharmaceuticals, RPG Life Science, Aarti drugs Ltd, Zim Laboratories, Milan labs, Gopaldasvishram, Bliss GVS Pharma, Linde India and MJ Biopharma.

Rx Nexus 2k15, as per its theme connected students with their profession, participants with their competitiveness and the festival with lots of fun. IPA-SFMSB proudly takes the festival to a new level and fills joy and happiness among everyone for which the students await every year. All in all the Rx Festival was a grand success.

The closing ceremony was held on 17th January where the Chief Guest of the ceremony was Dr (Mrs.) Supriya Shidhaye. The annual magazine “Panache-flair of mind” was released by the President of IPA-MSB, Dr. Hemant Mondkar & the Chief Guest.

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New Zealand: Medicines Clinic: “Do you know what your medicines do and how they help you?” - NZAPS-O University of Otago School of Pharmacy Medicine Clinic Sessions - Bringing the pharmacy to patients There are many different contexts in which a pharmacist can interact with a patient; from medicines history taken in the hospital to patient counselling in a community pharmacy.

Although there may be many opportunities between the patient and health professional, more often than not patients are not given the opportunity to go into an environment where they are in control of the conversation. This is in regards to what is specifically discussed, including giving them sufficient time to familiarise themselves with their medicines or think about questions they may have about them.

The School of Pharmacy Medicine Clinics allow for this by offering people in the community the opportunity to come and talk to a pharmacist about their medicines without an appointment. These clinics are advertised in the local paper with “Understanding your medicines”. Usually these are held in community centres, churches and may even be in rest homes, allowing increased access to those unable to conveniently come to a pharmacist. They are open to all

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people in the community.

As there are no time limits in these sessions, the patient can consult the pharmacist regarding their medicines and any health-related queries they may have. These also allow for patients to find out whether they need to fol3 low up with their general practitioner, community pharmacist, nurse or care-giver regarding any issues discussed during the session.

The overall set-up of the clinic is to ensure the patient leaves well-informed and their queries have been answered.

It has been observed that patients who attend these clinics tend to be more receptive to the information and feedback they received.

The School of Pharmacy, University of Otago, sees the potential in allowing students to enhance their communication and health literary skills these clinics can offer, thereby providing them with the opportunity to attend

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NZAPS-O: Medicine Clinic

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four fourth-year students. The three pharmacists present were Professional Practise Fellows from the School of Pharmacy and another was from the New Zealand Formulary. Each of us were paired up with a staff member.

Photo provided by Lisa Reid Photography for the School of Pharmacy

these clinics. From talking with one of the coordinators of these clinics, a few of the benefits they wish to offer students through these clinics includes helping ‘students understand what people really want to know about their medicines, what their understanding is of their medicines as part of their health care, and what types of things cause concern for them’ For students to ‘tailor their communication style’ to accommodate for the patients’ understanding, practice rewording explanations, and build confidence. For the most part, it is another opportunity for students to improve their patient interaction skills by partaking in interviews, as well as, answering patients’ questions with staff assistance when needed.

I attended one of the first clinics this year which was held at the Frances Hodgkins Retirement Village, Kew, Dunedin, New Zealand. I volunteered my services together with

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Over the 3 hour-clinic session, each pair spoke to at least 4 patients. Upon review, we concluded that conversations with patients varied immensely.

This was not only due to the topics being raised or the focuses of the conversation, but the amount of understanding the patients had about their medicines, health conditions, current health and mental state, interest in talking and interesting in learning more.

From talking to the patients we were able to get a background of their life and medical knowledge.

This insight assisted us in understanding their knowledge of medicines, health, disease, and lifestyle, allowing us to customise our way of communicating with them.

The patient’s interest with the topic at hand was also obvious upon start-

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ing each conversation based on their tone of voice, body language, responsiveness and enthusiasm.

Additionally, it was very interesting seeing how patients would react if they had an uninformed preconception of their medicines and health issues, and patients’ ability to take up new knowledge in general. The majority of them wanted to learn and were accepting of this new knowledge. With those who were not so willing to accept these new concepts, we had to adjust our communication style. When discussing this with my preceptor, she shared her experience of past encounters with many patients who were unwilling to accept their knowledge was incorrect, and had developed ways or resolving this.

This type of passing on of knowledge is crucial and in some instances can only be learnt through experience outside of the classroom.

This broadened my knowledge on how to effectively communicate health issues and medicines information to enhance the patient’s health literacy.

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Photo provided by Lisa Reid Photography for the School of Pharmacy

As these clinics are still in their infancy they are not integrated into the 3 Bachelor of Pharmacy curriculum as student placements until further trials are conclusive. Feedback from students who have attended clinics has been positive and the outlook for these clinics is promising.

Overall, this has been an enriching experience which has allowed myself and those who attended, some first-hand experience around health literacy in the community. With many more opportunities throughout the year on offer, I am confident many students will be enthusiastic about participating in this programme.

Information on these clinics can be obtained from the School of Pharmacy’s website (http://www.pharmacy. otago.ac.nz/clinics).

Naomi Lee, NZAPS-O Educational Rep

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Indonesia: Save the Passive Smokers - HMF ITB Indonesia Passive Smoker Protection Program in Bandung Institute of Technology “You’re entering a smokefree zone” in Malay, one of the official languages in Indonesia Cigarettes, one of the major trade commodities in Indonesia, have spread massively and are consumed by teenagers and elders. It is a common thing to find someone smoking in public areas as well as campus areas. If there’s no prohibition that regulates smoking in campus areas, students can smoke freely wherever they are. This happens in a lot of universities, including Bandung Institute of Technology (ITB). Being the only faculty related to health in ITB, pharmacy students, with their student board association, HMF ‘Ars Praeparandi’, initiated “Passive Smoker Protection Program” as a response to solve this problem. The aim of this program is not to stop active smok-

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ers from smoking, but it protects passive smokers and ensures the rights of either active or passive smokers. Active 3 to smoke and smokers have the right passive smokers have the right to be protected from smoke caused by cigarettes.

In spite of being permitted to smoke anywhere on campus, smokers are encouraged smoke in allocated smoking areas. Unfortunately, even if there are 6 smoking areas, several smokers ignore the signs and smoke freely. Based on a survey, one in 5 ITB students admitted to being an active smoker. Smoke caused by cigarette makes passive smokers feel uncomfortable. Twenty-five percent of total smoke yielded

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from cigarettes gets into through respiratory tract of the smoker and the remaining spreads in the air, highly risky for other people around.

Passive Smoker Protection Program has volunteers to do its daily activtes. Synergizing with the Bandung (local government) daily program, “Selasa tanpa rokok” (Tuesday without cigarettes), it has #SP3, “Selasa Peduli Perokok Pasif”. Pharmacy students from HMF ‘Ars Praeparandi’ collaborate with other volunteers to make a campaign for ITB students every Tuesday. Once a week, they post an online poster campaign on social media or give a brief explanation about smoking.

The problem is that fifty percent of passive smokers are not brave enough to say that they are against 2nd hand-smoking (passive). However, 75% of active smokers are willing to stay away from passive smokers if they are asked to. Hopefully, the campaign can encourage passive smokers to be brave enough to say that they object to the smoke to the active smokers. “There are three groups of passive smokers; they who be brave to act, they who be brave to say, and they who be brave to share.”, said Novina Yuniarti as the Chairman of Passive Smoker Protection Program.

Ahmad Fauzi Nugraha Pharmaceutical Science and Technology, Bandung Institute of Technology, Indonesia, HMF ‘Ars Praeparandi’

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Why are food safety and personal hygiene important?

Presented by APRO Regional Projects Officer and subcommittee

Source: http://www.redcross.org/prepare/disaster/food-safety)

Unsafe food is the contaminated food which can cause diseases ranged from diarrhea, malnutrition, serious infection to cancers. The main causes of foodborne illness are bacteria, viruses, parasites, and chemicals. There are some recent cases of foodborne disease been reported, such as cucumber infected with Escherichia coli, the contamination of Listeria monocytogenes in Gala and Granny Smith apples and the Hepatitis A infections from the infected frozen berries. The problem of foodborne diseases has developed worldwide.

productions, transportations, 3raw materials, and also the import or export of food.3More information: http://www. who.int/campaigns/world-health-day/2015/whd-toolkit-en.pdf?ua=1

Salmonella, Campylobacter, and Enterohaemorrhagic Escherichia coli are the common foodborne pathogens.

You can contact salmonellosis by consuming raw and undercooked eggs, undercooked poultry and meat, contaminated raw fruits and vegetables (such as sprouts and melons), as well as unpasteurized milk and other dairy products. Campylobacter can be found on raw meat WHO has established Five Keys to safer food as a main and poultry as well as the E.coli. The other bacteria are Listeria; found in unpasteurized dairy product and readycontent in “SAFETY FOOD� campaign of this World Health Day 2015. The keys include (1) Keep clean (2) to-eat food, Staphylococcus aureus; mostly come in Separate raw and cooked food (3) Well cooked food contact with the hands without additional cooking, and (4) Keep food at safe temperatures (5) Use safe water Vibrio; mainly found in seafood and contaminated water.

Moreover, Norovirus, parasites and some chemicals and and raw materials. More information: http://www. who.int/campaigns/world-health-day/2015/event/ toxins also been reported as the cause of foodborne diseases. More information: en/ http://who.int/mediacentre/factsheets/fs399/en/ This campaign aims to encourage consumers to ensure the food they eat are safe and the government Personal hygiene is the key to the prevention and containment of foodborne. Practicing good hand hygiene to raise an awareness through a public campaign.

Government needs to set safety of food as top priand cooking in hygiene are important as it can help prevent the spread of pathogens on the skin of the contamiority; setting up the policy to ensure safety of food

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APRO Regional Projects Corner - World Health Day

nated food and likewise pathogens contained within the uncooked food being ingested. It is important to wear sanitary gloves, hats and clothes when touching food ingredients for food hygiene. Washing cooking equipments clearly is helpful to prevent cross contamination.

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If both, the cook and the people who eat try to keep cleanliness, the possibility of food poison will get much lower.

There are some tips provided to avoid the contaminant: (1) Wash/ Clean Wash hands with soap and water, do not prepare or serve food if you have a nose or eye infection or if you have wounds or skin infections on your hands or wrists.

Wash raw fruit and vegetables before peeling, cutting or eating.

Avoid unpasteurized dairy products and raw/uncooked foods.

Wash reusable grocery totes regularly.

(2) Separate Use separate cutting boards and different containers or utensils for raw and cooked food when handling to prevent cross-contamination.

(3) Cook Cook all food to proper temperatures, above a temperature of 140째F. Leftovers should be reheated before serving to an internal temperature of 165째F or higher.

(4) Refrigerate Refrigerate food to 40째F or below after cooking and maintain a clean refrigerator. Practice leftover safety by dividing roasts and stews into smaller quantities when refrigerating for faster cooling.

More information: http://www.fda.gov/Food/FoodborneIllnessContaminants/default.html Therefore, as a consumer, you can prevent foodborne contamination by Four Simple Steps: Wash, Separate, Cook and Refrigerate!

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Medical Awareness Crossword Puzzle!

Crossword puzzles are said to the most popular word game in the world.

Now we incorporate crossword puzzle with pharmacy-related stuffs. Let try to do it together!

Name: Answers will be released in next Newsletter 15.

Medical Awareness Crossword - by IPSF APRO Complete the crossword below 1

2

3

3 4

5 618/6

7 8 17/8

10

9

11

12

13

14

15

16 Created on TheTeachersCorner.net Crossword Maker

You can send the answers to rpo@apro.ipsf.org to win one of these lovely bookmarks designed by APRO. We will draw 3 lucky winners!!!

Deadline will be the 30th May 2015.

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Medical Awareness Crossword Puzzle

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1)_____________ (2 words) is important for either renal or liver impairment. As the patient cannot metabolise the medicine as well they will generally require a lesser amount of medication.

2) An unwanted effect that may be dangerous or uncomfortable to patients when using the medicine, is known as an ___________. ( 2 words) 3) The schedule of doses or amounts of a medicine per unit of time, including: the administration route, dose interval and duration of course is called the _______________( 2 words).

4) ____________ is a type of talking therapy when a health care provider allows patients to talk about their problems and feelings in a confidential and dependable environment.

5) When the drug level is too high in the bloodstream, it can cause __________.

6) __________ is the method to avoid occurrence of disease such as, immunisation or drug therapy.

7) ____________ (2 words) is the misuse of prescription or over-the-counter drugs. This has negative consequences, which may include problems at work/school, the law or cause physical harm.

8) A drug that definitely causes harm to the developing fetus (ie. teratogenicity) or a drug that has proven fetal risks that outweigh any possible benefit is categorized as ____________( 2 words).

9) __________ is the reduction in effectiveness of a drug. Mostly found in antimicrobial agents.

10) _______________(2 words) is the event when two (or more) drugs are administered together and affect each other’s activity, the action may be synergistic, antagonistic or produce new effects.

11) When the doctor prescribes a broad-spectrum antibiotic without knowing the causative pathogen for a life-threaten ing infection, this is called ____________(2 words). The treatment may change to a narrow-spectrum antibiotic after establishing the causative pathogen.

12) _________________(2 words) concentration is lowest concentration that the antimicrobial will inhibit the visible growth of a microorganism.

13) A __________ drug is a fake medicine, they may be contaminated or contain the wrong or no active ingredient.

14) ___________ range is a required drug level that can serve an optimal outcome without any toxicity.

15) ____________ (2 words) of medicines is a program established to guarantee the right medication gets to the right patient for the right disease and right dosage regimen. Whilst maintaining cost-effectiveness.

16) The observation of disease or medication response or parameters over time is called ____________.

17) When there is a strong evidence of induced abortion or abnormalities to the developing fetus, that drug is __________ to use in pregnant woman.

18) Elderly or chronic disease patients normally use four or more drugs at a time, this is called ______________.

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ASIA PACIFIC REGIONAL OFFICE (APRO) International Pharmaceutical Students’ Federation (IPSF) IPSF Secretarist: PO Box 84200 2508 AE Den Haag The Netherlands www.ipsf.org I apro.ipsf.org

14th Newsletter, April 2015 Layout and Format by: Brian Wong, IPSF APRO RMPO Intan Permata Sari, APRO Design subcommittee Henny Lau, APRO Design subcommittee Coverphoto by: Michael Prajanto, APRO Design subcommittee Proofread by: Brian Wong, IPSF APRO RMPO APRO Transalation Subcommittee Find us on Website, Facebook and Twitter: apro.ipsf.org www.facebook.com/ipsfapro www.twitter.com/IPSFapro

APPS2015 accommodation & symposium venue Long Beach Garden Hotel and Spa, Pattaya, Thailand