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PharmNotts Newsletter Issue 14/15

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pharmnotts Commi tteeM embers

Presi dent RachelTan Secretary Hi ew Sook Chi ng EventManager Wi lli am Chau Publi cati on Offi cer Gan Quan Hong I T Offi cer KennyTan Ki m How

Vi ce Presi dent W ong Si n Yee Treasurer Kok MeiKee

Di versi tyOffi cer Yeshmi ta Buxani Publi c Relati on Offi cer Ki m Eun Ji n

awards

AWARDS

I wo ul dl i ket ot han ke v e r y me mb e ri nPhar mNo t t se s pe c i al l yt he co mmi t t e e sf o ryo urde di c a t i o nand co mmi t me n tt o war dsPhar mNo t t s t hr o ug ho u tt heye ar .Nomani sani s l and.Itwo ul db ei mpo s s i b l ef o r Phar mNo t t st oge tt heb e s tac ade mi cs o c i e t y awar d wi t ho u tyo ur har d wo r kand par t i c i pa t i o n.Th i sawar di sb e c aus eo fusand f o ral l . o fus !Than kyo u E r i cTeeWeiSeo ng P h ar mNo t t sp r es i dent201 3 / 1 4

Desi gn and Graphi c Offi cer Vi vyanne Hong Yee

Photographer Onn Quan

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by:ChoyWangLynnandPhuiS huLi ng MPhar m Year1201 3/ 201 4

Heal t hWeek2013washel don21stOctt i l l25t hOct2013. Dur i ng t he Heal t h Week,t he f i r st t al k was a t opi c on HumanPapi l l omaVi r us( HPV)vacci ne.I twashel di nB1A30 ( Phar macy Room) ,on 21stOct2013.The speakerwas Dr Mai zaf r om t heMedi calFacul t y,Uni ver si t yPut r aMal aysi a. Fr om t he t al k,we gai ned an i nsi ghti nt o HPV t hatcauses geni t alwar t sandevencer vi calcancer .HPV i nf ect i onsar e common and can af f ectbot h men and women.Manywer e shockedt oheart hi s,asi tbr oket hemyt ht hatHPVonl yaf f ect sf emal es.HPV i st r ansmi t t ed t hr ough sexuali nt er cour se,and ski nt oski n cont acti nt he geni t alr egi on.We wer eshownpi ct ur esofwar t satt hegeni t alar ea,andt hey wer egr uesomeandpai nf ul .However ,someHPVi nf ect i ons do not cause any har mf ulef f ect s,some go away soon enough,andsomemayr emai ni nt hebodyunnot i ced.Ther ef or e,i ti s‘ bet t ert o be saf et han sor r y’ ,and getvacci nat ed.Ther ear e2t ypesofvacci nes–Cer var i xand Gar dasi l . Cer var i xi sabi val entHPV vacci newhi cht ar get sHPV t ype 16and18.Type16and18ar er esponsi bl ef orcer vi calcancer s.Gar dasi li s a quadr i val entvacci ne t hatgi ves added pr ot ect i on agai nst t ype 6 and 11 whi ch cause geni t al war t s,al ong wi t ht ype 16 and 18.Ever yone who at t ended t he t al k was advi sed t o be vacci nat ed t o be on t he saf e si de.Att heendoft het al k,manywer eseent ober egi st er i ng f ort he HPV vacci nat i on pr ogr amme,whi ch i ncl udes3 dosesacr ossaper i odof6mont hs.

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Blood

Donation drive by:ChengJ i anHao MPhar m Year2201 3/ 1 4

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c onj unc t i onwi t hHeal t hWeek201 3, abl ooddonat i ondr i vewasor gani zedbyPhar mNot t s and t he Nat i onal Bl ood Bank on 21 s t and 22nd Oc t ober 201 3. Thi seventwashel di n H1 B1 1at9. 30 i n t he mor ni ng and wass uppor t ed by t he S t udent s 'As s oc i at i on.Dur i ngt hi sdr i ve, t heNat i onalBl ood Bank woul d beabl e t or epl eni s h and t o ens ur e adequat e bl oods uppl yt ohel pt heneedypat i ent s . Al ldonor swer e gi ven mi l o or1 00 pl us and bi s c ui t s .They wer eal s oawar ded a c er t i f i c at e.On t he s ec ond day of t he bl ooddonat i ondr i ve,wewer eunabl et o ac c ommodat et hehugec r owd ofdonor s andhadt oc al lof ft her egi s t r at i onear l i erdue t oi ns uf f i c i entbl ood bagsf r om t hebl oodbank. Ther ewer eat ot alof227donor sr egi s t er ed. Unf or t unat el y,onl y 202 wer e el i gi bl et o donat e.The 25 donor s wer er ej ec t ed bec aus et heywer eei t herunder wei ght ,havi ng hi gh bl ood pr es s ur eorl ow bl ood pr es s ur e. At ot alof202uni t sofbl oodwer ec ol l ec t ed f r om t hec ar i ng donor s .Theeventwenton s moot hl y and hass uc c es s f ul l yc r eat ed t he awar enes st hatt her ear emanywayst oper f or m ac har i t y.Bl ooddonat i onc oul dbeone of t hem, s o, t her es houl d be no r eas on anyonec annotdoc har i t y.

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Blood i s‘ red gold’i nti meof savi ngli vi ng.Blood donated cangi vesomeoneanother chanceofli fe.Thatsomeone may beacloserelati ve,a fri end,aloved one—or even you.Blood donati oncostyou nothi ngbuti tw i llhelpthe !s needy and savepreci ou Li fe!

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Oneofthemostanticipatedeventsoftheyearfrom PharmNotts-

VI VA LA VI DA NI GHT( VLVN) .Thi sannualeventhasbeenpar tofour t r adi t i on,and yes ,byt heoneand onl y,phar mac ys t udent s !I ti san eventt hatmus t notbemi s s ed,aneventf orust omi ngl ear ound,enj oy per f or manc esandt ohavef un!I nor dert obr i ngs uc c es st ot hi sevent , c ommi t t eemember shaves t ar t edpr epar i ngwayaheadoft heevent day( 2mont hsear l i er ) .Theymanagedt opul li tof fwi t hmeet i ngs ,di s c us s i onsandr ehear s al sdes pi t et hei rbus y,hec t i cs c hedul esandexami nat i onsar oundt hec or ner .I nf ac t ,t her ewer el ot sofbl ood,t oi l ,t ear s and s weat( ofc our s e notREAL bl ood,no i nj ur i esdur i ng pr ac t i c es ! ) f r om t heper f or mer sdes pi t epr ac t i c i ngwi t hi nas hor tper i odoft i me! Now t hati swhatwec al lpr of es s i onal !Regar dl es soft hei rr ol esi nt hi s event ,mayi tbeper f or mer sorc ommi t t ees ,ever yonehaddonet hei r bes t ,t omaket hi seventas uc c es s f ulone.So,whatdoyout hi nkoft hi s year ’ st heme?You havegues s ed i tf r om t hepi c t ur es :CowboyTown! YeeHaw!Dur i ngt hedayoft heevent ,s t udent sar r i vedatt heGr eat Hal lappr oxi mat el y an hourbef or et he s c hedul ed t i me,dr es s ed i n c hec ked out f i tand deni m wi t h boot s ,t opped wi t hr odeohat .Ther e wasanos t al gi al i kef eel i ng,ent er i ngabar ,pac kedwi t hc owboysand c owgi r l swai t i ng f or amaz i ng per f or manc ess pec i al l y pr epar ed f or t hem.Ther ewer epl ent yofc r eat i vec owboys t yl esamongt hec r owd. Bef or eent er i ngt hehal l ,al lgues t swer egi vent heoppor t uni t yt of i l l t hei rs t omac hwi t hf oodandbever agess ol df r om s t al l swhi c hwer es et up out s i de t he hal l .Del i c ac i ess uc h asKaj ang Sat ay,var i ousc r i s py c r epesand f r i ed c hi c ken wer e enough t o keep gues t ss al i vat ed f or mor e.

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The openi ng eventoft he ni ghtwasof f i c i at ed wi t ht he c owboy wal k, wher ehands omec owboysandpr et t yc owgi r l spar adedi npai r sdownt he s t agewhi l es er enadi ngt hes ong,Ti mberbyKes ha f eat .Pi t bul lf ol l owed by t hei rmi nidanc e.Thi syear ’ sVLVN ac hi eved anot herf eatt hatwas neverdonebef or ebyourpr evi ouss eni or s .I twass omet hi ngt hatwewer e pr oudof .Toquot ef r om our‘ s upers eni or ’ ,Aes on,“ i twass uc has ur r eal per f or manc ehehasevers eeni nt hehi s t or yofVLVN” .Ther ewer et wonew appr oac hesf ort heper f or manc es ;s ket c h and dr ama.Letust al k about t he s ket c h.I twasa t wi s tf r om t he s t or y ofCi nder el l a wher e bot h her s i s t er ,Ci nder mi niandCi nder el l awer epr epar i ngf ort hei rmos ti mpor t ant dayi nt hei rl i ves ,t hei rweddi ng!Cr edi t st oSamuelf orpl ayi ngCi nder mi ni ! I nf ac t ,hewasanexper tatpl ayi ngoppos i t er ol es .Andal s oc r edi t st ot he 2c oolc owboyspl ayedbyDar r enandSum. Then,youmus tbet hi nki ngofac owboydr ama?Wel l ,youar eabs ol ut el y wr ong!Thedr ama’ st hemewasneveri nt r oduc edt ot heaudi enc e.I nt er pr et at i onf r om t heaudi enc et odec i phert hedr amawasr equi r ed.Thi spar t madet hedr amaout s hi nedot herper f or manc es .Thedr amahadal s ous ed hands hadow aspar toft heper f or manc e( s pec i alt hankst odi r ec t or ,Yi n Teng) .Goodnewst oyou,r eader soft hi snews l et t er !Theac t ualt hemeof t hatdr amar eveal ed………. .“ I t ’ st hepowerofhands “ !

By:Loui sChan MPhar m Year2201 3/ 1 4

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Af t ert heawes omebac kt obac kper f or manc est hr oughoutt he ni ght ,t hec ommi t t eedec i ded t oend t heni ghtbyper f or mi ng t heHoedownThr owdowndanc e!Thes t agewasf ul l yoc c upi ed wi t hc ommi t t eemember sandper f or mer st oof f i c i al l yendt hi s year ’ sVLVN.Then,i twasphot ot aki ngs es s i ont i me.I twasan unf or get t abl e,memor abl eand s uc c es s f ulni ght .Ever yonef el t el at edandexc i t edt hr oughoutt heevent .Thi sVLVN eventbui l t s t r ong bonds and f r i ends hi ps bet ween s t udent s .Thi s event woul dnotbes uc c es s f ulwi t houtt hec ooper at i onf r om ever yone. Iwi l ldef i ni t el ybel ooki ngf or war dt ot henextVLVN i fIam you!

Ofc our s e,we,c ommi t t eemember sknew whatt heaudi enc el oved or c r avedf or …Danc eper f or manc es !Ther ewer emanydanc eper f or manc es f r om phar mac yj uni or sands eni or st oo.Theyar eal li ndeedf ut ur epr of es s i onaldanc er s !Theydanc edal ongt os ongss uc has‘ Cr yCr y’and‘ I fYou Love Me ( KPop) ’ .Our‘ s upers eni or ’ ,Aes on and Cel i ne al s ol ed t he danc ebyours eni or s .Ther ewasal s oac ont empor ar ydanc ef r om t hej uni or s .I twasunbel i evabl ef orwhatt heyhadac hi evedt hi syear !Per f ec t c hor eogr aphy and exc el l ents ync hr oni z at i on!The c r owd c heer ed and c l appedf ort hem al lni ghtl ong,t hankst ot hei ramaz i ngper f or manc es ! Ther ewer eal s opr of es s i onals i nger sf r om Year2phar mac ys t udent swho per f or medVi vaLaVi daandaf ew ot hers ongs .Bes i des ,t her ewer eband per f or manc es ,mus i candChi nes eor c hes t r aper f or medbys t udent sf r om ot herc our s es .Fr om whatIhad wat c hed asan audi enc e,t her e wer e manyt al ent sunear t hedt hatni ght .Andofc our s e,ever yonewoul dl ook f or war dt owi nni ngt hel uc kydr aw whi c hwashel di nbet weenper f or manc es .Amaz i ngpr i z ess uc has2D1 N hot els t ayandhamper swer egi ven outt ot hewi nner s .

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vlvn

CowboyTown

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I t

i st hatt i me oft he yearwher ea f r ui t f ulweekl ong eventi s br oughtt ot hef l oor sofouruni ver s i t y.Thati sr i ght !I ti st hePhar mNot t sHeal t hWeek201 4!Thi st i mer ound,t heor gani s i ngc ommi t t ee dec i ded t ogobyt het heme-Her edi t ar yDi s eas esAwar enes sWeek, whi c hl as t edf oronewhol eweek( 1 7t h–21 s tMar c h) .Ac t i vi t i esoft he weeki nc l udedBl oodDonat i on,f r eeheal t hc hec ks ,heal t ht al ks ,s el l i ngofbadgest or ai s ef unds ,boot hac t i vi t yanddi s t r i but i onofeduc at i onalbookl et st ot hes t udent sofUNMC.A boot hwasal s os etupat t heSA c i r c l et os el lbadges ,di s t r i but ef l yer sandbookl et st opr omot e t hi sevent .Theac t i vi t i eswer eopened t oever yonei nt heuni ver s i t y. On Monday,bl ood donat i on wasc ar r i ed outatH1 B1 1f r om 9am t o 4pm.Thes al esofbadgest ookpl ac eatt heboot hi nt heSA c i r c l eand i twentwel lont hever yf i r s tdayoft heevent !I ts eemsl i kes t udent s i nouruni ver s i t yar ei nt oc heapandc r eat i vebadges !Bes i dest hat ,we al s o had a boot h ac t i vi t y.The pur pos e oft he boot h ac t i vi t yi st o c r eat eawar enes samongs t udent st oi mpr ovet hei rr out i nesorr eal i s e t hei rgoal st owar dsaheal t hi erl i f es t yl e.St udent swer eenc our agedt o wr i t ea pl edgeona s t i c kynot e,whi c hwer et hens t uc k ont hedual not i c eboar dst hatwer edes i gned and dec or at ed byt hedec or at i on t eam .

Heal t hc hec kswer ec ar r i edoutont he1 8t hand1 9t hMar c h201 4( Tues day andWednes day) .OnTues day,BP Heal t hc ar eCent r eandKPJCent r eof Si ghtc ame and per f or med t he heal t hc hec ksf r om 1 0am t o 4pm.The heal t hc hec kswer ec ar r i ed outi nt hef ol l owi ng s equenc e:Bas i cheal t h s c r eeni ng by BP Heal t hc ar e Cent r e,Cons ul t at i on by Nut r i t i oni s t ,Eye c hec k byKPJCent r eofSi ght .I twasver ygener ousoft hem t opr ovi de f r eeheal t hc hec ksandi tr ec ei vedt r emendousr es pons ef r om t he s t udent s !I nf ac t ,al ongqueuewasal r eadys eenby1 0. 30am! OnWednes day,Heal t ht al kswer ec onduc t edi nF1 A09at1 . 1 5pm –2. 1 5pm ( i ni t i al l y pl anned1 pm t o2pm)byt wos pec i al i s tdoc t or s ,DrRahmat( ENTEarand Thr oatSpec i al i s t )andDrChong( Opht hal mol ogi s t )f r om Pant aiHos pi t al Cher as .Heal t hc hec kswer ec onduc t edc onc ur r ent l yatt heopenar eaout s i det hedanc es t udi o,s uppor t edbyPant aiHos pi t alCher asaswel l .The heal t hc hec kswer ec ar r i edoutf r om 1 . 1 5pm t o4. 30pm i nt hef ol l owi ngs equenc e:Bas i cheal t hs c r eeni ngand eyes c r eeni ng.Ther es pons ef ort hi s wasgr eataswel l ,t houghwehadt oc l os et her egi s t r at i onear l i erduet o t i mec ons t r ai nt .ByThur s day,al lbadgeswer es uc c es s f ul l ys ol d!

PharmNotts

Health Week 2014 21

by:ThongJ i aYean MPhar m Year1201 3/ 1 4

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On 21 s tMar c h( Fr i day) ,2r epr es ent at i vesf r om MRDS( Mal ays i an Rar eDi s or der sSoc i et y)c amet oouruni ver s i t yands etupaboot h t oeduc at es t udent sf r om t heuni ver s i t yaboutt hei robj ec t i ves .The r epr es ent at i veswhoc amewer eDat o’Hat i j ahandMsKat hl i nAmbr os e.Thel at t erwast hes peakerf ort het al k whi c hwashel d on t hatday.Theydi s pl ayedl eaf l et sc ompr i s i ngi nf or mat i onofvar i ous r ar edi s eas es .Theheal t ht al k on t hatdaywashel df r om 1 1 am – 1 2pm atF1 A09.Ther es pons ewasr el at i vel ygood,es pec i al l yf r om ourMPhar m Year1s t udent s .DrMor r i sat t endedt het al kf oras hor t whi l e.Fr eel unc hwaspr ovi ded t ot hepar t i c i pant sat t endi ngt he t al k. Al li nal l ,t heheal t hawar enes sweekwentwel l .WeasPhar mNot t s member sar eal waysdedi c at edt obr i ngs omet hi ngbenef i c i alt oour Not t i ngham c ommuni t y.

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On1stofMarch2014,PharmacySocietyofUniversityofNot-

t i ngham Mal ays i a Campus( Phar mNot t s )had or gani z ed i t s ver yf i r s tever ,Phar mac yConf er enc e-Not t i ngham Mal ays i a Ant i mi c r obi alConf er enc e.Thi sc onf er enc ec over edt heas pec t ofant i mi c r obi alr es i s t anc ei n bot h hos pi t aland c ommuni t y s et t i ngs .Abr i efi nt r oduc t i onaboutant i mi c r obi alr es i s t anc eAnt i mi c r obi alr es i s t anc ei sar i s i ngs c our geofmanki nd.Wor l d Heal t hOr gani z at i on( WHO)hass t at edt hatr es i s t antbac t er i aar et hec ul pr i tr es pons i bl ef ort wi c easmanydeat hsi npat i ent sasc ompar edt ononr es i s t antbac t er i a. Theai m oft hi s c onf er enc ei st oexpl ai nt her ol eofphar mac i s t si nant i bi ot i c s andant i mi c r obi alr es i s t anc ei nbot hhos pi t alandc ommuni t y s et t i ngs ,andt os hedl i ghtont hel at es tupdat esaboutant i bi ot i c sand ant i mi c r obi alr es i s t anc ei nt he wor l d.Ther ef or e, phar mac ys t udent swi l lbeabl et ounder s t and i ndept ht he r ol eofphar mac i s tandbewel lequi ppedwi t ht hel at es ti nf or mat i on aboutant i bi ot i cand ant i mi c r obi alr es i s t anc e.Thus , t hi sc onf er enc es er ved asa pl at f or mf orphar mac ys t udent s t obeanexper i enc edphar mac i s tandal s ot or eal i s et hei m. por t anc eofat t endi ngphar mac yc onf er enc es

anti mi crobi al conference 25

Ther ewer eat ot alofabout1 00par t i c i pant swhoj oyf ul l ypar t i c i pat ed i nt hi sc onf er enc e.Maj or i t y oft he phar mac ys t udent swer ef r om Uni ver s i t yofNot t i ngham Mal ays i a Campus ( UNMC) .Ther es twer emadeupofi nvi t edphar mac ys t udent s f r om Tayl or ’ s Uni ver s i t y, I nt er nat i onal Medi c al Uni ver s i t y ( I MU) ,UCSIUni ver s i t y,andManagementandSc i enc eUni ver s i t y( MSU) .Ofc our s e,t hemai nat t ent i onoft hi sc onf er enc ewas i ndeed on ourexper i enc ed and di s t i ngui s hed s peaker s !They wer epl eas edt odel i vert hei rt al ks .Thef i r s ts peakerwasMr . Ti ong Ngee Zheng,c ur r ent l y a hos pi t alphar mac i s tatSi me Dar by Medi c alCent r e,Subang J aya,Sel angor .The s ec ond s peaker ,Mr .Li m ShiHao,whoi sc ur r ent l yar et ai lphar mac i s t atdFPhar mac y,Kaj ang,Sel angor .Sur pr i s i ngl y,bot hoft hem ar ec ur r ent l yt heTeac hi ngPr ac t i t i oneratUNMC. Las t l y,Iwoul dl i ket oc ongr at ul at et heor gani z i ngc ommi t t ee f orhavi ngs uc c es s f ul l yor gani z edt hi seventandens ur i ngt hat i tr an s moot hl y.Wi t houtt he c ooper at i on and s uppor tf r om ourPhar mNot t s ’c ommi t t ee,t hi sver yf i r s tc onf er enc ewoul d nothavebeens uc c es s f ul l yhel d.Iwoul dl i ket ot hankbot hof ours peaker sf ort hei rval uabl et i meandexper i enc e.Iwoul d al s ol i ket oexpr es smygr at i t udet oal lt hepar t i c i pant sf orat t endi ngt hec onf er enc e.Phar mNot t s ’c ommi t t eehasr ec ei ved manypos i t i vef eedbac ksf r om t hepar t i c i pant s .Wedohope t hatt henextPhar mNot t s ’c ommi t t eewi l lbeabl et oc ont i nue or gani z i ngmor ec onf er enc esi nt hef ut ur e.

Er i cTeeWeiSeong MPhar m Year2201 3/ 1 4

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The 7th National Pharmacy Sports carnival

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Wewer eovert hemoon af t erbei ng t ol dt hat we wer e goi ng t ot he UK f ort he 72nd BPS A AnnualConf er enc e - havi ng an al l expens e pai dt r i pwasj us ti c i ngont hec ake!Thi syear , t he c onf er enc e washel d on 1 3t h( S unday)t o 1 9t hApr i l( S at ur day)atDeMont f or tUni ver s i t y,Lei c es t er . Upon ar r i valatLei c es t ert r ai n s t at i ononS undayaf t er noon,wewer egr eet ed byf r i endl yBPS A exec ut i ves( exec s ) ,whol edus t oourhot el .Wewer ever yt i r edaf t ert hel ong f l i ght ,butaf t eras hor tnap,wef el tr ef r es hed ( t hankst ot hec ol d weat her )and wer er eady f ordi nner .Dur i ngt hewel c omi ngni ghtevent , ever yonehad t odr es sup asa c har ac t erf r om f i l msand mus i c al s ,wemetmanyot herphar mac ys t udent sandpr er egi s t er edphar mac i s t s f r om var i ousphar mac ys c hool sac r os sUK.We al s ometYear3and Year4 s eni or sf r om Not t i ngham,whohel ped and gui ded ust hr oughoutt heweek,asi twasourf i r s tt i met oUK.( A bi gs hout outt oours eni or s ! )Dayevent soft he annualc onf er enc ei nc l udebus i nes sc onf er enc e, r epor t sbyt heexec s ,andQ&A s es s i onswi t hexper i enc edphar mac i s t sf r om di f f er ents ec t or shos pi t al ,c ommuni t y and r egul at or y.Bus i nes s c onf er enc es er ved asa pl at f or m f ormember s t opr opos emot i onsr egar di ngi s s uesormat t er s on phar mac y.I s s uest hathavebeen di s c us s ed i nc l udedl egalandet hi c almat t er sofphar mac y,opt i mi zat i onofs er vi c espr ovi dedi nc ommuni t y phar mac y,f ut ur eofphar mac yi n heal t h c ar es er vi c es , publ i c heal t h, s af et y et c . A debat e wasc onduc t ed wher e member sgett o voi c eoutt hei ropi ni ons ,andt hi swasf ol l owed by vot i ng. I f a mot i on i s pas s ed, i t woul d bec ome BPS A’ s pol i c yf or 3 year s , and t he BPS A hast oadvoc at ei t .Thedebat ec oul dget heat ed and i twasver yexc i t i ng and i ns pi r i ng t os eet hepas s i onofphar mac ys t udent spar t i c i pat i ngf ort hebet t er mentoft hepr of es s i on .

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I twasBPS A day on Thur s day,1 7t h Apr i l . Many s peaker sf r om var i ousphar mac yr el at ed or gani zat i onsc ame and pr ovi ded us wi t hi ns i ght si nt ot hei rr es pec t i vej obsand r es pons i bi l i t i es .Ther e wasal s o a medi c i ne exhi bi t i on ( MedEx)wher ephar mac yr el at ed or gani zat i onsand phar mac eut i c alc ompani es s et up boot hs f or par t i c i pant st o vi s i t .We pi c ked up a l ot of i nf or mat i on ( and f r eebi est oo! ) .Byvi s i t i ng t hi sexhi bi t i on,wegai ned abet t erunder s t andi ngr egar di ngc ar eerpat hwaysaf t ergr aduat i on, s t udentadvoc ac yandor gani zat i onsavai l abl ef orpr ot ec t i ngt hephar mac ypr of es s i on. Ont hel as tday,i twasEl ec t i onDayf ort he new BPS A exec s( 201 4/ 201 5) .Al lc andi dat es s poke el oquent l y and ans wer ed ques t i ons wel l .Butwhati mpr es s ed usmos twashow t he vot i ng pr oc es swasc ar r i ed out .I twas c onduc t edi nas t r i c tandf or malmannert o ens ur ei nt egr i t y and f ai r nes s .I tc er t ai nl y wasaneyeopener. Ofc our s e,i twasnotal lwor kandnopl ayat al l .Af t ert hedayevent s ,wehadt opr epar e f ort heni ghtevent s ,whi c hhadt hemesl i ke ‘ f or mal ’ ,‘ wi l d wi l d wes t ’ ,‘ s c i f i ’ ,‘ i ndi an ni ght ’ , and ‘ pyj amas / ones i es ’ . Ever yone dr es s ed ac c or di ngl yever yni ghtand i twas gr eat f un mi ngl i ng ar ound, c hi l l i ng and c hat t i ng wi t h ourf ut ur epar t ner s ,danc i ng andt aki ngpi c t ur es!

Wes etof ff orhomewi t haheavyhear t ( c al li t pos tc onf er enc e depr es s i on? ) af t eraf unandf ul f i l l i ngweeki nUK.I t was a wonder f ul exper i enc e meet i ng new peopl eand l ear ni ng new t hi ngs– wec amehomei ns pi r ed.Ever yphar mac ys t udents houl d at t end atl eas tone BPS Aannualc onf er enc ewheni nuni ver s i t y.Tr us tus–youwon’ tr egr et. Las t but not l eas t ,we woul dl i ke t o t hankt heS c hoolofPhar mac y,Uni ver s i t yofNot t i ngham Mal ays i a Campusf or gi vi ngust heoppor t uni t yt oexper i enc e t hi swonder f ulexper i enc ei n our f i r s t ! year

BPSA Conf erence ChoyWangLynn& J oanneTengJ uYan MPhar m Year1201 3/ 1 4

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Itwasawonderfulnightorganizedonthe19thApril2014atTheMinesWellness

Hot elt obi df ar ewel lt oouryear2s eni or swhowi l lbegoi ngt of ur t hert hei rs t udi es i nUK.A s c hoolbuswaspr ovi dedt ot akes t udent s ,whower enotabl et omakear r angementf ort hei rt r ans por t ,t her e.Gues t swer egi venwar m wel c ome,s mal lgi f t s wer egi venoutandni c ehandmader os eswer epi nnedonmen’ sc oat suponent er i ng t hehal l .I naddi t i on,aver yc r eat i ve,c l as s yandhandmadephot of r amewaspr ovi dedf orgues t st ot akef r eePol ar oi dphot os.

Thet hemeoft hepr om ni ghtwas‘ TheGr eatGat s by’ .Ever yonedr es s edupni c el yi n t he20’ sf as hi on.Thepl ac ewaswel ldec or at edac c or di ngt ot het hemeoft heni ght . Theenvi r onmentwass i mpl ygor geous .Asf orourphot ogr apher–OnnQuan,t her e wasnotamomenthec oul ds par ebes i desc apt ur i ngphot osofs mar t l ydr es s edgues t s andt hewel ldec or at edpl ac ebef or et heevents t ar t s .Al lofuswer et hengui dedt o ours eat s .Agai nanot herl i t t l es ur pr i s ewass eenont het abl e!Ther ewer egi f t sf r om s pons or s ,s ki nc ar eandbodyc ar ec ompany,ar r angedbyPhar mNot t s. Theni ghtwaski c kedof fbyawel l -knownmagi c i an.Thehal lwasf ul lwi t hl aught er bec aus et heper f or manc ewasf unnyr at hert hanamaz i ng,andhemadeanef f or tt o i nt er ac twi t hever ygues t s .Thent hel aught erc ont i nuedi nduc edbyaf unnyvi deo madebyt hec ommi t t ee.Ther ewer el ot soff ood,at abl eofwes t er nf ood,at abl eof appet i z er sandnott of or get ,at abl eofl ovel ydes s er t !Whi l eenj oyi ngourf ood,we wer ehavi ng f un mat c hmaki ng and vot i ng s eni or swhom c oul d bemat c hed asa s weetc oupl e.Ever yonewast hr i l l edwhent hemat c hedc oupl eswer eas kedt odot he ki s s i ngpos eand huggi ngpos e!Someofuswer es ohi gh,wes t ar t ed whi s t l i ngand s c r eami ngmaki ngt heat mos pher el i vel i er .Af t ert hebes tc oupl eawar d,i twast i me f ort hepr om queenand pr om ki ngawar ds .Ir emember ed hewor ea whi t el i nen s ui t e wi t h an odd ves tand s pec t at ors hoes ,per f ec t l yf i t t i ng t he gr eatGat s by’ s t hemef ort heni ght .Theywer enotonl yvot edf ort hei rbes tc os t umebutwer eal s o vot edf ort hewayt heyans wer edt heques t i onspos t edbyt heMCoft heday.Ever ybodywasver yexc i t eddur i ngt hel uc kydr aw s es s i on.Pr i z eswer emos t l yel ec t r oni c s gadget swhi c hc aughtever yone’ sat t ent i on.Ever yones c r eamedatt het opoft hei r l ungswhent hemos texpens i vepr i z e( Beat sbyDr .Dr e)washandedovert ot hehos t . Toal lt hewi nner s ,CONGRATULATI ONS! ! !

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TH E GREAT GATSBY PROM NI GHT2014 ByChuaEeMi n,Thi anJ i ngYi& St ac eySeoHyunHan

Theni ghtwass pl endi dexc eptf ort hemi s s i ngl ec t ur er s .Theheadofs c hoolandourl ec t ur er swer enotabl et ot ur nupf ort heeventduet ot hei rc ommi t ment s .However ,t he s eni or sr ec ei vedwar m wi s hesandbl es s i ngsf r om ourl ec t ur er st hr oughr ec or dedvi deos t hatwer epl ayed. Ast hes ayi nggoesby,a pi c t ur ei swor t ha t hous and wor ds .Af t er havi ngl ot soff un,i tc amet ot hel ongawai t edphot os es s i on.Pr om ni ghtc amet oan endar ound1 0: 30 pm butt hehal lwass t i l lc r owdedasever yonewasqueui ngt ot ake t hei rf r eePol ar oi dpi c t ur e.Bi gr oundsofappl aus ewer egi vent ot heor gani z i ngc ommi t t eesandt heper f or mer s .Wi t houtt hei ref f or t sandc ont r i but i ons ,t heni ghtwoul dnotbe t hi sawes omeandmes mer i z i ng. Las tbutnotl eas t ,pr om ni ghti soneoft hebes teventhel dbyPhar mnot t swher eever yonedr es s edupi nf or malat t i r et oenj oyt heper f or manc espr es ent edbyt hej uni or s .No mat t erhow f arapar tt he s eni or sar e,moment ss pentt oget herwi t ht he s eni or swi l l al waysbec her i s hedandr emember ed.War mes tr egar dst ot hes eni or sf orembr ac i nga new c hapt eroft hei rl i f e. Thehour spas s edver yqui c kl yandt hepar t ys oonc amet oanend.However ,Iam pr et t y s ur eal lofusr eal l yhadf unandt heni ghtwi l lbeni c ememor i est hatwewoul dl i ket o keepwi t husf or ever .


Exam Preparati on:Ten Study Ti ps Gi veyour s el fenought i met os t udy Don' tl eavei tunt i lt hel as tmi nut e.Whi l es omes t udent sdos eem t ot hr i veon l as t mi nut e' c r ammi ng' ,i t ' swi del yac c ept ed t hatf ormos tofus ,t hi si snot t hebes twayt oappr oac hanexam.Setoutat i met abl ef oryours t udy.Wr i t e down how manyexamsyou haveand t hedayson whi c h you havet os i t t hem.Then or gani z eyours t udyac c or di ngl y.You maywantt o gi ves ome examsmor es t udyt i met hanot her s ,s of i ndabal anc et hatyouf eelc omf or t abl ewi t h

Or gani z eyours t udys pac e Make s ur e you have enough s pac et os pr ead yourt ext booksand not esout . Have you gotenough l i ght ?I syourc hai rc omf or t abl e?Ar e yourc omput er gamesoutofs i ght ?Tr yandgetr i dofal ldi s t r ac t i ons ,andmakes ur eyouf eel asc omf or t abl eandabl et of oc usaspos s i bl e.Fors omepeopl e,t hi smaymean al mos tc ompl et es i l enc e;f orot her s ,bac kgr ound mus i chel ps .Someofusneed ever yt hi ngc ompl et el yt i dyandor gani z edi nor dert oc onc ent r at e,whi l eot her s t hr i vei namor ec l ut t er edenvi r onment .Thi nkaboutwhatwor ksf oryou,and t aket het i met ogeti tr i ght

Us ef l ow c har t sanddi agr ams Vi s ualai dsc anber eal l yhel pf ulwhenr evi s i ng.Att hes t ar tofat opi c ,c hal l enge your s el ft owr i t edownever yt hi ngyoual r eadyknow aboutat opi c-andt hen hi ghl i ghtwher et hegapsl i e.Cl os ert ot heexam,c ondens eyourr evi s i onnot es i nt oonepagedi agr ams .Get t i ngyouri deasdowni nt hi sbr i eff or matc ant hen hel pyout oqui c kl yr ec al lever yt hi ngyouneedt oknow dur i ngt heexam

Pr ac t i c eonol dexams Oneoft hemos tef f ec t i vewayst opr epar ef orexamsi st opr ac t i c et aki ngpas t ver s i ons .Thi shel psyougetus edt ot hef or matoft heques t i ons ,and-i fyout i me your s el f-c anal s obegoodpr ac t i c ef ormaki ngs ur eyous pendt her i ghtamount oft i meoneac hs ec t i on

Expl ai nyourans wer st oot her s Par ent sandl i t t l ebr ot her sands i s t er sdon' thavet obeannoyi ngar oundexam t i me!Us et hem t oyouradvant age.Expl ai nanans wert oa ques t i ont ot hem. Thatwi l lhel pyout ogeti tc l eari nyourhead,andal s ot ohi ghl i ghtanyar eas wher eyouneedmor ewor k

Or gani z es t udygr oupswi t hf r i ends Gett oget herwi t hf r i endsf oras t udys es s i on.Youmayhaveques t i onst hatt hey havet heans wer st oandvi c ever s a.Asl ongasyoumakes ur eyous t ayf oc us ed ont het opi cf oranagr eedamountoft i me,t hi sc anbeoneoft hemos tef f ec t i vewayst oc hal l engeyour s el f

Taker egul arbr eaks Whi l eyoumayt hi nki t ' sbes tt os t udyf orasmanyhour saspos s i bl e,t hi sc anac t ual l y be c ount er pr oduc t i ve.I f you wer et r ai ni ng f or a mar at hon,you woul dn' tt r yand r un 24 hour sa day!Li kewi s es t udi eshaves hown t hatf or l ongt er mr et ent i onofknowl edge,t aki ngr egul arbr eaksr eal l yhel ps .Ever yone' sdi f f er ent ,s o devel op a s t udyr out i net hatwor ksf oryou.I fyou s t udy bet t eri nt hemor ni ng,s t ar tear l ybef or et aki nga br eak atl unc ht i me.Ori f you' r emor epr oduc t i veatni ght t i me,t akeal ar gerbr eakear l i erons oyou' r e r eadyt os et t l edownc omeeveni ng.Tr ynott of eelgui l t yaboutbei ngoutenj oyi ngt hes uns hi nei ns t eadofhunc hedoveryourt ext books .RememberVi t ami nD i si mpor t antf oraheal t hybr ai n

Snac kon' br ai nf ood’ Keepawayf r om j unkf ood!Youmayf eell i keyoudes er veat r eat ,ort hatyou don' thave t i me t oc ook,butwhatyou eatc an r eal l y have an i mpac ton ener gyl evel sandf oc us .Keepyourbodyandbr ai nwel l f uel l edbyc hoos i ngnut r i t i ousf oodst hathavebeenpr ovent oai dc onc ent r at i onandmemor y,s uc h asf i s h,nut s ,s eeds ,yogur tandbl ueber r i es .Thes ameappl i esonexam day-eat agoodmealbef or et het es t ,bas edonf oodst hatwi l lpr ovi deas l ow r el eas eof ener gyt hr oughout .Sugarmays eem appeal i ng,buti twon' thel pwhenyour ener gyl evel sc r as hanhourors ol at er

Pl anyourexam day Makes ur eyougetever yt hi ngr eadywel li nadvanc eoft heexam -don' tl eave i tt ot he day bef or et os uddenl yr eal i z e you don' tknow t he way,orwhat you' r es uppos edt obr i ng.Chec kal lt her ul esandr equi r ement s ,andpl anyour r out eandj our neyt i me.I fpos s i bl e,doat es tr unoft het r i p;i fnot ,wr i t edown c l eardi r ec t i ons .Wor kouthow l ongi twi l lt aket ogett her e-t henaddons ome ext r at i me.Your eal l ydon' twantt oar r i vehavi nghadt or unhal f wayorf eel i ngf r az z l edf r om l os i ngyourway.Youc oul dal s omakepl anst ot r avelt ot he exam wi t hf r i endsorc l as s mat es ,asl ongasyouknow t hey' r el i kel yt obepunc t ual

Dr i nkpl ent yofwat er Asaf i nalt i p,r emembert hatbei ngwel lhydr at edi ses s ent i alf oryourbr ai nt owor kati t sbes t .Makes ur eyoukeepdr i nki ngpl ent yofwat ert hr oughoutyourr evi s i on,andal s oont heexam day. Goodl uc k Fr om ht t p: / / www. t opuni ver s i t i es . c om/ s t udent i nf o/ heal t hands uppor t / exampr epar at i ont ens t udyt i ps

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Fol l owour1 0s i mpl et i pst ohe l pmanageandr e duc ey ours t r e s sl e ve l s . Avoi dCaf f e i ne , Al c ohol , andNi c ot i ne . Avoi d,oratl eas tr educ eyourc ons umpt i onof ,ni c ot i neandal ldr i nksc ont ai ni ng c af f ei neandal c ohol .Caf f ei ne,al c oholandni c ot i near es t i mul ant sands owi l li nc r eas eyourl evelofs t r es sr at hert hanr educ ei t .

S wapc af f e i nat e dandal c ohol i cdr i nksf orwat e r ,he r balt e as ,ordi l ut e dnat ur alf r ui tj ui c e sandai mt o ke e py our s e l fhy dr at e dast hi swi l le nabl ey ourbodyt oc opebe t t e rwi t hs t r e s s .Yous houl dal s oai mt o avoi dorr educ eyouri nt akeofr efineds ugar s-t he yar ec ont ai ne di nmanymanuf ac t ur e df oods ( ande ve ni ns avour yf oodss uc hass al addr e s s i ngsandbr e ad)andc anc aus ee ne r gyc r as he swhi c hmay l e ady out of e e l t i r e dandi r r i t abl e . I nge ne r al , t r yt oe atahe al t hy , we l l bal anc e dandnut r i t i ousdi e t .

I ndul gei nPhy s i c al Ac t i vi t y S t r es s f ul s i t uat i onsi nc r eas et hel evel ofs t r es shor moness uc hasadr enal i neandc or t i s oli nyourbody.

The s ear et he“ fightorfli ght ”hor mone st hate vol ut i onhashar dwi r e di nt oourbr ai nsandwhi c har ede s i gne dt opr ot e c tusf r om i mme di at ebodi l yhar m whe nwear eunde rt hr e at .Howe ve r ,s t r e s si nt he mode r nagei s r ar e l yr e me di e dbyafightorfli ghtr e s pons e , ands ophy s i c al e x e r c i s ec anbeus e das as ur r ogat et ome t abol i z et hee x c e s s i ves t r e s shor mone sandr e s t or ey ourbodyandmi ndt oac al me r , mor er e l ax e ds t at e . Whe ny ouf e e ls t r e s s e dandt e ns e ,gof orabr i s kwal ki nf r e s hai r .Tr yt oi nc or por at es ome phy s i c alac t i vi t yi nt oy ourdai l yr out i neonar e gul arbas i s , e i t he rbe f or eoraf t e rwor k, oratl unc ht i me . Re gul arphy s i c al ac t i vi t ywi l l al s oi mpr ovet hequal i t yofy ours l e e p. Youc anal s ous eLaught erTher apyt or e duc es t r e s shor mone s .

Dealing w ith Stress:10Tips Tr yRe l ax at i onTe c hni que s

Ge tMor eS l e e p Al ac kofs l eepi sas i gni fic antc aus eofs t r es s .Unf or t unat el yt hough,s t r es sal s oi nt er r upt sours l eepast hought skeepwhi r l i ngt hr oughourheads ,s t oppi ngusf r om r el axi ngenought of al las l eep.

Rat he rt hanr e l y i ngonme di c at i on, y ourai ms houl dbet omax i mi s ey ourr e l ax at i onbe f or egoi ngt os l e e p. Makes ur et haty ourbe dr oom i sat r anqui loas i swi t hnor e mi nde r soft het hi ngst hatc aus ey ous t r e s s . Avoi dc af f e i nedur i ngt hee ve ni ng,aswe l lase x c e s s i veal c oholi fy ouknow t hatt hi sl e adst odi s t ur be d s l e e p. S t opdoi nganyme nt al l yde mandi ngwor ks e ve r al hour sbe f or egoi ngt obe ds ot haty ougi vey our br ai nt i met oc al m down.Tr yt aki ngawar m bat horr e adi ngac al mi ng, unde mandi ngbookf oraf e w mi nut e st or e l axy ourbody , t i r ey oure y e sandhe l py ouf or ge taboutt het hi ngst hatwor r yy ou. Yous houl dal s oai mt ogot obe datr oughl yt hes amet i mee ac hdays ot haty ourmi ndandbodyge tus e d t oapr e di c t abl ebe dt i mer out i ne .

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Eac hday,t r yt or el axwi t has t r es sr educ t i ont ec hni que.Ther ear emanyt r i ed andt es t edwayst or educ es t r es ss ot r yaf ew ands eewhatwor ksbes tf oryou.

Fore x ampl e , t r ys e l f hy pnos i swhi c hi sve r ye as yandc anbedoneany whe r e , e ve naty ourde s kori n t hec ar . Oneve r ys i mpl et e c hni quei st of oc usonawor dorphr as et hathasapos i t i veme ani ngt oy ou. Wor dss uc has" c al m"" l ove "and" pe ac e "wor kwe l l , ory ouc oul dt hi nkofas e l f af fir mi ngmant r as uc h as“ I de s e r vec al mi nmyl i f e ”or“ Gr antmes e r e ni t y ” .Foc usony ourc hos e nwor dorphr as e ; i fy oufind y ourmi ndhaswande r e dory oube c omeawar eofi nt r us i vet hought se nt e r i ngy ourmi nd, s i mpl ydi s r e gar dt he m andr e t ur ny ourf oc ust ot hec hos e nwor dorphr as e .I fy oufindy our s e l fbe c omi ngt e ns e agai nl at e r , s i mpl ys i l e nt l yr e pe aty ourwor dorphr as e . Don' twor r yi fy oufindi tdi f fic ul tt or e l axatfir s t . Re l ax at i oni sas ki l l t hatne e dst obel e ar ne dandwi l l i mpr ovewi t hpr ac t i c e .

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Tal kt oS ome one

ManageYourTi me

J us tt al ki ngt os omeoneabouthow youf eelc anbehel pf ul .Tal ki ngc anwor kbyei t herdi s t r ac t i ngyouf r om yours t r es s f ult hought s orr el eas i ngs omeoft hebui l t upt ens i onbydi s c us s i ngi t .

Att i mes ,weal lf eelover bur denedbyour' ToDo'l i s tandt hi si sac ommon c aus eofs t r es s . Ac c eptt hatyouc annotdoever yt hi ngatonc eands t ar tt o pr i or i t i s eanddi ar i s eyourt as ks . Makeal i s tofal l t het hi ngst haty oune e dt odoandl i s tt he mi nor de rofge nui nepr i or i t y . Not ewhatt as ksy oune e dt odope r s onal l yandwhatc anbede l e gat e dt oot he r st o do.Re c or dwhi c ht as ksne e dt obedonei mme di at e l y , i nt hene x twe e k, i nt hene x t mont h, orwhe nt i meal l ows . Bye di t i ngwhatmi ghthaves t ar t e doutasanove r whe l mi ngandunmanage abl et as k l i s t , y ouc anbr e aki tdowni nt oas e r i e sofs mal l e r , mor emanage abl et as kss pr e adout ove ral onge rt i mef r ame , wi t hs omet as ksr e move df r om t hel i s te nt i r e l yt hr oughde l e gat i on. Re me mbe raswe l l t oc r e at ebuf f e rt i me st ode al wi t hune x pe c t e dande me r ge nc yt as ks , andt oi nc l udet i mef ory ourownr e l ax at i onandwe l l be i ng.

S t r e s sc anc l oudy ourj udge me ntandpr e ve nty ouf r om s e e i ngt hi ngsc l e ar l y . Tal ki ng t hi ngst hr oughwi t haf r i e nd, wor kc ol l e ague , ore ve nat r ai ne dpr of e s s i onal , c an he l py oufinds ol ut i onst oy ours t r e s sandputy ourpr obl e msi nt ope r s pe c t i ve .

Ke e paS t r e s sDi ar y Keepi ngas t r es sdi ar yf oraf ew weeksi sanef f ec t i ves t r es smanagementt oolasi twi l lhel pyoubec omemor eawar eoft hes i t uat i onswhi c hc aus eyout obec omes t r es s ed.

Not edownt hedat e , t i meandpl ac eofe ac hs t r e s s f ul e pi s ode , andnot ewhaty ou we r edoi ng, whoy ouwe r ewi t h, andhowy ouf e l tbot hphy s i c al l yande mot i onal l y . Gi vee ac hs t r e s s f ul e pi s odeas t r e s sr at i ng( on, s ay , a1 1 0s c al e )andus et hedi ar yt o unde r s t andwhatt r i gge r sy ours t r e s sandhowe f f e c t i vey ouar ei ns t r e s s f ul s i t uat i ons . Thi swi l l e nabl ey out oavoi ds t r e s s f ul s i t uat i onsandde ve l opbe t t e rc opi ngme c hani s ms .

TakeCont r ol S t r es sc anbet r i gger edbyapr obl em t hatmayont hes ur f ac es eem i mpos s i bl et os ol ve.Lear ni nghow t ofinds ol ut i onst oyourpr obl emswi l lhel pyouf eelmor ei nc ont r olt her ebyl ower i ngyourl evel ofs t r es s . Onepr obl e ms ol vi ngt e c hni quei nvol ve swr i t i ngdownt hepr obl e m andc omi ngup wi t hasmanypos s i bl es ol ut i onsasy ouc an. De c i deont hegoodandbadpoi nt sof e ac honeands e l e c tt hebe s ts ol ut i on. Wr i t edowne ac hs t e pt haty oune e dt ot ake aspar toft hes ol ut i on: whatwi l l bedone , howwi l l i tbedone , whe nwi l l i tbedone , whoi si nvol ve dandwhe r ewi l l i tt akepl ac e .

Re s tI fYouAr eI l l

Le ar nt oS ay‘ No’ Ac ommonc aus eofs t r es si shavi ngt oomuc ht odoandt ool i t t l et i mei n whi c ht odoi t .Andyeti nt hi ss i t uat i on,manypeopl ewi l ls t i l lagr eet o t akeonaddi t i onalr es pons i bi l i t y.Lear ni ngt os ay“ No”t oaddi t i onalor uni mpor t antr eques t swi l lhel pt or educ eyourl evelofs t r es s ,andmayal s o hel pyoudevel opmor es el f c onfidenc e. Tol e ar nt os ay“ No” , y oune e dt ounde r s t andwhyy oufindi tdi f fic ul t .Manype opl e findi thar dt os ay“ No”be c aus et he ywantt ohe l pandar et r y i ngt obeni c eandt o bel i ke d.Forot he r s , i ti saf e arofc onfli c t , r e j e c t i onormi s s e doppor t uni t i e s .Re me mbe rt hatt he s ebar r i e r st os ay i ng“ No”ar eal l s e l f c r e at e d. Youmi ghtf e e l r e l uc t antt or e s pondt oar e que s twi t has t r ai ght“ No” , atl e as tatfir s t . I ns t e adt hi nkofs omepr e pr e par e dphr as e st ol e tot he rpe opl edownmor ege nt l y . Pr ac t i c es ay i ngphr as e ss uc has : “ I am s or r ybutI c an’ tc ommi tt ot hi sasI haveot he rpr i or i t i e satt hemome nt . ” “ Nowi snotagoodt i measI ’ mi nt hemi ddl eofs ome t hi ng.Whydon’ ty ouas kme agai nat …. ? ” “ I ’ dl ovet odot hi s , but…”

I fyouar ef eel i ngunwel l ,donotf eelt hatyouhavet oc ar r yonr egar dl es s .As hor ts pel lofr es twi l lenabl et hebodyt or ec overf as t er .

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Fr om: ht t p: / / www. s ki l l s y oune e d. c om/ ps / s t r e s s t i ps . ht ml #i x z z 3 8 vs j CDJ o

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Le t ’ sH e a tUpY o u rMi c r o wa v e Mi c r owaveMacandChe e s eFr om: ht t p: / / www. f oodne t wor k. c om/ r e c i pe s . ht ml Thi sf r oms c r at c hmacandc he e s ec ooksi nonebowl , andy oudon' thavet o boi l t hemac ar oni orc ookt hec he e s es auc es e par at e l y . Pl us , i t ' sr e adyi nl e s s t hanhal fanhour . Abl e ndofAme r i c anandJ ac kc he e s e smake st hes auc e s moot handt angy . Tot al Ti me : 1 5mi nut e s Yi e l d: 4s e r vi ngs Le ve l : Eas y

I ngr e di e nt s 11 / 2c upse l bowmac ar oni 2c upswhol emi l k Kos he rs al t 1c ups hr e dde dde l i y e l l owAme r i c anc he e s e( about4ounc e s ) 1c ups hr e dde dpe ppe rJ ac korMont e r e yJ ac kc he e s e( about4ounc e s ) 1 / 4c upgr at e dPar me s an 2ounc e sc r e am c he e s e 1t e as poonDi j onmus t ar d

Di r e c t i ons S t i rt hemac ar oni , 1c upoft hemi l kand1 / 4t e as poons al ti nami c r owave s af e 4 quar tbowl . ( I ti si mpor t antt haty ouus eabowl l ar gee nought opr e ve ntt he mi l kf r om boi l i ngove r . )Cove rt i ght l ywi t hpl as t i cwr ap; c utas mal l s l i ti nt he c e nt e rwi t ht het i pofapar i ngkni f et ove nte x c e s ss t e am. Mi c r owaveonhi gh( at 1 00pe r c e ntpowe r )f or4mi nut e si ne i t he ran1 , 1 00-ora7 00wat tove n. Unc ove r ( bec ar e f ul t oavoi dt hehots t e am)ands t i r . Cove randmi c r owaveonhi gh( at1 00 pe r c e ntpowe r )unt i l t hemac ar oni i saboutt wot hi r dsc ooke d, al i t t l ehar de rt han al de nt e , 11 / 2mi nut e si nan1 , 1 00wat tove nor31 / 2mi nut e si na7 00wat tove n. Addt her e mai ni ngc upofmi l k, Ame r i c anc he e s e , J ac kc he e s e , Par me s an, c r e am c he e s eandmus t ar d. S t i rwe l l , c ove rt i ght l yandmi c r owaveonhi gh( at1 00pe r c e ntpowe r )unt i l al l t hec he e s e shaveme l t e d, 4mi nut e si nan1 , 1 00wat tove nor4 1 / 2i na7 00wat tove n. S t i runt i l t hor oughl yc ombi ne d. I ft he r ear es t i l l s omepi e c e s ofunme l t e dc he e s e , mi c r owaveagai n, c ove r e d, i n3 0s e c ondi nc r e me nt s . ( The s auc ewi l l c ont i nuet ot hi c ke nasi ts i t s . )I fde s i r e d, t r ans f e rt oade c or at i vedi s hf or s e r vi ng.

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Mi c r owavePot at oChi ps Fr om: ht t p: / / www. e at i ngwe l l . c om/ r e c i pe s / mi c r owave _ pot at o_ c hi ps . ht ml Youdon' tne e dade e pf r y e rt omakec r i s pypot at oc hi ps . Wet os st hi nl ys l i c e dpot at oe swi t hj us tat ouc hofol i veoi l , popt he mi nt hemi c r owaveandvoi l Ăƒ! Cr i s py , c r unc hyhome madepot at oc hi pswi t h8gr amsl e s sf atpe rs e r vi ngt han r e gul arc hi ps . Tot al t i me : 3 0mi nut e s Yi e l d: 4s e r vi ngs , 1 2 1 4c hi pse ac h Le ve l : Eas y

I ngr e di e nt s 1 .11 / 3poundsYukonGol dorr e dpot at oe s , unpe e l e d, s c r ubbe d 2 . 2t e as poonse x t r avi r gi nol i veoi l 3 .1 / 2t e as poons al t

Di r e c t i ons S l i c epot at oe si nt ot hi n( 1 / 8 i nc h)r ounds . Tos st hes l i c e si name di um bowl wi t hoi l ands al tt oc oate ve nl y . Coatal ar gemi c r owave pr oofpl at ewi t hc ooki ngs pr ay . Ar r anges omepot at os l i c e si nas i ngl el ay e ront hepl at e . Mi c r owave , unc ove r e d, on Hi ghunt i l s omes l i c e ss t ar tt obr own, 2t o3mi nut e s( de pe ndi ngonpot at ot hi c kne s s andmi c r owavepowe r ) . Tur nt hes l i c e sove randc ont i nuemi c r owavi ngunt i l t he y s t ar tt oc r i s pandbr ownar oundt hee dge s , 2t o4mi nut e smor e . Che c kf r e que nt l y andr e ar r anges l i c e sasne e de dt opr e ve nts c or c hi ng. Tr ans f e rt hec hi pst oanot he r pl at eandal l owt oc ool c ompl e t e l y . ( The ywi l l c r i s pmor east he yc ool . )Re pe atwi t h t her e mai ni ngpot at os l i c e s .

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Mi c r owaveMugCake Fr om: ht t p: / / www. bbc goodf ood. c om/ r e c i pe s / 2 405 644/ mi c r owave mugc ake I ngr e di e nt s : 1 .4t bs ps e l fr ai s i ng( S R)flour 4t bs pc as t e rs ugar 2 .2t bs pc oc oapowde r 3 .1me di um e gg 4 .3t bs pmi l k 5 .3t bs pve ge t abl e / s unflowe roi l 6.Af e wdr opsvani l l aorot he re s s e nc e( or ange , pe ppe r mi nte t c ) 7 .2t bs pc hoc ol at ec hi ps / nut s / r ai s i nse t c( opt i onal )

Edi t o r ’ sn o t e s H e yg u ys !Ge t t i n gb o r e do fSo d e x o ’ sf o o do rf o o da r o u n dc a mp u s ?Nowo r r i e s !We h a v es o mei n t e r e s t i n gwe b s i t e sh e r e .Th ea b o v ea r e3r e c i p e swh i c hyo uma yr e f e r wh e n e v e ryo ua r ec l u e l e s so fwh a tt oc o o k .F o rmo r er e c i p e syo uma ya l s ov i s i t h t t p : / / g r e a t i s t . c o m/ h e a l t h / s u r pr i s i n g -h e a l t h y-mi c r o wa v e -r e c i p e sf o r4 0mi c r o wa v e r e c i p e sb yNi c kEn g l i s ho rv i s i tt h e3di f f e r e n twe b s i t e sweu s e da b o v e .F o ryo u r c o n v e n i e n c e , weh a v ea l s op o s t e du pt h el i n k so no u rPh a r mNo t t s ’ b l o g s p o t .Dog o a n dh a v eal o o ka n ds t a r th e a t i n gu pyo u rmi c r o wa v e .En j o yyo u rc o o k i n g !An d BO NAPPETIT! ! !

Di r e c t i ons Us et hel ar ge s tmugy ouhavet oavoi di tove r flowi ngi nt hemi c r owave ! Addt he flour , s ugarandc oc oapowde rt ot hemugandmi x . Addt hee ggt ot hemi x t ur e . Mi xi nasmuc hasy ouc anbutdon' twor r yi ft he r e ' ss t i l l dr ymi xl e f t . Addal l t he ot he ri ngr e di e nt sapar tf r om t hec hoc ol at ec hi pse t c( i fy ouar eaddi ng)andmi x unt i l s moot h. Addt hec hoc ol at ec hi psand/ ort henut s / r ai s i nsandmi xwe l l . Ce nt r e y ourmugi nt hemi ddl eoft hemi c r owaveove nandc ookonhi ghf or4 5mi ns , orunt i l i thass t oppe dr i s i ngandi sfir mt ot het ouc h. Wat c hi tr i s easi tc ooks !

Le t ’ sH e a tUpY o u r Mi c r o wa v e 45

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15Natural Home Remedi es for W ounds

Wehaveal l e x pe r i e nc e dawoundats omepoi nti nourl i f e , butwhokne wt hatt heans we rt o ahas t yr e c ove r yc oul dbef oundr i ghti nourf r i dgeorc upboar d?The r ear emanyhomer e me di e sf orc ut s , s c r ape s , br ui s e s , bur ns , andot he rwoundst hatc anhe l ps t aveawayi nf e c t i onand e ve nhe l pt hewoundt ohe al f as t e r . He r ear emyt op1 5nat ur al homer e me di e sf orc ut s , s c r ape sandbr ui s e s ! Le aveac omme nt be l owast ohowt he s epl ant bas e dpr oduc t she l pe dy ouwi t hy ourwounds ! 1 . Hone y Hone yi sagr e atwayt os pe e dupwoundhe al i ng. Ac c or di ngt os omefindi ngs , hone yi sac t ual l ymor ee f f e c t i vet hanant i bi ot i c s ! I nl abt e s t s , hone yhasbe e nf oundt oki l l of ft hemaj or i t yofbac t e r i al c e l l sand c anpr e ve nti nf e c t i onsf r om oc c ur r i ngi nt hefir s tpl ac e . Makes ur ey ouus er awhone yt odr e s sy our wound( hone yt hati sc ooke dwi l l nothavet hepr ope re nz y me st odot het r i c k) . Whe nhone yge t sdi l ut e d wi t ht hebl oodandt i s s ue soft hewound, hy dr oge npe r ox i dei spr oduc e dvi aagl uc os eox i das ee nz y mer e ac t i on. Thi si sr e l e as e ds l owl y , andpr ovi de sant i bac t e r i al ac t i vi t y , whi l eke e pi ngt i s s uehe al t hyand undamage d! S pr e ads omehone yonadr e s s i ngandappl yt hi st ot hewound. I ft hewoundi sde e pe r , t he woundbe ds houl dbefil l e dwi t hhone y , t he nwr appe dwi t hadr e s s i ngpad. 2 . Gar l i c Al l i c i ni ngar l i chasbe e ns hownt obease f f e c t i veasa1 %pe ni c i l l i ns ol ut i on! I ti sagr e atant i bac t e r i al , andant i f ungal andc anhe l phe al al mos tanywound. Gar l i cc anc aus edamaget ot hes ki n, howe ve r , s o maki ngs ur ey oudon’ tl e avei tont hes ki nf orl onge rt han2 02 5mi nut e s . Youc anmakeami xof3 c r us he dgar l i cc l ove sand1c upofwi ne , bl e nde d, l e ts t andf or2 3hour sands t r ai n. Appl yt ot hewound wi t hac l e anc l ot h1 2t i me saday . 3 . Cal e ndul a Thi sbe aut i f ul l i t t l eflowe ri sc ons i de r e davul ne r ar yage nt( as ubs t anc et hatpr omot e she al i ng) . Thi s pl anti sanant i i nflammat or yt oo, andi ss l i ght l yant i mi c r obi al . I tc anbeus e dt opi c al l yt ohe l phe al abr as i ons , s ki ni nf e c t i onsandi nt e r nal i nf e c t e dmuc ousme mbr ane s . Youc anbuyc al e ndul as al ve sat he al t hf oods t or e s , andy ouc anus et hi st oappl yt oy ourwounds . Fori nt e r nal i nf e c t i ons , makeac al e ndul at e awi t h1c upwar m wat e rand1t bs p. c al e ndul aflowe r s . 4 . Chamomi l e Anot he rflowe rwi t hgr e atwoundhe al i ngpr ope r t i e s–c hamomi l e ! Al s oknownf ori t sawe s omer e l ax at i onpr ope r t i e s , c hamomi l ei soneoft hemos tanc i e ntme di c i nal he r bsknownt omanki nd! Thedr i e dflowe r sc ont ai nmanyt e r pe noi dsandflavonoi ds , maki ngi tapowe r f ul he r bal me di c i ne . Chamomi l ehas e ve nbe e nf oundi ns omes t udi e st obemuc hf as t e rathe al i ngwoundst hans omec or t i c os t e r oi ds . Makea c hamomi l epr e s sf ory ourwoundbys oaki ngs omec hamomi l et e abagsi nwat e r , l i ght l ydr ai ni ngs omeof t hel i qui d, andt he nwr appi ngt he s et e abagsar oundy ourwoundwi t hs omegauz e . Al t e r nat i ve l y , y ou c anl i ke l yfindc hamomi l et i nc t ur e sornat ur al oi nt me nt si ny ourl oc al he al t hf oods t or e . 5 . Mar s hmal l owRoot Mar s hmal l owr ooti snott hes ameast hes ugar ywhi t ec y l i nde r sy ouc anfindi nt hec andys e c t i onaty our gr oc e r ys t or e–t hi spl anti sac t ual l yi nc r e di bl yhe al i ngt owoundsi nfli c t e dont hebody . Mar s hmal l owi s gr e atf ordr awi ngoutt ox i nsandot he rbac t e r i af oundi nwoundswhe nus e dasapoul t i c e , andi tc an s hor t e nt hehe al i ngt i mebydr awi ngouti mpur i t i e s . I tc anal s obeus e dt ohe al bur nsandbr ui s e s ! Cr e at i ngapoul t i c ewi t hmar s hmal l owandappl y i ngi tt oy ourwoundc ans pe e dwoundhe al i ng!

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Fr om ht t p: / / l i ve l ove f r ui t . c om/ 2 01 4 / 02 / 1 5 nat ur al home r e me di e s f or wounds /

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6. Cay e nnePe ppe r Cay e nnepe ppe ri s gr e atf orhe l pi ngbl oodt oc l otf as t e ratt hes i t eof y ourwound, andal s odi s i nf e c t st hewoundduet oi t sant i f ungalandant i bac t e r i alpr ope r t i e s .Cay e nnepe ppe rwi l l s t opwoundbl e e di ngi n1 01 2s e c onds , andi ft hewoundi smor es e ve r e , havi ngt heaf fli c t e di ndi vi dual c ons umean8 oz . gl as sofwat e rwi t h1 t s p. c ay e nnec ans i gni fic ant l yhe l poutt oo! 7 . Pot at o Pot at oe sc anhe al wounds ?Thatwast hefir s tt hi ngIt houghtt oo! Pot at oe shavet hi st y peof gr avi t at i onal pul l whi c hdr awsouti nf e c t i onsf r om anyt y peofwoundorabs c e s s . Makear aw pot at opoul t i c ewi t hs hr e dde dpot at oe sandmai nt ai nt hi st hr oughoutt heday ,c hangi ngi t e ve r y4hour sors o( andr i ns i ngwi t hs al twat e ri nbe t we e n) . Thi swi l l e ns ur et hati nflammat i on i sr e duc e dandt hatt he r ewi l l benoc hanc eofi nf e c t i on! Tomakeapoul t i c e , s hr e dr awpot at o wi t hagr at e r , ands pr e adt hi sont oac l e anc l ot h. Appl yt ot heaf f e c t e dar e a, andc ove rwi t h gauz eandt he ns omes ar anwr aporot he rmat e r i al ofc hoi c e . Le aveove r ni ghtandr e movei n t hemor ni ng.Cl e anaf f e c t e dar e awi t hs al t ywat e r ,c ove rwi t hc l e andr e s s i ngandc ont i nue unt i l he al e d. 8 . Lave nde r Theamaz i ngbe ne fit sofl ave nde rwe r eac c i de nt al l ydi s c ove r e dbyaFr e nc hs c i e nt i s t ,Re né , Gat t e f os s é , whowass e ve r e l ybur ne di nal abor at or yac c i de ntandi mme r s e dhi shandi navat ofLave nde r . Hef oundt hatt hi soi l pr omot e dhas t yt i s s uer e ge ne r at i onwi t houtanys c ar r i ng! Us el ave nde re s s e nt i al oi l t ohe l ppr omot enat ur al woundhe al i ng. Us et opi c al l y2 5t i me spe r daybyappl y i ng2 4dr opsont hewoundar e a. Di l ut easr e qui r e d! 9. Al oeVe r a Weal l knowal oeve r ac anhe l phe al bur ns , butt hes apf r om anal oeve r apl antc anal s obe us e dt ot r e atc ut s , s c r ape sandot he rs or e s . S i mpl yc ut t i ngof fas t al koft heal oeve r apl antand appl y i ngi tt ot hewounde ve r yc oupl ehour sc ans i gni fic ant l yr e duc ehe al i ngt i me . 1 0. Gol de ns e al Thi spl anti sknownf ori t sant i s e pt i candas t r i nge ntpr ope r t i e s . I tc anbeus e df orc ut s , wounds , i nf e c t i ons , bi t e sands t i ngsandi sal s ous e di nt e r nal l yt ohe l pt r e ats i nusi nf e c t i onsandi nflammat i onoft hes t omac handi nt e s t i nal t r ac t . Themai nc ompone nt sofgol de ns e al ar eal kal oi ds c al l e dbe r be r i neandhy dr as t i newhi c hhe l pde s t r oymanyt y pe sofbac t e r i alandvi r ali nf e c t i ons . Us egol de ns e al oi nt me ntony ourwounds( f oundi nl oc al he al t hs t or e s ) , andwat c hy our he al i ngt i medr as t i c al l yr e duc e !

1 1 . Te aTr e eOi l Te at r e ee s s e nt i al oi l i soneoft hebe s tway st ot r e atawoundt ohe l ppr e ve nti nf e c t i on. I ti sagr e at ant i s e pt i c ,ant i bac t e r i al ,ant i vi r al ,andant i f ungal .Te at r e eoi li ss oe f f e c t i vet hati sc anac t i ve l y at t ac kande l i mi nat es t af fi nf e c t i onss uc hasMRS A.Theabor i gi ne sofAus t r al i aus e dt e at r e e l e ave st ohe al s ki ni nf e c t i onsandwoundsandbur nsbyc r us hi ngt e at r e el e ave sandhol di ngt he m i npl ac ewi t hamudpac k. Thankf ul l y , wec anj us tus et e at r e eoi l appl i e d3 5t i me sadayt oe f f e c t i ve l yhe al ourwoundsqui c kl yande f fic i e nt l y . 1 2 . Coc onutOi l Coc onutoi l , amongs tami l l i onot he rt hi ngsi tc ando, c ane f f e c t i ve l yhe al wounds ! I thasamaz i ng ant i bac t e r i al andant i f ungal pr ope r t i e sandc ane ve npr e ve nts c ar r i ngofwoundst oo!Us ec oc onutoi l ony ourwoundt ohe l ps pe e dr e c ove r y–appl yc oc onutoi l unde rabandai dandr e f r e s h 2 3t i me saday . Wat c hy ourc uthe al i nnot i me ! 1 3 . Wi t c hHaz e l Wi t c hhaz e l i sawonde r f ul as t r i nge ntt hatc ont ai nspr oc y ani di ns , r e s i nandflavonoi ds , al l ofwhi c h makei tave r ys oot hi ng, ant i i nflammat or ypl ant . S oaki ngac l ot hi ns omewi t hhaz e l andappl y i ngi tt oc ut s ,br ui s e sandot he rwoundsc ans i gni fic ant l yr e duc es we l l i ngands pe e dupr e c ove r y t i me . Wi t c hhaz e l c anal s oc ont r ol bl e e di ng–t ohe l pr e duc ebl e e di ng, appl ywi t c hhaz e l t oaf r e s h woundandwr api tupi ngauz e . 1 4 . J uni pe rLe ave s&Be r r i e s J uni pe rbe r r i e s , whi c hwe r eal s ous e dasaflavour i ngf orgi nbac ki nt he1 7 t hc e nt ur y , ar eal s ove r y us e f uli nt het r e at me ntofi nflame dj oi nt sandwounds .The s ebe r r i e sar eve r yr i c hi nBvi t ami ns andvi t ami nC, whi c hmaket he m gr e atf ors pe e di ngupr e c ove r yt i meofc ut s , s c r ape sandot he r wounds . J uni pe rbe r r i e sc ont ai nant i bac t e r i al andant i s e pt i cpr ope r t i e saswe l l , s ot he yar egr e at f ort r e at i ngnume r ouswoundsors or e sl i keps or i as i s , e c z e maandot he rs ki npr obl e ms ! 1 5 . Comf r e yRoot Thege nus namef orc omf r e yi s S y mphy t um, whi c hl i t e r al l yme ans t o“ uni t eorkni tt oge t he r . ”Comf r e yc ont ai nsas ubs t anc ec al l e dal l ant oi n, whi c hhe l psc e l l sgr owf as t e r , ands oi tl i t e r al l yi mpr ove s he al i ngt i meofbr oke nbone s , me ndswoundsqui c kl yandhe l psbur nshe al qui c kl ywi t hl i t t l es c ar r i ng. I nf ac t , c omf r e yi sof t e nc al l e dkni t bone ! Al l ant oi ni sal s of oundi nt hepl ac e nt aofpr e gnant wome nt ohe l pt hebabygr owandde ve l opi nade c e ntamountof t i me . Us ec omf r e yas apoul t i c e ne x tt i mey oubr e akaboneorge tabr ui s e , c ut , s c r apeorot he rwound.

S our c e s : 1 .ht t p: / / he al t h. hows t uf f wor ks . c om/ we l l ne s s / nat ur al me di c i ne / home r e me di e s / home r e me di e s f or c ut s 2 . ht m 2 .ht t p: / / he al t h. hows t uf f wor ks . c om/ we l l ne s s / nat ur al me di c i ne / he r bal r e me di e s / c al e ndul ahe r bal r e me di e s . ht m 3 .ht t p: / / www. nc bi . nl m. ni h. gov/ pmc / ar t i c l e s / PMC2 995 2 8 3 / 4.ht t p: / / www. c ay e nne pe ppe r . i nf o/ t r e at i ngwounds wi t hc ay e nne pe ppe r . ht ml 5 .ht t p: / / he al t h. hows t uf f wor ks . c om/ we l l ne s s / nat ur al me di c i ne / he r bal r e me di e s / wi t c hhaz e l he r bal r e me di e s . ht m 6.ht t p: / / al l about we l l ne s s s ol ut i ons . wor dpr e s s . c om/ 2 01 3 / 08 / 2 7 / r awpot at opoul t i c e e x c e l l e nt t odr awi nf e c t i onf r omwoundor abs c e s s / 7 .ht t p: / / www. e x pe r i e nc e e s s e nt i al oi l s . c om/ be ne fit s of l ave nde r oi l . ht ml 8 .ht t p: / / www. nat ur al ne ws . c om/ 03 3 07 2 _ t e a_ t r e e _ oi l _ r e me di e s . ht ml 9.ht t p: / / c oc onut oi l . c om/ s t udy t opi c al c oc onut mi x t ur e abe t t e r t r e at me nt f or wounds andbac t e r i al i nf e c t i ons / 1 0. ht t p: / / www. nat ur al we l l be i ng. c om/ l e ar ni ngc e nt e r / J uni pe r _ Be r r i e s 1 1 .ht t p: / / www. mot he r e ar t hne ws . c om/ nat ur al he al t h/ c omf r e y r oot z maz 95 dj z j ma. as px

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P a i n–G e n d e rMa t t e r s

byS ar aAdae s , PhD( c )| J une2 1 , 2 01 4

S e x ge nde rdi f f e r e nc e si npai npe r c e pt i oni ss t i l la Re s e ar c hi nani mal mode l s has pr ovi de dc ons i de r poor l yunde r s t oods ubj e c t ,de s pi t er e c e i vi nggr e at e r abl ee vi de nc e sofs e xdi f f e r e nc e si npai npr oc e s s i ns c i e nt i ficand c l i ni c ali nt e r e s ti nr e c e nty e ar s .Al - gandi t shor monalr e gul at i on.I thasbe e ns hown t hought he r ei ss t i l l al ac kofune qui voc al e vi de nc eof t hate s t r oge nr e c e pt or sar epr e s e nti nar e asoft he ge nde rs pe c i fic i t i e si n pai n pr oc e s s i ng,t he r e ar e c e nt r alne r vouss y s t e m whe r epai ni smodul at e d manyr e por t st hats t r ongl yi ndi c at et hatt he r ear e andt hatt he r ei sadi r e c tac t i onof e s t r oge nsi nt he i nde e ds i gni fic antdi f f e r e nc e si nt hewayme nand modul at i onof pai ni nt hes pi nal c or d. Es t r oge nr e wome ne x pe r i e nc epai n. c e pt or sar eal s oe x pr e s s e di nt hepe r i phe r al ne r vS uc hdi f f e r e nc e sc anbeobs e r ve d, f ori ns t anc e , i nt he ous s y s t e m; i nt hes e ns or yne ur ons t hatde t e c tnoc i s e ns i t i vi t yt opai nt he r apy . Fe mal e ss e e mt obemor e c e pt i ves t i mul i . S t udi e s i nmi c el ac ki nge s t r oge nr e s e ns i t i vet os omene ur obl oc ki ngage nt sandt oopi oi d c e pt or sde mons t r at e dt hatt hedi f f e r e nc e si npai n r e c e pt oragoni s t s , whe r e as mal e s t e ndt obemor es us - t hr e s hol dsbe t we e nmal eandf e mal emi c ewe r e c e pt i bl et opr opof ol andt oge ne r al ane s t he s i a, f r om e l i mi nat e di nt heabs e nc eoft hos er e c e pt or s , s upwhi c ht he yt akel onge rt owakeup. por t i ngt he i rr ol ei nnoc i c e pt i oni nf e mal emi c e . Thes e ns i t i vi t yt opai ni t s e l fal s odi f f e r swi de l y . Ove r - I nvi t r os t udi e shaveal s os hownadi r e c te f f e c tof al l ,t he r es e e mst obegr e at e rpai ns e ns i t i vi t yand e s t r oge nsi nt hepr oduc t i on and ac t i vat i on of hi ghe rpr e val e nc eofmos tpai nmodal i t i e si nwome n; ot he rmol e c ul e si nvol ve di npai ns i gnal i ng. Ani mf e mal e s haveahi ghe ri nc i de nc eof c l i ni c al pai nc ondi - por t antme c hani s mf ort heac t i onofe s t r oge nsi n t i onsandmor es e ve r epos t ope r at i veandpr oc e dur al pai npr oc e s s i ngs e e mst obet hei nt e r ac t i onwi t h pai n, ands howl owe r pai nt hr e s hol ds , hi ghe r pai nr at - t hee ndoge nousopi oi ds y s t e m,whi c hi sc r uc i ali n i ngs , andl e s st ol e r anc et opai nf ul s t i mul i . pai nmodul at i on. Ani nt ui t i vee x pl anat i onf ors uc hdi f f e r e nc e si st hat Butt he r ear eal s os t udi e si nhumanst hats uppor t s e xhor mone smayhavear ol ei npai nmodul at i on. s e xdi f f e r e nc e sandhor monalr e gul at i onofpai n. S e xhor mone sdoac t ual l ypl ayi mpor t antpar t si n Fori ns t anc e , i ns omec l i ni c al de e pt i s s uepai nc onmanybi ol ogi c alf unc t i onsbe s i de sr e pr oduc t i onand di t i ons ,i twasobs e r ve dt hatt hes e ve r i t yofpai n s e x ual di f f e r e nt i at i on. Es t r oge ns , t hepr i mar yf e mal e washi ghe ri nwome nandt hati twasas s oc i at e d hor mone s ,c an modul at ec ar di ovas c ul arf unc t i on, wi t ht hephas eoft heme ns t r ualc y c l e ,s us t ai ni ng bonef or mat i on,t he r malr e gul at i on oft hebody ,t hehy pot he s i sofar e gul at i onofpai npe r c e pt i on f e e di ngbe havi or ,me t abol i cr at e ,me mor y ,mot i va- byf e mal es e xhor mone s . t i onandmood,amongot he r s .Thec e nt r alne r vous Pai ni sal s os t r ongl ymodul at e dbye mot i on.A s y s t e mi samaj ort ar ge tf ore s t r oge ns ,whe r et he y r e c e ntne ur oi magi ngs t udyons e xdi f f e r e nc e si n c anhavene ur opr ot e c t i veac t i ons , ac tasvas odi l at or s pai nhass hownt hatt her at i ngofpai nunpl e as t oi nc r e as ebl oodflowt ot hebr ai n, andr e gul at ene u- ant ne s si sas s oc i at e dwi t hdi f f e r e ntpai ne voke d r ot r ans mi s s i onands e ns or ype r c e pt i on. br ai nr e s pons e si nme nandwome n. I nt e r e s t i ngl y , i tde mons t r at e dt hatme npr e f e r e nt i al l ymobi l i z e t hr e atc ont r olc i r c ui t s ,whe r e aswome nr e c r ui t e mot i onpr oc e s s i ngar e asoft hebr ai n. The r ei ss t i l l agr e atne e df ormor er e s e ar c hont hi s s ubj e c t , butunde r s t andi ngt hes pe c i fic i t i e sofpai n pr oc e s s i ngi nme nandwome nc anbeagr e atadvanc ei nt heopt i mi z at i onofpai nr e l i e fandi nt he i ndi vi dual i z at i onofpai nt he r apy .

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S ar aAdae s ,PhD s t ude nt ,hasbe e nar e s e ar c he ri nne ur os c i e nc ef ora de c ade . S hes t udi e dbi oc he mi s t r yanddi dhe rfir s tr e s e ar c hs t udi e si nne ur ophar mac ol ogy .S hehass i nc ebe e ni nve s t i gat i ngt hene ur obi ol ogi c al me c hani s msofpai nandi sfini s hi nghe rPhDatt heFac ul t yofMe di c i neof t heUni ve r s i t yofPor t o, i nPor t ugal .

Re f e r e nc e s 1 .Amandus s onÅ, &Bl omqvi s tA( 2 01 3 ) . Es t r oge ni ci nflue nc e si npai npr oc e s s i ng. Fr ont i e r si nne ur oe ndoc r i nol ogy , 3 4( 4 ) , 3 2 94 9PMI D: 2 3 8 1 7 05 4 2 . Bar t l e yEJ , &Fi l l i ngi mRB( 2 01 3 ) . S e xdi f f e r e nc e s i npai n: abr i e f r e vi e wof c l i ni c al ande x pe r i me nt al findi ngs . Br i t i s hj our nal ofanae s t he s i a, 1 1 1( 1 ) , 5 2 8PMI D: 2 3 7 94 645 3 . Campe s iI ,Foi sM,& Fr anc oniF( 2 01 2 ) .S e xandge nde ras pe c t si nane s t he t i c sandpai nme di c at i on. Handbookofe x pe r i me nt al phar mac ol ogy( 2 1 4 ) , 2 65 7 8PMI D: 2 3 02 7 4 5 5 4 . Fi l l i ngi m RB, Ki ngCD, Ri be i r oDas i l vaMC, Rahi mWi l l i amsB, &Ri l e yJ L3 r d( 2 009) . S e x , ge nde r , and pai n:ar e vi e w ofr e c e ntc l i ni c alande x pe r i me nt alfindi ngs .Thej our nalofpai n:of fic i alj our naloft he Ame r i c anPai nS oc i e t y , 1 0( 5 ) , 4 4 7 8 5PMI D: 1 94 1 1 05 9 5 . Gi r ar dTr e mbl ayL, Auc l ai rV, Dai gl eK, Lé onar dG, Whi t t i ngs t al l K, &Gof f auxP( 2 01 4 ) . S e xdi f f e r e nc e s i nt hene ur al r e pr e s e nt at i onofpai nunpl e as ant ne s s . Thej our nal ofpai n: of fic i al j our nal oft heAme r i c an Pai nS oc i e t yPMI D: 2 4 8 8 7 007 6. Tr aubRJ , &J i Y( 2 01 3 ) . S e xdi f f e r e nc e sandhor monal modul at i onofde e pt i s s uepai n. Fr ont i e r si nne ur oe ndoc r i nol ogy , 3 4( 4 ) , 3 5 066PMI D: 2 3 8 7 2 3 3 3

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ar l ys t udi e si nt he1 97 0' sf oundt hatas par t i c As par t ame : TheRe al S t or yE ac i dc aus e shol e si nt hebr ai nsofmi c e . ( I findt hi s byAnne mar i eCol bi n, Ph. D.

S ugari sbadf ory ou,r i ght ?I thasc al or i e sandmake s y ouf at .The r e f or e ,any t hi ngt hatt as t e ss we e tand doe s n' thavec al or i e si spr e f e r abl e ,be c aus ei twon' t makey ouf at .Ri ght ?Thati st het hi nki ngt hats uppor t st hewi de s pr e adus eofar t i fic i als we e t e ne r s .Mi l l i ons of pe opl eguz z l es of t dr i nks s we e t e ne dwi t has par t ame , t hec ompounds ol dunde rt het r adename sNut r as we e tandEqual .Thi si ngr e di e nti sf oundi nal l ki ndsofdi e tf oods , i nt oot hpas t e , ands pr i nkl e doutof s mal l pac ke t si nt oc of f e eandt e a. I ti ss ol dwor l dwi de . I ti sal s oas s oc i at e dwi t ht hous andsofr e por t sofadve r s ee f f e c t s . Mos toft hei nf or mat i ont hatf ol l owswas t ake nf r om t heAs par t ameCons ume rS af e t yNe t wor k Fac tS he e t , wr i t t e nbyLe ndonS mi t h, MD, f or me rNe t wor kPhy s i c i anatNBCTVandwe l l knownaut hor andpe di at r i c i an.

ani nt e r e s t i ngbi tofi nf or mat i on,i nt hel i ghtof c ur r e ntc onc e r nswi t h" s pongi f or me nc e phal opat hy , "ormadc ow di s e as e ,andCr e uz f e l dJ ac ob di s e as e ,i n al lofwhi c ht he br ai n be c ome s s ponge l i kewi t hhol e si ni t ) . Monke y sf e das par t amedi e dorhadgr andmals e i z ur e s ;howe ve r , t he s es t udi e swe r enots ubmi t t e dt ot heFDA whe nappr ovalf oras par t amewasr e que s t e d. Ther e que s twasappr ove dbyt he nFDAc ommi s s i one rAr t hurHul l Hay e s , J r . , i n1 98 1 , af t e rheove r r ul e dt hePubl i cBoar dofI nqui r y ' sr e c omme ndat i ont obant hi sar t i fic i als we e t e ne r .Twomont hs be f or equi t t i ngt hepos t , Hay e sappr ove dt heus e ofas par t amei ns of tdr i nks , e ve nt hought heNat i onalS of tDr i nk As s oc i at i onhad war ne dt he FDA t hatas par t ame wasbr e aki ng down i n war mc l i mat e s .

Fr om t hee ar l y‘ 8 0' s , c ons ume rc ompl ai nt sbe gan As par t ame( t het e c hni c al namei s Las par t y l Lphe ny pour i ngi nt ot heFDAr e l at e dt oas par t ameus e . l al any l me t hy l e s t e r )i sc ons i de r e dt obeabout2 00 Amongt hes y mpt omsr e por t e dar et hef ol l owt i me ss we e t e rt hans ugar .I ti svi r t ual l yc al or i ef r e e . i ng: Whe ni nge s t e dandme t abol i z e d, i tbr e aksdowni nt o t hr e es ubs t anc e s : He adac he s ,naus e a,ve r t i go,he ar i ngl os s ,t i nni t us , i ns omni a, numbne s sandt i ngl i ngofe x t r e mi 1 .phe ny l al ani ne ( 5 0%) ,one oft he ami no ac i ds t i e s ,bl ur r e d vi s i on,bl i ndne s s ,e y e pr obl e ms , ne e de df ort hepr oduc t i onofne ur ot r ans mi t t e r se s s e nme mor yl os s , s l ur r e ds pe e c h, mi l dt os ui c i dal , de t i alt obr ai nf unc t i on.Whi l et hi ss oundsOK,i ti snot : pr e s s i on,pe r s onal i t yc hange s ,vi ol e nte pi s ode s , pe opl ewi t hPKU ( phe ny l ke t onur i a)ar emi s s i ngt he mood c hange s ,anx i e t yat t ac ks ,hy pe r ac t i vi t y , e nz y me st obr e akdownt hi sami noac i dandmaye nd he ar tar r hy t hmi a, e de maors we l l i ng, gas t r oi nt e s upwi t hane x c e s st hatc aus e sbr ai ndamage . Fors us t i naldi s or de r s ,s e i z ur e s ,s ki nl e s i ons ,mus c l e c e pt i bl epe opl e , phe ny l al ani newi l l bene ur ot ox i cand c r amps , j oi nt pai ns , f at i gue , PMS , me ns t r ual i r r e gmi ghtc aus es e i z ur e s . ul ar i t i e s , c he s tpai n, i nc r e as e dappe t i t e 2 . as par t i cac i d( 4 0%) , whi c hc anc aus ebr ai ndamage Ar t i fic i als we e t e ne r sc ani nc r e as eappe t i t ebe i nf e t us e s c aus east hes we e tt as t ehi t st hemout h,ame s 3 . me t hanol ( 1 0%) , anal c ohol wi c ht ur nsi nt of or mal s agei spas s e dont ot hebodyt hatc ar bohy dr at e s de hy de ,aknownt ox i cs ubs t anc eus e d,amongot he r ar ec omi ngi n;t he nt hepanc r e ass wi ngsi nt o t hi ngs , ase mbal mi ngflui d. ac t i onands e ndsi ns ul i ni nt ot hebl oods t r e am. As t he r ear enoac t ualc ar bohy dr at e s ,t hei ns ul i n l owe r st hebl oods ugarandappe t i t ei nc r e as e s . I n t hi smanne r ,ar t i fic i als we e t e ne r sc anc ont r i but e t ohy pogl y c e mi a.

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S c i e nt i fics t udi e ss how mi x e dr e s ul t s ;s omefindnoi n-s y mpt oms ;asi st obee x pe c t e d,t hebi l lgotki l l e d. c r e as ee f f e c t sonhy pe r ac t i vi t ywi t has par t ame , ot he r sWhatI f oundr e al l yi nt e r e s t i ngi st hatt heUSAi rFor c e find t hati ndi vi dual swi t hmood di s or de r sdor e ac thasf or mal l ywar ne dal l pi l ot st or e f r ai nf r om c ons umwi t hhe adac he sori nc r e as e dnumbe rands e ve r i t yofi ngas par t ame s we e t e ne ddi e tdr i nks ,ast he yf ound de pr e s s i ves y mpt oms ." Ane c dot alr e por t s "ar es i mpl yt he ml i nke dt ogr andmal s e i z ur e s , ve r t i go, he ar tdi s pe opl et e l l i ngwhathappe ne dt ot he m; whi l et hes c i e n-e as e ,ands ui c i dalde pr e s s i ons .As par t amei nt e r f e r e s t i ficc ommuni t ydoe snotac c e ptt he s easval i d, s e ns i bl ewi t ht hepr oduc t i onoft hec al mi ngne ur ot r ans mi t t e r humanbe i ngsmi ghtatl e as tpayat t e nt i on.Whe r es e r ot oni n. I s n' ti tr e al l yi nt e r e s t i ngt hats al e soft heant he r e ' ss moket he r e ' sfir e . t i de pr e s s antPr oz ac ,whi c he nc our age st hepr oduc t i onofs e r ot oni n,havegonet hr ought her oofi nt he I naddi t i ont ot heaboves y mpt oms ,as par t ameus el as tf e wy e ar s ? c anmi mi canumbe rofaut oi mmunedi s e as e s .Be t t y Mar t i ni ,f ounde rofMi s s i onPos s i bl e ,anor gani z at i on Tos we e t e ny ourf oodwi t houtwhi t es ugarandwi t hde di c at e dt os pr e adi nf or mat i onaboutpr obl e mswi t h outar t i fic i als we e t e ne r s ,s t i c kt ot her e alt hi ng:f r ui t as par t ame , f oundt hatme t hanol t ox i c i t yc aus e s me t a-bot hf r e s handdr y ,j ui c e s ,mapl es y r up,gr ai nmal t s . bol i cac i dos i sandmi mi c smul t i pl es c l e r os i s( MS ) .S heYe s , t he ydohavec al or i e sl i kenor mal f ooddoe s , but l i s t st hef ol l owi ngs y mpt omsas" as par t amedi s e as e " : fi-t he ywi l lnotf oolandc onf us ey ourbody ,andwon' t br omy al gi a, s pas ms , s hoot i ngpai ns , j oi ntpai ns , de pr e s -puty ouatr i s kf oraut oi mmuneorne ur ol ogi c al di s or s i on,anx i e t yat t ac ks ,s l ur r e ds pe e c h,bl ur r e dvi s i on,de r s . andme mor yl os s .I naddi t i ont oMS ,as par t amemay al s oe i t he rmi mi cort r i gge rt hef ol l owi ngi l l ne s s e s : Fi br omy al gi a, c hr oni cf at i gues y ndr ome , Eps t e i nBar r , pos t pol i os y ndr ome , l y medi s e as e , e pi l e ps y , hy pot hy r oi di s m, ADD, Me uni e r edi s e as e , Al z he i me rdi s e as e For t unat e l y ,mos toft he s es y mpt omsar er e ve r s i bl e , anddi s appe aronc eas par t amei sdi s c ont i nue d. Thi snox i ouss ubs t anc e ,s oubi qui t ousi nourc omme r c i al f oods uppl y , s houl dber e c al l e dbyt heFDAandr e t e s t e dasadr ug.Asi ti snotc l as s i fie dasadr ug,t he manuf ac t ur e r sar enotobl i gat e dt omoni t ori t sadve r s ee f f e c t s ! S e nat orHowar dMe t z e nbaum hadwr i t t e nabi l lwar ni ngpr e gnantwome n,i nf ant sandc hi l dr e nagai ns ti nge s t i ngas par t ame ,ont hes us pi c i onof i t sr e l at i ons hi pt os e i z ur e s , c hange si nbr ai nc he mi s t r y , andadve r s ene ur ol ogi c al andbe havi or al

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Anti bi oti c resi stance sweepi ng developi ng world Bac t er i aar ei nc r eas i ngl ydodgi ngext er mi nat i onasdr ugavai l abi l i t yout pac esr egul at i on. BySar aRear don06May201 4 Ar t i c l ef r om ht t p: / / www. nat ur e. c om/ doi f i nder / 1 0. 1 038/ 5091 41 a hes ear eonl yt hemi c r obi alt hr eat s Bymos ts t andar ds ,t hei nc r eas i ng avai l abi l i t y Andt hatr es ear c her sknow about .TheWHO’ s of l i f es avi ng ant i bi ot i c si nt he devel opi ng t epor t — whi c hi nc l udest he f i r s t ever wor l di sa good t hi ng.But ,ar ound t hegl obe, r obalmap of ant i bi ot i cr es i s t anc e— over us e oft hes e dr ugshasc r eat ed r es i s t ant gl est hatj us t1 29of1 94memberc ouns t r ai nsofdeadl ybac t er i a— andt heyc oul dbe not r i espr ovi dedanynat i onaldat aondr ug agr eat ert hr eati npoor ernat i onst hani nr i c her t r es i s t anc e( s ee‘ Spr eadi ngs c our ge’ ) .And ones ,owi ngi npar tt oal ac kofr egul at i on. y22 oft hos e had t r ac ked al loft he Suc hc onc er nsc omeami das t ar kwar ni ngf r om onl ne bac t er i a–ant i bi ot i c pai r st hatt he t he Wor l d Heal t h Or gani z at i on ( WHO)on 30 ni ynamesast hegr eat es tt hr eat st o Apr i l .The wor l d,i ts ays ,i spoi s ed t o ent era agenc i cheal t h.Thatl i s ti nc l udesS.aur eus ‘ pos t ant i bi ot i c ’er a.And i ns omepl ac es ,t hat publ hi c i l l i n, Es c her i c hi ac ol iandc epher a hasal r eady ar r i ved.I n Ni ger i a,f or i n- andmet os por i ns , and Kl ebs i el l a pneumoni ae s t anc e,s ome s t udi ess ugges tt hatasmany as al ar bapenems. 88% ofSt aphyl oc oc c usaur eusi nf ec t i onsc annot andc h pr obl ems ar ec ompounded by a be t r eat ed wi t h met hi c i l l i n — onc e a pot ent Suc ac kofnew ant i mi c r obi aldr ugsi ndevel weaponagai ns tt hemi c r obe.Thepr obl em al s o l .Thi si smor et hanj us tapr obl em s eemst obepar t i c ul ar l yac ut ei nt heemer gi ng opment ut ur eant i bi ot i cs uppl y:phar mac eut i ec onomi esknown ast he ‘ BRI C’s t at es :Br az i l , off alc ompani es ’c l i ni c alt r i al sofant i bi ot Rus s i a,I ndi a and Chi na,s aysKei t h Kl ugman, c c swer eonc eaval uabl es our c eofr es i s t anepi demi ol ogi s tf ort heBi l l& Mel i ndaGat es i anc edat af orpubl i c heal t hr es ear c her s , Foundat i oni nSeat t l e,Was hi ngt on. aysKl ugman.“ Now t hatwe l i ve i na Upt o95% ofadul t si nI ndi aandPaki s t anc ar r y s l dwher et her ear ever yf ew new ant i bac t er i at hatar er es i s t antt oβl ac t am ant i bi ot - wor ot i c s ,t her ei sal mos tnoneoft hats upi c s— whi c hi nc l udec ar bapenems ,c ons i der edt o bi t. beant i bi ot i c sof‘ l as tr es or t ’— ac c or di ngt or e- por ” es ul t ,r es ear c her sdonotknow what s ear c hbyTi mot hyWal s h,amedi c almi c r obi ol - Asar ac t or shavec aus edr es i s t anc et ogr ow s o ogi s tatCar di f fUni ver s i t y,UK,t hati sduet obe f api dl yi n devel opi ng nat i ons .For i npubl i s hed i n The Lanc et .Byc ompar i s on,onl y r t anc e,i ti snotc l eart owhatext entt he 1 0% ofadul t si nt heQueensar eaofNew Yor k s i s eofr es i s t anc ehasbeens pur r edbyt he c ar r ys uc hbac t er i a.Thes pr eadofr es i s t anc ei sr e ofant i bi ot i c sf orgr owt h pr omot i on “ mor et han we c oul d have i magi ned” ,Wal s h us i nl i ves t oc k,orbyt her el eas eofant i bi ot s ays. i c si nt owas t ewat erbydr ugmanuf ac t ur er si nc ount r i ess uc hasI ndi a.

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Onel i kel yc ul pr i ti sal ac kofs ani t at i on.I n many ar eas ,was t ewat erf r om hos pi t al si s poor l yf i l t er ed,al l owi ng t heant i bi ot i c r es i s t ant bac t er i a t hat f l our i s h t her e t o es c apei nt owat er ways .I fpeopl edr i nkt hi s c ont ami nat ed wat erorpr ac t i s e poorhygi ene,t hebac t er i ac ans pr ead.“ I fyouget i nc r eas edant i mi c r obi alus ebutdon’ thave t he i nf r as t r uc t ur e f or i nf ec t i on c ont r ol , you’ r es et t i ngyour s el fupf orat s unamiof ant i bi ot i cr es i s t anc e, ”s aysKl ugman. Ot herpr obl emsi nc l udeover pr es c r i bi ng or unr egul at edus eofant i bi ot i c s .I nChi na,f or i ns t anc e,hos pi t al sandc l i ni c sr ec ei vef i nanc i ali nc ent i vesf orpr es c r i bi ng,andant i bi ot i c sar eover us edasar es ul t .Somec ount r i es al l ow phar mac i est os el lant i bi ot i c swi t hout pr es c r i pt i on— and peopl ebuyt hem even f ordi s eas est hatant i bi ot i c sc annott r eat , s uc hasmal ar i a.“ I t ’ ses s ent i al l ydes t r oyi ng aval uabl er es our c e, ”s aysRamananLaxmi nar ayan,t hedi r ec t oroft heCent erf orDi s eas e Dynami c s , Ec onomi c s & Pol i c y ( CDDEP)i n Was hi ngt on DC.Yeti ns i s t i ng t hatant i bi ot i c sbepr es c r i bedbyphys i c i ans i nnat i onswher epover t yi sr i f eandvi s i t st o adoc t orar eal uxur ywoul dmeandenyi ng manypeopl edr ugst hatt heydoneed.

Meanwhi l e, i ndevel opedc ount r i es , i nappr opr i at epr es c r i bi ngc anbeapr obl em i fphys i c i ansbow t opr es s ur ef r om pat i ent s .Tr ai ni ng phar mac i s t sand educ at i ng t he publ i c onc or r ec tus eofant i bi ot i c sc oul dgoal ong wayt owar dsc ur bi ngr es i s t anc ear oundt he . wor l d,Laxmi nar ayans ays . Sol vi ng t hes e pr obl emswi l lr equi r e bet t er moni t or i ng ofdr ug r es i s t anc e,s aysSt uar t Levy,aphys i c i ans c i ent i s tatTuf t sUni ver s i t yi nBos t on,Mas s ac hus et t s ,whoheadst he nonpr of i tAl l i anc ef ort hePr udentUs eof Ant i bi ot i c s .“ Youc an’ tj us tgoi nands c oop up a s ampl e and getr es ul t sofr es i s t anc e and t hi nk t hat ’ st he c ount r ywi de r es i s t anc er at e, ”hes ays .TheWHO r epor tpr opos esa new gl obals ur vei l l anc e net wor k,al t houghi ti snotc l earwhowoul dpayf ori t . Levys ayst hathos pi t al s ,nongover nment al or gani z at i onsand l oc alc ommuni t i esc oul d hel pt ot r ac k ant i bi ot i cus ageand t es tf or r es i s t anc ewi t hi nexpens i ve,r eadi l yavai l abl es c r eens . . Onet hi ngi sc l ear :new t ypesofant i bi ot i c , al t houghs or el yneeded,c annotof f eras ol ut i onont hei rown.Theyar el i kel yt obeexpens i veandunaf f or dabl ei nt hedevel opi ng wor l d. Mor ei mpor t ant l y, s ays Sumant h Gandr a,a CDDEP epi demi ol ogi s t ,i ti sal l buti nevi t abl et hatnew dr ugswi l levent ual Edi t or ’ shi ghl i ght l yl os et hei rpot enc y,t oo.“ We’ l lc ont i nue t hec yc l eunl es swehavenew dr ugsandapAnot herant i bi ot i cr es i s t anc er el at ed ar t i c l e:pr oac ht he way we us et hem di f f er ent l y, ” doi : 1 0. 1 038/ 499394a ( Ant i bi ot i c Res i s t anc e:s . aysGandr a . TheLas tRes or tbyMar ynMc Kenna)

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Ans we r s :

Cas eS t udi e s Cas e1

Cas e2

a2 5 y e ar ol dwoman, hasnos i gni fic antme di S Ci sa3 3 y e ar ol dwomanwhoc ome st oy ourphar -AM, alhi s t or yandi snott aki ngpr e s c r i pt i onme di c amac y ’ sur ge ntc ar ec l i ni cc ompl ai ni ngoff r e que ntc i ons . S heappr oac he sy ourphar mac yc ount e rt oas k pai nf ulur i nat i onandflankpai nove rhe rki dne y s .t ome t hi ng“ s t r onge r ”f orhe rmi gr ai ne s .OTC S hede ni e shavi ngf e ve r ,c hi l l s ,naus e a,orvomi t i ng,abouts bupr of e ni ni t i al l yhe l pe dhe rmi gr ai ne s , whi c hwe r e ands e e mswe l l hy dr at e d. S Chasnonot abl eme di c ali c ur r i ng onc ee ve r yf e w we e ks ,butnow s hei s hi s t or yanddoe snott akepr e s c r i pt i onme di c at i ons .oc ngal mos t dai l yt hr obbi nghe adac he s wi t has s oc i Thenur s eatt hephar mac y bas e dc l i ni cpe r f or msa havi e dnaus e aandphot ophobi a. S hei st aki ngi bupr our i nedi ps t i c kur i nal y s i s , whi c hhasapos i t i ver e s ul tf orat e nmul t i pl et i me saday , e ve r yday , wi t hl i t t l er e l i e f , bac t e r i aandpy ur i a( whi t ebl oodc e l l si nt heur i ne ) ,f e nmi s s i ngwor kf r e que nt l y . Whatwoul d ands e ndsoutaur i nes pe c i me nf orc ul t ur e . Thenur s eandhasbe our e c omme ndt oAMr e gar di ngt r e at me ntopt i ons make sadi agnos i sofpy e l one phr i t i sandde c i de st haty orhe rmi gr ai ne s ? S Cc anbet r e at e dasanout pat i e nt .Thenur s eas ksf t hephar mac i s tf oradvi c er e gar di ngane mpi r i cant i bi ot i cr e gi me nt ot r e atS C. Whatant i bi ot i cs houl dt he phar mac i s tr e c omme ndf ore mpi r i ct he r apyi nS C? Re f e r e nc e Cas e1byCr ai gI .Col e man,Phar mD apr of e s s orofphar mac ypr ac t i c e ,aswe l lasc odi r e c t orandme t hods c hi e fatHar t f or dHos pi t alEvi de nc e Bas e dPr ac t i c eCe nt e r ,att heUni ve r s i t yofConne c t i c utS c hoolof Phar mac y . Cas e2byEl i z abe t hS . Me ar ns , Phar mDhe al t he c onomi c sandout c ome sr e s e ar c hf e l l owatHar t f or dHos pi t al Evi de nc e Bas e dPr ac t i c eCe nt e randCr ai gI . Col e man, Phar mD

Case Studies 57

Cas e1 Py e l one phr i t i s i s t y pi c al l yc aus e dbyabac t e r i umi nf e c t i ngt heki dne y s . Bac t e r i ac anmovet ot heki dne y sf r om t hebl adde rorc anbec ar r i e dt hr ought hebl oods t r e am f r om ot he rpar t soft hebody . Al t houghmanybac t e r i a c anc aus epy e l one phr i t i s ,Es c he r i c hi ac ol ii smos tof t e n t hec aus e . I npat i e nt ss us pe c t e dofhavi ngpy e l one phr i t i sorwho ar ebe i ngt r e at e df ori tonanout pat i e ntbas i s , or al c i pr oflox ac i n5 00mgt wi c edai l yf or7day si sanappr opr i at ec hoi c e( asl ongasfluor oqui nol oner e s i s t anc ei nt he ar e ai snotknownt oe x c e e d1 0%) . Al t e r nat i ve l y , c i pr oflox ac i n1 000mge x t e nde dr e l e as ef or7day sorl e voflox ac i n7 5 0mgonc edai l yf or5day si sal s oac c e pt abl e .

Cas e2 AM i ss uf f e r i ngf r om mi gr ai ne st hatmayhaver e c e nt l ye vol ve di nt ome di c at i onove r us ehe adac he s ( e x c e s s i vei bupr of e nus e ) .AM maybe ne fitf r om a pr ophy l ac t i cmi gr ai net he r apy . Al t houghnume r ousme di c at i onsar et out e df ormi gr ai nepr ophy l ax i s , onl y6me di c at i onsar er at e das havi ngs t r onge vi de nc eofe s t abl i s he de f fic ac y( l e ve l A)byt heAme r i c anAc ade myofNe ur ol ogy ’ smi gr ai nepr e ve nt i ongui de l i ne s . The s eme di c at i onsi nc l ude ant i e pi l e pt i c s( di val pr oe xs odi um,val pr oi c ac i d, t opi r amat e )or1of3be t abl oc ke r s( me t opr ol ol ,pr opr anol ol ,t i mol ol ) .Ther e l at i vee f fic ac yof t he s eage nt shasnotbe e nwe l le s t abl i s he d;t he r e f or e ,c hoos i ngbe t we e nage nt ss houl dbebas e don t hepr e s e nc eofc omor bi dc ondi t i ons , s i dee f f e c tpr ofil e s , andt ol e r abi l i t y . S uc c e s s f ul t he r apyi sof t e nde fine dbya5 0% r e duc t i oni nhe adac hef r e que nc y , andt r i al ande r r orwi t hac oupl eofdi f f e r e ntme di c at i onsi sof t e nne e de d.AM wi l ll i ke l ys t i l lne e dt o t akeme di c at i ons t ot r e atac ut es y mpt oms i f s hes uf f e r sami gr ai neat t ac k. Be c aus eAMhas nome di c al hi s t or yor c omor bi dc ondi t i ons ,1oft hebe t abl oc ke r s( i e ,pr opr anol ol8 0 mge x t e nde dr e l e as eonc edai l y )i sar e as onabl efir s t c hoi c e .Ant i e pi l e pt i c smay notbe t he opt i mal c hoi c ef orAM be c aus es hei sofc hi l dbe ar i ngage andant i e pi l e pt i c shavebe e nl i nke dt obi r t hde f e c t s . I naddi t i ont opr ophy l ac t i cme di c at i on, avoi di ngmi gr ai net r i gge r sc anal s ohe l pde c r e as emi gr ai nef r e que nc y . Tr i gge r si nc l udef oodss uc hasc he e s e , al c ohol , c hoc ol at e , as par t ame( e g, i ndi e ts odas ) , andni t r at e c ont ai ni ngf oods( e g, pr oc e s s e dme at s ) ; s t r e s s ; c hange si ns l e e ppat t e r ns ;ande nvi r onme nt alf ac t or s( e g, noi s e , odor s , hunge r , t hi r s t ) . Pat i e nt ss houl d beadvi s e dt oke e pahe adac hedi ar yt oas s e s st he i r r e s pons et ot he r apyandi de nt i f yt he s ec ommont r i gge r s .

For mor e c as e s t udi e s vi s i t ht t p: / / www. phar mac y t i me s . c om/ s e ar c h? ge t 1 = s e ar c h&ke y wor dTy pe = r e l e vanc y &ke y wor dTe r m= c as e + s t udi e s &x = 0&y = 0

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T h i swo r k s h e e ti ss u i t a b l ef o ri nd i v i d u a l so re d u c a t o r st h a twa nts o me t h i ngwi t had i f f i c u l t yl e v e lo fJ u mb o . Y o uc a nf i ndt h ewo r d si nt h eg r i db yl o o k i ngD i a g o na l , F o r wa r d , B a c k wa r d , U p ,a ndD o wn. C i r c l et h e m wi t hap e nc i lo ru s eama r k e rt oh i g h l i g h tt h e l e t t e r s . B u tmo s to fa l lH A V EF U N ! ! !

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A C E T A MI N O P H E N A L L E R GY A N T I B I O T I C S C A R O U S E L C O MP O U N D I N G D E L I V E R Y D O S E F R E E ZE R GE N E R I C GL O V E S GO WN

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H O O D H O S P I T A L I B U P R O F E N I N S U L I N I S O L A T O R ME D I C A T I O N S O C T O B E R O MN I C E L L P A T I E N T P H A R MA C E U T I C A L P H A R MA C I S T P H A R MA C Y

P O L I C Y P R E S C R I P T I O N P R O C E D U R E R E F R I GE R A T O R S C A L E S C H E D U L E T E C H N I C I A N T E MP E R A T U R E T H E R A P E U T I C WA R ME R H E A L T H

H O O D2 : 1 6 H O S P I T A L1 9 : 9 I B U P R O F E N1 8 : 1 8 N S U L I N1 : 2 I S O L A T O R1 7 : 1 5 ME D I C A T I O N S1 4 : 5 O C T O B E R1 2 : 1 8 O MN I C E L L8 : 1 8 P A T I E N T2 : 7 P H A R MA C E U T I C A L1 8 : 3 P H A R MA C I S T5 : 7 P H A R MA C Y9 : 6

P O L I C Y1 6 : 1 0 P R E S C R I P T I O N7 : 1 6 P R O C E D U R E1 8 : 7 R E F R I GE R A T O R1 2 : 5 S C A L E3 : 1 8 S C H E D U L E1 4 : 7 T E C H N I C I A N1 9 : 1 0 T E MP E R A T U R E1 1 : 1 9 T H E R A P E U T I C9 : 1 WA R ME R1 : 1 3 H E A L T H1 2 : 1 2

1 .Su ga rTes t Oned a ya nI r i s hma nc a l l edSea mu swenti nt oap ha r ma c yi nCl o nmel .Her ea c hedi nt ohi s j a c ketp o c keta ndt o o ko u tab o t t l eo fI r i s hwhi s keya ndat ea s p o o n. Sea mu sp r o c eed edt op o u rs o meo ft hea mb erl i qu i di nt ot het ea s p o o na ndo f f er edi tt ot he c hemi s t . " Co u l dy o ut a s t et hi sf o rme, p l ea s e? "As kedSea mu s Thec hemi s tt o o kt het ea s p o o n, p u ti ti nt ohi smo u t h, s wi l l edt hel i qu i da r o u nda nds wa l l o wedi t . " Do est ha tt a s t es weett oy o u ? "s a y sSea mu s . " N o , no ta ta l l , "s a y st hep ha r ma c i s t . " Oht ha t ' sar el i ef , "s a y sSea mu s . " Do c t o rF l a nni ga nt o l dmet oc o meher ea ndgetmyu r i net es t edf o rs u ga r . " 2 . F r o zen Ou t s i d eac hemi s ti nab u s ys t r eet , ap o o rma ni sc l u t c hi ngo nt oap o l ef o rd ea rl i f e-no t b r ea t hi ng, no tmo v i ng, no tt wi t c hi ngamu s c l e-j u s ts t a nd i ngt her e, f r o zen. Thep ha r ma c i s t , s eei ngt hi ss t r a nges i ghti nf r o nto fhi ss ho p , go esu pt ohi sa s s i s t a nta nda s ks , " Wha t ' st he ma t t erwi t ht ha tgu y ?Wa s n' thei nher eea r l i er ? "As s i s t a ntr ep l i es , " Y eshewa s . Heha dt he mo s tt er r i b l ec o u gha ndno neo fmyp r es c r i p t i o nss eemedt ohel p . "P ha r ma c i s ts a y s , " He s eemst ob ef i neno w. "As s i s t a ntr ep l i es , " Su r e, hed o es . I ga v ehi mab o xo ft hes t r o nges tl a x a t i v eso nt hema r ket . . . N o whewo n' td a r ec o u gh! "

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Future Events in Future Events in 2014 2014

*Al lt heabovedat esmaybes ubj ect edt ochanges *Theremayal s obeaddi t i onalevent snoti ncl udedi nabovecont ext Theunendi ngexci t ementawai t syou! ! !Comeandj oi nusi nal lourevent ! ! !

Credits Des i gnedby:Vi vyanneHongYee Art i cl esarrangedandedi t edby:GanQuanHong Art i cl esprovi dedby:GanQuanHong,ChaiMeiWen,ChoyWangLynnand PhuiShuLi ng,ChengJi anHao,ChuahSohLi ng,Sharl ene,DarenLi ng,Loui sChan , ThongJi aYean,Eri cTeeWeiSeong,TeohErnYee,ChoyWangLynn , JoanneTengJuYan,ChuaEeMi n,St aceySeoHyunHan& Thi anJi ngYi Phot ost akenby:OnnQuan,Ki m EunJi n, WongPohYee,ChoyWangLynn JoanneTengJuYan,I ri sKuek,WongZhiYi .

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