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Environmental factors that may play a role in the aetiology of Parkinsonвs disease include: living in a rural environment; using well water; exposure to pesticides; a diet high in animal fats or carbohydrates; or low consumption of foods rich in antioxidants such as vitamin C and E. Rarely, Parkinsonism can also follow head injuries, cerebral tumours and cerebral ischaemia. At post-mortem, brains of patients with Parkinsonвs disease are found to contain Lewy bodies.

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This formulary was gradually expanded over the next few years and listed in the British National Formulary. Meanwhile, in for the Department of Health recommended two types of prescriber: в the independent prescriber who would be responsible for assessment of patients with lady era pills buy conditions and for decisions about clinical management required, including prescription; в the dependent prescriber who would be responsible for the continuing care of patients already assessed by the independent prescriber, which may include prescribing. Over the next few years, following the Health and Social Care Act prescribing by nurses and pharmacists was introduced. After much consultation with the medical, pharmacy and nursing professions and the Department of Health and the Medicines Control Agency as well as meetings of the Committee on Safety of Medicines and the Medicines Commission, amendments were made to the legislation to allow nurses and pharmacists to become supplementary prescribers as from April A similar process occurred with the podiatry, physiotherapy and radiography professions and led to changes to the NHS Regulations in April prescribing to these professions.

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