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If they do lose function from other than the problems listed above, a diligent investigation for another disease is required. This investigation usually re- quires MRI of the brain and spinal cord, skin and muscle biopsy, and full metabolic evaluation. The second group of children who are referred with new problems that are thought to be secondary to their CP may turn out to have completely new problems in addition to CP. It is important to remember that children with CP have no immunity to all the other diseases that affect the human race. Therefore, with a patient population of children, we should see all the diseases that normal children get in addition to the CP-specific prob- lems.

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The Medicines Act secondary legislation since then, provides a legal framework for the manufacture, licensing, prescription, dispensing and administration of medicines. An exemption to the Medicines Act allows certain professionals, including podiatrists, access to specified prescription-only medicines, providing they are appropriately registered with the Health Professions Council. The use of patient group directions allows many health care professionals to administer prescription-only medicines to specific groups of patients without a normal prescription. Podiatrists, radiographers and physiotherapists are now included in the list of health care professionals who can train to prescribe medicines alongside doctors as supplementary prescribers. Prior to medicinal products in the United Kingdom.

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Acid conditions result in increased degree of ionization and reduced diffusion of local anaesthetic into neurons. This makes them less effective anaesthetics.

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