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This is a self-declaration, which has to be kept current with practice within an individuals practice. It is subject to periodic audit, requiring the submission of evidence of CPD to the HPC.
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Neither does it suggest a particular treatment. In diagnosing depression both systems allow for somatic symptoms, psychotic symptoms and other illness characteristics, some of which ICD- specific criteria for a diagnosis. The advantage of using such systems is said to be that it has led to standardization of diagnostic practice across psychiatry and countries and allowed more accurate description of syndromes. Possible diagnoses include a single depressive episode, several depressive episodes making up depressive disorder and alternations between depression and elevated mood. Mania occurs less frequently than depression. It is characterized by overactivity and loss of social inhibitions and mood generally inappropriate to the circumstances.
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Vitamin K is essential for successful formation of many clotting factors so lack of vitamin K can cause a coagulation disorder.
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This denatures the DNA and as a result transcription of DNA for protein synthesis and replication of DNA for cell division are disrupted.
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End of dose deterioration can be alleviated to a certain extent by the use of modified release preparations of levodopa or by the concurrent use of catechol-o-methyl transferase inhibitors, for example entacapone. COMT inhibitors prevent the peripheral breakdown of levodopa by an enzyme, COMT.
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