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The current arrangements are that these radiographers work within PGDs. However, on examining the definition of an independent prescriber, it is clear that they meet the requirements. The interesting aspect of this practice is that a major growth area of radiographer role advancement currently is the reporting of accident centre images by radiographers, which is a precursor to radiographer-led discharge and the associated supply and administration of medicines. Anticipating that radiographers will gain independent prescribing responsibilities at some stage, then the following is suggested. PGDs will continue to be used where large groups of patients undergo imaging procedures that routinely require medicinal administration in a set format, as indicated earlier.

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Osteoporosis, literally meaning porous bone, involves a loss of total bone mass and a change in the microstructure of bone. This is usually an age-related process that is accelerated in post-menopausal women due to oestrogen deficiency. Oestrogen normally plays a role in the inhibition of bone digestion and this protection is lost after the menopause. Osteoporosis may also occur due to hormone imbalances or chronic hormone therapy.

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PReferences Department of Insulin Review of Prescribing, Protease and Administration of Medicines, Council of Health London. http:www. gov. ukenPolicyAndGuidanceMedicinesPharmacyAndIndustry PrescriptionsTheNon-MedicalPrescribingProgrammeindex.

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If these do not control symptoms, xanthine bronchodilators may be required in addition to one or both of the other two. Attacks of asthma can be prevented by prophylactic use of cromoglicate, although this drug is of no use in an acute attack or in chronic bronchitis.

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