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These fuels include diesel produced by the Fischer-Tropsch process, methanol, mixed alcohols methanol, ethanol and others, ethanol, gasoline and dimethyl ether which, like propane, requires modest pressurization to remain liquid. It is the liquid fuel that is most efficiently and inexpensively produced from natural gas. These flexible fuel vehicles could be operated on various mixtures of methanol, ethanol and gasoline. Presently flexible-fuel vehicles are not equipped to operate on methanol. Removing this barrier through the adoption of some type of open fuel standard would be needed for methanol use to be pursued on a level playing field. Wesley Clark, Army General ret.

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Would you recommend any changes to the patients treatment regime. Are there any alternative medicines that could be tried for the neuropathic pain. Do you think this patient would be suitable for treatment under patient group directions or supplementary prescribing. You should be able to answer the following review questions from the material presented in this chapter. Radio-opaque substances are used in various ways to facilitate radiological examination of parts of the body.

This is known as selective toxicity. Chemotherapy also applies to treatment of cancers. Cancer cells are similar to normal cells and most anticancer drugs show little selective toxicity and therefore produce serious adverse effects. Conventionally, micro-organisms include bacteria, viruses and fungi; protozoa and parasitic worms are parasites. However, bacteria, viruses and fungi are also parasitic, in that they live in or on other living organisms.

Consequently, Trusts have medicines management policies in place to address issues such as: managing risk; minimizing potential of harm; maximizing the use of advanced competencies; improving the patient experience; maximizing cost-effective use of resources. Medicines management encompasses all aspects of the use of medicines in NHS Trusts, and includes the selection, procurement, delivery, prescription, dispensing and administration of medicines. Figure part in the management of medicines. The structure, format and terms of reference of medicines management structures and committees vary between Trusts because they are locally agreed, but the existence of medicines management procedures is mandatory. The Drug and Therapeutics Committee plays a critical role in the evaluation of the evidence surrounding a new medicine that is being considered for use within the Trust.

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