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COUNT 3 THAT you are guilty of unprofessional conduct or conduct which, when regard is had to your profession, is unprofessional in that you and or your practice: 3.1 fraudulently claimed for services allegedly rendered to G N Ngcukuva on or about 01 December 2005 as per annexure "C" ; whilst the true fact is you and or your practice never rendered services to her at all; and or you and or your practice were not entitled to payment of any of the amounts as specified in annexure "C"; as a result of your misrepresentatives Ms G N Ngcukuva and or Discovery Health Medical Aid Scheme suffered and or potentially suffered financial loss. Paid admission of guilt fine of R3 000.00. Ga-Sehunelo.
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Overdose risk should be considered. "Because of the rates and severity of side effects in clinical trials and during the early years of clinical use, tcas are not used all that much anymore, " Dr. Ferrando said. "There is much greater interest in the selective serotonin reuptake inhibitors." Early open-label and more recent placebo-controlled trials utilizing standard doses of the ssris fluoxetine Prozac ; , sertraline Zoloft ; , and paroxetine Paxil ; for major depression across hiv illness stages produced encouraging response rates, ranging from 70% to 90%, with relatively few adverse effects, and improvements in both affective and somatic depressive symptoms. Another popular ssri option is escitalopram Lexapro ; . Generally speaking, ssris have relatively low toxicity, even in overdose, and are thus rather safe, easily tolerated medications. Common mild to moderate side effects of ssris can include weight gain; memory impairment; and sexual dysfunction, including anorgasmia and sometimes loss of libido. One issue to beware of is that patients started on ssris or related medicines will occasionally develop severe jitteriness in the first few weeks of treatment; this can be very distressing and calls for dose reduction, or change to another medication if dose reduction does not result in improvement. Once jitteriness ceases, the dose can usually be increased again. Rarely, patients started on an ssri or other antidepressant may develop increased suicidal ideation. The U.S. Food and Drug Administration is in the process of issuing warnings about this in regard to ssris and various other classes of psychotropic medication; this may be part of the jitteriness syndrome just described, or it may indicate underlying bipolar illness, wherein antidepressant treatment without a concomitant mood stabilizer can induce mood cycling or dysphoric mixed-mood states. While this is rare, it is important for clinicians to ask their patients about suicidal ideation prior to initiating antidepressant treatment, in order to have a baseline to compare to. Many depressed patients have suicidal thoughts. If these thoughts worsen upon starting ssri treatment--or at any point-- psychiatric consultation is advisable. Other conventional antidepressants include venlafaxine Effexor ; , mirtazapine Remeron ; , nefazodone Serzone ; , and bupropion Wellbutrin, Zzyban ; . The first three listed agents have been studied in small open-label trials in patients with major depression and hiv infection. All were associated with favorable response rates and few adverse effects. While bupropion is less likely to cause sexual side effects, it can increase the risk of seizures in patients with risk factors for seizures. Nefazodone has been associated with extremely rare cases of irreversible hepatotoxicity, which has discouraged its use, although it can be a good second-line medication in patients who fail to respond to a trial of an ssri. Nefazodone, mirtazapine, and trazodone are all sedating, which can be very helpful for patients bothered by insomnia, but may not be useful for patients with fatigue. Psychostimulant and wakefulness agents have also been studied for the treatment of depressed mood, fatigue, and cognitive impairment in the context of hiv infection, usually in advanced illness and where rapid onset of action is desirable. Open-label studies of dextroamphetamine Dexedrine ; , methylphenidate Ritalin ; , and modafinil Provigil ; found them to efficacious in treating depressive symptoms, with relatively few side effects. Modafanil is currently being studied in two placebo-controlled trials at Columbia University Medical Center: one for hiv-infected patients with fatigue and another for hiv infected patients using crystal methamphetamine call Judith Rabkin at 212 5435762 for more information ; . A review of the conventional antidepressants studied in hiv-infected patients and reviewed in Table 3 on page 22.
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H.R.2190: Advisory Committee on Rural Veterans Act of 2007. A bill to amend title 38, United States Code, to direct the Secretary of Veterans Affairs to establish the Advisory Committee on Rural Veterans. Sponsor: Rep Donnelly, Joe [IN-2] introduced 5 7 ; Cosponsors None ; * H.R.2192: A bill to amend title 38, United States Code, to establish an Ombudsman within the Department of Veterans Affairs. Sponsor: Rep Hodes, Paul W. [NH-2] introduced 5 7 ; Cosponsors 39 ; . * H.R.2195: A bill to amend title 10, United States Code, to expand the education loan repayment program for members of the Selected Reserve. Sponsor: Rep Murphy, Patrick J. [PA-8] introduced 5 7 ; Cosponsors 1 ; * H.R.2219: Veterans Suicide Prevention Hotline Act of 2007. A bill to direct the Secretary of Veterans Affairs to award a grant to a private, nonprofit entity to establish, publicize, and operate a national toll-free suicide prevention telephone hotline targeted to and staffed by veterans of the Armed Forces. Sponsor: Rep Moran, James P. [VA-8] introduced 5 8 07 ; Cosponsors 22 ; . * H.R.2226: A bill to amend title 38, United States Code, to direct the Secretary of Veterans Affairs to carry out a pilot program to provide readjustment counseling and related mental health services to veterans through the use of mobile centers. Sponsor: Rep Welch, Peter [VT] introduced 5 8 07 ; Cosponsors 1 ; . * H.R.2239: Early Access to Vocational Rehabilitation and Employment Benefits Act . A bill to amend title 38, United States Code, to expand eligibility for vocational rehabilitation benefits administered by the Secretary of Veterans Affairs. Sponsor: Rep Boozman, John [AR-3] introduced 5 9 07 ; Cosponsors 5 ; . 5 2007 Referred to Senate committee. * H.R.2247: Montgomery GI Bill for Life Act of 2007. A bill to amend titles 10 and 38, United States Code, to repeal the 10-year limit on use of Montgomery GI Bill educational assistance benefits, and for other purposes. Sponsor: Rep Larsen, Rick [WA-2] introduced 5 9 07 ; Cosponsors 4 ; . * H.R.2257: A bill to direct the Secretary of Veterans Affairs to increase the number of benefits claims representatives employed by the Department of Veterans Affairs, and to ensure that there are not fewer than two such claims representatives located at each center for the provision of readjustment counseling and related mental health services established under section 1712A of title 38, United States Code commonly referred to as a "vet center" ; , to help reduce the backlog of claims pending with the Department of Veterans Affairs. Sponsor: Rep Welch, Peter [VT] introduced 5 9 07 ; Cosponsors None ; . * H.R.2259: A bill to ensure that members of the National Guard and Reserves are able to fully participate in the benefits delivery at discharge program administered jointly by the.
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