the Script - January / February Edition by CJMarketing

Pharmacy Magazine

FEBRUARY IS REPRODUCTIVE HEALTH MONTH

TOP TEN

healthiest new year resolutions

Back 2 School : Child Athletes.

CORPORATE PUBLICATION FREE • NOT FOR SALE

LUCKY COMPETITION WINNERS

WORLD BRAILLE DAY 4 JANUARY

Issue 41

NEW LOOK PACKS! same good gut feeling!

Nr. 12, 4th Street, Delmas PO Box 186, Delmas 2210 Tel: 013 665 1011 Fax: 013 665 4713 Registered: CJ Pharmaceutical Enterprises (PTY) Ltd. VAT Reg. 409 0205 909 Reg: 2001/009972.06 Telesales [tel] 013 665 1011 [fax] 086 695 5230 [fax] 086 512 0965 Anette email: anette@cjpharm.co.za Mercia email: mercia@cjpharm.co.za Rep Orders Beauty email: promotions@cjpharm.co.za Priscilla email: telesales@cjpharm.co.za [tel] 013 665 1011 [fax] 086 697 9506 Product Returns Maria, Brenda [tel] 013 665 1011 email: customercare@cjpharm.co.za

Operations Egon Sellner (COO) email: esellner@cjpharm.co.za

Customer Relations Theuns [cell] 072 638 4085 email: theuns.w@cjpharm.co.za

Ridwaan [cell] 072 534 8135

Index Top 10 healthiest New Year’s resolutions 10 Women’s reproductive health 13 A look att the current factors, other than hypertension and obstetric haemorrhage, that most highly correlate with MMR

The care and feeding of child athletes 16 It’s just as important in athletics as the warm-up, cooldown and practice

6 Cancer fighting spices 19

email: ridwaan@cjpharm.co.za

Lynne [cell] 071 472 7522 email: lynne@cjpharm.co.za

World Braille day 23

email: pam.vc@cjpharm.co.za

4 January - Louis Braille’s Birthday - Inventor of Braille code

Pam [cell] 071 480 5322 Account Queries Debtors : Maritsa

email: maritsa@cjpharm.co.za

Creditors : Sonja

By the way 29

email: sonja@cjpharm.co.za

Buying Department Estelle email: estelle@cjpharm.co.za Christa email: christa@cjpharm.co.za Inventory Manager Erika Oehley

Food 30

email: erika@cjpharm.co.za

Mind Movers 33

Tech & Data Reporting Werner email: it@cjpharm.co.za Senior Management Christopher Williams (CEO) email: willchem@global.co.za

Chris Williams (MD)

email: chris@cjpharm.co.za

New Year, New you

9 Sun-Safe tips for summer 36 January is SunSmart Skin Cancer awareness month - use these tips and protect your skin agains the sun

The best anti-aging foods 38 Nr. 12, 4th Street, Delmas PO Box 186, Delmas 2210 Tel: 013 010 0091 Fax: 013 665 4299 Advertising & Promotions Jan Bester (Marketing Coordinator) email: cjmarketing@cjpharm.co.za

[fax] 086 698 1468 Thea Botes

Turn back the clock on a full (and happy) stomach

Women: Protect yourself 53 Looking at different aspects of your life and ways you can stay out of danger’s way

email: marketing@cjpharm.co.za

[fax] 086 698 1468 Customer Relations Theuns [cell] 072 638 4085 email: theuns.w@cjpharm.co.za

Lynne[cell] 071 472 7522

email: lynne@cjpharm.co.za

Ridwaan [cell] 072 534 8135

email: ridwaan@cjpharm.co.za

Pam [cell] 071 480 5322 email: pam.vc@cjpharm.co.za

About the cover

FEBRUARY Healthy Lifestyles Awareness Month, Unfortunately a lot of us put our health on the ‘backburner’ and worry about it when something goes wrong. This is a reminder to be proactive about your health. Good health is about balancing all different elements in your life, that is your diet, exercise and time for relaxation and ‘de-stressing’.

Account Queries Debtors : Caron

email: finance@cjpharm.co.za

Cover picture : 123rf.com

MAGAZINE DESIGN & LAYOUT Marizelle Geldenhuis (Creative Director) Carl Loggenberg (Graphic Designer) Mariëtte Louw (Graphic Designer)

The information contained in this publication, is to the best of our knowledge, accurate and correct by the time of going to print. Claims and comments published in this magazine are that of the author and not of CJ Pharmaceuticals. We do not hold ourselves responsible for any errors and omissions in supplied material. All prices are excl. VAT and subject to change without prior notice. Pictures are for illustration purposes only. E&OE

The Script Pharmacy Magazine │January 2014 • February 2014

DIARY

VIPDAYS

Keep your eye on our calendar for important industry dates. To contribute events to our calendar, kindly e-mail marketing@cjpharm.co.za JANUARY SunSmart Skin Cancer Awareness Month. Our youth should take special precaution when spending time in the sun - two blistering burns before the age of 18, can dramatically increase the risk of getting skin cancer later in life.

4JAN2014 World Braille Day

29JAN2014

World Braille Day is celebrated every year on 4th January around the world to commemorate the birthday of Louis Braille. Louis Braille is credited with inventing the Braille language which helps blind people to read and write.

World Leprosy Day

World Leprosy Day is observed internationally on January 30 or its nearest Sunday to increase the public awareness of the Leprosy or Hansen’s Disease. This day was chosen in commemoration of the death of Gandhi, the leader of India who understood the importance of leprosy. Leprosy is one of the oldest recorded diseases in the world. It is an infectious chronic disease that targets the nervous system, especially the nerves in the cooler parts of the body - the hands, feet, and face.

4FEB2014

9FEB2014-15FEB2014

World Cancer Day

STI / Condom Week

Pregnancy Awareness Week

Coinciding with Valentine’s Day, World Condom Week is, in South Africa, extended to Sexually Transmitted Infections (STI)/ Condom Week due to the high rate of STIs in the country and their capacity to heighten the risk of contracting HIV.

The Department of Health uses pregnancy awareness week to strengthen pregnancy education and stress important issues that promote healthy pregnancy and safe motherhood.

World Cancer Day is a chance to raise our collective voices in the name of improving general knowledge around cancer and dismissing misconceptions about the disease. From a global level, we are focusing our messaging on the four myths above. In addition to being in-line with our global advocacy goals, these overarching myths leave a lot of flexibility for members, partners and supporters to adapt and expand on for their own needs.

Pregnant women should start attending antenatal care as soon as they suspect that they are pregnant and certainly within their first trimester.

14FEB2014 Healthy Lifestyles Awareness Day Some disease risk factors you can’t control, such as your age or the health problems of your parents. However, some risk factors are related to your lifestyle, such as smoking, being overweight, and having an unhealthy diet. These lifestyle factors may contribute towards putting your overall health at risk. Luckily, the opposite is true as well. Adopting a healthier lifestyle can improve your health and general wellbeing. The Script Pharmacy Magazine │January 2014 • February 2014

COMPETITION

AND THE

WINNER IS Here’s a closer look at the lucky winners of the ProMan - ProWoman competion from Issue 39

Salton Popcorn Makers

Hoppies Pharmacy Belinda Marais

Rivermall Pharmacy Zelda Minnie

Russel Hobbs Biscuit Makers

Leslie Booysen Monica Kwaza

Hillcrest Pharmacy Makgotso Matagela

Melrow Pharmacy Jacinda Benecke

The Script Pharmacy Magazine │January 2014 • February 2014

I support you through everything, do the same for me.

Everyone has a few drinks, but when you become dependent on it, you might have a problem. Alcoholism can damage the liver and lead to alcoholic liver disease, cirrhosis, and alcoholic hepatitis.

Everything in moderation. Take care of yourself, take care of your liver.

Get Informed We are proud to announce our new revolutionary little gadget, the CJ Communicator. With its user friendly interface, and subtle nature â&#x20AC;&#x201C; you are sure to find it of great use. It has been specifically designed with non-technical users in mind. Users do not need any formal IT training. Itâ&#x20AC;&#x2122;s very user friendly and highly intuitive. The CJ Communicator is a hosted solution, which means the developers take care of all the back-end technology. There is no impact on your existing IT systems or infrastructure, and the communicator does not put your personal information at risk.

BENEFITS FOR YOU AS A CJ CLIENT Paperless System: No more relentless faxes or emails that get lost in spam folders.

i Stay Informed: i Regular updates notify you of the latest at CJ eg. New suppliers, industry notifications, etc.

Save Time:

Read the information you need, and ignore the rest. With our communicator you can subscribe to channels of information that suites your needs.

to download the desktop version for your computer, visit www.cjpharm.co.za

Get the mobile version for your smartphone now! to download a QR code reader for your phone visit neoreader.com

AWARENESS

TOP 10 healthiest new year’s resolutions

By Alyssa Sparacino

New Year’s resolutions are a bit like babies: They’re fun to make but extremely difficult to maintain. While about 75% of people stick to their goals for at least a week, less than half (46%) are still on target six months later. It’s hard to keep up the enthusiasm months after you’ve swept up the confetti, but it’s not impossible. This year, pick one of the following worthy resolutions, and stick with it. Here’s to your health!

Lose weight

says. “That’s why it’s important to have someone there on a regular basis to get you through those rough times.”

The fact that this is perennially among the most popular resolutions suggests just how difficult it is to commit to. But you can succeed if you don’t expect overnight success. “You want results yesterday, and desperation mode kicks in,” says Pam Peeke, MD, author of Body for Life for Women. “Beware of the valley of quickie cures.”

Also, plan for bumps in the road. Use a food journal to keep track of what you eat and have a support system in place. “Around week four to six... people become excuse mills,” Dr. Peeke

Stay in touch

2010 study in the journal PLoS Medicine suggests. In a technology-fixated era, it’s never been easier to stay in touch—or rejuvenate your relationship—with friends and family, so fire up Facebook and follow up with in-person visits.

Feel like old friends (or family) have fallen by the wayside? It’s good for your health to reconnect with them. Research suggests people with strong social ties live longer than those who don’t.

In fact, a lack of social bonds can damage your health as much as alcohol abuse and smoking, and even more than obesity and lack of exercise, a

Quit smoking Fear that you’ve failed too many times to try again? Talk to any ex-smoker, and you’ll see that multiple attempts are often the path to success. Try different methods to find out what

The Script Pharmacy Magazine │January 2014 • February 2014

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works. And think of the cash you’ll save! (We know you know the ginormous health benefit.) “It’s one of the harder habits to quit,” says Merle Myerson, MD, director of the Cardiovascular Disease Prevention Program at St. Luke’s and Roosevelt Hospitals, in New York City. “But I always tell people to think of how much money they will save.”

Save money

Cut back on gym membership costs by exercising at home. Many fitness programs on videogame systems like Nintendo’s Wii Wii Fit Plus and Microsoft’s Xbox Kinect Your Shape Fitness Evolved can get you sweating.

Take stock of what you have in the fridge and make a grocery list. Aimless supermarket shopping can lead to poor choices for your diet and wallet.

Cut your stress A little pressure now and again won’t kill us; in fact, short bouts of stress give us an energy boost. But if stress is chronic, it can increase your risk of—or worsen— insomnia, depression, obesity, heart disease, and more.

“Someone who makes this sort of resolution is likely to obtain a tremendous personal benefit in the happiness department,” Kanaris says.

Go back to school

“Stress is an inevitable part of life,” she says. “Relaxation, sleep, socializing, and taking vacations are all things we tell ourselves we deserve but don’t allow ourselves to have.”

Volunteer We tend to think our own bliss relies on bettering ourselves, but our happiness also increases when we help others, says Peter Kanaris, PhD, coordinator of

Get more sleep You probably already know that a good night’s rest can do wonders for your mood—and appearance. But sleep is more beneficial to your health than you might realize. A lack of sleep has been linked to a greater risk of obesity and type 2 diabetes. And sleep is crucial for strengthening memories (a process called consolidation). So take a nap—and don’t feel guilty about it.

No matter how old you are, heading back to the classroom can help revamp your career, introduce you to new friends, and even boost your brainpower.

A 2007 study found that middle-age adults who had gone back to school (including night school) sometime in the previous quarter century had stronger memories and verbal skills than those who did not. What’s more, several studies have linked higher educational attainment to a decreased risk of Alzheimer’s disease. “You are gaining a sense of accomplishment by gaining new knowledge, and you are out there meeting people and creating possibilities that were never there before,” Kanaris says.

Long work hours, little sleep, no exercise, poor diet, and not spending time with family and friends can contribute to stress, says Roberta Lee, MD, an integrative medicine specialist at Beth Israel Medical Center, in New York City, and the author of The Super Stress Solution.

And guess what? Happiness is good for your health. A 2010 study found that people with positive emotions were about 20% less likely than their gloomier peers to have a heart attack or develop heart disease. Other research suggests that positive emotions can make people more resilient and resourceful.

Save money by making healthy lifestyle changes. Walk or ride your bike to work, or explore carpooling. (That means more money in your pocket and less air pollution.)

public education for the New York State Psychological Association.

Cut back on alcohol While much has been written about the health benefits of a small amount of alcohol, too much tippling is still the bigger problem. (In fact, binge drinking seems to be on the rise.) Drinking alcohol in excess affects the brain’s neurotransmitters and can increase the risk of depression, memory loss, or even seizures. Chronic heavy drinking boosts your risk of liver and heart disease, hypertension, stroke, and mental deterioration, and even cancers of the mouth, throat, liver, and breast.

Travel

The joys and rewards of vacations can last long after the suitcase is put away. “We can often get stuck in a rut, and we can’t get out of our own way,” Kanaris says. “Everything becomes familiar and too routine.”

But traveling allows us to tap into life as an adventure, and we can make changes in our lives without having to do anything too bold or dramatic.

“It makes you feel rejuvenated and replenished,” he adds. “It gets you out of your typical scenery, and the effects are revitalizing. It’s another form of new discovery and learning, and great for the body and the soul.”

WOMEN’S REPRODUCTIVE HEALTH IN SOUTH AFRICA

A PARADOX

By: Sarah Osman, MSc.

This article looks at the current factors, other than hypertension and obstetric haemorrhage, that most highly correlate with MMR in South Africa (HIV infection, unplanned pregnancy and unsafe abortion) and lists some interventions that can significantly decrease the MMR in South Africa by 2015. Contributors: Mantshi Teffo-Menziwa and Denise Hunt, Marie Stopes South Africa In South Africa, a paradox ensues when looking at data on women’s reproductive health. The last Demographic and Health Survey (DHS) of 2003 states that 90 percent of pregnant women received antenatal care and 91 percent of births were attended by a skilled health practitioner, yet the latest estimates of maternal mortality in the country approximate the maternal mortality ratio (MMR) at up to 625 per 100 000 live births. The same DHS reports that 65 percent of women in South Africa are using a modern form of contraception, yet recent crosssectional studies show that over 60 percent of most recent pregnancies are unplanned. These contradictions show that we are very far from making pregnancies desired and safe. Indeed, in its 2010

Millennium Development Goal (MDG) report, the South African government states that it is unlikely for the country to reach MDG 5 by 2015. Since the publication of the 2010 MDG report, there has been renewed commitment from the South African Department of Health (DoH) to seriously address sexual and reproductive health and rights (SRHR) in order to not only meet MDG 5, but also MDGs 3, 4 and 6. This commitment is summarised in a new 10-year policy entitled Sexual and Reproductive Health and Rights: Fulfilling our Commitments 2011–2021 and beyond. The core of the policy is that a fragmented approach to the different components that comprise SRHR will not lead to improved SRH, and will most certainly not lead to improvement in women’s health. However, an implementation plan is needed to match this commitment to make serious progress towards MDG 5.

HIV infection and maternal mortality With the feminisation of the HIV epidemic and the fact that over 44 percent of maternal deaths are attributed to complications related to AIDS, the role that the HIV epidemic plays in maternal mortality could not be ignored. The number of maternal deaths due to AIDS classified as clearly avoidable rose from five percent in 2004 to 18 percent in 2007. This is despite a health system that has a strong HIV counselling and testing policy and strong standards and guidelines on antiretroviral therapy. So, what led to this increase in AIDS related deaths? One of the main reasons is the fact that HIV continues to be separated from a broader SRHR framework. A focus on the prevention of HIV

The Script Pharmacy Magazine │January 2014 • February 2014

alone has overshadowed efforts to control the spread of sexually transmitted infections (STIs), even though they correlate directly with HIV transmissions. The WHO states that the prevalence of STIs “could account for 40 percent or more of HIV transmissions”. Research shows that STI prevalence in South Africa is relatively high and that most STIs are unrecognised and incorrectly treated. For example, some studies reported the prevalence of trichomoniasis as high as 24 percent among women in KwaZuluNatal. This high prevalence is linked to the quality of treatment of STIs in South Africa, which was found to be poor with only 10 to 40 percent of patients being given correct medication. In general, clients are treated symptomatically for STIs, which was shown to be ineffective in reducing the incidence of STIs as clients may be infected, but not showing any symptoms of the STI. A study measuring the effect of STI treatment on HIV infections in four African cities showed that “...in African populations with mature HIV epidemics, STI treatment interventions are likely to remain highly costeffective and may even be cost-saving, particularly in populations in which safer sexual behaviours have not adequately controlled STIs and HIV incidence remains high”. Furthermore, in a comparative study, the Human Sciences Research Council (HSRC) found that the control of STIs is one of the top three most effective methods in preventing HIV transmission. A majority (estimated between 55 percent and 93 percent) of new HIV transmissions occur in stable and long-term relationships. Studies show that despite positive outcomes such as managing transmission risk with behavioural and biomedical interventions, couple-oriented programmes are not implemented on a large scale. In order to stimulate and strengthen HIV prevention efforts, increased attention is required to promote prevention, testing and counselling for couples in stable relationships. Through coupleoriented voluntary counselling and testing and integrated SRH services, seroconcordant or serodiscordant couples will be in a better position to

make healthy reproductive choices, for example, to prevent pregnancy, or to ensure a healthy pregnancy or healthy child delivery.

Unplanned pregnancies and maternal mortality Multi-country data shows that planned pregnancies can help to avert up to 32 percent of maternal deaths. Although the contraceptive prevalence rate in South Africa is amongst the highest in sub-Saharan Africa (65 percent), the consensus amongst practitioners and social scientists in the country is that the provision of quality fertility management services is failing. This is a result of the lack of integration of SRH services and HIV services over the last decades, as recently pointed out by the head of UNFPA. Overall, the use of long-acting methods of contraception in South Africa is severely limited with national prevalence of the intra-uterine device (IUD) at 0.8 percent. This lack of uptake can be attributed to issues of both supply and demand. Sterilisation is more widely recognised by women than the IUD, signalling a critical knowledge gap and highlighting an immediate need for education and behaviour change interventions within South African communities. Exacerbating a lack of demand for long-term methods is the severely limited supply of services. The use of the IUD, for example, is hindered by the fact that knowledge of the method among nurses in the public sector is inaccurate with a self-reported need for training in IUD insertion and removal. The private sector in South Africa is currently playing a critical role in providing choice in contraceptive methods, with 50 percent of all those taking up IUDs doing so through the private sector, however capacity is severely limited and the absence of skills development and training has resulted in variable service quality. The implant, which has been shown to be safe and cost-effective, has only been registered in South Africa this year, while it has been available in other African countries for several years. Combined, these issues highlight the fact that a full range of contraceptive methods is neither promoted nor available in South African communities. Civil society organisations in South

Africa share the DoH’s concern over the decline in the efficacy of fertility management programs resulting in poor sexual and reproductive health outcomes, which continue to hinder the country’s development and have called for intervention. This is backed up by national surveys indicating that fertility management services in South Africa have not improved over the past eight years and bringing into question national strategies for the provision of contraceptives which has led to the under resourcing of public facilities and a reliance on a largely under-equipped private sector. It is imperative to deliver long-acting methods of contraception by increasing choice and uptake of appropriate methods of contraception among target populations. This will ultimately reduce the number of unplanned pregnancies and associated morbidity and mortality, contributing to a reduction in South Africa’s MMR.

Unsafe abortion and maternal mortality Since the legalisation of abortion in South Africa in 1996, the number of abortion-related mortalities has decreased dramatically. Unfortunately, needless unsafe abortion related mortalities have not been eradicated. According to the DoH, 4,077 maternal deaths were reported between 2005 and 2007. The DoH further reports that 38.4 percent of maternal deaths were avoidable. Of these avoidable deaths, 45.9 percent are attributed to delay in seeking medical help (26.7 percent), unsafe abortion (25.7 percent), no access to antenatal care (17.7 percent) and infrequent antenatal care (six percent) . Unsafe abortion remains one of the top five avoidable and patientrelated causes of maternal deaths in South Africa. Mortalities associated with unsafe or incomplete abortions have risen by 4.6 percent between 2004 and 2007. Improving the quality and coverage of reproductive health services, namely contraceptive and safe abortion services, was one of the four main recommendations put forward in reducing the number of maternal deaths. There has been no decline in unsafe abortion related morbidity and the number of women who are critically ill because of incomplete abortions,

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indicating that unsafe abortions are still rampant. For instance, a study published by the South African Medical Research Council in 2010 reports that 48.5 percent of abortions undergone by young people between the ages of 13 and 19 took place outside a hospital or clinic and were therefore likely to be unsafe. Women in South Africa continue to seek abortions outside hospitals and clinics for various reasons. A qualitative study by the World Health Organisation (WHO) on abortion services in the Western Cape showed that “providers’ reluctance to be involved in different aspects of abortion provision led to complex and fragmented levels of service provision throughout many of the healthcare facilities”. Anecdotal evidence from Marie Stopes South Africa clients supports these claims, suggesting that although public health facilities are legally required to provide abortion on request, most public-sector nurses frequently refuse to provide the service due to conscientious objection. Younger clients, who are reportedly the majority that access abortion services outside the health facilities, are often chastised for being sexually active, for being ‘irresponsible’, and for choosing to terminate the pregnancy rather than give birth. Clients also report being repeatedly turned away from public hospitals because the facility has reached its weekly abortion quotas or does not provide the service at all. The decentralisation of authority in the DoH, though a positive step, has lead to huge disparities in access to safe abortion across South Africa’s nine provinces. Indeed, experts in civil society often refer to the ‘Nine Health Systems’ in the country, pointing to the large discrepancy in health outcomes from province to province. The reengineering of primary healthcare is viewed as an effective strategy in reducing the inequalities and inequities of the current, mainly curative, health system. According to an evaluation conducted in 2008, of 292 public facilities designated to provide safe abortions in the country, only 151 (52 percent) were functional. Certain provincial health departments lay out extremely restrictive minimum requirements for abortion-providing

facilities, for example, that abortion facilities are required to meet private hospital regulations such as full operating theatres, two-meter wide passages, piped gas available at each bed, etc. These requirements restrict small medical facilities that could safely provide abortions from doing so. Furthermore, the DoH approved mifepristone-misoprostol medical abortion in 2001 for abortions up to 56 days. Although some provinces have developed and implemented medical abortion guidelines, a guideline for the use of this method in the public sector has not yet been finalised nationally. Knowledge among women of their right to an abortion upon request is another major hindrance to women seeking safe abortions: at least one-third of sexually active women believe the service remains illegal. A reason for this misinformation is the fact that in 2004, an amendment to the 1996 Choice on Termination of Pregnancy (CTOP) Act was passed to allow registered nurses with appropriate training to perform first-trimester abortions. A challenge to this amendment was put forward in 2006. An 18-month delay in court ruling that was misreported by the media, led to confusion among the public as well as among service providers, leading women and service providers to incorrectly believe that abortion was no longer legal in South Africa. This has had major consequences in upholding women’s rights to abortion services in the public sector and the situation has not been sufficiently rectified. In 2010, knowledge of the CTOP Act was found to be just as weak among service providers including health managers. Women are therefore unlikely to seek safe abortions through official or regulated channels and will instead opt for an unsafe service. Additional reasons cited for not using legal services include knowing the law but not knowing where to access safe abortion; anticipation of rudeness from judgmental staff (particularly in public facilities); and concerns over the confidentiality of the service.

Interventions to reduce MMR Alongside hypertension and obstetric haemorrhage, the MMR in South Africa is further fuelled by HIV infection, unplanned pregnancy and unsafe

abortion. In order to reduce the MMR, these factors must be addressed in a systematic manner. To this end, the following are entry-points for the public and non-profit sectors to reduce the MMR: • Revive focus on the underlying factors behind new HIV infections among women such as STIs, and promote STI testing and treatment; • Promote long-acting methods of contraception such as the IUD within the public sector; • Promote the use of emergency contraception for women who takeup short-term methods such as the pill or the injectable; • Increase the choice in contraceptive methods available to women in the public sector, especially methods such as the implant; • Strengthen provider skills in the provision of integrated SRH and HIV services in the public and private sector; • Increase knowledge of the CTOP Act among service providers; • Publicise public sector facilities that provide abortion; • Make medical abortion available nationally in public healthcare facilities; • Increase collaboration between nonprofit organisations and the DoH to provide integrated SRH packages through referrals as opposed to vertical, HIV-focused interventions; • Address gender-based violence as a contributory direct or indirect factor to MMR.

“Food is fuel,” says Lisa Lovejoy, a registered dietitian at MultiCare who provides sports nutrition counseling. “It’s just as important in athletics as the warm-up, cooldown and practice.”

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CARE &NUTRITION

of student athletes by Maura Hallam

Making sure your kids eat right is important—especially when they participate in sports. “When student athletes don’t eat properly, their performance suffers,” says Josh Purses, DO, a pediatric sports medicine specialist with MultiCare Orthopedics & Sports Medicine.

Carbs are key Many athletes believe that the key to their success is protein. But protein is mostly important for helping muscles recover after activity. For peak performance, it’s carbohydrates that athletic bodies crave. “Carbs are what athletes need,” Lovejoy says. “They are the fuel for the muscle. It’s amazing how little protein you need to do that work.” “In many sports leanness is emphasized,” Dr. Purses says. “This often leads to athletes reducing their carbohydrate intake; then their performance suffers.” This doesn’t mean student athletes need to live on bread and pasta alone. Carbohydrates come in many forms— from whole grains to vegetables—so choosing a variety of foods that contain carbohydrates can help them get the balance that they need.

Water does a body good Kids who play sports need to stay hydrated, especially when they are working hard during a game or match. And they shouldn’t wait until they feel thirsty before they take a drink. “You need to drink ahead of your thirst,” Dr. Purses says. Dr. Purses recommends at least eight cups of fluids a day—and likely more if your athlete is playing a strenuous sport for longer than one hour at a time. What should they be drinking? Water is always a good choice. Sports drinks are also recommended for athletes working hard for more than an hour. Avoid energy drinks that only deliver a load of caffeine or drinks that contain herbal “supplements.” In fact, herbal supplements of any kind are not recommended for children and teens at all. “Supplements are not FDA regulated,” says Dr. Purses. “You don’t really know for sure what’s in them.” “We do not advise people under 18 to be consuming supplements, like creatine,” says Lovejoy. “There is simply not enough research done to know if they are harmful to kids.”

Don’t forget their bones Muscle strength and cardio endurance are important for good sports performance. So are strong, healthy bones—especially for kids, whose bodies are still developing.

“At that age range, you’re building a lot of bone mass for the future,” Dr. Purses says. Calcium and vitamin D are important for building bones. Athletes who don’t get enough can suffer loss of bone mass and stress fractures. Student athletes should be getting around 1,300 milligrams of calcium a day up until age 18, according to Lovejoy. This is especially important for female athletes at this age, who also need extra iron because they are at a greater risk for iron deficiency.

Send the right messages Kids and teens who play sports sometimes feel pressured to have the right “look” for their sport. This can lead to poor food choices. So it’s important for coaches and parents to send positive messages to their athletes about body image, eating right and being healthy. “Coaches and parents have a huge impact,” says Lovejoy. Luckily, there’s nothing complicated about helping your student athlete eat right. “There aren’t any miracle foods out there,” Dr. Purses says. “It’s all about getting a good variety.” For tips on preventing children’s sports injuries, go to: multicare.org/ prevent-injury.

The Script Pharmacy Magazine │January 2014 • February 2014

S4 Rosvator 5/10/20/40 Reg No. 45/7.5/0955/6/7/8. Each film-coated tablet contains rosuvastatin calcium equivalent to rosuvastatin 5/10/20/40mg respectively. Contains lactose monohydrate. Pharmacological classification: A7.5 Serum - cholesterol reducers. For full prescribing information please refer to the package insert. Applicant: Ranbaxy (SA) (Pty Ltd. Ground Floor, Tugela House, Riverside Office Park, 1303 Heuwel Avenue, Centurion, 0046. Tel: +27 12 643-2000; Fax: +27 12 643-2001.

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CANCER

FIGHTING SPICES

G A R L IC Garlic has been used throughout history for both its culinary and medicinal properties. Garlic’s distinctive characteristics arise from sulfur, which constitutes almost 1% of its dry weight. Preclinical models provide rather compelling evidence that garlic and its associated components can lower the incidence of breast, colon, skin, uterine, esophagus, and lung cancers. The ability of garlic to inhibit tumors due to different cancer-inducing agents and in different tissues indicates that a generalized cellular event is likely responsible for the change in tumor incidence and that the response is highly dependent on environmental or other types of biological insults. A breakdown of allicin appears to be necessary for achieving maximum tumor inhibition. It is becoming increasingly clear that the response to allyl sulfurs relates to their ability to form free radicals rather than to serve as an antioxidant.

www.realnews24.com

G I NGER

CI N N A M O N

Ginger is consumed widely not only as a spice but also as a medicinal agent.

Cinnamon is a spice obtained from the bark of an evergreen tree.

Various animal models have been used to examine the role of ginger in cancer prevention. Male Wistar rats were exposed to tumors resembling human low-grade papillary urothelial neoplasia. Rats fed with a basal diet supplemented with 1% ginger extract for 26 weeks had significantly fewer urothelial lesions compared to the controls or those fed with the diet with 0.5% ginger.

It takes not more than a half teaspoon of cinnamon powder every day to keep cancer risk away. A natural food preservative, cinnamon is a source of iron and calcium. Useful in reducing tumour growth, it blocks the formation of new vessels in the human body.

Ginger also appears to have antitumorigenic properties. Several cell lines have been examined for their sensitivity to ginger. For example, alcoholic extracts of ginger inhibited tumor cell growth for Dalton’s lymphocytic ascites tumor cells and human lymphocytes. While the anticancer findings of ginger are intriguing and several processes may be associated with the observed responses, further studies are needed to determine overall benefits to humans.

The ability of cinnamon extracts to suppress the in vitro growth of H. pylori, a recognized risk factor for gastric cancer, gastric mucosaassociated lymphoid tissue lymphoma, and pancreatic cancer, has stirred considerable interest in the potential use of this spice to suppress human cancers. Providing rats with cinnamon bark powder significantly increased several antioxidant-related enzymes in both liver and heart tissue, compared to controls. These enzymes help maintain cellular integrity and protection against oxidative damage from free radicals.

The Script Pharmacy Magazine │January 2014 • February 2014

Believe it or not, but when the opposition in question is an adamant disease like cancer, everything you need to prevent or treat it is right inside your spice cabinet. These are not just dried seeds, fruits, roots, barks or any other plant-based substances to add flavor to our foods, but they double as anti-cancer agents. More than 180 spicederived compounds have been identified and explored for their health benefits. It is beyond the scope of this article to deal with all herbs and spices that may influence the risk of cancer and tumor behavior, but weâ&#x20AC;&#x2122;ve highlighted some of the most powerful.

T UR M ER IC Its active ingredient, curcumin, inhibits inflammatory reactions, has antidiabetic effects, reduces cholesterol among other powerful health effects. A new study shows that it can also inhibit formation of metastases. One of the most comprehensive summaries of a review of 700 turmeric studies to date was published by the ethnobotanist James A. Duke, Phd. He showed that turmeric appears to outperform many pharmaceuticals in its effects against several chronic, debilitating diseases, and does so with virtually no adverse side effects. This is the king of spices when it comes to dealing with cancer diseases, besides it adding a zesty colour to our food on the platter. Turmeric contains the powerful polyphenol Curcumin that has been clinically proven to retard the growth of cancer cells causing prostrate cancer, melanoma, breast cancer, brain tumour, pancreatic cancer and leukemia amongst a host of others.

CAY EN N E PEPPER The cayenne pepper is a hot chili pepper used to flavour dishes. It is red colored when ripened to maturity, but also eaten while still green. Besides published evidence suggesting that cayenne pepper may aid weight loss, curb appetite, and lower blood pressure, the component that gives jalapeno peppers their heat may also kill cancer cells. Initial experiments in cancer cells and mice show that capsaicin causes prostate cancer cells to undergo a kind of suicide. Researchers speculate that, in the future, pills containing capsaicin might be used as therapy to prevent prostate cancerâ&#x20AC;&#x2122;s return. Capsaicin caused almost 80 percent of prostate cancer cells in the mice to die. In addition, prostate cancer tumors treated with capsaicin were about one-fifth the size of tumors in untreated mice.

CLOV E Several components are found in clove, including tannins, terpenoids, eugenol, and acetyleugenol. Cloves are native to Indonesia and are used in cuisines throughout the world. While no studies have been conducted in humans to date to evaluate use of cloves in cancer prevention, a few studies conducted in mice suggest its effectiveness. Clove contains high amounts of eugenol. However, this compound cannot serve to increase gastrointestinal promoter activity, suggesting other compounds in clove may account for its biological activity. Overall, the findings to date suggest that tissues adapt to exposures to one or more constituents in cloves. In doing so, clove may improve the ability of selected tissues to handle foreign compounds that might lead to the initiation of carcinogenesis. Based on findings to date, additional clinical studies are warranted to determine the ability of clove to influence drug detoxification pathways.

Introducing Mylacand The ﬁrst candesartan generic to market

will make a difference?

24 hour control of mild to moderate hypertension Candesartan cilexetil provides signiﬁcant reduction in both clinic and ambulatory BP in doses ranging from 8 to 16 mg daily 1

Mylacand candesartan cilexetil

24 hour BP control

www.mylansa.co.za Reference: 1. Lacourcière Y, Asmar R, for the Candesartan/Losartan study investigators. A Comparison of the Efficacy and Duration of Action of Candesartan Cilexetil and Losartan as Assessed by Clinic and Ambulatory Blood Pressure After a Missed Dose, on Truly Hypertensive Patients. AHJ. 1999;12:1181-1187. S3 MYLACAND 8 mg (tablets). Reg. No.: 45/7.1.3/0301. Each tablet contains candesartan cilexetil 8 mg. Contains lactose monohydrate 48,472 mg. S3 MYLACAND 16 mg (tablets). Reg. No.: 45/7.1.3/0302. Each tablet contains candesartan cilexetil 16 mg. Contains lactose monohydrate 96,945 mg. Mylan (Pty) Ltd. Reg. No.: 1949/035112/07. Building 6, Greenstone Hill Office Park, Emerald Boulevard, Modderfontein, 1645. Tel: (011) 451 1300, Fax: (011) 451 1400. www.mylansa.co.za For full prescribing information refer to the package insert approved by the medicines regulatory authority. M0204 October-13.

19703

Discover why, at Mylan, quality isn’t just a claim – it’s a cause we’ve made personal

AWARENESS

WORLD BRAILLE DAY The 4th of January is World Braille Day, as it is the birthday of Louis Braille, the Frenchman who invented the code in 1821. Braille helps to provide equal opportunity for many blind people worldwide, and its use is supported throughout CBM programme work. CBM and Braille CBM - with its long history of working in the field of visual impairment - helps build the capacity of many programmes that use Braille in developing countries worldwide. This can sometimes take the form of inclusive education, where Braille is an integral part of teaching materials or, alternatively, might involve supporting organisations that produce books in Braille.

Louis Braille Born - January 4, 1809 Aged 10 - Earned a scholarship to the National Institute for the Blind in Paris Aged 12 - Inspired by a military ‘silent’ communication system, Braille began developing his code Aged 24 - Braille became a teacher at the Institute, and continued to work on his code, publishing the first book in Braille in 1829 and extending its use into music and mathematics Died of tuberculosis - January 6, 1852 The Braille code was officially recognised in France in 1854

Basic Braille code for German language Braille is not a language, but a code used by blind people by which all languages may be written and read. It is read by passing the fingers over characters made up of an arrangement of one to six embossed points. Braille provides access to literacy, intellectual freedom, equal opportunity, and personal security. Braille has had an enormous effect on the lives of millions of people across 120 countries worldwide. Braille is a tactile writing system used by the blind and the visually impaired. It is traditionally written with embossed paper. Braille-users can read computer

screens and other electronic supports thanks to refreshable braille displays. They can write braille with the original slate and stylus or type it on a braille writer, such as a portable braille notetaker, or on a computer that prints with a braille embosser. Braille is named after its creator, Frenchman Louis Braille, who went blind following a childhood accident. In 1824, at the age of 15, Braille developed his code for the French alphabet as an improvement on night writing. He published his system, which subsequently included musical notation, in 1829. The second revision, published in 1837, was the first digital (binary) form of writing. Braille characters are small rectangular blocks called cells that contain tiny palpable bumps called raised dots. The number and arrangement of these dots distinguish one character from another. Since the various braille alphabets originated as transcription codes of printed writing systems, the mappings (sets of character designations) vary from language to language. Furthermore, in English Braille there are three levels of encoding: Grade 1, a letter-by-letter transcription used for

The Script Pharmacy Magazine │January 2014 • February 2014

basic literacy; Grade 2, an addition of abbreviations and contractions; and Grade 3, various non-standardized personal shorthands. In the face of screen-reader software, braille usage has declined. However, braille education remains important for developing reading skills among blind and visually impaired children, and braille literacy correlates with higher employment rates.

History Braille was based on a tactile military code called night writing, developed by Charles Barbier in response to Napoleon’s demand for a means for soldiers to communicate silently at night and without light. In Barbier’s system, sets of 12 embossed dots encoded 36 different sounds. It proved to be too difficult for soldiers to recognize by touch, and was rejected by the military. In 1821 Barbier visited the Royal Institute for the Blind in Paris, where he met Louis Braille. Braille identified two major defects of the code: first, by representing only sounds, the code was unable to render the orthography of the words; second, the human finger could not encompass the whole 12-dot

symbol without moving, and so could not move rapidly from one symbol to another. Braille’s solution was to use 6-dot cells and to assign a specific pattern to each letter of the alphabet. At first, braille was a one-to-one transliteration of French orthography, but soon various abbreviations, contractions, and even logograms were developed, creating a system much more like shorthand. The expanded English system, called Grade 2 Braille, was complete by 1905. For the blind today, braille is an independent writing system rather than a code of printed orthography.

braille codes (or code pages) are used to map character sets of different languages to the six bit cells. Different braille codes are also used for different uses like mathematics and music. However, because the six-dot braille cell only offers 64 patterns (26, including the space), many braille characters have different meanings based on their context. That is, character mapping is not one-to-one.

Form

Braille may be produced by hand using a slate and stylus in which each dot is created from the back of the page, writing in mirror image, or it may be produced on a braille typewriter or Perkins Brailler. Because braille letters cannot be effectively erased and written over if an error is made, an error is overwritten with all six dots. Interpoint refers to braille printing that is offset, so that the paper can be embossed on both sides, with the dots on one side appearing between the divots that form the dots on the other.

Braille can be seen as the world’s first binary encoding scheme for representing the characters of a writing system. The system as devised by Braille consists of two parts: 1. A character encoding for mapping characters of the French alphabet to tuples of six bits or dots. 2. A way of physically representing sixbit characters as raised dots in a braille cell. Within an individual cell, the possible dot positions are organized into two columns of three positions each. A raised dot can appear in any of the six positions to form sixty-four (26) possible subsets, including the arrangement in which there are no raised dots. For reference purposes, a particular arrangement may be described by naming the positions where dots are raised, the positions being universally numbered 1 to 3, from top to bottom, on the left, and 4 to 6, from top to bottom, on the right. For example, dots 1-3-4 would describe a cell with three dots raised, at the top and bottom in the left column and on top of the right column, i.e., the letter m. The lines of horizontal braille text are separated by a space, much like visible printed text, so that the dots of one line can be differentiated from the braille text above and below. Punctuation is represented by its own unique set of characters.Today different

In addition to simple encoding, modern braille transcription uses contractions to increase reading speed.

Writing braille

Braille may also be produced using a computer with braille translation software and a braille embosser or a refreshable braille display. Braille has been extended to an 8-dot code, particularly for use with braille embossers and refreshable braille displays. In 8-dot braille the additional dots are added at the bottom of the cell, giving a matrix 4 dots high by 2 dots wide. The additional dots are given the numbers 7 (for the lower-left dot) and 8 (for the lower-right dot). Eight-dot braille has the advantages that the case of an individual letter is directly coded in the cell containing the letter and that all the printable ASCII characters can be represented in a single cell. All 256 (28) possible combinations of 8 dots are encoded by the Unicode standard. Braille with six dots is frequently stored as Braille ASCII. www.cbm.org

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TREAT DIARRHOEA EFFECTIVELY: KNOW THE FACTS AND RECOMMEND THE NO.1 BRAND (1) Unfortunately there are a few old wives’ tales and myths surrounding the use of Imodium® in treating diarrhoea. For those who still think that diarrhoea is just a ‘bug’ that needs to run its course - think again. Myth 1 It’s best to let diarrhoea run its course to get ‘the bug’ out. Fact: Treating diarrhoea does not keep ‘the bug’ in. Diarrhoea is NOT always a response to get rid of an infection. Therefore treating diarrhoea early will help relieve the symptoms and allow your customers to get on with their lives. Myth 2 It is possible to become addicted to the medicine if it is used frequently. Fact: When used as directed, Imodium® products are nonhabit forming. Myth 3 Imodium® should not be taken together with other medicines because of potential interactions. Fact: When taking Imodium®, only a very small amount of the medicine is absorbed from the digestive tract. There have been no clinically significant drug interactions reported with loperamide, the active ingredient in Imodium®.

Myth 4 If a child has diarrhoea, it’s best to let the condition run its course. Fact: Diarrhoea in children can lead to dehydration. If left untreated this is particularly dangerous as children can dehydrate much faster than adults. Myth 5 An anti-diarrhoeal medicine can slow down or stop bowel movements completely. Fact: When used as directed, Imodium® is designed to help return the intestinal system to normal, as speedily as possible. It works by giving the colon more time to absorb water in the stool, and by restoring normal contractions to the muscles in the small intestine resulting in fewer bowel movements. Myth 6 Diarrhoea caused by stress should not be treated with Imodium®. Fact: Imodium® can be used for non-specific diarrhoea bouts - even those caused by stress. Imodium® has been specially formulated to work with the body to help restore its normal rhythm as rapidly as possible, even when stressed. Myth 7 Taking Imodium® is too extreme a measure in mild bouts of diarrhoea. Fact: Imodium® can be used for non-specific diarrhoea. It helps by slowing down the intestinal system to its normal pace, regardless of the intensity of the diarrhoeal bout. Reference: 1. IMS Data MAT to July 2013. S2 Imodium® Melt tablets. Each tablet contains 2 mg loperamide HCl. Reg. No. 29/11.9/0213. S2 Imodium® tablets. Each tablet contains 2 mg loperamide HCl. Reg. No. H/11.9/152 S2 Imodium® syrup. Each ml contains 0.2 mg loperamide HCL. Reg. No. J/11.9/166. For full prescribing information, please refer to the package insert approved by the Medicines Control Council. ® Trademark © Johnson & Johnson (Pty) Ltd 2013. 01/IMO/02/13/D/JA

The No.1 Brand in Diarrhoea Treatment

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LAUGH A LITTLE

by way Considerate Freshman “If there are any idiots in the room, will they please stand up,” said the sarcastic teacher. After a long silence, one freshman rose to his feet. “Now then mister, why do you consider yourself an idiot?” Inquired the teacher with a sneer. “Well, actually I don’t,” said the student, “but I hate to see you standing up there all by yourself.”

An answer for everything An exasperated mother, whose son was always getting into mischief, finally asked him, “How do you expect to get into Heaven?” The boy thought it over and said, “Well, I’ll just run in and out and in and out and keep slamming the door until St.Peter says... ‘For Heaven’s sake, Jimmy, come in or stay out!’”

Doctor, Doctor! Doctor Doctor I swallowed a bone. Are you choking? No, I really did! Doctor, Doctor I think I need glasses You certainly do, Sir, this is a fish and chip shop! Doctor, Doctor my son has swallowed my pen, what should I do? Use a pencil till I get there. Doctor, Doctor I think I’m a bell? Take these and if it doesn’t help give me a ring!

Doctor, Doctor I think I’m suffering from Deja Vu! …..Didn’t I see you yesterday? Doctor, Doctor I’ve got wind! Can you give me something? Yes - here’s a kite! Doctor, how do I stop my nose from running? Stick your foot out and trip it up!

Word Tricks A bicycle can’t stand alone, it is two tired. A will is a dead giveaway. Time flies like an arrow, fruit flies like a banana. A backward poet writes inverse. In a democracy it’s your vote that counts, in feudalism, it’s your Count that votes. A chicken crossing the road, poultry in motion. With her marriage she got a new name and a dress. Show me a piano falling down a mine shaft and I’ll show you A-flat miner. When a clock is hungry it goes back four seconds. The guy who fell onto an upholstery machine was fully recovered. A grenade fell onto a kitchen floor in France and resulted in Linoleum Blownapart. You are stuck with your debt if you can’t budge it. He broke into song because he couldn’t find the key. A calendar’s days are numbered.

A boiled egg is hard to beat. Those who get too big for their britches will be exposed in the end. If you jump off a Paris bridge, you are in Seine. When she saw her first strands of gray hair, she thought she’d dye. Marathon runners with bad shoes suffer the agony of de feet.

Bible Study James (age 4), was listening to a Bible story. His dad read: “The man named Lot was warned to take his wife and flee out of the city but his wife looked back and was turned to salt.” Concerned, James asked: “What happened to the flea?”

The Script Pharmacy Magazine │January 2014 • February 2014

New year New you Easy on the lips, not bad for the hips! Great for those of us who strive to keep our new-year-resolutions!

Barbecue Wings Recipe

• 1 tablespoon sugar • 1/2 teaspoon ground cinnamon

Ingredients

Preparation Preheat oven to 375º. Lightly spoon flour into dry measuring cups, and level with a knife. Combine flour and the next 4 ingredients (flour through salt) in a large bowl, stirring well with a whisk. Make a well in center of flour mixture. Combine yogurt, butter, milk, and egg in a bowl, stirring well with a whisk. Add yogurt mixture to flour mixture, stirring just until moist. Place 12 foil cup liners in muffin cups; coat liners with cooking spray. Spoon 1 tablespoon batter into each liner. Top each with 1 teaspoon jam. Top evenly with the remaining batter. Combine 1 tablespoon sugar and 1/2 teaspoon cinnamon; sprinkle over batter. Bake at 375º for 15 minutes or until a wooden pick inserted in center comes out clean. Cool in pan on a wire rack for 15 minutes. Remove from pan; place on a wire rack.

• Oil for deep-fat frying • 1 package (40 ounces) fresh or frozen chicken wingettes, thawed • 1/2 cup barbecue sauce • 1 tablespoon butter • 1 teaspoon celery seed • 1 teaspoon hot pepper sauce Directions 1. In an electric skillet or deep-fat fryer, heat oil to 375°. Fry chicken wings, a few at a time, for 8 minutes or until golden brown and juices run clear, turning occasionally. Drain on paper towels. 2. In a small microwave-safe bowl, combine the barbecue sauce, butter, celery seed and hot pepper sauce. Cover and microwave on high for 1 minute or until heated through. Place the chicken wings in a large bowl; add sauce and toss to coat. Yield: 6 servings.

Hawaiian Chicken Kabobs Ingredients

Low-Fat StrawberryCinnamon Muffins Back to school breakfast Ingredients • 1 1/2 cups all-purpose flour • 1/2 cup sugar • 2 1/2 teaspoons baking powder • 1 teaspoon ground cinnamon • 1/4 teaspoon salt • 2/3 cup vanilla fat-free yogurt • 1/4 cup butter, melted • 3 tablespoons 1% low-fat milk • 1 large egg, lightly beaten • Cooking spray • 1/4 cup strawberry jam

• 3 tablespoons soy sauce • 3 tablespoons brown sugar • 2 tablespoons sherry • 1 tablespoon sesame oil • 1/4 teaspoon ground ginger • 1/4 teaspoon garlic powder • 8 skinless, boneless chicken breast halves - cut into 2 inch pieces • 1 (20 ounce) can pineapple chunks, drained • skewers Directions 1. In a shallow glass dish, mix the soy sauce, brown sugar, sherry, sesame oil, ginger, and garlic powder. Stir the chicken pieces and pineapple into the marinade until well coated. Cover, and marinate in the refrigerator at least 2 hours. 2. Preheat grill to medium-high heat. 3. Lightly oil the grill grate. Thread chicken and pineapple alternately onto skewers. Grill 15 to 20 minutes, turning occasionally, or until chicken juices run clear.

Appetizer Stuffed Mushrooms Ingredients • 12 large fresh mushrooms • 2 tablespoons finely chopped green onion • 2 tablespoons finely chopped green pepper • 1 tablespoon butter • 1 sliced bread, toasted and cut into small cubes • 1/4 teaspoon onion salt • 1/4 teaspoon garlic salt • 1/8 teaspoon pepper • 1/8 teaspoon dried thyme • Dash paprika • Grated Parmesan cheese Directions 1. Remove stems from mushrooms; set caps aside. Finely chop stems; measure 1/2 cup (discard any remaining stems or save for another use). In a skillet, saute chopped mushrooms, onion and green pepper in butter until vegetables are tender and mushroom liquid has evaporated. 2. Add toast cubes, onion salt, garlic salt, pepper, thyme and paprika; mix well. Stuff into mushroom caps. Place on greased baking sheets. Bake, uncovered, at 425° for 10 minutes or until heated through. Sprinkle with Parmesan cheese. Yield: 1 dozen.

ONE THING LEADS TO ANOTHER, STOP SMOKING.

FUN

mindmovers Christmas Wordsearch

Sudoku

Solve the maze. Begin at the starting point and find an uninterrupted route that leads to the end point.

1 2

5 5

2 7

There is only one rule: Every row, column and box of 3x3 cells must contain the numbers 1 through 9 exactly once (Solution Next Edition)

ALL

BUT

FOREVER

LITTLE

MORNING

SWEET

AND

CARE

FROM

LIVE

NEAR

TAKE

ASK

CATTLE

HAY

LOOK

NIGHT

TENDER

ASLEEP

CHILDREN

HEAD

LOOKED

STAY

THEE

AWAY

HEAVEN

LORD

STARS

THERE

BABY

CRIB

HIS

LOVE

SKY

THY

BED

CRYING

JESUS

LOWING

SIDE

WAKES

BLESS

DEAR

LAID

MAKES

PRAY

WHERE

BRIGHT

DOWN

LAY

MANGER

POOR

WITH

Bogglers Remove six matches to make ten.

Puzzle

Solution IS.40

Move from ring to touching ring, starting from the bottom left corner and finishing in the top right corner. Collect nine numbers and total them. Which is the highest possible total?

4 4

The Script Pharmacy Magazine │January 2014 • February 2014

SUN-SAFE

summer

TIPS FOR

Research has shown that reducing children’s exposure to ultraviolet radiation (UVR) is considered to be the single most effective strategy for reducing future rates of skin cancer. And don’t think that just because you’ve reached adulthood, the damage has already been done. Protecting your skin from sunburn in your 20s, 30s and 40s will significantly reduce your risk of skin cancer, slow the ageing process and model good behaviour to your kids.

AWARENESS

Develop a sunscreen habit This summer make putting on sunscreen as habitual as cleaning your teeth. Have a tube or bottle of SPF30+ water-resistant sunscreen in a visible spot near the back door, for example, and as your family prepare to head outside, it will become second nature to slop on the sunscreen. If that old adage of taking 21 days to form a habit stands true, start the sunscreen ritual today and your family will be in a good routine in no time at all.

Pick your outdoor times Being outside is great for the whole family in summer – but just try to avoid long periods in full sun between about 10am and 3pm during the hot months when the UV levels are at their most intense. Make sure wherever you are there are shady areas to retreat to.

Keep hat stashes Have a collection of easy-to-access hats for the whole family strategically positioned around the areas your family frequent. And make sure there are a couple of extras for friends and visitors who may have forgotten their hat. Keep a pile in the car, some in your beach bag and a stash around the house. While caps are very fashionable, if you’re going to be in the sun, a broadbrimmed hat offers the best protection.

Be UV index-savvy Every day, the UV index is calculated, region-by-region around Australia, and it’s given a numerical value. Here’s a rough guide to understanding what the values mean: • Less than 3 – this is termed ‘moderate’ and will result in sunburn after one hour exposed to the sun • Between 3 and 6 – this is ‘high’ and will lead to sunburn after approximately 30 minutes in the sun • Between 6 and 10 – called ‘very high’, you will sunburn after approximately 10 minutes in the sun • Greater than 10 – this is ‘extreme’

and will lead to sunburn in less than 5 minutes exposed to the sun

Wear sun-protective clothing Some garments now come with what’s called a UPF (ultraviolet protection factor) rating, particularly those aimed at being worn in the sun, like rash vests. For example, wearing clothing with a UPF rating of 40 will reduce solar UVR exposure to the skin beneath the garment by a factor of 40. This means a UPF 40 fabric will only allow onefortieth of the UVR to pass through it.

Wear sunglasses The sun can also do some major damage to the eyes – and it starts when we’re young. According to The Australian Radiation Protection and Nuclear Safety Agency (ARPANSA), long-term exposure to UVR can also cause cataracts, a clouding in the lens of the eye, which obscures vision as well as short-term eye damage if the UVR intensity is sufficiently high. Good quality sunglasses provide the eyes with substantial protection against the sun. ARPANSA recommends buying sunglasses that protect against UVR – sunglasses rated 2 to 4 have good UV protection.

Be sunscreen smart Applying sunscreen is just part of the process. To ensure you’re getting the most out of your sunscreen, know these rules: • When: Always apply at least 20 minutes before sun exposure to give the sunscreen time to bond effectively with the skin. • How much: Apply liberally so all exposed, or potentially exposed, parts of the body have sunscreen on them. As a rule of thumb, use just under a teaspoon for each arm, leg, body front, body back and face (including neck and ears). • How often: Even if the packaging says “water-resistant for four hours”, Cancer Council Australia recommends vigilant reapplication every two hours. www.kidspot.com.au

GET CLUED UP Download a UV index app on to your phone. These offer real-time measures for many regions and many even say how long it will take for the sun to damage your skin.

BYO shade

Darker colours usually block more UVR than lighter colours.

If you like to spend the morning at the beach or to go out on picnics to the park, keep a shelter, sun umbrellas or other shading items in the boot of your car. This way you can easily make your own shade and still enjoy the great outdoors.

It is the UVR-absorbing properties of the sunglass lenses that provide the protection and not the colour of the lenses – dark sunglasses are not necessarily more effective at protecting the eyes from UVR than lightly tinted sunglasses.

Keep hydrated Hot weather and running around in the great doors can rapidly dehydrate little bodies. Water helps keep the body’s temperature stable, while also keeping the body running generally. Little kids, particularly if they’re swimming, may not be aware that they’re thirsty. So make sure you have drinks on hand or easy access to clean water.

Make sure you still wear sunscreen, a hat and sunglasses under the shade because UVR can be reflected and burn the skin.

THE BEST

anti-aging FOODS

www.fitnessmagazine.com

Best for Softening Skin Why it works: This fruit is packed with vitamin C, which helps guard against the wrinkling effects of sun damage. Plus, says Debra Jaliman, MD, an assistant professor of dermatology at Mt. Sinai School of Medicine in New York City, the juice in pomegranate seeds contains both ellagic acid and punicalagin. The first is a polyphenol compound that fights damage from free radicals; the second is a supernutrient that may increase your bodyâ&#x20AC;&#x2122;s capacity to preserve collagen, the subdermal connective tissue that makes skin look smooth and plump.

pomegranates

Best for Smoothing Fine Lines

Why it works: These delicious little blue wonders contain more antioxidants than almost any other food does. Translation: They can give your skin extra protection against the skin-damaging free radicals that result from sun exposure, emotional stress, and even overexercising (especially running). Serve yourself: One-half cup every day will help to prevent the cell-structure damage that can lead to loss of firmness, fine lines, and wrinkles

blueberries

Best for Firming

Why it works: These vital veggies contain special phytonutrients, or antioxidant compounds, that help guard against damage caused by the sun. Spinach is loaded with beta-carotene and lutein, two nutrients that have been shown to improve skin elasticity, according to a study in the Journal of Agricultural Food Chemistry. Serve yourself: Every week, aim for three cups of either kale or spinach, or a combination of both, suggests Newgent.

kale & spinach

Best for Reducing Redness

Why it works: Sardines, salmon, and mackerel contain omega-3 fatty acids, which strengthen skin-cell membranes, helping keep moisture in. Consuming two servings of fish a week can reduce chronic skin inflammations, such as eczema and psoriasis. Serve yourself: No more than six 6-ounce portions a week to avoid mercury contamination.

cold-water fish

AWARENESS

Consider these foods your anti-aging staples. As a rule, fruits and vegetables high in flavonoids and carotenoids, two powerful plant-based antioxidants, will remove the free radicals from your skin and body that cause you to age prematurely. A well-balanced diet can help you lose weight, live longer and feel fitter. But it can also help you look younger. Forget the fountain of youth. Load up a plate at the feel-better buffet and turn back the clock on a full (and happy) stomach. Best for Diminishing Brown Spots Why it works: This healthy brew, says Dr. Jaliman, contains catechins (one of the most effective compounds for preventing sun damage like hyperpigmentation) and polyphenols (antioxidants that combat free-radical damage and may reverse the effects of aging). Serve yourself: At least one cup a day to see results in as little as a month.

green tea

Best for a Dewy Complexion

Why it works: This refreshing, sweet treat contains the ultimate antioxidant, vitamin C, plus lycopene and potassium, which regulates the balance of water and nutrients in cells. Serve yourself: At least one to two cups a week.

Best for a Healthy Glow

watermelon

Why it works: The “good fats” in olive oil are highly beneficial; they contain hearthealthy omega-3s, which improve circulation, leaving skin rosy and supple. Serve yourself: A tablespoon a day, says Newgent.

Best for All-round Health

olive oil

Why it works: Your skin contains plenty of water, and functions as a protective barrier to prevent excess fluid loss. But don’t expect over-hydration to erase wrinkles or fine lines, says Atlanta dermatologist Kenneth Ellner, MD. “Dehydration makes your skin look more dry and wrinkled, which can be improved with proper hydration,” he says. “But once you are adequately hydrated, the kidneys take over and excrete excess fluids.”

water

The Script Pharmacy Magazine │January 2014 • February 2014

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Independence with the backup of a reputable brand.

Access to an extended range of products at competitive prices.

Corporate services to make your business run smoother and easier.

Expertise and input in terms of best practices in financial management, merchandising and stock control.

Front shop expansion to the benefit of your customer.

Join the growing number of independent pharmacies who are already benefitting from a unique business model. Download our application form from www.leadingpharmacy.co.za.

Trusted advice: Training of all personnel in customer service, front shop management and product knowledge. Marketing campaigns to educate the consumer on medicine and the role of the pharmacist. Website and social media management.

Trusted price: Back-up of a reputable wholesaler. Negotiations with suppliers for pricing and product ranges.

CONTACT OUR TEAM NOW to gain knowledge about Leading Pharmacyâ&#x20AC;&#x2122;s offering and business model:

Send a mail to admin@leadingpharmacy.co.za or phone (013) 010 0091

Join our facebook page at www.facebook.com/Leading Pharmacy

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www.leadingpharmacy.co.za

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Credit and Returned Goods Policy Dear Valued Customer At CJ Pharmaceuticals we endeavor to provide you with the best service at all times. Accepting returned stock and passing a credit is part of that service. We would like to provide you with fair and practical guidelines. No credit exists until a credit note is issued by CJ Pharmaceuticals and no deduction, or adjustment to any invoice may be made by the customer except on the basis of a credit note. Before any product is returned to CJ Pharmaceutical Enterprises a CJW reference number must be obtained from our Customer Care Department. When returning liquids, place all the liquids in a plastic bag, before placing the products in a box. CJ Pharmaceuticals will only accept returns if the batch of the products are directly from CJ Pharmaceutical Enterprises. Products must be returned in full, unopened, undamaged, original packaging. Pharmacies must provide adequate documentation (invoice number, batch and expiry) to ensure that it is CJ Pharmaceutical Enterprises products.

ing errors. You will be issued with a CJW reference number and the product is to be returned. A credit will be issued upon receipt of the product

Acceptable Returns

Criteria applicable:

Product may be returned for credit under the following conditions: 1. Picking Errors 2. Visible Damage 3. Concealed Damage 4. Expired Goods 5. Customer Ordering Error 6. Shortages

Picking Errors: Immediately contact the Customer Care Department and report any Picking Errors. You will be issued with a CJW reference number for the product to be returned

Visible Damage: Any visible damage should be noted on the POD upon receipt of the order. Immediately contact our Customer Care Department for a CJW reference number

Concealed Damage: Immediately contact our Customer Care Department and report any concealed damage noted upon receipt of your order or within 48 hours. Our Customer Care Department will issue you with a CJW reference number as soon as we receive the stock a credit will be processed

Expired Goods: Stock received from us, nearing expiring date will be taken back according to the specific Supplier policy (Copy of Supplier Returns Policy will be attached) and provided it is from the same batch number received from us. If Better Dated stock was bought we cannot except expired stock back. Product must be in original, sealed, full unopened container. Product must have a batch number and expiration date

Customer Ordering: Immediately contact our Customer Care Department and report any customer order-

Shortages: Our policy in this case is purely based on our mutual trust relationship. We have recently introduced additional procedures and controls in order to improve our precision in this regard. Shortages must be reported within 48 hours upon receipt of stock to our Customer Care Department. Customer Care Department will give the information through to our Security Department for the CCTV footage to be viewed for the shortage. Feedback with regards to the query will be given before 48 hours after the call has been logged • Once the content of a box or parcel is checked against the invoice and any discrepancy is found ( items short or damaged), we request that it is reported to our Customer Care Department within 48 hours • A reference number (CJW number) must be obtained from our Customer Care Department – 013 665 1011 • Once you have received a reference number (CJW number), our delivery team will present a collection manifest (CJW) (white and pink copy) to collect the stock • No stock will be collected without the pink copy (CJW) of the Collection Manifest attached to the goods – please also attach a copy of the applicable invoice • When the stock arrives at the warehouse it will be checked - the invoice with the pink copy of the collection manifest will be taken to our Customer Care Department for a credit to be passed • An authorised return must be returned within 48 hours from the receipt of a CJW reference number • A valid CJW reference number and invoice must accompany all returns for proper credit • Credit is based on the original purchase price • Credit will be issued in the form of a Credit Note • We require proof of purchase (invoice) of all products returned for credit

Non-Returnable Items:

• Products without a CJW reference number (non-approved returns) • Products with more than six (6) moths remaining shelf life • Products retained more than twelve (12) months beyond expiration date • Private Label products or repacked goods • Products with missing label or with missing

batch number and expiration date • Products broken, marked or with price stickers • Products sold on a non-returnable basis • Products damaged/deteriorated due to improper handling or storage • Products not purchased directly from CJ Pharmaceutical • Fridge items • Overstock, unless agreed by the CEO in writing We would like to suggest the following procedures when receiving stock: 1. Check every invoice number (and the number of boxes and parcels per invoice) individually.(Please don’t just reconcile the total number of boxes / parcels delivered, to the quantities indicated on the POD?) 2. If our driver is calling the invoice numbers, please ensure that you witness the process and put the verified boxes / parcels behind you. 3. In the event that a box has not been received or that the box is damaged the Receiving Person must immediately declare it - next to the Invoice number on the POD. (Ex. “Box not received”, “Box damaged”) 4. We cannot be held liable for any shortages or damages, unless the POD is specifically endorsed. 5. Please get the driver to counter sign the endorsement! 6. Once the POD has been signed, NO CREDIT can be passed for any delayed claims for damaged or short boxes / parcels. 7. Please take note that the absence of a tick, or a cross, next to the undelivered invoice number cannot suffice as a proper endorsement 8. As a final check we suggest that you do a count of all the boxes and parcels that were delivered and balance that back to the quantities indicated on the POD. 9. It is regretted that we cannot entertain credits for boxes not delivered, unless the POD is endorsed accordingly We trust that the suggestions will enable both parties to solely rely on the POD in case of any future discrepancies or claims. CJ Pharmaceuticals may at its discretion, make exceptions to the Return Goods Policy based on extenuating circumstances.All returns must be made according to this Return Goods Policy. Thank you Erika Oehley Inventory Risk Manager

Supplier Return Policies ...

For more information contact : 013 665 1011 or email : customercare@cjpharm.co.za 3M South Africa (Pty) Ltd. A.I.Healthcare (Consumer) Acorn Products Activo Health Actor Pharma Adcock - MSD Adcock (UPD) Adcock Ingram Alman's Dried Fruit And Nuts Arctic Ascorbate Health Products Aspen Pharmacare Atka Pharma Austell Laboratories Avid Brands S.A.(Pty)Ltd Baobab Healthcare Bausch&Lomb Beacon Beiersdorff Bennett Brothers CC Bennetts The Chemists Be-Tabs Pharmaceuticals Bethpharm Biogaran SA (Pty) Ltd Biosphere Cosmetics South Biotech Laboratories Brunel Laboratoria (Edms) Bpk BSN-Medical (Pty) Ltd Cadbury Cedarpharm Colgate Palmolive Crovan Health Easi-Slim Equity Pharmaceuticals Pty Ferame Pharmaceuticals Georen Pharmaceuticals Glaxosmithkline South Africa Goldings Orthopaedic Gulf Drug Company Hartmann Group Healthwise Distrubutors Homemed House Of Zinplex Immunadue Herbals Isipani Pharmaceuticals CC Johnson & Johnsons Kenza Health Levtrade International Lisan International Litha Pharma Loock Pharmaceuticals Lundbeck Mc'nabs Wellth Med-E-Health Medinox CC Medpro Pharmaceutica

No Return 3 Months Before Exp - Aurth No Return 3 Months Before Exp. 2 Months Before - Aurth No Return No Return No Return (3 Months Before) 1 Month Before Exp. 3 Months Before Exp - Aurth No Return 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. No Return No Return Month Of Exp. No Return No Return No Return No Return No Return 3 Months Before Exp. No Return 3 Months Before Exp. No Return No Return 3 Months Before Exp. No Return No Return No Return No Return 3 Months Before Exp. No Return No Return No Exp Dates No Return No Return 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. No Return 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. No Return 3 Months Before Exp. 3 Months Before Exp. 4 Months Before Exp. 4 Months Before Exp.

Mirren Mish-Mish More To Life (Pty)Ltd Nampak Natel Healthcare (Pty)Ltd Nativa Pty Ltd Natural Products Nestle New Century Dist CC. New Life Healthcare Novagen Nu-Leaf Nutrilida (Pty) Ltd OTC-Pharma South Africa Oxygen For Life SA Penpharm SA (Pty) Ltd Permark Pharma Dynamics Pharmaceutical Enterprises Pharmachem Pharmaceutical Pharmafrica (Pty) Ltd Pharmamark (Pty)Ltd Pharmanatura Pharmaplan Pinnacle Pharmaceuticals Planet Hoodia Pro Distributors Reckitt Benckiser Pharma Reitzer Pharmaceuticals Revlon Roche (International Health) Rolfe Lab RTT - 3M RTT - Alcon RTT - Alliance RTT - Aspen RTT - Astellas Pharma RTT - Astrazeneca Pharmaceuticals RTT - Bioharmony RTT - Bioscience RTT - Canyon Organics RTT - Crovan RTT - Dr Reddy's RTT - Glenmark RTT - GSK RTT - GSK Consumer RTT - Inova RTT - Janssen Pharmaceutical RTT - Merck RTT - Mylan RTT -Natrodale â&#x20AC;&#x201C; Vital RTT - Nycomed Pty Ltd RTT - SCP RTT - Secpharma RTT - Specpharm RTT - Vital

No Return No Return No Return No Return No Exp Dates 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. No Return No Return No Return 4 Months Before Exp. 6 Months Before Exp. 6 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. Month Of Exp 6 Months Before Exp. 2 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp. 4 Months Before Exp. 4 Months Before Exp. No Return 3 Months Before Exp. No Return No Return No Return No Return No Return 3 Months Before Exp - Aurth Month Of Expiry - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp. 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp. 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp. 3 Months Before Exp. 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth 3 Months Before Exp - Aurth

SA Natural Products Sandoz - Hexal Sara Lee Servier Laboratories SG Convenience Smart Pharmaceuticals Pty Ltd Smith & Nephew (Pty)Ltd Solal Targuard SA CC Technicon Labs The Authentic Branded Thebe Medicare Consumer Tibb Health Sciences Tigerbrands Snacks/Treats Union Swiss Unique Formulations CC USN UTI - Abbott UTI - Allergan UTI - Bayer Consumer UTI - Bayer Dianetes Care UTI - Bayer Shering Pharm UTI - Boehringer Ingelheim Ethical UTI - Boehringer Ingelheim Selfmed UTI - Genop Pharmaceuticals UTI - Genop Skincare UTI - Imithi Ciba Vision UTI - Menholatum SA UTI - MSD UTI - Novartis Consumer UTI - Novartis Pharma UTI - Novartis Sandoz UTI - Novartis Sandoz Specialities UTI - Pfizer UTI - Pharmacia UTI - Pharmaco Amdipharm UTI - Pharmaco Distribution UTI - Pharmaplan UTI - Pharmaschript UTI - Ranbaxy UTI - Roche UTI - Sandoz - Hexal UTI - Sanofi/Aventis UTI - Shering Plough UTI - Simayla Pharma UTI - Solvay Pharma UTI - Sonke ARV UTI - USN (Ultimate Sport) UTI - Winthrop UTI - Wyeth UTI - Wyeth Consumer UTI - Pharmaplan Validus Medical Vital Wellness Direct Suppliers XS Health

6 Months Before Exp. 2 Months Before Exp. 3 Months Before Exp. Month Of Exp - Aurth No Return 3 Months Before Exp. 3 Months Before Exp. No Return No Exp Dates No Return No Return No Return 6 Months Before Exp. 3 Months Before Exp. No Return No Return No Return No Return Month Of Exp. Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth No Return No Return Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After Month Of Expiry - Aurth Month Of Exp 3 Months After Month Of Exp 3 Months After 2 Months Before Exp. 2 Months Before Exp. Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth No Return Month Of Exp 3 Months After - Aurth No Return Month Of Exp 3 Months After - Aurth 2 Month Before Exp. No Return Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth Months Before Exp. Month Of Exp. Month Of Exp 3 Months After - Aurth Month Of Exp 3 Months After - Aurth No Return 3 Months Before Exp. No Return 6 Months Before Exp. 3 Months Before Exp.

Supplier List Contact our Buying Agent, Estelle van Tonder: estelle@cjpharm.co.za • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

3M SOUTH AFRICA (PTY) Ltd. ABBOT ACTIVO HEALTH ACTOR PHARMA ADCOCK CRITICAL CARE ADCOCK INGRAM AKACIA HEALTHCARE ALCON ALLERGAN ANMARATE PHARMACEUTICAL ARCTIC ASPEN PHARMACARE ASTELLAS ASTRA ZENECA ATKA PHARMA AUROBINDO AUSTELL LABORATORIES AVID BRANDS S.A.(PTY)LTD BAOBAB HEALTHCARE BAUSCH & LOMB BAYER DIABETICS BAYER SCHERING BEIERSDORF CONSUMER PRODUCTS BENNETT BROTHERS BENNETTS THE CHEMISTS BETA PHARMACEUTICAL BE-TABS PHARMACEUTICALS BIOGARAN BIOSCIENCE BIOSWISS BIOTECH LABS BOEHRINGER BROTHERLY LOVE BRUNEL LABORATORIA BSN-MEDICAL CEDARPHARM COMED HEALTH CREME CLASSIQUE DENTAL WAREHOUSE DEVINO DR REDDY’S ELI LILY ENERGIZER EQUITY PHARMACEUTICALS EVOLABS FLORDIS FOUNTAIN MEDICAL FRESENIUS KABI SA FUTUREHEALTH GABINA HEALTH & BEAUTY GALDERMA GENOP

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

GEOREN PHARMACEUTICALS GLAXOSMITHKLINE SOUTH AFRICA GUIDELINE TRADING GULF DRUG COMPANY HARTMANN GROUP HERBEX HOMEMED HOUSE OF ZINPLEX HUMOR DIAGNOSTIC IMSYSER HEALTH PRODUCTS INCOLABS INOVA JANSEN CILAG JOHNSON & JOHNSONS KENZA HEALTH KYRON LABORATORIES LEE-CHEM LABORATORIES LEVTRADE INTERNATIONAL LISAN INTERNATIONAL LITHA PHARMACEUTICAL LOOCK PHARMACEUTICALS MC’NABS MEDA PHARMACEUTICAL MED-e-HEALTH MEDINOX MEDPRO PHARMACEUTICA MERCK MERCK OTC MICROLIFE MIRREN MNI LIFESTYLE MSD MSD CONSUMER MUNDI PHARMA NAMPAK NATIVA NATURAL PRODUCTS NATURAL WELLNESS NOVAGEN PHARMA NOVARTIS CONSUMER NOVARTIS PHARMA NOVO-NORDISK TAKEDA OMEGA LABS ONE FOR ALL SUPPLEMENTS OXYGEN FOR LIFE SA PAKMED SELF MEDICATION PENPHARM SA PEPPINA SALES PERMARK PFIZER LABORATORIES PHARMA DYNAMICS

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

PHARMA NATURA PHARMACEUTICAL ENTERPRISES PHARMACHEM PHARMACEUTICAL PHARMACO DISTRIBUTORS PHARMAMARK PINNACLE PHARMACEUTICALS PORTFOLIO PHARMACEUTICALS PRO DISTRIBUTORS PROCTER & GAMBLE QUALITY SUGARS RANBAXY RECKITT BENCKISER PHARMA REITZER PHARMACEUTICALS REVLON ROCHE DIAGNOSTIC ROCHE PRODUCTS (PTY)LTD ROLFE LAB SA NATURAL PRODUCTS SAM NUTRITIONALS SANDOZ SA SANOFI AVENTIS SANOFI PASTEUR SCHICK SERVIER LABORATORIES SG CONVENIENCE GAUTENG SLIMBETTI SMITH & NEPHEW SOLAL TECHNOLOGIES SPECPHARM SPORT AND HEALTH TECH STAR CHOICE (IMMUNADUE) TARA PHARMACEUTICAL TARGUARD SA TECHNICON LABS TELEGENIX TEVA PHARMACEUTICAL TFD (REDBUL) TIBB HEALTH SCIENCES TIGER BRANDS TOPAZ (SKIN PHD) ULTIMATE SPORTS NUTRITION VALIDUS MEDICAL VAN DYK PHARMACEUTICAL VIKELEKA HERBAL VITAL HEALTHCARE WATSON PHARMACEUTICAL WINTHROP WINTROP PHARMACHOICE XS HEALTH YIWIEDA TRADING

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act before it’s too late

QUICK GLOBAL WARMING FACTS 1. Global warming is the increase of Earth’s average surface temperature due to greenhouse gases, such as carbon dioxide emissions from burning fossil fuels or from deforestation, which trap heat that would otherwise escape from Earth. 2. Greenhouse gases keep heat close to the earth’s surface making it livable for humans and animals. However, global warming is happening largely to an over-emittance of these gases and fossil fuels (natural oil, gasoline, coal). 3. With the start of industry in the 1700s, humans began emitting more fossil fuels from coal, oil, and gas to run our cars, trucks, and factories. By driving a “smarter” car, you can not only save on gas, but help prevent global warming.4. There is more carbon dioxide in the atmosphere today than at any point in the last 800,000 years. 5. In the last century, sea levels rose roughly 7 inches after not having changed noticeably in the previous 2,000 years. Sea levels rising are an effect of global warming and put many states at risk of existing in the near future. 6. Consequences of global warming include drought, severe hurricanes, massive fires, and melting of the polar caps. Heat waves caused by global warming present greater risk of heat-related illness and death, most frequently among patients of diabetes who are elderly or very young. According to the U.S. Global Change Research Program, the temperature in the U.S. has increased by 2 degrees in the last 50 years and precipitation by 5 percent. 7. Global warming puts coral reefs in danger as warmer water increases the possibility of coral diseases and the rising sea levels makes it more difficult for coral to receive adequate sunlight.. http://www.dosomething.org/actnow/tipsandtools/11-facts-about-global-warming

Account No:

ORDER FORM

Pharmacy Name:

EXCLUSIVE PROMOTION!!

VALID FROM 1 JAN 2014 - 25 FEB 2014 Product

Normal Price Excl VAT

Deal

Netted Down Price Excl VAT

FENJAL BODY WASH 200ML

R37.75

R36.15

FENJAL CREME BATH 200ML

R68.70

R65.15

FENJAL FOAM BATH 200ML

R67.90

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Your order

All prices are exclusive of VAT FAX ORDERS TO: 086 697 9506

For any further enquiries regarding the above please contact Estelle 013 665 1011

Account No:

ORDER FORM

Pharmacy Name:

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VALID FROM 1 JAN 2013 - 25 FEB 2014 Product StaminoGro 60 (6+2) Minimum Buy-In: 20 Packs

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Pharmacy Name:

EXCLUSIVE PROMOTION!!

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R424.90

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No.1 Topical Pain Relief Treatment* Worldwide3 S1 Voltaren® Emulgel®. Each 100 g of Voltaren® Emulgel® contains 1.16 g diclofenac diethylammonium corresponding to 1 g diclofenac sodium. Reg. No. U/3.1/77. Note: Refer to the package insert for more details. Applicant: Novartis South Africa (Pty) Ltd. Company Reg. No. 1946/020671/07. 72 Steel Road, Spartan, Kempton Park. Tel: +27 (0)11 929 9111. Fax: +27 (0)11 929 2063. Marketed by: Novartis Consumer Health S.A., a division of Novartis South Africa (Pty) Ltd. 49832. August 2013. References: 1. Zacher J, Altman R, Bellamy N, Bruhlmann P, Da Silva J, Huskisson E, Taylor RS. Current Medical Research and Opinion Vol. 24 No. 4; 2008: 925-950 2. Predel H-G, Gianetti B, Hug A-M, Burnett I. Efficacy and safety of diclofenac diethylamine 1.16% gel in the treatment of acute neck pain: a randomized, double-blind, placebo-controlled study, 2012. 3. Nicolas Hall’s global OTC database DB6 May 2013. * Non-prescription