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The company Internet site describes a "two step system" with certain products for "first time users" and others for "continued use mood disorder meds buy 150 mg zyban fast delivery. It is said to contain 14 herbs including burdock root, nettle, red clover bloom, ginseng root, echinacea root, yellow dock root, dandelion root, blessed thistle, schizandra, astragalus root, olive leaf, plantain, Oregon grape, psyllium, and milk thistle. The advertising language explains the chemicals found in these plants are potent antioxidants and stimulate the human immune system. Although this statement is true in that plant chemicals called flavinoids are highly potent antioxidants, not all plants contain flavinoids. There are no published studies looking at the effects of these plantderived flavinoids on chronic hepatitis C. Information about the silymarin or silybin content is not provided, so it is difficult to know the potency of these products. Silymarin is the active ingredient in milk thistle, and all the clinical trials involving milk thistle specify of the dose of silymarin. They site further states, "Recovery from cirrhosis took place over 1 to 7 months depending on the complexity and stage of the disease. It is also unclear where this product was researched and how it was determined to be safe. The relative amounts of each botanical in the formula are not given, so it is difficult determine the immune stimulating activity of the formula. Caring Ambassadors Hepatitis C Choices: 4th Edition from hepatitis C and [a] weakened immune system. Various over-the-counter products that contain kola nut have been found to contain high amounts of caffeine. Because this is a liquid formula, the amount of caffeine in the product would be hard to regulate and difficult to label. If high amounts of caffeine are the ingredient producing the "needed boost throughout the day," green tea or another inexpensive source of caffeine may provide an economical alternative. However, it may still be available through some Internet sites, so it is included here for your information. Each capsule is said to contain 250 mg of a combination of the first three plants in 250 mg of a combination of the base herbs. None of the three primary plants is commonly known to have any action on the liver or gall bladder. This means the amounts of the botanicals involved in the study were below the amounts commonly used in published research that has examined the individual action of turmeric, milk thistle, and dandelion root. The information previously made available by the manufacturer includes a study done in Canada with 23 patients who had either hepatitis B or C, or both. Participants who experienced normalization of their liver enzymes had varying histories of hepatitis C infection from 2 to 24 years duration. The investigators reported the participants in this study had relief from digestive symptoms and insomnia, but they did not document when or for how long this occurred. It is unknown whether the claims for this product could be reproduced in clinical trials conducted in the United States. Information on viral load levels and liver enzymes in these 11 people is inadequate to allow evaluation of the effects of the product. Ten people in the study were taking other substances (vitamins and other herbs) and receiving acupuncture treatments during the study. Liver enzyme levels were normal in five people at the end of the study period, but all of these people were taking other herbs and vitamins that were not specified. Chapter 17: Products Marketed to People with Hepatitis C providers have agreed to conduct clinical studies with this product. As of April 2008, no information is available on the Pacific BioLogics Internet site to indicate whether these studies were conducted. Whether this finding has any relationship to viral hepatitis is questionable because different factors are responsible for liver damage in chronic hepatitis C. All of these plants are recognized in the writings of traditional Ayurvedic herbal medicine as treatments for liver problems.

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However clinical depression definition wikipedia purchase genuine zyban on line, in my experience, Chinese medicine can be highly effective for the management of side effects from drug therapy. While these therapies have not undergone clinical trials in the west, many of them have been used for centuries in China for hepatitis and other conditions. It is important to discuss all treatment approaches with both your eastern and western practitioners in order to ensure the safety of and to gain the greatest benefit from all of your treatment modalities. For recommended reading on traditional Chinese medicine, please see the Resource Directory. See Chapter 14, Naturopathic Medicine for more information about the naturopathic approach to treating viral hepatitis. See Chapter 16, Nutritional Supplementation for additional details on the nutritional supplements mentioned in this section. Oxidative stress refers to a state in which there is an overabundance of molecules called free radicals. Free radicals can damage cells and are involved in the processes of inflammation and scarring. The study results were mixed, with one showing significant benefit and the other no evidence of benefit. In addition, alfa lipoic acid has been shown to prevent damage that results from free radical production in both the nervous system and the liver. This dose has been used in other conditions and has been shown to be safe and free of side effects. This is one of the reasons vitamin E is particularly helpful in preventing liver damage. As explained in Chapter 16, Nutritional Supplementation, vitamin E interrupts the biochemical pathways that lead to liver fibrosis. The most beneficial forms of vitamin E are d-alfa-tocopherol, d-alfa tocopherol succinate, and mixed tocopherols. L-glutamine and the amino acid cysteine are both required by the body to make glutathione. An L-glutamine deficiency can lead to problems absorbing nutrients from the intestine. In one study, the daily doses of L-glutamine supplementation ranged from 8 grams to 40 grams. The people who gained the most lean body mass took daily doses of 40 grams per day (divided into four equal doses of 10 grams) for a period of 12 weeks. L-Glutamine L-Carnitine L-carnitine is an amino acid that is particularly important for muscle and immune cells. Carnitine is available both as a prescription drug and over-the-counter as a nutritional supplement. These supplements can also be used safely in combination with western therapies and/or traditional Chinese medicine. A healthcare provider who is trained in clinical nutrition and the treatment of coinfection should be consulted for optimal benefit from an antioxidant protocol. It is important to discuss your nutritional supplementation with all of your healthcare providers to make sure your protocol is both safe and effective. N-acetyl cysteine enhances the response to interferon-alpha in chronic hepatitis C: a pilot study. Combination therapy with interferon-alpha plus N-acetyl cysteine for chronic hepatitis C: a placebo controlled double-blind multicentre study. Association of alpha-interferon and acetyl cysteine in patients with chronic C hepatitis. Studies on lipoate effects on blood redox state in human immunodeficiency virus infected patients. A randomized, double-blind, placebo-controlled trial of deprenyl and thioctic acid in human immunodeficiency virus-associated cognitive impairment.

He reports receiving speaker fees from Bristol-Myers Squibb depression in young adults order zyban in united states online, Forest Pharmaceuticals, Inc. Roy-Byrne reports receiving consultant or advisory fees from Jazz Pharmaceuticals, Inc. He reports receiving speaker honoraria (via a continuing medical education company) from Forest Pharmaceuticals, Inc. Sareen reports receiving honoraria from Wyeth, AstraZeneca, Lundbeck, and GlaxoSmithKline. Simon reports receiving research support from Cephalon, Pfizer, AstraZeneca, Forest Pharmaceuticals, Inc. She reports receiving consultant fees or honoraria from Paramount BioSciences, Anxiety Disorders Association of America, American Psychiatric Association, American Foundation for Suicide Prevention, Forest Pharmaceuticals, Inc. The Executive Committee on Practice Guidelines has reviewed this guideline and found no evidence of influence from these relationships. The ultimate judgment regarding a particular clinical procedure or treatment plan must be made by the psychiatrist in light of the clinical data presented by the patient and the diagnostic and treatment options available. This practice guideline has been developed by psychiatrists who are in active clinical practice. A number of mechanisms are in place to minimize the potential for producing biased recommendations because of conflicts of interest. Practice guidelines for the treatment of patients with panic disorder that have been published by other organizations also were reviewed (1, 2). When reading source articles referenced in this guideline, readers are advised to consider the sources of funding for the studies. This document represents a synthesis of current scientific knowledge and rational clinical practice regarding the treatment of patients with panic disorder. It strives to be as free as possible of bias toward any theoretical approach to treatment. In order for the reader to appreciate the evidence base behind the guideline recommendations and the weight that should be given to each recommendation, the summary of treatment recommendations is keyed according to the level of confidence with which each recommendation is made. Each rating of clinical confidence considers the strength of the available evidence and is based on the best available data. When evidence is limited, the level of confidence also incorporates clinical consensus with regard to a particular clinical decision. In the listing of cited references, each reference is followed by a letter code in brackets that indicates the nature of the supporting evidence. Part B, "Background Information and Review of Available Evidence," and Part C, "Future Research Needs," are not included in the American Journal of Psychiatry supplement but are provided with Part A in the complete guideline, which is available in print format from American Psychiatric Publishing, Inc. Part B provides an overview of panic disorder, including general information on natural history, course, and epidemiology. It also provides a structured review and synthesis of the evidence that underlies the recommendations made in Part A. The following guide is designed to help readers find the sections that will be most useful to them. Part A, "Treatment Recommendations," is published as a supplement to the American Journal of Psychiatry and contains general and specific treatment recommendations. A strong therapeutic alliance is important in supporting the patient through phases of treatment that may be anxiety provoking [I]. Performing the psychiatric assessment Patients should receive a thorough diagnostic evaluation both to establish the diagnosis of panic disorder and to identify other psychiatric or general medical conditions [I]. This evaluation generally includes a history of the present illness and current symptoms; past psychiatric history; general medical history; history of substance use; personal history. Assessment of substance use should include illicit drugs, prescribed and over-thecounter medications, and other substances. Delineating the specific features of panic disorder that characterize a given patient is an essential element of assessment and treatment planning [I]. It is crucial to determine if agoraphobia is present and to establish the extent of situational fear and avoidance [I]. The psychiatrist also should evaluate other psychiatric disorders, as co-occurring conditions may affect the course, treatment, and prognosis of panic disorder [I].

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There are limited older data on how often cognitive assessments were performed in primary care anxiety 9 months after baby buy zyban. This view is consistent with recent data indicating that brief structured assessment instruments are imperfect tools and comprise just one aspect of the diagnostic process. This includes reports of symptoms from family, caregivers or friends (98 percent) or patients themselves (97 percent), or requests for an assessment from family or caregivers (98 percent) or patients (94 percent). Ninety-six percent assess a patient for cognitive impairment if their own subjective assessment during an office visit indicates potential impairment. Several studies have also reported high refusal rates, ranging from 48 percent to 67 percent. Additional concerns about the impact of a diagnosis on the patient, lack of confidence in assessing, business concerns and difficulties with patients were also cited. Nine of 10 seniors would also want to undergo further testing to learn more about the problem and how it might be treated. Furthermore, one in nine seniors (11 percent) say that these changes interfere with their ability to function in activities such as cooking, getting dressed and grocery shopping. Fortyeight percent of seniors report doing activities or hobbies specifically because they hope it will help them with memory or thinking. This contrasts with the 84 percent who reported spending time doing activities that are beneficial for brain health in a 2006 telephone survey conducted by the American Society on Aging and the MetLife Foundation of attitudes and awareness of brain health involving 1,000 adults age 42 and older. Among those who have, 37 percent talked to their primary health care provider and 12 percent talked to a specialist. Among the entire population of seniors surveyed, 47 percent have ever discussed their thinking and memory abilities with a health care provider, and 34 percent have done so in the last year. Only one-quarter of seniors report that a health care provider has ever asked them if they have concerns about their thinking and memory without the seniors bringing it up first, and just 15 percent report having ever brought up concerns on their own, without a health care provider raising the topic first. When asked whether they agree or disagree with the statement "I trust that my doctor will recommend testing for thinking and memory problems if it is needed," 93 percent of seniors reported that they strongly (54 percent) or somewhat agree (39 percent). A26 Only 2 percent of seniors believe that early detection of cognitive impairment is mostly harmful, and the top reasons focus on the negative psychological impact it may have. Although most seniors believe in the value of assessment and early detection, a substantial minority (up to onethird) also express concerns about assessment and testing: 29 percent believe that tests for thinking or memory problems are unreliable; 24 percent agree that the idea of all seniors being tested for thinking or memory problems is insulting; and 19 percent believe there is no cure or treatment for thinking or memory problems, so why bother testing for them. High-risk patients were defined as those with a family history of dementia, personality changes, depression, unexplained deterioration of a chronic disease, or falls and balance issues. Awareness and Utilization of Medicare Benefits Annual Wellness Visit Seventy-eight percent of seniors say they are knowledgeable about what their Medicare benefits cover, and 63 percent say they pay close attention to changes in Medicare laws and the benefits that are covered. Most (54 percent) also say they try to make full use of their benefits, getting all the tests, assessments and doctor visits available to them. Conversely, 46 percent say they use their Medicare benefits only when they are having a problem or need medical care. For example, those with fewer years in practice assess a greater percentage of their older patients for cognitive impairment (53 percent versus 46 percent), are more likely to assess all of their older patients as part of their standard protocol (49 percent versus 43 percent) and think that early detection is beneficial for a higher percentage of their patients (66 percent versus 61 percent) than those with 25 or more years in practice. They are also more likely to use structured assessments during cognitive evaluations (91 percent versus 86 percent) and refer patients to a specialist when cognitive impairment is detected (61 percent versus 57 percent). Important messages for seniors are that their doctors think cognitive assessments are valuable, and that they should speak to their doctor if they have concerns about their thinking or memory. With four of five seniors indicating that brief cognitive assessments are beneficial and nine of 10 saying they trust their doctor to recommend cognitive testing, it is clear not only that seniors value cognitive assessments, but also that they are waiting for their doctor to ask about their thinking and memory symptoms. A handful of primary care provider training programs have been developed to aid cognitive assessment in the primary care setting. Positive outcomes reported by these studies include increased cognitive assessment rates, improved ability to detect dementia, increased clinician confidence in diagnosis and dementia care overall, and higher patient satisfaction. As new diagnostic tools become available for clinical practice, physician and consumer attitudes and practices with respect to brief cognitive assessments may also evolve. Trends of Hope Despite significant challenges to improving brief cognitive assessments in the primary care setting, there are a number of encouraging signs that the United States is moving toward better and more numerous assessments, and better awareness of cognitive decline. The 26 percent figure was applied to the total number of caregivers nationally and in each state, resulting in a total of 16. One individual per household was selected from the landline sample, and cell phone respondents were selected if they were 18 years old or older.

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Tsubota K depression technical definition buy zyban line, Fukagawa K, Fujihara T, et al: Regulation of human leukocyte antigen expression in human conjunctival epithelium. Obata H, Yamamoto S, Horiuchi H, et al: Histopathologic study of human lacrimal gland. Nasu M, Matsubara O, Yamamoto H: Post-mortem prevalence of lymphocytic infiltration of the lachrymal gland: A comparative study in autoimmune and non-autoimmune diseases. Ciprandi G, Buscaglia S, Pesce G, et al: Effects of conjunctival hyperosmolar challenge in allergic subjects and normal controls. Yokoi N, Takehisa Y, Kinoshita S: Correlation of tear lipid layer interference patterns with the diagnosis and severity of dry eye. Hikichi T, Yoshida A, Fukui Y, et al: Prevalence of dry eye in Japanese eye centers. Barabino S, Rolando M, Camicione P, et al: Systemic linoleic and gamma-linolenic acid therapy in dry eye syndrome with an inflammatory component. Because of it proximity and contiguity with the sclera, episclera and conjunctiva, conditions affecting these structures including infections, hypersensitivity disorders, mass lesions and degenerations may secondarily spread to 1 involve the limbus and peripheral cornea. Unlike the avascular central cornea, the limbus and peripheral cornea obtain part of their nutrient supply from the anterior conjunctival and deep 2 episclera vessels which extend 0. Accompanying these vessels are subconjunctival lymphatics which drain into the regional lymph nodes, providing access to the affarent arm of the corneal immunologic reactions. The presence of this limbal vasculature allows for limited diffusion of some molecules such as immunoglobulins and complement components into the cornea. IgA and IgG are found in similar concentrations in the peripheral and central cornea, but there is more IgM in the periphery probably because its larger size restricts diffusion into the central cornea. C1, the recognition unit of this pathway is more concentrated in the peripheral cornea. It might be expected that antigen-antibody complexes, may activate complement more effectively in the peripheral than in the central cornea. The resultant attraction of inflammatory cells including neutrophils and macrophages may release proteolytic and collagenolytic enzymes that cause destruction of the peripheral cornea. Langerhans cells, the dendritic antigen presenting cells are distributed most abundantly in the conjunctiva and peripheral cornea, with very few detected in the central cornea. In addition to antigen presentation, these cells may be capable of 3 inflammatory mediator secretion and may thus contribute to peripheral corneal ulceration. Histologically, the peripheral cornea also contains a reservoir of inflammatory cells including 2 neutrophils, eosinophils, lymphocytes, plasma cells and mast cells. Definition Peripheral ulcerative keratitis refers to a crescent shaped destructive inflammation of the juxtalimbal corneal stroma associated with an epithelial defect, presence of stromal inflammatory 4 cells, and stromal degradation. The ulceration may progress both centrally and circumferentially, relentlessly, unresponsive to topical or conservative local therapy. On slit lamp biomicroscopy, one finds variable degrees of stromal loss or thinning adjacent to the limbus. As in all true ulceration, there is an epithelial defect with an underlying subepithelial inflammatory infiltrate. Associated scleritis, especially the necrotizing form, is a highly significant finding because its presence signals an underlying systemic vasculitic process. The corneal thinning caused by these conditions has different courses and requires different treatment. Any microbe, including bacteria (Fig 2), viruses, fungi and parasites may cause peripheral ulceration. Physical examination of the head and neck, extremities 6 and skin may reveal significant signs or guide the physician to the possible diagnosis (table 3). For example the presence of saddle nose deformity and/or auricular pinnae deformity can be signs of relapsing polychondritis. Loss of facial expression or a tight skin may suggest the diagnosis of scleroderma. The findings of history, review of systems and physical examination should guide the testing to be ordered. Appropriate cultures and corneal scrapping should be done to exclude infectious etiologies. The combination of clinical data, test results and biopsy findings can lead to better diagnostic prediction.

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About the Security Industries Authority Staff

The Security Industies Authority is headed by a Registrar as the CEO and has thirteen (13) other staff members from all four (4) regions of the country working under him. These includes the Manager Finance and Administration, Manager Licensing and Compliance and four (4) Regional inspectors(MOMASE, Islands, Highland and Southern).

The Inspectors job are very challenging because they are at the front line of enforcement to ensure that private security companies are compliant with the provisions of the Security Protection Act to operate a security company. Most of them are former officers of the Royal PNG Constabulary. Apart from them we also have a efficient staff made up of the Executive Secretary, Accounts Officer, HR Officer , I.T Officer & an Office Janitor in Head Office Port Moresby while Admin Assistance/ Driver and an Office Admin/ Reception in Lae Momase & Highlands Region branch office.

Staff Profiles


Mr. Paul Kingston Isari

Registrar & CEO of PNG Security Industries Authority


Mr. Philip Gene, BAC, CPA PNG

Manager Finance & Administration


Mr. Spencer Gelo

Manager Licencing & Compliance

POM Office Staff

Front left – right Ms Margaret Biskum- Security Inspector New Guinea Islands, Ms Alicia Nana – Executive Secretary & Mrs Mackey Kembi Office Janitor

Back left – right Mr. Rinson Ngale – Security Inspector NCD/Southern Region, Mr. Emmanuel Tumbe HR Officer, Mr. Elijah Fave – Accounts Officer, Mr. Andrew Kaiap – I.T Officer


Lae Office Staff

Front left – right Ms Nelison Roberts – Office Secretary / Reception , Mr. Elvis Otare – Office Admin Assistance / Driver & Acting Momase Region Inspector

Back left – right Vacant – Office Manager & Security Inspector Momase Region, Mr. Pius Moi – Acting Office Manager Security Inspector Highlands Region

Security Industries Authority organizational chart


Vacancies for Council Representatives from the Security
Industry to sit in the Council

The Security Industries Authority currently does not have any vacant Council Representative position. There in total six (6) nominated representative from Security Industries in the council.(see SIA Council)

Qualified candidates will be made known here if there is a vacant in Council Representative positions.

Security Industries Authority Position Vacancies

SIA Currently has no vacancy positions available. Public will be notified for any positions available in the future.

Criteria for appointment to the Security Industries Council

  1. The candidates must have a sound knowledge in the operations of private security companies and are quite versed with the Security Protection Act 2004.
  2. The candidates shall not be currently employed in any licensed security companies that are currently registered with the Security Industries Authority or were not previously employed by any licensed security companies.
  3. The candidates shall not be a current owner or a shareholder of a licensed security company currently registered with the Security Industries Authority and the IPA (Investment promotion Authority).
  4. The candidates shall not be a previous owner or a shareholder of a licensed security company registered with the Security Industries Authority or with the IPA. (Investment promotion Authority).
  5. Interested persons may submit their application with a CV with three (3) references named and attached with their latest passport size photos.
  6. Both male and females are encouraged to participate.
  7. Only registered security companies and permitted security guards will participate in the nominations.
  8. All candidates shall be subjected to a fit and proper persons test before they are formally appointed for 3 years term by the Minister for Police & Internal Security.

For enquiries on this matter

Visit us at the Top floor of the Former Fraud Squad blue building, Gorobe Street, Badili, 2 Mile, Port Moresby NCD or Lae at Post Office Building, second street, top floor, suite # 14, Lae Morobe Province or write to the Chairman Security Industries Council PO BOX 80 Port Moresby National capital District. You can also contact Manager Licensing & Compliance – Mr. Spencer Gelo on telephone 3239851 / 3257930, or email executivesecretary@sia.gov.pg

Invitation to the Stake Holders and the Industry to make a submission on the amendments to current security Protection Act

The Registrar now invites all the registered security companies, service receivers and interested stake holders for their written submission to amend the current Security Protection Act to cover many grey areas of the law.

The submissions should clearly state what provisions of the current Security Protection Act 2004 and the Security Protection regulation 2012 are to be amended to enhance the growth of the industry. This is necessary in light of numerous complaints from the security companies and interested stake holders of the short falls in the current Act which is said to be hindering the growth of the industry.

All submissions must be dropped at The Authority Head Office: Former Fraud Squad Office, Top Floor, Gorobe Street, 2 Mile Drive, Badili,Boroko NCD in Port Moresby. They can also be posted or emailed using the address on the last page. Copies of the current Security Protection Act 2004 can be obtained at the Security Industries Authority office for K35 to use as a guide to prepare the submissions.

Appointment to the Board of Complaints

The Security Industries Authority in compliance with section 57 of the Security Protection Act 2004 has already advertised in the media in early February 2013 seeking for two (2) interested persons to sit on the Board of Complaints.

The purposes of the Board of Complaints is to hear allegations made against licensed security companies by the general public and to award appropriate disciplinary penalties to protect the integrity of the security industry. Several applications have already been received and the short listed candidates will be advised in writing by the chairman shortly before a final selection is made for their three (3) yeas appointments by the Minister for Police and Internal Security.