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Supreme Court of Canada dismisses Sobeys’ appeal

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Supreme Court of Canada dismisses Sobeys’ appeal

The Supreme Court of Canada has dismissed Sobeys’ appeal to challenge the College of Pharmacists of BC’s bylaws prohibiting incentives for prescriptions and pharmacy services.

This turn of events means that pharmacies cannot offer incentives for prescription medication or pharmacy services, which has been true since January 2016.

The College bylaws originally came into force in December 2013 and were successfully challenged by Sobeys in the BC Supreme Court in July 2014. The College then filed with the BC Court of Appeal, and in January 2016, had the situation overturned. Finally, on March 24, 2016, Sobeys submitted a file to appeal with the Supreme Court of Canada, but that request has been dismissed with costs.

“The College considers the provision of incentives like redeemable points to be unethical, unsafe and unprofessional,” says College Registrar Bob Nakagawa. “Pharmacists are medication experts, and sometimes the right thing for them to do is not dispense a drug. A patient’s motivation to collect redeemable points may inappropriately encourage drug use and can put their health at risk.”

Omega-3 supplements may improve dry eye disease symptoms

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Omega-3 supplements may improve dry eye disease symptoms

According to a study out of the journal Clinical Interventions in Aging, omega-3 fatty acids may reduce ocular inflammation associated with dry eye disease.

This underreported and undertreated affliction is caused by lacrimal dysfunction, increased osmolarity of the tear film, and, most importantly, inflammation of the ocular surface.

The study looked at 1,419 patients with dry eye who used artificial tears. The participants were directed to take three 1.5g omega-3 capsules a day, each of which contained EPA and DHA. At the end of the study, ophthalmologists found that 91.6 per cent of the patients’ symptoms had improved due to the supplementation, allowing them to decrease their use of artificial tears.

If a customer with dry eye comes into your store, steer them toward your omega-3 supplements. Offer them a product that contains both EPA and DHA, and they may see a vast improvement in their symptoms with regular use.

The looming Canada Post strike: what you need to know

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The looming Canada Post strike: what you need to know

As of July 2, Canada Post workers will be in a legal position to walk off the job, or be locked out by the Crown Corporation. For e-commerce retailers and small businesses, this potential work stoppage could cause serious issues in conducting daily business.

For e-commerce companies using the service, Canada Post’s temporary shutdown could mean increased shipping costs to cross-border clients. This may mean trouble for retailers who cannot afford to absorb the higher fees that come with shipping outside of Canada.

Additionally, many small businesses depend on Canada Post to conduct daily business, as many courier services come with a heftier price tag. In 2013, the Canadian Federation of Independent Business (CFIB) did a survey which demonstrated that 98 per cent of small-business owners use its letter mail services on a monthly basis. Moreover, 40 per cent sent 50 or more pieces of mail per month.

As such, the CFIB is advising small businesses to plan ahead when it comes to paying suppliers and sending products before the potential strike date. Monique Moreau, the CFIB’s director of national affairs notes that this issue could even lead to “cash flow problems for businesses waiting for cheques.”

“The ramifications can be significant,” she says.

John Hamilton, a Canada Post spokesperson, also notes that some small businesses are now using online services for things like invoice payments, allowing them to rely less on mail services.

“It’s unfortunate, but we understand what customers have to do to protect their business,” he says, adding that Canada Post is working hard to avoid a work disruption.

To ensure that your mail will be received before June 30, check out Canada Post’s list of mailing dates here.

Wal-Mart picks a new chief for its Canadian stores

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Walmart to Grow Food Business

Wal-Mart has announced that Lee Tappenden will lead its Canadian business, effective August 15 of this year. Tappenden is taking over the helm for Dirk Van De Berghe, who will now head the company’s operations in China.

Tappenden is a 20-year Wal-Mart veteran, working in various positions globally during his time with the company. Currently, he is the COO of the company’s Canadian division.

This announcement comes at a time when the retailer has been expanding its presence in Canada: now, it boasts more than 400 stores across the country. Additionally, Tappenden is taking over Canadian operations as Wal-Mart has cut ties with Visa Inc. over what it says are exorbitantly “high fees.”

“Lee is extremely well poised to lead Walmart Canada and continue the momentum of growth we are seeing in this market,” says David Cheesewright, chief executive of Walmart International.

Why is Brexit Affecting the Canadian Dollar?

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Why is Brexit Affecting the Canadian Dollar?

The approbation of the exit of Great Britain from the European Union, popularly known as Brexit, is a political and social event without historical precedent. Certainly, this will be remembered for generations.

Without a doubt, Brexit will bring a whole new set of problems upon Great Britain. From social issues to economic volatility, this situation will have a deep impact on the way British people live. But what about other Commonwealth countries, like Canada?

The destructive effect of Brexit on the Canadian economy is already reporting casualties. This week, we saw immediate losses for the Canadian Dollar, reaching historic lows. Upcoming weeks could see an even further decline.

Here’s why Brexit is damaging the Canadian Dollar:

Global Aftermath

Before getting into the Canadian situation, we must be clear of Brexit’s global-scale repercussions. Brexit represents, by any means, instability and doubt. In financial matters, these two things are key ingredients to total disaster.

Just as expected, after the decision made public, investors went crazy. So far, many solid stocks from around the world are reaching historic lows. This includes indexes like the American Dow Jones Industrial Average, losing 3.39 per cent in a single session.

In the FOREX scenario, it was pretty clear that an effective Brexit would mean the crash of most currencies, giving priority to the British Pound and the Euro. Now, both currencies have declined in value, fast.

The social reaction, however, will take a bit longer. The results of the referendum aren’t overwhelming: the positive answer to the exit proposition got 51.9 per cent against 48.1 per cent, representing only a difference of 1,269,501 voters from 33,551,986 total.

Social media’s response to the results expresses the younger generations’ anger at the situation, as they are now facing isolation from other European countries and many other disadvantages. At the same time, Europeans will now see Great Britain as the xenophobe neighbor. Not good for business.

Why is the Canadian Dollar Suffering?

Now, let’s talk about Canada. It is true that this North American country isn’t part of the EU by any means. But the ties between this nation and the economic block are notable.

First, Canada is part of the well-known Commonwealth, an organization of the former British Empire’s territories. Just like the EU, the members of the Commonwealth share an important set of social and economic politics.

As expected, the leader of the Commonwealth of Nations is Great Britain, with Queen Elizabeth II as the head of the organization. The Brexit is causing chaos in Great Britain’s economy, which creates a domino effect for all the members of the Commonwealth.

In addition to this direct hit, Canada has massive investments in the United Kingdom’s markets. This same financial instability will cause losses for Canadian investors, both individuals and companies. So, with this scenario, every negative factor for Great Britain will affect Canada as well.

Also, Canada was previously enjoying several of the European Union’s trade policies through Great Britain. Many Canadian companies were executing ambitious commercial strategies to operate in Europe with British privileges. Now, that’s over.

With Brexit effectively putting an end to these benefits, investors are losing interest in Canada. Right now, Canadian markets and Canadian currency represent uncertainty and fear.

The immediate result of such insecurity was the bearish FOREX results for the Canadian Dollar, popularly known as the loonie. The currency ended at 76.93 cents US, representing a total loss of 1.37 in one single session—the worst since 2010.

Once the trade support meets an end and Canada reports the official effect on overseas business, we can expect more losses. Such losses may highly benefit both the US Dollar and gold holders.

Probiotics in sports nutrition

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A recent study held by Dr. Stephanie-Anne Girard looked at the effects of Lafti L10 on reducing upper respiratory tract infections (URTIs) in fatigued athletes and healthy athletes. They were also looking to see the mechanism of Lafti L10 on the immunity of athletes who train for most of the year.
“They found clinical outcomes that were very significant,” she said. “[They] found a significant decrease in the duration of the symptoms.” In addition, they observed a significant reduction in the number of symptoms, and a significant reduction in the number of infected days.

 

In 2009, the British Medical Bulletin published a study that demonstrated a higher rate of URTI in athletes than in lesser active individuals. If you have athletes as patients with a significant history of URTIs, consider using probiotics to help decrease and prevent symptoms.

 

Vitamin D supplements may be useless

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According to new research out of the University of Alberta, vitamin D supplements may not provide significant health benefits.

 

In recent years, vitamin D has been flaunted as a way to reduce falls and fractures, and prevent or treat multiple sclerosis, arthritis and depression. However, Michael Allan, a professor of Family Medicine at the U of A, suggests much of that belief isn’t supported by scientific study.

 

During their research, Allan and his colleagues reviewed 1,600 studies to examine the evidence for 10 common beliefs about vitamin D. They found little to no conclusive evidence that vitamin D supplementation offers any benefits.

 

 

“Wouldn’t it be great if there was a single thing that you or I could do to be healthy that was as simple as taking a vitamin, which seems benign, every day?” says Allan. “There is an appeal to it. There is a simplicity to it. But for the average person, they don’t need it.”

 

Allan adds that taking the recommended daily dose of 1,000 International Units per day is still advisable. He notes that much of the existing research around vitamin D has been poorly executed and consists of poor quality evidence, so better quality research is needed.

 

However, many patients suffering from MS have take vitamin D supplements to help ease their symptoms. The MS Society of Canada made the following statement to Global News regarding this issue:

 

“The MS Society of Canada understands that the link between vitamin D deficiency and MS is a topic that is of great interest to people affected by MS. There is ongoing research that aims to determine whether supplementation with vitamin D can improve outcomes in people with MS, both alone and in combination with disease-modifying treatments, and the MS Society is watching the results of that research closely. The MS Society is working with researchers and clinicians to provide information about vitamin D in hopes of achieving greater clarity for people affected by MS. At present, the MS Society encourages individuals living with MS who are exploring options in regard to their health to maintain ongoing consultations with their healthcare team.”

 

As a result, you may want to reconsider the forms of treatment you are offering to your patients—both those with MS and otherwise. Talk to them about the benefits—and setbacks—they may be experiencing from taking vitamin D supplements.

Acne vulgaris treatable with phototherapy

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Acne vulgaris is well-known for being difficult to treat. However, with millions of teenagers and adults being affected by it, many patients are looking for effective ways to treat and prevent it.

 

Thankfully, phototherapy has been approved by the FDA as an effective treatment for this ailment; its combination of wavelengths of light and thermal effects stimulated the body’s internal healing mechanisms.

 

In Intense Pulsed Light therapy (IPL), full-spectrum UV light is filtered to allow certain wavelengths to address specific targets in the dermis. The most effective IPL treatments offer these multiple wavelengths—which are used to kill acne-causing bacteria—for maximum results. Additionally, LHE, a form of IPL that includes a burst of heat with the delivery of the pulse, is often used to open the sebaceous gland, allowing excess sebum to be released.

 

As a naturopathic doctor, consider offering this cutting-edge technology to patients who are suffering from acne. By stimulating the body’s inherent ability to heal itself, you are using modern techniques in tandem with the ancient wisdom of naturopathic medicine.

Nova Scotia may increase role of nurse practitioners in walk-in clinics

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Nova Scotia’s provincial Health Minister is meeting with nurse practitioners to discuss the possible growth of their responsibilities in walk-in clinics. This comes as a result of Nova Scotia’s current talks with doctors about their possible contract change—which would result in no wage increases for the next two years.

CBC News has reported that nurse practitioners might actually replace doctors at some of these clinics. This idea was based on comments from Health Minister Leo Glavine—he suggested that because the new contract could result in pay cuts for physicians at walk-in clinics, nurse practitioners may take over them.

 

Dr. Michelle Dow, president of Doctors Nova Scotia, is enthusiastic about the use of nurse practitioners to accompany—rather than substitute—physicians.

 

“We shouldn’t focus on replacing one provider with another. What’s important is that the various roles are defined for every provider so that patients see the right care provider in the right place at the right time.”

 

It is currently unclear what will happen with regard to this issue. The vote on the proposed new contract ends June 27—at this time, it will be decided whether further negotiations will need to take place.

 

(marketshirt.com)

Canadians with idiopathic pulmonary fibrosis participate in “six-minute marathon”

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This Saturday, Canadians living with idiopathic pulmonary fibrosis (IPF) will be participating in a “six minute marathon” to raise awareness of this rare, fatal lung disease. The event, named for the six-minute walking test that respirologists sometimes use to help assess and monitor IPF, will take place along the Toronto Waterfront.

Pulmonary fibrosis causes irreversible and damaging scarring of the lungs, depriving the body of oxygen. As the disease progresses, everyday tasks become impossible—for people living with IPF, something as simple as a six-minute walk can feel like a marathon.

Jim Gillies has been living with IPF for more than three years and knows first-hand the impact this disease has on quality of life. Jim has learned the importance of managing the disease, and understands that working closely with his doctor on a treatment plan and keeping fit by swimming, cycling and golfing can help him to maintain lung function. To help raise awareness for IPF, Jim will be participating in this Saturday’s event, and is hoping the community will come out to learn more.

This disease affects an estimated 30,000 Canadians and is responsible for 5,000 deaths each year. Every year, 6,000 people are diagnosed with pulmonary fibrosis, and this number is expected to increase as the population ages.There is no known cause of IPF—the most common form of pulmonary fibrosis—and by the time symptoms appear, the lungs have already been damaged.

Typical symptoms include shortness of breath; a dry, hacking cough; loss of appetite; rapid weight loss; extreme tiredness and loss of energy; chest discomfort; coldness in the hands and feet; and memory loss. Early diagnosis and treatment can help slow progression of the disease.