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Royal Pharmaceutical Society

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Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications , aiming to ensure the safe, effective, and affordable use of medicines . It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences . The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy .

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76-602: The Royal Pharmaceutical Society (RPharmS or RPS) is the body responsible for the leadership and support of the pharmacy profession (pharmacists) within England , Scotland , and Wales . It was created along with the General Pharmaceutical Council (GPhC) in September 2010 when the previous Royal Pharmaceutical Society of Great Britain was split so that representative and regulatory functions of

152-548: A Catalan enclave close to Puigcerdà , is a museum: the building dates back to the 15th century and the museum keeps albarellos from the 16th and 17th centuries, old prescription books and antique drugs. Pharmacists practice in a variety of areas including community pharmacies, infusion pharmacies, hospitals, clinics, insurance companies, medical communication companies, research facilities, pharmaceutical companies, extended care facilities, psychiatric hospitals, and regulatory agencies. Pharmacists themselves may have expertise in

228-636: A medical specialty . A pharmacy (also known as a chemist in Australia , New Zealand and the British Isles ; or drugstore in North America ; retail pharmacy in industry terminology; or apothecary , historically) is where most pharmacists practice the profession of pharmacy. It is the community pharmacy in which the dichotomy of the profession exists; health professionals who are also retailers. Community pharmacies usually consist of

304-444: A wedding cake , birthday cake , or Halloween . The chocolate company Cadbury (under the guidance of Richard Cadbury ) was the first to commercialize the connection between romance and confectionery, producing a heart-shaped box of chocolates for Valentine's Day in 1868. Tourists commonly eat confections as part of their travels. The indulgence in rich, sugary foods is seen as a special treat, and choosing local specialties

380-607: A "staple food" for tax purposes requires that the sugar or fat content be no more than 2% of the weight of the flour, so some products sold as bread in the US would be treated as confectionery there. Cakes have a somewhat bread-like texture, and many earlier cakes, such as the centuries-old stollen (fruit cake), or the even older king cake , were rich yeast breads. The variety of styles and presentations extends from simple to elaborate. Major categories include butter cakes , tortes , and foam cakes . Confusingly, some confections that have

456-464: A compounding pharmacist might make a medicated lollipop that contains the drug. Patients who have difficulty swallowing the tablet may prefer to suck the medicated lollipop instead. Another form of compounding is by mixing different strengths (g, mg, mcg) of capsules or tablets to yield the desired amount of medication indicated by the physician , physician assistant , nurse practitioner , or clinical pharmacist practitioner . This form of compounding

532-406: A drug therapy plan. Since the emergence of modern clinical pharmacy, ambulatory care pharmacy practice has emerged as a unique pharmacy practice setting. Ambulatory care pharmacy is based primarily on pharmacotherapy services that a pharmacist provides in a clinic. Pharmacists in this setting often do not dispense drugs, but rather see patients in-office visits to manage chronic disease states. In

608-530: A high-moisture environment into a low-moisture candy, rendering it rubbery, or the loss of desirable water from a high-moisture candy into a dry environment, rendering the candy dry and brittle. Another factor, affecting only non-crystalline amorphous candies, is the glass transition process. This can cause amorphous candies to lose their intended texture. Both bakers' and sugar confections are used to offer hospitality to guests. Confections are used to mark celebrations or events, such as Christmas , Easter ,

684-623: A manuscript "Recipes for 52 Ailments", found in the Mawangdui , sealed in 168 BC. In Japan, at the end of the Asuka period (538–710) and the early Nara period (710–794), the men who fulfilled roles similar to those of modern pharmacists were highly respected. The place of pharmacists in society was expressly defined in the Taihō Code (701) and re-stated in the Yōrō Code (718). Ranked positions in

760-567: A retail storefront with a dispensary, where medications are stored and dispensed. According to Sharif Kaf al-Ghazal, the opening of the first drugstores are recorded by Muslim pharmacists in Baghdad in 754 AD. Pharmacies within hospitals differ considerably from community pharmacies. Some pharmacists in hospital pharmacies may have more complex clinical medication management issues, and pharmacists in community pharmacies often have more complex business and customer relations issues. Because of

836-433: A separate board certification. The official designation for pharmacists who pass the ambulatory care pharmacy specialty certification exam will be Board Certified Ambulatory Care Pharmacist and these pharmacists will carry the initials BCACP. Compounding involves preparing drugs in forms that are different from the generic prescription standard. This may include altering the strength, ingredients, or dosage form. Compounding

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912-465: A soft, cake-like texture. Others are crisp or hard. Sugar confections include sweet, sugar-based foods, which are usually eaten as snack food . This includes sugar candies , chocolates , candied fruits and nuts, chewing gum , and sometimes ice cream . In some cases, chocolate confections are treated as a separate category, as are sugar-free versions of sugar confections. Different dialects of English use regional terms for sugar confections: In

988-485: Is table sugar , which is chemically a disaccharide containing both glucose and fructose . Hydrolysis of sucrose gives a mixture called invert sugar , which is sweeter and is also a common commercial ingredient. Finally, confections, especially commercial ones, are sweetened by a variety of syrups obtained by hydrolysis of starch . These sweeteners include all types of corn syrup . Bakers' confectionery includes sweet baked goods, especially those that are served for

1064-491: Is a complex process that requires adequate training of personnel, quality assurance of products, and adequate facilities. Several hospital pharmacies have decided to outsource high-risk preparations and some other compounding functions to companies who specialize in compounding. The high cost of medications and drug-related technology and the potential impact of medications and pharmacy services on patient-care outcomes and patient safety require hospital pharmacies to perform at

1140-592: Is a subset of products produced by a baker . Sugar confectionery includes candies (also called sweets , short for sweetmeats , in many English-speaking countries), candied nuts, chocolates, chewing gum, bubble gum, pastillage , and other confections that are made primarily of sugar. In some cases, chocolate confections (confections made of chocolate) are treated as a separate category, as are sugar-free versions of sugar confections. The words candy (Canada and US), sweets (UK, Ireland, and others), and lollies (Australia and New Zealand) are common words for some of

1216-403: Is a way to create custom drugs for patients who may not be able to take the medication in its standard form, such as due to an allergy or difficulty swallowing. Compounding is necessary for these patients to still be able to properly get the prescriptions they need. One area of compounding is preparing drugs in new dosage forms. For example, if a drug manufacturer only provides a drug as a tablet,

1292-929: Is developed by Hepler and Strand in 1990. Veterinary pharmacies, sometimes called animal pharmacies , may fall in the category of hospital pharmacy, retail pharmacy or mail-order pharmacy. Veterinary pharmacies stock different varieties and different strengths of medications to fulfill the pharmaceutical needs of animals. Because the needs of animals, as well as the regulations on veterinary medicine , are often very different from those related to people, in some jurisdictions veterinary pharmacy may be kept separate from regular pharmacies. Nuclear pharmacy focuses on preparing radioactive materials for diagnostic tests and for treating certain diseases. Nuclear pharmacists undergo additional training specific to handling radioactive materials, and unlike in community and hospital pharmacies, nuclear pharmacists typically do not interact directly with patients. Confectionery Confectionery

1368-619: Is found at community or hospital pharmacies or in-home administration therapy. Compounding pharmacies specialize in compounding, although many also dispense the same non-compounded drugs that patients can obtain from community pharmacies. Consultant pharmacy practice focuses more on medication regimen review (i.e. "cognitive services") than on actual dispensing of drugs. Consultant pharmacists most typically work in nursing homes , but are increasingly branching into other institutions and non-institutional settings. Traditionally consultant pharmacists were usually independent business owners, though in

1444-413: Is not specific to pharmacy. Both disciplines are distinct. Those who wish to practice both pharmacy (patient-oriented) and pharmacology (a biomedical science requiring the scientific method) receive separate training and degrees unique to either discipline. Pharmacoinformatics is considered another new discipline, for systematic drug discovery and development with efficiency and safety. Pharmacogenomics

1520-609: Is popular. For example, visitors to Vienna eat Sachertorte and visitors to seaside resorts in the UK eat Blackpool rock candy. Transportable confections like fudges and tablet may be purchased as souvenirs . Generally, confections are low in micronutrients and protein but high in calories . They may be fat-free foods , although some confections, especially fried doughs and chocolate, are high-fat foods. Many confections are considered empty calories and ultra-processed foods . Specially formulated chocolate has been manufactured in

1596-482: Is received. Legislation requires the supervision of certain pharmacy technician's activities by a pharmacist. The majority of pharmacy technicians work in community pharmacies . In hospital pharmacies, pharmacy technicians may be managed by other senior pharmacy technicians. In the UK the role of a PhT in hospital pharmacy has grown and responsibility has been passed on to them to manage the pharmacy department and specialized areas in pharmacy practice allowing pharmacists

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1672-498: Is the art of making confections , or sweet foods. Confections are items that are rich in sugar and carbohydrates although exact definitions are difficult. In general, however, confections are divided into two broad and somewhat overlapping categories: bakers' confections and sugar confections . Bakers' confectionery, also called flour confections , includes principally sweet pastries, cakes, and similar baked goods . Baker's confectionery excludes everyday breads , and thus

1748-429: Is the study of genetic-linked variants that effect patient clinical responses, allergies, and metabolism of drugs. The World Health Organization estimates that there are at least 2.6 million pharmacists and other pharmaceutical personnel worldwide. Pharmacists are healthcare professionals with specialized education and training who perform various roles to ensure optimal health outcomes for their patients through

1824-631: The International Pharmaceutical Federation (FIP), an NGO linked with World Health Organization (WHO). They are represented at the national level by professional organisations such as the Royal Pharmaceutical Society in the UK, Pharmaceutical Society of Australia (PSA), Canadian Pharmacists Association (CPhA), Indian Pharmacist Association (IPA), Pakistan Pharmacists Association (PPA), American Pharmacists Association (APhA), and

1900-699: The Islamic Golden Age , themselves deriving their knowledge from earlier Greek Byzantine medicine . Pharmacy in China dates at least to the earliest known Chinese manual, the Shennong Bencao Jing ( The Divine Farmer's Herb-Root Classic ), dating back to the 1st century AD. It was compiled during the Han dynasty and was attributed to the mythical Shennong . Earlier literature included lists of prescriptions for specific ailments, exemplified by

1976-466: The Islamic Golden Age . By the 9th century, these pharmacies were state-regulated. The advances made in the Middle East in botany and chemistry led medicine in medieval Islam substantially to develop pharmacology . Muhammad ibn Zakarīya Rāzi (Rhazes) (865–915), for instance, acted to promote the medical uses of chemical compounds. Abu al-Qasim al-Zahrawi (Abulcasis) (936–1013) pioneered

2052-791: The Kew Gardens . This material is now housed in the Economic Botany Collection (EBC) at Kew. The museum is a member of the London Museums of Health & Medicine . The RPS has six academic and professional awards for pharmacists at different stages of their career. These are: The three boards provide professional leadership and advocacy support for pharmacy practice in England, Scotland and Wales respectively. They are currently Chaired by Thorrun Govind , Andrew Carruthers and Cheryl Way respectively. The members of

2128-951: The Malaysian Pharmaceutical Society (MPS). In some cases, the representative body is also the registering body, which is responsible for the regulation and ethics of the profession. In the United States, specializations in pharmacy practice recognized by the Board of Pharmacy Specialties include: cardiovascular, infectious disease , oncology , pharmacotherapy, nuclear, nutrition , and psychiatry . The Commission for Certification in Geriatric Pharmacy certifies pharmacists in geriatric pharmacy practice. The American Board of Applied Toxicology certifies pharmacists and other medical professionals in applied toxicology . Pharmacy technicians support

2204-592: The Middle Ages and into the modern era. The oldest recorded use of the word confectionery discovered so far by the Oxford English Dictionary is by Richard Jonas in 1540, who spelled or misspelled it as "confection nere" in a passage " Ambre , muske , frankencense , gallia muscata and confection nere ", thus in the sense of "things made or sold by a confectioner". Also according to the OED,

2280-414: The dessert course. Bakers' confections are sweet foods that feature flour as a main ingredient and are baked . Major categories include cakes , sweet pastries , doughnuts , scones , and cookies . In the Middle East and Asia, flour-based confections predominate. The definition of which foods are "confectionery" vs "bread" can vary based on cultures and laws. In Ireland, the definition of "bread" as

2356-486: The distillation of sea-water for drinking. In Europe , pharmacy-like shops began to appear during the 12th century. In 1240, emperor Frederic II issued a decree by which the physician's and the apothecary's professions were separated. There are pharmacies in Europe that have been in operation since medieval times. In Florence , Italy, the director of the museum in the former Santa Maria Novella pharmacy says that

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2432-511: The 16th century, a cumfit was more specifically a seed, nut or small piece of spice enclosed in a round or ovoid mass of sugar. The production of comfits was a core skill of the early confectioner , who was known more commonly in 16th and 17th century England as a comfitmaker. Reflecting their original medicinal purpose, however, comfits were also produced by apothecaries and directions on how to make them appear in dispensatories as well as cookery texts. An early medieval Latin name for an apothecary

2508-549: The 3rd or 4th century AD. Many Sumerian (4th millennium BC – early 2nd millennium BC) cuneiform clay tablets record prescriptions for medicine. Ancient Egyptian pharmacological knowledge was recorded in various papyri such as the Ebers Papyrus of 1550 BC, and the Edwin Smith Papyrus of the 16th century BC. In Ancient Greece , Diocles of Carystus (4th century BC) was one of several men studying

2584-563: The 6th and 4th centuries BCE, the Persians , followed by the Greeks , made contact with the Indian subcontinent and its "reeds that produce honey without bees". They adopted and then spread sugar and sugarcane agriculture. Sugarcane is indigenous to tropical Indian subcontinent and Southeast Asia . In the early history of sugar usage in Europe, it was initially the apothecary who had

2660-761: The Emperor. There is a stone sign for a pharmacy shop with a tripod, a mortar, and a pestle opposite one for a doctor in the Arcadian Way in Ephesus near Kusadasi in Turkey. The current Ephesus dates back to 400 BC and was the site of the Temple of Artemis, one of the seven wonders of the world. In Baghdad the first pharmacies, or drug stores, were established in 754, under the Abbasid Caliphate during

2736-1187: The European Union, the Statistical Classification of Economic Activities in the European Community (NACE) scheme (revision 2) matches the UN classification, under code number 10.82. In the United States, the North American Industry Classification System (NAICS 2012) splits sugar confectionery across three categories: National industry code 311340 for all non-chocolate confectionery manufacturing, 311351 for chocolate and confectionery manufacturing from cacao beans, and national industry 311352 for confectionery manufacturing from purchased chocolate. Ice cream and sorbet are classified with dairy products under ISIC 1050, NACE 10.52, and NAICS 311520. Sugar confectionery items include candies, lollipops , candy bars , chocolate , cotton candy , and other sweet items of snack food . Some of

2812-491: The Royal Pharmaceutical Society has concentrated on developing the collection of historical and contemporary proprietary medicines. The museum is open to visitors and admission is free. Guided tours are available if booked in advance. In 1983 the Royal Pharmaceutical Society of Great Britain donated over 10,000 historic specimens of materia medica, including crude drugs, herbarium sheets, and slides to

2888-638: The Royal Pharmaceutical Society's headquarters was in Lambeth on Lambeth High Street, London, UK. The Society currently offers five categories of membership: The Society operates two divisions of RPS Publishing: The Royal Pharmaceutical Society of Great Britain had a museum collection since 1842, which continues to be managed by the RPS at its offices in East Smithfield. The exhibits cover all aspects of British pharmacy history, and include: Since 2002,

2964-534: The U.S. federal health care system (including the VA, the Indian Health Service, and NIH) ambulatory care pharmacists are given full independent prescribing authority. In some states, such as North Carolina and New Mexico , these pharmacist clinicians are given collaborative prescriptive and diagnostic authority. In 2011 the board of Pharmaceutical Specialties approved ambulatory care pharmacy practice as

3040-483: The UK, this group of staff can sell certain medicines (including pharmacy only and general sales list medicines) over the counter. They cannot prepare prescription-only medicines for supply to patients. The earliest known compilation of medicinal substances was the Sushruta Samhita , an Indian Ayurvedic treatise attributed to Sushruta in the 6th century BC. However, the earliest text as preserved dates to

3116-664: The US, a chocolate-coated candy bar (e.g. Snickers ) would be called a candy bar , in Britain more likely a chocolate bar than unspecifically a sweet . The United Nations' International Standard Industrial Classification of All Economic Activities (ISIC) scheme (revision 4) classifies both chocolate and sugar confectionery as ISIC 1073, which includes the manufacture of chocolate and chocolate confectionery; sugar confectionery proper (caramels, cachous, nougats, fondant, white chocolate ), chewing gum, preserving fruit, nuts, fruit peels, and making confectionery lozenges and pastilles. In

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3192-520: The US. There is no specific maximum in the EU. Candy colorants, particularly yellow colorants such as E102 Tartrazine , E104 Quinoline Yellow WS and E110 Sunset Yellow FCF , have many restrictions around the world. Tartrazine, for example, can cause allergic and asthmatic reactions and was once banned in Austria, Germany, and Norway. Some countries such as the UK have asked the food industry to phase out

3268-498: The United States many now work for a large pharmacy management company such as Omnicare , Kindred Healthcare or PharMerica . This trend may be gradually reversing as consultant pharmacists begin to work directly with patients, primarily because many elderly people are now taking numerous medications but continue to live outside of institutional settings. Some community pharmacies employ consultant pharmacists and/or provide consulting services. The main principle of consultant pharmacy

3344-726: The boards are elected by the members of the society, but the members of the assembly are not. The members of the assembly are elected by members of the boards. The assembly is senior to the boards in terms of policy making. 51°29′40″N 0°07′09″W  /  51.4945°N 0.1192°W  / 51.4945; -0.1192 Pharmacy The scope of pharmacy practice includes more traditional roles such as compounding and dispensing of medications. It also includes more modern services related to health care including clinical services, reviewing medications for safety and efficacy, and providing drug information with patient counselling. Pharmacists , therefore, are experts on drug therapy and are

3420-406: The categories and types of sugar confectionery include the following: Shelf life is largely determined by the amount of water present in the candy and the storage conditions. High-sugar candies, such as boiled candies, can have a shelf life of many years if kept covered in a dry environment. Spoilage of low-moisture candies tends to involve a loss of shape, color, texture, and flavor, rather than

3496-899: The complexity of medications including specific indications, effectiveness of treatment regimens, safety of medications (i.e., drug interactions) and patient compliance issues (in the hospital and at home), many pharmacists practicing in hospitals gain more education and training after pharmacy school through a pharmacy practice residency, sometimes followed by another residency in a specific area. Those pharmacists are often referred to as clinical pharmacists and they often specialize in various disciplines of pharmacy. For example, there are pharmacists who specialize in hematology/oncology, HIV/AIDS, infectious disease, critical care, emergency medicine , toxicology, nuclear pharmacy, pain management, psychiatry, anti-coagulation clinics, herbal medicine , neurology/epilepsy management, pediatrics, neonatal pharmacists and more. Hospital pharmacies can often be found within

3572-428: The field are also pioneering. Living in the 10th century, he wrote The foundations of the true properties of Remedies , amongst others describing arsenious oxide , and being acquainted with silicic acid . He made clear distinction between sodium carbonate and potassium carbonate , and drew attention to the poisonous nature of copper compounds, especially copper vitriol , and also lead compounds. He also describes

3648-419: The finished confection. Pastries can be elaborately decorated, or they can be plain dough. Doughnuts may be fried or baked. Scones and related sweet quick breads , such as bannock , are similar to baking powder biscuits and, in sweeter, less traditional interpretations, can seem like a cupcake . Cookies are small, sweet baked treats. They originated as small cakes, and some traditional cookies have

3724-427: The growth of dangerous microbes. Impermeable packaging can reduce spoilage due to storage conditions. Candies spoil more quickly if they have different amounts of water in different parts of the candy (for example, a candy that combines marshmallow and nougat), or if they are stored in high-moisture environments. This process is due to the effects of water activity , which results in the transfer of unwanted water from

3800-502: The highest level possible. Pharmacists provide direct patient care services that optimize the use of medication and promotes health, wellness, and disease prevention. Clinical pharmacists care for patients in all health care settings, but the clinical pharmacy movement initially began inside hospitals and clinics . Clinical pharmacists often collaborate with physicians and other healthcare professionals to improve pharmaceutical care. Clinical pharmacists are now an integral part of

3876-592: The interdisciplinary approach to patient care. They often participate in patient care rounds for drug product selection. In the UK clinical pharmacists can also prescribe some medications for patients on the NHS or privately, after completing a non-medical prescribers course to become an Independent Prescriber. The clinical pharmacist's role involves creating a comprehensive drug therapy plan for patient-specific problems, identifying goals of therapy, and reviewing all prescribed medications prior to dispensing and administration to

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3952-416: The introduction of new therapeutics and methods for patient care. However, pharmacy is not a basic or biomedical science in its typical form. Medicinal chemistry is also a distinct branch of synthetic chemistry combining pharmacology, organic chemistry, and chemical biology. Pharmacology is sometimes considered the fourth discipline of pharmacy. Although pharmacology is essential to the study of pharmacy, it

4028-408: The medicinal properties of plants. He wrote several treatises on the topic. The Greek physician Pedanius Dioscorides is famous for writing a five-volume book in his native Greek Περί ύλης ιατρικής in the 1st century AD. The Latin translation De Materia Medica ( Concerning medical substances ) was used as a basis for many medieval texts and was built upon by many middle eastern scientists during

4104-541: The most important role in the production of sugar-based preparations. Medieval European physicians learned the medicinal uses of the material from the Arabs and Byzantine Greeks. One Middle Eastern remedy for rheums and fevers were little, twisted sticks of pulled sugar called in Arabic al fänäd or al pänäd . These became known in England as alphenics, or more commonly as penidia, penids, pennet or pan sugar. They were

4180-465: The most popular varieties of sugar confectionery . The occupation of confectioner encompasses the categories of cooking performed by both the French patissier (pastry chef) and the confiseur (sugar worker). The confectionery industry also includes specialized training schools and extensive historical records. Traditional confectionery goes back to ancient times and continued to be eaten through

4256-504: The most valuable Islamic works on pharmacology, entitled Kitab al-Saydalah ( The Book of Drugs ), in which he detailed the properties of drugs and outlined the role of pharmacy and the functions and duties of the pharmacist. Avicenna , too, described no less than 700 preparations, their properties, modes of action, and their indications. He devoted in fact a whole volume to simple drugs in The Canon of Medicine . Of great impact were also

4332-431: The past for military use as a high-density food energy source. Many sugar confections, especially caramel-coated popcorn and the different kinds of sugar candy , are defined in US law as foods of minimal nutritional value . Contaminants and coloring agents in confectionery can be particularly harmful to children. Therefore, confectionery contaminants, such as high levels of lead , have been restricted to 1 ppm in

4408-420: The patient. The review process often involves an evaluation of the appropriateness of drug therapy (e.g., drug choice, dose, route, frequency, and duration of therapy) and its efficacy. Research shows that pharmacist led strategies reduce errors related to medication use. The pharmacist must also consider potential drug interactions, adverse drug reactions, and patient drug allergies while they design and initiate

4484-662: The pharmacy profession could be separated. Membership in the society is not a prerequisite for engaging in practice as a pharmacist within the United Kingdom. Its predecessor the Pharmaceutical Society of Great Britain was founded on 15 April 1841. The Royal Pharmaceutical Society was founded on 15 April 1841 as the Pharmaceutical Society of Great Britain, and headquartered at 17 Bloomsbury Square, London. Among its founding members were Jacob Bell and William Allen . The Northern British (Scottish) branch began

4560-732: The pharmacy there dates back to 1221. In Trier (Germany), the Löwen-Apotheke is in operation since 1241, the oldest pharmacy in Europe in continuous operation. In Dubrovnik (Croatia), a pharmacy that first opened in 1317 is located inside the Franciscan monastery: it is the 2nd oldest pharmacy in Europe that is still operating. In the Town Hall Square of Tallinn (Estonia), there is a pharmacy dating from at least 1422. The medieval Esteve Pharmacy , located in Llívia ,

4636-551: The pre- Heian Imperial court were established; and this organizational structure remained largely intact until the Meiji Restoration (1868). In this highly stable hierarchy, the pharmacists—and even pharmacist assistants—were assigned status superior to all others in health-related fields such as physicians and acupuncturists. In the Imperial household, the pharmacist was even ranked above the two personal physicians of

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4712-494: The precursors of barley sugar and modern cough drops . In 1390, the Earl of Derby paid "two shillings for two pounds of penydes. " As the non-medicinal applications of sugar developed, the comfitmaker, or confectioner gradually came into being as a separate trade. In the late medieval period the words confyt, comfect or cumfitt were generic terms for all kinds of sweetmeats made from fruits, roots, or flowers preserved with sugar. By

4788-446: The premises of the hospital. Hospital pharmacies usually stock a larger range of medications, including more specialized medications, than would be feasible in the community setting. Most hospital medications are unit-dose, or a single dose of medicine. Hospital pharmacists and trained pharmacy technicians compound sterile products for patients including total parenteral nutrition (TPN), and other medications are given intravenously. That

4864-466: The preparation of medicines by sublimation and distillation . His Liber servitoris is of particular interest, as it provides the reader with recipes and explains how to prepare the "simples" from which were compounded the complex drugs then generally used. Sabur Ibn Sahl (d 869), was, however, the first physician to record his findings in a pharmacopoeia , describing a large variety of drugs and remedies for ailments. Al-Biruni (973–1050) wrote one of

4940-767: The primary health professionals who optimize the use of medication for the benefit of the patients. An establishment in which pharmacy (in the first sense) is practiced is called a pharmacy (this term is more common in the United States) or chemists (which is more common in Great Britain, though pharmacy is also used). In the United States and Canada, drugstores commonly sell medicines, as well as miscellaneous items such as confectionery , cosmetics , office supplies , toys , hair care products and magazines , and occasionally refreshments and groceries. In its investigation of herbal and chemical ingredients,

5016-409: The quality use of medicines. Pharmacists may also be small business proprietors, owning the pharmacy in which they practice. Since pharmacists know about the mode of action of a particular drug, and its metabolism and physiological effects on the human body in great detail, they play an important role in optimization of drug treatment for an individual. Pharmacists are represented internationally by

5092-446: The role of counseling patients on the proper use of their medications. Some states have a legally mandated pharmacist-to-pharmacy technician ratio . Dispensing assistants are commonly referred to as "dispensers" and in community pharmacies perform largely the same tasks as a pharmacy technician. They work under the supervision of pharmacists and are involved in preparing (dispensing and labelling) medicines for provision to patients. In

5168-503: The same year with nine founders including William Flockhart and John Duncan. From 1843, it had a royal charter that identified its chief objectives as the advancement of chemistry and pharmacy, the promotion of a system of education for its practitioners, and the legal protection of its members. The headquarters of the society are on East Smithfield Road, located near Whitechapel and St Katharine Docks in London, UK. From 1976 until 2015

5244-506: The sense of "the art and business of a confectioner" is first recorded in 1743, and the earliest use in the sense of a "confectioner's shop" dates to 1803. Before sugar was readily available in the ancient western world, confectionery was based on honey . Honey was used in Ancient China , Ancient India , Ancient Egypt , Ancient Greece and Ancient Rome to coat fruits and flowers to preserve them or to create sweetmeats. Between

5320-611: The time to specialize in their expert field as medication consultants spending more time working with patients and in research. Pharmacy technicians are registered with the General Pharmaceutical Council (GPhC). The GPhC is the regulator of pharmacists, pharmacy technicians, and pharmacy premises. In the US, pharmacy technicians perform their duties under the supervision of pharmacists. Although they may perform, under supervision, most dispensing, compounding and other tasks, they are not generally allowed to perform

5396-440: The word cake in their names, such as cheesecake , are not technically cakes, while others, such as Boston cream pie are cakes despite seeming to be named something else. Pastry is a large and diverse category of baked goods, united by the flour-based doughs used as the base for the product. These doughs are not always sweet, and the sweetness may come from the sugar, fruit, chocolate, cream, or other fillings that are added to

5472-429: The work of pharmacists and other health professionals by performing a variety of pharmacy-related functions, including dispensing prescription drugs and other medical devices to patients and instructing on their use. They may also perform administrative duties in pharmaceutical practice, such as reviewing prescription requests with medic's offices and insurance companies to ensure correct medications are provided and payment

5548-468: The work of the apothecary may be regarded as a precursor of the modern sciences of chemistry and pharmacology , prior to the formulation of the scientific method . The field of pharmacy can generally be divided into various disciplines: The boundaries between these disciplines and with other sciences, such as biochemistry, are not always clear-cut. Often, collaborative teams from various disciplines (pharmacists and other scientists) work together toward

5624-545: The works by al-Maridini of Baghdad and Cairo , and Ibn al-Wafid (1008–1074), both of which were printed in Latin more than fifty times, appearing as De Medicinis universalibus et particularibus by ' Mesue ' the younger, and the Medicamentis simplicibus by ' Abenguefit '. Peter of Abano (1250–1316) translated and added a supplement to the work of al-Maridini under the title De Veneris . Al-Muwaffaq's contributions in

5700-639: Was confectionarius , and it was in this sort of sugar work that the activities of the two trades overlapped and that the word "confectionery" originated. In the cuisine of the Late Ottoman Empire diverse cosmopolitan cultural influences were reflected in published recipes such as European-style molded jellies flavored with cordials. In Europe, Ottoman confections (especially "lumps of delight" ( Turkish delight ) became very fashionable among European and British high society. An important study of Ottoman confectionery called Conditorei des Orients

5776-480: Was published by the royal confectioner Friedrich Unger in 1838. The first confectionery in Manchester, England was opened by Elizabeth Raffald who had worked six years in domestic service as a housekeeper. Confections are defined by the presence of sweeteners. These are usually sugars, but it is possible to buy sugar-free candies, such as sugar-free peppermints . The most common sweetener for home cooking

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