Thursday, September 17, 2020

M. pharmacy and other Post graduate entrance exam schedule//exam form

 

Exam Schedule for M.pharmacy and other PG has been published. M.pharmacy exam is going to held in Ashoj 29. You can fll up the form by clicking the link http://entrance.mec.gov.np/
You have to pay Rs.5000 From Himalayan Bank.

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Sunday, September 13, 2020

Syllabus for M.Pharmacy entrance exam// Medical education commision

 Common entrance exam will take place this year onwards. No need to give university exam if you pass the MEC Exam.                                                                                                                                                                    Students must pass the license exam form respective council to take part in exam. 



Thursday, July 2, 2020

नेपाल फार्मेसी परिषदको अत्यन्त जरुरी सूचना

नेपाल फार्मसी परिषद्कको शिक्षण संस्था/ कलेजको मान्यता सम्बन्धमा अत्यन्त जरुरी सूचना 

Friday, June 26, 2020

Monday, April 13, 2020

COVID-19: FREQUENTLY ASKED QUESTIONS AND MYTH BUSTING


Answers to frequent questions from the public and patients.

What is a novel coronavirus?
A novel coronavirus is one that has not been previously identified. The SARS-CoV-2 is not that same as the coronaviruses that commonly circulate among humans and cause mild illness, like the common cold. A diagnosis with coronavirus 229E, NL63, OC43, or HKU1 is not the same as a SARS-CoV-2 diagnosis. These are different viruses and patients with SARS-CoV-2 will be evaluated and cared for differently than patients with common coronavirus diagnosis. 


What is the source of SARS-CoV-2?
Public health officials and partners are working hard to identify the source of the SARSCoV-2. Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats and bats. Analysis of the genetic tree of this virus is ongoing to determine the specific source of the virus and bats have been suspected due to the high resemblance between this virus and other coronaviruses commonly found in certain bat species. Severe Acute Respiratory Syndrome (SARS), another coronavirus that emerged to infect people, came from civet cats, whereas Middle East Respiratory Syndrome (MERS) came from camels. (Centers for Disease Control and Prevention, 2020) 



How does the virus spread? 
This virus probably originally emerged from an animal source but now it is spreading from person to person. Most often, spread from person to person happens among close contacts (about 6 feet/1.8 metres) and mainly via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza and other respiratory pathogens spread. These droplets can land in the mouths, noses or eyes of people who are nearby or possibly be inhaled into the lungs. Infection can also occur if a person touches an infected surface and then touches his or her eyes, nose, or mouth.


Can COVID-19 be caught from a person showing no symptoms? 
Transmission of SARS-CoV-2 from asymptomatic individuals (or individuals within the incubation period) has been described. However, the extent to which this occurs remains unknown. Large-scale serologic screening may be able to provide a better sense of the scope of asymptomatic infections and inform epidemiologic analysis. 

Can a pregnant woman transmit the virus to the fetus?
 Minimal information is available regarding COVID-19 during pregnancy. Intrauterine or perinatal transmission has not been identified. In two reports including a total of 18 pregnant women with suspected or confirmed COVID-19 pneumonia, there was no laboratory evidence of transmission of the virus to the neonate. However, two neonatal cases of infection have been documented. In one case, the diagnosis was made at day 17 of life after close contact with the infant's mother and a maternity matron who were both infected with the virus. The other case was diagnosed 36 hours after birth; the source and time of transmission in that case were unclear. 

Can the virus be transmitted from mother to child via breastfeeding? 
In limited studies on women with COVID-19 and another coronavirus infection, Severe Acute Respiratory Syndrome (SARS-CoV), the virus has not been detected in breast milk; however it is not known whether mothers with COVID-19 can transmit the virus via breast milk. Breast milk provides protection against many illnesses. There are rare exceptions when breastfeeding or feeding expressed breast milk is not recommended. CDC has no specific guidance for breastfeeding during infection with similar viruses like SARS-CoV or Middle Eastern Respiratory Syndrome (MERS-CoV) also both coronaviruses. In a similar situation to COVID-19, the CDC recommends that a mother with flu continue breastfeeding or feeding expressed breast milk to her infant while taking precautions to avoid spreading the virus to her infant. Given low rates of transmission of respiratory viruses through breast milk, the World Health Organization states that mothers with COVID-19 can breastfeed. 

I have fever and cough. Could it be the novel coronavirus? 
If you have been in close contact with a confirmed case of COVID-19, it could be, and you may need to be followed up and tested. The symptoms of COVID-19 are not specific to this disease and can be quite similar to those of seasonal influenza or other conditions. However, if you experience any of the symptoms, you are advised to self-isolate at home and follow the directions of your national health authorities. If you are older than 65 years of age or have other conditions such as cardiovascular diseases, diabetes, chronic respiratory diseases, cancer or other conditions (congenital or acquired) that might compromise your immune response, you may be higher risk of developing more severe forms of the diseases, and it is advisable to seek appropriate medical care.


Are there any specific medicines to prevent or treat COVID-19? 
To date, there is no specific medicine recommended to prevent or treat COVID-19. However, those infected with the virus should receive appropriate care to relieve and treat symptoms, and those with severe illness should receive optimised supportive care. Some specific treatments are under investigation and will be tested through clinical trials. The WHO is helping to accelerate research and development efforts with a range of partners. (World Health Organization, 2020) The following measures are not specifically recommended as COVID-19 remedies because they are not effective to protect yourself and can be even harmful:
 • Taking vitamin C;
 • Drinking traditional herbal teas; 
• Wearing multiple masks to maximise protection; 
• Self-medicating with medicines such as antibiotics; 
• Alternative medicine without appropriate evidence of effectiveness.
 In any case, if you have fever, cough and difficulty breathing seek medical care early to reduce the risk of developing a more severe infection and be sure to share your recent travel history with your healthcare provider.

Do vaccines against pneumonia protect you against COVID-19? 
No. Vaccines against pneumonia, such as pneumococcal vaccine (PV) and Haemophilus influenza type B (Hib) vaccine, do not provide protection against COVID-19. The virus is so new and different that it needs its own vaccine. Researchers are trying to develop one and the WHO is supporting their efforts. Although PV and Hib are not effective against COVID-19, vaccination against respiratory illnesses is highly recommended to protect your health. 

Are antibiotics effective in treating COVID-19? 
No, antibiotics do not work against viruses; they only work on bacterial infections. COVID19 is caused by a virus and, therefore, antibiotics should not be used as a means of prevention or treatment. However, if you are hospitalised with COVID-19, you may receive antibiotics because bacterial co-infection is possible. 

Should the treatment with ACEi or ARBs be discontinued due to an increased risk of COVID-19 severity?
There is no evidence to support the assertion and that treatment with ACE inhibitors (ACEi) or angiotensin receptor blockers (ARB) could predispose individuals to adverse outcomes should they become infected with COVID-19. Various scientific and professional societies have stated that patients should continue treatment with ACEi and ARB unless specifically advised to stop by their medical team.

Is it safe to use NSAID medicines including ibuprofen to manage fever and pain in COVID-19 patients?
There is currently no conclusive evidence to establish a direct association between the use of non-steroidal anti-inflammatory medications (including ibuprofen) and increased risk of infection or severity of disease. 


Could the virus mutate before any treatment or vaccines are developed?
Yes. In fact, the virus seems to have mutated already, leading to at least two different strains. Population genetic analyses of 103 SARS-CoV-2 genomes indicated that these viruses evolved into two major types (designated L and S). Although the L type (∼70%) is more prevalent than the S type (∼30%), the S type was found to be the ancestral version. While both types play a part in the current outbreak, the higher prevalence of the “L-type” suggests that it is more aggressive. However, it is important to keep in mind that viruses mutate all the time and that not all mutations are indicative of increased disease severity or transmission rates. In fact, differences between the two types of the novel coronavirus are so small that researchers are reluctant to even classify them as separate “strains”. Given that multiple groups around the world are working on a vaccine, knowing the exact number of strains (or types) of the virus is crucial because, in order to be effective, the eventual vaccine will have to target features present in all known strains (or types). Luckily, many of the identified genetic differences are unlikely to affect the production of proteins, meaning there should not be significant changes to how the virus operates or the symptoms it causes. 

Can multivitamins and immuno-boosters help in protecting individuals from the virus?
 There is no evidence that any of these strategies will supercharge immunity. While it is true that our physiology requires vitamins and minerals (such as vitamins A, C and zinc) to function normally, higher doses have not been shown to make the system function better. Every part of the body, including the immune system, functions better when protected from environmental assaults and bolstered by healthy-living strategies such as the following: 
• Not smoking; 
• Eating a diet high in fruits and vegetables;
 • Exercising regularly; • Maintaining a healthy weight;
 • Avoiding drinking alcohol, or drinking only in moderation;
 • Getting adequate sleep;
 • Taking steps to avoid infection, such as washing hands frequently and cooking meats thoroughly;
 • Trying to minimise stress. (Harvard Medical School, 2014)

Will COVID-19 go away on its own in warmer weather? 
For the novel coronavirus SARS-CoV-2, there is reason to expect that, like other betacoronaviruses, it may transmit somewhat more efficiently in winter than summer, although the mechanism(s) responsible are unknown. The size of the change is expected to be modest, and not enough to stop transmission on its own. Based on the analogy of pandemic flu, it is expected that SARS-CoV-2, as a virus new to humans, will face less immunity and thus transmit more readily even outside the winter season. Changing seasons and school vacation may help, but are unlikely to stop transmission. Urgent for effective policy is to determine if children are important transmitters, in which case school closures may help slow transmission, or not, in which case resources would be wasted in such closures. 


Is it safe to receive a letter or a package from any area where COVID-19 has been reported? 
Yes. The likelihood of an infected person contaminating commercial goods is low and the risk of catching the virus that causes COVID-19 from a package that has been moved, travelled, and exposed to different conditions and temperature is also low.

Can COVID-19 be transmitted via mosquito bites? 
No. COVID-19 is a respiratory virus which spreads primarily through droplets generated when an infected person coughs or sneezes, or through droplets of saliva or discharge from the nose. There is so far no evidence that it could be transmitted by mosquitos. 

Are medical masks effective in protecting me from infection? 
Wearing a medical mask is one of the prevention measures to limit spread of certain respiratory diseases, including COVID-19, in affected areas. However, the use of a mask alone is insufficient to provide the adequate level of protection and other equally relevant measures should be adopted, including adequate hand hygiene and other infection control and prevention measures. 

Is wearing rubber/latex gloves while out in public effective in preventing the new coronavirus infection?
 No. Regularly washing your bare hands offers more protection against catching COVID-19 than wearing rubber gloves. You can still pick up COVID-19 contamination on rubber gloves. If you then touch your face (mouth, nose or eyes), the contamination may infect you.

Why do some infected patients show negative results on testing kits? 
Because some kits are not as sensitive as others, and because depending on how long and how much people are COVID-19 infected, the diagnostic techniques, all based on either polymerase chain reaction (PCR) or reverse transcription polymerase chain reaction (RTPCR) targeting different parts of the viral genome, are not equivalent.

I have been to an affected area and I have diarrhoea. Could it be COVID-19? 
The most common symptoms of COVID-19 are fever, cough and shortness of breath. The disease may also occur with other mild symptoms only, including: low-grade fever, cough, malaise, rhinorrhoea, sore throat without any warning signs, such as shortness of breath or difficulty in breathing, increased respiratory secretions (i.e. sputum or haemoptysis), gastrointestinal symptoms such as nausea, vomiting, and/or diarrhoea and without changes in mental status (i.e. confusion, lethargy). However, if only diarrhoea is present, without any respiratory symptoms, it is unlikely to be COVID-19. 

Can pets at home spread COVID-19? 
At present, there is no evidence that companion animals/pets such as dogs or cats can be infected with COVID-19. However, it is always a good idea to wash your hands with soap and water after contact with pets. This protects you against various common bacteria such as E coli and salmonella that can pass between pets and humans. 


I have travelled to one of the countries with a high number of cases of COVID-19. What should I do?
The risk of exposure to COVID-19 is believed to be highest for those people who have travelled to countries or regions with a high number of confirmed cases of COVID-19. 
If you have travelled to any of these countries in the past 14 days you should monitor for symptoms, practise social distancing – avoid crowds and small gatherings in enclosed spaces, and keep a distance of 1-2 metres between yourself and others when out in public. If you develop symptoms, you must immediately isolate yourself and seek medical care. You should call your doctor, or your local emergency department. Tell the person when you call where you have been. 
It is important if you have symptoms you should not go to work, school, university, childcare facilities, gyms or public areas, and you should not use public transport, taxis, or ride-sharing services. If you need to seek medical care, wear a surgical mask if available when attending.

 How effective are thermal scanners in detecting people infected with the new coronavirus? 
Thermal scanners are effective in detecting people who have developed a fever (i.e. have a higher than normal body temperature) because of infection with the new coronavirus. However, they cannot detect people who are infected but are not yet sick with fever. This is because it takes between 2 and 10 days before people who are infected become sick and develop a fever. 


Myth busting 

COVID-19 only affects old people or people with pre-existing diseases
People of all ages can be infected with SARS-CoV-2 and develop COVID-19. Older people, and people with pre-existing medical conditions (such as asthma, diabetes, heart disease) appear to be more vulnerable to becoming severely ill with the virus. The WHO advises people of all ages to take steps to protect themselves from the virus, for example by following good hand hygiene and good respiratory hygiene.

Contact with people from the affected countries should be avoided until we know more about the disease
Close contact with any person who has been in contact with confirmed cases of COVID19 in the previous 14 days should be avoided, regardless of their nationality. 

This virus was developed in a laboratory
Scientists from multiple countries have published and analysed genomes of the causative agent, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and they overwhelmingly conclude that this coronavirus originated in wildlife, as have so many other emerging pathogens. Conspiracy theories do nothing but create fear, rumours, and prejudice that jeopardise global collaboration in the fight against this virus.  Specifically, genomic studies strongly suggest that the novel coronavirus that causes Covid-19 originated in bats, with no concrete evidence supporting the idea that it was created in a laboratory. 

Eating garlic can help prevent COVID-19
Garlic is a healthy food that may have some antimicrobial properties. However, there is no evidence from the current outbreak that eating garlic has protected people from COVID-19.


The smoke and gas from fireworks and firecrackers prevent COVID-19
No. Breathing in the smoke and gas from a firework or firecracker is dangerous and does not kill COVID-19. 

Spraying alcohol or chlorine all over your body can kill the new coronavirus
No. Spraying alcohol or chlorine all over your body will not kill viruses that have already entered your body. Spraying such substances can be harmful to clothes or mucous membranes (i.e., eyes, mouth). Be aware that both alcohol and chlorine can be useful to disinfect surfaces, but they need to be used under appropriate recommendations.

 Applying sesame oil blocks COVID-19 from entering the body
 No. Sesame oil does not kill SARS-CoV-2. There are some chemical disinfectants that can kill SARS-CoV-2 on surfaces. These include bleach/chlorine-based disinfectants, ether solvents, 75% ethanol, peracetic acid and chloroform. However, they have little or no impact on the virus if you put them on the skin or under your nose. It can even be dangerous to put these chemicals on your skin. 

Drinking anise seeds infusion can help prevent infection with COVID-19 
Anise seeds infusion is a drink that may have some hydrating properties. However, there is no evidence from the current outbreak that drinking anise seeds infusion has protected people from COVID-19.

Source:


Saturday, March 21, 2020

Personal Protective Equipment needed for healthcare workers to protect themselves from COVID-19



Personal Protective Equipment (PPE):

They are "specialized clothing or equipment, worn by an employee for protection against infectious materials".

Types of PPE Used in Healthcare Settings

  • Gloves – protect hands
  • Gowns/aprons – protect skin and/or clothing 
  • Masks and respirators– protect mouth/nose – 
  • Respirators – protect respiratory tract from airborne infectious agents
  • Goggles – protect eyes 
  • Face shields – protect face, mouth, nose, and eyes

Gloves 
  • Purpose – patient care, environmental services, other
  •  Glove material – vinyl, latex, nitrile, other 
  • Sterile or nonsterile 
  • One or two pair
  •  Single use or reusable 

Do’s and Don’ts of Glove Use
 • Work from “clean to dirty”
 • Limit opportunities for “touch contamination” - protect yourself, others, and the environment
 – Don’t touch your face or adjust PPE with contaminated gloves
 – Don’t touch environmental surfaces except as necessary during patient care
Change gloves
 – During use if torn and when heavily soiled (even during use on the same patient)
 – After use on each patient
 Discard in appropriate receptacle
 – Never wash or reuse disposable gloves


Gowns or Aprons 
• Material 
Natural or man-made 
– Reusable or disposable
 – Resistance to fluid penetration
 • Clean or sterile

Face Protection 
Masks – protect nose and mouth (N95, N99 or N100)
– Should fully cover nose and mouth and prevent fluid penetration
 • Goggles – protect eyes – Should fit snuggly over and around eyes 
– Personal glasses not a substitute for goggles 
– Antifog feature improves clarity.
Face shields
 – protect face, nose, mouth, and eyes 
– Should cover forehead, extend below chin and wrap around side of face




Respiratory Protection 
• Purpose – protect from inhalation of infectious aerosols (e.g., Mycobacterium tuberculosis) 
• PPE types for respiratory protection 
– Particulate respirators 
– Half- or full-face elastomeric respirators 
– Powered air purifying respirators (PAPR)
Elements of a Respiratory Protection Program
 • Medical evaluation
 • Fit testing 
• Training
 • Fit checking before use


Key Points About PPE
 • Don before contact with the patient, generally before entering the room
 • Use carefully – don’t spread contamination
 • Remove and discard carefully, either at the doorway or immediately outside patient room; remove respirator outside room 
• Immediately perform hand hygiene

Sequence* for Donning PPE 
• Gown first 
• Mask or respirator 
• Goggles or face shield 
• Gloves

Sequence for Removing PPE
• Gloves 
• Face shield or goggles
 • Gown
 • Mask or respirator

Hand Hygiene
 • Perform hand hygiene immediately after removing PPE. 
– If hands become visibly contaminated during PPE removal, wash hands before continuing to remove PPE 
• Wash hands with soap and water or use an alcohol-based hand rub PPE Use in Healthcare Settings 
* Ensure that hand hygiene facilities are available at the point needed, e.g., sink or alcohol-based hand rub

Standard Precautions
 • Previously called Universal Precautions 
• Assumes blood and body fluid of ANY patient could be infectious
• Recommends PPE and other infection control practices to prevent transmission in any healthcare setting 
• Decisions about PPE use determined by type of clinical interaction with patient



Source:
- CDC guideline
- ASHP guideline for personal protective equipment






Sunday, March 15, 2020

Sunday, March 1, 2020

स्वस्थ्य व्यक्तिले फेस मास्क लगाउन नपर्ने, कोरोना संक्रमीतले भने लागाउन पर्ने

कोरोना virus को रोकथाम face मास्क ले नगर्ने भन्ने खुलेको छ, अर्थात एउटा स्वस्थ्य व्यक्ति ले face मास्क लगाउदा कुनै पनि किसिमको कोरोना विरुद्ध जोखिम कम नहुने श्रोतको भनाइ छ। अत: मास्क को गलत तरिकाले प्रयोग गर्दा आझ धेरै जोखिम हुन्छ भन्ने भनाइ छ। तर कोरोना संक्रमीत व्यक्ति ले भने face मास्क लगाउन पर्ने हुन्छ।


Source:
https://t.co/vC9Dyz2Bae

Wednesday, February 12, 2020

Coronavirus outbreak and role of community/hospital pharmacy

What is the 2019-nCoV coronavirus outbreak?
 The 2019-nCoV is a novelstrain of corona virus that was first detected in the city of Wuhan, in the province of Hubei, in the People’s Republic of China – a city with a population of 11 million. The outbreak started as a pneumonia of unknown causal agent at the end of December 2019.

How is 2019-nCoV coronavirus transmitted? 
The transmission of 2019-nCoV occurs by the following mechanisms: 
a. Most often, spread from person to person among close contacts (about 6 feet/1.8 metres).
 b. Person-to-person spread is thought to occur mainly via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza and other respiratory pathogens spread.
 c. These droplets can land in the mouths, noses or eyes of people who are nearby or possibly be inhaled into the lungs. 
d. It is currently unclear if a person can get 2019-nCoV by touching a surface or object that has the virus on it (fomites) and then touching their own mouth, nose or possibly their eyes.
 e. Typically, with most respiratory viruses, people are thought to be most contagious when they are most symptomatic (the sickest). With 2019-nCoV, however, there have been reports of spread from an asymptomatic infected patient to a close contact. 

Onset
The 2019-nCoV acute respiratory disease has an incubation period of 2 to 14 days before the onset of symptoms.
 Note: If a person has been exposed to the virus but has not developed symptoms within 14 days, they can be considered as not infected. 

Symptoms
For confirmed 2019-nCoV infections, reported illnesses have ranged from people with little to no symptoms to people being severely ill and dying. Symptoms can include (on admission to hospital) (Nanshan Chen, 2020): • Fever (>80% of the patients) • Cough (>80%) • Shortness of breath (31%) • Muscle ache (11%) 

Treatment
  • Currently, there is no specific medicine or vaccine for coronavirus 2019-nCoV and no medicines or vaccines have been fully tested for safety and efficacy.
  • Presently, treatment is symptomatic and will be based on the patient’s clinical condition and supportive care. Supportive treatment includes oxygen therapy, hydration and fever/pain management and antibiotics if bacterial co-infection is present.
  •  Specific treatment might include intravenous remdesivir (a novel nucleotide analogue prodrug in development) which has been tested in the first patients hospitalised in the USA 

Prevention
The WHO’s standard recommendations for the general public to reduce exposure to and transmission of this and other respiratory illnesses are as follows, which include hand and respiratory hygiene, and safe food practices:
 1. Frequently clean hands by using alcohol-based hand rub or soap and water; 
2. When coughing and sneezing cover the mouth and nose with a flexed elbow or tissue – throw the tissue away immediately and wash hands;
 3. Avoid close contact with anyone who has fever and cough;
 4. If you have fever, cough and difficulty breathing seek medical care early and share previous travel history with your healthcare provider; 
5. When visiting live markets in areas currently experiencing cases of novel coronavirus, avoid direct unprotected contact with live animals and surfaces in contact with animals;
 6. The consumption of raw or undercooked animal products should be avoided. Raw meat, milk or animal organs should be handled with care, to avoid cross-contamination with uncooked foods, as per good food safety practices. (World Health Organization, 2020)

 Self-isolation by persons with symptoms and/or persons who may have been in contact with infected persons 
Self-isolation means avoiding situations where you could infect other people. This means all situations where you may come in contact with others, such as social gatherings, workplaces, schools, child care/pre-school centres, universities, faith-based gatherings, aged care and health care facilities, prisons,sports gatherings,supermarkets, restaurants, shopping malls, and all public gatherings. (Ministry of Health of New Zealand, 2020

Responsibilities and role of community pharmacy 

Community pharmacies in outbreak-affected and unaffected countries are often the first point of contact with the health system for those with health-related concerns or simply in need of information and reliable advice. 
Community pharmacists have the shared responsibility of:
 • Storing appropriate stocks of pharmaceutical products (medicines, masks, etc) to supply the demand
 • Informing and educating the public 
• Counselling 
• Referring 
• Promoting disease prevention
 • Promoting infection control 

Responsibilities and role of hospital pharmacy 
Hospital pharmacies in outbreak-affected and unaffected countries play an important role in:
 • Storing appropriate stocks of relevant medicines and other medical products and devices to supply the demand 
• Collaborating with other healthcare professionals in providing patient care and support
 • In-hospital prevention and infection control
 • Informing and counselling
 • Ensuring the responsible use of the pharmaceutical products supplied. For example, ensuring that healthcare professionals consistently wear their masks correctly.

source


Wednesday, January 29, 2020

१५ औ नाम दर्ता परीक्षाको आबेदन फारम भर्ने सम्बन्धि अत्यन्त जरुरी सूचना


नेपाल फार्मेसी परिषद्को मिति २०७६/१०/१०को बैठकको निर्णय बमोजिम यस परिषदले संचालन गर्ने १५ औ नाम दर्ता परीक्षाको लागि आवेदन फारम खोलिएको हुदा ०७६/१० /१२ देखि २०७६ /११/११ गते सम्म आबेदन फारम भर्न सम्बन्धित सबैलाइ सुचित गरिन्छ , साथै १५ औ नाम दर्ता परिक्षा को online नाम दर्ता आबेदन फारम निम्न लिखित लिंकबाट भर्न सकिन्छ |
नोट :- १ .नाम दर्ता आबेदन फारम Online बाट मात्र बुझिने व्यहोरा जानकारी गराइन्छ |
नेपाल फार्मेसी परिषद
बिजुली बजार , काठमान्डौ

Monday, January 6, 2020

Top 10 Jobs in the world

1. Physician

Median Base Salary: $195,842
Number of Job Openings: 3,038
Companies Hiring: Zumedic, Caresouth Carolina, InnovAge, Team Health, GoHealth Urgent Care & more.
See Open Jobs

2. Pharmacy Manager

Median Base Salary: $146,412
Number of Job Openings: 2,009
Companies Hiring: Albertsons, AIDS Healthcare Foundation, Johns Hopkins Home Care Group, Soliant Health, Costco & more.
See Open Jobs

3. Pharmacist

Median Base Salary: $127,120
Number of Job Openings: 2,534
Companies Hiring: Chewy, Inova, Woman’s Hospital, divvyDose, Safeway, Health Mart Pharmacy & more.
See Open Jobs

4. Enterprise Architect

Median Base Salary: $115,944
Number of Job Openings: 1,097
Companies Hiring: The Nerdery, Allianz Global Investors, NorthBay Healthcare, Fiserv, ProHealth Care & more.
See Open Jobs

5. Corporate Counsel

Median Base Salary: $115,580
Number of Job Openings: 693
Companies Hiring: AppFolio, Dynamic Signal, Experian, Sleep Number Corporation, MailChimp & more.
See Open Jobs

6. Software Development Manager

Median Base Salary: $108,879
Number of Job Openings: 1,064
Companies Hiring: Conduent, CSG, MoneyGram, Wi-Tronix, American Management Association & more.
See Open Jobs

7. Physician Assistant

Median Base Salary: $108,761
Number of Job Openings: 8,616
Companies Hiring: Urgentmed, Lifespan, SCL Health, Intercept Youth Services, Magruder Hospital & more.
See Open Jobs

8. Software Engineering Manager

Median Base Salary: $107,479
Number of Job Openings: 1,105
Companies Hiring: Juniper Networks, Nexon M, Medidata Solutions, Rubicon Project, FINRA & more.
See Open Jobs

9. Nurse Practitioner

Median Base Salary: $106,962
Number of Job Openings: 14,931
Companies Hiring: Team Health, Dominion Youth Services, Petaluma Health Center Inc, Marathon Health, Assurance Health System & more.

10. Software Architect

Median Base Salary: $105,329
Number of Job Openings: 1,130
Companies Hiring: Dynatrace, Payfactors, Leidos, General Dynamics Information Technology, NextCapital & more.