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The remainder when dividing this number by 11 is calculated, yielding a number in the range 0–10, which would be 2 in this case. Finally, this number is subtracted from 11 to give the checksum in the range 1–11, in this case 9, which becomes the last digit of the NHS number. A checksum of 11 is represented by 0 in the final NHS number.
Gastroesophageal reflux disease (GERD) or gastro-oesophageal reflux disease (GORD) is a chronic upper gastrointestinal disease in which stomach content persistently and regularly flows up into the esophagus, resulting in symptoms and/or complications.
Gastroesophageal reflux. A condition that is a result of stomach contents consistently coming back up into the esophagus causing troublesome symptoms or complications. [19] Symptoms are considered troublesome based on how disruptive they are to a patient's daily life and well-being. This definition was standardized by the Montreal Consensus in ...
Biliary reflux can be confused with acid reflux, also known as gastroesophageal reflux disease (GERD). While bile reflux involves fluid from the small intestine flowing into the stomach and esophagus, acid reflux is the backflow of stomach acid into the esophagus. These conditions are often related, and differentiating between the two can be ...
The Electronic Staff Record or ESR is an Oracle-based human resources and payroll database system currently used by 586 units of the National Health Service (NHS) in England and Wales to manage the payroll for 1.2 million NHS staff members. The Electronic Staff Record application is managed by IBM for the NHS.
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There is no cure for EMD, but symptoms can be managed. Some symptom management includes eating slower and taking smaller bites; in some cases medications can be useful to manage other issues that contribute to EMD such as a proton pump inhibitor to ease gastroesophageal reflux (acid reflux), or a smooth muscle relaxant for issues with the muscles.