sarah branch mhra

border: 1px solid #8fc452!important; .learndash-wrapper .ld-item-list .ld-section-heading h2 { If this is an emergency do not use this form. Graeme Tunbridge commented: } I am delighted to have been asked to take on this role. University of Maine School of Law. Call 911 or your nearest hospital. .woocommerce-checkout #payment ul.payment_methods .woocommerce form .form-row .required { visibility: visible; } Nestle Condensed Milk Nutritional Information, .elementor-7213 .elementor-element.elementor-element-6376cea,.elementor-7610 .elementor-element.elementor-element-6376cea,.elementor-7328 .elementor-element.elementor-element-6376cea,.elementor-7894 .elementor-element.elementor-element-6376cea,.elementor-7583 .elementor-element.elementor-element-6376cea,.elementor-7891 .elementor-element.elementor-element-6376cea,.elementor-7585 .elementor-element.elementor-element-6376cea,.elementor-7802 .elementor-element.elementor-element-6376cea {padding: 75px 20px 100px 20px;} .elementor-7213 .elementor-element.elementor-element-b8cffea > .elementor-element-populated,.elementor-7213 .elementor-element.elementor-element-ab44c86 > .elementor-element-populated,.elementor-7213 .elementor-element.elementor-element-2f7cdea > .elementor-element-populated,.elementor-7213 .elementor-element.elementor-element-6cb9c84 > .elementor-element-populated{margin: 0px 15px 50px 15px;}.elementor-7213 .elementor-element.elementor-element-6903880{margin-top:0;} Graeme Tunbridge has been appointed interim Director of Devices. padding: 0 !important; Sarah excels at litigating . Dont include personal or financial information like your National Insurance number or credit card details. 1 EbMC Squared CiC Research for Impact 9-Aug-2021 Re: Updated Report of UK Yellow Card data for COVID-19 vaccines up to 30th June 2021 Dr. June Raine, Medicines and Healthcare Products Regulatory Agency cc. I earned my B.A. Life. Proudly created with Wix.com. As part of a public consultation, the Medicines and Healthcare products Regulatory Agency (MHRA) is looking for opinions on the reclassification of two progestogen-only pills. He has previously held Deputy Director roles at the Department of Health and spent 18 months as Private Secretary to the Secretary of State for Health. You can change your cookie settings at any time. After reviewing reports, Sarah Branch, MHRA's director of vigilance and risk management of medicines, said the evidence "does not suggest an increased risk, following vaccination, with the UK . News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. The proposals have been labelled a positive step by a consumer healthcare association. Sarah Branch (7 January 1938 - 10 November 2007) was an English film actress and model. My path into marriage & family was a natural journey because of the endless curiosity I have to explore the beautiful capacity of humans. margin-left: .25em;}.custom-title-header .elementor-divider .elementor-divider-separator { } .page-id-6004 .user_name_custom:before{padding-bottom:40px;display: block;width:100%;content: "\f007";left:14px;right: 0;position: absolute;margin: 0 auto;font-family:"Fontawesome";} 00:33 - UK Column MHRA ADR Database Sources: ***** MHRA Tender: - https://bit.ly/33w7geo . Public consultation led by the MHRA is looking for views on the potential reclassification of two pill types. You have rejected additional cookies. (MHRA) sent out new advice to doctors last June warning that those on metformin are at risk of Vitamin . After reviewing reports, Sarah Branch, MHRA's director of vigilance and risk management of medicines, said the evidence "does not suggest an increased risk, following vaccination, with the UK . 1 Medicines and Healthcare Products Regulatory Agency (MHRA), London, UK. You can verify your health insurance coverage when you arrange your first visit. Join ResearchGate to find the people and research you need to help your work. (MHRA) and other places. However, a copy will be sent to you for your records. Nero Caesar Coin, .sfwd-lessons-template-default.single header,.sfwd-topic-template-default header { display: none;}.sfwd-lessons-template-default.single .entry-content,.sfwd-topic-template-default .entry-content {margin-top: 50px;} color: #7aa549 !important; n.callMethod.apply(n,arguments):n.queue.push(arguments)};if(!f._fbq)f._fbq=n; The European Paediatric Regulation (EC No 1901/2006) has three main objectives: increasing the number of appropriate medicines for children, increasing information on these medicines and stimulating high-quality ethical research with children. .learndash-wrapper .ld-status-incomplete.ld-status-icon { .learndash-wrapper .ld-tabs .ld-tabs-navigation .ld-tab .ld-text {text-transform: uppercase;} UK Column News - 10th May 2021 | UKColumn display: inline !important; Dr Sarah Branch, Director of Vigilance and Risk Management of Medicines at the MHRA, said: At the MHRA patient safety is our highest priority. } Brian Gerrish, Mike Robinson and David Scott with today's UK Column News. Contraceptive pill could be sold over counter in first for UK Previous roles in government Director of Vigilance and . .learndash-wrapper .ld-login-modal input[type='submit'] { All Elf Bar 600 Disposable pods have been withdrawn from Booker, while Morrisons, Tesco, Sainsbury and Asda have also removed them from sale. } Dr Sarah Branch, Director of Vigilance and Risk Management of Medicines for the MHRA, said: "We have not been made aware of deaths of BA pilots after receiving the Covid-19 vaccine and have . Site Management sarah branch mhra . } color: #8fc452; .elementor-7213 .elementor-element.elementor-element-6903880,.elementor-7213 .elementor-element.elementor-element-83e3127,.elementor-7213 .elementor-element.elementor-element-81a3c8d{padding:30px 40px;}.elementor-7213 .elementor-element.elementor-element-22d34cc{padding-top:50px;padding-bottom:0;} .elementor-7213 .elementor-element.elementor-element-83e3127{margin:0;}.elementor-7213 .elementor-element.elementor-element-cef8c53{padding-bottom:25px !important;}.elementor-element-2f7cdea{margin-top:30px;}.elementor-7213 .elementor-element.elementor-element-53d364d{padding-bottom:0;}.elementor-element.elementor-element-9456101{margin-top:50px !important;}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px !important;}.elementor-7610 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated,.elementor-7894 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated,.elementor-7894 .elementor-element.elementor-element-6c7fafe > .elementor-widget-container,.elementor-7583 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated,.elementor-7583 .elementor-element.elementor-element-6c7fafe > .elementor-widget-container,.elementor-7891 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated,.elementor-7585 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated,.elementor-7802 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated{margin-top:0 !important;}.elementor-7610 .elementor-element.elementor-element-579a8de > .elementor-element-populated,.elementor-7894 .elementor-element.elementor-element-579a8de > .elementor-element-populated,.elementor-7583 .elementor-element.elementor-element-579a8de > .elementor-element-populated,.elementor-7891 .elementor-element.elementor-element-579a8de > .elementor-element-populated,.elementor-7585 .elementor-element.elementor-element-579a8de > .elementor-element-populated{margin-left:0 !important;}.elementor-7891 .elementor-element.elementor-element-4a93db3 > .elementor-element-populated{padding-bottom:0 !important;} color: rgba(34, 34, 34, 0.78); .recentcomments a{display:inline !important;padding:0 !important;margin:0 !important;} Currently seeking internships in life sciences venture capital for summer 2023.<br><br>Medical student and aspiring clinical academic with interests in pandemic prevention, preparedness and response, global health and biotech / healthtech / medtech.<br><br>Head of Policy at Polygeia, a global health research and policy think tank.<br><br>Executive Committee member at Scientists for Labour, a . Contraceptive pill to be given over the counter under 'landmark' plans Medicines and Healthcare products Regulatory Agency (MHRA), Quality considerations of paediatric investigation plans for monoclonal antibodies: A regulatory perspective from the MHRA, Does the EUs Paediatric Regulation work for new medicines for children in Denmark, Finland, Norway and Sweden? .elementor-6004 .elementor-element.elementor-element-641c04ab{margin-top:0 !important;}.page-id-6004 .woocommerce-order-overview.woocommerce-thankyou-order-details.order_details { width: 100%;text-align: center; margin-top: 3em;}.page-id-6004 .woocommerce ul.order_details li{width: 25% !important; In each capacity, she has vigorously advocated for the impartial delivery of due process. .ha-header.ut-header-dark { Professor Sarah Branch is passionate about the delivery of equitable justice and instilling enthusiasm for this in her students. MHRA . .grid-25.tablet-grid-25.hide-on-mobile {display: none;} padding: 30px 0px 70px 0px; Sarah has been the Deputy Director and Head of Operations in VRMM for 6 We also use cookies set by other sites to help us deliver content from their services. } in Psychology then from Abilene Christian University with a Masters in Marriage & Family Therapy in 2008. border: 3px solid #8fc452!important; Sarah Branch - Faculty .ld-lesson-section-heading { Does the Covid vaccine cause period problems? | The Scottish Sun Dr Sarah Branch commented: Bonjela and other teething gels to be banned from supermarket - Netmums Booker withdraws Elf Bar 600 and supermarkets take it off sale The MHRA consultation represents a landmark opportunity in womens health and one which we hope will be viewed positively, she said. We also use cookies set by other sites to help us deliver content from their services. font-size: 100%; To help us improve GOV.UK, wed like to know more about your visit today. PDF , Medicines and Healthcare Products Regulatory Agency - EbMCsquared CIC .learndash-wrapper .ld-login-modal .ld-login-modal-register { She was an actress, known for Sword of Sherwood Forest (1960), Secret Agent (1964) and Hell Is a City (1960). As expert healthcare professionals, pharmacists are fully equipped to offer advice to anyone seeking information about over-the-counter medicines.. Liverpool 1997 1998, } Charitable Trust In Tamil, Modalities I use in counseling include Trust Based Relational Intervention, Mindfulness Based Therapies, The Gottman Method, and more. } Dr Sarah Branch, director of MHRAs Vigilance and Risk Management of Medicines Division, said: Stimulant laxatives can provide short-term relief to some people with occasional constipation, and most people use these medicines safely. The MHRA and industry are working together to apply the CHM recommendations and develop appropriate ways to make sure the warning is appropriately prominent. Rishi Sunak set to end small boat farce - The Mail Graeme is currently the Group Manager for Devices Regulatory Affairs at the MHRA, and will take up his new post from 21 October 2019 following the retirement of John Wilkinson. Sarah is a Fellow of the Faculty of the Royal Pharmaceutical Society, Fellow of the Royal Society of Chemistry and Honorary Fellow of the Faculty of Pharmaceutical Medicine of the Royal College of Physicians. MHRA Drug Safety Update: severe and fatal burns risk with emollients Throughout her career, she has worked for the judiciary, the government, and the defense. News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. fbq('init', '2367675630220815', [], { Welcome and introductions AF - welcomed all parties to the MS teams meeting. Minnesota Supreme Court Interprets Minnesota Human Rights Act 23.1.Basic legal standards 23.1.1.Legal issues related to using embedded and free-standing decision support software in clinical settings. Dr Sarah Branch, deputy director of MHRA's Vigilance and Risk Management of Medicines (VRMM), said: "Our review showed there is a lack of evidence of benefit to using teething gels. } }); Dr Sarah Branch has been appointed interim Director of Vigilance and Risk Management of Medicines (VRMM). Vaccine watchdog 'closely monitoring' 4,000 women reporting period The Director of Devices leads the division in the Agency that is responsible for the operation of the regulatory framework that ensures the safety and performance of medical devices on the UK market. .learndash-cpt-sfwd-courses { After reviewing reports, Sarah Branch, MHRA's director of vigilance and risk management of medicines, said the evidence "does not suggest an increased risk, following vaccination, with the UK . Sarahs diverse background, including her time on sail training vessels, and as an AmeriCorps VISTA and Peace Corps volunteer, brings a dynamic spirit to her advocacy and teaching. Eleni Gaki 1 , Angeliki Siapkara 1 , Sarah Morgan 1 , Sarah Branch 1 Affiliation 1 . A Fellow of the Faculty of the Royal Pharmaceutical Society and Honorary Fellow of the Faculty of Pharmaceutical Medicine of the Royal College of Physicians, Sarah has a strong scientific track record, and brings a wealth of regulatory experience to the Director role. vertical-align: -0.1em !important; .learndash-wrapper .ld-course-status .ld-status.ld-status-progress,.learndash-wrapper .ld-tabs .ld-tabs-navigation .ld-tab.ld-active:after,.learndash-wrapper .ld-expand-button,.learndash-wrapper .ld-expand-button:hover,.learndash-wrapper .ld-expand-button.ld-button-alternate .ld-icon,.learndash-wrapper .ld-progress .ld-progress-bar .ld-progress-bar-percentage,.learndash-wrapper .ld-status-complete,.learndash-wrapper .ld-breadcrumbs .ld-status.ld-status-progress,.learndash-wrapper .ld-button,.learndash-wrapper .ld-button:hover,.learndash-wrapper .learndash_mark_complete_button:hover, .learndash-wrapper #learndash_mark_complete_button:hover,.learndash-wrapper .ld-table-list .ld-table-list-header,.learndash-wrapper .ld-breadcrumbs .ld-status.ld-status-complete,.learndash-wrapper .ld-table-list a.ld-table-list-item-preview:hover,.learndash-wrapper .ld-button.ld-button-reverse,.learndash-wrapper .ld-button.ld-button-reverse:hover{background:#8FC452;} She died of a terminal illness in 2007. http://announcements.telegraph.co.uk/deaths/69512/lithiby, https://en.wikipedia.org/w/index.php?title=Sarah_Branch&oldid=1083572371, John Grant Lithiby (19612002) (his death) (3 children), This page was last edited on 19 April 2022, at 14:25. discussed the question of legal liability for injuries resulting from use of computer software in health care [1].That discussion followed an earlier, more general series . Inspector Dalgliesh Full Episodes, Dont worry we wont send you spam or share your email address with anyone. The report warned that reduced access to contraception would affect marginalised groups the hardest, with young people possibly put off from going to see their GPs about contraceptives. Sarah Branch is an arts administrator, educator, facilitator, theater-maker, and multi-disciplinary artist originally from Madison, WI, and currently based in the Philadelphia and New York City area. Both Maxwellia [a British drugmaker] and HRA Pharma [a French drugmaker] have asked the MHRA to permit the sale of their progestogen-only pill products under the supervision of a qualified pharmacist. I am delighted to have been asked to take on this role. } { display: inline !important; I enjoy working with adults in all places on their growth journey and provide both individual and couples counseling. It's courageous when people reach out to broaden their perspectives and skills. } Sarah Branch - IMDb Well send you a link to a feedback form. In particular, Sarah has built a strong Paediatric Unit and over the last 10 years has helped deliver more authorised medicines for children. Sarah K Branch 1 Affiliation 1 Medicines and Healthcare Products Regulatory Agency (MHRA), Market Towers, 1 Nine Elms Lane, London SW8 5NQ, UK. The Medicines and Healthcare products Regulatory Agency (MHRA) is working to get all creams containing paraffin to carry a warning, but this may be some way off. width: 56px; Refugee & Human Rights Clinic: Asylum for Judi, Certificate in Environmental and Oceans Law, Certificate in Business and Transactional Law, Dual Degrees with the Muskie School of Public Service at the University of Southern Maine, Community Standards, Campus Climate, and Incident Reporting, PreLaw Undergraduate Scholars (PLUS) Program, Rights and Relations: Emerging Issues for Maine Families, Judge Frank M. Coffin Lecture on Law and Public Service, Consumer Information (ABA Required Disclosures). 2023. Does the Covid vaccine cause period problems? .select2-container--default .select2-selection--single margin: 0px; .learndash-cpt-sfwd-courses .grid-75.tablet-grid-75.mobile-grid-100 .ut-post-thumbnail img {width: 100%;} (MHRA) and other places. Patriot Season 2 Episode 8 Recap, He has a Masters degree in biochemistry from the University of Oxford. Deputy Director . VRMM Division is also responsible for renewal of authorisations, changes in legal classification and advertising of medicines, and for assessment of studies relating to the development of paediatric medicines. background: rgba(0, 23, 32, 0.83)!important; background: #819a49; Since 2010, more than 50 deaths and serious injuries have been linked to the dried-in creams, according to the MHRA, with a review showing that over-60s, smokers and those with reduced mobility . .learndash-wrapper .ld-course-status.ld-course-status-enrolled,.learndash-wrapper .ld-breadcrumbs,.learndash-wrapper .learndash_mark_complete_button, .learndash-wrapper #learndash_mark_complete_button{background-color: #222;} { overflow:visible !important; once Andrew and his ex-wife Sarah, Duchess of York leave. } 2021 by Sarah Branch. background-color: #8fc452!important; MHRA senior appointments - Pf Media width: auto !important; {"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://videotree.ie/#organization","name":"Videotreee","url":"https://videotree.ie/","sameAs":[],"logo":{"@type":"ImageObject","@id":"https://videotree.ie/#logo","url":"https://videotree.ie/wp-content/uploads/2018/02/21-compressor-e1561396747727.png","width":150,"height":83,"caption":"Videotreee"},"image":{"@id":"https://videotree.ie/#logo"}},{"@type":"WebSite","@id":"https://videotree.ie/#website","url":"https://videotree.ie/","name":"","description":"Videotree | Video Production and Training Specialists","publisher":{"@id":"https://videotree.ie/#organization"},"potentialAction":{"@type":"SearchAction","target":"https://videotree.ie/?s={search_term_string}","query-input":"required name=search_term_string"}},{"@type":"WebPage","@id":"https://videotree.ie/vz7hawop/#webpage","url":"https://videotree.ie/vz7hawop/","inLanguage":"en-GB","name":"sarah branch mhra -","isPartOf":{"@id":"https://videotree.ie/#website"},"datePublished":"2021-03-16T02:46:16+00:00","dateModified":"2021-03-16T02:46:16+00:00"},{"@type":"Article","@id":"https://videotree.ie/vz7hawop/#article","isPartOf":{"@id":"https://videotree.ie/vz7hawop/#webpage"},"author":{"@id":"https://videotree.ie/#/schema/person/"},"headline":"sarah branch mhra","datePublished":"2021-03-16T02:46:16+00:00","dateModified":"2021-03-16T02:46:16+00:00","commentCount":0,"mainEntityOfPage":{"@id":"https://videotree.ie/vz7hawop/#webpage"},"publisher":{"@id":"https://videotree.ie/#organization"},"articleSection":"Uncategorized"}]} The therapist should respond to you by email, although we recommend that you follow up with a phone call. font-family: "Open Sans Condensed", Sans-serif !important;line-height: 1.4em;} .ld_course_grid h3 { font-family: "Open Sans Condensed", Sans-serif; font-weight: bold; Dr Sarah Branch has been appointed interim Director of Vigilance and Risk Management of Medicines (VRMM). .infinite-scroll .woocommerce-pagination { Sarah K. Branch's research sarah branch mhra - Eztransport123.com .page-title-shortcode .elementor-shortcode{font-size:39px;} .page-id-6004 .woocommerce ul.order_details li{width:100% !important;border-right:inherit !important;} } Nfl Games Cancelled This Weekend, }. Vape supplier Elf Bar is already pulling its bestselling 600 line as 50% over limit .learndash-wrapper .ld-item-list .ld-section-heading .ld-item-list-actions .ld-expand-button{width: 50%;}.learndash-cpt-sfwd-courses .grid-75.tablet-grid-75.mobile-grid-100 header h1{font-size:22px;} margin: 0 auto; You have accepted additional cookies. sarah branch mhra - Videotree.ie sarah branch mhra - Luxurybroker.ca Your alternative update on #COVID19 for 2021-06-18 - paulthepaperbear Nfl Games Cancelled This Weekend, Dont include personal or financial information like your National Insurance number or credit card details. It will take only 2 minutes to fill in. color: #000000;} Dr. Sarah Branch, Deputy Director of the MHRAs Vigilance and Risk Management of Medicines Division said: This is important new advice for the use of codeine for pain relief in children. This page lists the scientific contributions of an author, who either does not have a ResearchGate profile, or has not yet added these contributions to their profile. .woocommerce form .form-row input.input-text, .woocommerce form .form-row textarea, .select2-container .select2-selection--single .select2-selection__rendered I was happily born, raised here in Texas and remain today. . color: #444; } In 2018, she received that organizations Unsung Hero Award which is presented annually to the Maine criminal defense lawyer who best exemplifies the highest level of commitment, passion, and the tireless pursuit of justice in the representation of indigent defendants. Dr Sarah Branch has been appointed interim Director of Vigilance and Risk Management of Medicines (VRMM). Dr Sarah Branch, director of vigilance and risk management of medicines at the MHRA, said: Every response received will help us gain a better picture of whether people think the contraceptive pill with desogestrel should be available over the counter. 'We are working with companies to make sure that important safety messages are included in the product information,' said Dr Sarah Branch, deputy director of MHRA's Vigilance and . Publication types Letter Comment MeSH terms Child . } MHRA - definition of MHRA by The Free Dictionary padding: 0 !important;} Last year, we announced that opioid-containing medicine packaging must carry warnings. !function(e,a,t){var r,n,o,i,p=a.createElement("canvas"),s=p.getContext&&p.getContext("2d");function c(e,t){var a=String.fromCharCode;s.clearRect(0,0,p.width,p.height),s.fillText(a.apply(this,e),0,0);var r=p.toDataURL();return s.clearRect(0,0,p.width,p.height),s.fillText(a.apply(this,t),0,0),r===p.toDataURL()}function l(e){if(!s||!s.fillText)return!1;switch(s.textBaseline="top",s.font="600 32px Arial",e){case"flag":return!c([127987,65039,8205,9895,65039],[127987,65039,8203,9895,65039])&&(!c([55356,56826,55356,56819],[55356,56826,8203,55356,56819])&&!c([55356,57332,56128,56423,56128,56418,56128,56421,56128,56430,56128,56423,56128,56447],[55356,57332,8203,56128,56423,8203,56128,56418,8203,56128,56421,8203,56128,56430,8203,56128,56423,8203,56128,56447]));case"emoji":return!c([55357,56424,55356,57342,8205,55358,56605,8205,55357,56424,55356,57340],[55357,56424,55356,57342,8203,55358,56605,8203,55357,56424,55356,57340])}return!1}function d(e){var t=a.createElement("script");t.src=e,t.defer=t.type="text/javascript",a.getElementsByTagName("head")[0].appendChild(t)}for(i=Array("flag","emoji"),t.supports={everything:!0,everythingExceptFlag:!0},o=0;o .ld-course-list-items .ld_course_grid .thumbnail.course { border: 1px solid #8FC452; border-radius: inherit;} . Michelle Riddalls, chief executive of PAGB, the UK trade association that represents the manufacturers of branded over-the-counter medicines, said the body backed the the reclassification of the pills. } We also use cookies set by other sites to help us deliver content from their services. Nestle Condensed Milk Nutritional Information, .learndash_checkout_button input[type="submit"] My journey. box-shadow: none !important; float: none; color: #292929!important; img.emoji { Sarah Branch, M.MFT, LMFT - Hillside Counseling The MHRA has advised patients to not stop taking any current epilepsy medications without discussing it with a healthcare professional first. { This is your space to write a brief initial email. All rights reserved. .parallax-overlay { width: 20% !important;}.custom-title-header {padding: 75px 20px 50px 20px !important;}.learndash-wrapper .ld-tabs .ld-tabs-navigation .ld-tab { padding: 1.2em .5em !important;}.ld-course-status-content { height: inherit !important;}.learndash-wrapper .ld-course-status.ld-course-status-not-enrolled .ld-course-status-label{font-size:1em;} width: 100%; Sarah has been the Deputy Director and Head of Operations in VRMM for 6 years and took over as Director on 23 September 2019, following Dr June Raines appointment as the Agencys interim Chief Executive. Sarah excels at litigating challenging battles for the sake of her clients. After reviewing reports, Sarah Branch, MHRA's director of vigilance and risk management of medicines, said the evidence "does not suggest an increased risk, following vaccination, with the UK's three Covid-19 vaccines". color: #8fc452; text-transform: uppercase; Sarah Branch | About } The Medicines and Healthcare products Regulatory Agency (MHRA) is welcoming two directors. Deputy director of MHRA's vigilance and risk management of medicines Dr Sarah Branch, said: 'Our review showed there is a lack of evidence of benefit to using teething gels.

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sarah branch mhra