Monitoring Liver Enzymes. Labels have been revised to remove the need for routine periodic monitoring of liver enzymes in patients taking statins. The labels now recommend that liver enzyme tests should be performed before starting statin therapy and as clinically indicated thereafter.
Representative democracy Representative democracy is a variety of democracy founded on the principle of elected officials representing a group of people, as opposed to direct democracy. All modern Western style democracies are various types of representative democracies, for example the United Kingdom is a constitutional monarchy and Poland is a parliamentary republic.
This is what distinguishes it from a democracy-a republic can be a democracy or an oligarchy. So every democracy is a republic, but not every republic is a democracy. For example, the United States is both a democracy and a republic.Some countries are republics, but are not considered democracies. Examples include Nazi Germany, the People's Republic of China, the Democratic People's Republic of [North] Korea, and the Union of Soviet Socialist Republics.ames Madison defined republic in terms of  representative democracy as opposed to direct democracy.)    A direct democracy, or  pure democracy, is where the people rule directly, voting on  every law themselves. It's a form of government ruled by majority  of every individual.