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In house pharmacy

Michael J Long, Brian N LaPlant, Justin C McCormick
OBJECTIVES: To determine the impact of national and local antimicrobial stewardship measures on overall antibiotic prescribing in the Federal Bureau of Prisons (BOP). SETTING: Care was delivered to more than 160,000 inmates in 122 BOP facilities in the United States and Puerto Rico. PRACTICE DESCRIPTION: Medical centers and health services clinics staffed by in-house medical staff, consultants, and specialists. Staffs include a variety of disciplines, including physicians, pharmacists, dentists, nurses, infection control personnel, therapists, health services administrators, and institution executive staff...
January 12, 2017: Journal of the American Pharmacists Association: JAPhA
Eli Kupperman, Daniel Vigil, Arash Yazdani, Kevin Baldwin
To review current practices regarding prescribing controlled substances at an academic medical center and describe possible advantages of electronic prescribing of controlled substances (EPCS). A 10-question multiple choice survey was sent electronically to all house staff at an academic medical center. Aggregated data was analyzed for trends. 193 surveys (18.8 %) were completed. Of all respondents, 46.6 % were not able to write their own prescriptions. 70.0 % have used another provider's prescription pad to write prescriptions...
December 2016: Journal of Medical Systems
Stefanie N Rezansoff, Akm Moniruzzaman, Seena Fazel, Lawrence McCandless, Ric Procyshyn, Julian M Somers
Adherence to antipsychotic medication is a significant challenge among homeless patients. No experimental trials have investigated the impact of Housing First on adherence among patients with schizophrenia. We investigated whether Housing First in congregate and scattered-site configurations resulted in superior adherence compared to usual care. Adult participants (n = 165) met criteria for homelessness, schizophrenia, and initiation of antipsychotic pharmacotherapy prior to recruitment to an unblinded, 3-arm randomized controlled trial in Vancouver, Canada...
September 24, 2016: Schizophrenia Bulletin
Magdalena Woińska, Simon Grabowsky, Paulina M Dominiak, Krzysztof Woźniak, Dylan Jayatilaka
Precise and accurate structural information on hydrogen atoms is crucial to the study of energies of interactions important for crystal engineering, materials science, medicine, and pharmacy, and to the estimation of physical and chemical properties in solids. However, hydrogen atoms only scatter x-radiation weakly, so x-rays have not been used routinely to locate them accurately. Textbooks and teaching classes still emphasize that hydrogen atoms cannot be located with x-rays close to heavy elements; instead, neutron diffraction is needed...
May 2016: Science Advances
Andrew Ian Jenkins, Mary Louise Hughes, Efthymia Mantzourani, Mathew Wayne Smith
In recent years, the delivery of health services has seen a shift towards interprofessional teamwork in order to effectively utilise the skills of each member of the healthcare team to deliver optimal patient care. Nevertheless, a variety of barriers, including lack of communication between healthcare professionals (HCPs), have been identified. The expanding clinical services provided by community pharmacies have increased the potential for pharmacist-HCP interaction; however, primary care pharmacy environments vary from individual distinct premises to part of interprofessional 'health centres'...
September 2016: Journal of Interprofessional Care
Andrea C Coronado, Gregory S Zaric, Janet Martin, Monali Malvankar-Mehta, Francie F Si, William G Hodge
BACKGROUND: Diabetic eye complications are the leading cause of visual loss among working-aged people. Pharmacy-based teleophthalmology has emerged as a possible alternative to in-person examination that may facilitate compliance with evidence-based recommendations and reduce barriers to specialized eye care. The objective of this study was to estimate the cost-effectiveness of mobile teleophthalmology screening compared with in-person examination (primary care) for the diabetic population residing in semiurban areas of southwestern Ontario...
January 2016: CMAJ Open
Naser Z Alsharif, Adnan Dakkuri, Jeanine P Abrons, Dennis Williams, David N Ombengi, HaiAn Zheng, Sara Al-Dahir, Toyin Tofade, Suzanna Gim, Mary Beth O'Connell, Anna Ratka, Emily Dornblaser
International outreach by schools and colleges of pharmacy is increasing. In this paper, we provide current practice guidelines to establish and maintain successful global/international advanced pharmacy practice experiences (G/I APPEs) with specific recommendations for home/host country and host site/institution. The paper is based on a literature review (2000-2014) in databases and Internet searches with specific keywords or terms. Educational documents such as syllabi and memoranda of understanding (MoUs) from pharmacy programs were also examined...
April 25, 2016: American Journal of Pharmaceutical Education
Katie MacLure, Joan MacLeod, Katrina Forbes-McKay, Vibhu Paudyal, Scott Cunningham, Alison Strath, Rory Lynch, Derek Stewart
BACKGROUND: Multi-compartment compliance aids (MCAs) are repackaging systems for solid dosage form medicines, heralded by some as a solution to non-adherence but with little evidence of benefit. OBJECTIVE: The aim was to use a theoretical approach to describe the behavioural determinants impacting the use of MCAs in older people from the perspectives of the individual and health and social care providers. DESIGN: A case study investigation was conducted...
May 12, 2016: Patient
Cory Soto, Jamie Stiner, Daniel O Noji, Jeffrey M Rusheen, Yue Ming Huang
INTRODUCTION: The acquisition and use of pharmaceuticals in simulation is a common challenge for many institutions and simulation centers. There are 2 major avenues of obtaining medications, namely, via expired drugs donated by manufacturers or via purchasing simulated medication vials filled with inactive ingredients. Neither option is ideal to keep pace with busy simulation centers or to meet the specialized requirements of many educational programs. We describe an alternative solution through internal production of simulated drugs using readily available materials from laboratory suppliers...
June 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Sarah Long, Jack Goldblatt
BACKGROUND: A polymorphism is a variant within a gene that does not necessarily affect its function, unlike a pathogenic mutation. Genetic testing for two common polymorphisms in the methylenetetrahydrofolate reductase gene (MTHFR), 677C>T and 1298A>C, is being accessed by general practitioners (GPs) and alternative medicine practitioners (based on in-house records from referrals), and promoted through some pharmacies in Western Australia (based on the authors' personal communication)...
April 2016: Australian Family Physician
Jo Ann L Nicoteri
BACKGROUND AND PURPOSE: A small college health center discovered that students perceived obtaining prescribed medication was a barrier to adherence to short-term antibiotic therapy. To address this specific barrier, an in-house dispensary was developed and modified over the past several years to meet the needs of students. Partnering with a local pharmacy has made the process of obtaining prescriptions easier for the students. DATA SOURCES: Data were extracted from the electronic health records at Student Health Services for the academic year 2014-2015...
April 2016: Journal of the American Association of Nurse Practitioners
Linda V Graudins, Glenn Downey, Thuy Bui, Michael J Dooley
BACKGROUND: Neuromuscular blocking agents (NMBs) are high-risk medications used to facilitate endotracheal intubation and artificial ventilation. In an incident at a metropolitan tertiary referral and teaching public hospital in Australia, a neurosurgical patient became unresponsive at the start of surgery. It was determined that cisatracurium was administered in error in place of midazolam; the patient was ventilated and the emergency surgery continued. Two additional non-operating room (OR) drug-swap cases involving cisatracurium were reported within 12 months of this event, resulting in a comprehensive review of NMB safety...
February 2016: Joint Commission Journal on Quality and Patient Safety
M Remedios Reina Campos, Amalia Carrasco Rodríguez
This article tends to illustrate the coordination mechanisms used through an example centred on a case study of a 65 year-old patient who presents obesity, hypertension, high cardiovascular risk, alcoholism, smoking and silent ischaemic strokes; divorced twice and with five children. After his last separation 8 years ago he moved to his father's house. While his father was still alive his health situation was stable and monitored by professionals of the primary care team. He was recently referred to the Social Worker at the Health Centre due to his lack of personal hygiene and housing...
January 2016: Enfermería Clínica
Corina I Bocşan, Adriana I Bujor, Nicolae Miron, Ştefan C Vesa, Diana Deleanu, Anca D Buzoianu
BACKGROUND: Allergic rhinitis is characterized by a chronic inflammation of nasal mucosa and represents a risk factor for asthma occurrence. H1 antihistamines reduce the symptoms of rhinitis, but some compounds may have anti-inflammatory properties. AIMS: We evaluated the plasma level of some cytokines in patients with persistent allergic rhinitis (PAR) and their evolution after a 4-week treatment with H1 anti-histamines, as well as the risk of asthma after 1.5 years...
October 2015: Balkan Medical Journal
Sara Modig, Lydia Holmdahl, Åsa Bondesson
BACKGROUND: One way of preventing and solving drug-related problems in frail elderly is to perform team-based medication reviews. OBJECTIVE: To evaluate the quality of the clinical pharmacy service to primary care using structured medication reviews, focusing on the clinical significance of the recommendations made by clinical pharmacists. SETTING: A random sample of 150 patients (out of 1541) who received structured team based medication reviews...
February 2016: International Journal of Clinical Pharmacy
David C Speksnijder, Debbie A C Jaarsma, Theo J M Verheij, Jaap A Wagenaar
Little is known about attitudes of veterinarians towards antibiotic use and reduction opportunities, and their interaction with farmers herein. Therefore, a questionnaire was developed and sent out to Dutch farm animal veterinarians. The response rate was 40%. Categorical Principal Component Analysis (CATPCA) was conducted on statements measuring attitudes towards the use of antibiotics and reduction opportunities in farm animals, the veterinary pharmacy and the interaction of veterinarians with farmers in improving animal health...
October 1, 2015: Preventive Veterinary Medicine
Ayodeji M Adebayo, Michael C Asuzu
BACKGROUND: Primary healthcare is established to ensure that people have access to health services through facilities located in their community. However, utilisation of health facilities in Nigeria remains low in many communities. AIM: To assess the utilisation of community-based health facility (CBHF) amongst adults in Ibadan, Nigeria. SETTINGS: A low-income community in Ibadan North West Local Government Area of Oyo State. METHODS: A cross-sectional survey was conducted using a simple random sampling technique to select one adult per household in all 586 houses in the community...
2015: African Journal of Primary Health Care & Family Medicine
Peela J Rao, Shoba D Kolla, Farag Elshaari, Fatoom Elshaari, Hayam El Awamy, Mona Elfrady, Rajinder Singh, Asma Belkhier, Shakila Srikumar, Abdul R Said, Sainath J Dhopoide, Ranjani Ramanujam, Idris Elbarassi, Laxmi T Peela, Anuradha Argi
BACKGROUND: Piperine is isolated from Piper nigrum popularly known as black pepper. Previous studies have demonstrated the beneficial effects of piperine in various health conditions. Additionally, it is a powerful bioenhancer for many drugs. Piperine extract is believed to potentiate the effect of drugs by several folds. The present study is focused on its individual effect on liver function. MATERIALS AND METHODS: A total of 30 CF-1 albino mice obtained from the animal house of faculty of Medicine, Benghazi University, Benghazi, Libya were included in the study...
2015: Infectious Disorders Drug Targets
F Moreno Benítez, M Espinazo Romeu, A Letrán Camacho, S Mas, F J García-Cózar, A I Tabar
BACKGROUND: Allergen immunotherapy is a treatment modality which can be applied using different vaccines. The aim of this study was to quantify and compare the allergen content of different house dust mites (HDM)' sublingual treatments and to review the evidence on their efficacy. METHODS: Five sublingual allergen immunotherapy (SLIT) products were ordered and purchased at an ordinary pharmacy and masked for blinding before the study was started. Detection of Dermatophagoides pteronyssinus and Dermatophagoides farinae allergens Der p 1, Der f 1, Der p 2 and Der f 2 was carried out by immunoblotting and fluorescent multiplex...
November 2015: Allergy
Rosa K Hand, Jerrilynn D Burrowes
OBJECTIVE: This study was designed to determine what job responsibilities renal dietitians working in outpatient dialysis facilities consider as most important and most time-consuming. We hypothesized that more time-consuming activities would not always be considered most important. DESIGN AND PARTICIPANTS: An online survey was sent to 3,382 renal dietitians via professional organization e-mail lists. The survey included 30 activities that renal dietitians perform, grouped into 3 categories (general responsibilities, assessments, and interventions) and based on the National Kidney Foundation-Kidney Disease Outcomes Quality Initiative nutrition guidelines...
September 2015: Journal of Renal Nutrition
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