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Delirium Assessment Treatment Strategies in Critically Ill Pediatric Patients: A Pediatric Pharmacy Association Practice-Based Research Network Survey Study.

OBJECTIVES: The purpose of this study was to describe overall screening, prevention, and treatments for pediatric delirium at various neonatal intensive care units (NICUs), cardiac intensive care units (CICUs), and pediatric intensive care units (PICUs) from the Pediatric Pharmacy Association (PPA) membership. The primary objective was to identify the number of respondents that had a defined delirium-based protocol. The secondary objectives included identification of delirium assessment tools used, first- and second-line delirium treatment options, and monitoring practices for antipsychotics f…

Development and Assessment of Targeted, Live, and Interactive Continuing Pharmacy Education Workshops in Dementia Care for North Dakota Pharmacists.

Background With the growing US aging population, need for a health care workforce able to provide dementia care will increase. Objective To develop, deliver, and assess interactive live workshops for licensed North Dakota pharmacists in dementia care. Methods Prospective interventional study of impact of free-of-charge, interactive, five-hour workshops for pharmacists providing advanced training in Alzheimer's disease, vascular and Parkinson's disease dementia, dementia with Lewy bodies, and common reversible causes of cognitive impairment. The workshop was offered three times across two diffe

Assessing pharmaceutical consultations: Comparing pharmacy-recommended medications for minor ailments and regulatory compliance in a Latin American healthcare network.

BACKGROUND: The importance of access to medicines in promoting global health cannot be overstated, particularly as an estimated 2 billion pe … ). OBJECTIVE: Characterize the pharmaceutical consultation, compare the medications recommended by pharmacy professionals for minor ailments with the legislation in force in Costa Rica, and determine whether the current OTC medications are sufficient to treat minor ailments. MATERIAL AND METHODS: This study is a descriptive, observational, cross-sectiona …

ESCP Spring Workshop 2023: Advancing clinical pharmacy and care in diabetes and cardiovascular comorbidities-Antwerp, 20-21 April 2023.

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… Sancar 4 1 Clinical Pharmacy, Marmara University Faculty of Pharmacy; 2 Family Medicine; 3 Internal Medicine, Haydarpasa Numune Training and Research Hospital; 4 Clinical Pharmacy, Marmara University Faculty of Pharmacy, Istanbul, Türkiye Background and Objective: This descriptive prospective study … Schwab 1 2,* 1 Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, IPLESP, AP-HP, Hôpital Saint-Antoine, Service Pharmacie, F75012 , Paris; 2 Département de Pharmacie Clinique, Université Paris Saclay, Faculté de Pharmacie, Orsay; 3 Sorbonne Université, INSERM, Institut …

Use of path analysis to predict changes to community pharmacy and GP emergency hormonal contraception (EHC) provision in England.

OBJECTIVES: In 2014/2015, 46% of community pharmacies were commissioned by local authorities to provide emergency hormonal contraception (EHC) free without prescription in England. Commissioning EHC services influences EHC prescribing from General Practice (GP)-greater community pharmacy provision reduces GP prescribing. This study aimed to examine predictors of GP and pharmacy EHC activity, describing them using path analysis. From this, commissioners and policy-makers may understand ways to influence this. STUDY DESIGN: Cross-sectional study of routinely recorded data, obtained through free…

Spontaneous Adverse Event Reporting by COVID-19 Vaccinated Healthcare Professionals Through an Electronic Form Implemented by the Hospital Pharmacy.

Aim: Implementation of a web-form based pharmacovigilance plan for the spontaneous notification of adverse events to the Comirnaty® COVID-19 … trointestinal disorders. Noteworthy, the notification of a case of miscarriage. The use of hospital pharmacy pharmacovigilance electronic forms, seemed to be relevant to notification adherence and to obtain a greater and faster knowledge of COVID-19 vaccine safety profile.

Knowledge and Disposal Practice of Leftover and Expired Medicine: A Cross-Sectional Study from Nursing and Pharmacy Students' Perspectives.

The objective of the present study was to investigate the knowledge and practices concerning unused and expired medicine among pharmacy and nursing students at King Saud University, Riyadh, Saudi Arabia. A cross-sectional study design was used. The study used a validated paper-based, self-administered questionnaire. Statistical analyses were performed using SPSS, Version 24. The response rate was 70.4% (n = 352). The results indicated that 57.4% of pharmacy students and 53.4% of nursing students check the expiry date of medicine before procuring, and 37.6% of pharmacy students and 52.5% of nur…

A mixed-method simulated patient approach to explore implicit bias in health care: A feasibility study in community pharmacy.

BACKGROUND: Implicit bias is prejudice shown towards an individual or group without consciously meaning to do so. This bias may occur due to … lments (cystitis, dysmenorrhea, emergency contraception, vaginal thrush) at a rate of one visit per pharmacy per week. Visits were audio-recorded. Semi-structured interviews were conducted with actors immediately post-visit. Transcriptions of visits and interviews were analyzed through discourse analysis. RESULTS: Thirty-two vists were completed. Discours …

An Integrated Health-System Specialty Pharmacy Model for Coordinating Transitions of Care: Specialty Medication Challenges and Specialty Pharmacist Opportunities.

Adherence and persistence to specialty medications are necessary to achieve successful outcomes of costly therapies. The increasing use of specialty medications has exposed several unique barriers to certain specialty treatments' continuation. Integrated specialty pharmacy teams facilitate transitions in sites of care, between different provider types, among prescribed specialty medications, and during financial coverage changes. We review obstacles encountered within these types of transitions and the role of the specialty pharmacist in overcoming these obstacles. Case examples for each type …

The Ocular Status of Cystinosis Patients Receiving a Hospital Pharmacy-Made Preparation of Cysteamine Eye Drops: A Case Series.

INTRODUCTION: Infantile nephropathic cystinosis (INC) is an autosomal recessive lysosomal disorder in which patients develop deposits of cys … applying cysteamine eye drops (galenic preparation of 0.55% concentration, compounded by a hospital pharmacy). Recommended application frequency was at least eight times per day in all patients with dosing information available. CONCLUSIONS: This case series of patients with INC highlights the consistent pattern of corneal cystine crystal deposition, whic …

[Risk Factors of the Mortality among Senile HIV/AIDS Patients Intervened by Comprehensive Intervention of Chinese Medicine and Pharmacy].

OBJECTIVE: To observe the effect of Chinese medicine and pharmacy (CMP) on the mortality of senile HIV/AIDS patients as adjunctive therapy. METHODS: HIV/AIDS patients of a certain rural area of Hanna Province, who were recruited in national CMP HIV treatment trial program (NTCMTP) in 2004, were enrolled as the CMP treatment group. HIV/AIDS patients in the same village without recruiting in NTCMTP were enrolled as the non-CMP treatment group. Data related to subjects were collected from the database of NTCMTP and National HAART Reporting System. Multiple regression analysis under Cox proportio…

Birth control within reach: a national survey on women's attitudes toward and interest in pharmacy access to hormonal contraception.

OBJECTIVE: This survey was conducted to better understand women's experiences with hormonal contraception and their interest in and attitudes toward gaining direct access to oral contraception (OC), patch, ring or emergency contraception (EC) in pharmacies. METHOD: A nationally representative telephone survey of 811 women aged 18-44 years who were at risk for unintended pregnancy was conducted in the United States. RESULTS: It was found that 68% of women in the United States said they would use pharmacy access to OC, patch, ring and/or EC. Likely users include women not using contraception w…

Use of pharmacy data to evaluate smoking regulations' impact on sales of nicotine replacement therapies in New York City.

OBJECTIVES: Recently, New York City and New York State increased cigarette excise taxes and New York City implemented a smoke-free workplace law. To assess the impact of these policies on smoking cessation in New York City, we examined over-the-counter sales of nicotine replacement therapy (NRT) products. METHODS: Pharmacy sales data were collected in real time as part of nontraditional surveillance activities. We used Poisson generalized estimating equations to analyze the effect of smoking-related policies on pharmacy-specific weekly sales of nicotine patches and gum. We assessed effect mod…

Pharmacists at the frontline: a qualitative investigation of the acceptability and feasibility of an ethical framework for preventing opioid-related harm in pharmacy practice.

OBJECTIVES: To evaluate the acceptability and feasibility of a proposed ethical framework that describes pharmacists' responsibilities when … es outlined in the framework. KEY FINDINGS: Seventeen pharmacists from both hospital and community pharmacy settings participated across five focus groups and five semi-structured interviews. Four key themes emerged: (i) whether the responsibilities outlined in the framework were obligatory, (ii) whether the framework provided sufficient guidance, (iii) w …

How community pharmacies can raise uterine cancer awareness among women from ethnic minority populations.

OBJECTIVES: Community pharmacies are a potential route to reach underserved groups due to their locations and staff, who often reflect the diversity of the populations they serve. This study aimed to explore the potential for a uterine cancer awareness campaign encouraging earlier presentation of red-flag symptoms among ethnic minority women conducted through community pharmacies. METHODS: Semi-structured qualitative interviews were conducted with pharmacy staff to explore the role of the pharmacy in cancer awareness, the impact of language and cultural sensitives on discussions, and signpost…

Environmentally Safe and Just Pharmacy: A Framework and Action Plan for Operating within the Earth System Boundary for Novel Entities.

Active pharmaceutical ingredients (APIs) are essential for global health, yet their use and release into the environment contribute to the transgression of the Earth System Boundary for Novel Entities. This study proposes a novel framework for an Environmentally Safe and Just Pharmacy, establishing 4 overarching criteria and 12 subcriteria designed to ensure that the pharmaceutical lifecycle is environmentally safe and just from a novel entities perspective. Using the extensive expertise of our global author group, we conclude that current practices for API design and development, approval and…

Patient-reported outcomes and experience measures in the Community Pharmacy setting: Theoretical and practical framework regarding the PROMs and PREMs.

Healthcare systems are evolving toward person-centered and value-driven models, in which the patient's perspective plays a key role. Thus, p … PROM and PREM and proposes a practical framework for their implementation in the field of community pharmacy. The manuscript addresses aspects related to their definition, psychometric properties (validity, reliability, sensitivity to change…), development process, and criteria for selecting the appropriate instrument. It also reviews some available instru …

Impact and Durability of a Skills-Lab Session on Pharmacy Student Knowledge and Perceptions of Substance Use Disorders and Harm Reduction.

BACKGROUND: Substance use disorders (SUDs) and overdose deaths remain an important issue in public health and pharmacy practice. This societal need translates to a need in pharmacy education to create durable knowledge and perceptions regarding these patients in pharmacy students. Despite this need, rich, descriptive approaches of activities to prepare pharmacy students to care for and advocate for patients with substance use disorders are lacking. METHODS: This study aimed to examine the effect of a skills lab session on pharmacy students' knowledge and perceptions of SUDs and harm reduction…

Evaluating access to COVID-19 vaccines for children and adolescents in North Carolina through community pharmacies, 2021-2023.

INTRODUCTION: Pharmacists' impact on adult immunization access is well-documented, but limited data exist supporting involvement in vaccination efforts for individuals under 18 years. This study examined trends in child and adolescent COVID-19 vaccinations delivered by pharmacists in North Carolina. METHODS: COVID-19 Vaccine Management System (CVMS) data were analyzed to assess pharmacy utilization for vaccinations across 1,747,790 children and adolescents aged 3-17 years between January 1, 2021, and June 26, 2023. Logistic regression analysis evaluated whether age, rurality, race, and ethnic…