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  1 / 10746 MEDLINE  
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PMID:29019382
Autor:Chang G
Título:Beyond the Mouthguard: Sports Dentistry's Role in Nutrition, Prevention and Social Advocacy.
Fuente:J Calif Dent Assoc; 45(6):302-04, 2017 06 22.
ISSN:1043-2256
País de publicación:United States
Idioma:eng
Tipo de publicación:EDITORIAL


  2 / 10746 MEDLINE  
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PMID:29019379
Autor:Waldman HB; Perlman SP; Marks L; Arnold TJ
Título:Special Smiles: Sports Dentistry and the Special Needs Athlete.
Fuente:J Calif Dent Assoc; 45(6):291-5, 2017 06 22.
ISSN:1043-2256
País de publicación:United States
Idioma:eng
Resumen:There is a need to expand dental services to underserved populations, such as athletes with intellectual and developmental disabilities. This review introduces dentists to this need by sharing the direction taken by the Special Smiles program of Special Olympics and addressing the need to educate special needs athletes on prevention and care of sports-related mouth injuries.
Tipo de publicación:EDITORIAL


  3 / 10746 MEDLINE  
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PMID:28923804
Autor:Vogel L
Dirección:CMAJ.
Título:Cabinet shuffle brings "seismic shifts" to Indigenous affairs, health.
Fuente:CMAJ; 189(37):E1200-E1201, 2017 09 18.
ISSN:1488-2329
País de publicación:Canada
Idioma:eng
Tipo de publicación:NEWS


  4 / 10746 MEDLINE  
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PMID:29016601
Autor:Taichman DB; Bauchner H; Drazen JM; Laine C; Peiperl L
Dirección:Executive Deputy Editor, Annals of Internal Medicine.
Título:Firearm-Related Injury and Death: A U.S. Health Care Crisis in Need of Health Care Professionals.
Fuente:PLoS Med; 14(10):e1002430, 2017 Oct.
ISSN:1549-1676
País de publicación:United States
Idioma:eng
Resumen:The U.S.-based Editors of ICMJE journals call for health-care professionals to act against the public health crisis of injury and death from guns.
Tipo de publicación:EDITORIAL


  5 / 10746 MEDLINE  
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PMID:28899288
Autor:Clarke PN; Dreher M
Dirección:1 Professor, University of Wyoming, Laramie, WY, USA.
Título:Transitions and Transformations in Nursing Leadership.
Fuente:Nurs Sci Q; 30(1):34-37, 2017 Jan.
ISSN:1552-7409
País de publicación:United States
Idioma:eng
Resumen:The dialogue with Dr. Melanie Dreher focuses on a time of transition and her reflections on her career as a dean. Dr. Dreher shares from a personal and professional perspective.
Tipo de publicación:JOURNAL ARTICLE


  6 / 10746 MEDLINE  
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PMID:28293768
Autor:Marotti SB; Cheh RM; Ponniah A; Phuong H
Dirección:SA Health, Woodville South, SA, Australia. sally.marotti@sa.gov.au.
Título:The utility of a medical admissions pharmacist in a hospital in Australia.
Fuente:Int J Clin Pharm; 39(2):403-407, 2017 Apr.
ISSN:2210-7711
País de publicación:Netherlands
Idioma:eng
Resumen:Background Medication-related hospital admissions in Australia have previously been estimated to account for approximately 3% of all hospital admissions, with hospital entry points being a point of vulnerability. The timely medication review and reconciliation by a pharmacist at the early stage of an admission for patients admitted to the Acute Medical Unit (AMU) would be beneficial. Setting The Emergency Department (ED) and AMU in a 300 bed tertiary teaching hospital, in South Australia. Objective To investigate the impact of a Medical Admissions (MA) pharmacist on the proportion of AMU patients who receive a complete and accurate medication history by a pharmacist prior to admission and within 4 h of presentation. Method This prospective observational study with a non-concurrent parallel study design examined a standard clinical pharmacist service within the AMU and ED to a Medical Admissions (MA) Pharmacist, in addition to the standard AMU and ED pharmacist service. Continuous variables were analysed using a two sample t test, whilst categorical data were analysed using Fisher's exact test. Risk ratios were also calculated for categorical data, with p < 0.05 taken as statistically significant. Main outcome measures Rates of completion of a complete medication history prior to admission and proportion of patients seen within 4 h of presentation by a pharmacist. Results The intervention resulted in more patients receiving a complete medication history prior to admission (2.7% in the control group vs 18.5%, p < 0.01) and being seen by the pharmacist within 4 h of presentation (1.6% in the control group vs 7.5%, p < 0.01). Conclusion Implementation of an extended hours clinical pharmacy service in the form of a medical admissions pharmacist based in the ED significantly increased the number of complete medication histories and clinical reviews completed for patients being admitted to an AMU. These were also completed earlier in the patients' admission. There was also a small trend toward increasing the proportion of patients discharged by 11 am in the intervention group.
Tipo de publicación:JOURNAL ARTICLE; OBSERVATIONAL STUDY


  7 / 10746 MEDLINE  
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PMID:28262371
Autor:d'Elbée M; Baumevieille M; Dumartin C
Dirección:London School of Hygiene and Tropical Medicine, 15-17, Tavistock Place, London WC1H 9SH, Royaume-Uni. Electronic address: marcdelbee@gmail.com.
Título:[Cooperation according to French Law "hospital, patients, health and territories": Pharmacists' involvement in Aquitaine region].
Título:Missions de coopération introduites par la loi « hôpital, patients, santé et territoires ¼ : participation des pharmaciens d'officine en Aquitaine..
Fuente:Rev Epidemiol Sante Publique; 65(3):231-239, 2017 Jun.
ISSN:0398-7620
País de publicación:France
Idioma:fre
Resumen:BACKGROUND: In 2009, the French Act "Hospital, Patients, Health and Territories" (loi "Hôpital, Patients, Santé et Territoires") reorganized the outpatient care pathway and defined missions aimed at improving cooperation between pharmaceutical and medical professionals. Five years later, we conducted a survey among community pharmacists in order to assess the appropriation of these missions and the way cooperation was implemented. We also aimed to investigate factors that could hamper or ease the development of these activities in order to identify actions needed to improve pharmacists' involvement. METHODS: In partnership with the local health authorities "Agence régionale de santé", we conducted a survey via an online questionnaire sent to pharmacy holders in July 2014 in Aquitaine region. Information was collected about the pharmacies, involvement in collaborative activities, and barriers to cooperation. RESULTS: Overall, 20% (249) of pharmacists responded to the survey. They owned predominantly rural pharmacies (46%) or neighborhood pharmacies (41%), with two pharmacists per pharmacy (48%). Regarding collaborative activities, the majority of pharmacists (78%) had conducted interviews with their patients taking vitamin K antagonist therapy and they were willing to continue (87%). The implication was less common concerning other actions such as referent pharmacist for nursing homes (19%) or activities relating to therapeutic educational programs for patients with chronic conditions (34%). The vast majority of respondents (85%) were not aware of opportunities to become a correspondent pharmacist. The main obstacles for engaging in these activities were the lack of time, lack of knowledge about these missions and the lack of remuneration. We identified differences in pharmacists' involvement in collaborative activities depending on selected characteristics of the pharmacies. CONCLUSION: The findings of this survey underlined pharmacists' acceptance of these missions and suggest that better information and appropriate remuneration could enhance commitment. Recent changes in the legal framework (establishment of "pharmaceutical fees", extension of the scope of pharmaceutical interviews) enable funding for collaborative practices between medical practitioners and pharmacists, thus encouraging better coordination in the patient care pathway.
Tipo de publicación:JOURNAL ARTICLE
Nombre de substancia:0 (Prescription Drugs)


  8 / 10746 MEDLINE  
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PMID:28260131
Autor:Khan MU; Arief M; Ahmad A; Malik S; Gogoi LJ; Kalita M; Saleem F; Hassali MA
Dirección:Faculty of Pharmacy, The University of Sydney, Sydney, NSW, 2006, Australia. umair104@yahoo.com.
Título:A cross-sectional survey on the attitudes and interests of rural population towards expanded pharmacist prescribing in India.
Fuente:Int J Clin Pharm; 39(2):473-477, 2017 Apr.
ISSN:2210-7711
País de publicación:Netherlands
Idioma:eng
Resumen:Background Shortage of qualified medical doctors and little or no access to basic medicines and medical facilities are the major rural health concerns in India. Expanding the role of pharmacists to provide prescribing services could improve rural health outcomes. Objective To assess the attitudes of rural population towards pharmacist prescribing and their interest in using expanded pharmacist prescribing services. Setting Rural population of Assam, India. Methods A descriptive, cross-sectional survey was conducted for a period of 2 months from March to April 2016 in the State of Assam, India. A multi-stage sampling was used to recruit (n = 410) eligible participants. Main outcome measure Rural population attitudes towards, and interests in using, pharmacist prescribing services. Results The attitudes of participants were generally positive towards pharmacist prescribing. A large proportion of participants (81.5%) agreed that pharmacists should have a prescribing role in rural India. Participants indicated their interest in using expanded pharmacist prescribing services, with greater interests in receiving medications in emergency situations (79.7%) and getting a treatment plan for their medical problem (75.6%). Participants with low income and tertiary education had better attitudes and showed more interest towards expanded pharmacist prescribing services (p < 0.05). Conclusions Most participants had positive attitudes towards pharmacist prescribing and were interested in using expanded pharmacist prescribing services.
Tipo de publicación:JOURNAL ARTICLE


  9 / 10746 MEDLINE  
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PMID:28050712
Autor:Virdee MS; Stewart D
Dirección:Midlands and Lancashire Commissioning Support Unit, Old Market House, Birkenhead, Wirral, CH41 5AL, UK. Virdeems10@hotmail.com.
Título:Optimizing the use of oral anticoagulant therapy for atrial fibrilation in primary care: a pharmacist-led intervention.
Fuente:Int J Clin Pharm; 39(1):173-180, 2017 Feb.
ISSN:2210-7711
País de publicación:Netherlands
Idioma:eng
Resumen:Background Updated evidence-based guidelines for the management of atrial fibrillation (AF) necessitate patient review, particularly with respect to oral anticoagulants, to ensure maximum health gain around stroke prophylaxis. Objective To quantify the level of anticoagulation utilisation in patients with a CHA DS -VASc ≥1/≥2 (male/female) according to evidence-based guidelines and to assess the impact of a pharmacist-led intervention to optimise therapy. Setting Fifteen general medical practices in Liverpool, North-West England with a practice population of 99,129. Method GRASP-AF software was employed to interrogate patient electronic medical records to identify and risk stratify AF patients (using CHA DS -VASc). A pharmacist then reviewed the medical records of those of patients not anticoagulated and with a CHA DS -VASc ≥1/≥2 (male/female). Recommendations were discussed with a general practitioner (GP) and those patients in whom the need for anticoagulation was agreed were invited for a consultation with either the pharmacist or GP and therapy optimised where appropriate. The GPs were responsible for managing those patients referred for diagnosis confirmation or further specialist opinion. Main outcome measure Proportion of patients eligible/not eligible for anticoagulation; proportions in whom anticoagulants initiated, refused, antiplatelets discontinued. Results Five hundred and twenty-three patients (31% of patients identified with AF and a CHA DS -VASc ≥1/≥2 (male/female)) were not receiving an anticoagulant (26 subsequently died or left the practice leaving 497). Three hundred and eighty-two (77%) pharmacist recommendations to a GP were agreed without modification. Following outcomes of diagnostic investigations and specialist referrals, 202 (41%) patients were candidates for anticoagulation, 251 (51%) were not eligible for anticoagulation, 103 (21%) were anticoagulated (56 warfarin, 47 DOAC). Conclusion A pharmacist-led intervention re-aligned oral anticoagulant therapy to the latest evidence based guidelines for stroke prophylaxis, whilst simultaneously correcting the over-utilisation of antiplatelet therapy.
Tipo de publicación:JOURNAL ARTICLE
Nombre de substancia:0 (Anticoagulants)


  10 / 10746 MEDLINE  
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PMID:28012119
Autor:Gauld NJ; Zeng IS; Ikram RB; Thomas MG; Buetow SA
Dirección:Natalie Gauld Ltd, PO Box 9349, Newmarket, Auckland, 1149, New Zealand. n.gauld@auckland.ac.nz.
Título:Antibiotic treatment of women with uncomplicated cystitis before and after allowing pharmacist-supply of trimethoprim.
Fuente:Int J Clin Pharm; 39(1):165-172, 2017 Feb.
ISSN:2210-7711
País de publicación:Netherlands
Idioma:eng
Resumen:Background In 2012, New Zealand reclassified trimethoprim to allow specially trained pharmacists to supply it without a prescription to women with symptoms suggesting uncomplicated cystitis, under strict criteria for supply. Objective To assess how this policy change allowing pharmacist supply of trimethoprim affected overall antibiotic supply. Setting Randomly selected community pharmacies throughout New Zealand. Methods Data were collected in pharmacies before the implementation ('baseline') and 1 year later ('post-implementation'). Pharmacy staff recorded prescription and nonprescription supplies for treatment or prevention of suspected urinary tract infections. Women with a prescription for treatment or prevention of presumed urinary tract infection or purchasing a non-prescription medicine for this purpose were invited to self-complete a questionnaire. National prescribing data were extracted for trimethoprim, nitrofurantoin and norfloxacin. Main outcome measure Antibiotic use in women with UTIs from dispensed prescriptions (baseline and post-implementation) and pharmacist-supplied trimethoprim (post-implementation), particularly focusing on women aged 16-65 years with an antibiotic for presumed cystitis without complicating features. Results Baseline data were provided by 139 pharmacies, 120 of which provided post-implementation data. In women with presumed cystitis without complicating features, prescriptions before and after the implementation were primarily for trimethoprim. Overall antibiotic use, and use of second-line agents did not increase post-implementation. Pharmacist-supplies of trimethoprim were modest nearly 1 year after the service started. Conclusion Supply of trimethoprim by specially trained pharmacists working within strict criteria for supply appeared to have little overall effect on antibiotic use. Further research on patient outcomes, resistance and changes over time is recommended.
Tipo de publicación:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
Nombre de substancia:0 (Anti-Bacterial Agents); 0 (Anti-Infective Agents, Urinary); AN164J8Y0X (Trimethoprim)



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