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Sample records for west texas pharmacists

  1. Guadalupian studies in West Texas

    Science.gov (United States)

    Grant, R.E.; Wardlaw, B.R.; Rohr, D.M.

    2000-01-01

    Murchison established the Permian System in the Ural Mountains of Russia in 1841. The first North American Permian fossils were discovered by Hall (1856) about 15 years later. The fossils, which were collected in New York State, were initially described as Carboniferous (Hall, 1856) but were subsequently recognized as Permian by Girty (1902). Benjamin F. Shumard (1858), however, was the first to place an unequivocal Permian designation on some North American fossils, which has been collected by his brother George G. Shumard from the Guadalupe Mountains in Texas. A half a century passed before Girty (1908) made known an extensive Guadalupian fauna, although his field work in Texas and his study of this fauna already lead him to propose a Guadalupian "period" (Girty, 1902). Girty's suggestion was accepted only when it was formalized as the Guadalupe Series by Adams et al. (1939). The "Guadalupian fauna" was based upon fossils that Girty collected in 1901 on an expedition headed by Robert T. Hill, a revered figure in Texas geology.

  2. Pharmacists

    Science.gov (United States)

    ... about their medications. Employment of pharmacists in traditional retail settings is projected to decline slightly as mail order and online pharmacy sales increase. Job Prospects The number of ...

  3. A qualitative assessment of West Virginia pharmacist activities and attitude in diabetes management.

    Science.gov (United States)

    Shatnawi, Aymen; Latif, David A

    2017-06-01

    The role of pharmacists in chronic disease state management has been shown to significantly improve patient health outcomes and reduce overall health care costs. The current study is designed to assess the roles and attitudes of West Virginia (WV) pharmacists toward diabetes, evaluate services provided, address pharmacist clinical understanding and training, and demonstrate the challenges that limit pharmacists ability to deliver an efficient disease state management. We invited 435 preceptors affiliated with the University of Charleston School of Pharmacy to participate in the study using Qualtrics online survey software. The survey was divided into sections related to pharmacists, practice environment, pharmacist's roles in diabetes management, and challenges faced that limit their ability to deliver effective care to diabetic patients. Data were analyzed using 1-way analysis of variance, and a P value ≤.05 was considered statistically significant. Of all eligible invited preceptors, 104 accessed the online survey based on the Qualtrics tracking tool, while 58 participated in the survey with a 56% response rate. Generally, WV pharmacists have positive attitudes regarding the provision of primary activities related to drug use and its associated problems. However, we report that WV pharmacists are less involved in providing education or recommendations regarding diabetes-associated risk factors such as nephropathy, retinopathy, foot care, and gastroparesis. In addition, the majority of pharmacists indicated that they face many challenges related to patient and the practice site environment that limit their ability to provide optimum diabetes patient care services. Despite the mounting evidence that pharmacists can improve diabetic patient outcomes while significantly reducing overall costs, WV pharmacists are less involved in providing education or counseling in a variety of areas related to disease state management. In addition, identifying pharmacist

  4. Preliminary disease surveillance in west Texas quail (galliformes: odontophoridae) populations.

    Science.gov (United States)

    Urban, Kristyn N; Gibson, Anna G; Dabbert, C Brad; Presley, Steven M

    2013-04-01

    Northern Bobwhite (Colinus virginianus) and Scaled Quail (Callipepla squamata) occur throughout northwestern Texas and overall population numbers have been declining for the past 30 yr. This decline has been attributed to habitat loss associated with intensive agricultural practices. We propose that disease may be a contributing factor to decline. Our findings suggest that West Nile virus (WNV) infection may be common in wild quail populations on the Rolling Plains of northwestern Texas. Serum samples (n=301) from wild-caught Northern Bobwhite and Scaled Quail were collected during 2008-10 from seven private properties across the Rolling Plains Region; 5.3% had detectable antibodies against WNV using an enzyme-linked immunosorbent assay. To our knowledge, this is the first report of antibodies to WNV in Scaled Quail and wild-caught Northern Bobwhite from the Rolling Plains of Texas.

  5. 78 FR 25177 - Honoring the Victims of the Explosion in West, Texas

    Science.gov (United States)

    2013-04-29

    ... April 29, 2013 Part III The President Proclamation 8963--Honoring the Victims of the Explosion in West... April 24, 2013 Honoring the Victims of the Explosion in West, Texas By the President of the United... explosion in West, Texas, on April 17, 2013, I hereby order, by the authority vested in me by...

  6. Crustal deformation and seismic measurements in the region of McDonald Observatory, West Texas. [Texas and Northern Chihuahua, Mexico

    Science.gov (United States)

    Dorman, H. J.

    1981-01-01

    The arrival times of regional and local earthquakes and located earthquakes in the Basin and Range province of Texas and in the adjacent areas of Chihuahua, Mexico from January 1976 to August 1980 at the UT'NASA seismic array are summarized. The August 1931 Texas earthquake is reevaluated and the seismicity and crustal structure of West Texas is examined. A table of seismic stations is included.

  7. Genetic evidence of enzootic leishmaniasis in a stray canine and Texas mouse from sites in west and central Texas

    Directory of Open Access Journals (Sweden)

    Evan J Kipp

    Full Text Available We detected Leishmania mexicana in skin biopsies taken from a stray canine (Canis familiaris and Texas mouse (Peromyscus attwateri at two ecologically disparate sites in west and central Texas using polymerase chain reaction (PCR. A single PCR-positive dog was identified from a sample of 96 stray canines and was collected in a peri-urban area in El Paso County, Texas. The PCR-positive P. attwateri was trapped at a wildlife reserve in Mason County, Texas, from a convenience sample of 20 sylvatic mammals of different species. To our knowledge, this represents the first description of L. mexicana in west Texas and extends the known geographic range of the parasite to an area that includes the arid Chihuahuan Desert. Our finding of L. mexicana in P. attwateri represents a new host record and is the first description of the parasite in a wild peromyscid rodent in the United States.

  8. Genetic evidence of enzootic leishmaniasis in a stray canine and Texas mouse from sites in west and central Texas

    Science.gov (United States)

    Kipp, Evan J; Mariscal, Jacqueline; Armijos, Rodrigo X; Weigel, Margaret; Waldrup, Kenneth

    2016-01-01

    We detected Leishmania mexicana in skin biopsies taken from a stray canine (Canis familiaris) and Texas mouse (Peromyscus attwateri) at two ecologically disparate sites in west and central Texas using polymerase chain reaction (PCR). A single PCR-positive dog was identified from a sample of 96 stray canines and was collected in a peri-urban area in El Paso County, Texas. The PCR-positive P. attwateri was trapped at a wildlife reserve in Mason County, Texas, from a convenience sample of 20 sylvatic mammals of different species. To our knowledge, this represents the first description of L. mexicana in west Texas and extends the known geographic range of the parasite to an area that includes the arid Chihuahuan Desert. Our finding of L. mexicana in P. attwateri represents a new host record and is the first description of the parasite in a wild peromyscid rodent in the United States. PMID:27759765

  9. 77 FR 49601 - Endangered and Threatened Wildlife and Plants; Endangered Status for Six West Texas Aquatic...

    Science.gov (United States)

    2012-08-16

    ... to be of ancient origin, with the water being estimated at 10,000 to 18,000 years old (Chowdhury et... of the larger West Texas Bolsons and is made up of connected sub-basins underlying Wild Horse...). (The term bolson is of Spanish origin and refers to a flat-floored desert valley that drains to a playa...

  10. West Texas Intermediate and Brent Spread during Organization of the Petroleum Exporting Countries Supply Disruptions

    OpenAIRE

    Ayman Omar

    2015-01-01

    This paper investigates the price spread between West Texas Intermediate and Brent during periods of supply disruptions. Using a sample of 50 events of Organization of the Petroleum Exporting Countries (OPEC) - related unplanned upstream production outages, this paper documents a statistically significant tightening in the price differential. The finding is robust even after accounting for 22 OPEC - related political conflicts, 104 extreme weather conditions in the Atlantic basin, and the per...

  11. Yard flooding by irrigation canals increased the risk of West Nile disease in El Paso, Texas

    Science.gov (United States)

    Cardenas, Victor M.; Jaime, Javier; Ford, Paula B.; Gonzalez, Fernando J.; Carrillo, Irma; Gallegos, Jorge E.; Watts, Douglas M.

    2011-01-01

    Purpose To investigate the effects of use of water from irrigation canals to flood residential yards on the risk of West Nile disease in El Paso, Texas. Methods West Nile disease confirmed cases in 2009–2010 were compared with a random sample of 50 residents of the county according to access to and use of water from irrigation canals by subjects or their neighbors, as well as geo-referenced closest distance between their home address and the nearest irrigation canal. A windshield survey of 600 meters around the study subjects’ home address recorded the presence of irrigation canals. The distance from the residence of 182 confirmed cases of West Nile disease reported in 2003–2010 to canals was compared to that of the centroids of 182 blocks selected at random. Results Cases were more likely than controls to report their neighbors flooded their yards with water from canals. Irrigation canals were more often observed in neighborhoods of cases than of controls. Using the set of addresses of 182 confirmed cases and 182 hypothetic controls the authors found a statistically significant inverse relation with risk of West Nile disease. Conclusions Flooding of yards with water from canals increased the risk of West Nile disease. PMID:21943648

  12. Geologic history and hydrogeologic setting of the Edwards-Trinity aquifer system, west-central Texas

    Science.gov (United States)

    Barker, R.A.; Bush, P.W.; Baker, E.T.

    1994-01-01

    The Edwards-Trinity aquifer system underlies about 42,000 square miles of west-central Texas. Nearly flat-lying, mostly Comanche (Lower Cretaceous) strata of the aquifer system thin northwestward atop massive pre-Cretaceous rocks that are comparatively impermeable and structurally complex. From predominately terrigenous clastic sediments in the east and fluvialdeltaic (terrestrial) deposits in the west, the rocks of early Trinitian age grade upward into supratidal evaporitic and dolomitic strata, intertidal limestone and dolostone, and shallow-marine, openshelf, and reefal strata of late Trinitian, Fredericksburgian, and Washitan age. A thick, downfaulted remnant of mostly open-marine strata of Eaglefordian through Navarroan age composes a small, southeastern part of the aquifer system.

  13. Cross-correlations between West Texas Intermediate crude oil and the stock markets of the BRIC

    Science.gov (United States)

    Ma, Feng; Wei, Yu; Huang, Dengshi; Zhao, Lin

    2013-11-01

    In this paper, we investigate the cross-correlation properties between West Texas Intermediate crude oil and the stock markets of the BRIC. We use not only the qualitative analysis of the cross-correlation test, but also take the quantitative analysis of the MF-DXA, confirming the cross-correlation relationship between West Texas Intermediate crude oil and the stock markets of the BRIC (Brazil, Russia, India and China) respectively, which have strongly multifractal features, and the cross-correlations are more strongly multifractal in the short term than in the long term. Furthermore, based on the multifractal spectrum, we also find the multifractality strength between the crude oil WTI and Chinese stock market is stronger than the multifractality strength of other pairs. Based on the Iraq war (Mar 20, 2003) and the Financial crisis in 2008, we divide sample period into four segments to research the degree of the multifractal (ΔH) and the market efficiency (and the risk). Finally, we employ the technique of the rolling window to calculate the time-varying EI (efficiency index) and dependent on the EI, we can easily observe the change of stock markets. Furthermore, we explore the relationship between bivariate cross-correlation exponents (Hxy(q)) and the generalized Hurst exponents.

  14. Association of hypothyroidism with low-level arsenic exposure in rural West Texas

    Energy Technology Data Exchange (ETDEWEB)

    Gong, Gordon, E-mail: gordon.gong@ttuhsc.edu [F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center, Lubbock, TX (United States); Basom, Janet [F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center, Lubbock, TX (United States); Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, TX (United States); Mattevada, Sravan [Department of Internal Medicine, University of North Texas Health Science Center, Fort Worth, TX (United States); Onger, Frederick [Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, TX (United States)

    2015-04-15

    It has been reported recently that a higher airborne arsenic level was correlated with higher urinary arsenic concentration and lower serum thyroxin level among urban policemen and rural highway workmen in Italy. The current study was to determine whether exposure to low-level arsenic groundwater (2–22 µg/L) is associated with hypothyroidism among 723 participants (118 male and 267 female Hispanics; 108 male and 230 female non-Hispanic whites, NHW) living in rural West Texas counties. Arsenic and iodine levels in their groundwater used for drinking and or cooking were estimated by the inverse distance weighted (IDW) interpolation technique. Groundwater arsenic was ≥8 µg/L in 36% of the subjects' wells while iodine concentration was <1 µg/L in 91% of their wells. Logistic regression analysis showed that arsenic in groundwater ≥8 µg/L and cumulative arsenic exposure (groundwater arsenic concentration multiplied by the number of years living in the current address) but not groundwater iodine concentration were significant predictors for hypothyroidism among Hispanics (p<0.05) but not NHW after adjusting for covariates such as age, gender, annual household income and health insurance coverage. The ethnic difference may be due to a marginally higher percentage of Hispanics (p=0.0622) who lived in areas with groundwater arsenic ≥8 µg/L compared with NHW. The prevalence of hypothyroidism was significantly higher in Hispanics or NHW of this rural cohort than the national prevalence. Measures should be taken to reduce arsenic in drinking water in order to prevent hypothyroidism in rural areas. - Highlights: • We determined if arsenic exposure is associated with hypothyroidism in rural Texas. • Groundwater arsenic level is associated with hypothyroidism among Hispanics only. • The rate of hypothyroidism in rural Texas was higher than the US general population.

  15. Rock property estimates using multiple seismic attributes and neural networks; Pegasus Field, West Texas

    Energy Technology Data Exchange (ETDEWEB)

    Schuelke, J.S.; Quirein, J.A.; Sarg, J.F.

    1998-12-31

    This case study shows the benefit of using multiple seismic trace attributes and the pattern recognition capabilities of neural networks to predict reservoir architecture and porosity distribution in the Pegasus Field, West Texas. The study used the power of neural networks to integrate geologic, borehole and seismic data. Illustrated are the improvements between the new neural network approach and the more traditional method of seismic trace inversion for porosity estimation. Comprehensive statistical methods and interpretational/subjective measures are used in the prediction of porosity from seismic attributes. A 3-D volume of seismic derived porosity estimates for the Devonian reservoir provide a very detailed estimate of porosity, both spatially and vertically, for the field. The additional reservoir porosity detail provided, between the well control, allows for optimal placement of horizontal wells and improved field development. 6 refs., 2 figs.

  16. Water quality and streamflow data for the West Fork Trinity River in Forth Worth, Texas

    Science.gov (United States)

    McCutcheon, S.C.

    1985-01-01

    Water-quality data were collected on a 13.6-mile reach of the West Fork Trinity River in Fort Worth, Texas to test a dynamic Lagrangian model. Flow was steady. Loads of dissolved constituents varied with time at the beginning of the study reach and in the reach, primarily because of photosynthesis. River quality was fairly good despite low dissolved oxygen measured in the headwaters and the significant sewage load from the tributaries. Diel and longitudinal trends were defined by sampling at fixed sites and by following dyed parcels of water. Nitrification, deoxygenation, reaeration, and photosynthesis affected the dissolved oxygen balance. Independent estimates of some of the rate coefficients were 0.1 to 0.2, 0.8, and 0 to 3.6 , all per day, for deoxygenation, nitrification, and reaeration, respectively. (USGS)

  17. Lower and middle Guadalupian shelf carbonates, eastern margin of Central Basin platform, Permian basin, west Texas

    Energy Technology Data Exchange (ETDEWEB)

    Ward, R.F.; Chalcraft, R.G.

    1988-01-01

    Lower and middle Guadalupian shelf carbonates serve as the reservoir for a nearly continuous band of oil fields extending 100 mi along the eastern margin of the Central Basin platform of west Texas. Approximately 5 billion bbl of oil have been produced from stratigraphic-structural traps within the Upper Permian (Gaudalupian Series) dolomites of the San Andrea and Grayburg Formations in Upton, Crane, Ector, Pecos, and Andrews Counties, Texas. The San Andrea and Grayburg Formations are cyclical shallowing-upward carbonate sequences of open shelf through sabkha facies whose depositional strike parallels the eastern margin of the Central Basin platform. Porosity and permeability of reservoir rock are governed by diagenetic processes such as dolomitization, anhydrite porosity occlusion, leaching, silicification, and authigenic clay formation. Self sediments are primarily burrowed wackestones and packstones that locally contain pelletal, skeletal, and ooid grainstones. Typical subtidal shelf sediments are capped by algal-laminated dolomite, nodular anhydritic dolomite, and bedded anhydrite. The fauna is normally sparse and dominated by foraminifera and algae. Less common faunal components include pelecypods, crinoids, sponges, Bryozoa, brachiopods, gastropods, and coral that are associated with the development of small scattered patch reefs. Lowering the sea level during the early Guadalpian initiated basinward progradation of San Andres carbonate facies with hydrocarbon reservoirs best developed in shallow self fusulinid wackestones to packstone and oolitic grainstone. Reservoir dolomites of the Grayburg formation are present east of San Andres fields with optimal reservoir properties occurring near the San Andreas outer shelf margin.

  18. Spatiotemporal associations of reservoir nutrient characteristics and the invasive, harmful alga Prymnesium parvum in West Texas

    Science.gov (United States)

    VanLandeghem, Matthew M.; Farooqi, Mukhtar; Southard, Greg M.; Patino, Reynaldo

    2015-01-01

    Golden alga (Prymnesium parvum) is a harmful alga that has caused ecological and economic harm in freshwater and marine systems worldwide. In inland systems of North America, toxic blooms have nearly eliminated fish populations in some systems. Modifying nutrient profiles through alterations to land or water use may be a viable alternative for golden alga control in reservoirs. The main objective of this study was to improve our understanding of the nutrient dynamics that influence golden alga bloom formation and toxicity in west Texas reservoirs. We examined eight sites in the Upper Colorado River basin, Texas: three impacted reservoirs that have experienced repeated golden alga blooms; two reference reservoirs where golden alga is present but nontoxic; and three confluence sites downstream of the impacted and reference sites. Total, inorganic, and organic nitrogen and phosphorus and their ratios were quantified monthly along with golden alga abundance and ichthyotoxicity between December 2010 and July 2011. Blooms persisted for several months at the impacted sites, which were characterized by high organic nitrogen and low inorganic nitrogen. At impacted sites, abundance was positively associated with inorganic phosphorus and bloom termination coincided with increases in inorganic nitrogen and decreases in inorganic phosphorus in late spring. Management of both inorganic and organic forms of nutrients may create conditions in reservoirs unfavorable to golden alga.

  19. Empirical Assessment of the quantity-quality tradeoff for the Ogallala: A case study from West Texas

    OpenAIRE

    Sanchari Ghosh; Keith Willett

    2012-01-01

    The High Plains region in West Texas has been the focus of water conservation policies for the last two decades because of rapid depletion of groundwater in this region. Groundwater is the only source of irrigation in this region of Texas with Ogallala serving as the major aquifer. In recent times, however, attent ion has been drawn on nitrate pollution of the Ogallala aquifer, though no study or research report has come up with a joint management solution to cope with both of these problems....

  20. Empirical Assessment of the quantity-quality tradeoff for the Ogallala: A case study from West Texas

    OpenAIRE

    Sanchari Ghosh; Keith Willett

    2012-01-01

    The High Plains region in West Texas has been the focus of water conservation policies for the last two decades because of rapid depletion of groundwater in this region. Groundwater is the only source of irrigation in this region of Texas with Ogallala serving as the major aquifer. In recent times, however, attent ion has been drawn on nitrate pollution of the Ogallala aquifer, though no study or research report has come up with a joint management solution to cope with both of these problems....

  1. Winter habitat use and survival of lesser prairie-chickens in West Texas

    Science.gov (United States)

    Pirius, Nicholas E.; Boal, Clint W.; Haukos, David A.; Wallace, M.C.

    2013-01-01

    The lesser prairie-chicken (Tympanuchus pallidicinctus) has experienced declines in population and occupied range since the late 1800s and is currently proposed for Federal protection under the Endangered Species Act. Populations and the distribution of lesser prairie-chickens in Texas, USA, are thought to be at or near all-time lows. Currently, there is a paucity of data on the wintering ecology of the species. We measured home range, habitat use, and survival of lesser prairie-chickens during the non-breeding seasons (1 Sep-28 Feb) of 2008-2009, 2009-2010, and 2010-2011 in sand shinnery oak (Quercus havardii) landscapes in the West Texas panhandle region. Home range size did not differ among years or between females (503 ha) andmales (489 ha). Over 97% of locations of both male and female prairie-chickens were within 3.2 km of the lek of capture, and 99.9% were within 3.2 km of an available water source (i.e., livestock water tank). Habitat cover types were not used proportional to occurrence within the home ranges; grassland-dominated areas with co-occurring sand shinnery oak were used more than available, but sand sagebrush (Artemisia filifolia)-dominated areas with grassland and sand sagebrush-dominated areas with bare ground were both used less than available. Survival rates during the first 2 non-breeding seasons (>80%) were among the highest reported for the species. However, survival during the third non-breeding season was only 57%, resulting in a 3-year average of 72%. It does not appear that non-breeding season mortality is a strong limiting factor in lesser prairie-chicken persistence in the study area.

  2. Historical saturated thickness of the Edwards-Trinity aquifer system and selected contiguous hydraulically connected units, west-central Texas

    Science.gov (United States)

    Ardis, Ann F.; Barker, Rene A.

    1993-01-01

    The Edwards-Trinity Regional Aquifer-System Analysis (RASA) is one of 25 completed or ongoing studies conducted by the U.S. Geological Survey on regional aquifer systems that individually provide essential quantities of ground water to large parts of the country. Underlying about 42,000 mi2 of west-central Texas, the Edwards-Trinity aquifer system extends approximately from Atascosa County in the southeast to Culberson County in the northwest and from the Rio Grande in the southwest to the Colorado River in the northeast (sheet 2). The Edwards-Trinity aquifer system spans four geographic subareas: Trans-Pecos, Edwards Plateau, Hill Country, and Balcones fault zone (fig. 1). The names of all aquifers in the study area were adopted for RASA purposes directly from nomenclature mandated by the Texas Water Plan (Texas Water Development Board, 1990).

  3. Historical potentiometric surface of the Edwards-Trinity aquifer system and contiguous hydraulically connected units, west-central Texas

    Science.gov (United States)

    Bush, Peter W.; Ardis, Ann F.; Wynn, Kirby H.

    1993-01-01

    The Edwards-Trinity aquifer system is a sequence of near-surface, hydraulically connected, Cretaceous carbonate and quartzose clastic rocks that underlie about 42,000 mi2 of west-central Texas (fig. 1). The aquifer system is currently (1991) being studied as a part of the U.S. Geological Survey's Regional Aquifer-System Analysis (RASA) program, which is intended to describe the regional hydrogeology of important aquifer systems nationwide.

  4. Long-term evolution of Wink sinkholes in West Texas observed by high-resolution satellite imagery

    Science.gov (United States)

    Kim, J. W.; Lu, Z.

    2016-12-01

    Sinkhole is ground depression and/or collapse over the subsurface cavity in the karst terrain underlain by the carbonates, evaporites, and other soluble soils and rocks. The geohazards have been considered as a "hidden threat" to human life, infrastructures, and properties. The Delaware Basin of West Texas in the southwest part of the Permian Basin contains one of the greatest accumulations of evaporites in the United States. Sinkholes in West Texas have been developed by the dissolution of the subsurface evaporite deposits that come in contact with groundwater. Two Wink sinkholes in Wink, Texas, were developed in 1980 and 2002, respectively. However, monitoring the sinkholes in no man's lands has been challenging due to the lack of availability of high-resolution and temporally dense acquisitions. We employ aerial photography and radar satellite imagery to measure the long-term deformation from early 2000 and characterize the inherent hydrogeology that is closely related to sinkhole collapse and subsidence. Furthermore, data on oil/gas production and water injection into the subsurface as well as ground water level are analyzed to study their effects on the concurrent unstable ground surface in Wink sinkholes. Our study will provide invaluable information to understand the mechanism of sinkhole development and mitigate the catastrophic outcomes of the geohazards.

  5. Time Lapse Gravity and Seismic Monitoring of CO2 Injection at the West Hastings Field, Texas

    Science.gov (United States)

    Ferguson, J. F.; Richards, T.; Klopping, F.; MacQueen, J.; Hosseini, S. A.

    2015-12-01

    Time lapse or 4D gravity and seismic reflection surveys are being conducted at the West Hastings Field near Houston, Texas to monitor the progress of CO2 injection. This Department of Energy supported CO2 sequestration experiment is conducted in conjunction with a Denbury Onshore, LLC tertiary recovery project. The reservoir is at a depth of 1.8 km in the Oligocene Frio sands and has been produced since the 1930s. Goals are an accounting and mapping of the injected CO2 and to determine if migration occurs along intra-reservoir faults. An integrated interpretation of the geophysical surveys will be made together with well logs and engineering data. Gravity monitoring of water versus gas replacement has been very successful, but liquid phase CO2 monitoring is problematic due to the smaller density contrast with respect to oil and water. This reservoir has a small volume to depth ratio and hence only a small gravity difference signal is expected on the surface. New borehole gravity technology introduced by Micro-g-Lacoste can make gravity measurements at near reservoir depths with a much higher signal to noise ratio. This method has been successfully evaluated on a simulation of the Hastings project. Field operations have been conducted for repeated surface and borehole gravity surveys beginning in 2013. The surface survey of 95 stations covers an area of 3 by 5 km and 22 borehole gravity logs are run in the interval above the Frio formation. 4D seismic reflection surveys are being made at 6 month intervals on the surface and in 3 VSP wells. CO2 injection into the targeted portion of the reservoir only began in early 2015 and monitoring will continue into 2017. To date only the baseline reservoir conditions have been assessed. The overall success of the gravity monitoring will not be determined until 2017.

  6. Motivating pharmacists.

    Science.gov (United States)

    Donehew, G R

    1979-01-01

    Although pharmacists are developing interest in many types of pharmacy practice, they are still spending the bulk of their time in the prescription dispensing process. Any effort to provide motivation must consider the prescription dispensing process. The pharmacy literature includes only a few studies that dealt with pharmacists as people. The studies usually showed that pharmacists basically were unhappy with their jobs. In developing a motivational climate for pharmacists, pharmacy supervisors have several concepts to consider: the hierarchy of needs by Maslow; the expectancy theory by Hampton; the gygiene-motivator theory by Herzberg; and the Theory Y management approach by McGregor. Because pharmacists must be induced to enter and remain in an organization, supervisors should be aware of the need to use any technique available in developing a motivational climate.

  7. Winter ecology and habitat use of lesser prairie-chickens in west Texas, 2008-11

    Science.gov (United States)

    Boal, Clint W.; Pirius, Nicholas E.

    2012-01-01

    The lesser prairie-chicken (Tympanuchus pallidicinctus) has experienced declines in population and occupied range by more than 90 percent since the late 1800s. The lesser prairie-chicken has been listed as a candidate species for protection under the Endangered Species Act and is undergoing review for actual listing. Populations and distribution of lesser prairie-chickens in Texas are thought to be at or near all time lows. These factors have led to substantially increased concern for conservation of the species. It is apparent that sound management and conservation strategies for lesser prairie-chickens are necessary to ensure the long-term persistence of the species. To develop those strategies, basic ecological information is required. Currently, there is a paucity of data on the wintering ecology of the species. We examined home range, habitat use, and survival of lesser prairie-chickens during the winters of 2008–9, 2009–10, and 2010–11 in sand shinnery oak (Quercus havardii) landscapes in west Texas. We captured and radio-tagged 53 adult lesser prairie-chickens. We obtained sufficient locations to estimate winter home-range size for 23 individuals. Home-range size did not differ between years or by sex. Although female prairie-chickens had slightly larger home ranges (503.5 ± 34.9 ha) compared to males (489.1 ± 34.9 ha), the differences were not significant (t2 = 0.05, P = 0.96). During the nonbreeding season, we found that 97.2 percent of locations of male and female prairie-chickens alike were within 3.2 kilometers (km) of the lek of capture. Most locations (96.8%) were within 1.7 km of a known lek and almost all locations (99.9%) were within 3.2 km of an available water source. Habitat cover types were not used proportional to occurrence within the home ranges, grassland dominated areas with sand shinnery oak were used more than available, and sand sagebrush (Artemisia filifolia) areas dominated with grassland as well as sand sagebrush areas

  8. Nontraditional work schedules for pharmacists.

    Science.gov (United States)

    Mahaney, Lynnae; Sanborn, Michael; Alexander, Emily

    2008-11-15

    Nontraditional work schedules for pharmacists at three institutions are described. The demand for pharmacists and health care in general continues to increase, yet significant material changes are occurring in the pharmacy work force. These changing demographics, coupled with historical vacancy rates and turnover trends for pharmacy staff, require an increased emphasis on workplace changes that can improve staff recruitment and retention. At William S. Middleton Memorial Veterans Affairs Hospital in Madison, Wisconsin, creative pharmacist work schedules and roles are now mainstays to the recruitment and retention of staff. The major challenge that such scheduling presents is the 8 hours needed to prepare a six-week schedule. Baylor Medical Center at Grapevine in Dallas, Texas, has a total of 45 pharmacy employees, and slightly less than half of the 24.5 full-time-equivalent staff work full-time, with most preferring to work one, two, or three days per week. As long as the coverage needs of the facility are met, Envision Telepharmacy in Alpine, Texas, allows almost any scheduling arrangement preferred by individual pharmacists or the pharmacist group covering the facility. Staffing involves a great variety of shift lengths and intervals, with shifts ranging from 2 to 10 hours. Pharmacy leaders must be increasingly aware of opportunities to provide staff with unique scheduling and operational enhancements that can provide for a better work-life balance. Compressed workweeks, job-sharing, and team scheduling were the most common types of alternative work schedules implemented at three different institutions.

  9. Associations between two mosquito populations and West Nile virus in Harris County, Texas, 2003-06.

    Science.gov (United States)

    Dennett, James A; Bala, Adilelkhidir; Wuithiranyagool, Taweesak; Randle, Yvonne; Sargent, Christopher B; Guzman, Hilda; Siirin, Marina; Hassan, Hassan K; Reyna-Nava, Martin; Unnasch, Thomas R; Tesh, Robert B; Parsons, Ray E; Bueno, Rudy

    2007-09-01

    Associations between Culex quinquefasciatus, Aedes albopictus and West Nile virus (WNV) activity, temperature, and rainfall in Harris County, Texas 2003-06 are discussed. Human cases were highly correlated to Cx. quinquefasciatus (r = 0.87) and Ae. albopictus (r = 0.78) pools, blue jays (r = 0.83), and Ae. albopictus collected (r = 0.71), but not Cx. quinquefasciatus collected (r = 0.45). Human cases were associated with temperature (r = 0.71), not rainfall (r = 0.29), whereas temperature correlated with Ae. albopictus and Cx. quinquefasciatus collections (r = 0.88 and 0.70, respectively) and Cx. quinqueftsciatus pools (r = 0.75), but not Ae. albopictus pools (r = 0.55). Both species (collections and pools) and blue jays were weakly correlated (r 5 0.41) with rainfall, but blue jays were better correlated with Cx. quinquefasciatus pools (r = 0.87), compared with Ae. albopictus pools (r = 0.67), Ae. albopictus collections (r = 0.69), and Cx. quinquefasciatus collections (r = 0.46). Peak minimum infection rate for Cx. quinquefasciatus (4.55), and Ae. albopictus (4.41) was in August with highest human cases (17.87), blue jays (55.58), and temperature (29.01 degrees C). Between both species, blood meal analysis indicated 68.18% of Cx. quinquefasciatus mammalian hosts were dog, while 22.72% were human, whereas Ae. albopictus had higher human (44.44%) but fewer dog hosts (22.22%). Ten bird species were identified as hosts for Cx. quinquefasciatus, with northern cardinal and blue jay representing 26.66% and 20.00%, respectively. No bird feeding activity was observed in Ae. albopictus. The earliest and latest human blood meal occurred in May (Ae. albopictus) and November (Cx. quinquefasciatus); 66.66% of human host identifications between both species occurred in October-November, after the seasonal human case peak. Based upon our data, WNV activity in both mosquito species warrants further investigation of their individual roles in WNV ecology within this region.

  10. 78 FR 40970 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for Six West Texas...

    Science.gov (United States)

    2013-07-09

    ..., water quantity and quality, the effect of existing regulatory mechanisms and other potential threats... Board, the Texas Commission on Environmental Quality, the Texas Land Commission, and the Texas...; (2) focusing conservation activities; (3) providing educational benefits; and (4) preventing...

  11. An analysis of small changes in environment which resulted in diverse charge structures on 4 June 2012 in West Texas

    Science.gov (United States)

    Chmielewski, V.; Bruning, E. C.; Ancell, B. C.

    2016-12-01

    As part of the Deep Convective Clouds and Chemistry field campaign, the disorganized cellular convection throughout West Texas on 4 June 2012 provided a unique opportunity to sample a full variety of charge structures in contemporaneous storms within tens of kilometers through the use of the West Texas Lightning Mapping Array. The surface moisture and related surface variables, while varying across the region, did not correlate to the observed charge structures, implying an above-surface influence dominated even what appeared to be a synoptically benign environment. Due to the close proximity of these storms to each other, a WRF ensemble was used to estimate the range of the mid-level environmental differences which may have resulted in the different charging within the storms. Most significantly, the representation of the elevated mixed layer, the base of which was near 700 mb (below cloud base), varied across the domain with the deepest and driest midlevel layers in the areas dominated by anomalous storms. This suggests that the above-surface dry modification of cloud parcels could be encouraging the positive charging of graupel within the cloud by limiting the warm cloud depth and increasing the availability of liquid in the mixed phase region. Besides the anomalous charge structures, these storms also contained fewer cloud-to-ground flashes and were slower to organize than those with a greater depth of moisture, although storms of both polarities were long-lasting. The case allows for a very unique examination of how small changes in environment can impact the storm-scale electrical and morphological properties. The ability of a set of idealized WRF models, using standard parameterizations, to capture any of these resulting differences in the overall charge structures given the very small changes in the environmental moisture across the region as resolved by the ensemble will be discussed. As part of the Deep Convective Clouds and Chemistry field campaign, the

  12. Assessment of Undiscovered Oil and Gas Resources of the Permian Basin Province of West Texas and Southeast New Mexico, 2007

    Science.gov (United States)

    Schenk, Christopher J.; Pollastro, Richard M.; Cook, Troy A.; Pawlewicz, Mark J.; Klett, Timothy R.; Charpentier, Ronald R.; Cook, Harry E.

    2008-01-01

    The U.S. Geological Survey (USGS) recently assessed the undiscovered oil and gas potential of the Permian Basin Province of west Texas and southeast New Mexico. The assessment was geology based and used the total petroleum system concept. The geologic elements of a total petroleum system are petroleum source rocks (quality, source rock maturation, generation, and migration), reservoir rocks (sequence stratigraphy, petrophysical properties), and traps (trap formation and timing). This study assessed potential for technically recoverable resources in new field discoveries only; field growth (or reserve growth) of conventional oil and gas fields was not included. Using this methodology, the U.S. Geological Survey estimated a mean of 41 trillion cubic feet of undiscovered natural gas and a mean of 1.3 billion barrels of undiscovered oil in the Permian Basin Province.

  13. Spatial Distribution of Estimated Wind-Power Royalties in West Texas

    Directory of Open Access Journals (Sweden)

    Christian Brannstrom

    2015-12-01

    Full Text Available Wind-power development in the U.S. occurs primarily on private land, producing royalties for landowners through private contracts with wind-farm operators. Texas, the U.S. leader in wind-power production with well-documented support for wind power, has virtually all of its ~12 GW of wind capacity sited on private lands. Determining the spatial distribution of royalty payments from wind energy is a crucial first step to understanding how renewable power may alter land-based livelihoods of some landowners, and, as a result, possibly encourage land-use changes. We located ~1700 wind turbines (~2.7 GW on 241 landholdings in Nolan and Taylor counties, Texas, a major wind-development region. We estimated total royalties to be ~$11.5 million per year, with mean annual royalty received per landowner per year of $47,879 but with significant differences among quintiles and between two sub-regions. Unequal distribution of royalties results from land-tenure patterns established before wind-power development because of a “property advantage,” defined as the pre-existing land-tenure patterns that benefit the fraction of rural landowners who receive wind turbines. A “royalty paradox” describes the observation that royalties flow to a small fraction of landowners even though support for wind power exceeds 70 percent.

  14. Proposing Chinese Pharmacists Month

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Dear Pharmacists: Today I would like to share with you about the American Pharmacists Month which is celebrated in October every year.This month-long observance is promoted by American Pharmacist Association.

  15. Fracture characterization and discrimination criteria for karst and tectonic fractures in the Ellenburger Group, West Texas: Implications for reservoir and exploration models

    Energy Technology Data Exchange (ETDEWEB)

    Hoak, T.E. [Science Applications International Corp., Germantown, MD (United States)]|[Kestrel Geoscience, Littleton, CO (United States); Sundberg, K.R. [Phillips Petroleum Co., Bartlesville, OK (United States); Deyhim, P. [Oklahoma State Univ., Stillwater, OK (United States); Ortoleva, P. [Indiana Univ., Bloomington, IN (United States). Lab. for Computational Geodynamics

    1998-12-31

    In the Ellenburger Group fractured dolomite reservoirs of West Texas, it is extremely difficult to distinguish between multiple phases of karst-related fracturing, modifications to the karst system during burial, and overprinting tectonic fractures. From the analyses of drill core, the authors developed criteria to distinguish between karst and tectonic fractures. In addition, they have applied these criteria within the context of a detailed diagenetic cement history that allows them to further refine the fracture genesis and chronology. In these analyses, the authors evaluated the relationships between fracture intensity, morphologic attributes, host lithology, fracture cement, and oil-staining. From this analysis, they have been able to characterize variations in Ellenburger tectonic fracture intensity by separating these fractures from karst-related features. In general, the majority of fracturing in the Ellenburger is caused by karst-related fracturing although a considerable percentage is caused by tectonism. These findings underscore the importance of considering the complete geologic evolution of a karst reservoir during exploration and field development programs. The authors have been able to more precisely define the spatial significance of the fracture data sets by use of oriented core from Andector Field. They have also demonstrated the importance of these results for exploration and reservoir development programs in West Texas, and the potential to extrapolate these results around the globe. Given the historic interest in the large hydrocarbon reserves in West Texas carbonate reservoirs, results of this study will have tremendous implications for exploration and production strategies targeting vuggy, fractured carbonate systems not only in West Texas, but throughout the globe.

  16. Associations between water physicochemistry and Prymnesium parvum presence, abundance, and toxicity in west Texas reservoirs

    Science.gov (United States)

    VanLandeghem, Matthew M.; Farooqi, Mukhtar; Southard, Greg M.; Patino, Reynaldo

    2015-01-01

    Toxic blooms of golden alga (Prymnesium parvum) have caused substantial ecological and economic harm in freshwater and marine systems throughout the world. In North America, toxic blooms have impacted freshwater systems including large reservoirs. Management of water chemistry is one proposed option for golden alga control in these systems. The main objective of this study was to assess physicochemical characteristics of water that influence golden alga presence, abundance, and toxicity in the Upper Colorado River basin (UCR) in Texas. The UCR contains reservoirs that have experienced repeated blooms and other reservoirs where golden alga is present but has not been toxic. We quantified golden alga abundance (hemocytometer counts), ichthyotoxicity (bioassay), and water chemistry (surface grab samples) at three impacted reservoirs on the Colorado River; two reference reservoirs on the Concho River; and three sites at the confluence of these rivers. Sampling occurred monthly from January 2010 to July 2011. Impacted sites were characterized by higher specific conductance, calcium and magnesium hardness, and fluoride than reference and confluence sites. At impacted sites, golden alga abundance and toxicity were positively associated with salinity-related variables and blooms peaked at ~10°C and generally did not occur above 20°C. Overall, these findings suggest management of land and water use to reduce hardness or salinity could produce unfavorable conditions for golden alga.

  17. Shell starts CO/sub 2/ injection project in west texas

    Energy Technology Data Exchange (ETDEWEB)

    Snyder, R.E.

    1972-09-01

    A full-scale carbon dioxide (COD2U) injection secondary recovery project using 4 injection wells in an inverted 9-spot pattern has been started by Shell Oil Co., operator of the North Cross unit of the Crossett field, 50 miles south of Odessa, Tex. Unit co-owners are Texaco Inc. and Atlantic Richfield Co. COD2U was selected for this 1,120-acre field, currently producing 1,600 bopd from 18 wells, because up to 20 MMcfd will be available from the nearby Canyon Reef Carrier pipeline that transports gas to the large SACROC project is Scurry County. Also, the COD2U has better overall injectivity, miscibility, and displacement properties in this low permeability, high porosity reservoir, than other available injection fluids. The North Cross unit reservoir is an eastward dipping strat-trap with 55-ft average net pay. Four COD2U injection wells above the gas/oil contact help maintain reservoir pressure for GOR control. A cross section from west to east shows how the Devonian oil pay is limited by oil/water and gas/oil contacts. Porosity formed by leaching in siliceous carbonate rocks gives the reservoir low permeablity, but relatively homogeneous composition for miscible displacement.

  18. Knowledge, perceptions and practices of pharmacovigilance amongst community and hospital pharmacists in a selected district of North West Province, South Africa

    Directory of Open Access Journals (Sweden)

    M.C. Joubert

    2016-12-01

    Conclusion: The majority of pharmacists are familiar with the concept of PV, but less than half reported any ADR. They are willing to participate in PV processes but are unsure what their exact role playing should be. More than half indicated that they would like to see improvements to the current PV system in South Africa. The majority are prepared to undergo further education to improve their PV knowledge.

  19. Cretaceous basaltic phreatomagmatic volcanism in West Texas: Maar complex at Peña Mountain, Big Bend National Park

    Science.gov (United States)

    Befus, K. S.; Hanson, R. E.; Lehman, T. M.; Griffin, W. R.

    2008-06-01

    A structurally complex succession of basaltic pyroclastic deposits produced from overlapping phreatomagmatic volcanoes occurs within Upper Cretaceous floodplain deposits in the Aguja Formation in Big Bend National Park, West Texas. Together with similar basaltic deposits recently documented elsewhere in the Aguja Formation, these rocks provide evidence for an episode of phreatomagmatic volcanism that predates onset of arc magmatism in the region in the Paleogene. At Peña Mountain, the pyroclastic deposits are ≥ 70 m thick and consist dominantly of tabular beds of lapillistone and lapilli tuff containing angular to fluidal pyroclasts of altered sideromelane intermixed with abundant accidental terrigenous detritus derived from underlying Aguja sediments. Tephra characteristics indicate derivation from phreatomagmatic explosions involving fine-scale interaction between magma and sediment in the shallow subsurface. Deposition occurred by pyroclastic fall and base-surge processes in near-vent settings; most base-surge deposits lack tractional sedimentary structures and are inferred to have formed by suspension sedimentation from rapidly decelerating surges. Complexly deformed pyroclastic strata beneath a distinct truncation surface within the succession record construction and collapse of an initial volcano, followed by a shift in the location of the conduit and excavation of another maar crater into Aguja strata nearby. Preserved portions of the margin of this second crater are defined by a zone of intense soft-sediment disruption of pyroclastic and nonvolcanic strata. U-Pb isotopic analyses of zircon grains from three basaltic bombs in the succession reveal the presence of abundant xenocrysts, in some cases with ages > 1.0 Ga. The youngest concordant analyses for all three samples yield a weighted mean age of 76.9 ± 1.2 Ma, consistent with the presence of Late Campanian vertebrate fossils in the upper Aguja Formation. We infer that the volcanism is related to the

  20. Predicting the natural state of fractured carbonate reservoirs: An Andector Field, West Texas test of a 3-D RTM simulator

    Energy Technology Data Exchange (ETDEWEB)

    Tuncay, K.; Romer, S.; Ortoleva, P. [Indiana Univ., Bloomington, IN (United States); Hoak, T. [Kestrel Geoscience, Littleton, CO (United States); Sundberg, K. [Phillips Petroleum Co., Bartlesville, OK (United States)

    1998-12-31

    The power of the reaction, transport, mechanical (RTM) modeling approach is that it directly uses the laws of geochemistry and geophysics to extrapolate fracture and other characteristics from the borehole or surface to the reservoir interior. The objectives of this facet of the project were to refine and test the viability of the basin/reservoir forward modeling approach to address fractured reservoir in E and P problems. The study attempts to resolve the following issues: role of fracturing and timing on present day location and characteristics; clarifying the roles and interplay of flexure dynamics, changing rock rheological properties, fluid pressuring and tectonic/thermal histories on present day reservoir location and characteristics; and test the integrated RTM modeling/geological data approach on a carbonate reservoir. Sedimentary, thermal and tectonic data from Andector Field, West Texas, were used as input to the RTM basin/reservoir simulator to predict its preproduction state. The results were compared with data from producing reservoirs to test the RTM modeling approach. The effects of production on the state of the field are discussed in a companion report. The authors draw the following conclusions: RTM modeling is an important new tool in fractured reservoir E and P analysis; the strong coupling of RTM processes and the geometric and tensorial complexity of fluid flow and stresses require the type of fully coupled, 3-D RTM model for fracture analysis as pioneered in this project; flexure analysis cannot predict key aspects of fractured reservoir location and characteristics; fracture history over the lifetime of a basin is required to understand the timing of petroleum expulsion and migration and the retention properties of putative reservoirs.

  1. Application of Advanced Reservoir Characterization, Simulation, and Production Optimization Strategies to Maximize Recovery in Slope and Basin Clastic Reservoirs, West Texas (Delaware Basin), Class III

    Energy Technology Data Exchange (ETDEWEB)

    Dutton, Shirley P.; Flanders, William A.

    2001-11-04

    The objective of this Class III project was demonstrate that reservoir characterization and enhanced oil recovery (EOR) by CO2 flood can increase production from slope and basin clastic reservoirs in sandstones of the Delaware Mountain Group in the Delaware Basin of West Texas and New Mexico. Phase 1 of the project, reservoir characterization, focused on Geraldine Ford and East Ford fields, which are Delaware Mountain Group fields that produce from the upper Bell Canyon Formation (Ramsey sandstone). The demonstration phase of the project was a CO2 flood conducted in East Ford field, which is operated by Orla Petco, Inc., as the East Ford unit.

  2. FUSULINID SEQUENCE EVOLUTION AND SEQUENCE EXTINCTIONIN WOLFCAMPIAN AND LEONARDIAN SERIES (LOWER PERMIAN,GLASS MOUNTAINS, WEST TEXAS

    Directory of Open Access Journals (Sweden)

    CHARLES A. ROSS

    2003-07-01

    Full Text Available In the Permian Wolfcampian and Leonardian Series of West Texas, sequence evolution and sequence extinction record the appearance and disappearance of morphological species in stratigraphic successions that show repeated sea level fluctuations and associated depositional hiatuses. The lower Wolfcampian Nealian Stage includes 16 relatively short term sea-level fluctuations (fourth-order depositional sequences and contains a diverse fusulinid fauna of more than 39 species and eight genera.  Most Nealian species range through three or four fourth-order cycles before becoming extinct and none extends into the overlying upper Wolfcampian Lenoxian Stage.  The succeeding Lenox Hills Formation overlies a tectonic unconformity (and hiatus and includes three third-order depositional sequences.  Four Lenoxian species are restricted to the lower sequence, 16 to the middle sequence, and six to the upper sequence. In the Leonardian Series, at the base, the Hessian Stage includes seven third-order depositional sequences and numerous minor fourth-order and smaller parasequences.  Hessian carbonate platform facies have low fusulinid species diversity and high abundances.  The lower four Hessian lowstand clastic wedges of the shelf margin and basin include at least six species of schwagerinids.  The three upper wedges include only three species of Parafusulina. The Cathedralian (upper Stage has one main third-order depositional sequence, and perhaps a second, which is mostly missing on the platform below the Mid-Permian unconformity below the Middle Permian Guadalupian Series. Suggested correlations of the Wolfcampian and Leonardian with the Tethyan succession in Darvas and the Pamirs of Middle Asia place the Nealian as equivalent to the Asselian and Sakmarian. The Lenoxian is probably equivalent to the lower and middle parts of the Yakhtashian.  The Hessian is equivalent to the upper part of the Yakhtashian and the Bolorian. The Cathedralian seems to be

  3. Application of integrated remote sensing and GIS technologies to geoenvironmental issues in far west Texas and southern New Mexico

    Science.gov (United States)

    Perez, Adriana Evangelina

    The primary goal of this dissertation was to utilize a geographic information system (GIS) to better understand geological, geophysical, forestry and environmental issues in the west Texas-New Mexico region. Studies such as these are especially important in the border region where economic limitations are usually a factor in studying and solving some of these problems. The availability of satellite imagery through the Pan-American Center for Earth and Environmental Studies (PACES), data from the Geospatial Center and the collaboration with the United States Department of Agriculture (USDA) and National Forest entities (Guadalupe and Lincoln Ranger Districts) enhance the value of our investigation. Research was conducted in two distinct areas: Cloudcroft-Ruidoso, New Mexico, and the Salt Flat basin of southwest Texas (Figure 1). The dissertation will be presented as a set of independent chapters. Chapter 1. A GIS and remote sensing investigation of the effects of interactions of terrain, soil, and other physiographic factors on the Pine Community of Lincoln National Park in the Sacramento Mountains of Southwest New Mexico. This study utilized GIS and remote sensing to better understand the dynamics of White Pine Blister Rust (WPBR) infestation in the white pine community of the Sacramento Mountains of southwest New Mexico. Both field spectral sampling of the needles and imagery analysis were incorporated to better understand the infestation, progression and vulnerability of the forest to this and other diseases. A major contribution of this study was to construct a GIS database, which was utilized to analyze USDA, elevation, satellite imagery, geological, and hydrological data to produce a hazard-rating map. The GIS environment also allowed for a 3-D perspective on the data, which was very useful in spatial visualization. Chapter 2. An integrated study of the basin structure of the Salt Flat basin. In this study we utilized, gravity and magnetic data, satellite

  4. INTEGRATED OUTCROP AND SUBSURFACE STUDIES OF THE INTERWELL ENVIRONMENT OF CARBONATE RESERVOIRS: CLEAR FORK (LEONARDIAN-AGE) RESERVOIRS, WEST TEXAS AND NEW MEXICO

    Energy Technology Data Exchange (ETDEWEB)

    F. Jerry Lucia

    2002-01-31

    This is the final report of the project ''Integrated Outcrop and Subsurface Studies of the Interwell Environment of Carbonate Reservoirs: Clear Fork (Leonardian-Age) Reservoirs, West Texas and New Mexico'', Department of Energy contract no. DE-AC26-98BC15105 and is the third in a series of similar projects funded jointly by the U.S. Department of Energy and The University of Texas at Austin, Bureau of Economic Geology, Reservoir Characterization Research Laboratory for Carbonates. All three projects focus on the integration of outcrop and subsurface data for the purpose of developing improved methods for modeling petrophysical properties in the interwell environment. The first project, funded by contract no. DE-AC22-89BC14470, was a study of San Andres outcrops in the Algerita Escarpment, Guadalupe Mountains, Texas and New Mexico, and the Seminole San Andres reservoir, Permian Basin. This study established the basic concepts for constructing a reservoir model using sequence-stratigraphic principles and rock-fabric, petrophysical relationships. The second project, funded by contract no. DE-AC22-93BC14895, was a study of Grayburg outcrops in the Brokeoff Mountains, New Mexico, and the South Cowden Grayburg reservoir, Permian Basin. This study developed a sequence-stratigraphic succession for the Grayburg and improved methods for locating remaining hydrocarbons in carbonate ramp reservoirs. The current study is of the Clear Fork Group in Apache Canyon, Sierra Diablo Mountains, West Texas, and the South Wasson Clear Fork reservoir, Permian Basin. The focus was on scales of heterogeneity, imaging high- and low-permeability layers, and the impact of fractures on reservoir performance. In this study (1) the Clear Fork cycle stratigraphy is defined, (2) important scales of petrophysical variability are confirmed, (3) a unique rock-fabric, petrophysical relationship is defined, (4) a porosity method for correlating high-frequency cycles and defining rock

  5. Age and location of volcanic centers less than or equal to 3. 0 Myr old in Arizona, New Mexico and the Trans-Pecos Area of West Texas

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, M.J.; Laughlin, A.W.

    1981-04-01

    This map is one of a series of maps designed for hot dry rock geothermal assessment in Arizona, New Mexico, and the Trans-Pecos area of west Texas. The 3.0 m.y. cutoff age was selected because original heat has probably largely dissipated in older rocks. The location of volcanic centers is more important to geothermal resource assessment than the location of their associated volcanic rocks; however, ages have been determined for numerous flows far from their source. Therefore, the distribution of all volcanic rocks less than or equal to 3.0 m.y. old, for which there is at least one determined age, are shown. Location of the volcanic vents and rocks were taken from Luedke and Smith (1978).

  6. Application of advanced reservoir characterization, simulation, and production optimization strategies to maximize recovery in slope and basin clastic reservoirs, West Texas (Delaware Basin), Class III

    Energy Technology Data Exchange (ETDEWEB)

    Dutton, Shirley P.; Flanders, William A.; Zirczy, Helena H.

    2000-05-24

    The objective of this Class 3 project was to demonstrate that detailed reservoir characterization of slope and basin clastic reservoirs in sandstones of the Delaware Mountain Group in the Delaware Basin of West Texas and New Mexico is a cost effective way to recover a higher percentage of the original oil in place through strategic placement of infill wells and geologically based field development. Phase 1 of the project, reservoir characterization, was completed this year, and Phase 2 began. The project is focused on East Ford field, a representative Delaware Mountain Group field that produces from the upper Bell Canyon Formation (Ramsey sandstone). The field, discovered in 1960, is operated by Oral Petco, Inc., as the East Ford unit. A CO{sub 2} flood is being conducted in the unit, and this flood is the Phase 2 demonstration for the project.

  7. Pharmacist-industry relationships.

    Science.gov (United States)

    Saavedra, Keene; O'Connor, Bonnie; Fugh-Berman, Adriane

    2017-01-18

    The purpose of this study was to document, in their own words, beliefs and attitudes that American pharmacists have towards the pharmaceutical industry and pharmacists' interactions with industry. An ethnographic-style qualitative study was conducted utilizing open-ended interviews with four hospital pharmacists, two independent pharmacists, two retail pharmacists and one administrative pharmacist in the Washington, DC, metropolitan area to elicit descriptions of and attitudes towards pharmacists' relationships with industry. Analysis of the qualitative material followed established ethnographic conventions of narrative thematic analysis. All pharmacists reported interactions with pharmaceutical company representatives. Most had received free resources or services from industry, including educational courses. Respondents uniformly believed that industry promotional efforts are primarily directed towards physicians. Although respondents felt strongly that drug prices were excessive and that 'me-too' drugs were of limited use, they generally had a neutral-to-positive view of industry-funded adherence/compliance programmes, coupons, vouchers, and copay payment programmes. Interviewees viewed direct-to-consumer advertising negatively, but had a generally positive view of industry-funded drug information. Pharmacists may represent a hitherto under-identified cohort of health professionals who are targeted for industry influence; expanding roles for pharmacists may make them even more attractive targets for future industry attention. Pharmacy schools should ensure that students learn to rely on unbiased information sources and should teach students about conflicts of interest and the risks of interacting with industry. Further research should be conducted on the extent to which pharmacists' attitudes towards their duties and towards drug assessment and recommendation are influenced by the pharmaceutical industry. © 2017 Royal Pharmaceutical Society.

  8. Why stratigraphy and sedimentology in shales are important : an example from the Woodford Shale, Permian Basin, west Texas

    Energy Technology Data Exchange (ETDEWEB)

    Harris, N.B. [Alberta Univ., Edmonton, AB (Canada); Colorado School of Mines, Boulder, CO (United States); Hemmesch, N.T.; Mnich, C.A. [Colorado School of Mines, Boulder, CO (United States). Geology and Geological Engineering; Aoudia, K.; Miskimins, J. [Colorado School of Mines, Boulder, CO (United States). Dept. of Petroleum Engineering

    2010-07-01

    This presentation explained why stratigraphy and sedimentology in shales are important. The presentation provided an example from the Woodford Shale, Permian Basin, located in western Texas. Several illustrations were presented to demonstrate a stratigraphic sequence in black shale. Other topics that were discussed included geologic settings; paleogeography; silled basins; motivation for rock properties research; and factor analysis results. It was concluded that sequence stratigraphic analyses in black shales requires an integrated, multidisciplinary approach. The presentation showed that third and fourth order stratigraphic cycles are indicated by the repetition of exotic beds whose composition vary regionally. tabs., figs.

  9. Diabetes prevalence and treatment adherence in residents living in a colonia located on the West Texas, USA/Mexico border.

    Science.gov (United States)

    Anders, Robert L; Olson, Thomas; Wiebe, John; Bean, Nathaniel H; DiGregorio, Rena; Guillermina, Mina; Ortiz, Melchor

    2008-09-01

    Little is known about how diabetes affects the health status of Hispanic people living in colonias located along the USA/Mexico border. The purpose of this report is to describe the demographic factors, prevalence of diabetes, and the health status of the residents living in a colonia on the border between El Paso, Texas, USA, and Juarez, Mexico, and to report the residents' adherence to the Behavioral Risk Factor Surveillance System (BRFSS) protocols for the management of type 2 diabetes. This study included 188 participants. The instruments used included a demographic questionnaire, the Short Acculturation Scale for Hispanics, "Cutting Down, Annoyance by Criticism, Guilty Feelings, and Eye-openers", BRFSS, and the Short Form-36 (v2). The prevalence of diabetes was 15.4% and 41.3% of the residents had a Body Mass Index score > 30. The rate of hypertension, elevated cholesterol, and depression for those reporting diabetes was significant. The SF-36 v2 physical score for the diabetic residents was 42.9 and it was 52.4 for the non-diabetic residents. The average resident of the colonia who reports diabetes has many health disadvantages when compared to those in other parts of Texas and the USA generally.

  10. Geoscience/engineering characterization of the interwell environment in carbonate reservoirs based on outcrop analogs, Permian Basin, West Texas and New Mexico - petrophysical characterization of the South Cowden Grayburg Reservoir, Ector County, Texas. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Lucia, F.J.

    1997-06-01

    Reservoir performance of the South Cowden Grayburg field suggests that only 21 percent of the original oil in place has been recovered. The purpose of this study is to construct a realistic reservoir model to be used to predict the location of the remaining mobile oil. Construction of reservoir models for fluid-flow simulation of carbonate reservoirs is difficult because they typically have complicated and unpredictable permeability patterns. Much of the difficulty results from the degree to which diagenetic overprinting masks depositional textures and patterns. For example, the task of constructing a reservoir model of a limestone reservoir that has undergone only cementation and compaction is easier than constructing a model of a karsted reservoir that has undergone cavern formation and collapse as well as cementation and compaction. The Permian-age carbonate-ramp reservoirs in the Permian Basin, West Texas and New Mexico, are typically anhydritic dolomitized limestone. Because the dolomitization occurred soon after deposition, depositional fabrics and patterns are often retained, and a reservoir model can be constructed using depositional concepts. Recent studies of the San Andres outcrop in the Guadalupe Mountains and the Seminole San Andres reservoir in the Permian Basin illustrate how depositional fabrics and patterns can be used to construct a reservoir model when depositional features are retained.

  11. West Nile virus infection in kidney and pancreas transplant recipients in the Dallas-Fort Worth Metroplex during the 2012 Texas epidemic.

    Science.gov (United States)

    Yango, Angelito F; Fischbach, Bernard V; Levy, Marlon; Chandrakantan, Arun; Tan, Valerie; Spak, Cedric; Melton, Larry; Rice, Kim; Barri, Yousri; Rajagopal, Arthi; Klintmalm, Goran

    2014-05-15

    In 2012, the United States experienced one of its worst West Nile virus (WNV) epidemics, reporting 5,387 human cases and final death toll of 243. Texas was at the epicenter of the outbreak, with 1,875 reported cases and 89 deaths that year. The Texas outbreak centered mainly in the Dallas-Fort Worth area where 30 deaths were reported. We report three cases of severe WNV infection complicated by meningoencephalitis in our organ transplant population. Clinical data were collected from chart review. Therapy and outcomes on three identified patients were reviewed and compared with previously reported cases of WNV infection in kidney/pancreas transplant recipients and the general population. Two recipients of kidney and one recipient of a combined kidney and pancreas transplant were treated at our center for WNV infection. All three patients presented with a rapid decline in mental status within 24 hours of admission consistent with meningoencephalitis. Diagnosis was made based on detection of WNV IgM in the serum. All patients received intravenous immunoglobulin (IVIG) therapy at 400 mg/kg × 3 to 4 doses. As a result, two patients had a full recovery, and one patient died. Transplant recipients have a higher risk of neurologic complications from WNV infection. In areas where WNV is endemic, clinicians must have a high index of suspicion when treating patients presenting with fever, headache, and confusion. Full recovery in two of three patients suggests a potential role of IVIG therapy in controlling active WNV infection, particularly in immunosuppressed patients.

  12. Near-Surface & High Resolution Seismic Imaging of the Bennett Thrust Fault in the Indio Mountains of West Texas

    Science.gov (United States)

    Vennemann, A.; Karplus, M. S.; Kaip, G.; Harder, S. H.

    2016-12-01

    We investigate the crustal structure of the Indio Mountains in southwest Texas, 34 km southwest of Van Horn at the University of Texas at El Paso (UTEP) field station using newly acquired active-source seismic data. These new data are the first active-source seismic data acquired at the UTEP field station. The dominant regional lithologies in this area comprise a transgressive sequence nearly 2 km in total stratigraphic thickness, formed by extensional processes. The area is highly faulted with multiple fault generations. I will show images of the Bennett Thrust Fault, a northwest-striking, northeast-dipping fault associated with the Laramide Orogeny and discuss the near-surface geometries of this fault and adjacent rock units. This region is a pre-salt analog for similar areas that are ideal for petroleum reservoirs, such are reservoirs off the coasts of Brazil and Angola. While there are no petroleum plays in the Indio Mountains region, imaging and understanding subsurface structural and lithological geometries and how that geometry directs potential fluid flow has implications for other regions with petroleum plays. I will present processed data and interpretation of a 1 km 2-D near-surface, high-resolution seismic reflection line. Along the 1 km line, we collected a lower frequency dataset using 100 third-pound explosions and a higher frequency dataset produced from 500 sledge-hammer blows at the same 100 source points (5 blows will be stacked at each source point). The lower frequency data set will be the focus of this presentation. The data will be processed using standard seismic reflection practices using ProMAX. This image will be imported into Petrel to create a model of the faults' geometries and the sedimentary layers. My research will identify near-surface structures, fault geometries and lithologies.

  13. Comparison of Amplitudes and Frequencies of Explosive vs. Hammer Seismic Sources for a 1-km Seismic Line in West Texas

    Science.gov (United States)

    Kaip, G.; Harder, S. H.; Karplus, M. S.; Vennemann, A.

    2016-12-01

    In May 2016, the National Seismic Source Facility (NSSF) located at the University of Texas at El Paso (UTEP) Department of Geological Sciences collected seismic data at the Indio Ranch located 30 km southwest of Van Horn, Texas. Both hammer on an aluminum plate and explosive sources were used. The project objective was to image subsurface structures at the ranch, owned by UTEP. Selecting the appropriate seismic source is important to reach project objectives. We compare seismic sources between explosions and hammer on plate, focusing on amplitude and frequency. The seismic line was 1 km long, trending WSW to ENE, with 200 4.5 Hz geophones at 5m spacing and shot locations at 10m spacing. Clay slurry was used in shot holes to increase shot coupling around booster. Trojan Spartan cast boosters (150g) were used in explosive sources in each shot hole (1 hole per station). The end of line shots had 5 shot holes instead of 1 (750g total). The hammer source utilized a 5.5 kg hammer and an aluminum plate. Five hammer blows were stacked at each location to improve signal-to-noise ratio. Explosive sources yield higher amplitude, but lower frequency content. The explosions exhibit a higher signal-to-noise ratio, allowing us to recognize seismic energy deeper and farther from the source. Hammer sources yield higher frequencies, allowing better resolution at shallower depths but have a lower signal-to-noise ratio and lower amplitudes, even with source stacking. We analyze the details of the shot spectra from the different types of sources. A combination of source types can improve data resolution and amplitude, thereby improving imaging potential. However, cost, logistics, and complexities also have a large influence on source selection.

  14. A retrospective study of septic arthritis in a tertiary hospital in West Texas with high rates of methicillin-resistant Staphylococcus aureus infection.

    Science.gov (United States)

    Lim, Sian Yik; Pannikath, Deepa; Nugent, Kenneth

    2015-07-01

    Septic arthritis is an important concern for rheumatologists in the evaluation of joint disease. Very few studies have addressed the microbiologic epidemiology and outcomes of septic arthritis in the USA since the year 2000. We performed a retrospective study of septic arthritis in a tertiary hospital in West Texas from the year 2000 to 2013. We recorded data on patient demographics, microbiologic etiology, treatment patterns, and outcomes. The most common causative organisms were Staphylococcus aureus and Streptococcus spp. Methicillin-resistant Staphylococcus aureus (MRSA) caused septic arthritis in 22.6 % of the cases. MRSA septic arthritis was associated with low rates of adequate empiric antimicrobial therapy. The mortality due to sepsis in our study was 5.5 %. Patients with septic arthritis had a mean length of stay of 13.5 ± 12.1 days and required 2.1 ± 1.4 joint operations. Many patients (29.2 %) had readmissions due to complications, and these patients had high rates of home health utilization and transfers to other facilities post hospital discharge. In our logistic regression analysis model, factors associated with poor outcomes in septic arthritis were MRSA, older age, and prosthetic joint infection. Septic arthritis is associated with significant mortality, morbidity, and health care costs, and more studies are needed to improve outcomes, especially considering the increasing rates of MRSA as the pathogen.

  15. Application of Advanced Reservoir Characterization, Simulation, and Production Optimization Strategies to Maximize Recovery in Slope and Basin Clastic Reservoirs, West Texas (Delaware Basin)

    Energy Technology Data Exchange (ETDEWEB)

    Dutton, S.P.; Flanders, W.A.; Guzman, J.I.; Zirczy, H.

    1999-06-08

    The objective of this Class III project is to demonstrate that detailed reservoir characterization of slope and basin clastic reservoirs in sandstones of the Delaware Mountain Group in the Delaware Basin of West Texas and New Mexico is a cost-effective way to recover a higher percentage of the original oil in place through geologically based field development. This year the project focused on reservoir characterization of the East Ford unit, a representative Delaware Mountain Group field that produces from the upper Bell Canyon Formation (Ramsey Sandstone). The field, discovered in 1960, is operated by Orla Petco, Inc., as the East Ford unit; it contained an estimated 19.8 million barrels (MMbbl) of original oil in place. Petrophysical characterization of the East Ford unit was accomplished by integrating core and log data and quantifying petrophysical properties from wireline logs. Most methods of petrophysical analysis that had been developed during an earlier study of the Ford Geraldine unit were successfully transferred to the East Ford unit. The approach that was used to interpret water saturation from resistivity logs, however, had to be modified because in some East Ford wells the log-calculated water saturation was too high and inconsistent with observations made during the actual production. Log-porosity to core-porosity transforms and core-porosity to core-permeability transforms were derived from the East Ford reservoir. The petrophysical data were used to map porosity, permeability, net pay, water saturation, mobil-oil saturation, and other reservoir properties.

  16. Geoscience/engineering characterization of the interwell environment in carbonate reservoirs based on outcrop analogs, Permian Basin, West Texas and New Mexico--waterflood performance analysis for the South Cowden Grayburg Reservoir, Ector County, Texas. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Jennings, J.W. Jr.

    1997-05-01

    A reservoir engineering study was conducted of waterflood performance in the South Cowden field, an Upper Permian Grayburg reservoir on the Central Basin Platform in West Texas. The study was undertaken to understand the historically poor waterflood performance, evaluate three techniques for incorporating petrophysical measurements and geological interpretation into heterogeneous reservoir models, and identify issues in heterogeneity modeling and fluid-flow scaleup that require further research. The approach included analysis of relative permeability data, analysis of injection and production data, heterogeneity modeling, and waterflood simulation. The poor South Cowden waterflood recovery is due, in part, to completion of wells in only the top half of the formation. Recompletion of wells through the entire formation is estimated to improve recovery in ten years by 6 percent of the original oil in place in some areas of the field. A direct three-dimensional stochastic approach to heterogeneity modeling produced the best fit to waterflood performance and injectivity, but a more conventional model based on smooth mapping of layer-averaged properties was almost as good. The results reaffirm the importance of large-scale heterogeneities in waterflood modeling but demonstrate only a slight advantage for stochastic modeling at this scale. All the flow simulations required a reduction to the measured whole-core k{sub v}/k{sub h} to explain waterflood behavior, suggesting the presence of barriers to vertical flow not explicitly accounted for in any of the heterogeneity models. They also required modifications to the measured steady-state relative permeabilities, suggesting the importance of small-scale heterogeneities and scaleup. Vertical flow barriers, small-scale heterogeneity modeling, and relative permeability scaleup require additional research for waterflood performance prediction in reservoirs like South Cowden.

  17. Spatiotemporal relationships among Late Pennsylvanian plant assemblages: Palynological evidence from the Markley Formation, West Texas, U.S.A

    Science.gov (United States)

    Looy, Cindy V.; Hotton, Carol L.

    2014-01-01

    The Pennsylvanian lowlands of western Pangea are best known for their diverse wetland floras of arborescent and herbaceous ferns, and arborescent horsetails and clubmosses. In apparent juxtaposition, a very different kind of flora, dominated by a xerophilous assemblage of conifers, taeniopterids and peltasperms, is occasionally glimpsed. Once believed to represent upland or extrabasinal floras from well-drained portions of the landscape, these dryland floras more recently have been interpreted as lowland assemblages growing during drier phases of glacial/interglacial cycles. Whether Pennsylvanian dryland and wetland floras were separated spatially or temporally remains an unsettled question, due in large part to taphonomic bias toward preservation of wetland plants. Previous paleobotanical and sedimentological analysis of the Markley Formation of latest Pennsylvanian (Gzhelian) age, from north central Texas, U.S.A, indicates close correlation between lithofacies and distinct dryland and wetland megaflora assemblages. Here we present a detailed analysis one of those localities, a section unusual in containing abundant palynomorphs, from the lower Markley Formation. Paleobotanical, palynological and lithological data from a section thought to represent a single interglacial/glacial phase are integrated and analyzed to create a complex picture of an evolving landscape. Megafloral data from throughout the Markley Formation show that conifer-dominated dryland floras occur exclusively in highly leached kaolinite beds, likely eroded from underlying soils, whereas a mosaic of wetland floras occupy histosols, ultisols, and fluvial overbank deposits. Palynological data largely conform to this pattern but reveal a more complex picture. An assemblage of mixed wetland and dryland palynofloral taxa is interpolated between a dryland assemblage and an overlying histosol containing wetland taxa. In this section, as well as elsewhere in the Markley Formation, kaolinite and overlying

  18. Spatiotemporal relationships among Late Pennsylvanian plant assemblages: Palynological evidence from the Markley Formation, West Texas, U.S.A.

    Science.gov (United States)

    Looy, Cindy V; Hotton, Carol L

    2014-12-01

    The Pennsylvanian lowlands of western Pangea are best known for their diverse wetland floras of arborescent and herbaceous ferns, and arborescent horsetails and clubmosses. In apparent juxtaposition, a very different kind of flora, dominated by a xerophilous assemblage of conifers, taeniopterids and peltasperms, is occasionally glimpsed. Once believed to represent upland or extrabasinal floras from well-drained portions of the landscape, these dryland floras more recently have been interpreted as lowland assemblages growing during drier phases of glacial/interglacial cycles. Whether Pennsylvanian dryland and wetland floras were separated spatially or temporally remains an unsettled question, due in large part to taphonomic bias toward preservation of wetland plants. Previous paleobotanical and sedimentological analysis of the Markley Formation of latest Pennsylvanian (Gzhelian) age, from north central Texas, U.S.A, indicates close correlation between lithofacies and distinct dryland and wetland megaflora assemblages. Here we present a detailed analysis one of those localities, a section unusual in containing abundant palynomorphs, from the lower Markley Formation. Paleobotanical, palynological and lithological data from a section thought to represent a single interglacial/glacial phase are integrated and analyzed to create a complex picture of an evolving landscape. Megafloral data from throughout the Markley Formation show that conifer-dominated dryland floras occur exclusively in highly leached kaolinite beds, likely eroded from underlying soils, whereas a mosaic of wetland floras occupy histosols, ultisols, and fluvial overbank deposits. Palynological data largely conform to this pattern but reveal a more complex picture. An assemblage of mixed wetland and dryland palynofloral taxa is interpolated between a dryland assemblage and an overlying histosol containing wetland taxa. In this section, as well as elsewhere in the Markley Formation, kaolinite and overlying

  19. Spanish-speaking patients' satisfaction with clinical pharmacists' communication skills and demonstration of cultural sensitivity.

    Science.gov (United States)

    Kim-Romo, Dawn N; Barner, Jamie C; Brown, Carolyn M; Rivera, José O; Garza, Aida A; Klein-Bradham, Kristina; Jokerst, Jason R; Janiga, Xan; Brown, Bob

    2014-01-01

    OBJECTIVE To assess Spanish-speaking patients' satisfaction with their clinical pharmacists' communication skills and demonstration of cultural sensitivity, while controlling for patients' sociodemographic, clinical, and communication factors, as well as pharmacist factors, and to identify clinical pharmacists' cultural factors that are important to Spanish-speaking patients. DESIGN Cross-sectional study. SETTING Central Texas during August 2011 to May 2012. PARTICIPANTS Spanish-speaking patients of federally qualified health centers (FQHCs). MAIN OUTCOME MEASURE(S) A Spanish-translated survey assessed Spanish-speaking patients' satisfaction with their clinical pharmacists' communication skills and demonstration of cultural sensitivity. RESULTS Spanish-speaking patients (N = 101) reported overall satisfaction with their clinical pharmacists' communication skills and cultural sensitivity. Patients also indicated that pharmacists' cultural rapport (e.g., ability to speak Spanish, respectfulness) was generally important to Spanish speakers. Multiple linear regression analyses showed that cultural rapport was significantly related to satisfaction with pharmacists' communication skills and demonstration of cultural sensitivity. CONCLUSION Overall, patients were satisfied with pharmacists' communication skills and cultural sensitivity. Patient satisfaction initiatives that include cultural rapport should be developed for pharmacists who provide care to Spanish-speaking patients with limited English proficiency.

  20. 33 CFR 165.804 - Snake Island, Texas City, Texas; mooring and fleeting of vessels-safety zone.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Snake Island, Texas City, Texas... Guard District § 165.804 Snake Island, Texas City, Texas; mooring and fleeting of vessels—safety zone. (a) The following is a safety zone: (1) The west and northwest shores of Snake Island; (2)...

  1. Against the Odds: Students, a Teacher, and a School Nurse Build Strong Learning Experiences and a Medical Clinic in West Texas.

    Science.gov (United States)

    Active Learner: A Foxfire Journal for Teachers, 1999

    1999-01-01

    In a small rural high school in Balmorhea, Texas, business students helped to establish a school-based clinic. Students wrote grant applications, learned medical office skills, structured the business curriculum around their project, and involved other students. Cooperation with Texas Tech Medical School led to a full-service community clinic…

  2. An integrated geological and geophysical study of the Uinta Mountains, Utah, Colorado and a geophysical study on Tamarix in the Rio Grande River basin, West Texas

    Science.gov (United States)

    Khatun, Salma

    2008-07-01

    comprehensive picture of the structures in the study area. These models show that the Uinta uplift is a single sedimentary block with numerous thrust faults on the northern and southern flanks of the uplift. These models also reveal the fact that the thickness of the crust is quite variable in the study area. This is also supported by the crustal thickness map constructed for this study from seismic and receiver function information. Magnetic maps show that the Proterozoic sedimentary package known as Uinta Mountain Group extends into the Basin and Range and indicates its link with the ancient rift margin in the Western United States. Findings of this research are correlated to earlier studies and placed in a broader context. Finally an analogy is made between the Uinta aulacogen, the Southern Oklahoma aulacogen and the Dniepr-Donets aulacogen in Ukraine. This discussion focuses light on the mechanism that led to the Uinta's development from a failed rift to an uplift. Part two of this research examined the effect of saltcedar (Tamarix sp) on water and soil properties in the Rio Grande River valley in West Texas. Tamarix is a woody phreatophyte (water-loving plant) common in riparian habitats. The presence of Tamarix in a river system raises concerns about its effect on water quality because it can increase the salinity of water and surrounding soil and it reduces stream flow. Geophysical electrical techniques were used to track soil salinity and moisture changes caused by Tamarix, as well as to determine how soil salinity and moisture properties are altered when Tamarix is eradicated from the region. These techniques allowed more rapid in-situ assessment of the soil properties than the conventional method of removing soil and water samples for analysis. This study was focused on the influence of Tamarix on soil properties and hydrology at the subsurface at four sites in the Rio Bosque Wetlands Park, El Paso, Texas Two sites had flourishing Tamarix and two others were areas

  3. Evaluation of soil sustainability along the Rio Grande in West Texas: changes in salt loading and organic nutrients due to farming practices

    Science.gov (United States)

    Cox, C. L.; Ganjegunte, G.; Borrok, D. M.; Lougheed, V.; Ma, L.; Jin, L.

    2011-12-01

    thus have higher salt loading, and that Cotton has a higher clay content. The EC values continuously increase from irrigation water to soil waters, suggesting that as water travels through the soil profile it increases in salinity. Consistent with this observation, cation concentrations in soil waters increased with depth. Therefore, the salts within the soils are mobilized during irrigation. 5TE sensors at all three depths in the field showed spikes in EC, and soil moisture during each period of flood irrigation. Data also suggests a lower bulk EC between irrigation periods which might result from a lower soil moisture content which doesn't solublize the salts. The carbonate- and gypsum- rich soils and surface water in the Rio Grande Basin change with intensity and amount of irrigation, addition of fertilizers, and other agricultural practices. Results from this project contribute to our understanding of salt loading and nutrient cycling in the vulnerable area of the Rio Grande Valley in West Texas.

  4. Desirable Skills in New Pharmacists.

    Science.gov (United States)

    O'Brien, Catherine E; Flowers, Schwanda K; Stowe, Cindy D

    2017-02-01

    To compare survey responses between licensed pharmacists who work with or employ new graduates and graduating senior pharmacy students at a college of pharmacy. This was a retrospective analysis of surveys given to 2 groups of pharmacists and students. Responses to items regarding importance of desirable qualities in new pharmacists and level of preparation of new graduates were analyzed. Qualities included drug information, pharmacology, therapeutics, communication with patients/customers or health care professionals, professionalism, ethics, management, and conflict resolution. There was consensus between pharmacists and students regarding the importance of all items ( P > .05 for all comparisons). However, the percentage of pharmacists versus students who agreed that new graduates communicate effectively differed (86.7% vs 100%, respectively, P communication as the 1 skill that would distinguish an applicant, and retail and hospital pharmacists displayed a statistically significant ( P skills essential for pharmacy practice but disagree on the level of preparation for effective communication. These results support ongoing efforts to improve the development of communication skills in the professional pharmacy curriculum.

  5. Using the theory of planned behavior to examine pharmacists' intention to utilize a prescription drug monitoring program database.

    Science.gov (United States)

    Fleming, Marc L; Barner, Jamie C; Brown, Carolyn M; Shepherd, Marvin D; Strassels, Scott; Novak, Suzanne

    2014-01-01

    Prescription drug monitoring programs (PDMPs) are state-operated electronic databases that contain patients' controlled drug histories. Most states provide these data to pharmacists via online web portals to combat prescription drug abuse and diversion. The objectives of this study were to: 1) explore the theory of planned behavior's (TPB) utility in predicting Texas pharmacists' intention to utilize an online accessible PDMP; 2) to determine the contribution of each construct, attitude (A), subjective norm (SN) and perceived behavioral control (PBC) in predicting pharmacists' intention; and 3) test whether the addition of perceived obligation (PO) is significantly related to pharmacists' intention. A cross-sectional, 36-item questionnaire was developed from focus groups and literature of pharmacists' views regarding prescription drug abuse. A total of 998 practicing Texas community pharmacists were surveyed to collect data on their intention to utilize a PDMP database. Descriptive statistics, multivariate and hierarchical logistic regression analyses were used to address the study objectives. The response rate was 26.2% (261/998). TPB constructs were significant predictors of pharmacists' high intention to utilize the PDMP. Pharmacists with positive attitudes were almost twice as likely to have high intention (odds ratio [OR] = 1.8, 95% confidence interval [CI] = 1.2-2.8). SN was the strongest predictor of pharmacists' high intention (OR = 2.2, 95% CI = 1.4-3.3). Pharmacists with high PBC were also twice as likely to have high intention (OR = 1.9, 95% CI = 1.2-3.0). Additionally, pharmacists' PO contributed to the prediction of high intention (OR = 1.8, 95% CI = 1.0-3.1) above that explained by the TPB model constructs (X(2) = 4.14, P intention to utilize a PDMP database. Interventions that address pharmacists' A, SN, PBC, and PO may be valuable to increase pharmacists' high intention. Pharmacists' utilization of PDMPs may lead to a decrease in the morbidity and

  6. Texas Yehaa !!!

    DEFF Research Database (Denmark)

    Kjellberg, Kurt

    2001-01-01

    Indtryk fra et besøg på SLA, Special Libraries Associations årlige konference, San Antonio, Texas, USA, 9.-13. juni 2001. "An Information Odyssey: Seizing the Competitive Advantage"......Indtryk fra et besøg på SLA, Special Libraries Associations årlige konference, San Antonio, Texas, USA, 9.-13. juni 2001. "An Information Odyssey: Seizing the Competitive Advantage"...

  7. Texas Yehaa !!!

    DEFF Research Database (Denmark)

    Kjellberg, Kurt

    2001-01-01

    Indtryk fra et besøg på SLA, Special Libraries Associations årlige konference, San Antonio, Texas, USA, 9.-13. juni 2001. "An Information Odyssey: Seizing the Competitive Advantage"......Indtryk fra et besøg på SLA, Special Libraries Associations årlige konference, San Antonio, Texas, USA, 9.-13. juni 2001. "An Information Odyssey: Seizing the Competitive Advantage"...

  8. Assessment of Pharmacists Workforce in Ethiopia

    African Journals Online (AJOL)

    admin

    that could improve pharmacists' job satisfaction, ease uneven distribution among regions and increase the future workforce. ... Pharmacists are working as compounder and supplier of ...... Production, attrition and retention: In the memory of.

  9. Knowledge, Perception and Attitude of Community Pharmacists ...

    African Journals Online (AJOL)

    This study was aimed to investigate the knowledge, perception and attitude of community pharmacists ... Methods: A qualitative methodology was adopted. Snowball sampling technique was used to identify eight community pharmacists.

  10. Talking to the Pharmacist (For Parents)

    Science.gov (United States)

    ... young child. Some medicines can be mixed with chocolate or maple syrup to encourage kids to take ... pharmacy so that your pharmacist has a complete history of your family's prescribed medications. A pharmacist is ...

  11. Influence of pharmacists expertise on physicians prescription ...

    African Journals Online (AJOL)

    The influence of pharmacist factors on physician prescription decisions was identified ... Keywords: Physician prescription behaviour, Pharmacist factor, ... addition to the influence of marketing promotion .... from the drug sales, obtaining clinic rental ... also analyzed the current status of pharmacist's ..... the buyer-seller dyad.

  12. Pharmacist-Patient Interaction and Patient Expectations

    Science.gov (United States)

    DeSimone, Edward M.; And Others

    1977-01-01

    The nature of the professional interaction between the pharmacist and the patient was explored, with data collected from 3,743 questions asked of 16 pharmacists during an 8-week period. Factors that might affect the nature of the pharmacist-patient interaction are identified along with a cognitive-based profile of patient wants. (LBH)

  13. Texas Greenup

    Science.gov (United States)

    2007-01-01

    June 2007 was one of the wettest Junes on record for the state of Texas. Starting in late May, a string of low-pressure systems settled in over the U.S. Southern Plains and unleashed weeks of heavy to torrential rain. During the final week of June, much of Texas, Oklahoma, and Kansas received more than 330 percent of their average rainfall, said the National Climatic Data Center. The widespread heavy rain brought deadly floods to the entire region. On July 6, the Associated Press reported that every major river basin in Texas was at flood stage, an event that had not occurred since 1957. In addition to causing floods, the rains stimulated plant growth. The grassy, often arid, plains and plateaus of northern Mexico (bottom left), Texas (center), and New Mexico (top, left of center) burst to life with dense vegetation as this vegetation anomaly image shows. Regions where plants were growing more quickly or fuller than average are green, while areas where growth is below average are brown. Most of Texas is green, with a concentrated deep green, almost black, spot where vegetation growth was greatest. This area of western Texas is where the Pecos River flows out of New Mexico and heads southeast to the Rio Grande. In the darkest areas, vegetation was more than 100 percent above average. The brown spots in northeastern Texas and Oklahoma (top, right of center) may be areas where persistent clouds or water on the ground are hiding the plants from the satellite's view. Plants may also be growing less than average if swamped by too much rain. The image was made with data collected by the SPOT satellite between June 11 and June 20, 2007. NASA imagery created by Jesse Allen, Earth Observatory, using SPOT data provided courtesy of the USDA Foreign Agricultural Service and processed by Jennifer Small and Assaf Anyamba of the GIMMS Group at NASA GSFC.

  14. Proximity of Residence to Bodies of Water and Risk for West Nile Virus Infection: A Case-Control Study in Houston, Texas

    OpenAIRE

    Nolan, Melissa S.; Ana Zangeneh; Salma A Khuwaja; Diana Martinez; Rossmann, Susan N.; Victor Cardenas; Murray, Kristy O.

    2012-01-01

    West Nile virus (WNV), a mosquito-borne virus, has clinically affected hundreds of residents in the Houston metropolitan area since its introduction in 2002. This study aimed to determine if living within close proximity to a water source increases one’s odds of infection with WNV. We identified 356 eligible WNV-positive cases and 356 controls using a population proportionate to size model with US Census Bureau data. We found that living near slow moving water sources was statistically associ...

  15. Proximity of Residence to Bodies of Water and Risk for West Nile Virus Infection: A Case-Control Study in Houston, Texas

    OpenAIRE

    Nolan, Melissa S.; Ana Zangeneh; Salma A Khuwaja; Diana Martinez; Rossmann, Susan N.; Victor Cardenas; Murray, Kristy O.

    2012-01-01

    West Nile virus (WNV), a mosquito-borne virus, has clinically affected hundreds of residents in the Houston metropolitan area since its introduction in 2002. This study aimed to determine if living within close proximity to a water source increases one’s odds of infection with WNV. We identified 356 eligible WNV-positive cases and 356 controls using a population proportionate to size model with US Census Bureau data. We found that living near slow moving water sources was statistically associ...

  16. Application of advanced reservoir characterization, simulation, and production optimization strategies to maximize recovery in slope and basin clastic reservoirs, west Texas (Delaware Basin). Annual progress report, March 31, 1995--March 31, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Dutton, S.P.; Hovorka, S.D.; Cole, A.G.

    1996-08-01

    The objective of this Class III project is to demonstrate that detailed reservoir characterization of clastic reservoirs in basinal sandstones of the Delaware Mountain Group in the Delaware Basin of West Texas and New Mexico is a cost-effective way to recover more of the original oil in place by strategic infill-well placement and geologically based field development. Reservoirs in the Delaware Mountain Group have low producibility (average recovery <14 percent of the original oil in place) because of a high degree of vertical and lateral heterogeneity caused by depositional processes and post-depositional diagenetic modification. Detailed correlations of the Ramsey sandstone reservoirs in Geraldine Ford field suggest that lateral sandstone continuity is less than interpreted by previous studies. The degree of lateral heterogeneity in the reservoir sandstones suggests that they were deposited by eolian-derived turbidites. According to the eolian-derived turbidite model, sand dunes migrated across the exposed shelf to the shelf break during sea-level lowstands and provided well sorted sand for turbidity currents or grain flows into the deep basin.

  17. Age and location of volcanic centers less than or equal to 3. 0 m. y. old in Arizona, New Mexico, and the Trans-Peco area of West Texas

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, M.J.; Laughlin, A.W.

    1981-12-01

    This map is one of a series of maps designed for hot dry rock geothermal assessment in Arizona, New Mexico, and the Trans-Peco area of the west Texas. The 3.0 m.y. cutoff age was selected because original heat has probably largely dissipated in older rocks. The location of volcanic centers is more important to geothermal resource assessment than the location of their associated volcanic rocks; however, ages have been determined for numerous flows far from their source. Therefore, the distribution of all volcanic rocks less than or equal to 3.0 m.y. old, for which there is at least one determined age, are shown. Location of the volcanic vents and rocks were taken from Luedke and Smith (1978). Ages were obtained from the original literature in all cases except for McKee and others (1974), Silberman and others (1976), Ulrich and McKee (1976), and Wolfe and McKee (1976). The abstract by McKee and others (1974) lists only the ages of various rocks they dated, so locations were taken from Luedke and Smith (1978). The dates of Silberman and others (1976), Ulrich and McKee (1976), and Wolfe and McKee (1976) are taken from written communications cited by Luedke and Smith (1978); therefore, both references are shown on the map for those ages.

  18. Proximity of residence to bodies of water and risk for west nile virus infection: a case-control study in Houston, Texas.

    Science.gov (United States)

    Nolan, Melissa S; Zangeneh, Ana; Khuwaja, Salma A; Martinez, Diana; Rossmann, Susan N; Cardenas, Victor; Murray, Kristy O

    2012-01-01

    West Nile virus (WNV), a mosquito-borne virus, has clinically affected hundreds of residents in the Houston metropolitan area since its introduction in 2002. This study aimed to determine if living within close proximity to a water source increases one's odds of infection with WNV. We identified 356 eligible WNV-positive cases and 356 controls using a population proportionate to size model with US Census Bureau data. We found that living near slow moving water sources was statistically associated with increased odds for human infection, while living near moderate moving water systems was associated with decreased odds for human infection. Living near bayous lined with vegetation as opposed to concrete also showed increased risk of infection. The habitats of slow moving and vegetation lined water sources appear to favor the mosquito-human transmission cycle. These methods can be used by resource-limited health entities to identify high-risk areas for arboviral disease surveillance and efficient mosquito management initiatives.

  19. Pharmacist's Role in Diabetes Care

    Centers for Disease Control (CDC) Podcasts

    2008-05-19

    This podcast is for a professional audience and discusses the role pharmacists can play on the diabetes care team, through collaborative practice agreements and medication therapy management.  Created: 5/19/2008 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division of Diabetes Translation (DDT), National Diabetes Education Program (NDEP).   Date Released: 6/4/2008.

  20. Molecular survey of the Texas Phoenix decline phytoplasma ...

    African Journals Online (AJOL)

    user

    symptoms of Texas Phoenix decline (TPD) in West Central Florida. The IGS region was .... DNA from a healthy plant, and a water control (no DNA template). The PCR .... supplement sequencing data which may be subject to sequencing errors.

  1. Involving staff pharmacists in management decisions.

    Science.gov (United States)

    Robinson, L A; Vanderveen, T W

    1977-03-01

    Various administrative techniques used to bring staff pharmacists in a decentralized, satellite pharmacy system into the managerial decision-making process are discussed. These techniques include a staff pharmacist on-call procedure to discourage absenteeism, and the concept of a head pharmacist to serve as a link with departmental administration. The head pharmacist works in the satelite pharmacy, is responsible for its daily operation and is the spokesman for the satellite. Active roles for the head pharmacist in the selection and evaluation of technicians are outlines. Management skills are developed in head pharmacists through a program of special classes and discussion groups. It is concluded that this program has improved the credibility of administrative decisions and has tapped an underused source of ideas and talent.

  2. Impact of Pharmacist Facilitated Discharge Medication Reconciliation

    Directory of Open Access Journals (Sweden)

    Todd M. Super

    2014-07-01

    Full Text Available Preventable adverse drug events occur frequently at transitions in care and are a problem for many patients following hospital discharge. Many of these problems can be attributed to poor medication reconciliation. The purpose of this study was to assess the impact that direct pharmacist involvement in the discharge medication reconciliation process had on medication discrepancies, patient outcomes, and satisfaction. A cohort study of 70 patients was designed to assess the impact of pharmacist facilitated discharge medication reconciliation at a 204-bed community hospital in Battle Creek, Michigan, USA. Discharge summaries were analyzed to compare patients who received standard discharge without pharmacist involvement to those having pharmacist involvement. The total number of discrepancies in the group without pharmacist involvement was significantly higher than that of the pharmacist facilitated group.

  3. Archeological Investigations in the Truscott Reservoir Area. King and Knox Counties, Texas,

    Science.gov (United States)

    1978-06-01

    Texas Panhandle. Actas del 41 Congreso Inter- nacional de Americanistas, Vol. 1, pp. 270-278. Institute Nacional de Antropologia e Historia... Manual of Sedimentological Computer Programs: West Texas State University Press, Canyon, Texas. Visher, G. S., 1969, Grain Size Distributions and Depo

  4. Streamflow and water-quality properties in the West Fork San Jacinto River Basin and regression models to estimate real-time suspended-sediment and total suspended-solids concentrations and loads in the West Fork San Jacinto River in the vicinity of Conroe, Texas, July 2008-August 2009

    Science.gov (United States)

    Bodkin, Lee J.; Oden, Jeannette H.

    2010-01-01

    To better understand the hydrology (streamflow and water quality) of the West Fork San Jacinto River Basin downstream from Lake Conroe near Conroe, Texas, including spatial and temporal variation in suspended-sediment (SS) and total suspended-solids (TSS) concentrations and loads, the U.S. Geological Survey, in cooperation with the Houston-Galveston Area Council and the Texas Commission on Environmental Quality, measured streamflow and collected continuous and discrete water-quality data during July 2008-August 2009 in the West Fork San Jacinto River Basin downstream from Lake Conroe. During July 2008-August 2009, discrete samples were collected and streamflow measurements were made over the range of flow conditions at two streamflow-gaging stations on the West Fork San Jacinto River: West Fork San Jacinto River below Lake Conroe near Conroe, Texas (station 08067650) and West Fork San Jacinto River near Conroe, Texas (station 08068000). In addition to samples collected at these two main monitoring sites, discrete sediment samples were also collected at five additional monitoring sites to help characterize water quality in the West Fork San Jacinto River Basin. Discrete samples were collected semimonthly, regardless of flow conditions, and during periods of high flow resulting from storms or releases from Lake Conroe. Because the period of data collection was relatively short (14 months) and low flow was prevalent during much of the study, relatively few samples collected were representative of the middle and upper ranges of historical daily mean streamflows. The largest streamflows tended to occur in response to large rainfall events and generally were associated with the largest SS and TSS concentrations. The maximum SS and TSS concentrations at station 08067650 (180 and 133 milligrams per liter [mg/L], respectively) were on April 19, 2009, when the instantaneous streamflow was the third largest associated with a discrete sample at the station. SS concentrations

  5. Proximity of Residence to Bodies of Water and Risk for West Nile Virus Infection: A Case-Control Study in Houston, Texas

    Directory of Open Access Journals (Sweden)

    Melissa S. Nolan

    2012-01-01

    Full Text Available West Nile virus (WNV, a mosquito-borne virus, has clinically affected hundreds of residents in the Houston metropolitan area since its introduction in 2002. This study aimed to determine if living within close proximity to a water source increases one’s odds of infection with WNV. We identified 356 eligible WNV-positive cases and 356 controls using a population proportionate to size model with US Census Bureau data. We found that living near slow moving water sources was statistically associated with increased odds for human infection, while living near moderate moving water systems was associated with decreased odds for human infection. Living near bayous lined with vegetation as opposed to concrete also showed increased risk of infection. The habitats of slow moving and vegetation lined water sources appear to favor the mosquito-human transmission cycle. These methods can be used by resource-limited health entities to identify high-risk areas for arboviral disease surveillance and efficient mosquito management initiatives.

  6. Pharmacist self-reported antidepressant medication counseling.

    Science.gov (United States)

    Cannon-Breland, Michelle L; Westrick, Salisa C; Kavookjian, Jan; Berger, Bruce A; Shannon, David M; Lorenz, Raymond A

    2013-01-01

    To identify the extent of pharmacists' self-reported antidepressant counseling (SRAC) and to identify factors that may affect pharmacists' decisions to provide antidepressant counseling. Cross-sectional study. Alabama community pharmacies in 2011. Full-time pharmacists from 600 community pharmacies. Self-administered survey; three mail contacts with alternate electronic surveys were used. Pharmacists' SRAC behavior and its relationship with pharmacists' illness perceptions of depression, self-efficacy, and organizational and environmental influences. 600 surveys were sent; 22 were undeliverable, 1 was partially completed (understanding of depression, and 36% discussed options for managing adverse effects with no more than a few patients. More than one-quarter (28.6%) never asked patients whether they had barriers to taking antidepressants. Pharmacists' perceptions regarding consequences, control/cure, and the episodic nature of depression, as well as their self-efficacy, had significant relationships ( P < 0.05) with pharmacists' involvement in antidepressant counseling. Low rates of pharmacists' involvement in antidepressant counseling were reported. Pharmacists must become more involved in counseling patients about their antidepressant medications and overcoming barriers preventing greater involvement.

  7. A Clinical Pharmacy Certificate Program for Practicing Pharmacists.

    Science.gov (United States)

    Burelle, Timothy N.

    1985-01-01

    A clinical pharmacy certificate program, the most popular among Alabama pharmacists, is described, including statistics concerning enrollment, participant characteristics, factors important in pharmacists' entering and leaving the program, and pharmacists' views of the program's strengths and weaknesses. (MSE)

  8. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.

    Science.gov (United States)

    Williams, Steven David; Phipps, Denham L; Ashcroft, Darren

    2015-08-01

    To assess the effect of factors within hospital pharmacists' practice on the likelihood of their reporting a medication safety incident. Theory of planned behaviour (TPB) survey. Twenty-one general and teaching hospitals in the North West of England. Two hundred and seventy hospital pharmacists (response rate = 45%). Hospital pharmacists were invited to complete a TPB survey, based on a prescribing error scenario that had resulted in serious patient harm. Multiple regression was used to determine the relative influence of different TPB variables, and participant demographics, on the pharmacists' self-reported intention to report the medication safety incident. The TPB variables predicting intention to report: attitude towards behaviour, subjective norm, perceived behavioural control and descriptive norm. Overall, the hospital pharmacists held strong intentions to report the error, with senior pharmacists being more likely to report. Perceived behavioural control (ease or difficulty of reporting), Descriptive Norms (belief that other pharmacists would report) and Attitudes towards Behaviour (expected benefits of reporting) showed good correlation with, and were statistically significant predictors of, intention to report the error [R = 0.568, R(2) = 0.323, adjusted R(2) = 0.293, P behavioural and control beliefs about the reporting process. This should include instilling greater confidence about the benefits of reporting and not harming professional relationships with doctors, greater clarity about what/not to report and a simpler reporting system. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  9. Parasites of the collared peccary from Texas.

    Science.gov (United States)

    Samuel, W M; Low, W A

    1970-01-01

    Results of a survey of the parasites of the collared peccary (Dicotyles tajacu angulatus) in Texas are presented. Three ectoparasites, Amblyomma cajennense, Dermacentor variabilis, and Pulex porcinus were very common on peccaries from south Texas, but less common or absent in arid west Texas. Sucking lice, Pecaroecus javalii, were common on peccaries from west Texas, but were not found in south Texas. The known range of this louse in Texas is extended into the Big Bend area. Two ticks, Amnblyomma inornatumn and Haemaphysalis leporis-palustris, were found infrequently. Five of nine species of endoparasites found in this survey (Dirofilaria acutiuscula, Parabronema pecatriae, Parostertagia heterospiculum, Physocephalus sp., and Texicospirura turki) were prevalent. Three species, D. acutiuscula, Gongylonema baylisi, and Fascioloides magna, are reported from North American peccaries for the first time. The geographic distribution of the large American liver fluke, F. magna, coincided with an area where the parasite is enzootic in white-tailed deer. It is concluded that parasitism was of little importance in population control of peccaries during the period of the study.

  10. Pharmacists' assessment of dispensing errors: risk factors, practice sites, professional functions, and satisfaction.

    Science.gov (United States)

    Bond, C A; Raehl, C L

    2001-05-01

    Certain demographic, practice, staffing, and pharmacist satisfaction variables may contribute to dispensing errors. A survey was randomly mailed to 7298 (50%) Texas pharmacists, of which 2862 were returned (39% response rate). Responders were 2437 pharmacists who indicated that they were in practice. Of these, 535 (23%) reported no risk to patients for dispensing errors and 793 (34%) reported at least one patient/week was at risk for such an error. There was a positive relationship between number of prescription orders filled/hour and the estimated risk of dispensing errors (r(s)=0.285, ppharmacies (risk score = 1.85 +/- 1.32), traditional chain store pharmacies (1.66 +/- 1.18), and hospital pharmacies (1.61 +/- 1.09) reported a higher risk than other groups. Pharmacists practicing in independent community pharmacies (0.75 +/- 0.84), home health care (0.83 +/- 0.99), grocery chain store pharmacies (1.30 +/- 0.96), and mass merchandise chain store pharmacies (1.30 +/- 1.08) reported a lower risk (H=260, df=8, p<0.001). Nine job satisfaction variables were strongly associated with the risk of dispensing errors (r(s) = between -0.3 and -0.422, p<0.001), as were prescription volume, practice site, staffing, training, pharmacist functions, and professional organization membership. The results of this survey should help pharmacists and management develop specific plans for reducing the risks of dispensing errors. These data should be useful for more in-depth study of such errors.

  11. Texas Helimak

    Institute of Scientific and Technical Information of China (English)

    Kenneth W. GENTLE; HUANG He

    2008-01-01

    Helimak is an experimental approximation to the ideal cylindrical slab, a one-dimensional magnetized plasma with magnetic curvature and shear. The Texas Helimak real-izes this approximation to a large degree; the finite size of the device can be neglected for many phenomena. Specifically, the drift-wave turbulence characteristic of a slab is observed with scale lengths small compared with the device size. The device and the general features of its behavior are described here. The device is capable of studying drift-wave turbulence, scrape-off layer (SOL) turbulence, and the stabilization of turbulence by imposing velocity shear.

  12. Community pharmacists' work environments: evidence from the 2004 National Pharmacist Workforce Study.

    Science.gov (United States)

    Kreling, David H; Doucette, William R; Mott, David A; Gaither, Caroline A; Pedersen, Craig A; Schommer, Jon C

    2006-01-01

    To describe characteristics of community pharmacists' current practice environments and pharmacists perceptions' about aspects of their work environments. Cross-sectional study. Community pharmacies (independent, chain, mass merchandiser, and supermarket pharmacies) in the United States. 1,564 actively practicing pharmacists. Mailed survey from the 2004 National Pharmacist Workforce Survey, which included core content questions for all sampled pharmacists and supplemental surveys that included workplace questions for a selected subsample of pharmacists. Hours the pharmacy was open; staffing; workload, perceptions of workload, and impact of the current workload on them and their work; equipment and technology available and used; and impact of equipment and technology at the practice site. Responses were compared with those from the 2000 National Pharmacist Workforce Survey. Hours of operation varied across practice settings in 2004 and were similar to those reported in 2000. Pharmacist and technician staffing varied somewhat across settings, but overall pharmacists were working with more technicians in 2004 compared with 2000. The number of prescriptions personally dispensed daily (personal workload) increased for pharmacists in all practice settings from 2000 to 2004. When pharmacists reported the impact of their current workload, motivation to work at the pharmacy and job satisfaction were rated most positive, and opportunity to take adequate breaks were rated most negative. Equipment used for facilitating the dispensing process was more common in pharmacies than equipment related to patient care activities. More than one half of pharmacists reported that equipment and technology increased their level of productivity, quality of care, financial performance, and job satisfaction in the pharmacy. Pharmacists' work environments tend to be oriented toward traditional dispensing roles and activities. Staff, equipment, and information technology resources are available

  13. Pharmacovigilance in Qatar: a survey of pharmacists.

    Science.gov (United States)

    Wilbur, K

    2013-11-01

    Active national pharmacovigilance programmes are needed to monitor adverse drug reaction (ADR) data in local populations. The objective of this study was to describe the knowledge, experiences, attitudes and perceived barriers to reporting of suspected ADRs by pharmacists in Qatar. A 27-item web-based survey was answered by 116 pharmacists (25% response rate). Knowledge of ADR terminology and reporting purpose was high, but only 29.3% had ever made a suspected ADR report in Qatar. Most respondents expressed positive attitudes towards the pharmacist's role in pharmacovigilance. Inability to recognize a potential ADR or access a reporting form were perceived as barriers. Enhanced training and efficiency in report submissions were identified as facilitators to future participation. Hospital pharmacists were 7 times more likely to have reported a suspected ADR in Qatar. Pharmacists in Qatar are willing to engage in pharmacovigilance activities if supported by increased training and transparency in the reporting process.

  14. Medication errors: hospital pharmacist perspective.

    Science.gov (United States)

    Guchelaar, Henk-Jan; Colen, Hadewig B B; Kalmeijer, Mathijs D; Hudson, Patrick T W; Teepe-Twiss, Irene M

    2005-01-01

    In recent years medication error has justly received considerable attention, as it causes substantial mortality, morbidity and additional healthcare costs. Risk assessment models, adapted from commercial aviation and the oil and gas industries, are currently being developed for use in clinical pharmacy. The hospital pharmacist is best placed to oversee the quality of the entire drug distribution chain, from prescribing, drug choice, dispensing and preparation to the administration of drugs, and can fulfil a vital role in improving medication safety. Most elements of the drug distribution chain can be optimised; however, because comparative intervention studies are scarce, there is little scientific evidence available demonstrating improvements in medication safety through such interventions. Possible interventions aimed at reducing medication errors, such as developing methods for detection of patients with increased risk of adverse drug events, performing risk assessment in clinical pharmacy and optimising the drug distribution chain are discussed. Moreover, the specific role of the clinical pharmacist in improving medication safety is highlighted, both at an organisational level and in individual patient care.

  15. Red Tide off Texas Coast

    Science.gov (United States)

    2002-01-01

    Red tides (algae) bloomed late this summer along a 300-mile stretch of Texas' Gulf Coast, killing millions of fish and shellfish as well as making some people sick. State officials are calling this the worst red tide bloom in 14 years. The algae produces a poison that paralyzes fish and prevents them from breathing. There is concern that the deadly algae could impact or even wipe out this year's oyster harvest in Texas, which usually peaks during the Thanksgiving and Christmas holidays. The red tides were first observed off the Texas coast in mid-August and have been growing steadily in size ever since. Red tides tend to bloom and subside rapidly, depending upon changes in wind speed and direction, water temperature, salinity, and rainfall patterns (as the algae doesn't do as well in fresher water). This true-color image of the Texas Gulf Coast was acquired on September 29, 2000, by the Moderate-resolution Imaging Spectroradiometer (MODIS) flying aboard NASA's Terra spacecraft. The red tide can be seen as the dark reddish discoloration in the ocean running southwest to northeast along the coast. In this scene, the bloom appears to be concentrated north and east of Corpus Christi, just off Matagorda Island. The image was made at 500-meter resolution using a combination of MODIS' visible bands 1 (red), 4 (green), and 3 (blue). The city of Houston can be seen clearly as the large, greyish cluster of pixels to the north and west of Galveston Bay, which is about mid-way up the coastline in this image. Also visible in this image are plumes of smoke, perhaps wildfires, both to the north and northeast of Houston. For more information about red tides, refer to the Texas Red Tide Web site. Image courtesy Andrey Savtchenko, MODIS Data Support Team, and the MODIS Ocean Team, NASA's Goddard Space Flight Center

  16. Stylolites in the Caballos Novaculite, west Texas

    Science.gov (United States)

    Cox, Mark A.; Whitford-Stark, J. L.

    1987-05-01

    Stylolites within the Caballos Novaculite developed by pressure solution in response to lithostatic pressure after the original sediment had been converted to a novaculite. Estimates of minimum stratigraphic thinning of the novaculite are fairly uniform across the Marathon basin; they range from 3.5% to 5.6% on the basis of stylolite column amplitude.

  17. Knowledge, Perception and Attitude of Community Pharmacists ...

    African Journals Online (AJOL)

    Erah

    Pharmacists towards Generic Medicines in Karachi,. Pakistan: A Qualitative ... the same safety profile as innovator or brand product [4]. Included in ... point of contact with the patient. They are in a ... [10] and a strong culture in social pharmacy.

  18. (UNEN) Pharmacy Programme trained 582 pharmacists,

    African Journals Online (AJOL)

    2007-10-02

    Oct 2, 2007 ... trained most of the black pharmacists in South Africa, ... graduates, and to investigate the factors that may ..... The career preferences for the respondents over the next 5,10 and 20 ... While acknowledging that the training they.

  19. Community pharmacists' understanding, attitudes, practice and ...

    African Journals Online (AJOL)

    pharmacists regarding provision of pharmaceutical care as well as provide recommendations on ... screening or drug safety promotion (20 %) or maintained patient medication records (4 %). .... solving, follow-up evaluation, documentation in.

  20. 'It's showed me the skills that he has': pharmacists' and mentors' views on pharmacist supplementary prescribing.

    Science.gov (United States)

    Lloyd, Fran; Parsons, Carole; Hughes, Carmel M

    2010-02-01

    Supplementary prescribing has seen pharmacists assume greater responsibility for prescribing in collaboration with doctors. This study explored the context and experiences, in relation to the practice of supplementary prescribing, of pharmacists and physicians (who acted as their training mentors) at least 12 months after pharmacists had qualified as supplementary prescribers. The setting was primary and secondary healthcare sectors in Northern Ireland. Pharmacists and mentors who had participated in a pre-training study were invited to take part. All pharmacists (n = 47) were invited to participate in focus groups, while mentors (n = 35) were asked to participate in face-to-face semi-structured interviews. The research took place between May 2005 and September 2007. All discussions and interviews were audiotaped, transcribed and analysed using constant comparison. Nine pharmacist focus groups were convened (number per group ranging from three to six; total n = 40) and 31 semi-structured interviews with mentors were conducted. The six main themes that emerged were optimal practice setting, professional progression for prescribing pharmacists, outcomes for prescribing pharmacists, mentors and patients, relationships, barriers to implementation and the future of pharmacist prescribing. Where practised, pharmacist prescribing had been accepted, worked best for chronic disease management, was perceived to have reduced doctors' workload and improved continuity of care for patients. However, three-quarters of pharmacists qualified to practise as supplementary prescribers were not actively prescribing, largely due to logistical and organisational barriers rather than inter-professional tensions. Independent prescribing was seen as contentious by mentors, particularly because of the diagnostic element. Supplementary prescribing has been successful where it has been implemented but a number of barriers remain which are preventing the wider acceptance of this practice

  1. Texas Heart Institute

    Science.gov (United States)

    ... Cardiovascular Regenerative Medicine today with a keynote from Texas State Senator Paul Bettencourt Dr. Taylor received the ... in cardiovascular discovery is happening here at the Texas Heart Institute. Visit www.thenextfirst.org . Your Heart ...

  2. The Health Insurance Gap After Implementation of the Affordable Care Act in Texas.

    Science.gov (United States)

    Gong, Gordon; Huey, Cassandra C; Johnson, Coleman; Curti, Debra; Philips, Billy U

    2017-03-01

    Households with incomes between 18% and 99% of the federal poverty level (FPL) are ineligible for Medicaid or enrollment in the health insurance exchange marketplace in Texas, resulting in the health insurance gap. We sought to determine the number of non-elderly adult Texans (NEATs) aged between 18 and 64 years in the insurance gap in rural vs urban areas in East Texas, West Texas, and South Texas. Data were obtained from the US Census Bureau website. In 2014, there were 1,101,000 NEATs in the insurance gap, accounting for 24.5% of all uninsured persons in Texas. The gap was significantly higher in rural vs urban areas in East and South Texas and in Texas as a whole. Large coverage gaps in states like Texas not expanding Medicaid under the Affordable Care Act pose major hurdles to reducing the number of uninsured individuals in these states.

  3. Physician-Pharmacist Collaborative Care for Dyslipidemia Patients: Knowledge and Skills of Community Pharmacists

    Science.gov (United States)

    Villeneuve, Julie; Lamarre, Diane; Lussier, Marie-Therese; Vanier, Marie-Claude; Genest, Jacques; Blais, Lucie; Hudon, Eveline; Perreault, Sylvie; Berbiche, Djamal; Lalonde, Lyne

    2009-01-01

    Introduction: In a physician-pharmacist collaborative-care (PPCC) intervention, community pharmacists were responsible for initiating lipid-lowering pharmacotherapy and adjusting the medication dosage. They attended a 1-day interactive workshop supported by a treatment protocol and clinical and communication tools. Afterwards, changes in…

  4. Treasured Texas Theaters

    Science.gov (United States)

    Horton, Anita

    2012-01-01

    Dallas artist Jon Flaming's deep love of Texas is evident in his paintings and sculpture. Although he has created one sculptural Texas theater, his work primarily showcases old Texas barbershops, vacant homes, and gas stations. In this article, the author describes how her students, inspired by Flaming's works, created three-dimensional historical…

  5. Medication errors recovered by emergency department pharmacists.

    Science.gov (United States)

    Rothschild, Jeffrey M; Churchill, William; Erickson, Abbie; Munz, Kristin; Schuur, Jeremiah D; Salzberg, Claudia A; Lewinski, Daniel; Shane, Rita; Aazami, Roshanak; Patka, John; Jaggers, Rondell; Steffenhagen, Aaron; Rough, Steve; Bates, David W

    2010-06-01

    We assess the impact of emergency department (ED) pharmacists on reducing potentially harmful medication errors. We conducted this observational study in 4 academic EDs. Trained pharmacy residents observed a convenience sample of ED pharmacists' activities. The primary outcome was medication errors recovered by pharmacists, including errors intercepted before reaching the patient (near miss or potential adverse drug event), caught after reaching the patient but before causing harm (mitigated adverse drug event), or caught after some harm but before further or worsening harm (ameliorated adverse drug event). Pairs of physician and pharmacist reviewers confirmed recovered medication errors and assessed their potential for harm. Observers were unblinded and clinical outcomes were not evaluated. We conducted 226 observation sessions spanning 787 hours and observed pharmacists reviewing 17,320 medications ordered or administered to 6,471 patients. We identified 504 recovered medication errors, or 7.8 per 100 patients and 2.9 per 100 medications. Most of the recovered medication errors were intercepted potential adverse drug events (90.3%), with fewer mitigated adverse drug events (3.9%) and ameliorated adverse drug events (0.2%). The potential severities of the recovered errors were most often serious (47.8%) or significant (36.2%). The most common medication classes associated with recovered medication errors were antimicrobial agents (32.1%), central nervous system agents (16.2%), and anticoagulant and thrombolytic agents (14.1%). The most common error types were dosing errors, drug omission, and wrong frequency errors. ED pharmacists can identify and prevent potentially harmful medication errors. Controlled trials are necessary to determine the net costs and benefits of ED pharmacist staffing on safety, quality, and costs, especially important considerations for smaller EDs and pharmacy departments. Copyright (c) 2009 American College of Emergency Physicians

  6. The gender earnings gap among pharmacists.

    Science.gov (United States)

    Carvajal, Manuel J; Armayor, Graciela M; Deziel, Lisa

    2012-01-01

    A gender earnings gap exists across professions. Compared with men, women earn consistently lower income levels. The determinants of wages and salaries should be explored to assess whether a gender earnings gap exists in the pharmacy profession. The objectives of this study were to (1) compare the responses of male and female pharmacists' earnings with human-capital stock, workers' preferences, and opinion variables and (2) assess whether the earnings determination models for male and female pharmacists yielded similar results in estimating the wage-and-salary gap through earnings projections, the influence of each explanatory variable, and gender differences in statistical significance. Data were collected through the use of a 37-question survey mailed to registered pharmacists in South Florida, United States. Earnings functions were formulated and tested separately for male and female pharmacists using unlogged and semilog equation forms. Number of hours worked, human-capital stock, job preferences, and opinion variables were hypothesized to explain wage-and-salary differentials. The empirical evidence led to 3 major conclusions: (1) men's and women's earnings sometimes were influenced by different stimuli, and when they responded to the same variables, the effect often was different; (2) although the influence of some explanatory variables on earnings differed in the unlogged and semilog equations, the earnings projections derived from both equation forms for male and female pharmacists were remarkably similar and yielded nearly identical male-female earnings ratios; and (3) controlling for number of hours worked, human-capital stock, job preferences, and opinion variables reduced the initial unadjusted male-female earnings ratios only slightly, which pointed toward the presence of gender bias. After controlling for human-capital stock, job-related characteristics, and opinion variables, male pharmacists continued to earn higher income levels than female

  7. Pharmacist provision of primary health care: a modified Delphi validation of pharmacists' competencies

    Directory of Open Access Journals (Sweden)

    Kennie-Kaulbach Natalie

    2012-03-01

    Full Text Available Abstract Background Pharmacists have expanded their roles and responsibilities as a result of primary health care reform. There is currently no consensus on the core competencies for pharmacists working in these evolving practices. The aim of this study was to develop and validate competencies for pharmacists' effective performance in these roles, and in so doing, document the perceived contribution of pharmacists providing collaborative primary health care services. Methods Using a modified Delphi process including assessing perception of the frequency and criticality of performing tasks, we validated competencies important to primary health care pharmacists practising across Canada. Results Ten key informants contributed to competency drafting; thirty-three expert pharmacists replied to a second round survey. The final primary health care pharmacist competencies consisted of 34 elements and 153 sub-elements organized in seven CanMeds-based domains. Highest importance rankings were allocated to the domains of care provider and professional, followed by communicator and collaborator, with the lower importance rankings relatively equally distributed across the manager, advocate and scholar domains. Conclusions Expert pharmacists working in primary health care estimated their most important responsibilities to be related to direct patient care. Competencies that underlie and are required for successful fulfillment of these patient care responsibilities, such as those related to communication, collaboration and professionalism were also highly ranked. These ranked competencies can be used to help pharmacists understand their potential roles in these evolving practices, to help other health care professionals learn about pharmacists' contributions to primary health care, to establish standards and performance indicators, and to prioritize supports and education to maximize effectiveness in this role.

  8. The pharmacy supervisor and the employee pharmacist's job satisfaction.

    Science.gov (United States)

    North, M A; Kirk, K W

    1990-05-01

    It seems obvious that satisfaction with one's immediate supervisor would have a significant impact on one's general job satisfaction. However, this relationship has received little attention in the pharmacy literature. This study was designed to determine 1) whether there are differences in job-related satisfaction between pharmacists whose immediate supervisors are pharmacists and those whose supervisors are not pharmacists, and 2) whether the occurrence of conflict between a pharmacist and his or her immediate supervisor is related to the employee pharmacist's job and career satisfaction. The most pronounced finding was the importance of supervisors being pharmacists: satisfaction on five of six satisfaction subscales was related to whether one's supervisor was a pharmacist. Moreover, pharmacists who had the fewest conflicts and disagreements with their supervisors were more satisfied with their choice of pharmacy as a career, their employers, their supervisors, and their jobs.

  9. Pharmacy ethics: evaluation pharmacists' ethical attitude.

    Science.gov (United States)

    Sharif, Pooneh Salari; Javadi, Mohammadreza; Asghari, Fariba

    2011-01-01

    Alterations in pharmacy practice from prescription dispensing to more patient-centered relationship intensifies the necessity of clinical decision-making. Pharmacists' knowledge as well as ethical reasoning affects their clinical decision-making. Unfortunately in Iran pharmacy ethics did not develop along with medical ethics and special considerations are of major importance. The study was designed to evaluate pharmacists' attitude toward some principles of bioethics. A cross-sectional survey was performed on a sample of Iranian pharmacists attended in continuous education programs in 2010. Based on the pharmacists' attitude toward common ethical problems, 9 Likert-type scale scenarios were designed. A thousand pharmacists were surveyed and 505 questionnaires were filled. For the whole questionnaire the strongly disagree answer was the most ethical answer. On a scale from 1-5 on which 5=strongly disagree, the total score of pharmacists ethical attitude was 17.69 ± 3.57. For easier analysis we considered the score of 1 for agree and strongly agree answers, score of 2 for neutral answers and score of 3 for disagree and strongly disagree answers. The total score in confidentiality for all participants was 4.15 ± 1.45 out of 9, in autonomy 6.25 ± 1.85 out of 9, in non-maleficence 5.14 ± 1.17 out of 6 and in justice was 2.27 ± 0.89 out of 3, however there was no significant difference between men and women in the total score and the score of each theme. The older participants (> 40 years) significantly had lower total score (Pethical guidelines and improving pharmacy ethics curriculum is highly critical to provide the best pharmaceutical care and to make clinical decisions in critical situations. Therefore further quantitative and qualitative investigations into finding pitfalls and challenges in this issue are highly recommended.

  10. Sports pharmacy: Pharmacists role in doping in sport

    OpenAIRE

    Ivanović, Darko; Stojanović, Biljana

    2013-01-01

    In this paper, the role and importance of pharmacists in prevention of doping in sports is presented. Integrating all the competencies of a pharmacist into Sports pharmacy all the segments that emphasize the position and significance of pharmacists are presented. Regarding this discipline pharmacists assume the following responsibilities: advisory and education in doping prevention, work in laboratories for doping control, designing of a dietary regimen, drug application, drug supply and the ...

  11. Texas site selection and licensing status

    Energy Technology Data Exchange (ETDEWEB)

    Avant, R.V. Jr.

    1989-11-01

    Texas has identified a potential site in Hudspeth County in far West Texas near the town of Fort Hancock. Over the past year the Texas Low-Level Radioactive Waste Disposal Authority has been conducting detailed geology, hydrology, meteorology, soils, and flora and fauna evaluations. An authorization by the Board of Directors of the Authority to proceed with a license application, assuming that the detailed evaluation indicates that the site is suitable, is expected by September. A prototype license has been prepared in anticipation of the order to proceed with licensing, and the formal license application is expected to be submitted to the Texas Department of Health-Bureau of Radiation Control in December, meeting the license application milestone. Although site selection processes in all siting areas across the country have experienced organized opposition, El Paso County has funded a particularly well-organized, well-financed program to legally and technically stop consideration of the Fort Hancock site prior to the licensing process. Many procedural, regulatory, and technical issues have been raised which have required responses from the Authority in order to proceed with licensing. This has provided a unique perspective of what to expect from well-organized opposition at the licensing stage. This paper presents an update on the Texas siting activity with detailed information on the site evaluation and license application. Experience of dealing with issues raised by opposition relating to NRC guidelines and rules is also discussed.

  12. Redefining the Role of the Pharmacist: Medication Therapy Management

    Science.gov (United States)

    Hilsenrath, Peter; Woelfel, Joseph; Shek, Allen; Ordanza, Katrina

    2012-01-01

    Purpose: The purpose of this paper is to explore better use of pharmacists in rural communities as a partial solution to scarcity of physicians and other health care providers. It discusses expected reduction in public subsidies for rural health care and the changing market for pharmacists. The paper emphasizes the use of pharmacists as a backdrop…

  13. Redefining the Role of the Pharmacist: Medication Therapy Management

    Science.gov (United States)

    Hilsenrath, Peter; Woelfel, Joseph; Shek, Allen; Ordanza, Katrina

    2012-01-01

    Purpose: The purpose of this paper is to explore better use of pharmacists in rural communities as a partial solution to scarcity of physicians and other health care providers. It discusses expected reduction in public subsidies for rural health care and the changing market for pharmacists. The paper emphasizes the use of pharmacists as a backdrop…

  14. A survey of pharmacists' preparedness for provider status implementation.

    Science.gov (United States)

    Tolle, Erica M; Al Jumali, Ali Azeez Ali; Catney, Christine M; McDonough, Randal P; Veach, Stevie; Doucette, William R

    1) To measure pharmacists' preparedness for the implementation of provider status; and 2) to measure pharmacists' perceived stakeholder readiness for provider status implementation. An anonymous 24-item electronic survey was sent to a convenience sample of approximately 1500 licensed Iowa pharmacists. They were contacted by means of their membership in the Iowa Pharmacists Association, 1 of 6 regional associations; Drake University and University of Iowa faculty listservs; and the University of Iowa alumni office. Pharmacists received initial contact through e-mail, private groups on social media, or respective organizations' websites requesting participation. Respondents' confidence to provide clinical skills and perceived preparedness for provider status implementation were measured. One hundred thirty-two pharmacists completed the survey. Participants perceived high confidence in themselves to serve as providers and low confidence in the preparedness of payers to support pharmacist provider status. Participants reported feeling most confident in obtaining a medication history and past medical history and least confident in obtaining vital signs and providing point-of-care testing. If provider status for pharmacists becomes law, Iowa pharmacists should expand on initiatives in collaboration with stakeholders to make a smoother transition into provider status. Iowa pharmacists may benefit from educational programming focused on delivering components of clinical services, such as measuring vital signs and point-of-care testing. Future research can be conducted to explain pharmacists' confidence levels as well as intentions to implement provider status services. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  15. T for Texas, T for Tennessee: The Origins of American Country Music Notables.

    Science.gov (United States)

    Carney, George O.

    1979-01-01

    Origins of performers, composers, publishers, and executives who have made significant contributions to country music since the late nineteenth century are examined. Most music is produced in a crescent from West Virginia to East Texas. (KC)

  16. Arsenic and Associated Trace Metals in Texas Groundwater

    Science.gov (United States)

    Lee, L.; Herbert, B. E.

    2002-12-01

    The value of groundwater has increased substantially worldwide due to expanding human consumption. Both the quantity and quality of groundwater are important considerations when constructing policies on natural resource conservation. This study is focused on evaluating groundwater quality in the state of Texas. Historical data from the Texas Water Development Board and the National Uranium Resource Evaluation were collected into a GIS database for spatial and temporal analyses. Specific attentions were placed on arsenic and other trace metals in groundwater. Recent studies in the United States have focused on isolated incidences of high arsenic occurrence, ignoring possible connections between arsenic and other trace metals. Descriptive statistics revealed strong correlations in groundwater between arsenic and other oxyanions including vanadium, selenium and molybdenum. Arsenic and associated trace metals were clustered at three physiographic hotspots, the Southern High Plains, the Gulf Coastal Plains of Texas, and West Texas. A geologic survey showed that arsenic and other trace metals in Texas groundwater follow local geologic trends. Uranium deposits and associated mineralization were found to occur in the same physiographic locations. Uranium mineralization may be a significant natural source of arsenic and other trace metals in Texas groundwater. Recharge, evaporative concentration, and aquifer characteristics were also contributing factors to the occurrence of trace metals in Texas groundwater. Spatial statistics were used to delineate natural sources from anthropogenic inputs. Similarly, the natural background was estimated from the spatial distribution of trace metal observations in Texas groundwater.

  17. Pharmacist-Led Medication Review: Supports for New Role of Pharmacists

    Directory of Open Access Journals (Sweden)

    Kourosh Sadeghi

    2015-10-01

    Full Text Available In recent decades, by increasing complexity of drug therapy, pharmacists considered as health- care members who can help optimizing drug therapy. We know that medicines do not have the anticipated effects all the times and a vast variability may exist in their behaviors in the body. So, it is very crucial to individualize treatment for every single patient. Nowadays, optimizing drug therapy in patients needs a collaborative interdisciplinary approach to patients care and treatment. Specifically when drug therapy is considered for a condition, pharmacists can enroll as a valuable professional to help for modification of therapy along with other clinicians. Abundant number of studies and reports exist in the literatures which address usefulness of pharmacist engagement in patient care. In this review we have presented some valuable evidences supporting pharmacist role in different clinical settings.

  18. Phytotherapic compounds: the consumer-pharmacist relationship.

    Science.gov (United States)

    Bacchini, Marco; Cuzzolin, Laura; Camerlengo, Thomas; Velo, Giampaolo; Benoni, Giuseppina

    2008-01-01

    Pharmacists play an important role in providing information about natural products and in preventing risks related to these substances, particularly with respect to interactions with conventional drugs. For these reasons, a survey was specifically designed to investigate the quality of self-care counselling by pharmacists on phytotherapy. Twenty-three pharmacy stores took part in the project. Face-to-face interviews, using a pre-structured questionnaire, were undertaken by trained pharmacists to consumers buying a herbal product. The questionnaire included socio-demographic data and 17 items designed to elicit information regarding the reason of consumption, product knowledge, relationship/communication with healthcare providers, level of satisfaction, concurrent drug use and adverse reactions. The collection of interviews started in November 2006 until April 2007. From the analysis of 1420 questionnaires, it is evident that herbal use is increasing in Italy: 12% of our interviewees were buying a herbal product for the first time. The present survey highlights the favourable perception of efficacy of phytotherapic compounds by the pharmacy's consumers, who consider this healthcare modality to be an important and effective way to promote health/wellness and disease management as well as being safer overall than conventional drugs. Moreover, findings from this study demonstrate that pharmacists are more likely to answer correctly about the uses of herbal medicines than about drug interactions, adverse drug effects and cautions about these products.

  19. Alternative work schedules for female pharmacists.

    Science.gov (United States)

    Mason, N A; Perry, W R; Ryan, M L

    1991-01-01

    The impact of the increased proportion of women in pharmacy is discussed, and two leadership positions for which part-time work schedules were implemented are described. Issues associated with the increased representation of women include pharmacist shortages, loss of future leaders, decreased staff productivity related to inadequate day-care services, and a reduced earning potential of pharmacists. Many of these problems can be addressed by altering benefit packages and work schedules to enable employees to raise children while continuing to work. Specific strategies include legislation, day-care programs, flex time and flex scheduling, telecommuting, and the creation of alternative work schedules or permanent part-time positions. At the University of Michigan, a part-time position that combines faculty and clinical responsibilities has been in place since 1988. At The Washington Hospital Center, one of the three assistant director of pharmacy positions is part-time. The women in both positions have met or exceeded job performance requirements while raising a family. Issues raised by the increasing number of female pharmacists must be addressed by the profession. Part-time work schedules are one strategy for enabling female pharmacists to meet both their family and career responsibilities.

  20. Antibiotics: Pharmacists Can Make the Difference

    Centers for Disease Control (CDC) Podcasts

    2015-04-16

    In this podcast, a pharmacist counsels a frustrated father about appropriate antibiotic use and symptomatic relief options for his son's cold.  Created: 4/16/2015 by Division of Bacterial Diseases (DBD), National Center for Immunization and Respiratory Disease (NCIRD), Get Smart: Know When Antibiotics Work Program.   Date Released: 4/16/2015.

  1. Fifty reasons to love your palliative care pharmacist.

    Science.gov (United States)

    Walker, Kathryn A; Scarpaci, Laura; McPherson, Mary Lynn

    2010-12-01

    Pharmacists have much to offer in caring for patients with an advanced illness. To celebrate the role of pharmacists in palliative care, we wanted to share 50 excellent reasons to love your pharmacist. This list was compiled by 3 pharmacists specializing in end-of-life care spanning from inpatient palliative care to home-based hospice. Our goal is to increase awareness among other hospice and palliative care practitioners by recognizing the skills pharmacists contribute in caring for patients at the end of life. We divided the list into categories: provision of pharmaceuticals, optimizing medication regimens, education and drug information, patient safety, and administration/formulary management.

  2. Pharmacist provider status legislation: Projections and prospects.

    Science.gov (United States)

    Harper, Patrick C

    2015-01-01

    To compare legislation at the federal level that would recognize pharmacists as health care providers under Medicare Part B with similar state-level efforts in an attempt to identify the strengths and weaknesses of these options and forecast outcomes. The current primary care provider shortage poses a significant threat to public health in the United States. The effort to achieve federal provider status for pharmacists, currently in the form of identical bills introduced in January 2015 into the U.S. House of Representatives and the U.S. Senate as the Pharmacy and Medically Underserved Areas Enhancement Act (H.R. 592 and S. 314), would amend the Social Security Act to recognize pharmacists as health care providers in sections of Medicare Part B that specify coverage and reimbursement. This action has budgetary implications owing to the compensation that would accrue to pharmacists caring for Medicare beneficiaries. Passage of these bills into law could improve public health by sustainably increasing access to pharmacists' patient care services in medically underserved areas. In this article, the legislation's strengths and weaknesses are analyzed. The resulting information may be used to forecast the bills' fate as well as plan strategies to help support their success. Comparison of the bills with existing, state-level efforts is used as a framework for such policy analysis. While the current political climate benefits the bills in the U.S. Congress, established legislative precedents suggest that parts of H.R. 592/S. 314, specifically those regarding compensation mechanisms, may require negotiated amendment to improve their chances of success.

  3. Quasi experimental designs in pharmacist intervention research.

    Science.gov (United States)

    Krass, Ines

    2016-06-01

    Background In the field of pharmacist intervention research it is often difficult to conform to the rigorous requirements of the "true experimental" models, especially the requirement of randomization. When randomization is not feasible, a practice based researcher can choose from a range of "quasi-experimental designs" i.e., non-randomised and at time non controlled. Objective The aim of this article was to provide an overview of quasi-experimental designs, discuss their strengths and weaknesses and to investigate their application in pharmacist intervention research over the previous decade. Results In the literature quasi experimental studies may be classified into five broad categories: quasi-experimental design without control groups; quasi-experimental design that use control groups with no pre-test; quasi-experimental design that use control groups and pre-tests; interrupted time series and stepped wedge designs. Quasi-experimental study design has consistently featured in the evolution of pharmacist intervention research. The most commonly applied of all quasi experimental designs in the practice based research literature are the one group pre-post-test design and the non-equivalent control group design i.e., (untreated control group with dependent pre-tests and post-tests) and have been used to test the impact of pharmacist interventions in general medications management as well as in specific disease states. Conclusion Quasi experimental studies have a role to play as proof of concept, in the pilot phases of interventions when testing different intervention components, especially in complex interventions. They serve to develop an understanding of possible intervention effects: while in isolation they yield weak evidence of clinical efficacy, taken collectively, they help build a body of evidence in support of the value of pharmacist interventions across different practice settings and countries. However, when a traditional RCT is not feasible for

  4. Role of the Pharmacist within the Heart Failure Team.

    Science.gov (United States)

    Terasaki, Nobuyuki

    2016-01-01

    Hyogo Prefectural Amagasaki General Medical Center has formed a heart failure team. Here, I report on the role of the pharmacist in this heart failure team at this hospital. Patient education is one of the roles of the pharmacist. It is the pharmacist's responsibility to improve medication adherence among patients. For this purpose, the pharmacist uses a brochure created by the heart failure team. The brochure outlines drug information in an easy-to-understand manner. The roles of a pharmacist were addressed in a lecture presented to the heart failure team. These lectures helped improve the pharmaceutical knowledge of the team, allowing the team to prescribe medicines more safely and appropriately. Maintaining co-operation between hospital and community pharmacies is another important role of a hospital pharmacist. This allows patients to be properly educated by pharmacists even after discharge from the hospital.

  5. Ebola virus disease: How can African pharmacists respond to future outbreaks?

    Directory of Open Access Journals (Sweden)

    Peter Bai James

    2016-05-01

    Full Text Available In its forty years history (1976–2016, the West African region has recorded the most devastating form of the Ebola virus disease. The sparse knowledge of healthcare professionals and general public combined with lesser responses from international community are major factors for the dissemination of the disease. In the context of this outbreak, there is a need to highlight the roles and responsibilities of pharmacists, especially in the African healthcare setting. Moreover, the prerequisite of diagnostic kits for the timely detection of the infection as well as pharmacists’ awareness of the current therapeutic regimen are recommended.

  6. Medication error reporting by community pharmacists in Vermont.

    Science.gov (United States)

    Kennedy, Amanda G; Littenberg, Benjamin

    2004-01-01

    To document community pharmacists' awareness and use of the United States Pharmacopeia Medication Errors Reporting (USP MER) program. Telephone survey. Community pharmacies in Vermont. One self-identified community pharmacist from each community pharmacy. Each operating community pharmacy in Vermont was contacted by telephone between June 2002 and February 2003. The first individual to self-identify himself or herself as a pharmacist was asked to participate. The telephone surveys were conducted using a standard script. Survey responses to questions about awareness and use of USP MER. A pharmacist was contacted in 98% (122/124) of all operating community pharmacies in Vermont. Nine (7%) pharmacists refused to participate, leaving 113 pharmacists who responded to the survey. Although more than one half of all respondents (70/113; 62%) had heard of USP MER, less than one quarter (24/113; 21%) had ever submitted a report. Significantly more pharmacists employed by independent pharmacies had submitted a report, compared with pharmacists from other pharmacy types (chain, supermarket, mass merchandiser; P = .03). Submitting reports through a corporate hierarchy or to a corporate program was the reason most frequently cited by pharmacists for not submitting reports directly to USP MER (37%). Whether corporate reports were forwarded to USP MER is unknown. The majority of Vermont community pharmacists were aware of USP MER. However, use was low. Barriers to reporting to a common system such as USP MER may differ depending on pharmacy type. Further research to document the barriers to submitting reports is warranted.

  7. Pharmacist-patient communication about medication regimen adjustment during Ramadan.

    Science.gov (United States)

    Amin, Mohamed E K; Chewning, Betty

    2016-12-01

    During Ramadan, Muslims fast from dawn to sunset while abstaining from food and drink. Although Muslim patients may be aware of their religious exemption from fasting, many patients still choose not to take that exemption and fast. This study examines pharmacists' initiation and timing of communication about medication regimen adjustment (MRA) with patients related to Ramadan. Predictors for initiating this communication with patients were also explored. A probability sample of community pharmacists in Alexandria, Egypt was surveyed. The self-administered instrument covered timing and likelihood of initiating discussion about MRA. Using ordered logistic regression, a model was estimated to predict pharmacists' initiation of the conversation on MRA during Ramadan. Ninety-three percent of the 298 approached pharmacists completed surveys. Only 16% of the pharmacists reported that they themselves usually initiated the conversation on MRA. Pharmacists' initiation of these conversations was associated with pharmacists' perceived importance of MRA on pharmacy revenue odds ratio ((OR) = 1.24, CI = 1.03-1.48). Eighty percent of the responding pharmacists reported the MRA conversation for chronic conditions started either 1-3 days before, or during the first week of Ramadan. These results suggest considerable pharmacist patient communication gaps regarding medication use during Ramadan. It is especially important for pharmacists and other health professionals to initiate communication with Muslim patients early enough to identify how best to help patients transition safely into and out of Ramadan as they fast. © 2016 Royal Pharmaceutical Society.

  8. [Recurrent education for pharmacists to support regional medicine].

    Science.gov (United States)

    Kagawa, Yoshiyuki; Noguchi, Hiroshi; Namiki, Noriyuki; Hayashi, Hideki; Kosuge, Kazuhiro

    2011-01-01

    New-generation pharmacists who graduate from the 6-year pharmacy education program will come into being in Japan in 2 years' time. The new program regards technical skills and caring attitudes suitable for healthcare professionals as important, as well as expert knowledge. Pharmacists are expected to become more involved in pharmacotherapy and patient care to overcome rural physician shortage and achieve better outcomes in pharmacotherapy. Pharmacists themselves also want to contribute to improve pharmacotherapy and patient care. Pharmacists educated with the former 4-year education program, however, hardly had a chance to learn clinical pharmacy or pharmaceutical care when they were pharmacy students. They have so far studied clinical knowledge, skills, and attitudes by themselves mostly after graduation. Therefore most pharmacists have not received systematic education or training about clinical pharmacy. Pharmacy schools employ pharmacists and physicians as professors, and built practical rooms for pre-clinical training to study pharmacy practice in recent years. We should use those human resources and laboratory equipment in pharmacy schools to facilitate recurrent education for pharmacists. Internet-based real time remote lecture is also useful for pharmacists working far from pharmacy schools to attend a recurrent class. I propose an education system in which pharmacists who completed the recurrent education program teach students pharmacy practice in their worksites, and both pharmacists and students are developing their practical skills to a high degree together.

  9. Electronic prescriptions and disruptions to the jurisdiction of community pharmacists.

    Science.gov (United States)

    Motulsky, Aude; Sicotte, Claude; Lamothe, Lise; Winslade, Nancy; Tamblyn, Robyn

    2011-07-01

    The practice of community pharmacists is being challenged by the appearance of electronic prescription (e-Rx) technology. This article examines the disruptions caused by e-Rx technology to the jurisdiction of community pharmacists based on a model developed from work by Abbott (1988). The main disruptions to professional activities were investigated by qualitative methods in a series of interviews with pharmacists and physicians separated in two groups: practitioners who tested a typical e-Rx technology and stakeholders involved in the implementation of this large-scale e-Rx project in Quebec, Canada. The findings suggest that the technology may disrupt the jurisdiction of community pharmacists, mainly by changing the distribution of information among physicians and community pharmacists. More specifically, the technology represents both a threat to community pharmacists - by supporting the dominant position held by physicians if it gives them access to information held exclusively by pharmacists - and an opportunity - by redistributing information to the pharmacists' benefit, allowing them to improve the quality of their inferences about medication. However, it would appear that the opportunities offered by the technology generate concerns and tensions, both between physicians and pharmacists and between the pharmacists themselves. This phenomenon may well work against the implementation and use of available tools.

  10. Pharmacists' attitudes regarding provision of sexual and reproductive health services.

    Science.gov (United States)

    Hilverding, Austin T; DiPietro Mager, Natalie A

    The primary objective was to assess attitudes from Ohio pharmacists about contraceptive authority. Secondary objectives included determining pharmacists' perceptions of benefits, barriers, and preparedness for offering such services and examining attitudes about and experiences with other reproductive health topics to inform future research. An anonymous 26-question Institutional Review Board-approved electronic survey was developed and distributed via Qualtrics to a random sample of 500 licensed pharmacists in Ohio. Two months were allotted for survey completion. A link to free Accreditation Council for Pharmacy Education-approved continuing pharmacy education (CPE) through Ohio Northern University was offered as an incentive for completing the survey. One hundred thirty-eight pharmacists completed the survey (62% female). Fifty-eight percent worked in community pharmacy and 34% in health-system pharmacy. The majority indicated that oral and transdermal contraceptive methods should be pharmacist-initiated (57% and 54%, respectively) through a collaborative practice agreement or statewide protocol. More pharmacists supported provision of hormonal contraception through a collaborative practice agreement rather than a statewide protocol. Increased access to care and convenience for patients were identified most frequently as potential benefits. Time constraints, concerns of increased liability, and other barriers for initiating such services were identified by pharmacists. Pharmacists most frequently listed clinical guidelines, CPE, and patient education materials as tools needed to successfully initiate contraceptive therapy regimens. Pharmacists responding to the survey were also proponents of increasing involvement in other aspects of sexual and reproductive health, such as expedited partner therapy (64%) and human papilloma virus vaccination (67%). Respondents indicated a potential lack of experience or training in topics such as expedited partner therapy and

  11. Quantifying Potential Groundwater Recharge In South Texas

    Science.gov (United States)

    Basant, S.; Zhou, Y.; Leite, P. A.; Wilcox, B. P.

    2015-12-01

    Groundwater in South Texas is heavily relied on for human consumption and irrigation for food crops. Like most of the south west US, woody encroachment has altered the grassland ecosystems here too. While brush removal has been widely implemented in Texas with the objective of increasing groundwater recharge, the linkage between vegetation and groundwater recharge in South Texas is still unclear. Studies have been conducted to understand plant-root-water dynamics at the scale of plants. However, little work has been done to quantify the changes in soil water and deep percolation at the landscape scale. Modeling water flow through soil profiles can provide an estimate of the total water flowing into deep percolation. These models are especially powerful with parameterized and calibrated with long term soil water data. In this study we parameterize the HYDRUS soil water model using long term soil water data collected in Jim Wells County in South Texas. Soil water was measured at every 20 cm intervals up to a depth of 200 cm. The parameterized model will be used to simulate soil water dynamics under a variety of precipitation regimes ranging from well above normal to severe drought conditions. The results from the model will be compared with the changes in soil moisture profile observed in response to vegetation cover and treatments from a study in a similar. Comparative studies like this can be used to build new and strengthen existing hypotheses regarding deep percolation and the role of soil texture and vegetation in groundwater recharge.

  12. How Do Pharmacists Develop into Advanced Level Practitioners? Learning from the Experiences of Critical Care Pharmacists

    Directory of Open Access Journals (Sweden)

    Ruth E. Seneviratne

    2017-07-01

    Full Text Available The national UK standards for critical care highlight the need for clinical pharmacists to practise at an advanced level (equivalent to Royal Pharmaceutical Society, Great Britain, Faculty Advanced Stage II (MFRPSII and above. Currently the UK is unable to meet the workforce capacity requirements set out in the national standards in terms of numbers of pharmacist working at advanced level and above. The aim of this study was to identify the strategies, barriers and challenges to achieving Advanced Level Practice (ALP by learning from the experiences of advanced level critical care pharmacists within the UK. Eight participants were recruited to complete semi-structured interviews on their views and experiences of ALP. The interviews were analysed thematically and three overarching themes were identified; support, work-based learning and reflective practice. The results of this study highlight that to increase the number of MFRPSII level practitioners within critical care support for their ALP development is required. This support involves developing face-to-face access to expert critical care pharmacists within a national training programme. Additionally, chief pharmacists need to implement drivers including in house mentorship and peer review programmes and the need to align job descriptions and appraisals to the Royal Pharmaceutical Society, Great Britain, Advanced Practice Framework (APF.

  13. Clinical skill development for community pharmacists.

    Science.gov (United States)

    Barnette, D J; Murphy, C M; Carter, B L

    1996-09-01

    The importance of establishing clinical pharmacy services in the community cannot be understated in light of current challenges to the traditional dispensing role as the primary service of the community pharmacist. Advancements in automated dispensing technology and declining prescription fee reimbursement are rapidly forcing pharmacists to seek alternative sources of revenue. Providing pharmaceutical care is a viable option to increase customer loyalty job satisfaction, and reimbursement. To support the development of clinical services, academic institutions are forming partnerships with individual community practitioners to overcome perceived educational and training barriers. The authors describe the design and development of two unique clinical skill development programs at the University of Illinois at Chicago. This paper also outlines the patient focused services that the participants have established upon completing the training. These programs successfully enhanced participants' therapeutic knowledge base and facilitated development of the clinical skills necessary for direct patient care.

  14. International trends in lifelong learning for pharmacists.

    Science.gov (United States)

    Driesen, Annelies; Verbeke, Koen; Simoens, Steven; Laekeman, Gert

    2007-06-15

    Lifelong learning for community pharmacists is shifting from continuing education (CE) towards continuing professional development (CPD) in some countries. The objectives of this report were to compare lifelong learning frameworks for community pharmacists in different countries, and determine to what extent the concept of CPD has been implemented. A literature search was conducted as well as an Internet search on the web sites of professional pharmacy associations and authorities in 8 countries. The results of this review show that the concept of CPD has been implemented primarily in countries that have a long tradition in lifelong learning, such as Great Britain. However, most countries have opted for the CE approach, eg, France, or for a combination of CE and CPD, eg, New Zealand. This approach combines the controllability by regulatory organizations that CE requires with the advantage of sustained behavior change seen in successful CPD programs.

  15. Impact of Pharmacist Counselling on Clozapine Knowledge

    Directory of Open Access Journals (Sweden)

    Ciara Ní Dhubhlaing

    2017-01-01

    Full Text Available Clozapine is the only antipsychotic with evidence for efficacy in treatment of resistant schizophrenia but it carries a high side effect burden. Patient information is provided but may be poorly retained. This study aims to examine the impact of pharmacist counselling upon patient knowledge of clozapine. Outpatients, aged 18 years and over, attending St. Patrick’s University Hospital, Dublin, participated in this study between June and August 2015. The intervention consisted of pharmacist counselling on two occasions one month apart. Knowledge was assessed using a 28-point checklist devised from the currently available clozapine patient information sources, at baseline and after each counselling session. Ethics approval was obtained. Twenty-five participants (40% female; mean age 45.1 years, SD 9.82; 64% unemployed, 28% smokers showed an improvement in knowledge scores of clozapine from baseline to postcounselling on each occasion with an overall improvement in knowledge score, from baseline to postcounselling at one month, of 39.43%; p<0.001. This study adds to the evidence that interventions involving pharmacist counselling can improve patient knowledge, whilst the specific knowledge gained relating to recognition of side effects may help patients towards more empowerment regarding their treatment.

  16. Virtual Pharmacist: A Platform for Pharmacogenomics.

    Science.gov (United States)

    Cheng, Ronghai; Leung, Ross Ka-Kit; Chen, Yao; Pan, Yidan; Tong, Yin; Li, Zhoufang; Ning, Luwen; Ling, Xuefeng B; He, Jiankui

    2015-01-01

    We present Virtual Pharmacist, a web-based platform that takes common types of high-throughput data, namely microarray SNP genotyping data, FASTQ and Variant Call Format (VCF) files as inputs, and reports potential drug responses in terms of efficacy, dosage and toxicity at one glance. Batch submission facilitates multivariate analysis or data mining of targeted groups. Individual analysis consists of a report that is readily comprehensible to patients and practioners who have basic knowledge in pharmacology, a table that summarizes variants and potential affected drug response according to the US Food and Drug Administration pharmacogenomic biomarker labeled drug list and PharmGKB, and visualization of a gene-drug-target network. Group analysis provides the distribution of the variants and potential affected drug response of a target group, a sample-gene variant count table, and a sample-drug count table. Our analysis of genomes from the 1000 Genome Project underlines the potentially differential drug responses among different human populations. Even within the same population, the findings from Watson's genome highlight the importance of personalized medicine. Virtual Pharmacist can be accessed freely at http://www.sustc-genome.org.cn/vp or installed as a local web server. The codes and documentation are available at the GitHub repository (https://github.com/VirtualPharmacist/vp). Administrators can download the source codes to customize access settings for further development.

  17. Virtual Pharmacist: A Platform for Pharmacogenomics.

    Directory of Open Access Journals (Sweden)

    Ronghai Cheng

    Full Text Available We present Virtual Pharmacist, a web-based platform that takes common types of high-throughput data, namely microarray SNP genotyping data, FASTQ and Variant Call Format (VCF files as inputs, and reports potential drug responses in terms of efficacy, dosage and toxicity at one glance. Batch submission facilitates multivariate analysis or data mining of targeted groups. Individual analysis consists of a report that is readily comprehensible to patients and practioners who have basic knowledge in pharmacology, a table that summarizes variants and potential affected drug response according to the US Food and Drug Administration pharmacogenomic biomarker labeled drug list and PharmGKB, and visualization of a gene-drug-target network. Group analysis provides the distribution of the variants and potential affected drug response of a target group, a sample-gene variant count table, and a sample-drug count table. Our analysis of genomes from the 1000 Genome Project underlines the potentially differential drug responses among different human populations. Even within the same population, the findings from Watson's genome highlight the importance of personalized medicine. Virtual Pharmacist can be accessed freely at http://www.sustc-genome.org.cn/vp or installed as a local web server. The codes and documentation are available at the GitHub repository (https://github.com/VirtualPharmacist/vp. Administrators can download the source codes to customize access settings for further development.

  18. Family Commitment and Work Characteristics among Pharmacists

    Directory of Open Access Journals (Sweden)

    Paul O. Gubbins

    2015-12-01

    Full Text Available Factors associated with family commitment among pharmacists in the south central U.S. are explored. In 2010, a cross-sectional mailed self-administered 70 item survey of 363 active licensed pharmacists was conducted. This analysis includes only 269 (74% participants who reported being married. Outcome measures were family commitment (need for family commitment, spouse’s family commitment, work-related characteristics (work challenge, stress, workload, flexibility of work schedule, and job and career satisfaction. Married participants’ mean age was 48 (SD = 18 years; the male to female ratio was 1:1; 73% worked in retail settings and 199 (74% completed the family commitment questions. Females reported a higher need for family commitment than males (p = 0.02 but there was no significant difference in satisfaction with the commitment. Work challenge and work load were significantly associated with higher need for family commitment (p < 0.01, when controlled for age, gender, number of dependents, work status, and practice setting. Higher work challenge was associated with higher career satisfaction. Higher job related stress was associated with lower job satisfaction. High work challenge and work load may negatively impact family function since married pharmacists would need higher family commitment from their counterparts. The impact of work-family interactions on pharmacy career satisfaction should be further investigated.

  19. Examining roles pharmacists assume in disasters: a content analytic approach.

    Science.gov (United States)

    Ford, Heath; Dallas, Cham E; Harris, Curt

    2013-12-01

    Numerous practice reports recommend roles pharmacists may adopt during disasters. This study examines the peer-reviewed literature for factors that explain the roles pharmacists assume in disasters and the differences in roles and disasters when stratified by time. Quantitative content analysis was used to gather data consisting of words and phrases from peer-reviewed pharmacy literature regarding pharmacists' roles in disasters. Negative binomial regression and Kruskal-Wallis nonparametric models were applied to the data. Pharmacists' roles in disasters have not changed significantly since the 1960s. Pharmaceutical supply remains their preferred role, while patient management and response integration roles decrease in context of common, geographically widespread disasters. Policy coordination roles, however, significantly increase in nuclear terrorism planning. Pharmacists' adoption of nonpharmaceutical supply roles may represent a problem of accepting a paradigm shift in nontraditional roles. Possible shortages of personnel in future disasters may change the pharmacists' approach to disaster management.

  20. Development and evaluation of a pharmacogenomics educational program for pharmacists.

    Science.gov (United States)

    Formea, Christine M; Nicholson, Wayne T; McCullough, Kristen B; Berg, Kevin D; Berg, Melody L; Cunningham, Julie L; Merten, Julianna A; Ou, Narith N; Stollings, Joanna L

    2013-02-12

    Objectives. To evaluate hospital and outpatient pharmacists' pharmacogenomics knowledge before and 2 months after participating in a targeted, case-based pharmacogenomics continuing education program.Design. As part of a continuing education program accredited by the Accreditation Council for Pharmacy Education (ACPE), pharmacists were provided with a fundamental pharmacogenomics education program.Evaluation. An 11-question, multiple-choice, electronic survey instrument was distributed to 272 eligible pharmacists at a single campus of a large, academic healthcare system. Pharmacists improved their pharmacogenomics test scores by 0.7 questions (pretest average 46%; posttest average 53%, p=0.0003).Conclusions. Although pharmacists demonstrated improvement, overall retention of educational goals and objectives was marginal. These results suggest that the complex topic of pharmacogenomics requires a large educational effort in order to increase pharmacists' knowledge and comfort level with this emerging therapeutic opportunity.

  1. Why We Need West Nile Virus Testing

    Centers for Disease Control (CDC) Podcasts

    2016-09-27

    Dr. Rodrigo Hasbun, a professor of infectious diseases at McGovern Medical School at UT Health, discusses the need for West Nile virus testing in Texas.  Created: 9/27/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 9/27/2016.

  2. Pharmacist attire and its impact on patient preference

    Directory of Open Access Journals (Sweden)

    Cretton-Scott E

    2011-06-01

    Full Text Available Objective: To determine the influence of demographics on patient preferences for community pharmacist attire.Methods: A 10-item questionnaire was developed and administered to patients visiting a chain pharmacy or an independent pharmacy in the Birmingham, Alabama metropolitan area. Mann–Whitney was used to examine if statistical differences existed in chain versus independent pharmacy patient’s selections based on pharmacist attire.Results: A statistically significant difference in patient preference for pharmacist attire between the settings in regards to which pharmacist patients felt was more approachable was observed; 51.2% of chain pharmacy respondents compared to 30% of independent pharmacy respondents identified the pharmacist pair with business formal attire and white coat as more approachable. Differences in education was also apparent with 70% of respondents in the independent pharmacy setting reporting having a Bachelor’s degree or higher compared to 45% of respondents in the chain pharmacy setting.Conclusion: With the exception of approachability, patients indicated preference for pharmacist with the white coat regardless of community setting. Given the importance of patient-pharmacist communication for building successful patient-pharmacist relationships, if patients do not perceive the pharmacists as approachable, communication and subsequent development of said relationships may not occur regardless of perceived knowledge and competency.

  3. Pharmacist attire and its impact on patient preference.

    Science.gov (United States)

    Cretton-Scott, Erika; Johnson, Leah; King, Sean

    2011-04-01

    To determine the influence of demographics on patient preferences for community pharmacist attire. A 10-item questionnaire was developed and administered to patients visiting a chain pharmacy or an independent pharmacy in the Birmingham, Alabama metropolitan area. Mann-Whitney was used to examine if statistical differences existed in chain versus independent pharmacy patient's selections based on pharmacist attire. A statistically significant difference in patient preference for pharmacist attire between the settings in regards to which pharmacist patients felt was more approachable was observed; 51.2% of chain pharmacy respondents compared to 30% of independent pharmacy respondents identified the pharmacist pair with business formal attire and white coat as more approachable. Differences in education was also apparent with 70% of respondents in the independent pharmacy setting reporting having a Bachelor's degree or higher compared to 45% of respondents in the chain pharmacy setting. With the exception of approachability, patients indicated preference for pharmacist with the white coat regardless of community setting. Given the importance of patient-pharmacist communication for building successful patient-pharmacist relationships, if patients do not perceive the pharmacists as approachable, communication and subsequent development of said relationships may not occur regardless of perceived knowledge and competency.

  4. Integrating pharmacists into primary care teams: barriers and facilitators.

    Science.gov (United States)

    Jorgenson, Derek; Laubscher, Tessa; Lyons, Barry; Palmer, Rebecca

    2014-08-01

    This study evaluated the barriers and facilitators that were experienced as pharmacists were integrated into 23 existing primary care teams located in urban and rural communities in Saskatchewan, Canada. Qualitative design using data from one-on-one telephone interviews with pharmacists, physicians and nurse practitioners from the 23 teams that integrated a new pharmacist role. Four researchers from varied backgrounds used thematic analysis of the interview transcripts to determine key themes. The research team met on multiple occasions to agree on the key themes and received written feedback from an external auditor and two of the original interviewees. Seven key themes emerged describing the barriers and facilitators that the teams experienced during the pharmacist integration: (1) relationships, trust and respect; (2) pharmacist role definition; (3) orientation and support; (4) pharmacist personality and professional experience; (5) pharmacist presence and visibility; (6) resources and funding; and (7) value of the pharmacist role. Teams from urban and rural communities experienced some of these challenges in unique ways. Primary care teams that integrated a pharmacist experienced several common barriers and facilitators. The negative impact of these barriers can be mitigated with effective planning and support that is individualized for the type of community where the team is located. © 2013 Royal Pharmaceutical Society.

  5. Pharmacist independent prescribing in secondary care: opportunities and challenges.

    Science.gov (United States)

    Bourne, Richard S; Baqir, Wasim; Onatade, Raliat

    2016-02-01

    In recent years a number of countries have extended prescribing rights to pharmacists in a variety of formats. The latter includes independent prescribing, which is a developing area of practice for pharmacists in secondary care. Potential opportunities presented by wide scale implementation of pharmacist prescribing in secondary care include improved prescribing safety, more efficient pharmacist medication reviews, increased scope of practice with greater pharmacist integration into acute patient care pathways and enhanced professional or job satisfaction. However, notable challenges remain and these need to be acknowledged and addressed if a pharmacist prescribing is to develop sufficiently within developing healthcare systems. These barriers can be broadly categorised as lack of support (financial and time resources), medical staff acceptance and the pharmacy profession itself (adoption, implementation strategy, research resources, second pharmacist clinical check). Larger multicentre studies that investigate the contribution of hospital-based pharmacist prescribers to medicines optimisation and patient-related outcomes are still needed. Furthermore, a strategic approach from the pharmacy profession and leadership is required to ensure that pharmacist prescribers are fully integrated into future healthcare service and workforce strategies.

  6. Pharmacist educators in family medicine residency programs: A qualitative analysis

    Directory of Open Access Journals (Sweden)

    Jorgenson Derek

    2012-08-01

    Full Text Available Abstract Background 25-29% of North American family medicine residency programs utilize a pharmacist to teach residents. Little is known about the impact that these pharmacist educators have on residency training. The purpose of this study was to examine the experiences of residents, residency directors and pharmacists within Canadian family medicine residency programs that employ a pharmacist educator to better understand the impact of the role. Methods Recruitment from three cohorts (residents, residency directors, pharmacists within family medicine residency programs across Canada for one-on-one semi-structured interviews followed by thematic analysis of anonymized transcript data. Results 11 residents, 6 residency directors and 17 pharmacist educators participated in interviews. Data themes were: (1 strong value of the teaching with respect to improved resident knowledge, confidence and patient care delivery; (2 lack of a formal pharmacotherapy curriculum; (3 desire for expansion of pharmacist teaching; (4 impact of teaching on collaboration; (5 impact of teaching on residency program faculty; and (6 lack of criticism of the role. Conclusions The pharmacist educator role is valued within residency programs across Canada and the role has a positive impact on several important aspects of family medicine resident training. Suggestions for improvement focused on expanding the teaching role and on implementing a formal curriculum for pharmacist educators to follow.

  7. Pharmacists' perspectives on the Patient Protection and Affordable Care Act.

    Science.gov (United States)

    Khanna, Rahul; Mahabaleshwarkar, Rohan; Holmes, Erin R; Jariwala, Krutika

    2015-01-01

    Passed in 2010, the Patient Protection and Affordable Care Act (PPACA) resulted in significant changes to the health care system in the United States (US). Though general population surveys reveal the fractious political debate surrounding the law, insights on pharmacists' perspectives on the PPACA are lacking in the literature. The objectives of this study were to determine pharmacists' perspectives on the PPACA and determine whether pharmacists' demographic and practice-related characteristics and political beliefs influence their perspectives on the PPACA. This study was conducted using a descriptive, cross-sectional design. Study data were collected with a self-administered online questionnaire distributed to 21,769 registered pharmacists in five states. A total of 1127 completed surveys were received (5.6% response rate). Roughly 37% of pharmacists reported that they understood the major provisions of the PPACA although most (89%) respondents agreed that understanding such policies is important for practicing pharmacy. Just over half (50.6%) of respondents did not support the PPACA while 47.7% supported the legislation. Political orientation, age, gender, and race were found to be significantly related to pharmacists' perspectives on the PPACA. Respondent pharmacists' perceptions of the PPACA appear to be related to political orientation and demographic characteristics. Given that pharmacists will be impacted by the implementation of the PPACA and are so accessible to the public, additional information on health care policy and PPACA should be provided to pharmacists. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Community pharmacists' knowledge of diabetes management during Ramadan in Egypt.

    Science.gov (United States)

    Amin, Mohamed E K; Chewning, Betty

    2014-12-01

    Although Muslim diabetic patients may be aware of their religious exemption from fasting, many still fast and adjust their medication regimens accordingly. Pharmacists have a significant potential to identify and prevent harm from medication misuse in Ramadan. This study examines Egyptian pharmacists' knowledge regarding management of diabetes during Ramadan. It also explores pharmacists' willingness to attend a 1 day workshop on medication regimen adjustment during Ramadan. Community pharmacies throughout Alexandria, Egypt. A cross-sectional study using a pretested self-administered survey was conducted among a random sample of community pharmacists. The survey included three knowledge questions relevant to counseling diabetic patients during Ramadan. Questions covered the recommended timing and dosing for metformin and insulin as well as the safe blood glucose range required for diabetic patients to safely continue their fast. Using logistic regression, a model was estimated to predict pharmacists' willingness to attend a workshop on the adjustment of medication regimens during Ramadan. Content analysis was used to analyze pharmacists' answers to the question concerning what they would like the workshop to cover. Pharmacists' aggregate scores for all three diabetes management knowledge questions and pharmacists' willingness to attend a workshop on the adjustment of medication regimens during Ramadan. Ninety three percent of the 298 approached pharmacists agreed to participate. Forty three pharmacists (15.9%) did not know the correct answer to any question, 118(43.7%) 24 answered one correctly, 86 (31.9%) answered two correctly and only 23 (8.5%) answered all 25 three correctly. Confidence in therapeutic knowledge regarding medication regimen 26 adjustment during Ramadan was not associated with the pharmacists' knowledge of diabetes management during Ramadan. One hundred seventy five (63.6%) pharmacists wanted to attend a workshop on adjusting medication regimens

  9. Texas' forests, 2008

    Science.gov (United States)

    James W. Bentley; Consuelo Brandeis; Jason A. Cooper; Christopher M. Oswalt; Sonja N. Oswalt; KaDonna Randolph

    2014-01-01

    This bulletin describes forest resources of the State of Texas at the time of the 2008 forest inventory. This bulletin addresses forest area, volume, growth, removals, mortality, forest health, timber product output, and the economy of the forest sector.

  10. Typhus in Texas

    Centers for Disease Control (CDC) Podcasts

    2017-07-06

    Dr. Kristy Murray, an associate professor in pediatrics and assistant dean of the National School of Tropical Medicine at Baylor College of Medicine and Texas Children’s Hospital, discusses increased cases of typhus in southern Texas.  Created: 7/6/2017 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 7/6/2017.

  11. Clinical relevance of pharmacist intervention in an emergency department.

    Science.gov (United States)

    Pérez-Moreno, Maria Antonia; Rodríguez-Camacho, Juan Manuel; Calderón-Hernanz, Beatriz; Comas-Díaz, Bernardino; Tarradas-Torras, Jordi

    2017-08-01

    To evaluate the clinical relevance of pharmacist intervention on patient care in emergencies, to determine the severity of detected errors. Second, to analyse the most frequent types of interventions and type of drugs involved and to evaluate the clinical pharmacist's activity. A 6-month observational prospective study of pharmacist intervention in the Emergency Department (ED) at a 400-bed hospital in Spain was performed to record interventions carried out by the clinical pharmacists. We determined whether the intervention occurred in the process of medication reconciliation or another activity, and whether the drug involved belonged to the High-Alert Medications Institute for Safe Medication Practices (ISMP) list. To evaluate the severity of the errors detected and clinical relevance of the pharmacist intervention, a modified assessment scale of Overhage and Lukes was used. Relationship between clinical relevance of pharmacist intervention and the severity of medication errors was assessed using ORs and Spearman's correlation coefficient. During the observation period, pharmacists reviewed the pharmacotherapy history and medication orders of 2984 patients. A total of 991 interventions were recorded in 557 patients; 67.2% of the errors were detected during medication reconciliation. Medication errors were considered severe in 57.2% of cases and 64.9% of pharmacist intervention were considered relevant. About 10.9% of the drugs involved are in the High-Alert Medications ISMP list. The severity of the medication error and the clinical significance of the pharmacist intervention were correlated (Spearman's ρ=0.728/pclinical pharmacists identified and intervened on a high number of severe medication errors. This suggests that emergency services will benefit from pharmacist-provided drug therapy services. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  12. Doctor and pharmacist - back to the apothecary!

    Science.gov (United States)

    Liaw, Siaw-Teng; Peterson, Gregory

    2009-05-01

    The Australian National Medicines Policy embodies four tenets: availability, quality, safety and efficacy of medicines; timely access to affordable medicines; quality use of medicines (QUM); and a responsible and viable medicines industry. The promotion of QUM requires a multidisciplinary approach, including contributions from government, the pharmaceutical industry, health professionals, consumers and academia. However, there are significant tensions and unintended effects associated with the multidisciplinary approach, especially with the relationships between prescribers and dispensers of medicines. The general practitioner and the pharmacist share a common ancestor - the apothecary. The separation of dispensing from prescribing, which began in medieval Europe and 19th century England, reframed and confined the patient-doctor relationship to one of diagnosis, prescription and non-drug management. The role of pharmacists was limited to dispensing, though the present trend is for their responsibilities to be widened. Historical antecedents, the contribution of an increasing number of actors to the costs of health care, universal health insurance and an evolving regulatory framework, are among the factors influencing doctor-pharmacist relations. The prescribing and dispensing of medicines must be guided by an ethical clinical governance structure encompassing health professionals, regulators, the pharmaceutical industry and consumers. There must be close monitoring of safety and effectiveness, and promotion of quality use of medicines and improved patient outcomes. Ongoing training and professional development, within and across professional boundaries, is essential to support harmonious and cost-effective inter-professional practice. The approach must be "apothecarial" with complementary roles and responsibilities for the prescriber and dispenser within the patient-clinician therapeutic relationship, and not adversarial.

  13. Pharmacist or Physician: Age Differences in Satisfaction with Medical Advice

    Science.gov (United States)

    Gould, Odette N.; Wasylkiw, Louise; Rogers, Erin E.; MacPherson, Miranda

    2006-01-01

    Two studies examined predictors of medical care satisfaction in communities in Eastern Canada. Both studies focused on how the roles of pharmacists and physicians are perceived by adults of different ages. Using a survey methodology, Study 1 demonstrated that middle-aged adults, older adults, and community pharmacists differ in the extent to which…

  14. Community Pharmacists' Preferences for Continuing Education Delivery in Australia

    Science.gov (United States)

    Mc Namara, Kevin P.; Duncan, Gregory J.; McDowell, Jenny; Marriott, Jennifer L.

    2009-01-01

    Introduction: New technologies such as the Internet offer an increasing number of options for the delivery of continuing education (CE) to community pharmacists. Many of these options are being utilized to overcome access- and cost-related problems. This paper identifies learning preferences of Australian community pharmacists for CE and…

  15. Pharmacist credentialing in pain management and palliative care.

    Science.gov (United States)

    Juba, Katherine M

    2012-10-01

    A credential is documented evidence of a pharmacist's qualifications; while credentialing is the method used to acquire, confirm, determine, and document a pharmacist's qualifications to practice. Voluntary credentials are important in clinical pharmacy specialties to ensure proficiency in caring for patients with complex pharmacotherapy needs. This article discusses current and future pharmacy pain management and palliative care credentialing opportunities. Pharmacists wishing to pursue voluntary pain management and palliative care credentialing may elect to take a multidisciplinary pain credentialing exam offered by the American Society of Pain Educators (ASPE) or American Academy of Pain Management (AAPM) and/or complete an American Society of Health System Pharmacists (ASHP) Postgraduate Year 2 (PGY2) pain management and palliative care pharmacy residency. A palliative care credentialing exam is not currently available to pharmacists. Efforts are underway within the pharmacy profession to standardize the board certification process, design a pain and palliative certificate program, and create a specialty pain management and palliative care board certification examination.

  16. Interaction between community pharmacists and community nurses in dementia care.

    Science.gov (United States)

    Smith, Veronica M

    2016-04-01

    There has been little research that explores the interaction between community pharmacists and community nurses and how this interaction could benefit people affected by dementia. Using information taken from a larger study, this article presents the views of community pharmacists and one community nurse on how their communication, information sharing and team integration may improve care for this patient group. The community pharmacists reported positive attitudes to supporting people affected by dementia, but they highlighted barriers to integrated team working. In contrast, the community nurse conveyed the belief that the community pharmacist was an integrated member of the community health team. Community pharmacists and community nurses are keen to interact with each other to support people affected by dementia, but this interaction stops short of collaborative, integrated team working. Further research is needed to address this issue.

  17. Pharmacists belong in accountable care organizations and integrated care teams.

    Science.gov (United States)

    Smith, Marie; Bates, David W; Bodenheimer, Thomas S

    2013-11-01

    Effective health care workforce development requires the adoption of team-based care delivery models, in which participating professionals practice at the full extent of their training in pursuit of care quality and cost goals. The proliferation of such new models as medical homes, accountable care organizations, and community-based care teams is creating new opportunities for pharmacists to assume roles and responsibilities commensurate with their capabilities. Some challenges to including pharmacists in team-based care delivery models, including the lack of payment mechanisms that explicitly provide for pharmacist services, have yet to be fully addressed by policy makers and others. Nevertheless, evolving models and strategies reveal a variety of ways to draw on pharmacists' expertise in such critical areas as medication management for high-risk patients. As Affordable Care Act provisions are implemented, health care workforce projections need to consider the growing number of pharmacists expected to play an increasing role in delivering primary care services.

  18. Benefits of Pharmacist's Participation on Hospitalist Team.

    Science.gov (United States)

    Mahdikhani, Simin; Dabaghzadeh, Fatemeh

    2016-02-01

    This study was performed to assess the incidence of medication errors and irrational use of human albumin in two wards of our hospital and also aimed to evaluate the ability of pharmaceutical care center and pharmacists in improving patient care. Albumin administration was evaluated for patients who received albumin during the study period, in gastroenterology and general surgery wards. The indications for Albumin administration were evaluated on the basis of reliable guidelines. The prescribing errors were simultaneously evaluated by reviewing patients' medical records. Prescribing errors were defined as selecting improper drug (based on indications, contraindications, known allergies, drug-class duplications and drug-drug interactions), dose, dosage form, and route of administration. It was found that 465 containers of human albumin solution 20 % were used for 54 patients treated in gastroenterology and general surgery wards of our hospital. A total of 306 (65.81%) vials of the albumin administrations were in concordance with the reliable protocol. The cost of irrational use of this drug (159 vials) for patients is equivalent to $ 8215. From 609 reviewed cases, 81 prescribing errors were detected in 64 patients. This study showed that the pharmacists were effective in identifying irrational drug use and medication errors.

  19. Pharmaceutical Role Expansion and Developments in Pharmacist-Physician Communication.

    Science.gov (United States)

    Bergman, Alicia A; Jaynes, Heather A; Gonzalvo, Jasmine D; Hudmon, Karen Suchanek; Frankel, Richard M; Kobylinski, Amanda L; Zillich, Alan J

    2016-01-01

    Expanded clinical pharmacist professional roles in the team-based patient-centered medical home (PCMH) primary care environment require cooperative and collaborative relationships among pharmacists and primary care physicians (PCPs), but many PCPs have not previously worked in such a direct fashion with pharmacists. Additional roles, including formulary control, add further elements of complexity to the clinical pharmacist-PCP relationship that are not well described. Our objective was to characterize the nature of clinical pharmacist-PCP interprofessional collaboration across seven federally funded hospitals and associated primary care clinics, following pharmacist placement in primary care clinics and incorporation of expanded pharmacist roles. In-depth and semistructured interviews were conducted with 25 practicing clinical pharmacists and 17 PCPs. Qualitative thematic analysis revealed three major themes: (1) the complexities of electronic communication (particularly electronic nonformulary requests) as contributing to interprofessional tensions or misunderstandings for both groups, (2) the navigation of new roles and traditional hierarchy, with pharmacists using indirect communication to prevent PCP defensiveness to recommendations, and (3) a preference for onsite colocation for enhanced communication and professional relationships. Clinical pharmacists' indirect communication practices may hold important implications for patient safety in the context of medication use, and it is important to foster effective communication skills and an environment where all team members across hierarchies can feel comfortable speaking up to reduce error when problems are suspected. Also, the lack of institutional communication about managing drug formulary issues and related electronic nonformulary request processes was apparent in this study and merits further attention for both researchers and practitioners.

  20. Physician experiences with clinical pharmacists in primary care teams.

    Science.gov (United States)

    Moreno, Gerardo; Lonowski, Sarah; Fu, Jeffrey; Chon, Janet S; Whitmire, Natalie; Vasquez, Carolina; Skootsky, Samuel A; Bell, Douglas S; Maranon, Richard; Mangione, Carol M

    2017-08-12

    Improving medication management is an important component of comprehensive care coordination for health systems. The Managing Your Medication for Education and Daily Support (MyMeds) medication management program at the University of California Los Angeles addresses medication management issues by embedding trained clinical pharmacists in primary care practice teams. The aim of this work was to examine and explore physician opinions about the clinical pharmacist program and identify common themes among physician experiences as well as barriers to integration of clinical pharmacists into primary care practice teams. We conducted a mixed quantitative-qualitative methods study consisting of a cross-sectional physician survey (n = 69) as well as semistructured one-on-one physician interviews (n = 13). Descriptive statistics were used to summarize survey responses, and standard qualitative content-analysis methods were used to identify major themes from the interviews. The survey response rate was 61%; 13 interviews were conducted. Ninety percent of survey respondents agreed or strongly agreed that having the pharmacist in the office makes management of the patient's medication more efficient, 93% agreed or strongly agreed that pharmacist recommendations are clinically helpful, 71% agreed or strongly agreed that having access to a pharmacist has increased their knowledge about medications they prescribe, and 75% agreed or strongly agreed that having a pharmacist as part of the primary care team has made their job easier. Qualitative interviews corroborated survey findings, and physicians highlighted the value of the clinical pharmacist's communication, team care and expanded roles, and medication management. Primary care physicians valued the integrated pharmacy program highly, particularly its features of strong communication, expanded roles, and medication management. Pharmacists were viewed as integral members of the health care team. Copyright © 2017 American

  1. The Texas Twin Project.

    Science.gov (United States)

    Harden, K Paige; Tucker-Drob, Elliot M; Tackett, Jennifer L

    2013-02-01

    Socioeconomic position, racial/ethnic minority status, and other characteristics of the macro-environment may be important moderators of genetic influence on a wide array of psychosocial outcomes. Designed to maximize representation of low socioeconomic status families and racial/ethnic minorities, the Texas Twin Project is an ongoing study of school-age twins (preschool through 12th grade) enrolled in public schools in the Austin, Texas and Houston, Texas metropolitan areas. School rosters are used to identify twin families from a target population with sizable populations of African American (18%), Hispanic/Latino (48%), and non-Hispanic White (27%) children and adolescents, over half of whom meet US guidelines for classification as economically disadvantaged. Initial efforts have focused on a large-scale, family-based survey study involving both parent and child reports of personality, psychopathology, physical health, academic interests, parent-child relationships, and aspects of the home environment. In addition, the Texas Twin Project is the basis for an in-laboratory study of adolescent decision-making, delinquency, and substance use. Future directions include geographic expansion of the sample to the entire state of Texas (with a population of over 25 million) and genotyping of participating twins.

  2. Ecological Baseline, Fort Hood, Texas

    Science.gov (United States)

    1980-08-01

    Table 5). Other tree species were Texas oak, netleaf hackberry, live oak, slippery elm (Ulmus rubra), red mulberry ( Morus rubra), Mexican plum (Prunus...included Texas oak, Texas ash, black walnut (Juglans nigra ), and Ashe juniper. Total density was about 760 trees per ha, and basal area was about 27 m

  3. Forests of east Texas, 2015

    Science.gov (United States)

    Kerry J.W. Dooley

    2017-01-01

    This resource update provides an overview of forest resources in east Texas based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station (SRS) in cooperation with Texas A&M Forest Service. The 254 counties of Texas are consolidated into seven FIA survey units—Southeast (unit 1),...

  4. Transforming Developmental Education in Texas

    Science.gov (United States)

    Journal of Developmental Education, 2014

    2014-01-01

    In recent years, with support from the Texas Legislature, the Texas Higher Education Coordinating Board has funded various developmental education initiatives, including research and evaluation efforts, to help Texas public institutions of higher education provide more effective programs and services to underprepared students. Based on evaluation…

  5. The pharmacist Aggregate Demand Index to explain changing pharmacist demand over a ten-year period.

    Science.gov (United States)

    Knapp, Katherine K; Shah, Bijal M; Barnett, Mitchell J

    2010-12-15

    To describe Aggregate Demand Index (ADI) trends from 1999-2010; to compare ADI time trends to concurrent data for US unemployment levels, US entry-level pharmacy graduates, and US retail prescription growth rate; and to determine which variables were significant predictors of ADI. Annual ADI data (dependent variable) were analyzed against annual unemployment rates, annual number of pharmacy graduates, and annual prescription growth rate (independent variables). ADI data trended toward lower demand levels for pharmacists since late 2006, paralleling the US economic downturn. National ADI data were most highly correlated with unemployment (p graduates (p unemployment was a significant ADI predictor. Unemployment and ADI also were significantly related at the regional, division, and state levels. The ADI is strongly linked to US unemployment rates. The relationship suggests that an improving economy might coincide with increased pharmacist demand. Predictable increases in future graduates and other factors support revisiting the modeling process as new data accumulate.

  6. An expanded prescribing role for pharmacists – an Australian perspective

    Directory of Open Access Journals (Sweden)

    Kreshnik Hoti

    2011-04-01

    Full Text Available Expanded pharmacist prescribing is a new professionalpractice area for pharmacists. Currently, Australianpharmacists’ prescribing role is limited to over-the-countermedications. This review aims to identify Australian studiesinvolving the area of expanded pharmacist prescribing.Australian studies exploring the issues of pharmacistprescribing were identified and considered in the context ofits implementation internationally. Australian studies havemainly focused on the attitudes of community and hospitalpharmacists towards such an expansion. Studies evaluatingthe views of Australian consumers and pharmacy clients werealso considered. The available Australian literature indicatedsupport from pharmacists and pharmacy clients for anexpanded pharmacist prescribing role, with preference fordoctors retaining a primary role in diagnosis. Australianpharmacists and pharmacy client’s views were also inagreement in terms of other key issues surrounding expandedpharmacist prescribing. These included the nature of anexpanded prescribing model, the need for additional trainingfor pharmacists and the potential for pharmacy clients gainingimproved medication access, which could be achieved withinan expanded role that pharmacists could provide. Currentevidence from studies conducted in Australia providesvaluable insight to relevant policymakers on the issue ofpharmacist prescribing in order to move the agenda ofpharmacist prescribing forwards.

  7. Community pharmacists' perceptions of barriers to communication with migrants.

    Science.gov (United States)

    Cleland, Jennifer A; Watson, Margaret C; Walker, Leighton; Denison, Alan; Vanes, Neil; Moffat, Mandy

    2012-06-01

    Effective communication by pharmacists is essential to ensure patient safety in terms of provision and use of medications by patients. Global migration trends mean community pharmacists increasingly encounter patients with a variety of first languages. The aim of this study was to explore community pharmacists' perceptions of communication barriers during the provision of care to A8 (nationals from central/Eastern European states) migrants. A qualitative face-to-face interview study of purposively sampled community pharmacists, North East Scotland. Participants (n = 14) identified a number of barriers to providing optimal care to A8 migrants including: communication (information gathering and giving); confidentiality when using family/friends as translators; the impact of patient healthcare expectations on communication and the length of the consultation; and frustration with the process of the consultation. Several barriers were specific to A8 migrants but most seemed pertinent to any group with limited English proficiency and reflect those found in studies of healthcare professionals caring for more traditional UK migrant populations. Further research is needed using objective outcome measures, such as consultation recordings, to measure the impact of these perceived barriers on pharmacist-patient consultations. Language and cultural barriers impact on the quality of pharmacist-patient communication and thus may have patient safety and pharmacist training implications. © 2011 The Authors. IJPP © 2011 Royal Pharmaceutical Society.

  8. Patients' intentions to seek medication information from pharmacists.

    Science.gov (United States)

    Huston, Sally A

    2013-01-01

    To determine whether perceived medication use knowledge held and/or needed influenced intention to seek information from pharmacists, whether an information-intention relationship held after accounting for other variables, and whether asking medication use knowledge questions increased pharmacist information-seeking intention. Cross-sectional study. SETTING United States during July 2012. Qualtrics national panel members 21 years or older obtaining a new chronic medication within previous 30 days. Internet-administered survey. Medication information-seeking intention, medication knowledge held and needed, and pharmacist medication information-seeking intention. Although knowledge held and needed were initially significant, they became nonsignificant after adding affective and evaluative attitudes, perceived control, and risk. The final best-fitting model explained 21% of variance in pharmacist information-seeking intention. Patient intentions to seek information from pharmacists increased significantly after being asked medication use knowledge questions. Perceptions of medication risk, attitudes, and information-seeking control predict pharmacist information-seeking intention and offer pharmacists an opportunity to market information services.

  9. ADVERSE DRUG REACTION: COMMUNITY PHARMACISTS KNOWLEDGE, ATTITUDE AND BEHAVIOR

    Directory of Open Access Journals (Sweden)

    Ravi Katti Venkappa

    2012-01-01

    Full Text Available Many hospitalizations in India are due to Adverse Drug Reactions (ADR and resulting in morbidity and mortality in majority cases in addition to the huge economic burden. A survey was conducted to assess the knowledge, attitude and behavior of community pharmacists towards ADR related aspects. One hundred and twenty eight pharmacists from various Community pharmacies in two Districts of South India were consented in this survey. A questionnaire was prepared to investigate the knowledge, attitude and behavior of pharmacists regarding ADR reporting and distributed to the identified pharmacies. The data was collected and analyzed by ANOVA and t- test. Out of 342 community pharmacies approached, 128 (37.4% community pharmacists consented to be part of the survey and the questionnaire given was filled and returned by them. Out of these respondents, only 39 (30.5% pharmacists had knowledge about ADR, 15 (11.7% and 14 (10.9% were aware of National Pharmacovigilance Program (NPP and regional reporting centers respectively. Only 54 (43% agreed that ADR reporting is a professional obligation of pharmacist and none of the respondents reported ADRs. The main reason for not reporting any ADR was ‘they did not know how to report’ and ‘did not feel its beneficial’. This survey revealed that the community pharmacists were having least scores towards knowledge, attitude and behavior on ADRs in Indian Scenario.

  10. [The pharmacist should play an active role in family planning].

    Science.gov (United States)

    Portes, M

    1983-01-01

    Although pharmacies now dispense primarily modern products originating in large multinational corporations, the community pharmacist has not been replaced by any ultramodern technological advance. Many thousand persons acquire family planning products in pharmacies. The pharmacist works many hours a day, is always available, and provides free advice to his clients. Pharmacists are consulted daily on numerous topics, especially on family planning. Many prsons in rural areas are without the services of a physician and rely on pharmacists all the more. Pharmacists could orient the public on family planning in general, help in choosing the most appropriate of available methods, and refer patients to physicians in case of problems. Participants at the recent International Conference on the Role of Retail Pharmacists in Family Planning, held in Alexandria, Egypt, concluded that pharmacists should cooperate with physicians and other health professionals to provide family planning services and should participate in elaboration of laws regulating the manufacture, storage, prices, and distribution of contraceptives. The prices of contraceptive supplies to the consumer could be reduced if taxes and import duties were removed, if supplies were produced locally, or if supplies were subsidized by some donor organization.

  11. Pharmaceutical care and community pharmacists' understanding of bisphosphonate dosing information.

    Science.gov (United States)

    Li, W W; Kendler, D L

    2004-12-01

    To evaluate pharmacists' knowledge of approved dosing information for cyclic etidronate, alendronate and risedronate in the treatment of postmenopausal osteoporosis; and to assess its relationship to demographic and pharmaceutical care factors. Fax-back questionnaire to evaluate pharmacists' knowledge of approved bisphosphonate dosing information and their involvement in pharmaceutical/patient care activities through independent indices. Community pharmacies in both urban and rural settings in British Columbia. Pharmacies surveyed with 22% response rate (163 pharmacists), 47% male and 54% owners/managers. Most were independent (31%) or volunteer chain (28%) pharmacies. Mean bisphosphonate dosing knowledge score was 76 +/- 11% (mean +/- SD). Mean scores (+/-SD) for questions pertaining to alendronate (92 +/- 13%) were higher than risedronate (81 +/- 26%) and etidronate (48 +/- 19). Pharmacists were least familiar with approved dosing instructions regarding the lack of need to remain upright after etidronate dosing, spacing out of etidronate from food/antacids/calcium/vitamins, and whether risedronate may be taken at bedtime. Factors found to affect pharmacists' bisphosphonate knowledge scores included employment in higher volume pharmacies and greater number of years in practice. Pharmacists in the upper tertile of pharmaceutical care index scores had similar bisphosphonate knowledge scores to those delivering less pharmaceutical care. Pharmacist gender, being owner/manager, and continuing education hours were not significantly associated with higher knowledge or pharmaceutical care scores. There is a wide range of knowledge of bisphosphonate dosing and delivery of pharmaceutical care amongst community pharmacists surveyed. Given the importance of proper bisphosphonate dosing to optimize drug absorption and to minimize toxicity, pharmacist education should be a priority.

  12. [Rivaroxaban: Xarelto--recommendations for pharmacists].

    Science.gov (United States)

    Douxfils, J; Michel, S; Beauloye, C; Goethals, M; Hainaut, P; Heidbuchel, H; Hermans, C; Ickx, B; Jochmans, K; Mottes, S; Mullier, F; Peeters, A; Scavée, C; Sinnaeve, P; Sprynger, M; Thijs, V; Vandenbroeck, C; Vandermeulen, E; Verhamme, P; Dogné, J M

    2013-03-01

    Rivaroxaban is one of the new oral anticoagulants (NOACs). It has many potential advantages in comparison with Vitamin K Antagonists (VKA). It has a predictable anticoagulant effect and does not theoretically require biological monitoring. It is also characterized by less food and drug interactions. However, due to major risks associated with over- and under-dosage, its optimal use in patients should be carefully followed by health care professionals. The aim of this article is to provide recommendations for pharmacists on the practical use of Xarelto in its different approved indications. This document is adapted from the practical user guide of rivaroxaban which was developed by an independent group of Belgian experts in the field of thrombosis and haemostasis.

  13. Tornado from Texas.

    Science.gov (United States)

    Vail, Kathleen

    1996-01-01

    Santa Fe School Superintendent Yvonne Gonzales, the "Texas Tornado," was hired to fix a 40% student-dropout rate and a white/Hispanic gap in achievement test scores. Gonzales is an avid integrationist; relies on humor, appeasement, and persuasion tactics; and has alienated some school employees by increasing central office…

  14. Outdoor Education in Texas.

    Science.gov (United States)

    Myers, Ray H.

    In Dallas in 1970, high school outdoor education began as a cocurricular woods and waters boys' club sponsored by a community sportsman. Within one year, it grew into a fully accredited, coeducational, academic course with a curriculum devoted to the study of wildlife in Texas, ecology, conservation, hunting, firearm safety, fishing, boating and…

  15. Outdoor Education in Texas.

    Science.gov (United States)

    Myers, Ray H.

    In Dallas in 1970, high school outdoor education began as a cocurricular woods and waters boys' club sponsored by a community sportsman. Within one year, it grew into a fully accredited, coeducational, academic course with a curriculum devoted to the study of wildlife in Texas, ecology, conservation, hunting, firearm safety, fishing, boating and…

  16. Library Laws of Texas.

    Science.gov (United States)

    Getz, Richard E., Comp.

    Compiled to provide a central reference point for all legislative information pertaining to libraries in the State of Texas, this publication includes all pertinent legislation as amended through the 71st Legislature, 1989, Regular Session. This update of the 1980 edition has been expanded to include statutes pertaining to the school and academic…

  17. Identification of the Discrepancies between Pharmacist and Patient Perception of the Pharmacist's Role as an Advisor on Drug Therapy Based on Social Science Theory.

    Science.gov (United States)

    Oshima, Shinji; Senoo, Kazuhiko; Negishi, Akio; Akimoto, Hayato; Ohara, Kousuke; Inoue, Naoko; Ohshima, Shigeru; Kutsuma, Nobuaki; Juni, Kazuhiko; Kobayashi, Daisuke

    2016-01-01

    Article 25-2 of the Japanese Pharmacists' Act was revised in June 2014, establishing the position of pharmacists as "advisors on the use of pharmaceuticals." Prior to the Act's revision, we investigated the perceptions of patients and pharmacists about pharmacists' roles using a social science methodology. We also examined current opinions and necessary factors for the future growth and development of pharmacists. This questionnaire survey was conducted using an internet method. Patients and pharmacists answered 12 questions. Responses from 529 patients and 338 pharmacists were analyzed. For all items, pharmacists' awareness of their roles exceeded patients' awareness of the roles. In this study, the difference between pharmacist and patient awareness was larger than in similar research conducted in the United States. The greatest difference was observed in three items: "Understanding the effects of the drugs the patients are taking" (rate of high ratings: pharmacists 80.2%, patients 37.8%), "Understanding the health changes caused by the drugs dispensed to the patients" (pharmacists 80.2%, patients 28.4%), and "Consciously protecting patients from the adverse effects of drugs" (pharmacists 82.8%, patients 42.2%), indicating role discrepancy. Partition analysis indicated the three factors for a pharmacist to be regarded as a drug therapy or medication specialist: "The patient regards the pharmacist as his/her family or regular pharmacist," "The pharmacist is making it easy for a patient to talk with him/her" and "The pharmacist is aware of a patient's use of products other than prescribed drugs, such as over the counter (OTC) medications or health foods and nutritional supplements." Future efforts are necessary to resolve role discrepancy and implement ongoing monitoring.

  18. An exploration of the role of pharmacists within general practice clinics: the protocol for the pharmacists in practice study (PIPS

    Directory of Open Access Journals (Sweden)

    Tan Edwin

    2012-08-01

    Full Text Available Abstract Background Medication-related problems are a serious concern in Australian primary care. Pharmacist interventions have been shown to be effective in identifying and resolving these problems. Collaborative general practitioner-pharmacist services currently available in Australia are limited and underused. Limitations include geographical isolation of pharmacists and lack of communication and access to patient information. Co-location of pharmacists within the general practice clinics is a possible solution. There have been no studies in the Australian setting exploring the role of pharmacists within general practice clinics. The aim of this study is to develop and test a multifaceted practice pharmacist role in primary care practices to improve the quality use of medicines by patients and clinic staff. Methods/design This is a multi-centre, prospective intervention study with a pre-post design and a qualitative component. A practice pharmacist will be located in each of two clinics and provide short and long patient consultations, drug information services and quality assurance activities. Patients receiving long consultation with a pharmacist will be followed up at 3 and 6 months. Based on sample size calculations, at least 50 patients will be recruited for long patient consultations across both sites. Outcome measures include the number, type and severity of medication-related problems identified and resolved; medication adherence; and patient satisfaction. Brief structured interviews will be conducted with patients participating in the study to evaluate their experiences with the service. Staff collaboration and satisfaction with the service will be assessed. Discussion This intervention has the potential to optimise medication use in primary care clinics leading to better health outcomes. This study will provide data about the effectiveness of the proposed model for pharmacist involvement in Australian general practice clinics

  19. Base Realignment Activities at Bergstrom Air Force Base, Texas

    Science.gov (United States)

    1989-11-08

    areas such as West Texas and the Gulf of Mexico . Only a small percentage of flight time is involved Vithflight over occupied areas such as Bergstrom AFB...of Mexico prevail during the mmer. Tropical storms occasionally occur in the area bringing strong winds and significant amounts of precipitation...Possibility of groundwater contamination by volatile organic carbons (VOCs), petroleum hydrocarbons and lead are being addressed. 26 I 2. MOCAS spill at motor

  20. Ground-water geology of Grayson County, Texas

    Science.gov (United States)

    Baker, E.T.

    1963-01-01

    Grayson County in north-central Texas is near the north edge of the West Gulf Coastal Plain. The county has an area of 927 square miles and had an estimated population of 79,500 in 1957. The major town is Sherman, which has an estimated population of 31,000. The northern two-thirds of the county is drained by tributaries of the Red River; the southern one-third is drained by tributaries of the Trinity River

  1. State Agency Applications of EOS Data in Texas

    Science.gov (United States)

    Wells, G. L.

    2001-05-01

    monitored using 5-day, cloud-free NDVI composites of AVHRR data collected by the receiving station operated by the University of Texas Center for Space Research. A late-summer outbreak of red tide in the Gulf of Mexico was observed on a daily basis using SeaWiFS data collected by the same receiving station. The distribution of invasive salt cedar was determined along river and stream courses in West Texas using Landsat 7 ETM+ data, as was the extent of irrigated cropland in several areas of the southern High Plains. One of the most important services provided by the Texas Synergy project is remote sensing and GIS support for the Governor's Division of Emergency Management in response to natural and man-made disasters. A prime example of this function occurred during the May 2000 outbreak of wildfires in the West, when a 47,000-acre blaze erupted in the Glass Mountains of the Trans-Pecos region. Landsat 7 ETM+ imagery was used to determine surface water availability and to construct 3D terrain views of areas for potential firebreak construction. A Landsat image collected immediately after the fire permitted accurate assessment of the acreage and fuels consumed. Future work by the Texas Synergy team will focus on ArcIMS map service development to deliver operational data applications to meet specific state agency needs. A major goal is the implementation of a data delivery system sufficiently robust to ensure rapid access to large geospatial datasets over the Internet.

  2. [The conscientious objection among pharmacists in the Slovak Republic].

    Science.gov (United States)

    Ambrus, Tünde; Kolář, Jozef; Krempaská, Radka

    2016-01-01

    There were two primary objectives of this study: 1. bibliographic analysis of literature on pharmacists and conscientious objection, 2. analysis of present condition and attitudes of pharmacists (n = 100) and pharmacy students (n = 100) towards conscientious objection in the Slovak Republic. Data were obtained from the survey using by questionnaire.Almost all, 191 (95.5%) respondents knew the phrase "conscientious objection". The respondents claimed this right to refuse filling prescriptions written for emergency post-coital contraception in 43.5%, and dispensing of hormonal contraception in 26.5%. Most participants, 178 (89.0%) think that pharmacists have the right to conscientious objection. 65 respondents (32.5%) implement this right in their practice.Key words: conscientious objection pharmacists pharmacy students Pro-life pharmacies.

  3. Pharmacists' and general practitioners' pharmacology knowledge and pharmacotherapy skills

    NARCIS (Netherlands)

    Keijsers, Carolina J P W; Leendertse, Anne J|info:eu-repo/dai/nl/30482061X; Faber, Adrianne; Brouwers, Jacobus R B J; de Wildt, Dick J; Jansen, Paul A F

    Understanding differences in the pharmacology knowledge and pharmacotherapy skills of pharmacists and physicians is vital to optimizing interprofessional collaboration and education. This study investigated these differences and the potential influence of work experience. The pharmacology knowledge

  4. The role of pharmacists in diabetes management in Zanzibar and ...

    African Journals Online (AJOL)

    admin

    ... with non-adherence to medication regimen and symptoms of their disease conditions. Diabetes- ... Key words: Pharmacists, diabetes, patients, pharmacies, anti-diabetic drugs. INTRODUCTION ... disease itself [10-12]. The incidence of heart.

  5. Evaluation of the Perception of Community Pharmacists Regarding ...

    African Journals Online (AJOL)

    Thematic content analysis yielded 5 major themes: (a) provision of pharmacy services to ... Community pharmacist, Patient care, Pakistan, Qualitative methodology. ... International Pharmaceutical Abstract, Chemical Abstracts, Embase, Index ...

  6. Pharmacist's Intervention in the Control of Blood Sugar Levels in ...

    African Journals Online (AJOL)

    ... the fasting blood sugar (FBS), glycosylated hemoglobin (HbA1c), body mass ... with intervention by the pharmacists through counselling on lifestyle modification, ... to these patients and hence reduce mortality resulting from the disease.

  7. Pharmacists' and general practitioners' pharmacology knowledge and pharmacotherapy skills

    NARCIS (Netherlands)

    Keijsers, Carolina J P W; Leendertse, Anne J|info:eu-repo/dai/nl/30482061X; Faber, Adrianne; Brouwers, Jacobus R B J; de Wildt, Dick J; Jansen, Paul A F

    2015-01-01

    Understanding differences in the pharmacology knowledge and pharmacotherapy skills of pharmacists and physicians is vital to optimizing interprofessional collaboration and education. This study investigated these differences and the potential influence of work experience. The pharmacology knowledge

  8. Pharmacist conscience clauses and access to oral contraceptives.

    Science.gov (United States)

    Flynn, D P

    2008-07-01

    The introduction of conscience clauses after the 1973 US Supreme Court decision in Roe v. Wade allowed physicians and nurses to opt out of medical procedures, particularly abortions, to which they were morally opposed. In recent years pharmacists have requested the same consideration with regard to dispensing some medicines. This paper examines the pharmacists' role and their professional and moral obligations to patients in the light of recent refusals by pharmacists to dispense oral contraceptives. A review of John Rawls's concepts of the "original position" and the "veil of ignorance", along with consideration of the concept of compartmentalisation, are used to assess pharmacists' requests and the moral and legal rights of patients to have their prescriptive needs met.

  9. Pharmacy Practice Research Abstracts: Canadian Pharmacists Conference 2017

    National Research Council Canada - National Science Library

    2017-01-01

    ... of prescription adaptation due to Pharmacare's modernized reference drug program S17 Clinical guide for community pharmacists to evaluate risks and manage QTc prolongation drug-drug interactions S18 Patients...

  10. Pharmacist intervention in drug-related problems for patients with ...

    African Journals Online (AJOL)

    Purpose: To investigate the role of the community pharmacist in identifying, preventing and ... drug related problems (DRPs) encountered by patients, with particular ..... patients since 2009, documentation of .... medication safety review clinics.

  11. Opinions of pharmacists and herbalists on herbal medicine use and ...

    African Journals Online (AJOL)

    2017-01-22

    Jan 22, 2017 ... courses in herbal medicine (HM) use by patients at pharmacy schools. Methods: This ... conventional drugs have been documented [5], but a patient's request ... pharmacists and herbalists is important to ensure patient safety.

  12. Pharmacist attire and its impact on patient preference

    OpenAIRE

    Cretton-Scott E; Johnson L; King S

    2011-01-01

    Objective: To determine the influence of demographics on patient preferences for community pharmacist attire.Methods: A 10-item questionnaire was developed and administered to patients visiting a chain pharmacy or an independent pharmacy in the Birmingham, Alabama metropolitan area. Mann–Whitney was used to examine if statistical differences existed in chain versus independent pharmacy patient’s selections based on pharmacist attire.Results: A statistically significant difference in patient p...

  13. Key articles and guidelines for the emergency medicine pharmacist.

    Science.gov (United States)

    Thomas, Michael C; Acquisto, Nicole M; Patanwala, Asad E; Weant, Kyle A; Baker, Stephanie N

    2011-12-01

    Abstract Compilations of articles important to the pharmacist practicing in the emergency department have not been published. Consistent with other specialty areas of practice, a collection of important literature is valuable for both the new and experienced clinician. A diverse breadth of medical problems are represented that were felt to be the most pertinent issues facing the emergency medicine pharmacist; however, it is not intended to be a complete representation of available literature.

  14. No filter: A characterization of #pharmacist posts on Instagram.

    Science.gov (United States)

    Hindman, F Mark; Bukowitz, Alison E; Reed, Brent N; Mattingly, T Joseph

    The primary objective was to characterize the underlying intent of Instagram posts using the hashtag metadata term "#pharmacist" over a 1-year period. The secondary objective was to determine whether statistically significant relationships existed between the categories and the 2 dichotomous variables tested, self-portrayed images, and relation to health care. Retrospective, cross-sectional, mixed methods, exploratory, descriptive study. A review of available Instagram posts using the hashtag metadata "#pharmacist" from November 4, 2014, to November 3, 2015. Data were collected using software provided by NEXT Analytics. A sample of 14 random days was selected. Six hundred sixty-one Instagram posts containing "#pharmacist" in the caption. Categorization of post (including both picture and primary caption), self-portrayed images (i.e., "selfie"), and health care-related images. One thousand three hundred thirty-eight posts were collected from the 14-day sample. Of the posts, 661 (49.4%) were analyzed; the remainder were excluded for being written in a non-English language or containing "#pharmacist" in the comments of the post, rather than the primary caption; 19.7% of all posts fell into the Celebration category, followed by Work Experience and Advertisement with 18.6% and 12.6%, respectively. The remainder of the categories contained 10% or fewer posts. Less than 25% of posts were self-portrayed images, and 88% of posts were deemed health care-related. Instagram is an emerging social media platform that can be used to expand patient education, professional advocacy, and public health outreach. In this study, the majority of #pharmacist posts were celebratory in nature, and the majority were determined to be related to health care. Posts containing #pharmacist may provide the opportunity to educate the public regarding the knowledge and capabilities of pharmacists. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  15. Pharmacist's impact on acute pain management during trauma resuscitation.

    Science.gov (United States)

    Montgomery, Kayla; Hall, A Brad; Keriazes, Georgia

    2015-01-01

    The timely administration of analgesics is crucial to the comprehensive management of trauma patients. When an emergency department (ED) pharmacist participates in trauma resuscitation, the pharmacist acts as a medication resource for trauma team members and facilitates the timely administration of analgesics. This study measured the impact of a pharmacist on time to first analgesic dose administered during trauma resuscitation. All adult (>18 years) patients who presented to this level II trauma center via activation of the trauma response system between January 1, 2009, and May 31, 2013, were screened for eligibility. For inclusion, patients must have received intravenous fentanyl, morphine, or hydromorphone in the trauma bay. The time to medication administration was defined as the elapsed time from ED arrival to administration of first analgesic. There were 1328 trauma response system activations during the study period; of which 340 patients were included. The most common analgesic administered was fentanyl (62% in both groups). When a pharmacist was participating, the mean time to first analgesic administered was decreased (17 vs 21 minutes; P = .03). Among the 78% of patients with documented pain scores, the overall mean reduction in pain scores from ED arrival to ED discharge was similar between the 2 groups. There was a 2.4 point reduction with a pharmacist versus 2.7 without a pharmacist, using a 0 to 10 numeric pain rating scale. The participation of a clinical pharmacist during trauma resuscitation significantly decreased the time to first analgesic administration in trauma patients. The results of this study supplement the literature supporting the integration of clinical ED pharmacists on trauma teams.

  16. [Pharmacy and pharmacists in the novels of Orhan Pamuk].

    Science.gov (United States)

    Tekiner, Halil

    2012-05-01

    The Nobel Prize 2006 recipient turkish author Orhan Pamuk is among those who give place to pharmacy settings, pharmaceutical objects, and pharmacist characters through his fictional works, more specially in novels such as Cevdet Bey and His Sons (1982), The Silent House (1983), The White Castle (1985), The New Life (1994), Snow (2002), The Museum of Innocence (2006), Parts of Landscapes (2010) provide interesting descriptions of community pharmacies and pharmacists.

  17. 2009 US Army Corps of Engineers (USACE) Joint Airborne Lidar Bathymetry Technical Center of Expertise (JALBTCX) Topographic Lidar: South Texas Coast

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This Light Detection and Ranging (LiDAR) classified (ASPRS LAS classifications) dataset is a topographic survey conducted for the West Texas Aerial Survey 2009...

  18. Examination of why some community pharmacists do not provide 72-hour emergency prescription drugs to Medicaid patients when prior authorization is not available.

    Science.gov (United States)

    Shepherd, Marvin D

    2013-09-01

    Existing federal law requires that a 72-hour emergency supply of a prescription drug be dispensed to Medicaid patients when prior authorization (PA) is not available and the medication is needed without delay. The pharmacist's role is to contact prescribers and inform them that PA is needed. If the prescriber cannot be reached, the pharmacist can dispense a 72-hour emergency supply. To determine (a) the reasons why some community pharmacy owners/managers, staff pharmacists, and technicians are not compliant with the law; (b) how often the decision is made; and (c) estimate how often pharmacies do not dispense the 72-hour emergency supply when PA is not available. A questionnaire was mailed to selected Texas community pharmacies. The instrument was developed by the researcher and reviewed by the Texas Medicaid Vendor Drug Program staff. The University of Texas, Office of Survey Research collected the data in September and October of 2011 by mail and online. The data were forwarded to the researcher for analyses. A total of 788 identified community pharmacies were mailed a packet containing 3 questionnaires to be completed by the pharmacist-in-charge, a staff pharmacist, and a pharmacy technician. There were 2 mailings of the questionnaire packet and follow-up telephone calls to nonrespondents. A total of 653 questionnaires were completed and returned from 288 community pharmacies (36.7%) out of 788 pharmacies that were mailed the questionnaire packets. A total of 368 (57.5%) completed questionnaires came from chain store pharmacy respondents and 272 (42.5%) questionnaires from independent pharmacy respondents. A total of 21.3% (n = 134) of the respondents indicated that they were not aware of the federal and state requirement to dispense a 72-hour emergency supply of a prescription drug to Medicaid patients when prior authorization (PA) is not available. A greater proportion of the chain store respondents (26.6%) were unaware of the requirement compared with the

  19. Los Elefantes Rosas en las Cupulas en la Legislatura: An Empirical Analysis of the Texas Education Finance Mechanism with Special Emphasis on Bilingual Education

    Science.gov (United States)

    Rolle, Anthony; Torres, Mario; Eason, Noelle

    2010-01-01

    The State of Texas' education finance mechanism--known as the Foundation School Program (FSP)--was challenged in a series of litigation known as "Edgewood v. Kirby I-IV" and "West Orange Cove I-II". Though the state Supreme Court's holding ultimately moved the Texas Assembly to make changes in the funding mechanism, not since…

  20. Los Elefantes Rosas en las Cupulas en la Legislatura: An Empirical Analysis of the Texas Education Finance Mechanism with Special Emphasis on Bilingual Education

    Science.gov (United States)

    Rolle, Anthony; Torres, Mario; Eason, Noelle

    2010-01-01

    The State of Texas' education finance mechanism--known as the Foundation School Program (FSP)--was challenged in a series of litigation known as "Edgewood v. Kirby I-IV" and "West Orange Cove I-II". Though the state Supreme Court's holding ultimately moved the Texas Assembly to make changes in the funding mechanism, not since…

  1. Los Elefantes Rosas en las Cupulas en la Legislatura: An Empirical Analysis of the Texas Education Finance Mechanism with Special Emphasis on Bilingual Education

    Science.gov (United States)

    Rolle, Anthony; Torres, Mario; Eason, Noelle

    2010-01-01

    The State of Texas' education finance mechanism--known as the Foundation School Program (FSP)--was challenged in a series of litigation known as "Edgewood v. Kirby I-IV" and "West Orange Cove I-II". Though the state Supreme Court's holding ultimately moved the Texas Assembly to make changes in the funding mechanism, not since the 1980s has there…

  2. Utilisation of community pharmacists by the general public in Malaysia.

    Science.gov (United States)

    Chua, Siew Siang; Lim, Kien Ping; Lee, Hong Gee

    2013-02-01

    The study was conducted to assess how the general public in the Klang Valley, Malaysia, utilised community pharmacists. This was a prospective observational study which documented interactions between community pharmacists and their customers. A researcher was stationed in 10 participating community pharmacies around the Klang Valley to observe and record all the interactions, using a structured data-collection form. KEYS FINDINGS: Interactions between 1914 customers and the pharmacists of the 10 community pharmacies were recorded. A total of 2199 requests were made by these customers. The main types of request were for medications by brand name (32.2%), advice on minor health problems (25.9%) and for health supplements (11.7%). Only 65 prescriptions were received by the community pharmacies; that is, fewer than two prescriptions per pharmacy per day. The pharmacists provided counselling for only 54.4% of the requests where a medication or health supplement was dispensed. Counselling by pharmacist was significantly associated with the type of request (P Malaysia was to purchase a particular medication. Few prescriptions were filled at community pharmacies in Malaysia, indicating the under-utilisation of community pharmacists as a safety net for prescribed medications in primary care. © 2012 The Authors. IJPP © 2012 Royal Pharmaceutical Society.

  3. [Specialist pharmacist training from the viewpoint of sports pharmacology].

    Science.gov (United States)

    Kasashi, Kumiko

    2012-01-01

    When athletes consult sports outpatient or orthopedic clinics it is possible to undergo drug treatment with the medical staff having prior knowledge of that patient being an athlete. However, if athletes seek any other diagnosis and treatment as an ordinary patient, the possibility of medical staff realizing the potential for imposing a doping issue on the athlete is extremely low. As a result, if the athlete fails to provide medical staff with information regarding anti-doping regulations when receiving clinical treatment, drug treatment administered as part of medical practices could be viewed as doping, resulting in the athlete being disciplined. In order to avoid this, pharmacist should participate in training in order to be able to provide information for anti-doping purposes. It is my personal opinion that knowledge regarding anti-doping is something that should be shared by all pharmacists, as pharmacists are educated in the fields of pharmacology and pharmacokinetics during the pharmacy education process, and sports pharmacology is a part of this. However, in order for pharmacists to understand sports pharmacology, it is necessary to provide education not only on the benefits and adverse effects of pharmaceutical products, but also on the concept of banned substances. It can be considered one of the pharmacist's duties to protect athletes who purchase drugs at a pharmacy or consult medical institutions as patients. With this, I would like to propose considering the potential for introducing sports pharmacology to pharmaceutical education, and specialist pharmacist training in the sports spectrum.

  4. Comparison of Pharmacist and Physician Managed Annual Medicare Wellness Services.

    Science.gov (United States)

    Sewell, Mary Jean; Riche, Daniel M; Fleming, Joshua W; Malinowski, Scott S; Jackson, R Terry

    2016-12-01

    Medicare Annual Wellness Visits (AWV) are a benefit provided for Medicare beneficiaries to increase focus on wellness and preventive measures. Pharmacists can conduct AWVs, which offers a potential avenue for outpatient revenue generation. To compare a composite of interventions and screenings and revenue generated by a pharmacist with those made by a physician during a subsequent AWV. A report generated through the electronic health record was used to determine AWVs conducted by a pharmacist or 3 participating physicians from December 2013 to March 2016, including revenue generated. Through electronic chart review, documentation was accessed to quantify and categorize the number and types of referrals, health advice, laboratory tests, procedures, vaccinations, and screenings that were recommended during each patient's AWV. The pharmacist performed 19 subsequent visits, and the 3 physicians performed 89 subsequent visits. Overall, the composite of interventions and screenings was significantly higher in the pharmacist group than the physician group (P = 0.03). More interventions were made in the areas of health advice (P = 0.020), vaccine recommendations (P = 0.009), and screenings in the pharmacist group (P Malinowski, Jackson, and Fleming were involved in study design and manuscript preparation/approval. Jackson was involved in data collection, and Richie and Sewell were involved in data collection and data analysis. Sewell and Richie had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

  5. The role of the pharmacist in home health care.

    Science.gov (United States)

    McAllister, J C

    1985-04-01

    Home infusion services, a new facet of home health care (HHC) delivery, have created many new opportunities for hospital pharmacists to participate more actively in patient care. These opportunities can create new roles for the pharmacist as an educator, clinician, and administrator. Early efforts must be made to educate hospital administrators, physicians, and other allied health personnel regarding the advantages and disadvantages of providing HHC--from the perspective of both patients and institutions. The pharmacist can also collect data to assist in determining the extent to which the institution should participate in HHC delivery, and should coordinate the hospital's efforts to initiate home infusion services. Pharmacists should play an active role in screening, selecting, and training patients for HHC before discharge. The input of pharmacists in drug product selection and assistance in product compounding can ensure optimal patient outcomes and minimize costs. Clinical monitoring activities conducted by the pharmacist can include telephone interviews with patients at home and assessment of clinical progress during scheduled return visits to the clinic.

  6. Canadian community pharmacists' use of digital health technologies in practice.

    Science.gov (United States)

    Leung, Valerie; Tharmalingam, Sukirtha; Cooper, Janet; Charlebois, Maureen

    2016-01-01

    In 2010, a pan-Canadian study on the current state and benefits of provincial drug information systems (DIS) found that substantial benefits were being realized and that pharmacists perceived DIS to be a valuable tool in the evolving models of pharmacy practice. To understand changes in digital health and the impact on practice since that time, a survey of community pharmacists in Canada was conducted. In 2014, Canada Health Infoway (Infoway) and the Canadian Pharmacists Association (CPhA) invited community pharmacists to participate in a Web-based survey to understand their use and perceived benefits of digital health in practice. The survey was open from April 15 to May 12, 2014. Of the 447 survey responses, almost all used some form of digital health in practice. Those with access to DIS and provincial laboratory information systems (LIS) reported increased productivity and better quality of care. Those without access to these systems would overwhelmingly like access. There have been significant advances in digital health and community pharmacy practice over the past several years. In addition to digital health benefits in the areas of productivity and quality of care, pharmacists are also experiencing substantial benefits in areas related to recently expanded scope of practice activities such as ordering lab tests. Community pharmacists frequently use digital health in practice and recognize the benefits of these technologies. Digital health is, and will continue to be, a key enabler for practice transformation and improved quality of care. Can Pharm J (Ott) 2016;149:xx-xx.

  7. British pharmacists' work-life balance - is it a problem?

    Science.gov (United States)

    Seston, Elizabeth; Hassell, Karen

    2014-04-01

    Using a validated tool, the study aimed to explore pharmacists' experiences of maintaining work/life balance in a large, nationally representative sample of pharmacists in Great Britain (GB). A two-page postal questionnaire was sent in 2008 to all GB-domiciled pharmacists who were registered with the regulatory body for pharmacy in GB (just over 44 000 pharmacists). Demographic information, work patterns and other employment data were collected and analysed using regression techniques to explore the link between these characteristics and a validated measure of work/life balance. The response rate to the census was 69.6% (n = 30 517). Eighty-three per cent (n = 25 243) of respondents were working as a pharmacist and were therefore eligible to complete the work/life balance statements. The results reported here relate to 12 364 individuals who had full data for the work/life balance scale and the demographic and work variables. Findings indicate that age, ethnicity, having caring responsibilities, sector of practice, hours of work and type of job are significant predictors of work/life balance problems. Pharmacy employers and government should recognise the changing demographic characteristics of the profession and consider what support might be available to the workforce to help alleviate work/life balance problems being experienced by certain groups of pharmacists. © 2013 Royal Pharmaceutical Society.

  8. Maslach Burnout Inventory: factor structures for pharmacists in health maintenance organizations and comparison with normative data for USA pharmacists.

    Science.gov (United States)

    Gupchup, G V; Lively, B T; Holiday-Goodman, M; Siganga, W W; Black, C D

    1994-06-01

    This study compared the factor structure and burnout scores obtained on the Maslach Burnout Inventory from 84 pharmacists in Health Maintenance Organizations (HMO) with the normative data for USA pharmacists. Results provided empirical support for the reliability and validity of the inventory to measure burnout within the profession of pharmacy. Values of Cronbach coefficient alpha for subscales of Emotional Exhaustion, Depersonalization, and Personal Accomplishment were similar to those obtained with the normative sample. Factor analysis was conducted to yield the best three-factor solution. Derived factor loadings matched the three hypothesized subscales. On Personal Accomplishment the mean subscale score for HMO pharmacists was significantly higher than the normative score. Given limitations of the small sample, research is indicated to substantiate use of the inventory among HMO pharmacists.

  9. Abandoned Texas oil fields

    Energy Technology Data Exchange (ETDEWEB)

    1980-12-01

    Data for Texas abandoned oil fields were primarily derived from two sources: (1) Texas Railroad Commission (TRRC), and (2) Dwight's ENERGYDATA. For purposes of this report, abandoned oil fields are defined as those fields that had no production during 1977. The TRRC OILMASTER computer tapes were used to identify these abandoned oil fields. The tapes also provided data on formation depth, gravity of oil production, location (both district and county), discovery date, and the cumulative production of the field since its discovery. In all, the computer tapes identified 9211 abandoned fields, most of which had less than 250,000 barrel cumulative production. This report focuses on the 676 abandoned onshore Texas oil fields that had cumulative production of over 250,000 barrels. The Dwight's ENERGYDATA computer tapes provided production histories for approximately two-thirds of the larger fields abandoned in 1966 and thereafter. Fields which ceased production prior to 1966 will show no production history nor abandonment date in this report. The Department of Energy hopes the general availability of these data will catalyze the private sector recovery of this unproduced resource.

  10. The pharmacist as prescriber: a discourse analysis of newspaper media in Canada.

    Science.gov (United States)

    Schindel, Theresa J; Given, Lisa M

    2013-01-01

    Legislation to expand the scope of practice for pharmacists to include authority to independently prescribe medications in Alberta, Canada was announced in 2006 and enacted in April 2007. To date, very little research has explored public views of pharmacist prescribing. This study analyzes newspaper media coverage of pharmacist prescribing 1 year before and 2 years after prescribing was implemented. News items related to pharmacist prescribing were retrieved from 2 national, Canadian newspapers and 5 local newspapers in Alberta over a 3-year period after the announcement of pharmacist prescribing. A purposive sample of 66 texts including news items, editorials, and letters were retrieved electronically from 2 databases, Newscan and Canadian Newsstand. This study uses social positioning theory as a lens for analyzing the discourse of pharmacist prescribing. The results demonstrate a binary positioning of the debate on pharmacist prescribing rights. Using social positioning theory as a lens for analysis, the results illustrate self- and other-positioning of pharmacists' expected roles as prescribers. Themes related to the discourse on pharmacist prescribing include qualifications, diagnosis, patient safety, physician support, and conflict of interest. Media representations of pharmacist prescribing point to polarized views that may serve to shape public, pharmacist, physician, and others' opinions of the issue. Multiple and contradictory views of pharmacist prescribing coexist. Pharmacists and pharmacy organizations are challenged to bring clarity and consistency about pharmacist prescribing to better serve the public interest in understanding options for health care services. Copyright © 2013 Elsevier Inc. All rights reserved.

  11. Libraries in Texas: MedlinePlus

    Science.gov (United States)

    ... this page: https://medlineplus.gov/libraries/texas.html Libraries in Texas To use the sharing features on ... Amarillo Texas Tech University Health Sciences Center Harrington Library of the Health Sciences 1400 Wallace Boulevard Amarillo, ...

  12. Perceptions of pharmacists' roles in the era of expanding scopes of practice.

    Science.gov (United States)

    Schindel, Theresa J; Yuksel, Nese; Breault, Rene; Daniels, Jason; Varnhagen, Stanley; Hughes, Christine A

    Alberta was the first province in Canada to enact legislative changes to permit expansion of pharmacists' scope of practice, including allowing pharmacists to prescribe. However, such changes to the scope of practice can blur professional boundaries and obscure the roles of pharmacists. Understanding perceptions about the pharmacist's role may provide insight into recent and historical changes in pharmacy practice. This study clarifies perceptions held by pharmacists and other stakeholders concerning the role of the pharmacist in society. To understand the perceptions of pharmacists, pharmacy students, technicians, other health care professionals, and the public of the pharmacist's role in Alberta. A mixed methods approach was used: focus group sessions (n = 9) and individual interviews (n = 4) of pharmacists and other stakeholders were conducted and analyzed using qualitative-descriptive approach. A web-based survey of Alberta pharmacists (n = 416) explored pharmacists' perceptions of their own roles. Data analysis revealed the following: participants perceived that the pharmacist's role was transitioning to focus more on patient care; consistency in pharmacist uptake of this new role shaped the public's expectations; pharmacists with expanded scopes of practice were assuming greater responsibility; collaboration and relationships with other health care professionals were essential. The survey confirmed that changes in the roles of pharmacists were primarily related to patient care. Following legislative changes and implementation of a compensation framework for pharmacy services, pharmacists and other stakeholders perceived the pharmacist's role to be shifting toward patient care. Periodic revisiting of pharmacists' roles and professional activities is needed to evaluate changes over time. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Survey of community pharmacists' perception of electronic cigarettes in London

    Science.gov (United States)

    Marques Gomes, Ana C N; Nabhani-Gebara, Shereen; Kayyali, Reem; Buonocore, Federico; Calabrese, Gianpiero

    2016-01-01

    Objectives To seek community pharmacists' perception on use, safety and possible effectiveness of e-cigarettes as quit smoking tools, and their future regulation. Setting A survey of a sample of 154 community pharmacies across London, UK. Context E-cigarettes have exclusively established themselves in the market through consumers-led demand. To date, e-cigarettes still remain unregulated and can be easily purchased in shops, over the internet, but more controversially also in pharmacies in the UK. Pharmacists find themselves with a shortage of information on their safety and efficacy, and may experience an ethical dilemma when consulted by patients/customers. Key findings Response rate: 60% (n=92). Independent pharmacies accounted for 90% of the sample. The majority of participants (73%) sell e-cigarettes. A minority of participants (20%) have been presented with adverse effects such as cough and dry mouth. As possible reasons for their use, pharmacists ranked ‘aid in stop smoking’ as the most important (56%), with ‘cheaper alternative’ (43%) and ‘social/recreational use’ (31%) being the least important ones. Safety issues were raised as statements such as ‘e-liquid in cartridges may be toxic’ were agreed by 52% of respondents. The majority of pharmacists (97%) were supportive of e-cigarettes being regulated, expressing current concerns regarding excipients (42%) and nicotine content (34%). Participants indicated that they would require training in the form of information packs (88%), online tutorials (67%), continuous professional development (CPD) workshops (43%) to cover safety, counselling, dosage instructions, adverse effects and role in the smoking cessation care pathway in the future. Conclusions Pharmacists expressed concerns about the safety of e-cigarettes, especially regarding the amounts of excipients and nicotine as these still remain unregulated. Currently, there are no guidelines for pharmacists regarding e-cigarettes. Community

  14. Emerging roles for pharmacists in clinical implementation of pharmacogenomics.

    Science.gov (United States)

    Owusu-Obeng, Aniwaa; Weitzel, Kristin W; Hatton, Randy C; Staley, Benjamin J; Ashton, Jennifer; Cooper-Dehoff, Rhonda M; Johnson, Julie A

    2014-10-01

    Pharmacists are uniquely qualified to play essential roles in the clinical implementation of pharmacogenomics. However, specific responsibilities and resources needed for these roles have not been defined. We describe roles for pharmacists that emerged in the clinical implementation of genotype-guided clopidogrel therapy in the University of Florida Health Personalized Medicine Program, summarize preliminary program results, and discuss education, training, and resources needed to support such programs. Planning for University of Florida Health Personalized Medicine Program began in summer 2011 under leadership of a pharmacist, with clinical launch in June 2012 of a clopidogrel-CYP2C19 pilot project aimed at tailoring antiplatelet therapies for patients undergoing percutaneous coronary intervention and stent placement. More than 1000 patients were genotyped in the pilot project in year 1. Essential pharmacist roles and responsibilities that developed and/or emerged required expertise in pharmacy informatics (development of clinical decision support in the electronic medical record), medication safety, medication-use policies and processes, development of group and individual educational strategies, literature analysis, drug information, database management, patient care in targeted areas, logistical issues in genetic testing and follow-up, research and ethical issues, and clinical precepting. In the first 2 years of the program (1 year planning and 1 year postimplementation), a total of 14 different pharmacists were directly and indirectly involved, with effort levels ranging from a few hours per month, to 25-30% effort for the director and associate director, to nearly full-time for residents. Clinical pharmacists are well positioned to implement clinical pharmacogenomics programs, with expertise in pharmacokinetics, pharmacogenomics, informatics, and patient care. Education, training, and practice-based resources are needed to support these roles and to

  15. Student pharmacist initiated medication reconciliation in the outpatient setting

    Directory of Open Access Journals (Sweden)

    Andrus MR

    2012-06-01

    Full Text Available The Joint Commission continues to emphasize the importance of medication reconciliation in all practice settings. Pharmacists and student pharmacists are uniquely trained in this aspect of patient care, and can assist with keeping accurate and complete medication records through patient interview in the outpatient setting.Objective: The objective of this study was to quantify and describe medication reconciliation efforts by student pharmacists in an outpatient family medicine center.Methods: A retrospective review was conducted of all standard medication reconciliation forms completed by student pharmacists during patient interviews from April 2010 to July 2010. The number of reviews conducted was recorded, along with the frequency of each type of discrepancy. A discrepancy was defined as any lack of agreement between the medication list in the electronic health record (EHR and the patient-reported regimen and included any differences in dose or frequency of a medication, duplication of the same medication, medication no longer taken or omission of any medication.Results: A total of 213 standard medication forms from the 4 month period were reviewed. A total of 555 discrepancies were found, including medications no longer taken, prescription medications that needed to be added to the EHR, over-the-counter(OTC and herbal medications that needed to be added to the EHR, medications taken differently than recorded in the EHR, and medication allergies which needed to be updated. An average of 2.6 discrepancies was found per patient interviewed.Conclusion: Student pharmacist-initiated medication reconciliation in an outpatient family medicine center resulted in the resolution of numerous discrepancies in the medication lists of individual patients. Pharmacists and student pharmacists are uniquely trained in medication history taking and play a vital role in medication reconciliation in the outpatient setting.

  16. The Role of Medicinal Cannabis in Clinical Therapy: Pharmacists' Perspectives.

    Directory of Open Access Journals (Sweden)

    Sami Isaac

    Full Text Available Medicinal cannabis has recently attracted much media attention in Australia and across the world. With the exception of a few countries, cannabinoids remain illegal-known for their adverse effects rather than their medicinal application and therapeutic benefit. However, there is mounting evidence demonstrating the therapeutic benefits of cannabis in alleviating neuropathic pain, improving multiple sclerosis spasticity, reducing chemotherapy induced nausea and vomiting, and many other chronic conditions. Many are calling for the legalisation of medicinal cannabis including consumers, physicians and politicians. Pharmacists are the gatekeepers of medicines and future administrators/dispensers of cannabis to the public, however very little has been heard about pharmacists' perspectives. Therefore the aim of this study was to explore pharmacists' views about medicinal cannabis; its legalisation and supply in pharmacy.Semi-structured interviews with 34 registered pharmacists in Australia were conducted. All interviews were audio-recorded, transcribed ad verbatim and thematically analysed using the NVivo software.Emergent themes included stigma, legislation, safety and collaboration. Overall the majority of pharmacists felt national legalisation of a standardised form of cannabis would be suitable, and indicated various factors and strategies to manage its supply. The majority of participants felt that the most suitable setting would be via a community pharmacy setting due to the importance of accessibility for patients.This study explored views of practicing pharmacists, revealing a number of previously undocumented views and barriers about medicinal cannabis from a supply perspective. There were several ethical and professional issues raised for consideration. These findings highlight the important role that pharmacists hold in the supply of medicinal cannabis. Additionally, this study identified important factors, which will help shape future

  17. A waste walk through clinical pharmacy: how do the 'seven wastes' of Lean techniques apply to the practice of clinical pharmacists.

    Science.gov (United States)

    Green, Christopher F; Crawford, Victoria; Bresnen, Gaynor; Rowe, Philip H

    2015-02-01

    This study used a 'Lean' technique, the 'waste walk' to evaluate the activities of clinical pharmacists with reference to the seven wastes described in 'Lean' including 'defects', 'unnecessary motion', 'overproduction', 'transport of products or material', 'unnecessary waiting', 'unnecessary inventory' and 'inappropriate processing'. The objectives of the study were to categorise the activities of ward-based clinical pharmacists into waste and non-waste, provide detail around what constitutes waste activity and quantify the proportion of time attributed to each category. This study was carried out in a district general hospital in the North West of England. Staff were observed using work-sampling techniques, to categorise activity into waste and non-waste, with waste activities being allocated to each of the seven wastes described earlier and subdivided into recurrent themes. Twenty different pharmacists were observed for 1 h on two separate occasions. Of 1440 observations, 342 (23.8%) were categorised as waste with 'defects' and 'unnecessary motion' accounting for the largest proportions of waste activity. Observation of clinical pharmacists' activities has identified that a significant proportion of their time could be categorised as 'waste'. There are practical steps that could be implemented in order to ensure their time is used as productively as possible. Given the challenges facing the UK National Health Service, the adoption of 'Lean' techniques provides an opportunity to improve quality and productivity while reducing costs. © 2014 Royal Pharmaceutical Society.

  18. Optimizing pharmacotherapy in elderly patients: the role of pharmacists

    Directory of Open Access Journals (Sweden)

    Lee JK

    2015-08-01

    Full Text Available Jeannie K Lee,1 Samah Alshehri,1,2 Hussam I Kutbi,1,2 Jennifer R Martin1,3 1Pharmacy Practice and Science, University of Arizona College of Pharmacy, Tucson, AZ, USA; 2Department of Clinical Pharmacy, King Abdulaziz University College of Pharmacy, Jeddah, Saudi Arabia; 3Arizona Health Sciences Library, University of Arizona, Tucson, AZ, USA Abstract: As the world's population ages, global health care systems will face the burden of chronic diseases and polypharmacy use among older adults. The traditional tasks of medication dispensing and provision of basic education by pharmacists have evolved to active engagement in direct patient care and collaborative team-based care. The care of older patients is an especially fitting mission for pharmacists, since the key to geriatric care often lies with management of chronic diseases and polypharmacy use, and preventing harmful consequences of both. Because most chronic conditions are treated with medications, pharmacists, with their extensive training in pharmacotherapy and pharmacokinetics, are in a unique and critical position in the management of them. Pharmacists have the expertise to detect, resolve, and prevent medication errors and drug-related problems, such as overtreatment, undertreatment, adverse drug events, and nonadherence. Pharmacists are also competent in critically reviewing and applying clinical guidelines to the care of individual patients, and in some instances confront the lack of data (common in older adults to provide the best possible patient-centered care. The current review aimed to depict the evidence of geriatric pharmacy care, demonstrate current impact of pharmacists’ interventions on older patients, survey the tools used by pharmacists to provide effective care, and explore their role in pharmacotherapy optimization in elders. The findings of the current review strongly support previous studies that showed positive impact of pharmacists’ interventions on older

  19. A Survey for Assessment of Role of Pharmacist in Community

    Directory of Open Access Journals (Sweden)

    P Kapur

    2009-12-01

    Full Text Available

    Objective: To assess the role of pharmacist in community setting & consumer’s perception in National Capital
    Region.
    Setting: The study was conducted in National Capital Region of India during the year 2003-04.
    Method: Four pharmacy shops were selected for this study which were not attached to any hospital or clinic. Seventy
    seven consumers, who visited these pharmacies during the study period, were selected for this study and
    interviewed just after they visited the pharmacy.
    Key findings: A total of 77 consumers in the age group of 11 to 72 years were included in the present study, of
    which 66.2% were males and 33.8% were females. It is observed that 46.7% consumers came for prescription
    medicines, 23.4% for over the counter medicines. Close to general physicians’ clinics and proximity to home
    were most important reasons given for visiting particular pharmacy. Majority of the consumers (n=56, 72.7%
    rated the advice given by the pharmacist as very useful, only 1(1.3% rated it as not useful at all and 2 (2.6%
    consumers did not respond. Among consumer groups 31 (40.3% thought that pharmacist has a good balance
    between health and business matter and 35.7% were in opinion that pharmacist is more concerned with making
    money, while 5.2% supported that the pharmacist is also interested in the health of his/her customers. The pharmacists
    were ranked at the top with 28(36.4% by the consumers and favoured pharmacy as the most convenient
    place to get advice about staying healthy.
    Conclusion: Most of the consumers in the present study were of the opinion that pharmacist is concerned with the
    health of the consumers, though he/she is also interested in making money. Many respondents were unaware
    about the difference between pharmacist and doctor, most of them consider

  20. Sleep health awareness in pharmacy undergraduates and practising community pharmacists.

    Science.gov (United States)

    Tze-Min Ang, K; Saini, B; Wong, K

    2008-12-01

    Pharmacists are in an optimal position to provide health care to patients with sleep disorders, however, at present their involvement in sleep services is limited. This study aimed to (i) establish an understanding of baseline levels of sleep health awareness, and attitudes towards sleep health in pharmacists and pharmacy undergraduate students in comparison with sleep physicians and (ii) collate the expressed preferences for sleep health training by final year pharmacy undergraduate students and practising community pharmacists. Two previously validated instruments, the Dartmouth sleep knowledge survey and the ASKME (attitudes section) were used to construct a self-report style questionnaire. Data from respondents were collated and analysed to evaluate differences in responses and test scores between the groups, using the statistical software package-spss 14.0. Responses from 14 specialized sleep pharmacists, 14 general community pharmacists, 134 final-year undergraduate pharmacy students and 26 sleep physicians were obtained. The mean knowledge score per cent (35.5 +/- 14.0% for students, 48.2 +/- 19.5% for general and 50.6 +/- 16.6% for specialized sleep pharmacists, 86.7 +/- 9.3% for sleep physicians) and attitudes scores (37.3 +/- 4.0 for students, 37.2 +/- 5.4 for general and 40.3 +/- 5.3 for sleep specialist pharmacists, 42.6 +/- 4.7 for sleep physicians, expressed as a score out of 50) were significantly different between groups (Kruskal-Wallis test, P preferences for future training formats and topics. There is a need to improve practising pharmacists' as well as undergraduate students' knowledge of sleep health. The positive attitude reported by the respondents indicates a high level of interest in acquiring knowledge and suggests that a tailored educational programme would be well received and timely. These results provide a valid indication of the pharmacy profession's expressed and actual training needs, and should be used to inform the design

  1. Identification of major factors in Australian primary care pharmacists.

    Science.gov (United States)

    Jackson, John K; Hussainy, Safeera Y; Kirkpatrick, Carl M J

    2016-09-16

    Objective The aim of the present study was to describe an environmental framework for pharmacists in primary care in Australia and determine the major factors within that environment that have the greatest bearing on their capacity to implement patient-focused models of professional practice.Methods A draft framework for pharmacists' practice was developed by allocating structures, systems and related factors known to the researchers or identified from the literature as existing within pharmacists' internal, operational and external environments to one of five domains: Social, Technological, Economic, Environmental or Political [STEEP]. Focus groups of pharmacists used an adapted nominal group technique to assess the draft and add factors where necessary. Where applicable, factors were consolidated into groups to establish a revised framework. The three major factors or groups in each domain were identified. The results were compared with the enabling factors described in the profession's vision statement.Results Seventy-eight individual factors were ultimately identified, with 86% able to be grouped. The three dominant groups in each of the five domains that had a bearing on the implementation of professional models of practice were as follows: (1) Social: the education of pharmacists, their beliefs and the capacity of the pharmacist workforce; (2) Technological: current and future practice models, technology and workplace structures; (3) Economic: funding of services, the viability of practice and operation of the Pharmaceutical Benefits Scheme; (4) Environmental: attitudes and expectations of stakeholders, including consumers, health system reform and external competition; and (5) Political: regulation of practice, representation of the profession and policies affecting practice.Conclusions The three dominant groups of factors in each of the five STEEP environmental domains, which have a bearing on pharmacists' capacity to implement patient-focused models of

  2. Correlates of Prescription Opioid Legitimacy Judgments Among Community Pharmacists.

    Science.gov (United States)

    Hagemeier, Nicholas E; Alamian, Arsham; Murawski, Matthew M; Flippin, Heather; Hagy, Elizabeth J; Pack, Robert P

    2016-05-11

    Community pharmacists are legally required to evaluate and confirm the legitimacy of prescription opioids (POs) prior to dispensing. Yet, previous research has indicated community pharmacists perceive nearly 50% of dispensed POs to be issued lacking a legitimate medical purpose. To analyze correlates of PO legitimacy judgments across pharmacist and pharmacy setting characteristics. A cross-sectional study of 2000 Tennessee pharmacists was conducted during October and November of 2012. Community pharmacists' self-reported attitudes, beliefs, and behaviors specific to PO legitimacy were elicited. Step-wise multinomial logistic regression techniques were used to model correlates of PO legitimacy across low, moderate and high PO legitimacy estimations. Being female, practicing in a chain or independent practice setting, fear of employer disciplinary action if PO legitimacy is questioned, and self-confidence in one's ability to detect PO abuse increased the odds of low (vs. high) PO legitimacy estimation (p chain and independent pharmacies, having POs as a greater percent of total prescriptions filled, and having the perception of PO abuse as a problem in the practice setting were significant positive correlates of moderate (vs high) PO legitimacy estimation (p < 0.05). Both modifiable and non-modifiable correlates were statistically significantly associated with PO legitimacy judgments. Distinct correlates were noted across low and moderate as compared to high estimations of PO legitimacy. Legitimacy judgments can inform theoretical exploration of PO dispensing behaviors and inform intervention development targeted at reducing and preventing prescription drug abuse.

  3. The palliative care interdisciplinary team: where is the community pharmacist?

    Science.gov (United States)

    O'Connor, Moira; Pugh, Judith; Jiwa, Moyez; Hughes, Jeff; Fisher, Colleen

    2011-01-01

    Palliative care emphasizes an interdisciplinary approach to care to improve quality of life and relieve symptoms. Palliative care is provided in many ways; in hospices, hospital units, and the community. However, the greatest proportion of palliative care is in the community. In hospice and palliative care units in hospitals, clinical pharmacists are part of the interdisciplinary team and work closely with other health care professionals. Their expertise in the therapeutic use of medications is highly regarded, particularly as many palliative care patients have complex medication regimens, involving off-label or off-license prescribing that increases their risk for drug-related problems. However, this active involvement in the palliative care team is not reflected in the community setting, despite the community pharmacist being one of the most accessible professionals in the community, and visiting a community pharmacist is convenient for most people, even those who have limited access to private or public transport. This may be due to a general lack of understanding of skills and knowledge that particular health professionals bring to the interdisciplinary team, a lack of rigorous research supporting the necessity for the community pharmacist's involvement in the team, or it could be due to professional tensions. If these barriers can be overcome, community pharmacists are well positioned to become active members of the community palliative care interdisciplinary team and respond to the palliative care needs of patients with whom they often have a primary relationship.

  4. Applying the guidelines for pharmacists integrating into primary care teams.

    Science.gov (United States)

    Barry, Arden R; Pammett, Robert T

    2016-07-01

    In 2013, Jorgenson et al. published guidelines for pharmacists integrating into primary care teams. These guidelines outlined 10 evidence-based recommendations designed to support pharmacists in successfully establishing practices in primary care environments. The aim of this review is to provide a detailed, practical approach to implementing these recommendations in real life, thereby aiding to validate their effectiveness. Both authors reviewed the guidelines independently and ranked the importance of each recommendation respective to their practice. Each author then provided feedback for each recommendation regarding the successes and challenges they encountered through implementation. This feedback was then consolidated into agreed upon statements for each recommendation. Focusing on building relationships (with an emphasis on face time) and demonstrating value to both primary care providers and patients were identified as key aspects in developing these new roles. Ensuring that the environment supports the practice, along with strategic positioning within the clinic, improves uptake and can maximize the usefulness of a pharmacist in primary care. Demonstrating consistent and competent clinical and documentation skills builds on the foundation of the other recommendations to allow for the effective provision of clinical pharmacy services. Additional recommendations include developing efficient ways (potentially provider specific) to communicate with primary care providers and addressing potential preconceived notions about the role of the pharmacist in primary care. We believe these guidelines hold up to real-life integration and emphatically recommend their use for new and existing primary care pharmacists.

  5. Impact of Self Efficacy on Innovative Behaviour Pharmacist in Hospital

    Directory of Open Access Journals (Sweden)

    Sri M. Wahyuningrum

    2012-06-01

    Full Text Available Hospitals are always required in order to improve the quality of service in accordance with professional standards in accordance with their code of ethics. Therefore, health workers in hospitals, especially pharmacists, are required to continuously improve its service to the community. To improve health services to the community, then the pharmacist must interact and be accepted by other professional health personnel in hospitals. The purpose of this study was to determine the effect of self-efficacy pharmacist in a hospital organization that became an impact on innovative behavior. This study used an obsevational quantitative measurement using questionnaire instrument. The results measured by number consist of value, rank, and frequencies were analyzed using statistics software smartPLS to answer the research question or hypothesis to predict a particular variable affects another variable. The results showed that effect between self-efficacy of behavioral innovations in the hospital pharmacist significantly different. A pharmacist who has high self-efficacy will obviously have the higher innovation behavior in hospitals.

  6. Commercial Space Port Planning in Texas

    Science.gov (United States)

    Bell, L.; Looke, B.

    2002-01-01

    The Texas Legislature is providing funding to support research and planning activities aimed at creating a commercial spaceport in the state. These monies have been allocated to regional Spaceport Development Corporations that have been established in three countries containing candidate site locations: Willacy County (in South Texas); Brazoria County (East Texas); and Pecos County (West Texas). This program is being sponsored and coordinated by the Texas Aerospace Commission (TAC). The Sasakawa International Center for Space Architecture (SICSA) at the University of Houston is providing research, planning and design support to TAC and is a member of each of the three regional development teams. Planning must carefully consider special support requirements and operational characteristics of all prospective launch systems along with geographic, infrastructure and environmental factors at each site. Two of the candidate sites are in coastal areas; a priority for certain launch service providers; whereas the third inland site is more attractive to others. Candidate launch systems include winged horizontal takeoff air-launch vehicles, vertical multi-stage reusable launch vehicles, and expendable sub-orbital surrounding rockets. Important research and planning activities include environmental impact assessments, analyses of overflight hazards, investigations of economic impacts and business plan development. The results of these activities will guide master plan development for each site, including: a physical plan (site layout, infrastructure improvements and facility construction); and a strategic plan (user agreements, licenses, finance sources and participants). Commercial spaceport development demands compliance with stringent FAA regulations established by the Office of Commercial Space Transportation (OCST) which exceed minimum standards allowed for U.S. Government spaceport facilities. Key among these requirements are 15,000 ft. radius on-site clear zones

  7. Forests of East Texas, 2014

    Science.gov (United States)

    Thomas J. Brandeis

    2015-01-01

    This resource update provides an overview of forest resources in east Texas derived from an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) Program at the Southern Research Station in cooperation with the Texas A&M Forest Service. These estimates are based on field data collected using the FIA annualized sample design and are...

  8. Forests of east Texas, 2013

    Science.gov (United States)

    K.J.W. Dooley; T.J. Brandeis

    2014-01-01

    This resource update provides an overview of forest resources in east Texas based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station in cooperation with the Texas A&M Forest Service. Forest resource estimates are based on field data collected using the FIA annualized sample design and...

  9. CBTE: The Ayes of Texas

    Science.gov (United States)

    Houston, W. Robert; Howsam, Robert B.

    1974-01-01

    A heated controversy occurred when the Texas State Board of Education mandated competency based teacher education (CBTE) for all of the State's 66 teacher preparatory institutions. This is an account of developments in Texas by two major proponents of CBTE. (Author/JF)

  10. The degree of integration of pharmacists in primary care and the impact on health outcomes

    NARCIS (Netherlands)

    A.C.M. Hazen (Ankie); A.A. de Bont (Antoinette); L. Boelman (Lia); J.J. de Gier (Johan); D.L.M. Zwart (Dorien); N.J. de Wit (Niek); M.L. Bouvy (Marcel)

    2016-01-01

    markdownabstractBackground: A non-dispensing pharmacist conducts clinical pharmacy services aimed at optimizing patients individual pharmacotherapy. Embedding a non-dispensing pharmacist in primary care practice enables collaboration, probably enhancing patient care. The degree of integration of

  11. Factors Influencing Participation in Continuing Professional Development : A Focus on Motivation Among Pharmacists

    NARCIS (Netherlands)

    Tjin A Tsoi, Sharon L N M; de Boer, Anthonius|info:eu-repo/dai/nl/075097346; Croiset, Gerda; Koster, Andries S|info:eu-repo/dai/nl/070975558; Kusurkar, Rashmi A

    2016-01-01

    INTRODUCTION: The interest in continuing education (CE) for pharmacists has increased because of patient safety issues, advancing science and the quick changes in the profession. Therefore, contemporary pharmaceutical care requires an effective and sustainable system for pharmacists to maintain and

  12. Emergency Contraceptive Pills: Dispensing Practices, Knowledge and Attitudes of South Dakota Pharmacists

    National Research Council Canada - National Science Library

    Kristi K. Van Riper; Wendy L. Hellerstedt

    2005-01-01

    ..., especially in areas with large rural populations. Pharmacists' knowledge about and attitudes toward emergency contraceptive pills may affect whether pharmacies carry the medication and whether individual pharmacists dispense it. Methods...

  13. Training needs analysis for pharmacists in Nigeria – A case study of ...

    African Journals Online (AJOL)

    Training needs analysis for pharmacists in Nigeria – A case study of Warri, Delta State. ... The objective of the present study was to identify areas of knowledge deficiency ... Pharmacists with Doctor of Pharmacy degree and those in hospital ...

  14. What is a Pharmacist: Opinions of Pharmacy Department Academics and Community Pharmacists on Competences Required for Pharmacy Practice

    Directory of Open Access Journals (Sweden)

    Jeffrey Atkinson

    2016-02-01

    Full Text Available This paper looks at the opinions of 241 European academics (who provide pharmacy education, and of 258 European community pharmacists (who apply it, on competences for pharmacy practice. A proposal for competences was generated by a panel of experts using Delphi methodology. Once finalized, the proposal was then submitted to a large, European-wide community of academics and practicing pharmacists in an additional Delphi round. Academics and community pharmacy practitioners recognized the importance of the notion of patient care competences, underlining the nature of the pharmacist as a specialist of medicines. The survey revealed certain discrepancies. Academics placed substantial emphasis on research, pharmaceutical technology, regulatory aspects of quality, etc., but these were ranked much lower by community pharmacists who concentrated more on patient care competences. In a sub-analysis of the data, we evaluated how perceptions may have changed since the 1980s and the introduction of the notions of competence and pharmaceutical care. This was done by splitting both groups into respondents < 40 and > 40 years old. Results for the subgroups were essentially statistically the same but with some different qualitative tendencies. The results are discussed in the light of the different conceptions of the professional identity of the pharmacist.

  15. Pharmacists correcting schedule II prescriptions: DEA flip-flops continue.

    Science.gov (United States)

    Abood, Richard R

    2010-12-01

    The Drug Enforcement Administration (DEA) has in recent years engaged in flip-flopping over important policy decisions. The most recent example involved whether a pharmacist can correct a written schedule II prescription upon verification with the prescriber. For several years the DEA's policy permitted this practice. Then the DEA issued a conflicting policy statement in 2007 in the preamble to the multiple schedule II prescription regulation, causing a series of subsequent contradictory statements ending with the policy that pharmacists should follow state law or policy until the Agency issues a regulation. It is doubtful that the DEA's opinion in the preamble would in itself constitute legal authority, or that the Agency would try to enforce the opinion. Nonetheless, these flip-flop opinions have confused pharmacists, caused some pharmacies to have claims rejected by third party payors, and most likely have inconvenienced patients.

  16. Pharmacist perception and use of UpToDate®.

    Science.gov (United States)

    Wallace, Katie L; Beckett, Robert D; Sheehan, Amy Heck

    2014-10-01

    A cross-sectional survey of a convenience sample of 1,199 pharmacists was conducted to describe pharmacists' use and perception of UpToDate®. Of 472 (39%) respondents, 217 (46%) reported using UpToDate. Most respondents who used or had heard of UpToDate indicated willingness to change a treatment plan based on UpToDate recommendations (77%). Many believed that UpToDate is updated weekly (31%) or monthly (49%) and that all articles undergo external peer review (51%). In conclusion, the majority of respondents reported that they would adjust drug therapy based on UpToDate recommendations; however, many pharmacists may hold misconceptions regarding the updating and peer-review processes.

  17. [Fraud and pharmacist: an old companionship from Antiquity to nowadays].

    Science.gov (United States)

    Bonnemain, Bruno

    2014-06-01

    Fraudulent trading often deals with pharmacist, from several viewpoints. Pharmacist had often suffered from it, but he was also sometimes the source of falsification which initiated the need for inspection of pharmacy shops. The scientific knowledge of pharmacists, and particularly his analytical skills, explains their role to detect falsifications for products outside drugs, especially for food and also for drug use in competitive sport. Drug falsification goes back to time immemorial and goes on today very actively with Internet expansion. States and WHO try to fight against this plague with more and more complex tools such as Datamatrix progressively implemented worldwide. Pharmacy and falsifications, two words that will be unfortunately associated during the whole human history.

  18. Revised Subjects of the Current Korean Oriental Pharmacists' Licensing Examination

    Directory of Open Access Journals (Sweden)

    Jong-Pil Lim

    2007-12-01

    Full Text Available This study is designed to draw out new integrated subjects of the Korean Oriental Pharmacists??Licensing Examination (KOPLE. In 2004, for the revision of subjects, we have analyzed the curriculums of the Oriental Pharmacy department, the oriental pharmacist?占퐏 (OP?占퐏 job description book, and the elementary items of KOPLE. We also examined the system of the Chinese Herb Pharmacists??Examination and other health personnel licensing examinations and studied the data of items and compared them with KOPLE. We heard the public opinion on the present KOPLE. We developed a subfield of 18 subjects, a middle category of 188 items, and a small category of 1,026 items. We proposed a new KOPLE that consists of three subjects: basic oriental pharmacy, applied oriental pharmacy, and laws and regulations.

  19. Pharmacist perception and use of UpToDate®*

    Science.gov (United States)

    Wallace, Katie L.; Beckett, Robert D.; Sheehan, Amy Heck

    2014-01-01

    A cross-sectional survey of a convenience sample of 1,199 pharmacists was conducted to describe pharmacists' use and perception of UpToDate®. Of 472 (39%) respondents, 217 (46%) reported using UpToDate. Most respondents who used or had heard of UpToDate indicated willingness to change a treatment plan based on UpToDate recommendations (77%). Many believed that UpToDate is updated weekly (31%) or monthly (49%) and that all articles undergo external peer review (51%). In conclusion, the majority of respondents reported that they would adjust drug therapy based on UpToDate recommendations; however, many pharmacists may hold misconceptions regarding the updating and peer-review processes. PMID:25349549

  20. The importance of pharmacist providing patient education in oncology.

    Science.gov (United States)

    Avery, Mia; Williams, Felecia

    2015-02-01

    The world's increasing diversity requires health care professionals to adjust delivery methods of teaching to accommodate different cultural values and beliefs. The ability to communicate effectively across languages and various cultural practices directly affects patient education outcomes. Pharmacist should be aware of varying modalities and considerations when counseling a patient diagnosed with cancer and undergoing chemotherapy. In more recent years, the medical profession has seen an increase in patient outcomes due to using the multidisciplinary team approach and has benefited by implementing Medication Therapy Management (MTM) programs at various institutions. For the clinical pharmacist, this would mean documentation for these services should be precise and accurate based on the specific patients needs. There are several factors involved in the care and therapy of the patient with cancer. Clinical oncology pharmacist should be aware of the ever-changing role in oncology and be able to implement new practices at their facility for better patient outcomes.

  1. Internationally trained pharmacists in Great Britain: what do registration data tell us about their recruitment?

    Directory of Open Access Journals (Sweden)

    Hassell Karen

    2009-06-01

    Full Text Available Abstract Background Internationally trained health professionals are an important part of the domestic workforce, but little is known about pharmacists who come to work in Great Britain. Recent changes in the registration routes onto the Register of Pharmacists of the Royal Pharmaceutical Society of Great Britain may have affected entries from overseas: reciprocal arrangements for pharmacists from Australia and New Zealand ended in June 2006; 10 new states joined the European Union in 2004 and a further two in 2007, allowing straightforward registration. Aims The aims of the paper are to extend our knowledge about the extent to which Great Britain is relying on the contribution of internationally trained pharmacists and to explore their routes of entry and demographic characteristics and compare them to those of pharmacists trained in Great Britain. Methods The August 2007 Register of Pharmacists provided the main data for analysis. Register extracts between 2002 and 2005 were also explored, allowing longitudinal comparison, and work pattern data from the 2005 Pharmacist Workforce Census were included. Results In 2007, internationally trained pharmacists represented 8.8% of the 43 262 registered pharmacists domiciled in Great Britain. The majority (40.6% had joined the Register from Europe; 33.6% and 25.8% joined via adjudication and reciprocal arrangements. Until this entry route ended for pharmacists from Australia and New Zealand in 2006, annual numbers of reciprocal pharmacists increased. European pharmacists are younger (mean age 31.7 than reciprocal (40.0 or adjudication pharmacists (43.0, and the percentage of women among European-trained pharmacists is much higher (68% when compared with British-trained pharmacists (56%. While only 7.1% of pharmacists registered in Great Britain have a London address, this proportion is much higher for European (13.9%, adjudication (19.5% and reciprocal pharmacists (28.9%. The latter are more likely to

  2. Role of the pharmacist in reducing healthcare costs: current insights

    Directory of Open Access Journals (Sweden)

    Dalton K

    2017-01-01

    Full Text Available Kieran Dalton, Stephen Byrne Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland Abstract: Global healthcare expenditure is escalating at an unsustainable rate. Money spent on medicines and managing medication-related problems continues to grow. The high prevalence of medication errors and inappropriate prescribing is a major issue within healthcare systems, and can often contribute to adverse drug events, many of which are preventable. As a result, there is a huge opportunity for pharmacists to have a significant impact on reducing healthcare costs, as they have the expertise to detect, resolve, and prevent medication errors and medication-related problems. The development of clinical pharmacy practice in recent decades has resulted in an increased number of pharmacists working in clinically advanced roles worldwide. Pharmacist-provided services and clinical interventions have been shown to reduce the risk of potential adverse drug events and improve patient outcomes, and the majority of published studies show that these pharmacist activities are cost-effective or have a good cost:benefit ratio. This review demonstrates that pharmacists can contribute to substantial healthcare savings across a variety of settings. However, there is a paucity of evidence in the literature highlighting the specific aspects of pharmacists’ work which are the most effective and cost-effective. Future high-quality economic evaluations with robust methodologies and study design are required to investigate what pharmacist services have significant clinical benefits to patients and substantiate the greatest cost savings for healthcare budgets. Keywords: pharmacoeconomics, pharmaceutical care, clinical pharmacy, cost-effectiveness, economic evaluation

  3. A new leadership role for pharmacists: a prescription for change.

    Science.gov (United States)

    Burgess, L Hayley; Cohen, Michael R; Denham, Charles R

    2010-03-01

    Pharmacists can play an important role as leaders to reduce patient safety risks, optimize the safe function of medication management systems, and align pharmacy services with national initiatives that measure and reward quality performance. The objective of this article is to determine the actions that pharmacists can take to create a visible and sustainable safe medication management structure and system in the health care environment. An evidence-based literature search was performed to determine what actions successful pharmacist leaders have taken to improve patient safety. There is a growing number of quality and patient safety standards, as well as measures that focus specifically on medication use and education. Health care organizations must be made aware of the valuable resources that pharmacists provide and of the complexity of medication management. There are steps that pharmacist leaders can take to achieve these goals. The 10 steps that pharmacist leaders can take to create a visible and sustainable safe medication management structure and system are the following: 1. Identify and mitigate medication management risks and hazards to reduce preventable patient harm. 2. Establish pharmacy leadership structures and systems to ensure organizational awareness of medication safety gaps. 3. Support an organizational culture of safe medication use. 4. Ensure evidence-based medication regimens for all patients. 5. Have daily check-in calls/meetings, with the primary focus on significant safety or quality issues. 6. Establish a medication safety committee. 7. Perform medication safety walk-rounds to evaluate medication processes, and request front-line staff ’s input about medication safe practices. 8. Ensure that pharmacy staff engage in teamwork, skill building, and communication training. 9. Engage in readiness planning for implementation of health information technology (HIT). 10. Include medication history-taking and reviews upon entry into the

  4. Use of Web 2.0 tools by hospital pharmacists

    Directory of Open Access Journals (Sweden)

    B. Bonaga Serrano

    2014-03-01

    Full Text Available Objective: Web 2.0 tools are transforming the pathways health professionals use to communicate among themselves and with their patients so this situation forces a change of mind to implement them. The aim of our study is to assess the state of knowledge of the main Web 2.0 applications and how are used in a sample of hospital pharmacists. Method: The study was carried out through an anonymous survey to all members of the Spanish Society of Hospital Pharmacy (SEFH by means of a questionnaire sent by the Google Drive® application. After the 3-month study period was completed, collected data were compiled and then analyzed using SPPS v15.0. Results: The response rate was 7.3%, being 70.5% female and 76.3% specialists. The majority of respondents (54.2% were aged 20 to 35. Pubmed was the main way of accessing published articles. 65.2% of pharmacists knew the term “Web 2.0”. 45.3% pharmacists were Twitter users and over 58.9% mainly for professional purposes. Most pharmacists believed that Twitter was a good tool to interact with professionals and patients. 78.7% do not use an agregator, but when used, Google Reader was the most common. Conclusion: Although Web 2.0 applications are gaining mainstream popularity some health professionals may resist using them. In fact, more than a half of surveyed pharmacists referred a lack of knowledge about Web 2.0 tools. It would be positive for pharmacists to use them properly during their professional practice to get the best out of them.

  5. Do pharmacists use social media for patient care?

    Science.gov (United States)

    Benetoli, Arcelio; Chen, Timothy F; Schaefer, Marion; Chaar, Betty; Aslani, Parisa

    2017-04-01

    Background Social media are frequently used by consumers and healthcare professionals. However, it is not clear how pharmacists use social media as part of their daily professional practice. Objective This study investigated the role social media play in pharmacy practice, particularly in patient care and how pharmacists interact online with patients and laypeople. Setting Face-to-face, telephone, or Skype interviews with practising pharmacists (n = 31) from nine countries. Method In-depth semi-structured interviews; audio-recorded, transcribed verbatim, and thematically analysed. Main outcome measure Two themes related to the use of social media for patient care: social media and pharmacy practice, and pharmacists' online interactions with customers and the public. Results Most participants were community pharmacists. They did not provide individualized services to consumers via social media, despite most of them working in a pharmacy with a Facebook page. No participant "friended" consumers on Facebook as it was perceived to blur the boundary between professional and personal relationships. However, they occasionally provided advice and general health information on social media to friends and followers, and more commonly corrected misleading health information spread on Facebook. Short YouTube videos were used to support patient counselling in community pharmacy. Conclusions Participants recognized the potential social media has for health. However, its use to support patient care and deliver pharmacy services was very incipient. Pharmacists as medicine experts are well equipped to contribute to improvements in social media medicines-related information, learn from consumers' online activities, and design new ways of delivering care to communities and individuals.

  6. Stakeholders' views on granting prescribing authority to pharmacists in Nigeria: a qualitative study.

    Science.gov (United States)

    Auta, Asa; Strickland-Hodge, Barry; Maz, Julia

    2016-08-01

    Background In Nigeria, only medical doctors, dentists and some nurses in primary care facilities have the legal right to prescribe medicines to patients. Patients' access to prescription medicines can be seriously affected by the shortage of prescribers leading to longer waiting times in hospitals. Objective This research was carried out to investigate stakeholders' views on granting prescribing authority to pharmacists in Nigeria. Setting The study was conducted in Nigeria. Methods Qualitative, semi-structured interviews were conducted with 43 Nigerian stakeholders including policymakers, pharmacists, doctors and patient group representatives. Transcribed interviews were entered into the QSR NVivo 10 software and analysed using a thematic approach. Main outcome measure Stakeholders' perception on the granting of prescribing authority to pharmacists in Nigeria. Results Three major themes emerged from the interviews: (1) prescribing as a logical role for pharmacists, (2) pharmacist prescribing- an opportunity or a threat and (3) the potential barriers to pharmacist prescribing. Many non-medical stakeholders including pharmacists and patient group representatives supported an extended role for pharmacists in prescribing while the majority of medical doctors including those in policy making were reluctant to do so. Generally, all stakeholders perceived that pharmacist prescribing represents an opportunity to increase patients' access to medicines, reduce doctors' workload and promote the utilisation of pharmacists' skills. However, many stakeholders including pharmacists and doctors commonly identified pharmacists' inadequate skills in diagnosis, medical resistance and shortage of pharmacists as potential barriers to the introduction of pharmacist prescribing in Nigeria. Conclusion The present study showed a split of opinion between participants who were medical doctors and those who were non-doctors in their support for pharmacist prescribing. However, all

  7. Exploring consumer and pharmacist views on the professional role of the pharmacist with respect to natural health products: a study of focus groups

    Directory of Open Access Journals (Sweden)

    Heschuk Shirley

    2008-07-01

    Full Text Available Abstract Background Natural health products (NHPs such as herbs, vitamins and homeopathic medicines, are currently available for sale in most Canadian pharmacies. However, most pharmacists report that they have limited knowledge about these products which have been regulated in Canada as a specific sub-category of drugs. In this paper, consumers' and practicing pharmacists' perceptions of pharmacists' professional responsibilities with respect to NHPs are examined. Methods A total of 16 focus groups were conducted with consumers (n = 50 and pharmacists (n = 47 from four different cities across Canada (Vancouver, Edmonton, Toronto, and Halifax. Results In this paper, we illustrate the ways in which pharmacists' professional responsibilities are impacted by changing consumer needs. Many consumers in the study utilized a wide range of information resources that may or may not have included pharmacists. Nevertheless, the majority of consumers and pharmacists agreed that pharmacists should be knowledgeable about NHPs and felt that pharmacists should be able to manage drug-NHPs interactions as well as identify and evaluate the variety of information available to help consumers make informed decisions. Conclusion This paper demonstrates that consumers' expectations and behaviour significantly impact pharmacists' perceptions of their professional responsibilities with respect to NHPs.

  8. Pharmacist perception and use of UpToDate®*

    OpenAIRE

    Wallace, Katie L.; Beckett, Robert D.; Sheehan, Amy Heck

    2014-01-01

    A cross-sectional survey of a convenience sample of 1,199 pharmacists was conducted to describe pharmacists' use and perception of UpToDate®. Of 472 (39%) respondents, 217 (46%) reported using UpToDate. Most respondents who used or had heard of UpToDate indicated willingness to change a treatment plan based on UpToDate recommendations (77%). Many believed that UpToDate is updated weekly (31%) or monthly (49%) and that all articles undergo external peer review (51%). In conclusion, the majorit...

  9. How Do Pharmacists Construct, Facilitate and Consolidate Their Professional Identity?

    Directory of Open Access Journals (Sweden)

    Patrick Dawodu

    2016-07-01

    Full Text Available The pharmacy profession continues to experience change regarding roles and responsibilities. The supply of medicines still remains a central function, but patient-facing, clinical roles are now becoming more commonplace, where pharmacists use their expert knowledge to maximise patient use of medicines. This transitional state from supplier of medicines to medicines expert raises questions over the contemporary professional identity of pharmacists. This literature-informed commentary highlights the current situation regarding how pharmacists’ identity is formed and reinforced. The authors suggest that the profession needs to be clearer in articulating what pharmacy does, and advocate the need for strong branding that the profession, public and other healthcare practitioners understand.

  10. Improving care transitions: current practice and future opportunities for pharmacists.

    Science.gov (United States)

    Hume, Anne L; Kirwin, Jennifer; Bieber, Heather L; Couchenour, Rachel L; Hall, Deanne L; Kennedy, Amy K; LaPointe, Nancy M Allen; Burkhardt, Crystal D O; Schilli, Kathleen; Seaton, Terry; Trujillo, Jennifer; Wiggins, Barbara

    2012-11-01

    During the past decade, patient safety issues during care transitions have gained greater attention at both the local and national level. Readmission rates to U.S. hospitals are high, often because of poor care transitions. Serious adverse drug events (ADEs) caused by an incomplete understanding of changes in complex drug regimens can be an important factor contributing to readmission rates. This paper describes the roles and responsibilities of pharmacists in ensuring optimal outcomes from drug therapy during care transitions. Barriers to effective care transitions, including inadequate communication, poor care coordination, and the lack of one clinician ultimately responsible for these transitions, are discussed. This paper also identifies specific patient populations at high risk of ADEs during care transitions. Several national initiatives and newer care transition models are discussed, including multi- and interdisciplinary programs with pharmacists as key members. Among their potential roles, pharmacists should participate on medical rounds where available, perform medication reconciliation and admission drug histories, apply their knowledge of drug therapy to anticipate and resolve problems during transitions, communicate changes in drug regimens between providers and care settings, assess the appropriateness and patient understanding of drug regimens, promote adherence, and assess health literacy. In addition, this paper identifies barriers and ongoing challenges limiting greater involvement of pharmacists from different practice settings during care transitions. Professional degree programs and residency training programs should increase their emphasis on pharmacists' roles, especially as part of interdisciplinary teams, in improving patient safety during care transitions in diverse practice settings. This paper also recommends that Accreditation Council for Pharmacy Education (ACPE) standards include specific language regarding the exposure of students to

  11. Pharmacist perception and use of UpToDate®*

    OpenAIRE

    Wallace, Katie L.; Beckett, Robert D.; Sheehan, Amy Heck

    2014-01-01

    A cross-sectional survey of a convenience sample of 1,199 pharmacists was conducted to describe pharmacists' use and perception of UpToDate®. Of 472 (39%) respondents, 217 (46%) reported using UpToDate. Most respondents who used or had heard of UpToDate indicated willingness to change a treatment plan based on UpToDate recommendations (77%). Many believed that UpToDate is updated weekly (31%) or monthly (49%) and that all articles undergo external peer review (51%). In conclusion, the majorit...

  12. TEXAS MIGRANT LABOR, THE 1964 MIGRATION.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    THE MAJORITY OF TEXAS MIGRANTS LIVE IN SOUTH TEXAS AND APPROXIMATELY 95 PERCENT OF THEM ARE OF MEXICAN EXTRACTION. MOST OF THE OTHER FIVE PERCENT ARE EAST TEXAS NEGROES. THE MECHANIZATION OF COTTON HARVESTING AND THE EXPIRATION OF THE "BRACERO PROGRAM" IN 1964 HAVE CAUSED MORE TEXAS MIGRANTS TO SEEK EMPLOYMENT OUTSIDE OF THE STATE. DURING 1964,…

  13. 50 CFR 32.63 - Texas.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Texas. 32.63 Section 32.63 Wildlife and... Texas. The following refuge units have been opened for hunting and/or fishing, and are listed in... the Texas South Zone, and goose regular season in the Texas East Zone, with the exception that we will...

  14. Texas Affordable Baccalaureate Program: A Collaboration between the Texas Higher Education Coordinating Board, South Texas College, and Texas A&M University-Commerce. CBE Case Study

    Science.gov (United States)

    Klein-Collins, Rebecca; Glancey, Kathleen

    2015-01-01

    This case study is part of a series on newer competency-based degree programs that have been emerging in recent years. In January 2014, the Texas Higher Education Coordinating Board (THECB), South Texas College (STC), and Texas A&M University-Commerce (A&M Commerce) launched the Texas Affordable Baccalaureate Program, the state's first…

  15. Pharmacist advice is accepted more for medical than for surgical patients in an emergency department

    DEFF Research Database (Denmark)

    Backer Mogensen, Christian; Olsen, Inger; Thisted, Anette Rehn

    2013-01-01

    Pharmacists' advice may reduce medication errors in the emergency department (ED). However, pharmacists' recommendations are of little value if not acknowledged by physicians. The aim of the present study was to analyze how often and which categories of pharmacist recommendations were taken...... into account by the physicians in a Danish ED. Special attention is paid to problems of significant or vital importance....

  16. Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists.

    Science.gov (United States)

    Puspitasari, Hanni P; Aslani, Parisa; Krass, Ines

    2015-01-01

    We explored factors influencing Indonesian primary care pharmacists' practice in chronic noncommunicable disease management and proposed a model illustrating relationships among factors. We conducted in-depth, semistructured interviews with pharmacists working in community health centers (Puskesmas, n=5) and community pharmacies (apotek, n=15) in East Java Province. We interviewed participating pharmacists using Bahasa Indonesia to explore facilitators and barriers to their practice in chronic disease management. We audiorecorded all interviews, transcribed ad verbatim, translated into English and analyzed the data using an approach informed by "grounded-theory". We extracted five emergent themes/factors: pharmacists' attitudes, Puskesmas/apotek environment, pharmacy education, pharmacy professional associations, and the government. Respondents believed that primary care pharmacists have limited roles in chronic disease management. An unfavourable working environment and perceptions of pharmacists' inadequate knowledge and skills were reported by many as barriers to pharmacy practice. Limited professional standards, guidelines, leadership and government regulations coupled with low expectations of pharmacists among patients and doctors also contributed to their lack of involvement in chronic disease management. We present the interplay of these factors in our model. Pharmacists' attitudes, knowledge, skills and their working environment appeared to influence pharmacists' contribution in chronic disease management. To develop pharmacists' involvement in chronic disease management, support from pharmacy educators, pharmacy owners, professional associations, the government and other stakeholders is required. Our findings highlight a need for systematic coordination between pharmacists and stakeholders to improve primary care pharmacists' practice in Indonesia to achieve continuity of care.

  17. The pharmacist as a drug information supplier in hospitals : A view from services marketing

    NARCIS (Netherlands)

    Boerkamp, EJC; Reuijl, JC; Haaijer-Ruskamp, FM

    1997-01-01

    The aim of this study is to gain insight into how the information supply services of the pharmacist and his or her-potential competitors ave seen by physicians. In the context of the upcoming professionalization trend of the pharmacist we are interested in determining how the hospital pharmacist can

  18. The Great Boundary Crossing: Perceptions on Training Pharmacists as Supplementary Prescribers in the UK

    Science.gov (United States)

    Tann, Jennifer; Blenkinsopp, Alison; Grime, Janet; Evans, Amanda

    2010-01-01

    Objective: To explore the perceptions of General Medical Practitioners and pharmacist supplementary prescribers of the training provided for qualification as a pharmacist supplementary prescriber, and the experience of pharmacist supplementary prescribers of subsequent continuing professional development in practice. Design: A qualitative study of…

  19. Nuclear Hybrid Energy Systems Regional Studies: West Texas & Northeastern Arizona

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, Humberto E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Chen, Jun [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kim, Jong Suk [Idaho National Lab. (INL), Idaho Falls, ID (United States); McKellar, Michael George [Idaho National Lab. (INL), Idaho Falls, ID (United States); Deason, Wesley R [Idaho National Lab. (INL), Idaho Falls, ID (United States); Vilim, Richard B. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bragg-Sitton, Shannon M. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Boardman, Richard D. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-04-01

    The primary objective of this study is to conduct a preliminary dynamic analysis of two realistic hybrid energy systems (HES) including a nuclear reactor as the main baseload heat generator (denoted as nuclear HES or nuclear hybrid energy systems [[NHES]) and to assess the local (e.g., HES owners) and system (e.g., the electric grid) benefits attainable by the application of NHES in scenarios with multiple commodity production and high penetration of renewable energy. It is performed for regional cases not generic examples based on available resources, existing infrastructure, and markets within the selected regions. This study also briefly addresses the computational capabilities developed to conduct such analyses, reviews technical gaps, and suggests some research paths forward.

  20. Structural style of the Marathon thrust belt, West Texas

    Science.gov (United States)

    Hickman, Robert G.; Varga, Robert J.; Altany, Robert M.

    2009-09-01

    The Marathon portion of the Ouachita thrust belt consists of a highly deformed allochthonous wedge of Cambrian-Pennsylvanian slope strata (Marathon facies) that was transported to the northwest and emplaced over Pennsylvanian foredeep sediments. The foredeep strata in turn overlie early-middle Paleozoic shelfal sediments which are deformed by late Paleozoic basement-involved reverse faults. The Dugout Creek thrust is the basal thrust of the allochthon. Shortening in this sheet and overlying sheets is ˜80%. Steep imbricate faults link the Dugout Creek thrust to upper level detachments forming complex duplex zones. Progressive thrusting and shortening within the allochthon folded the upper level detachments and associated thrust sheets. The Caballos Novaculite is the most competent unit within the Marathon facies and controlled development of prominent detachment folds. Deeper imbricate sheets composed of the Late Pennsylvanian foredeep strata, and possibly early-middle Paleozoic shelfal sediments developed concurrently with emplacement of the Marathon allochthon and folded the overlying allochthon. Following termination of thrusting in the earliest Permian, subsidence and deposition shifted northward to the Delaware, Midland and Val Verde foreland basins.

  1. Aerobiology of Juniperus Pollen in Oklahoma, Texas, and New Mexico

    Science.gov (United States)

    Levetin, Estelle; Bunderson, Landon; VandeWater, Pete; Luvall, Jeff

    2014-01-01

    Pollen from members of the Cupressaceae are major aeroallergens in many parts of the world. In the south central and southwest United States, Juniperus pollen is the most important member of this family with J. ashei (JA) responsible for severe winter allergy symptoms in Texas and Oklahoma. In New Mexico, pollen from J. monosperma (JM) and other Juniperus species are important contributors to spring allergies, while J. pinchotii (JP) pollinates in the fall affecting sensitive individuals in west Texas, southwest Oklahoma and eastern New Mexico. Throughout this region, JA, JM, and JP occur in dense woodland populations. Generally monitoring for airborne allergens is conducted in urban areas, although the source for tree pollen may be forested areas distant from the sampling sites. Improved pollen forecasts require a better understanding of pollen production at the source. The current study was undertaken to examine the aerobiology of several Juniperus species at their source areas for the development of new pollen forecasting initiatives.

  2. Views and experiences of community pharmacists and superintendent pharmacists regarding the New Medicine Service in England prior to implementation.

    Science.gov (United States)

    Wells, Katharine M; Thornley, Tracey; Boyd, Matthew J; Boardman, Helen F

    2014-01-01

    The New Medicine Service (NMS) was introduced to community pharmacies in England in October 2011. The NMS aims to improve adherence to new medicines in patients with selected long term conditions. The service consists of two follow-up consultations within 1 month in addition to usual care. This study explored community pharmacist and superintendent pharmacist views and experiences of the NMS in the 5 weeks prior to its implementation to identify potential facilitators and barriers to its success. The study also investigated participant experiences of the introduction and provision of existing pharmacy services in order to contrast with the implementation of the NMS. This study consisted of four focus groups with a total of 15 community pharmacists representing locums and employees of small, medium and large chain pharmacies. In addition, 5 semi-structured interviews were conducted with superintendent pharmacists representing independent, small chain, supermarket and large multiple pharmacies. Data were audio-recorded, transcribed verbatim and thematically analyzed. Both pharmacists and superintendent pharmacists were positive about the NMS and identified potential benefits for patients and the pharmacy profession. Awareness of the service was high, however, some confusion between the NMS and changes to Medicine Use Reviews was evident in all focus groups due to their similarity and coincidental implementation. This confusion was not observed in the interviews with superintendent pharmacists. Participants identified pharmacists' positive attitude, the similarity to current practice and the self-accreditation procedure as potential facilitators to service implementation. Potential barriers identified included a perceived lack of interest and awareness by GPs of the service, and the payment structure. Participants were concerned about the speed of implementation, and the absence of some materials needed prior to the start of the service. Participants were enthusiastic

  3. Effects on Deaf Patients of Medication Education by Pharmacists

    Science.gov (United States)

    Hyoguchi, Naomi; Kobayashi, Daisuke; Kubota, Toshio; Shimazoe, Takao

    2016-01-01

    Deaf people often experience difficulty in understanding medication information provided by pharmacists due to communication barriers. We held medication education lectures for deaf and hard of hearing (HH) individuals and examined the extent to which deaf participants understood medication-related information as well as their attitude about…

  4. Clinical pharmacist interventions to support adherence to thrombopreventive therapy

    DEFF Research Database (Denmark)

    Hedegaard, Ulla

    The three papers in the thesis were based on two randomised controlled trials (RCTs) on in-hospital clinical pharmacist interventions for improvement of adherence to thrombopreventive therapy in two different populations: outpatients with hypertension and patients with acute stroke/transient isch......The three papers in the thesis were based on two randomised controlled trials (RCTs) on in-hospital clinical pharmacist interventions for improvement of adherence to thrombopreventive therapy in two different populations: outpatients with hypertension and patients with acute stroke...... targeted patients with hypertension or stroke in a hospital care setting. Thus, the aim of this thesis was to develop and evaluate in-hospital pharmacist interventions including MI to improve adherence to primary and secondary thrombopreventive therapy. The first study was a RCT, which investigated...... the effectiveness of a multifaceted pharmacist intervention in stroke and TIA patients. In the study, 102 stroke or TIA patients receiving the intervention were compared with 101 patients receiving usual care. The 6-month intervention consisted of a focused medication review with recommendations to physicians, a MI...

  5. An exploration of Australian hospital pharmacists' attitudes to patient safety.

    Science.gov (United States)

    Lalor, Daniel J; Chen, Timothy F; Walpola, Ramesh; George, Rachel A; Ashcroft, Darren M; Fois, Romano A

    2015-02-01

    To explore the attitudes of Australian hospital pharmacists towards patient safety in their work settings. A safety climate questionnaire was administered to all 2347 active members of the Society of Hospital Pharmacists of Australia in 2010. Part of the survey elicited free-text comments about patient safety, error and incident reporting. The comments were subjected to thematic analysis to determine the attitudes held by respondents in relation to patient safety and its quality management in their work settings. Two hundred and ten (210) of 643 survey respondents provided comments on safety and quality issues related to their work settings. The responses contained a number of dominant themes including issues of workforce and working conditions, incident reporting systems, the response when errors occur, the presence or absence of a blame culture, hospital management support for safety initiatives, openness about errors and the value of teamwork. A number of pharmacists described the development of a mature patient-safety culture - one that is open about reporting errors and active in reducing their occurrence. Others described work settings in which a culture of blame persists, stifling error reporting and ultimately compromising patient safety. Australian hospital pharmacists hold a variety of attitudes that reflect diverse workplace cultures towards patient safety, error and incident reporting. This study has provided an insight into these attitudes and the actions that are needed to improve the patient-safety culture within Australian hospital pharmacy work settings. © 2014 Royal Pharmaceutical Society.

  6. [Lavoisier and the Parisian pharmacists of his time].

    Science.gov (United States)

    Flahaut, J

    1996-01-01

    In the 17th and 18th centuries, pharmacists were highly competent in experimentation and well-versed in chemical manipulations. Of necessity, Lavoisier had extensive rapport with them. Presented here are the attitudes regarding him by pharmacists who had their own shops during the twenty years preceding the Revolution. There were his adversaries (one implacable: Baumé; the other lightly mocking: Demachy), his defenders (one timorous: Bronigniart; the other enthusiastic: Cadet de Vaux), and finally and above all those who remained indifferent, although for the most part they had worked for brief periods with Lavoisier (Cadet de Gassicourt, Déyeux, Mitouard and Quinquet). And yet, Baumé and Cadet de Vaux, who were in opposition when faced with the ideas of the new chemistry, joined in their efforts to attempt to get Lavoisier out of prison, at the risk of being guillotined. Finally, the greatest hommage rendered to the pharmacists came from Lavoisier himself, who believing that he would be released from prison denied all of his assets, envisaged himself becoming a pharmacist.

  7. Medical Oncology Pharmacy: A New Role for the Clinical Pharmacist

    Science.gov (United States)

    Morris, Carl R.; Hickman, Mary Johne

    1977-01-01

    The University of Tennessee has established a training program for clinical pharmacists dealing with cancer chemotherapy patients. Health-care settings are described in which these individuals can contribute as unique health-care team members in oncology. (Author/LBH)

  8. Evaluation of pharmacist clinical interventions in a Dutch hospital setting

    NARCIS (Netherlands)

    Bosma, Liesbeth; Jansman, Frank G. A.; Franken, Anton M.; Harting, Johannes W.; Van den Bemt, Patricia M. L. A.

    2008-01-01

    Objective Assessing the relevance of a clinically active pharmacist method compared to the traditional working method. Method The study was carried out in a general internal/gastro-enterology unit during two 8-weeks periods in 2004. It was an observational, non-randomized prospective study. Outcome

  9. The Role of a Psychiatric Pharmacist in College Health

    Science.gov (United States)

    Caley, Charles F.; Webber, Donna; Kurland, Michael; Holmes, Paula

    2010-01-01

    Published evidence indicates there is a growing prevalence of psychiatric illnesses on college campuses, and that approximately one quarter of students may be taking psychotropic medications. But attracting and retaining experienced mental health care professionals to college health settings is a challenging task. The psychiatric pharmacist is one…

  10. Translators vs pharmacists as successful interlingual knowledge mediators?

    DEFF Research Database (Denmark)

    Jensen, Matilde Nisbeth

    : Studies in Translatology 10 (1): 15-29. EU Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001. Nisbeth Jensen, Matilde. Forthcoming. “Patient Information Leaflet translators in the EU: Mapping the hypothetical competences of professional translators and pharmacists...

  11. [Development of skill scale for communication skill measurement of pharmacist].

    Science.gov (United States)

    Teramachi, Hitomi; Komada, Natsuki; Tanizawa, Katsuya; Kuzuya, Yumi; Tsuchiya, Teruo

    2011-04-01

    To purpose of this study was to develop a pharmacist communication skill scale. A 38 items scale was made and 283 pharmacists responded. The original questionnaire consisted of 38 items, with 1-5 graded Likert scale. Completed responses of 228 pharmacists data were used for testing the reliability and the validity of this scale. The first group of items from the original questionnaire were 38, and finally 38 original items were chosen for investigation of content validity, correlation coefficient and commonality. From factor analysis, four factors were chosen among the 31 items as follows: patient respect reception skill, problem discovery and solution skill, positive approach skill, feelings processing skill. The correlation coefficient between this original scale and the KiSS-18 (Social Skill) received high score (r=0.694). The reliability of this scale showed high internal consistency (Cronbach α coefficient=0.951), so the result of test for the validity of this scale supports high content validity. Thus we propose adoption of pharmacist communication skill scale to carry a brief eponymous name as TePSS-31. The above findings indicate that this developed scale possess adequate validity and reliability for practical use.

  12. 20-23 A Survey of Pharmacists' Knowledge, Attitude

    African Journals Online (AJOL)

    dell

    A Survey of Pharmacists' Knowledge, Attitude and Practice on Diabetes in Three Tertiary. Hospitals in ... using a structured questionnaire and analyzed based on descriptive statistics. A total of ... Study design. The study ... D = questions to evaluate their practices ... Data analysis .... The research work was self-financed. The.

  13. Professional Use of Social Media by Pharmacists: A Qualitative Study.

    Science.gov (United States)

    Benetoli, Arcelio; Chen, Timothy Frank; Schaefer, Marion; Chaar, Betty B; Aslani, Parisa

    2016-09-23

    Social media is frequently used by consumers and health care professionals; however, our knowledge about its use in a professional capacity by pharmacists is limited. Our aim was to investigate the professional use of social media by pharmacists. In-depth semistructured interviews were conducted with practicing pharmacists (N=31) from nine countries. Interviews were recorded, transcribed verbatim, and thematically analyzed. Wikipedia, YouTube, and Facebook were the main social media platforms used. Professional use of social media included networking with peers, discussion of health and professional topics, accessing and sharing health and professional information, job searching, and professional promotion. Wikipedia was the participants' first choice when seeking information about unfamiliar topics, or topics that were difficult to search for. Very few pharmacy-related contributions to Wikipedia were reported. YouTube, a video-sharing platform, was used for self-education. University lectures, "how-to" footage, and professionally made videos were commonly watched. No professional contribution was made to YouTube. Facebook, a general social networking site, was used for professional networking, promotion of achievements, and job advertisements. It also afforded engagement in professional discussions and information sharing among peers. Participants used social media in a professional capacity, specifically for accessing and sharing health and professional information among peers. Pharmacists, as medicines experts, should take a leading role in contributing to health information dissemination in these user-friendly virtual environments, to reach not only other health care professionals but also health consumers.

  14. Regulation of pharmacists: a comparative law and economics analysis

    NARCIS (Netherlands)

    Philipsen, N.J.

    2013-01-01

    This paper discusses the regulation of pharmacists from an economic perspective, focusing on licensing, price and fee regulation, advertising restrictions and rules on exercise of the profession, and restrictions on business structure. A comparative overview is presented of the most common forms of

  15. Contribution of pharmacists to the reporting of adverse drug reactions

    NARCIS (Netherlands)

    van Grootheest, AC; van Puijenbroek, EP; de Jong-van den Berg, LTW

    2002-01-01

    Purpose The aim of the study is to get a better view about the possible contribution of pharmacists' reports to the quantity and the quality of reports and in this way to the quality of a voluntary reporting system of adverse drug reactions. Methods A total of 15 293 reports, sent to the Netherlands

  16. Evaluation of pharmacist clinical interventions in a Dutch hospital setting

    NARCIS (Netherlands)

    Bosma, Liesbeth; Jansman, Frank G. A.; Franken, Anton M.; Harting, Johannes W.; Van den Bemt, Patricia M. L. A.

    2008-01-01

    Objective Assessing the relevance of a clinically active pharmacist method compared to the traditional working method. Method The study was carried out in a general internal/gastro-enterology unit during two 8-weeks periods in 2004. It was an observational, non-randomized prospective study. Outcome

  17. Do pharmacists' reports of adverse drug reactions reflect patients' concerns?

    NARCIS (Netherlands)

    van Grootheest, A.C.; van Puijenbroek, E.P.; de Jong-van den Berg, Lolkje Theodora Wilhelmina

    2004-01-01

    Aim: The aim of the present study was to investigate whether the concerns patients express to a Drug Information Line about possible adverse drug reactions (ADRs) they have experienced, are sufficiently reflected by the ADR reports submitted by pharmacists to the Netherlands Pharmacovigilance Centre

  18. Pharmacists and medical doctors in nineteenth‐century Belgium

    NARCIS (Netherlands)

    Schepers, R.

    1988-01-01

    textabstractAbstract In this article the main areas of conflict between the medical and the pharmaceutical professions in Belgium in the 19th century are outlined. The medical profession was dominant in the division of labour and the pharmacists were not allowed to threaten its position. However, ph

  19. Emerging Developments in Pharmacists' Scope of Practice to Address Unmet Health Care Needs.

    Science.gov (United States)

    Burns, Anne L

    2016-09-01

    Pharmacists' comprehensive training is being leveraged in emerging patient care service opportunities that include prescriptive authority under collaborative practice agreements (CPAs) with prescribers or through state-based protocols. CPAs and state-based protocols expand pharmacists' scope of practice to allow the pharmacist to perform designated functions under the terms of the agreement or protocol. For patient-specific CPAs, this often includes initiating, modifying, or discontinuing therapy and ordering laboratory tests. For population-based CPAs and state-based protocols, pharmacists are often authorized to initiate medications to address a public health need. CPAs and state-based protocols are mechanisms to optimally use pharmacists' education and training.

  20. Technicians or patient advocates?--still a valid question (results of focus group discussions with pharmacists)

    DEFF Research Database (Denmark)

    Almarsdóttir, Anna Birna; Morgall, Janine Marie

    1999-01-01

    discussions with community pharmacists in the capital area Reykjavík and rural areas were employed to answer the research question: How has the pharmacists' societal role evolved after the legislation and what are the implications for pharmacy practice? The results showed firstly that the public image......, the results showed that the pharmacists have difficulties reconciling their technical paradigm with a legislative and professional will specifying customer and patient focus. This study describes the challenges of a new legislation with a market focus for community pharmacists whose education emphasized...... technical skills. This account of the changes in the drug distribution system in Iceland highlights some of the implications for pharmacists internationally....

  1. Technical Training seminar: Texas Instruments

    CERN Multimedia

    2006-01-01

    Monday 6 November TECHNICAL TRAINING SEMINAR 14:00 to 17:30 - Training Centre Auditorium (bldg. 593) Texas Instruments Technical Seminar Michael Scholtholt, Field Application Engineer / TEXAS INSTRUMENTS (US, D, CH) POWER - A short approach to Texas Instruments power products Voltage mode vs. current mode control Differentiating DC/DC converters by analyzing control and compensation schemes: line / load regulation, transient response, BOM, board space, ease-of-use Introduction to the SWIFT software FPGA + CPLD power solutions WIRELESS / CHIPCON Decision criteria when choosing a RF platform Introduction to Texas Instruments wireless products: standardized platforms proprietary platforms ( 2.4 GHz / sub 1 GHz) development tools Antenna design: example for 2.4 GHz questions, discussion Industrial partners: Robert Medioni, François Caloz / Spoerle Electronic, CH-1440 Montagny (VD), Switzerland Phone: +41 24 447 0137, email: RMedioni@spoerle.com, http://www.spoerle.com Language: English. Free s...

  2. Water Finance Forum-Texas

    Science.gov (United States)

    Regional Finance Forum: Financing Resilient and Sustainable Water Infrastructure, held in Addison, Texas, September 10-11, 2015.Co-sponsored by EPA's Water Infrastructure and Resiliency Finance Center and the Environmental Finance Center Network.

  3. 2001 Harris County, Texas Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set was received by the NOAA Coastal Services Center from the Texas Natural Resources Information System. The data was collected in October of 2001 by...

  4. Avoiding Treatment Interruptions: What Role Do Australian Community Pharmacists Play?

    Directory of Open Access Journals (Sweden)

    Salem Hasn Abukres

    Full Text Available To explore the reported practice of Australian community pharmacists when dealing with medication supply requests in absence of a valid prescription.Self-administered questionnaire was posted to 1490 randomly selected community pharmacies across all Australian states and territories. This sample was estimated to be a 20% of all Australian community pharmacies.Three hundred eighty five pharmacists participated in the study (response rate achieved was 27.9% (there were 111 undelivered questionnaires. Respondents indicated that they were more likely to provide medications to regular customers without a valid prescription compared to non-regular customers (p<0.0001. However, supply was also influenced by the type of prescription and the medication requested. In the case of type of prescription (Standard, Authority or Private this relates to the complexity/probability of obtaining a valid prescription from the prescriber at a later date (i.e. supply with an anticipated prescription. Decisions to supply and/or not supply related to medication type were more complex. For some cases, including medication with potential for abuse, the practice and/or the method of supply varied significantly according to age and gender of the pharmacist, and pharmacy location (p<0.05.Although being a regular customer does not guarantee a supply, results of this study reinforce the importance for patients having a regular pharmacy, where pharmacists were more likely to continue medication supply in cases of patients presenting without a valid prescription. We would suggest, more flexible legislation should be implemented to allow pharmacists to continue supplying of medication when obtaining a prescription is not practical.

  5. Community pharmacist-physician collaborative streptococcal pharyngitis management program.

    Science.gov (United States)

    Klepser, Donald G; Klepser, Michael E; Dering-Anderson, Allison M; Morse, Jacqueline A; Smith, Jaclyn K; Klepser, Stephanie A

    2016-01-01

    To describe patient outcomes associated with a community pharmacy-based, collaborative physician-pharmacist group A Streptococcus (GAS) management program. Fifty-five chain and independent community pharmacies in Michigan, Minnesota, and Nebraska. Pharmacists screened clinically stable adult patients who presented with signs and symptoms consistent with GAS pharyngitis from October 1, 2013, to August 1, 2014, by means of Centor criteria, and performed a physical assessment followed by a rapid antigen detection test (RADT) for eligible patients. Patients were treated according to a collaborative practice agreement (CPA) with a licensed prescriber or a physician consult site model. Pharmacists followed up with patients 24-48 hours after the encounter to assess patient status and possible need for further intervention. Number of patients screened, tested, and treated, and health care utilization. Of 316 patients screened, 43 (13.6%) were excluded and referred for care. Of 273 patients (86.4%) eligible for testing, 48 (17.6%) had positive test results and 46 (16.8%) received amoxicillin or azithromycin per the CPA. Of those tested, 43.2% had no primary provider and 43.9% visited the pharmacy outside of traditional clinic office hours. Pharmacists demonstrated the ability and capacity to provide care for patients seeking treatment for pharyngitis. The number of patients without a primary care provider and seen at the pharmacy outside of normal office hours highlights the improved access that community pharmacy-based care offers. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  6. Managerial skills of new practitioner pharmacists within community practice.

    Science.gov (United States)

    Mospan, Cortney M; Casper, Kristin A; Coleman, Ashley; Porter, Kyle

    To identify managerial skills required in community pharmacy practice, explore new practitioners' previous exposure to these skills, and assess new practitioners' perceived preparedness to take on managerial responsibilities. A survey was developed with the use of Qualtrics and distributed by state pharmacy associations using a convenience sample of pharmacists from Iowa, Kentucky, Michigan, Ohio, and Pennsylvania. Pharmacists not practicing in a community pharmacy setting at the time of the study were excluded. New practitioners were defined as pharmacists practicing for no more than 10 years. A total of 168 pharmacists completed the survey. More than one-half (56%) of respondents self-reported being in a managerial position, and 90% of respondents thought that managerial skills were always or very often necessary. At graduation, 15% of respondents rated their managerial skill proficiency to be high to very high, with this increasing to 57% at current point in their career. When comparing managers versus non-managers, 78% of skills assessed showed higher utilization in managers. Interestingly, only 44% of skills showed a higher proficiency in managers. Finally, 88% of respondents thought that their managerial skills could be improved. New practitioners in community practice reported a high utilization of managerial skills, as well as improved proficiency throughout their careers. These skills are important in both community pharmacy training and practice. Managers reported higher utilization of managerial skills, but that utilization did not always correlate with proficiency. This highlights the need to further identify and improve managerial skills during pharmacy education and as part of ongoing continuing professional development. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  7. Impact of clinical pharmacist in an Indian Intensive Care Unit.

    Science.gov (United States)

    Hisham, Mohamed; Sivakumar, Mudalipalayam N; Veerasekar, Ganesh

    2016-02-01

    A critically ill patient is treated and reviewed by physicians from different specialties; hence, polypharmacy is a very common. This study was conducted to assess the impact and effectiveness of having a clinical pharmacist in an Indian Intensive Care Unit (ICU). It also evaluates the clinical pharmacist interventions with a focus on optimizing the quality of pharmacotherapy and patient safety. The prospective, observational study was carried out in medical and surgical/trauma ICU over a period of 1 year. All detected drug-related problems and interventions were categorized based on the Pharmaceutical Care Network Europe system. During the study period, average monthly census of 1032 patients got treated in the ICUs. A total of 986 pharmaceutical interventions due to drug-related problems were documented, whereof medication errors accounted for 42.6% (n = 420), drug of choice problem 15.4% (n = 152), drug-drug interactions were 15.1% (n = 149), Y-site drug incompatibility was 13.7% (n = 135), drug dosing problems were 4.8% (n = 47), drug duplications reported were 4.6% (n = 45), and adverse drug reactions documented were 3.8% (n = 38). Drug dosing adjustment done by the clinical pharmacist included 140 (11.9%) renal dose, 62 (5.2%) hepatic dose, 17 (1.4%) pediatric dose, and 104 (8.8%) insulin dosing modifications. A total of 577 drug and poison information queries were answered by the clinical pharmacist. Clinical pharmacist as a part of multidisciplinary team in our study was associated with a substantially lower rate of adverse drug event caused by medication errors, drug interactions, and drug incompatibilities.

  8. Medication management during pregnancy: role of the pharmacist.

    Science.gov (United States)

    Samuel, Nardin; Einarson, Adrienne

    2011-12-01

    A community pharmacist is frequently the first healthcare professional who is asked to give advice regarding medication use during pregnancy. As 50% of pregnancies are unplanned, a woman often discovers she is pregnant while already taking a medication and visits a pharmacy which is easily accessible, to enquire if she has harmed her baby by this action. Following a review of the literature, of which there is a paucity on this topic, we found that pharmacists often do not feel equipped to dispense teratology information and frequently refer the woman to her attending physician, without giving any information. In addition, it was clear that even when they did give information, it was not necessarily evidence-based and at times, inaccurate and based on their own opinions. In this article, we have attempted to make pharmacists aware of all the sources that are available, to enable them to perform this important role as a member of the health care team. These include websites, texts, evidence-based literature, teratogen information services and more. With the knowledge extracted from various resources, following critical appraisal of the data, they should be more comfortable and feel better equipped to transfer this information to a pregnant woman. In conclusion, while there may be a lack of adequate information regarding use of certain medications during pregnancy, pharmacists should be able to integrate available information with their medication expertise, to make appropriate individual risk/benefit decisions. This requires active engagement with pregnant women, rather than automatically referring them to their physician, thus establishing the pharmacist role as an essential member of the health care team.

  9. The contribution of Ghanaian pharmacists to mental healthcare: current practice and barriers

    Directory of Open Access Journals (Sweden)

    Boateng Edmund A

    2010-06-01

    Full Text Available Abstract Background There is scant knowledge of the involvement of developing country pharmacists in mental healthcare. The objectives of this study were: to examine the existing role of Ghanaian community and hospital pharmacists in the management of mental illness, and to determine the barriers that hinder pharmacists' involvement in mental healthcare in Ghana. Method A respondent self-completion questionnaire was randomly distributed to 120 superintendent community pharmacists out of an estimated 240 pharmacists in Kumasi, Ashanti Region of Ghana. A purposive sampling method was utilized in selecting two public psychiatric hospital pharmacists in Accra, the capital city of Ghana for a face-to-face interview. A semi-structured interview guide was employed. Results A 91.7% response rate was obtained for the community pharmacists' questionnaire survey. Approximately 65% of community pharmacists were not involved in mental health provision. Of the 35% who were, 57% counseled psychiatric patients and 44% of these dispensed medicines for mental illness. Perceived barriers that hindered community pharmacists' involvement in the management of mental health included inadequate education in mental health (cited by 81% of respondents and a low level of encounter with patients (72%. The psychiatric hospital pharmacists were mostly involved in the dispensing of medicines from the hospital pharmacy. Conclusion Both community and hospital pharmacists in Ghana were marginally involved in the provision of mental healthcare. The greatest barrier cited was inadequate knowledge in mental health.

  10. Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling.

    Science.gov (United States)

    Chevalier, Bernadette A M; Watson, Bernadette M; Barras, Michael A; Cottrell, William Neil

    2017-10-01

    Medication counselling opportunities are key times for pharmacists and patients to discuss medications and patients' concerns about their therapy. Communication Accommodation Theory (CAT) describes behavioural, motivational and emotional processes underlying communication exchanges. Five CAT strategies (approximation, interpretability, discourse management, emotional expression and interpersonal control) permit identification of effective communication. To invoke CAT to investigate communication strategies used by hospital pharmacists during patient medication counselling. This was a theory-based, qualitative study using transcribed audiorecordings of patients and hospital pharmacists engaged in medication counselling. Recruited pharmacists practised in inpatient or outpatient settings. Eligible patients within participating pharmacists' practice sites were prescribed at least three medications to manage chronic disease(s). The extent to which pharmacists accommodate, or not, to patients' conversational needs based on accommodative behaviour described within CAT strategies. Twelve pharmacists engaged four patients (48 total interactions). Exemplars provided robust examples of pharmacists effectively accommodating or meeting patients' conversational needs. Non-accommodation mainly occurred when pharmacists spoke too quickly, used terms not understood by patients and did not include patients in the agenda-setting phase. Multiple strategy use resulted in communication patterns such as "information-reassurance-rationale" sandwiches. Most pharmacists effectively employed all five CAT strategies to engage patients in discussions. Pharmacists' communication could be improved at the initial agenda-setting phase by asking open-ended questions to invite patients' input and allow patients to identify any medication-related concerns or issues. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  11. The activity of palliative care team pharmacists in designated cancer hospitals: a nationwide survey in Japan.

    Science.gov (United States)

    Ise, Yuya; Morita, Tatsuya; Katayama, Shirou; Kizawa, Yoshiyuki

    2014-03-01

    The role of pharmacists in palliative care has become more important now that they are able to provide medication review, patient education, and advice to physicians about a patient's pharmacotherapy. However, there is little known about pharmacists' activity on palliative care teams. The present study aimed to examine the clinical, educational, and research activities of pharmacists on palliative care teams and pharmacist-perceived contributions to a palliative care team or why they could not contribute. We sent 397 questionnaires to designated cancer hospitals, and 304 responses were analyzed (response rate 77%). Of the pharmacists surveyed, 79% and 94% reported attending ward rounds and conferences, respectively. Half of the pharmacists provided information/suggestions to the team about pharmacology, pharmaceutical production, managing adverse effects, drug interactions, and/or rotation of drugs. In addition, 80% of the pharmacists organized a multidisciplinary conference on palliative care education. Furthermore, 60% of the pharmacists reported on palliative care research to a scientific society. Seventy percent of the pharmacists reported some level of contribution to a palliative care team, whereas 16% reported that they did not contribute, with the main perceived reasons for no contribution listed as insufficient time (90%) and/or staff (68%). In Japan, pharmacists exercise a moderate level of clinical activity on palliative care teams. Many pharmacists believe that they contribute to such a team and generally place more emphasis on their educational and research roles compared with clinical work. Crown Copyright © 2014. Published by Elsevier Inc. All rights reserved.

  12. Evaluation of pharmacist utilization of a poison center as a resource for patient care.

    Science.gov (United States)

    Armahizer, Michael J; Johnson, David; Deusenberry, Christina M; Foley, John J; Krenzelok, Edward P; Pummer, Tara L

    2013-06-01

    The objective of this study was to evaluate pharmacist use of a Regional Poison Information Center (RPIC), identify potential barriers to utilization, and provide strategies to overcome these barriers. All calls placed to a RPIC by a pharmacist, physician, or nurse over a 5-year period were retrieved. These data were analyzed to assess the pharmacist utilization of the RPIC and the variation of call types. Additionally, a survey, designed to assess the past and future use of the RPIC by pharmacists, was distributed to pharmacists in the region. Of the 37,799 calls made to the RPIC, 26,367 (69.8%) were from nurses, 8096 (21.4%) were from physicians, and 3336 (8.8%) were from pharmacists. Among calls initiated by pharmacists, the majority involved medication identification (n = 2391, 71.7%). The survey had a 38.9% response rate (n = 715) and revealed a trend toward less RPIC utilization by pharmacists with more formal training but less practice experience. The utilization of the RPIC was lowest among pharmacists as compared to other health care professionals. This may be due to pharmacists' unfamiliarity with the poison center's scope of services and resources. Therefore, it is important that pharmacists are educated on the benefit of utilizing poison centers in clinical situations.

  13. Coastal Inlets of Texas, USA

    Science.gov (United States)

    2007-01-01

    Caney Creek Freeport Ship Channel San Luis Pass Galveston Pass Rollover Fish Pass Sabine Pass Texas Victoria Houston Port Arthur Corpus Christi...1960) provide design guidance for constructing fish passes along the Texas coast, it appears that an update based on more recent experiences and...Hall Pier at Corpus Christi; and bay gauges (Rawlings at Mouth of Colorado River; Lavaca, and Port Isabel in the lower Laguna Madre ) for year 1999

  14. Aerial radiometric and magnetic survey, San Angelo National Topographic Map: Texas, West Texas Project. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1980-05-01

    The results of analyses of the airborne gamma radiation and total magnetic field survey flown for the region identified as the San Angelo National Topographic Map NH14-1 are presented. The airborne data gathered are reduced by ground computer facilities to yield profile plots of the basic uranium, thorium, and potassium equivalent gamma radiation intensities, ratios of these intensities, aircraft altitude above the earth's surface, total gamma ray and earth's magnetic field intensity, correlated as a function of geologic units. The distribution of data within each geologic unit, for all surveyed map lines and tie lines, has been calculated and is included. Two sets of profiled data for each line are included, with one set displaying the above-cited data. The second set includes only flight line magnetic field, temperature, pressure, altitude data plus magnetic field data as measured at a base station. A general description of the area, including descriptions of the various geologic units and the corresponding airborne data, is included.

  15. What is a Pharmacist: Opinions of Pharmacy Department Academics and Community Pharmacists on Competences Required for Pharmacy Practice

    NARCIS (Netherlands)

    Atkinson, Jeffrey; de Paepe, Kristien; Sánchez Pozo, Antonio; Rekkas, Dimitrios; Volmer, Daisy; Hirvonen, Jouni; Bozic, Borut; Skowron, Agnieska; Mircioiu, Constantin; Marcincal, Annie; Koster, Andries; Wilson, Keith; van Schravendijk, Chris; Wilkinson, Jamie

    2016-01-01

    This paper looks at the opinions of 241 European academics (who provide pharmacy education), and of 258 European community pharmacists (who apply it), on competences for pharmacy practice. A proposal for competences was generated by a panel of experts using Delphi methodology. Once finalized, the

  16. Pharmacists in primary care. Determinants of the care-providing function of Dutch community pharmacists in primary care.

    NARCIS (Netherlands)

    Muijrers, P.E.; Knottnerus, J.A.; Sijbrandij, J.; Janknegt, R.; Grol, R.P.T.M.

    2004-01-01

    OBJECTIVE: To identify determinants of the care-providing function of the community pharmacists (CPs) to explain variations in professional practice. SETTING: The Netherlands 2001. PARTICIPANTS: 328 CPs. METHOD: A cross-sectional questionnaire survey was performed. Questionnaires were used to

  17. Pharmacists in primary care. Determinants of the care-providing function of Dutch community pharmacists in primary care.

    NARCIS (Netherlands)

    Muijrers, P.E.; Knottnerus, J.A.; Sijbrandij, J.; Janknegt, R.; Grol, R.P.T.M.

    2004-01-01

    OBJECTIVE: To identify determinants of the care-providing function of the community pharmacists (CPs) to explain variations in professional practice. SETTING: The Netherlands 2001. PARTICIPANTS: 328 CPs. METHOD: A cross-sectional questionnaire survey was performed. Questionnaires were used to collec

  18. Geology and ground-water resources of Winkler County, Texas

    Science.gov (United States)

    Garza, Sergio; Wesselman, John B.

    1963-01-01

    Winkler County, in west Texas, is adjacent to the southeast corner of New Mexico. Most of the county lies in the Pecos Valley; the remainder, in the northeastern part of the county, is part of the Llano Estacado, or the High Plains. Its principal industries are those related to the production and refining of oil, but ranching also is an important occupation. The county has an arid to semiarid climate, an area of about 887 square miles, and a population of about 12,000 in 1957.

  19. Evaluation of the first pharmacist-administered vaccinations in Western Australia: a mixed-methods study

    Science.gov (United States)

    Hattingh, H Laetitia; Sim, T Fei; Parsons, R; Czarniak, P; Vickery, A; Ayadurai, S

    2016-01-01

    Objectives This study evaluated the uptake of Western Australian (WA) pharmacist vaccination services, the profiles of consumers being vaccinated and the facilitators and challenges experienced by pharmacy staff in the preparation, implementation and delivery of services. Design Mixed-methods methodology with both quantitative and qualitative data through surveys, pharmacy computer records and immuniser pharmacist interviews. Setting Community pharmacies in WA that provided pharmacist vaccination services between March and October 2015. Participants Immuniser pharmacists from 86 pharmacies completed baseline surveys and 78 completed exit surveys; computer records from 57 pharmacies; 25 immuniser pharmacists were interviewed. Main outcome measures Pharmacy and immuniser pharmacist profiles; pharmacist vaccination services provided and consumer profiles who accessed services. Results 15 621 influenza vaccinations were administered by immuniser pharmacists at 76 WA community pharmacies between March and October 2015. There were no major adverse events, and managed. Between 12% and 17% of consumers were eligible to receive free influenza vaccinations under the National Immunisation Program but chose to have it at a pharmacy. A high percentage of vaccinations was delivered in rural and regional areas indicating that provision of pharmacist vaccination services facilitated access for rural and remote consumers. Immuniser pharmacists reported feeling confident in providing vaccination services and were of the opinion that services should be expanded to other vaccinations. Pharmacists also reported significant professional satisfaction in providing the service. All participating pharmacies intended to continue providing influenza vaccinations in 2016. Conclusions This initial evaluation of WA pharmacist vaccination services showed that vaccine delivery was safe. Convenience and accessibility were important aspects in usage of services. There is scope to expand pharmacist

  20. Interdisciplinary medication decision making by pharmacists in pediatric hospital settings: An ethnographic study.

    Science.gov (United States)

    Rosenfeld, Ellie; Kinney, Sharon; Weiner, Carlye; Newall, Fiona; Williams, Allison; Cranswick, Noel; Wong, Ian; Borrott, Narelle; Manias, Elizabeth

    2017-03-22

    Children are particularly vulnerable to experiencing medication incidents in hospitals. Making sound medication decisions is therefore of paramount importance. Prior research has principally described pharmacists' role in reducing medication errors. There is a dearth of information about pharmacists' interactions with pediatric hospital staff across disciplines in resolving medication issues. The aim of this study was to examine interdisciplinary medication decision making by pharmacists in pediatric hospital settings. An ethnographic design was undertaken comprising observations, semi-structured interviews and focus groups. Audio-recorded data were analyzed thematically. The study was conducted in three wards of an Australian pediatric tertiary teaching hospital, comprising general surgical, gastroenterology, endocrinology, neurology, adolescent and rehabilitation settings. Pharmacists, registered nurses and doctors were recruited from diverse clinical wards following information sessions. Pharmacists were central to complex pediatric medication decision making, intervening about dosage, administration, drug interactions and authorities. Pharmacists proactively contacted doctors and nurses about prescribing issues; conversely, staff routinely approached pharmacists for medication advice. Pharmacists were perceived as medication experts, their extensive knowledge valued in resolving complex issues: when off-label medications were prescribed, when protocols were absent or ambiguous, where tension existed between protocol adherence and patient safety, and where patients on multiple medications were at risk of medication error. Pharmacists had strong relationships with doctors and nurses, which had a bearing on pharmacists' input in interventions. Furthermore, pharmacists identified prescribing errors through strategies, such as case note review and medication reconciliation, although the lack of emergency department pharmacists and limited after-hours staffing posed

  1. Pharmacist-based health coaching: A new model of pharmacist-patient care.

    Science.gov (United States)

    Lonie, John M; Austin, Zubin; Nguyen, Rosalie; Gill, Imninder; Tsingos-Lucas, Cherie

    2016-07-15

    This paper describes a provider-patient communication process, which although not new to health care in general, is new to the pharmacy profession. Health coaching is a technique that empowers patients to make lasting health behavior changes that improve overall well-being. It provides patients with health care implementation options that better suit their lifestyle and abilities. Health coaching programs have the potential to foster better health outcomes, especially with patients who are chronically ill or represent an at risk population for medication non-adherence (e.g. elderly, patients on psychotropic medications). Other health professions (e.g. nursing and medicine) have had success with the implementation of health coaching models. For example, nurse coaching is recognized by the American Nurse Association and recent statistics show 3.1 million nurses in the U.S.A are also trained in nurse coaching. The pharmacy profession has yet to tap the patient-related benefits of health coaching. This commentary will discuss (i) The theoretical foundations of health coaching (ii) Distinctions between health coaching, motivational interviewing and traditional medication therapy counseling (iii) Training necessary for health coaching; and (iv) How pharmacists can use health coaching in practice.

  2. West Africa

    Science.gov (United States)

    2002-01-01

    With its vast expanses of sand, framed by mountain ranges and exposed rock, northwestern Africa makes a pretty picture when viewed from above. This image was acquired by the Moderate-resolution Imaging Spectroradiometer (MODIS), flying aboard NASA's Terra spacecraft. The Canary Islands can be seen on the left side of the image just off Africa's Atlantic shore. The light brown expanse running through the northern two thirds of the image is the Sahara Desert. The desert runs up against the dark brown Haut Atlas mountain range of Morocco in the northwest, the Atlantic Ocean to the west and the semi-arid (light brown pixels) Sahelian region in the South. The Sahara, however, isn't staying put. Since the 1960s, the desert has been expanding into the Sahelian region at a rate of up to 6 kilometers per year. In the 1980s this desert expansion, combined with over cultivation of the Sahel, caused a major famine across west Africa. Over the summer months, strong winds pick up sands from the Sahara and blow them across the Atlantic as far west as North America, causing air pollution in Miami and damaging coral reefs in the Bahamas and the Florida Keys. The white outlines on the map represent country borders. Starting at the top-most portion of the map and working clockwise, the countries shown are Morocco, Western Sahara, Mauritania, Senegal, Mali, Burkina Fasso, Nigeria, Mali (again), and Algeria. Image by Reto Stockli, Robert Simmon, and Brian Montgomery, NASA Earth Observatory, based on data from MODIS

  3. AN ANALYSIS OF PHARMACY SERVICES BY PHARMACIST IN COMMUNITY PHARMACY

    Directory of Open Access Journals (Sweden)

    Max Joseph Herman

    2013-03-01

    Full Text Available ABSTRACT Background: Up to now there are more than 60 schools of pharmacy with a variety of accreditation level in lndonesia. Previous study found that the standard of pharmaceutical services at various service facilities (hospitals, primary health care and community pharmacy can not be fully implemented because of the limited competency of pharmacist. This study was conducted to identify the qualification of pharmacist who delivers services in community pharmacy in compliance with the Indonesian Health Law No. 36 of 2009. As mandated in the Health Law No. 36 of 2009, the government is obliged to establish minimum requirements that must be possessed. Methods: This cross sectional study was conducted in 2010 at 2 community pharmacies in each of 3 cities, i.e. Bandung, DI Yogyakarta and Surabaya. Other than ten pharmacists delivering services in community pharmacies, there were pharmacists as informants from 4 institutions in each city selected, i.e. six pharmacists from two Schools of Pharmacy, three pharmacists from three Regional Indonesian Pharmacists Association,six pharmacists from three District Health Offices and three Provincial Health Offices. Primary data collection through in-depth interviews and observation as well as secondary data collection concerning standard operating procedures, monitoring documentation and academic curricula has been used. Descriptive data were analysed qualitatively Results: The findings indicate that pharmacists' qualification to deliver services in a community pharmacy in accordance with the Government Regulation No. 51 of 2009, Standards of Pharmacy Services in Community Pharmacy and Good Pharmaceutical Practices (GPP was varied. Most pharmacists have already understood their roles in pharmacy service, but to practice it in accordance with the standards or guidelines they are still having problems. It is also acknowledged by pharmacists in other institutions, including School of Pharmacy, Regional

  4. Chagas Disease Risk in Texas

    Science.gov (United States)

    Sarkar, Sahotra; Strutz, Stavana E.; Frank, David M.; Rivaldi, Chissa–Louise; Sissel, Blake; Sánchez–Cordero, Victor

    2010-01-01

    Background Chagas disease, caused by Trypanosoma cruzi, remains a serious public health concern in many areas of Latin America, including México. It is also endemic in Texas with an autochthonous canine cycle, abundant vectors (Triatoma species) in many counties, and established domestic and peridomestic cycles which make competent reservoirs available throughout the state. Yet, Chagas disease is not reportable in Texas, blood donor screening is not mandatory, and the serological profiles of human and canine populations remain unknown. The purpose of this analysis was to provide a formal risk assessment, including risk maps, which recommends the removal of these lacunae. Methods and Findings The spatial relative risk of the establishment of autochthonous Chagas disease cycles in Texas was assessed using a five–stage analysis. 1. Ecological risk for Chagas disease was established at a fine spatial resolution using a maximum entropy algorithm that takes as input occurrence points of vectors and environmental layers. The analysis was restricted to triatomine vector species for which new data were generated through field collection and through collation of post–1960 museum records in both México and the United States with sufficiently low georeferenced error to be admissible given the spatial resolution of the analysis (1 arc–minute). The new data extended the distribution of vector species to 10 new Texas counties. The models predicted that Triatoma gerstaeckeri has a large region of contiguous suitable habitat in the southern United States and México, T. lecticularia has a diffuse suitable habitat distribution along both coasts of the same region, and T. sanguisuga has a disjoint suitable habitat distribution along the coasts of the United States. The ecological risk is highest in south Texas. 2. Incidence–based relative risk was computed at the county level using the Bayesian Besag–York–Mollié model and post–1960 T. cruzi incidence data. This risk

  5. Transitioning Pharmacogenomics into the Clinical Setting: Training Future Pharmacists

    Science.gov (United States)

    Frick, Amber; Benton, Cristina S.; Scolaro, Kelly L.; McLaughlin, Jacqueline E.; Bradley, Courtney L.; Suzuki, Oscar T.; Wang, Nan; Wiltshire, Tim

    2016-01-01

    Pharmacogenomics, once hailed as a futuristic approach to pharmacotherapy, has transitioned to clinical implementation. Although logistic and economic limitations to clinical pharmacogenomics are being superseded by external measures such as preemptive genotyping, implementation by clinicians has met resistance, partly due to a lack of education. Pharmacists, with extensive training in pharmacology and pharmacotherapy and accessibility to patients, are ideally suited to champion clinical pharmacogenomics. This study aimed to analyze the outcomes of an innovative pharmacogenomic teaching approach. Second-year student pharmacists enrolled in a required, 15-week pharmaceutical care lab course in 2015 completed educational activities including lectures and small group work focusing on practical pharmacogenomics. Reflecting the current landscape of direct-to-consumer (DTC) genomic testing, students were offered 23andMe genotyping. Students completed surveys regarding their attitudes and confidence on pharmacogenomics prior to and following the educational intervention. Paired pre- and post-intervention responses were analyzed with McNemar's test for binary comparisons and the Wilcoxon signed-rank test for Likert items. Responses between genotyped and non-genotyped students were analyzed with Fisher's exact test for binary comparisons and the Mann-Whitney U-test for Likert items. Responses were analyzed for all student pharmacists who voluntarily completed the pre-intervention survey (N = 121, 83% response) and for student pharmacists who completed both pre- and post-intervention surveys (N = 39, 27% response). Of those who completed both pre- and post-intervention surveys, 59% obtained genotyping. Student pharmacists demonstrated a significant increase in their knowledge of pharmacogenomic resources (17.9 vs. 56.4%, p < 0.0001) and confidence in applying pharmacogenomic information to manage patients' drug therapy (28.2 vs. 48.7%, p = 0.01), particularly if the student

  6. Community pharmacists as educators in Danish residential facilities: a qualitative study.

    Science.gov (United States)

    Mygind, Anna; El-Souri, Mira; Pultz, Kirsten; Rossing, Charlotte; Thomsen, Linda A

    2017-08-01

    To explore experiences with engaging community pharmacists in educational programmes on quality and safety in medication handling in residential facilities for the disabled. A secondary analysis of data from two Danish intervention studies where community pharmacists were engaged in educational programmes. Data included 10 semi-structured interviews with staff, five semi-structured interviews and three open-ended questionnaires with residential facility managers, and five open-ended questionnaires to community pharmacists. Data were thematically coded to identify key points pertaining to the themes 'pharmacists as educators' and 'perceived effects of engaging pharmacists in competence development'. As educators, pharmacists were successful as medicines experts. Some pharmacists experienced pedagogical challenges. Previous teaching experience and obtained knowledge of the local residential facility before teaching often provided sufficient pedagogical skills and tailored teaching to local needs. Effects of engaging community pharmacists included in most instances improved cooperation between residential facilities and community pharmacies through a trustful relationship and improved dialogue about the residents' medication. Other effects included a perception of improved patient safety, teaching skills and branding of the pharmacy. Community pharmacists provide a resource to engage in educational programmes on medication handling in residential facilities, which may facilitate improved cooperation between community pharmacies and residential facilities. However, development of pedagogical competences and understandings of local settings are prerequisites for facilities and pharmacists to experience the programmes as successful. © 2016 Royal Pharmaceutical Society.

  7. [Consideration of the Work Content of the Clinic Pharmacist and Its Usefulness].

    Science.gov (United States)

    Imajo, Hirofumi; Imai, Kazutaka; Hisajima, Kazuhiro; Kishimoto, Masato; Sekiya, Kyosuke; Kagawa, Yoshihiko; Talman-Teramoto, Honami; Soga, Yukihiro; Yasukawa, Keigo; Hirohara, Masayoshi; Kushida, Kazuki

    2016-12-01

    "Medical teams"have been promoted in the home care setting. For the pharmacist, it is possible to maintain the safety and improve the quality of medical care by working with a multidisciplinary team. The arrangement of the pharmacist with the clinic is specified in Article 18 of the Medical Care Law, but there is no medical treatment fee for the clinic pharmacist. We examined the work content and usefulness of the clinic pharmacist. The work content was to participate in visiting consultation, introduce pharmacotherapy management based on the clinic pharmacist's working protocol, propose prescriptions, provide drug information service, and cooperate with insurance pharmacy pharmacists. Because the pharmacist was working in the clinic, he or she was able to actively intervene in drug treatment. Intervention in medication requires organizing and gathering information, which is difficult in the position of the insurance pharmacy pharmacist. The fact that the clinic pharmacist assumes this role and works with insurance pharmacy pharmacists makes it possible to maintain the safety and improve the quality of medical care.

  8. A systematic review of community pharmacist therapeutic knowledge of dietary supplements.

    Science.gov (United States)

    Waddington, Freya; Naunton, Mark; Kyle, Greg; Thomas, Jackson; Cooper, Gabrielle; Waddington, Ainsley

    2015-06-01

    Internationally, the use of dietary supplements has been growing rapidly. Patient support for pharmacist sales of nutritional and dietary supplements is also strong. The increase in demand for nutritional and dietary supplements and subsequent advice about these products, however, makes it necessary that pharmacists maintain a contemporary knowledge of the area. This systematic review was conducted to examine the current evidence regarding the level of the nutritional and dietary supplement knowledge of community pharmacists and their understanding of their therapeutic effects. Electronic databases including Medline, Scopus, Embase, CINAHL, Scifinder and the Cochrane Controlled Trials Register were searched. Studies assessing nutritional knowledge of pharmacists in community pharmacies were eligible for inclusion. All languages and study designs were considered. Study results were analysed and pharmacist knowledge scores were given out of 100 %. Results From 5594 studies identified, nine met the inclusion criteria. Each study tested pharmacist knowledge with predetermined questions calculating results as the number of questions answered correctly. These knowledge scores were converted to a percentage score for the purpose of this paper. The median knowledge score across all papers was 64 %. A lack of studies assessing community pharmacists' knowledge of commonly sold vitamins and minerals was observed. Global community pharmacist knowledge of dietary supplements appears to be poor. Community pharmacists have an professional responsibility to provide accurate health information about dietary supplements as they do for any other therapies they provide to patients. Further research including that which assesses pharmacists' therapeutic knowledge of commonly sold vitamins and minerals is suggested.

  9. The incidence and severity of errors in pharmacist-written discharge medication orders.

    Science.gov (United States)

    Onatade, Raliat; Sawieres, Sara; Veck, Alexandra; Smith, Lindsay; Gore, Shivani; Al-Azeib, Sumiah

    2017-08-01

    Background Errors in discharge prescriptions are problematic. When hospital pharmacists write discharge prescriptions improvements are seen in the quality and efficiency of discharge. There is limited information on the incidence of errors in pharmacists' medication orders. Objective To investigate the extent and clinical significance of errors in pharmacist-written discharge medication orders. Setting 1000-bed teaching hospital in London, UK. Method Pharmacists in this London hospital routinely write discharge medication orders as part of the clinical pharmacy service. Convenient days, based on researcher availability, between October 2013 and January 2014 were selected. Pre-registration pharmacists reviewed all discharge medication orders written by pharmacists on these days and identified discrepancies between the medication history, inpatient chart, patient records and discharge summary. A senior clinical pharmacist confirmed the presence of an error. Each error was assigned a potential clinical significance rating (based on the NCCMERP scale) by a physician and an independent senior clinical pharmacist, working separately. Main outcome measure Incidence of errors in pharmacist-written discharge medication orders. Results 509 prescriptions, written by 51 pharmacists, containing 4258 discharge medication orders were assessed (8.4 orders per prescription). Ten prescriptions (2%), contained a total of ten erroneous orders (order error rate-0.2%). The pharmacist considered that one error had the potential to cause temporary harm (0.02% of all orders). The physician did not rate any of the errors with the potential to cause harm. Conclusion The incidence of errors in pharmacists' discharge medication orders was low. The quality, safety and policy implications of pharmacists routinely writing discharge medication orders should be further explored.

  10. [The extent of the burnout syndrome among pharmacists: partial study].

    Science.gov (United States)

    Saligerová, Markéta; Kolář, Jozef

    2017-01-01

    The paper deals with the possibilities of investigating the susceptibility to burnout syndrome in pharmacists and pharmaceutical assistants working in pharmacies. By using the Maslach Burnout Inventory, between November 2015 and January 2016, 53 healthcare professionals were contacted in 11 pharmacies (Brno, Vyškov). The results of the research show that with an increasing length of practice the average EE factor (emotional exhaustion) increases. The DP (depersonalization) factor does not increase significantly with the increase in the length of practice. Respondents with the longest experience are at high risk of burnout syndrome presented by the factor PA (personal satisfaction from work). It has also been shown that with an increasing age the factor EE slightly increases, the DP factor is in the low range, and the PA factor is significantly reduced in the "oldest" age category, it is high in the band.Key words: stress burnout syndrome pharmacists research.

  11. Pharmacist work stress and learning from quality related events.

    Science.gov (United States)

    Boyle, Todd A; Bishop, Andrea; Morrison, Bobbi; Murphy, Andrea; Barker, James; Ashcroft, Darren M; Phipps, Denham; Mahaffey, Thomas; MacKinnon, Neil J

    2016-01-01

    Among the many stresses faced by pharmacy staff, quality related event (QRE) learning can be among the most significant. In the absence of a supportive organizational culture, the potential for blaming individuals, versus identifying key process flaws, is significant and can be very intimidating to those involved in such discussions and may increase an already stressful work environment. This research develops and tests a model of the relationship between the work stress faced by pharmacists and the extent of QRE learning in community pharmacies. Building upon recent research models that explore job characteristics and safety climate, the model proposes that work stress captured by the effort that the pharmacist invests into job performance, the extent to which the pharmacist is rewarded for such efforts, and the extent of pharmacist work-related commitment to their job, influence pharmacist assessment of the working conditions within their community pharmacy. It is further proposed that working conditions influence the extent of a blame culture and safety focus in the pharmacy, which, in turn, influences organizational learning from QREs. This research formed part of a larger study focused on QRE reporting in community pharmacies. As part of the larger study, a total of 1035 questionnaires were mailed to community pharmacists, pharmacy managers, and pharmacy owners in the Canadian province of Saskatchewan during the fall of 2013 and winter and spring of 2014. Partial least squares (PLS) using SmartPLS was selected to test and further develop the proposed model. An examination of the statistical significance of latent variable paths, convergent validity, construct reliability, discriminant validity, and variance explained was used to assess the overall quality of the model. Of the 1035 questionnaire sent, a total of 432 questionnaires were returned for an initial response rate of approximately 42%. However, for this research, only questionnaires from staff

  12. Relationship between Student Pharmacist Decision Making Preferences and Experiential Learning.

    Science.gov (United States)

    Williams, Charlene R; McLaughlin, Jacqueline E; Cox, Wendy C; Shepherd, Greene

    2016-09-25

    Objective. To determine if student pharmacists' preferences towards experiential and rational thinking are associated with performance on advanced pharmacy practice experiences (APPEs) and whether thinking style preference changes following APPEs. Methods. The Rational Experiential Inventory (REI), a validated survey of thinking style, was administered to student pharmacists before starting APPEs and re-administered after completing APPEs. APPE grades were compared to initial REI scores. Results. Rational Experiential Inventory scores remained consistent before and after APPEs. Overall, APPE grades were independent of REI scores. In a regression model, the REI experiential score was a significant negative predictor of hospital APPE grades. Conclusion. These findings suggest that overall APPE performance is independent of decision-making preference, and decision-making style does not change following immersion into APPEs. Instead of targeting teaching strategies towards a specific decision-making style, preceptors may use pedagogical approaches that promote sound clinical decision-making skills through critical thinking and reflection.

  13. Abortions in Texas Dropped Dramatically After Restrictions

    Science.gov (United States)

    ... an undue burden on women seeking access to abortion care in Texas," said researcher Dr. Daniel Grossman. Grossman is an investigator with the Texas Policy Evaluation Project, which studies the impact of state legislation affecting women's reproductive health. He's ...

  14. 76 FR 50708 - Texas Regulatory Program

    Science.gov (United States)

    2011-08-16

    ...: Railroad Commission of Texas, 1701 North Congress Ave., Austin, Texas 78711-2967, Telephone: (512) 463-6900... CFR Part 943 Intergovernmental relations, Surface mining, Underground mining. Dated: June 23, 2011...

  15. The modern pharmacist: Is the future in the past?

    Directory of Open Access Journals (Sweden)

    Roberto Frontini

    2016-06-01

    Full Text Available In conclusion between a medicine with its active ingredient and the outcome of the patient there are a lot of barriers like e.g. drug formulation, patient attitude, social context, medication errors, patient’s genomic, biased information. The pharmacist has to help patients in overcoming such barriers but this is only possible if he or she is part of a cure team working in collaborative way without hierarchy barriers.

  16. Professional Use of Social Media by Pharmacists: A Qualitative Study

    Science.gov (United States)

    Benetoli, Arcelio; Chen, Timothy Frank; Schaefer, Marion; Chaar, Betty B

    2016-01-01

    Background Social media is frequently used by consumers and health care professionals; however, our knowledge about its use in a professional capacity by pharmacists is limited. Objective Our aim was to investigate the professional use of social media by pharmacists. Methods In-depth semistructured interviews were conducted with practicing pharmacists (N=31) from nine countries. Interviews were recorded, transcribed verbatim, and thematically analyzed. Results Wikipedia, YouTube, and Facebook were the main social media platforms used. Professional use of social media included networking with peers, discussion of health and professional topics, accessing and sharing health and professional information, job searching, and professional promotion. Wikipedia was the participants’ first choice when seeking information about unfamiliar topics, or topics that were difficult to search for. Very few pharmacy-related contributions to Wikipedia were reported. YouTube, a video-sharing platform, was used for self-education. University lectures, “how-to” footage, and professionally made videos were commonly watched. No professional contribution was made to YouTube. Facebook, a general social networking site, was used for professional networking, promotion of achievements, and job advertisements. It also afforded engagement in professional discussions and information sharing among peers. Conclusions Participants used social media in a professional capacity, specifically for accessing and sharing health and professional information among peers. Pharmacists, as medicines experts, should take a leading role in contributing to health information dissemination in these user-friendly virtual environments, to reach not only other health care professionals but also health consumers. PMID:27663570

  17. Application of STOPP and START criteria: interrater reliability among pharmacists.

    LENUS (Irish Health Repository)

    Ryan, Cristin

    2009-07-01

    Inappropriate prescribing is a well-documented problem in older people. The new screening tools, STOPP (Screening Tool of Older Peoples\\' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) have been formulated to identify potentially inappropriate medications (PIMs) and potential errors of omissions (PEOs) in older patients. Consistent, reliable application of STOPP and START is essential for the screening tools to be used effectively by pharmacists.

  18. Pharmacists' satisfaction with their work: Analysis of an alumni survey.

    Science.gov (United States)

    Gustafsson, Maria; Mattsson, Sofia; Wallman, Andy; Gallego, Gisselle

    2017-09-01

    The level of job satisfaction among practicing pharmacists is important because it has been found to affect job performance and employee turnover. The Swedish pharmacy market has undergone major changes in recent years, and little is known about pharmacists' job satisfaction. The objective of this study was to investigate the level of job satisfaction and associated factors among graduates from the web-based pharmacy programs at Umeå University. Job satisfaction of pharmacists was measured as part of an alumni survey conducted with those who graduated from the pharmacy programmes between 2006 and 2014. Data analysis included descriptive statistics, and logistic regression was used to explore factors affecting job satisfaction. The total number of graduates who completed the survey was 222 (response rate 43%.) The majority of respondents were female (95%), and most were employed at a community pharmacy (85%). The mean age was 39.7 years. The majority of graduates (91%) were satisfied with their job "most of the time" or "all of the time", and 87% of the respondents would "definitely" or "maybe" choose the same career again. The multivariate analysis showed that increasing years in the current position (OR: 0.672 (0.519-0.871)) was associated with lower job satisfaction. Older age (OR: 1.123 (1.022-1.234)), the perception that the knowledge and skills acquired during university education is useful in the current job (OR: 4.643 (1.255-17.182)) and access to continuing professional development (OR: 9.472 (1.965-45.662)) were associated with higher job satisfaction. Most graduates from the web-based pharmacy programmes were satisfied with their current job. Access to continuing professional development seems to be important for the level of job satisfaction among pharmacists. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Consultant pharmacists, advanced practice nurses, and the interdisciplinary team.

    Science.gov (United States)

    Resnick, Barbara

    2014-03-01

    Although in geriatrics we are better than many other clinical disciplines in terms of providing interdisciplinary care to older adults, I hope that we will continue to recognize how much more could actually be done. Before addressing the relationship between advanced practice nurses (APNs) and consultant pharmacists in real world settings, I want to review teamwork in geriatrics in general. It is critical to define what we mean by team, what type of team, and what the goals are of this teamwork.

  20. Polypharmacy in pediatric patients and opportunities for pharmacists' involvement

    Directory of Open Access Journals (Sweden)

    Horace AE

    2015-08-01

    Full Text Available Alexis E Horace, Fahamina Ahmed School of Pharmacy, College of Health and Pharmaceutical Sciences, University of Louisiana at Monroe, Monroe, LA, USA Abstract: Rates of chronic conditions among pediatrics have been steadily increasing and medications used to treat these conditions have also shown a proportional increase. Most clinical trials focus on the safety of solitary medications in adult patients. However, data from these trials are often times extrapolated for use in pediatric patients who have different pharmacokinetic processes and physical profiles. As research increases and more drugs become available for pediatric use, the issue of polypharmacy becomes more of a concern. Polypharmacy is defined as the practice of administering or using multiple medications concurrently for the treatment of one to several medical disorders. With the increased rates of diagnosed complex disease states as prescribed mediations in pediatric patients, the prevalence and effect of polypharmacy in this patient population is largely a mystery. Polypharmacy falls within the realm of expertise of specialized pharmacists who can undertake medication therapy management services, medical chart reviews, and other services in pediatrics. Pharmacists have the time and knowledge to undertake pertinent interventions when managing polypharmacy and can play a major positive role in preventing adverse events. The aim of this paper is to review the literature on pediatric polypharmacy and provide insight into opportunities for pharmacists to help with management of polypharmacy. Information on adverse events, efficacy, and long-term outcomes with regard to growth and development of children subject to polypharmacy has yet to be published, leaving this realm of patient safety ripe for research. Keywords: polypharmacy, pediatrics, pharmacists, involvement

  1. 21 CFR 808.93 - Texas.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Texas. 808.93 Section 808.93 Food and Drugs FOOD... and Local Exemptions § 808.93 Texas. (a) The following Texas medical device requirement is enforceable... that, in enforcing this requirement, Texas apply the definition of “used hearing aid” in § 801.420(a)(6...

  2. Community pharmacists' occupational satisfaction and stress: a profession in jeopardy?

    Science.gov (United States)

    Munger, Mark A; Gordon, Elliot; Hartman, John; Vincent, Kristen; Feehan, Michael

    2013-01-01

    To quantify and model drivers of community pharmacists' self-reported levels of occupational satisfaction and stress and to identify key segments for possible intervention by the profession. Descriptive nonexperimental study. United States during January to February 2012. 303 independent and community chain pharmacists. Online survey instrument of previously validated occupational stress and satisfaction attribute batteries. Participants reported a high level of dissatisfaction with current employment, with more than 50% stating that they were considering quitting their jobs. Dissatisfaction was higher among those with a doctor of pharmacy degree and those employed in community chains. Occupational stress and satisfaction were highly correlated with the intention to search for a new position. Approximately 20% of respondents felt that stress from their employment adversely affected their mental health and well-being, physical health, quality of the work, or relationships with family and friends. Substantive levels of occupational dissatisfaction and stress exist among pharmacists currently in community practice. These negative attributes are associated with a damaging promotion of community practice-a marker of a negative trajectory in sustaining this practice environment. The results of this study have implications for the health care industry, commercial pharmacy vendors, independent pharmacies, the profession, and academic training institutions as they prepare the pharmacy workforce of the future for potentially dissatisfying and stressful work environments.

  3. Pharmacists on Facebook: online social networking and the profession.

    Science.gov (United States)

    Mattingly, T Joseph; Cain, Jeff; Fink, Joseph L

    2010-01-01

    To provide a brief history of Facebook and online social networking and discuss how it has contributed and can contribute in the future to a paradigm change in social communications. When student pharmacists complete school and enter practice, they encounter enhanced expectations to act appropriately and professionally. Facebook expands the dilemma of separating private and public life--a challenge for individuals in all professions. From the standpoint of a professional association, Facebook provides a tremendous opportunity to reach out to members in an unprecedented way. Pharmacy organizations are beginning to use these new tools to increase communication and dissemination of information. The popularity of Facebook has brought the issue of online social networking to the forefront of professional and organizational discussions. The issues of privacy, identity protection, and e-professionalism are likely to reappear as pharmacists and student pharmacists continue to communicate via online networks. The potential exists for organizations to harness this organizational and communication power for their own interests. Further study is needed regarding the interaction between online social networking applications and the profession of pharmacy.

  4. Pharmacist's role in an interdisciplinary cardiac rehabilitation team.

    Science.gov (United States)

    Packard, Kathleen; Herink, Megan; Kuhlman, Paulette

    2012-01-01

    The purpose of this study was to determine the impact of pharmacist and pharmacy student involvement with an interdisciplinary cardiac rehabilitation program in the outpatient setting. The study included 192 patients who were seen following discharge from an acute care hospital between June 2008 and September 2010. The pharmacy team educated patients on their medications, conducted medication reconciliation, and made patient and provider interventions when appropriate. The pharmacist met with the cardiac rehabilitation team before these sessions to identify areas of focus and concern. The team met again after the sessions to reconcile medication lists and identify areas for follow-up. Of the 192 patients seen, an intervention was initiated in 157 (81.8%), for a total of 467 interventions (mean 2.43 interventions/patient). Medication reconciliation interventions not requiring a physician response comprised 79.9% of total interventions, most commonly involving an over-the-counter medication not initially reported (18%). Seventy-six patient interventions and 18 provider interventions were also made; of these, 92% of the patient interventions were accepted, and 72% of the provider interventions were accepted. The most common patient intervention was changing the administration time of a medication (36.8%), and the most common provider intervention was avoidance of a significant drug interaction (33.3%). Pharmacists can play a vital role as part of an interdisciplinary cardiac rehabilitation team to ensure proper adherence to cardiac medications and patient safety through patient education and interventions.

  5. Texas Migrant Labor. Annual Report, 1969.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    Among the responsibilities of the Good Neighbor Commission of Texas are (1) a survey of conditions and (2) a study of problems related to migrant labor in Texas. This annual report of the 1969 migrant scene shows the results of that survey and study. Beginning with an overview of Texas migrant labor, which goes back several years and includes a…

  6. Texas, 2010 forest inventory and analysis factsheet

    Science.gov (United States)

    James W. Bentley

    2012-01-01

    This science update summarizes the findings of the statewide annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in Texas. The 254 counties of Texas are consolidated into seven FIA survey units – southeast (unit 1), northeast (unit 2), north central (unit 3...

  7. Texas, 2008 forest inventory and analysis factsheet

    Science.gov (United States)

    James Bentley

    2011-01-01

    This science update summarizes the findings of the first statewide annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in Texas. The 254 counties of Texas are consolidated into seven FIA survey units—southeast (unit 1), the northeast (unit 2), the north...

  8. 40 CFR 81.344 - Texas.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Texas. 81.344 Section 81.344... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.344 Texas. Texas... X 1 EPA designation replaces State designation. Texas—Carbon Monoxide Designated Area Designation...

  9. The Demographics of Corporal Punishment in Texas

    Science.gov (United States)

    Phillips, Stephanie

    2012-01-01

    This dissertation examined the student discipline policies of 1,025 Texas school districts, as well as data from the Texas Education Agency's Academic Excellence Indicator System in order to identify demographic patterns regarding corporal punishment policies in Texas schools. The study also studied the relationship between a district's…

  10. The Demographics of Corporal Punishment in Texas

    Science.gov (United States)

    Phillips, Stephanie

    2012-01-01

    This dissertation examined the student discipline policies of 1,025 Texas school districts, as well as data from the Texas Education Agency's Academic Excellence Indicator System in order to identify demographic patterns regarding corporal punishment policies in Texas schools. The study also studied the relationship between a district's corporal…

  11. Assessment of remaining recoverable oil in selected major oil fields of the Permian Basin, Texas and New Mexico

    Science.gov (United States)

    Tennyson, Marilyn E.; Cook, Troy A.; Charpentier, Ronald R.; Gautier, Donald L.; Klett, Timothy R.; Verma, Mahendra K.; Ryder, Robert T.; Attanasi, E.D.; Freeman, P.A.; Le, Phoung A.

    2012-01-01

    The U.S. Geological Survey (USGS) recently completed an estimate of technically recoverable, conventional oil in selected oil fields in the Permian Basin in west Texas and southeastern New Mexico. The mean total volume of potential additional oil resources that might be added using improved oil-recovery technologies was estimated to be about 2.7 billion barrels of oil.

  12. The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies.

    Science.gov (United States)

    Lin, Blossom Yen-Ju; Yeh, Ying-Chen; Lin, Wen-Hung

    2007-06-01

    This study examines the relationship between job characteristics and job outcomes of pharmacists in hospital, clinic, and community pharmacies in Taiwan. The structured questionnaires covered the items of job characteristics, job outcomes, and demographics of pharmacists, and were distributed between Feb 2004 and April 2004. Two hundred and ninety-eight pharmacists responded. Data were analyzed descriptively, and univariate analyses, factor analysis, and multiple regression analyses were used. It found the more enriched the job, the greater the job satisfaction and less intention to leave. And community pharmacists reported greater job enrichment and job satisfaction and less intention to leave than did hospital and clinic pharmacists. It suggests pharmacy managers could recognize the needs of pharmacists to redesign and enrich their work arrangements.

  13. Exploring self-care and wellness: a model for pharmacist compensation by managed care organizations.

    Science.gov (United States)

    Srnka, Q; Portner, T S

    1997-06-01

    Self-care and wellness are rapidly becoming mainstays of practice for many pharmacists. Consumer confidence and trust in pharmacists provides continuing opportunities for pharmacists to create products and services to satisfy consumer demands related to disease prevention and healthcare delivery. We outline two pharmacy wellness programs designed to meet consumer needs, and offer them as models for pharmacists. Issues related to the program and extent of involvement by pharmacists are raised, including the role of the pharmacists in behavior modification efforts; selecting areas of focus (e.g., smoking cessation); working with physicians for referrals; enlightening community business leaders and managed care organizations to the economic benefits of the program; and developing strategies for fair purchase of services to achieve program goals and provide adequate compensation in return.

  14. [From treatment history to patient follow-up: the role of the pharmacist].

    Science.gov (United States)

    Calop, Jean; Bedouch, Pierrick; Allenet, Benoit

    2013-11-01

    Pharmacists and physicians have complementary roles. Indeed, pharmacists have specific knowledge of medications and a particular relationship with patients, especially in the community. Integration of pharmacists within medical teams, based on the North-American model, helps to ensure close collaboration founded on mutual trust and face-to-face contacts. This role of the pharmacist is appreciated by physicians, notably because it helps them to verify their prescriptions. It is essential to determine patients' relationships with their medications, through a knowledge of their treatment history. The French educational model of clinical pharmacy, based on the fifth hospital year, is inspired by this experience. The challenge is now to prove the benefits both for patients, physicians and nurses, of integrating a pharmacist within the medical team. This educational model helps to develop the pharmacist's role within the community and facilitates relationships between the hospital and the community.

  15. Environment of deposition of Clear Fork Formation: Yoakum County, Texas

    Energy Technology Data Exchange (ETDEWEB)

    Moore, B.K.

    1987-05-01

    The Clear Fork Formation is Permian (Leonardian) in age and constitutes a major oil-bearing unit in the Permian basin of west Texas. In Yoakum County, west Texas, the upper Clear Fork carbonates record a subtidal upward-shoaling sequence of deposition. A small bryozoan-algal patch reef is situated within these carbonates near the southern edge of the North Basin platform. The reef is completely dolomitized, but paramorphic replacement has facilitated a study of the paleoecology, lateral variations, and community succession within this buildup. Build-ups of this type are scarcely known in strata of Permian age. The reef was apparently founded on a coquina horizon at the base of the buildup. The reef apparently had a low-relief, dome-shaped morphology. The trapping and binding of sediment by bryozoa appear to have been the main constructional process. A significant role was also played by encrusting forams and the early precipitation of submarine cements, both of which added rigidity to the structure. The reef also contains a low-diversity community of other invertebrates. Algal constituents predominate at the basinward edge of the buildup. The reef was formed entirely subaqueously on a broad, relatively shallow tropical marine carbonate shelf environment. An understanding of the lithofacies distribution and paragenesis within this sequence will provide information on porosity variations and the nature and distribution of permeability barriers. Such information is useful in reservoir modeling studies and for secondary recovery techniques in shelf-edge carbonate reservoirs of this type.

  16. TRENDS IN VOCATIONAL TRAINING OF PHARMACISTS IN UKRAINE

    Directory of Open Access Journals (Sweden)

    Tetyana Reva

    2016-11-01

    Full Text Available Purpose: In the article there has been substantiated the practicality of analysing trends emerging in the contemporary vocational training system of pharmacists-to-be in higher medical education in Ukraine, which resulted from the requirements of the state to train competitive specialists in pharmacy in the labor market and from the demands of society in ensuring efficient and effective pharmacotherapy along with prevention of the population from the diseases. Methods: In the article there have been used theoretical methods – the method of theoretical and comparative analysis to do the review of the works of scientists on the development of pharmaceutical education in Ukraine for the period of formation and development of its sovereignty; the synthesis method for grouping trends occurring in the modern pharmaceutical industry of Ukraine, which, at present, are the reflection in modelling educational process of vocational training of pharmacists in the domestic higher educational institutions. Results: While doing the synthesis of information sources on the development of pharmaceutical education in Ukraine for the period of establishment and development of its sovereignty, there have been specified, substantiated and characterised the leading trends in the development of modern pharmaceutical industry of Ukraine, which, at present, are the reflected in modelling the educational process of vocational training of pharmacists in the domestic higher educational institutions. In the opinion of the author of the article those trends are as follows: 1 strengthening the moral principles of training for the pharmaceutical industry of Ukraine, which are based on ethics to follow in a pharmacist profession, in a communicative interaction with people needing advice of specialists-pharmacists; 2 orientation to European standards of pharmacy, which are based on high standards of customer service, an increase of social responsibility to society for the

  17. Flexible working: understanding the locum pharmacist in Great Britain.

    Science.gov (United States)

    Shann, Phillip; Hassell, Karen

    2006-09-01

    There is a growing trend in Great Britain (GB) for pharmacists to work as self-employed "locums" rather than as permanent employees. Despite this trend, little is known about their work patterns or why they choose to pursue nonstandard forms of work. The overall aim of the study was to explore why locums choose self-employment over a permanent contract and to explore a number of issues commonly associated with nonstandard working, such as marginalization and job satisfaction. A qualitative interview study was undertaken. In-depth telephone interviews were conducted with 34 locum pharmacists randomly selected from the GB register of pharmacists. Locums from a range of age groups, different sectors of practice, and with different work patterns were selected to ensure that a wide range of experiences and views were covered. The need or desire for flexibility was the overriding factor for choosing to work as a locum. A wide range and variety of individual personal circumstances were important drivers, but a desire for work-life balance was fundamental to many. A variety of work patterns were found, ranging from those with more ad hoc working arrangements to those who worked in the same store on a regular basis. Avoiding stress, paperwork, and nonprofessional duties were among reasons for choosing to locum. Disadvantages associated with being a locum included being viewed and treated negatively by peers, and having fewer opportunities for training. No conclusive evidence could be found for locums being marginalized, except for the training issues for some pharmacists. The findings do suggest some cause for concern, with some locums selecting places to work on the basis of attitudes not congruent with socially inclusive approaches to public health care. The locum workforce is far from homogenous or uniform. Freelance working of this kind has advantages for the individual: freedom and independence. But there may be risks for the profession if nonstandard work practices

  18. Development of an obstetrics triage tool for clinical pharmacists.

    Science.gov (United States)

    Covvey, J R; Grant, J; Mullen, A B

    2015-06-25

    Obstetrics services are a high-throughput and high-risk environment poised for pharmacist involvement, but determining how to ideally allocate services is difficult. There is recent interest in the development of tools for service prioritization, but none are specifically targeted to obstetrics. Therefore, the aim of this study was (i) to conduct a practice audit surveying the demographics of patients attending obstetrics wards at a high-capacity maternity hospital; and (ii) to evaluate a triage tool developed to prioritize pharmacy services. A retrospective case review of women discharged after birth admissions was undertaken at a hospital in National Health Service (NHS) Scotland during June 2014. Demographic and admission data were collected, as well as pharmacist interventions and missed opportunities in patient care on post-natal wards. A pharmacy triage tool was developed and retrospectively applied to each case to ascertain a risk category that would trigger and target pharmacist review. Interventions/opportunities were classified as either clinical (medication related) or administrative (potential for error development). One hundred and seventy-five cases were reviewed with a median age of 29 years old. Eighty-six patients (49·1%) were retrospectively classified with elevated risk using the triage tool. A total of 117 charts (66·9%) were identified with missed opportunities for pharmacist intervention, which was significantly greater among patients classified as higher risk (75·6 vs. 58·4%, P = 0·017). Compared to low-risk patients, patients with a higher-risk classification had lower rates of administrative missed opportunities (55·4 vs. 80·8%, P = 0·015), but numerically higher rates of clinical (26·2 vs. 9·6%, p=NS) and mixed clinical/administrative (18·5 vs. 9·6%, p=NS) missed opportunities, although this failed to reach statistical significance. Evaluation of a triage tool for obstetric services demonstrated potential for prioritizing

  19. Expanded prescribing: a comparison of the views of Australian hospital and community pharmacists.

    Science.gov (United States)

    Hoti, Kreshnik; Hughes, Jeffery; Sunderland, Bruce

    2013-06-01

    Community pharmacies and hospitals are the two main professional areas for pharmacists. There is currently a lack of comparison of pharmacists working in these two distinct settings in relation to an expanded prescribing role. To compare the attitudes of hospital and community pharmacists regarding an expanded prescribing role. Australian pharmacists. A self-administered postal survey was used to collect the data. Data analysis was performed using SPSS(®) v19. Kendall's tau-c test was used to compare the mean values between categorical variables (i.e. hospital or community pharmacists) and continuous variables measuring attitudes on a Likert scale (i.e. reasons in favour and barriers of pharmacist prescribing, preferred therapeutic areas of prescribing and prescribing models). A Chi square test was used to analyse categorical variables (i.e. demographics). The opinion of hospital and community pharmacists regarding an expanded prescribing role. A response rate of 40.4% was achieved (1,049/2,592). Where significant differences were located, community pharmacists were more supportive of all proffered potential reasons in favour of pharmacist prescribing (p rule to 30 days (p = 0.011). This study suggests that there are differences between hospital and community pharmacists in what they regard as potential reasons in favour of an expanded pharmacist prescribing role, perceived barriers to such a role and whether to prescribe independently of doctors. Hospital pharmacists' attitudinal differences in terms of support for certain therapeutic areas of prescribing reflects probably their existing active role in clinical decision making processes in patients who are often seriously ill.

  20. Utility of pharmacists on clinical outcomes of patients in palliative care: A short review

    OpenAIRE

    Brkić, Jovana; Tasić, Ljiljana; id_orcid 0000-0001-9584-0341; Krajnović, Dušanka

    2014-01-01

    Pharmacists as the most accessible health care professionals in outpatient settings can improve palliative patient care. The aim of this review was to assess utility of pharmacists (the effectiveness of pharmacists' interventions) on clinical outcomes of patients in palliative care at all levels of health care and in home care. Two electronic databases were searched: PubMed and SCOPUS (last searched August 2014). Primary studies, of any type of research design, in English, related to clinical...

  1. A snapshot of pharmacist attitudes and behaviors surrounding the management of pediatric asthma.

    Science.gov (United States)

    Elaro, Amanda; Shah, Smita; Armour, Carol L; Bosnic-Anticevich, Sinthia

    2015-01-01

    The aim of this study is to identify the current status of pediatric asthma management in the Australian community pharmacy setting from the pharmacists' perspective. This research will allow us to identify training needs of community pharmacists. Pharmacists were recruited from the Sydney metropolitan region and asked to complete a self-reported questionnaire that elucidated information on four general domains relating to pediatric asthma management within community pharmacy. All data collected were analysed descriptively. Bivariate Pearson correlations were performed to determine whether interrelationships existed between specific domains. All 77 pharmacists completed the questionnaire. Thirty-two percent had not completed any asthma related CPD in the past year and only 25% of pharmacists reported using the national asthma guidelines in practice. Just over half of the pharmacists (54%) reported that they provide device technique demonstrations for new inhaled medicines, and 35% of pharmacists reported that they check for written asthma self-management plan possession. Although 65% of pharmacists reported confidence in communication skills, most pharmacists were not confident in setting short-/long-term goals with the patient and carer for managing asthma at home. Pharmacists believed that they are just as effective as doctors in providing asthma counseling and education. Lack of time was identified as a significant barrier. We have identified a gap between guideline recommended practices and the self-reported practices of community pharmacists. Pharmacists need more appropriate continuing education programs that can translate into improved pediatric asthma self-management practices and thus improved asthma outcomes in children. This may require an alternative approach.

  2. A qualitative study exploring public perceptions on the role of community pharmacists in Dubai

    OpenAIRE

    Rayes IK; Hassali MA; AR, Abduelkarem

    2014-01-01

    Background: The role of community pharmacists is very important due to their access to primary care patients and expertise. For this reason, the interaction level between pharmacists and patients should be optimized to ensure enhanced delivery of pharmacy services. Objective: To gauge perceptions and expectations of the public on the role of community pharmacists in Dubai, United Arab Emirates (UAE). Methods: Twenty five individuals were invited to participate in 4 separate focus group ...

  3. The practice of OTC counseling by community pharmacists in Parana, Brazil

    Directory of Open Access Journals (Sweden)

    Halila GC

    2015-12-01

    Full Text Available Background: In order to provide appropriate advice to the patient at the time of dispensing and over-the-counter (OTC medication counseling, community pharmacists need access to current and reliable information about medicines. Brazilian pharmacists have assumed new functions such as prescribing medication, in a dependent model, based in protocols. Objective: To examine the practice of community pharmacists in a Brazilian State, focusing on OTC recommendation. Method: A cross-sectional survey of community pharmacists in a state of Brazil was conducted from October 2013 to January 2014, with data collection through a pre-piloted self-administered anonymous survey via Survey Monkey® platform. Following ethical approval, the online instrument was sent to 8,885 pharmacists registered in Parana State, Brazil, focusing on professionals working in community pharmacies. The questionnaire assessed the community pharmacy setting, the search for information, the knowledge of the evidence-based practice, the important factors to consider when recommending an OTC medicine, and the pharmacist prescribing. Responses were imported into SPSS® (version 22.0 for analysis. Nonparametric tests were used to assess the association between responses and demographic information with a significance level less than 5% (p<0.05. Results: Of the pharmacists, 97.4% dispensed medications and counseled patients for a median of six hours per day. Product's efficacy (97% and adverse effects (62.3% were the most important factors taken into account when counseling a nonprescription medicine. Few pharmacists knew the meaning of terms related to evidence-based health. Most respondents agreed that pharmacists have the necessary training to prescribe. Conclusion: Over-the-counter medication counseling is a daily practice among Brazilian pharmacists. Learning needs exist for community pharmacists in relation to evidence-based practice. Thus, sources of information with good evidence

  4. Influence of pharmacists' opinions on their dispensing medicines without requirement of a doctor's prescription

    OpenAIRE

    Francisco Caamaño; Manuel Tomé-Otero; Bahi Takkouche; Juan Jesús Gestal-Otero

    2005-01-01

    Objective: To assess the influence of pharmacists' opinions on their dispensing medicines with a «medical prescription only» label without requiring a doctor's prescription. Methods: We performed a cross-sectional study of 166 community pharmacies in northwest Spain. The opinions of pharmacists on the following were collected as independent variables through personal interview: a) physicians' prescribing practices; b) the pharmacist's qualifications to prescribe; c) the responsibility of the ...

  5. Evaluating the practice of Iranian community pharmacists regarding oral contraceptive pills using simulated patients

    Science.gov (United States)

    Foroutan, Nazanin; Dabaghzadeh, Fatemeh

    2016-01-01

    Background: As oral contraceptive pills are available over the counter in pharmacies, pharmacists are professionally responsible for checking and informing patients about every aspect of taking these drugs. Simulated patient method is a new and robust way to evaluate professional performance of pharmacists. Objective: The aim of the present study was to evaluate the pharmacy practice of Iranian pharmacists regarding over-the-counter use of oral contraceptive pills using simulated patient method. Methods: Simulated patients visited pharmacy with a prescription containing ciprofloxacin and asked for oral contraceptive pills. The pharmacist was expected to ask important questions for using these drugs and to inform the patient about them properly. Moreover, the Pharmacists should advise patients in regard to the possible interaction. Results: Ninety four pharmacists participated in this study. In 24 (25.3%) visits, the liable pharmacist was not present at the time of purchase. Furthermore, In 13 (18.57 %) visits by the simulated patients, the liable pharmacists did not pay any attention to the simulated patients even when they asked for consultation. Twenty nine (41.43%) pharmacists did not ask any question during dispensing. Nausea was the most frequent described side effect by pharmacists (27 (38.57%)). Yet important adverse effects of oral contraceptive pills were not mentioned by the pharmacists except for few ones. Only twelve (17.14%) pharmacists mentioned the possible interaction. There was a significant relation between the pharmacists’ gender and detection of possible interaction (p value= 0.048). Conclusion: The quality of the pharmacists’ consultations regarding the over the counter use of oral contraceptive pills was not satisfactory and required improvement. PMID:28042350

  6. Evaluation of Croatian Community Pharmacists' Patient Care Competencies Using the General Level Framework

    OpenAIRE

    Mestrovic, A.; Stanicic, Z.; Hadziabdic, M. O.; Mucalo, I.; Bates, I.; Duggan, C; Carter, S; Bruno, A.

    2011-01-01

    Objectives. To assess Croatian community pharmacists' patient care competencies using the General Level Framework (GLF). Methods. The competencies of 100 community pharmacists working in 38 community pharmacies were evaluated using an adapted version of the GLF. Results. Pharmacists demonstrated the best performance in the competency areas drug specific issues and provision of drug products; the poorest performance was in the competency areas evaluation of outcomes and monitoring drug therapy...

  7. Pharmacists' familiarity, utilization, and beliefs about Health Information Exchange: a survey of pharmacists in an Indiana pharmacy organization.

    Science.gov (United States)

    Held, Allison D; Woodall, Lacie J; Hertig, John B

    2014-01-01

    To gauge pharmacists' familiarity, utilization, and beliefs about Health Information Exchange (HIE). A survey questionnaire was developed by the authors in Qualtrics (Provo, UT) and administered to 358 Indiana Pharmacists Alliance (IPA) members via e-mail listserv in May and August 2013. The questionnaire consisted of 18 questions on familiarity, utilization, and beliefs about HIE. The response rate was 19% (67/358). Pharmacy practice experience of respondents ranged from 0 to 5 years (18%, n = 12) to more than 20 years (61%, n = 41). More than one-half (70%) of respondents practiced in hospital settings. Many respondents (75%) were familiar with the concept of HIE; 54% currently use some type of HIE technology. Nearly all respondents felt that data in electronic health records (EHRs) should be shared between pharmacists and other health care providers. Respondents identified improved coordination of care as the greatest potential benefit, and difficulty implementing and maintaining technology as the greatest barrier of HIE. Many respondents were familiar with HIE and in favor of sharing patient records between providers. Respondents agreed that HIE has the potential to improve coordination of care but were concerned about implementing and maintaining technology. Larger pharmacy samples should be studied to determine how the results of this study compare to pharmacy populations at state and national levels.

  8. Development of an expert professional curriculum for antimicrobial pharmacists in the UK.

    Science.gov (United States)

    Sneddon, Jacqueline; Gilchrist, Mark; Wickens, Hayley

    2015-05-01

    The role of antimicrobial pharmacists has changed considerably over the past 15 years. We describe here the development and ratification of a new expert professional curriculum to guide the training and development of antimicrobial specialist pharmacists. The curriculum has been developed by the UK Clinical Pharmacy Association Pharmacy Infection Network and endorsed by the Royal Pharmaceutical Society as a tool to support pharmacists in meeting the requirements for joining the Royal Pharmaceutical Society Faculty. This new resource has also been endorsed by PHE, the Scottish Antimicrobial Prescribing Group and the BSAC, and will support antimicrobial pharmacists in delivery of antimicrobial stewardship, which will in turn help the fight against antimicrobial resistance.

  9. Preparing pharmacists to deliver a targeted service in hypertension management: evaluation of an interprofessional training program

    National Research Council Canada - National Science Library

    Bajorek, Beata V; Lemay, Kate S; Magin, Parker J; Roberts, Christopher; Krass, Ines; Armour, Carol L

    2015-01-01

    ...) control in hypertension. In this study, a training program was designed to enable community pharmacists to deliver a service in hypertension management targeting therapeutic adjustments and medication adherence...

  10. Pharmacist interest in and attitudes toward direct pharmacy access to hormonal contraception in the United States.

    Science.gov (United States)

    Landau, Sharon; Besinque, Kathleen; Chung, Frances; Dries-Daffner, Ingrid; Maderas, Nicole Monastersky; McGhee, Belle Taylor; Foster, Diana Greene

    2009-01-01

    To assess pharmacist interest, comfort level, and perceived barriers regarding providing pharmacist-initiated access to hormonal contraceptives (i.e., tablets, patches, rings, injectables, emergency contraception [EC]). Descriptive, nonexperimental, cross-sectional study. United States between November 2004 and January 2005. 2,725 pharmacists working in community chain pharmacies (64%), community independent pharmacy (31%), and other practice settings, including hospitals and home care facilities (5%). Survey sent electronically by the American Pharmacists Association to a random sample of 14,142 of its 50,000 pharmacist members nationally. Pharmacist interest and comfort level in providing pharmacy access to hormonal contraception (HC), perceived barriers and training needs, and familiarity with and provision of EC. 2,725 survey responses (19% response rate) were received. Pharmacists reported being very familiar with HC. The majority of respondents were comfortable and interested in providing direct access to HC in the pharmacy. Perceived barriers to providing HC in the pharmacy included lack of time, no mechanism of reimbursement for the service, and possible resistance from physicians. Strong interest, comfort level, and capability from pharmacists, combined with a documented demand for direct pharmacy access from patients, indicate that pharmacy access to HC has the potential to meet patient needs and increase access to HC. Education about current clinical practice recommendations-which no longer require pelvic examinations and Papanicolaou (Pap) smears before hormonal contraception is initiated-may increase pharmacist support for providing hormonal methods directly.

  11. A Retrospective Evaluation of Remote Pharmacist Interventions in a Telepharmacy Service Model Using a Conceptual Framework

    Science.gov (United States)

    Murante, Lori J.; Moffett, Lisa M.

    2014-01-01

    Abstract Objectives: This retrospective cross-sectional study evaluated a telepharmacy service model using a conceptual framework to compare documented remote pharmacist interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site rural hospital pharmacist. Materials and Methods: Documented remote pharmacist interventions for patients at eight rural hospitals in the Midwestern United States during prospective prescription order review/entry from 2008 to 2011 were extracted from RxFusion® database (a home-grown system, i.e., internally developed program at The Nebraska Medical Center (TNMC) for capturing remote pharmacist-documented intervention data). The study authors conceptualized an analytical framework, mapping the 37 classes of remote pharmacist interventions to three broader-level definitions: (a) intervention, eight categories (interaction/potential interaction, contraindication, adverse effects, anticoagulation monitoring, drug product selection, drug regimen, summary, and recommendation), (b) patient medication management, two categories (therapy review and action), and (c) health system-centered medication use process, four categories (prescribing, transcribing and documenting, administering, and monitoring). Frequencies of intervention levels were compared by year, hospital, remote pharmacist, and hospital pharmacy status (with a remote pharmacist and on-site pharmacist or with a remote pharmacist only) using chi-squared test and univariate logistic regression analyses, as appropriate. Results: For 450,000 prescription orders 19,222 remote pharmacist interventions were documented. Frequency of interventions significantly increased each year (36% in 2009, 55% in 2010, and 7% in 2011) versus the baseline year (2008, 3%) when service started. The frequency of interventions also differed significantly across the eight hospitals and 16 remote pharmacists for the three defined intervention levels and categories

  12. [Attitude survey of medical staff on the participation of community pharmacists in palliative home care].

    Science.gov (United States)

    Akai, Namika; Fujita-Hamabe, Wakako; Tokuyama, Shogo

    2009-11-01

    The treatment of cancer pain requires an individually-targeted multidimensional team approach. Further, the basic act for the Anti-Cancer Measures describes that medical staff including pharmacists should participate in the palliative care. Thus it is obvious that community pharmacists should also participate in palliative home care. In addition, a misunderstanding about opioids remains strong in Japan, which could be one of the barriers to palliative home care. In our previous report, we clarified for local residents the importance of educational activity using opioids as a new role for community pharmacists, and it was recognized of great significance by these pharmacists. In this study, we conducted a questionnaire survey among medical doctors, nurses, care managers and home helpers about the need and meaning of the educational activity performed by pharmacists in palliative home care. 86.4% of respondents felt pharmacists' participation in home care was required. Furthermore, most respondents thought that misunderstanding remained about opioids in palliative home care, and believed that pharmacists could play an important role in educational activity about opioids as experts in medicine. This study clarified that other medical team members need the participation of community pharmacists in palliative home care. Therefore, it seems important for these pharmacists to be proactive in participating in such care in the future.

  13. Factors affecting pharmacists' selection of rural or urban practice sites in Nebraska.

    Science.gov (United States)

    Scott, D M; Neary, T J; Thilliander, T; Ueda, C T

    1992-08-01

    A questionnaire was used to determine why pharmacists in Nebraska chose urban or rural practice sites and to help the University of Nebraska College of Pharmacy encourage students to consider rural practice. Questionnaires were mailed to 1427 Nebraska pharmacists to gather data about their practice, job satisfaction, location of rearing, location of spouse's rearing, and prepharmacy and clerkship training. Usable responses were sorted into those from urban pharmacists (residing in Omaha and Lincoln and their suburban areas) and those from rural pharmacists (all others). Of the 689 usable responses, 315 (45.7%) were from urban pharmacists and 374 (54.3%) were from rural pharmacists. Of the rural pharmacists, 93% [corrected] grew up in communities of fewer than 100,000 people and 60% grew up in communities of fewer than 5,000 people. Respondents cited income potential, desirability of practice site, influence of spouse and family, and quality of children's schools as factors that most influenced their choice of practice site. Based on the survey results, the University of Nebraska College of Pharmacy took actions to recruit students from rural communities and increase students' exposure to rural practice settings. Pharmacists who were reared or trained in rural areas were more likely to practice in rural Nebraska than pharmacists who had only urban experience.

  14. [The gift of pharmacopoeias made by Mésaize to the Society of Pharmacists of Rouen].

    Science.gov (United States)

    Lafont, Olivier; Vettes, Jules

    2015-12-01

    Pierre-Grégoire Mésaize, a pharmacist of Rouen made an important gift to the Society of pharmacists of Rouen in 1831. 21 Books, mainly foreign pharmacopoeias, constituted this gift. Six were from Germany; five came from United Kingdom, three from Nederland, only two from France, and one from Belgium, one from Switzerland, one from Austria and one from Russia. This diversity of origins was quite informative about the quality of the content of pharmacists' libraries in Rouen at the beginning of the 19th century. Unfortunately these books could not be found nowadays in the Library of the Union of pharmacists of Seine-Maritime.

  15. Evolution of the role of the transplant pharmacist on the multidisciplinary transplant team.

    Science.gov (United States)

    Alloway, R R; Dupuis, R; Gabardi, S; Kaiser, T E; Taber, D J; Tichy, E M; Weimert-Pilch, N A

    2011-08-01

    Transplant pharmacists have been recognized as an essential part of the transplant team by their colleagues along with several governing and professional organizations. The specific education, training and responsibilities of the transplant pharmacist have not been clearly delineated in the literature. Various pharmacists across the country have been called upon to serve on the transplant team necessitating standardization of their fundamental and desirable activities. Therefore, the purpose of this manuscript is to describe the training and role of a transplant pharmacist on the patient care team and provide a roadmap to implementation of novel transplant pharmacy services.

  16. [Skill in making pharmacist's record and how to make use of it].

    Science.gov (United States)

    Kimura, Takeshi

    2007-02-01

    Pharmacist can make an impact on patients' quality of life by providing clinical interventions. These interventions are to be shared with other healthcare professionals and to be utilized to improve quality of care. As an attempt to provide a better care, pharmacists are making patients' record that contains patients' medical history, laboratory values, and conditions. These services are reimbursed by insurance. However, there are some concerns regarding fees for services provided by pharmacists; i.e., fees for patients' instructions are too expensive. One of the problems could be the fact that pharmacist-generated patients' record is not used or utilized by other healthcare personals and it is used only for the purpose of getting reimbursed. Therefore, it is necessary for pharmacists to realize the real purpose of making patients' record and create patients' records that will allow other healthcare professionals to make better therapeutic decisions. Such patients' record should have following characteristics: 1) The record to accomplish the systemic patient care management; 2) The record to share information in the team of medical treatment; 3) The record to define the pharmacist's role in the patient care; 4) The record that is available for the education of the pharmacist's problem-solving abilities; and 5) The record that can be disclosed to the patient and can be a legal basis. Thus, pharmacists should acquire the skills to make higher quality record. In this context, the pharmacy school should cooperate with hospital and community pharmacists, in order to establish education systems for development of these skills.

  17. A Big LEAP for Texas

    Science.gov (United States)

    Phillips, Loraine; Roach, David; Williamson, Celia

    2014-01-01

    In Texas, educators working to coordinate the efforts of fifty community colleges, thirty-eight universities, and six university systems are bringing the resources of the Association of American Colleges and Universities (AAC&U) Liberal Education and America's Promise (LEAP) initiative to bear in order to ensure that the state's nearly 1.5…

  18. "Fisher v. Texas": Strictly Disappointing

    Science.gov (United States)

    Nieli, Russell K.

    2013-01-01

    Russell K. Nieli writes in this opinion paper that as far as the ability of state colleges and universities to use race as a criteria for admission goes, "Fisher v. Texas" was a big disappointment, and failed in the most basic way. Nieli states that although some affirmative action opponents have tried to put a more positive spin on the…

  19. South Texas Maquiladora Suppliers Project.

    Science.gov (United States)

    Patrick, J. Michael

    This project was undertaken to assist South Texas industries in improving export to nearby Mexican maquiladoras (factories). The maquiladora program is based on co-production by two plants under a single management, one on each side of the border. Activities addressed four objectives: (1) to determine the dollar value, quantity, and source of the…

  20. Evaluation of community pharmacy service mix: evidence from the 2004 National Pharmacist Workforce Study.

    Science.gov (United States)

    Doucette, William R; Kreling, David H; Schommer, Jon C; Gaither, Caroline A; Mott, David A; Pedersen, Craig A

    2006-01-01

    To describe the mix of pharmacy services being offered in different types of community pharmacy practices and to identify factors associated with a community pharmacy offering pharmacy services. Cross-sectional study. Community pharmacies (independent, chain, mass merchandiser, and supermarket pharmacies). Pharmacists practicing full-time or part-time who worked in community pharmacies and responded to the 2004 National Pharmacist Workforce Survey. Mailed survey from the 2004 National Pharmacist Workforce Survey, which included core content questions for all sampled pharmacists and supplemental surveys that included workplace questions for a selected subsample of pharmacists. Type and frequency of pharmacy services being offered in a community pharmacy, including dispensing and product-related services (e.g., specialty compounding), and pharmacist care services (e.g., immunizations, smoking cessation, health screening, medication therapy management, wellness screening, nutritional support, and disease management services). Four pharmacist care services were reported as being offered at more than 10% of community pharmacy practices: immunizations, smoking cessation, health screening, and diabetes management. The number of pharmacist care services offered at a community pharmacy was positively associated with having at least three pharmacists on duty, innovativeness of the pharmacy, status as an independent pharmacy, and status as a supermarket pharmacy. More than one half of the community pharmacy practices did not offer any of the eight pharmacist care services included in a pharmacy service index. Pharmacy services were reported at relatively few community pharmacies, and were associated with pharmacy innovativeness, pharmacist staffing levels, and pharmacy setting. Some community pharmacies are offering pharmacy services as part of their business strategy, while others are dedicated to dispensing services. Continued study of pharmacy service availability in

  1. Australian community pharmacists' awareness and practice in supporting secondary prevention of cardiovascular disease.

    Science.gov (United States)

    Puspitasari, Hanni Prihhastuti; Aslani, Parisa; Krass, Ines

    2013-12-01

    Pharmacists are well placed to identify, prevent and resolve medicine related problems as well as monitor the effectiveness of treatments in cardiovascular disease (CVD). Pharmacists' interventions in CVD secondary prevention have been shown to improve outcomes for clients with established CVD. To explore the scope of pharmacists' activities in supporting CVD secondary prevention. Community pharmacies in New South Wales, Australia. Twenty-one in-depth, semi-structured interviews with a range of community pharmacists were conducted. All interviews were audio-recorded and transcribed ad verbatim. Data were analyzed using a 'grounded-theory' approach by applying methods of constant comparison. Community pharmacists' awareness and current practice in supporting secondary prevention of CVD. Four key themes identified included 'awareness', 'patient counselling', 'patient monitoring', and 'perceptions of the role of pharmacists in CVD secondary prevention'. The pharmacists demonstrated a moderate understanding of CVD secondary prevention. There was considerable variability in the scope of practice among the participants, ranging from counselling only about medicines to providing continuity of care. A minority of pharmacists who had negative beliefs about their roles in CVD secondary prevention offered limited support to their clients. The majority of pharmacists, however, believed that they have an important role to play in supporting clients with established CVD. Community pharmacists in Australia make a contribution to the care of clients with established CVD despite the gap in their knowledge and understanding of CVD secondary prevention. The scope of practice in CVD secondary prevention ranged from only counselling about medicines to offering continuity of care. The extent of pharmacists' involvement in offering disease management appears to be influenced by their beliefs regarding what is required within their scope of practice.

  2. Use of Pharmacist Consultations for Nonprescription Laxatives in Japan: An Online Survey.

    Science.gov (United States)

    Shibata, Keita; Matsumoto, Arisa; Nakagawa, Ayumi; Akagawa, Keiko; Nakamura, Akihiro; Yamamoto, Toshinori; Kurata, Naomi

    2016-01-01

    Community pharmacies in Japan have long been advocated as effective sources of nonprescription medicines and health-related advice. Consumers sometimes self-treat symptoms of minor illnesses without consulting a pharmacist because the benefits of such consultations are not adequately recognized. The aim of this study was to investigate the use and impact of pharmacist consultations before purchase of nonprescription laxatives. An online survey was conducted July 14-22, 2012 with 500 respondents (250 men, 250 women), ranging 20-60 years old. All participants had purchased nonprescription laxatives for constipation within the past year. Stratified analysis was used to compare responses in groups that had and had not consulted a pharmacist before purchase. Consulting a pharmacist appears to improve consumers' awareness and makes them more likely to use appropriate medication. Those who consulted a pharmacist were better able to identify side effects and take appropriate action than the group that did not consult the pharmacist. Those who consulted a pharmacist were also significantly more likely to say that they would consult a pharmacist in the future. These results indicate that it is important for consumers to be able to consult with pharmacists, to improve consumers' awareness of side effects and to self-medicate appropriately, and hence improve their quality of life. Pharmacists in community pharmacy could be more active in health promotion campaigns, such as drug safety, campaigns, to raise their public profile. Increased public awareness of what pharmacists in community pharmacy do will make it easier for patients to consult with them.

  3. [Alzheimer's disease and pharmacists in contact with the public].

    Science.gov (United States)

    Dreux, C

    2009-03-01

    All healthcare professionals are concerned by Alzheimer's disease, which in France will affect, in just a few years, over one million persons, mainly women. Pharmacists have shown particular interest, irrespective of their sector of activity. Here, we wanted to better define the role of colleagues who are constantly in contact with the public, i.e. in France in drug dispensaries and biology laboratories. Within the framework of the French pharmacy committee for health and social education, Cespharm, the Ethics and Communications working group of the 2008-2012 Alzheimer Disease Committee headed by Professor Joël Menard proposed a project worksheet which can be used by French pharmacists in their action to help Alzheimer patients and their caregivers. This project, prepared by Fabienne Blanchet, the Cespharm director and Christine Curty, mission head, was approved by the Menard commission and is inscribed in the National Alzheimer Plan 2008-2012 presented by this commission in November 2007. Here, our objective is to motivate pharmacists to participate in a structured initial and continuing training program proposed by specialists from the School of Pharmacy and other organizations duly approved by the High Committee for Continuing Education in Pharmacy. In keeping with the general operative procedures of Cespharm, information tools should be developed for colleagues and the public. Available interventions, in terms of prevention, diagnosis and treatment should be updated permanently and transmitted to professionals. Information which can be delivered to patients, and most importantly to their caregivers, concerning local assistance programs should be collected and transmitted to the local professionals. The role of the pharmacist can be summarized with four verbs: listen, reassure, orient, support. It is important to identify all available means enabling a confidential relationship with the persons needing help. Of particular interest are the relationship guides

  4. Characterization of oil and gas reservoirs and recovery technology deployment on Texas State Lands

    Energy Technology Data Exchange (ETDEWEB)

    Tyler, R.; Major, R.P.; Holtz, M.H. [Univ. of Texas, Austin, TX (United States)] [and others

    1997-08-01

    Texas State Lands oil and gas resources are estimated at 1.6 BSTB of remaining mobile oil, 2.1 BSTB, or residual oil, and nearly 10 Tcf of remaining gas. An integrated, detailed geologic and engineering characterization of Texas State Lands has created quantitative descriptions of the oil and gas reservoirs, resulting in delineation of untapped, bypassed compartments and zones of remaining oil and gas. On Texas State Lands, the knowledge gained from such interpretative, quantitative reservoir descriptions has been the basis for designing optimized recovery strategies, including well deepening, recompletions, workovers, targeted infill drilling, injection profile modification, and waterflood optimization. The State of Texas Advanced Resource Recovery program is currently evaluating oil and gas fields along the Gulf Coast (South Copano Bay and Umbrella Point fields) and in the Permian Basin (Keystone East, Ozona, Geraldine Ford and Ford West fields). The program is grounded in advanced reservoir characterization techniques that define the residence of unrecovered oil and gas remaining in select State Land reservoirs. Integral to the program is collaboration with operators in order to deploy advanced reservoir exploitation and management plans. These plans are made on the basis of a thorough understanding of internal reservoir architecture and its controls on remaining oil and gas distribution. Continued accurate, detailed Texas State Lands reservoir description and characterization will ensure deployment of the most current and economically viable recovery technologies and strategies available.

  5. Role of the pharmacist in preventing distribution of counterfeit medications.

    Science.gov (United States)

    Chambliss, Walter G; Carroll, Wesley A; Kennedy, Daniel; Levine, Donald; Moné, Michael A; Ried, L Douglas; Shepherd, Marv; Yelvigi, Mukund

    2012-01-01

    To provide an overview of the counterfeit medication problem and recommendations of a joint American Pharmacists Association (APhA) Academy of Pharmaceutical Research and Science and APhA Academy of Pharmacy Practice and Management taskforce. SciFinder and PubMed were searched from 1980 to March 2011 using the following keywords: counterfeit drug product, counterfeit medications, drug product authentication, drug product verification, and track-and-trace. Publications, presentations, and websites of organizations that research the counterfeit medication problem in the United States and other countries were reviewed. A representative from the security division of a pharmaceutical manufacturer and a representative from a supplier of anticounterfeiting technologies gave presentations to the taskforce. The taskforce recommends that pharmacists (1) purchase medications from known, reliable sources; (2) warn patients of the dangers of purchasing medications over the Internet; (3) confirm with distributors that products were purchased from manufacturers or other reliable sources; (4) monitor counterfeit product alerts; (5) examine products for suspicious appearance; (6) work with the pharmaceutical industry, distributors, and the Food and Drug Administration (FDA) to close gaps in the supply chain, especially for drugs in short supply; (7) use scanning technology in the pharmacy as part of a prescription verification process; (8) educate themselves, coworkers, and patients about the risks of counterfeit medications; and (9) report suspicious medications to FDA, the distributor, and the manufacturer. The consequence of a patient receiving a counterfeit medication in the United States could be catastrophic, and pharmacists must play an active role in preventing such an event from occurring.

  6. Job characteristics, well-being and risky behaviour amongst pharmacists.

    Science.gov (United States)

    Phipps, Denham L; Walshe, Kieran; Parker, Dianne; Noyce, Peter R; Ashcroft, Darren M

    2016-12-01

    Healthcare practitioners' fitness to practise has often been linked to their personal and demographic characteristics. It is possible that situational factors, such as the work environment and physical or psychological well-being, also have an influence on an individual's fitness to practise. However, it is unclear how these factors might be linked to behaviours that risk compromising fitness to practise. The aim of this study was to examine the association between job characteristics, well-being and behaviour reflecting risky practice amongst a sample of registered pharmacists in a region of the United Kingdom. Data were obtained from a cross-sectional self-report survey of 517 pharmacists. These data were subjected to principal component analysis and path analysis, with job characteristics (demand, autonomy and feedback) and well-being (distress and perceived competence) as the predictors and behaviour as the outcome variable. Two aspects of behaviour were found: Overloading (taking on more work than one can comfortably manage) and risk taking (working at or beyond boundaries of safe practice). Separate path models including either job characteristics or well-being as independent variables provided a good fit to the data-set. Of the job characteristics, demand had the strongest association with behaviour, while the association between well-being and risky behaviour differed according to the aspect of behaviour being assessed. The findings suggest that, in general terms, situational factors should be considered alongside personal factors when assessing, judging or remediating fitness to practise. They also suggest the presence of different facets to the relationship between job characteristics, well-being and risky behaviour amongst pharmacists.

  7. British community pharmacists' views of physician-assisted suicide (PAS)

    Science.gov (United States)

    Hanlon, T.; Weiss, M.; Rees, J.

    2000-01-01

    Objectives— To explore British community pharmacists' views on PAS , including professional responsibility, personal beliefs, changes in law and ethical guidance. Design— Postal questionnaire Setting— Great Britain Subjects— A random sample of 320 registered full-time community pharmacists Results— The survey yielded a response rate of 56%. The results showed that 70% of pharmacists agreed that it was a patient's right to choose to die, with 57% and 45% agreeing that it was the patient's right to involve his/her doctor in the process and to use prescription medicines, respectively. Forty-nine per cent said that they would knowingly dispense a prescription for use in PAS were it to be legalised and 54% believed it correct to refuse to dispense such a prescription. Although 53% believed it to be their right to know when they were being involved in PAS, 28% did not. Most pharmacists (90%) said that they would wish to see the inclusion of a practice protocol for PAS in the code of ethics of the Royal Pharmaceutical Society of Great Britain (CE-RPSGB) in the event of a change in the law on PAS. In addition, 89% would wish to see PAS included in the Conscience Clause of the CE-RPSGB. Males were found to be significantly less likely to favour PAS than females (pphysician's, in having to provide the means for PAS. It is worrying that a proportion of the respondents prefer to remain in ignorance of the true purpose of a prescription for PAS; a finding at odds with current developments within the pharmaceutical profession. A practice protocol for PAS and an extension of the conscience clause should be considered in the event of PAS becoming legal. Such measures would allow the efficient provision of the pharmaceutical service whilst at the same respecting the personal beliefs of those who object to cooperating in the ending of a life. Key Words: Professional ethics • pharmacy ethics • community pharmacy • bioethics • physician-assisted suicide

  8. The degree of integration of pharmacists in primary care and the impact on health outcomes : A systematics review

    NARCIS (Netherlands)

    A.C.M. Hazen (Ankie); A.A. de Bont (Antoinette); L. Boelman (Lia); J.J. de Gier (Johan); D.L.M. Zwart (Dorien); N.J. de Wit (Niek); M.L. Bouvy (Marcel)

    2017-01-01

    markdownabstract__Background:__ A non-dispensing pharmacist conducts clinical pharmacy services aimed at optimizing patients individual pharmacotherapy. Embedding a non-dispensing pharmacist in primary care practice enables collaboration, probably enhancing patient care. The degree of integration of

  9. Differences in prescribing between GPs: impact of the cooperation with pharmacists and impact of visits from pharmaceutical industry representatives.

    NARCIS (Netherlands)

    Muijrers, P.E.; Grol, R.P.T.M.; Sijbrandij, J.; Janknegt, R.; Knottnerus, J.A.

    2005-01-01

    BACKGROUND: Community pharmacists, pharmaceutical industry and differences in prescribing between GPs. OBJECTIVE: To explore the role of the pharmacists and pharmaceutical industry representatives. METHODS: A cross-sectional survey was undertaken of 1434 GPs in The Netherlands in 2001. Prescribing

  10. Tobacco Cessation through Community Pharmacies: Knowledge, Attitudes, Practices and Perceived Barriers among Pharmacists in Penang

    Science.gov (United States)

    Taha, Nur Akmar; Tee, Ooi Guat

    2015-01-01

    Objectives: Tobacco cessation is the primary goal of tobacco control measures. Community pharmacists are possible providers of tobacco cessation counselling due to their close contact with the public and the availability of non-prescription nicotine replacement therapies in pharmacies. However, community pharmacists often do not provide tobacco…

  11. Kentucky pharmacists' opinions of the potential reclassification of pseudoephedrine as a legend drug.

    Science.gov (United States)

    Monson, Kathleen E; Freeman, Patricia R; Goodin, Amie J; Talbert, Jeffery; Blumenschein, Karen

    2014-01-01

    To collect and analyze Kentucky pharmacists' opinions of the effectiveness of current methamphetamine precursor controls, to analyze proposed legislation to make pseudoephedrine (PSE) a legend drug, and to analyze the potential impact of such legislation on pharmacy practice and patients. Descriptive, nonexperimental survey study. Kentucky; June through October 2012. 431 Kentucky community pharmacists. Mailed survey. Perceived efficacy of current methamphetamine precursor controls, anticipated impact on individual pharmacy practices and patients of proposed legislation to make PSE available by prescription only, and current opinions about the proposed legislation. Analysis of 431 community pharmacists showed that approximately 77% believed proposed legislation to make PSE available by prescription only would be effective in reducing methamphetamine abuse and methamphetamine-related laboratory incidents, with 56.2% indicating support for the proposed legislation. Pharmacists practicing in chain pharmacies were 2.9 times more likely to support the legislation than pharmacists practicing in independent pharmacies. Additional factors influencing pharmacist support included Kentucky region of practice, anticipated impact on time spent on PSE activities, pharmacy profit, methamphetamine abuse, and methamphetamine-related laboratory incidents. Pharmacists practicing in regions of Kentucky associated with higher methamphetamine abuse appear to more strongly support the proposed legislation. Pharmacists are at the frontline of PSE distribution. Gaining a better understanding of issues surrounding the distribution of PSE will enhance the likelihood that future legislation may be crafted to reduce methamphetamine production, laboratory incidents, and abuse while minimizing inconvenience and cost.

  12. Innvestigation on patient's and pharmacist's attitudes toward medical services in community pharmacies.

    Science.gov (United States)

    Sakurai, Hidehiko; Konno, Hirotaka; Shimamori, Yoshimitsu; Sugiyama, Hiroyuki; Yoshimachi, Masako; Kouno, Hiroyuki; Gotou, Teruaki; Hayase, Yukitoshi

    2009-05-01

    An investigation of patients' and pharmacists' attitudes toward medical services provided in community pharmacies was conducted in September, 2007. Respondents to the survey were patients and pharmacists in 160 stores of a chain pharmacy. The questionnaire consisted of 15 question items about pharmacy functions and three comprehensive evaluations of the pharmacy. The degree of importance and satisfaction was surveyed among 8995 patients, and the degree of importance and sufficiency was surveyed among 408 pharmacists. Multivariate analyses were performed using these data. Patients considered pharmacy functions as less important than did pharmacists for all items. The difference in attitude toword "the medication notebook" was particularly marked. Next, factor analysis was performed of the degree of importance in patients' and pharmacists' responses and three potential factors were extracted for each. However, the items constituting potential factors differed slightly between patients and pharmacists. Finally, multiple-regression analyses using three comprehensive evaluations as the independent variable and satisfaction with 15 items as a dependent variable were performed. In all three models, the standardization regression coefficient of "explanation of medicine" was large in the regression model of patients. On the other hand, the standardization regression coefficient of "consideration for patients" was large in the model of pharmacists. The influence of some patient attribute dummy variables was significant. Differences in the attitudes toward medical services and pharmacy functions were found between patients and pharmacists, and some items that should be improved were revealed.

  13. The roles of community pharmacists in cardiovascular disease prevention and management.

    Science.gov (United States)

    George, J; McNamara, K; Stewart, K

    2011-01-01

    There is ample evidence in the international literature for pharmacist involvement in the prevention and management of cardiovascular disease (CVD) conditions in primary care. Systematic reviews and meta-analyses have confirmed the significant clinical benefits of pharmacist interventions for a range of CVD conditions and risk factors. Evidence generated in research studies of Australian community pharmacist involvement in CVD prevention and management is summarised in this article.Commonwealth funding through the Community Pharmacy Agreements has facilitated research to establish the feasibility and effectiveness of new models of primary care involving community pharmacists. Australian community pharmacists have been shown to effect positive clinical, humanistic and economic outcomes in patients with CVD conditions. Improvements in blood pressure, lipid levels, medication adherence and CVD risk have been demonstrated using different study designs. Satisfaction for GPs, pharmacists and consumers has also been reported. Perceived 'turf' encroachment, expertise of the pharmacist, space, time and remuneration are challenges to the implementation of disease management services involving community pharmacists.

  14. Development, Implementation and Evaluation of a Modular Approach to a Pharmacist-Oriented Course in Oncology.

    Science.gov (United States)

    Abate, Marie A.; And Others

    1982-01-01

    A project to develop, implement, and evaluate a slide/text modular oncology course teaching disease state and pharmacist-oriented information to pharmacy students, with potential adaptation for pharmacist continuing education, is described. Module effectiveness was evaluated using a pretest, posttest design, with group mean comparisons across both…

  15. Student and Teacher Reflections on Indirectness as a Pragmatic Feature of Pharmacist-Patient Simulations

    Science.gov (United States)

    Hussin, Virginia

    2013-01-01

    This article reports on a research process where focussed reflection on pharmacist-patient simulations led to meta-pragmatic awareness and directions for pedagogical practice. The research participants were third-year EAL pharmacy students, who were practising being pharmacists, and pharmacy staff members, who played the part of patients. Analysis…

  16. Controversy and consensus on a clinical pharmacist in primary care in the Netherlands

    NARCIS (Netherlands)

    Hazen, A.C.M.; van der Wal, Aletta W.; Sloeserwij, Vivianne M.; Zwart, Dorien L M; de Gier, Johan J; De Wit, Niek J.; Leendertse, A.J.; Bouvy, M.L.; De Bont, Antoinette A.

    2016-01-01

    Background Controversy about the introduction of a non-dispensing pharmacist in primary care practice hampers implementation. Objective The aim of this study is to systematically map the debate on this new role for pharmacists amongst all stakeholders to uncover and understand the controversy and co

  17. Identification of drug-related problems by a clinical pharmacist in addition to computerized alerts

    NARCIS (Netherlands)

    R.J. Zaal (Rianne); M.M.P.M. Jansen (Mark M. P.); M. Duisenberg-Van Essenberg (Marjolijn); C.C. Tijssen (Cees); J.A. Roukema; P.M.L.A. van den Bemt (Patricia)

    2013-01-01

    textabstractBackground Both clinical pharmacists and computerized physician order entry systems with clinical decision support (CPOE/CDSS) can reduce drug-related problems (DRPs). However, the contribution of a clinical pharmacist in addition to CPOE/CDSS has not been established in a prospective st

  18. Tobacco Cessation through Community Pharmacies: Knowledge, Attitudes, Practices and Perceived Barriers among Pharmacists in Penang

    Science.gov (United States)

    Taha, Nur Akmar; Tee, Ooi Guat

    2015-01-01

    Objectives: Tobacco cessation is the primary goal of tobacco control measures. Community pharmacists are possible providers of tobacco cessation counselling due to their close contact with the public and the availability of non-prescription nicotine replacement therapies in pharmacies. However, community pharmacists often do not provide tobacco…

  19. Optimizing identification and management of COPD patients - reviewing the role of the community pharmacist

    NARCIS (Netherlands)

    van der Molen, Thys; van Boven, Job F M; Maguire, Terence; Goyal, Pankaj; Altman, Pablo

    2017-01-01

    AIM: To propose key steps for community pharmacist integration into a patient care pathway for COPD management. METHODS: A literature search was conducted to identify publications focusing on the role of the community pharmacist in identification and management of COPD. RESULTS: The literature searc

  20. Controversy and consensus on a clinical pharmacist in primary care in the Netherlands

    NARCIS (Netherlands)

    A.C.M. Hazen (Ankie); Wal, A.W.V.D. (Aletta W. Van Der); V.M. Sloeserwij (Vivianne); D.L.M. Zwart (Dorien Lyd Marieke); Gier, J.J.D. (Johan J. De); Wit, N.J.D. (Niek J. De); A.J. Leendertse (Anne); M.L. Bouvy (Marcel); A.A. de Bont (Antoinette)

    2016-01-01

    textabstractBackground Controversy about the introduction of a non-dispensing pharmacist in primary care practice hampers implementation. Objective The aim of this study is to systematically map the debate on this new role for pharmacists amongst all stakeholders to uncover and understand the contro

  1. Role of community pharmacists in providing oral health advice in the Eastern province of Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Hamad Al-Saleh

    2017-07-01

    Conclusions: Community pharmacists are approached frequently for oral healthcare advices. Majority of them had no oral health training. Almost all of them were willing to provide oral health information in the community. It is essential to provide continuous oral health education to the pharmacists to better serve oral health needs of the community.

  2. [Research on the forecasting of trends in demand for pharmacists 2011-2035].

    Science.gov (United States)

    Hasegawa, Yoichi; Sakamaki, Hiroyuki; Yamazaki, Manabu; Iwatsuki, Susumu; Oide, Sentaro; Kitada, Mitsukazu; Ohashi, Yoshiaki; Suda, Kohji; Mochizuki, Masataka

    2014-01-01

    The first crop of pharmacists graduating from 6-year programs in pharmaceutical l education arrived in April 2012, and it will be important to incorporate new factors when predicting future trends in supply and demand for pharmacists. If we project supply given an exam pass rate of 75%, the supply of pharmacists will increase for the next 10 years or so if the number of exam takers is about 10000, and no decrease in the total number of pharmacists is expected until 2035. At pharmacies, a high degree of demand for the services of pharmacists can be expected to result from increases in the number of elderly patients and the number of patients receiving prescriptions, together with expanded accommodation of home health care, if the proportion of prescriptions that are actually filled up to 70%. At hospitals, demand has been projected to increase over the short term, owing to such factors as the trend toward having a resident pharmacist in each ward, advances in team medicine, and the spread of outpatient chemotherapy. Given the rising enrollment quotas for schools of pharmacy, and if the current supply and demand for pharmacists are maintained, we cannot rule out the possibility that pharmacists will come to be in excess supply within a 10-year horizon if the number of unemployed continues to decrease and the employment rate continues to improve along with changes in economic conditions and the consciousness of graduates of the 6-year programs.

  3. Factors Associated With Health-Related Quality of Life of Student Pharmacists

    OpenAIRE

    2014-01-01

    Objective. To assess the health-related quality of life (HRQoL) of student pharmacists and explore factors related to HRQoL outcomes of student pharmacists in a doctor of pharmacy (PharmD) program at a public university.

  4. Practice Nurses and Pharmacists: A Perspective on the Expectation and Experience of Nurses for Future Collaboration

    Directory of Open Access Journals (Sweden)

    Abdul Nabeel Khan

    2014-07-01

    Full Text Available Abstract Objectives: To explore the nurses’ expectations and experience about pharmacists in private sector hospitals of Karachi, Pakistan. Methods: A cross-sectional study was conducted from June to September 2012 in five private sector hospitals of Karachi, Pakistan. A convenient sample of nurses (n=377 were enrolled in this study. Data was obtained through a previously validated questionnaire. Responses were statistically analyzed using SPSSv.17. Results: Questionnaires were returned giving a response rate of 63.6% of which 20 were unusable (n=240. Out of the remaining 220, 24.1% (n=53 responded that they never or rarely interacted with a pharmacist. Respondents who expect pharmacists to collaborate with nurses to solve drug related problems were 45% (n=99. Nurses’ experience of pharmacists was not substantial as only 44.5% (n=98 respondents consider pharmacists as a reliable source of clinical drug information. Conclusion: The role of pharmacists is not well appreciated among nurses in Pakistan. Hence, pharmacists must bridge the observed gap and use a more strategic and consistent approach to build a more positive image in line with other healthcare professionals and in providing patient-centred pharmaceutical care. This research would impress upon the pharmacists the need to redefine their role in the healthcare settings.

  5. Controversy and consensus on a clinical pharmacist in primary care in the Netherlands

    NARCIS (Netherlands)

    Hazen, A.C.M.; van der Wal, Aletta W.; Sloeserwij, Vivianne M.; Zwart, Dorien L M; de Gier, Johan J; De Wit, Niek J.; Leendertse, A.J.; Bouvy, M.L.; De Bont, Antoinette A.

    2016-01-01

    Background Controversy about the introduction of a non-dispensing pharmacist in primary care practice hampers implementation. Objective The aim of this study is to systematically map the debate on this new role for pharmacists amongst all stakeholders to uncover and understand the controversy and

  6. Controversy and consensus on a clinical pharmacist in primary care in the Netherlands

    NARCIS (Netherlands)

    A.C.M. Hazen (Ankie); Wal, A.W.V.D. (Aletta W. Van Der); V.M. Sloeserwij (Vivianne); D.L.M. Zwart (Dorien); Gier, J.J.D. (Johan J. De); Wit, N.J.D. (Niek J. De); A.J. Leendertse (Anne); M.L. Bouvy (Marcel); A.A. de Bont (Antoinette)

    2016-01-01

    textabstractBackground Controversy about the introduction of a non-dispensing pharmacist in primary care practice hampers implementation. Objective The aim of this study is to systematically map the debate on this new role for pharmacists amongst all stakeholders to uncover and understand the

  7. Methods for using microblogs for health communication with a pharmacist-based account.

    Science.gov (United States)

    Wang, Tiansheng; Wang, Fei; Xin, Xiaoxiong; Pleasants, Roy A; Shi, Luwen

    2016-08-01

    To implement and assess the effectiveness of using microblogging for health communication with a pharmacist-based account. We created a private and public "iPharmacist" account on the Weibo microblogging platform using the "Brief, Evidence-based, Ethical, and Plain-language (BEEP)" principle to post messages and to interact with patients. From November 2012 to November 2013, a content analysis was performed of the original microposts by iPharmacist, as well as original messages directed to iPharmacist by other accounts, and private messages received by iPharmacist. A total of 598 original messages were posted by iPharmacist, which were reposted 34442 times with 6013 comments received; while 310 messages were posted by other Weibo users directed to the iPharmacist alone with 131 private messages. The use of iPharmacist account allowed the provision of quality microposts to educate the Chinese public. The public messages were well disseminated. Microblogging could be an effective tool for patient education and health communication. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. An instrument for measuring pharmacist and physician attitudes towards collaboration: preliminary psychometric data.

    Science.gov (United States)

    Hojat, Mohammadreza; Gonnella, Joseph S

    2011-01-01

    This study was designed to develop an instrument for measuring attitudes toward pharmacist-physician collaborative relationships for administration to practicing pharmacists and physicians, as well as to students in pharmacy and medical schools. Based on a review of literature, a preliminary version of an instrument was developed (30 items), and through a pilot study of face validity and content validity with 12 pharmacists and 10 physicians, 18 items were chosen for quantitative analyses. We asked 88 respondents (61 pharmacists, 27 physicians) to judge the relevance, clarity, and representativeness of each item to the concept of pharmacist-physician collaborative relationships. Sixteen items with a relevancy endorsement greater than 85% and significant item-total score correlations were retained. The following underlying constructs emerged from factor analysis: "collaboration and team work," "accountability," "overlapping responsibility," and "authority". These factors supported the multidimensionality and construct validity of the instrument. No gender difference was observed; however, pharmacists scored higher than physicians on the total score of the instrument. The Cronbach's coefficient alpha was .81 for pharmacists, .92 for physicians, and .87 for the combined sample. Encouraged by these preliminary findings, we plan to undertake further research to examine the instrument's psychometric properties including criterion-related and predictive validities with larger and more representative samples of pharmacists, physicians, and students in pharmacy and medical schools.

  9. Creation of a certification requirement for pharmacists in direct patient care roles.

    Science.gov (United States)

    Hager, David R; Hartkopf, Katherine J; Koth, Sara M; Rough, Steven S

    2017-10-01

    Steps taken by a large health system to require certification for all pharmacists in direct patient care roles are detailed. Major supply chain changes and rising payer expectations are reshaping pharmacy practice, resulting in expanded responsibilities for pharmacists and a heightened need for certification in specialized practice areas. In response, the pharmacy leadership team at UW Health, the integrated health system of the University of Wisconsin-Madison, used an iterative process and a "rolling" FAQ format to develop and implement a certification requirement. Key decisions during the process included decisions to accept only rigorous certifications (mainly those offered by the Board of Pharmacy Specialties), to provide institutional support for continuing education-based recertification, and to use an accepted definition of direct patient care in determining which pharmacists need to be certified. The team obtained the support of the UW Health human relations department by drafting a policy and rewriting all pharmacist position descriptions to incorporate the certification requirement. An all-pharmacist forum was held to build staff commitment. As a result of the requirement, 73 pharmacists were required to obtain certification by 2018 at a total cost to UW Health of $44,000; ongoing support of certification maintenance will cost an estimated $40,000 per year. Health systems can be successful in establishing uniform certification expectations for pharmacists in direct patient care roles, even across diverse practice settings, by aligning expectations with organizational goals. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  10. Impact of Clinical Pharmacist on the Pediatric Intensive Care Practice: An 11-Year Tertiary Center Experience.

    Science.gov (United States)

    Tripathi, Sandeep; Crabtree, Heidi M; Fryer, Karen R; Graner, Kevin K; Arteaga, Grace M

    2015-01-01

    With increasing complexity of critical care medicine comes an increasing need for multidisciplinary involvement in care. In many institutions, pharmacists are an integral part of this team, but long-term data on the interventions performed by pharmacists and their effects on patient care and outcomes are limited. We aimed to describe the role of pediatric clinical pharmacists in pediatric intensive care unit (PICU) practice. We retrospectively reviewed the records of pharmacy interventions in the PICU at the Mayo Clinic in Rochester, Minnesota, from 2003-2013, with a distinct period of increased pharmacist presence in the PICU from 2008 onward. We compared demographic and outcome data on patients who did and who did not have pharmacy interventions during 2 periods (2003-2007 and 2008-2013). We identified 27,773 total interventions by pharmacists during the 11-year period, of which 79.8% were accepted by the clinical team. These interventions were made on 10,963 unique PICU admissions and prevented 5867 order entry errors. Pharmacists' interventions increased year over year, including a significant change in 2008. Patients who required pharmacy involvement were younger, sicker, and had longer intensive care unit, hospital, and ventilator duration. Average central line infections and central line entry rates decreased significantly over the study period. Increased pharmacist presence in the PICU is associated with increased interventions and prevention of adverse drug events. Pharmacist participation during rounds and order entry substantially improved the care of critically sick children and should be encouraged.

  11. Multidisciplinary members’ perspectives on a pharmacist joining a rheumatology practice team

    OpenAIRE

    Wilbur, Kerry; Kur, Jason

    2015-01-01

    Background: Pharmacist participation in chronic disease management benefits patients in many ambulatory settings. We explored the attitudes and perceptions among multidisciplinary members of a rheumatology team towards the skills and responsibilities of a pharmacist joining their practice. Methods: The physicians, nurse, physiotherapist and staff of a rheumatology clinic were invited to participate in focus group and semistructured interviews. Practice members also completed an in...

  12. Generating demand for pharmacist-provided medication therapy management: identifying patient-preferred marketing strategies.

    Science.gov (United States)

    Garcia, Gladys M; Snyder, Margie E; McGrath, Stephanie Harriman; Smith, Randall B; McGivney, Melissa Somma

    2009-01-01

    To identify effective strategies for marketing pharmacist-provided medication therapy management (MTM) services to patients in a self-insured employer setting. Qualitative study. University of Pittsburgh during March through May 2008. 26 university employees taking at least one chronic medication. Three focus group sessions were conducted using a semistructured topic guide to facilitate the discussion. Employees' perceived medication-related needs, perceived benefits of pharmacist-provided MTM, potential barriers for employee participation in MTM, and effective strategies for marketing MTM. Participants reported concerns with timing of doses, medication costs, access, and ensuring adherence. Participants generally felt positively toward pharmacists; however, the level of reported patient contact with pharmacists varied among participants. Some participants questioned pharmacists' education and qualifications for this enhanced role in patient care. Perceived benefits of MTM noted by participants included the opportunity to obtain personalized information about their medications and the potential for improved communication among their health providers. Barriers to patient participation were out-of-pocket costs and lack of time for MTM visits. Participants suggested use of alternative words to describe MTM and marketing approaches that involve personal contact. Pharmacists should emphasize parts of MTM that patients feel are most beneficial (i.e., provision of a personal medication record) and use patient-friendly language to describe MTM when marketing their practice. Patients will need greater exposure to the concept of MTM and the pharmacists' role in order to correctly describe and assign value to this type of pharmacist patient care practice.

  13. The quality of the professional practice of community pharmacists : What can still be improved in Europe?

    NARCIS (Netherlands)

    Cancrinus-Matthijsse, A.M; Lindenberg, S.M.; Bakker, A; Groenewegen, P.P.

    1996-01-01

    This article describes a research project concerning the professional practice of community pharmacists in Western Europe. In 1990 interviews were held with key figures and practising pharmacists in the Netherlands, Belgium, Great Britain Sweden and Portugal. In 1991 a questionnaire was sent which w

  14. 10 CFR 35.55 - Training for an authorized nuclear pharmacist.

    Science.gov (United States)

    2010-01-01

    ... Pharmaceutical Education (ACPE) or have passed the Foreign Pharmacy Graduate Examination Committee (FPGEC... 10 Energy 1 2010-01-01 2010-01-01 false Training for an authorized nuclear pharmacist. 35.55... Administrative Requirements § 35.55 Training for an authorized nuclear pharmacist. Except as provided in §...

  15. Pharmacists' Assessment of the Difficulty and Frequency of Ethical Issues Encountered in Community Pharmacy Settings.

    Science.gov (United States)

    Crnjanski, Tatjana; Krajnovic, Dusanka; Savic, Mirko

    2017-05-23

    Researching ethical problems and their frequency could give us a complex picture and greater insight into the types of ethical issues that pharmacists face in providing health care. The overall aim of this study was to assess the pharmacist's perception of difficulty and frequency of selected ethical issues encountered by the community pharmacists in their everyday practice. A quantitative cross sectional multicenter study was performed using a validated survey instrument - Ethical Issue Scale for Community Pharmacy (EISP). The results of the analysis of 690 completely filled out instruments (response rate 78.49%) showed the difference between the ethical issues which always occurred ("A pharmacist is prevented from dispensing a medicine to the patient due to an administrative error in the prescription"), and the ones that pharmacists found most difficult ("A pharmacist dispenses a medicine he/she personally considers inadequate for the therapeutic treatment of the patient, in order to avoid any conflicts with the physician" and "A pharmacist is considering violating the rules and regulations in order to perform an act of humanity"). The majority of respondents (84.78%) were familiar with the Code of Ethics but the correlation between the familiarity and the perceived usefulness of the code in resolving problems in everyday practice was negative (ρ = -0.17, p research is recommended in order to systematically identify the ethical issues faced by community pharmacists.

  16. Survey on Disaster Relief Activities to the Pharmacists Belonging to Kobe-city Pharmaceutical Organization.

    Science.gov (United States)

    Yasuhara, Tomohisa; Kondo, Hiroki; Nagata, Misa; Iwata, Kana; Kushihata, Taro; Katsuragi, Satoko; Ikeuchi, Junko; Sone, Tomomichi

    2016-10-01

     In 2014, there were about 160 thousands community pharmacists in Japan. Community pharmacists are health care workers who help victims in a disaster and are potential resources who can provide disaster relief. However, currently the disaster relief activities of community pharmacists are merely a resourceful and flexible demonstration of their professional abilities and not a specifically organized activity. Therefore, disaster relief education programs for community pharmacists are being explored and studies are still in the nascent stage. In this study, pharmacists of a pharmaceutical organization in Kobe City were asked to reply to a questionnaire survey so that their hopes and ideas about the disaster relief activities that they carry out can help build effective educational programs to enhance relief activities. Finally, 8 factors (cumulative contribution rate: 90.9%) were extracted by factor analysis (maximum likelihood method, the diagonal elements: squared multiple correlation, quartimin rotation) of the 25 questions. In addition, a hierarchical cluster analysis (Ward method) by the factor scores of the extracted 8 factors resulted in 7 groups. The findings revealed the groups into which the community pharmacists were divided and their hopes and ideas about disaster relief. We expect that these results could bring awareness about the disaster relief activities suitable for each community pharmacist, provide appropriate training opportunities for those who volunteer, and motivate daily studies and preparations for disaster relief activities among community pharmacists.

  17. Physician-assisted death: attitudes and practices of community pharmacists in East Flanders, Belgium

    NARCIS (Netherlands)

    Bilsen, J.J.; Bauwens, M.; Bernheim, J.L.; Stichele, R.V.; Deliens, L.H.J.

    2005-01-01

    This study investigates attitudes and practices of community pharmacists with respect to physician-assisted death. Between 15 February and 15 April 2002, we sent anonymous mail questionnaires to 660 community pharmacists in the eastern province of Flanders, Belgium. The response rate was 54% (n = 35

  18. Dentist/pharmacist relations: professional responsibility, scope of practice, and rational prescription writing. Interview by Debra Belt.

    Science.gov (United States)

    Jacobsen, Peter L; Lofholm, Paul W

    2008-10-01

    Earlier this year, CDA engaged the California Pharmacists Association in discussion about the relationship between dentists and pharmacists and the most efficient ways to handle prescriptions. Professionals agree that the situation where a pharmacist fails to fill a dentist-written prescription does not occur frequently. However, when it does occur, all parties--the dentist, the pharmacist and the patient--are challenged. This discussion led to the following interview.

  19. Low pharmacist counseling rates in the Kansas City, Missouri, metropolitan area.

    Science.gov (United States)

    Fritsch, M A; Lamp, K C

    1997-09-01

    To quantify the percentage of patients counseled by community-based pharmacists. Phase I consisted of a 15-minute observational period of pharmacist counseling in 50 randomly selected pharmacies in the Kansas City, MO, area. In phase II, a survey was mailed to the same pharmacies to obtain policies, self-reported rates of counseling, baseline workload, and personnel information, as well as perceived communication barriers. Forty-six of 50 pharmacies were observed in phase I after excluding 10 ineligible pharmacies and adding 6 replacement pharmacies. Pharmacists provided counseling in only 14 of the 46 pharmacies (30%). Nineteen percent (20/106) of all patients received pharmacist-initiated counseling. Pharmacists in independent pharmacies were observed counseling a significantly higher percentage of patients than were pharmacists in chain pharmacies (44% vs. 11%; p = 0.014). Technicians were observed counseling 5 patients in chain pharmacies. Detailed verbal counseling, defined as four or more of a group of major counseling components, was provided to only 8 of the 20 patients who were counseled by a pharmacist (40%; 8% of all patients). In phase II, 31 of 51 surveys (61%) were returned. During the requested survey time period, pharmacies estimated that approximately five prescriptions were filled every 15 minutes, 51.5% of which were new. Pharmacists in chain pharmacies reported dispensing greater numbers of prescriptions than did pharmacists in independent pharmacies. These data and the reported counseling rates indicated that 50% of all patient prescriptions should be counseled. This is a higher rate than actually observed. All pharmacies reported that pharmacists completed the counseling; however, 10% of the respondents reported that technicians also counseled patients. Contrary to the findings in phase I, slightly more than 50% of the pharmacists reported using detailed verbal counseling. The overall observed rate of counseling in community pharmacies is low

  20. The roles of community pharmacists in cardiovascular disease prevention and management

    Directory of Open Access Journals (Sweden)

    George J

    2011-05-01

    Full Text Available There is ample evidence in the international literature forpharmacist involvement in the prevention and managementof cardiovascular disease (CVD conditions in primary care.Systematic reviews and meta-analyses have confirmed thesignificant clinical benefits of pharmacist interventions for arange of CVD conditions and risk factors. Evidence generatedin research studies of Australian community pharmacistinvolvement in CVD prevention and management issummarised in this article.Commonwealth funding through the Community PharmacyAgreements has facilitated research to establish the feasibilityand effectiveness of new models of primary care involvingcommunity pharmacists. Australian community pharmacistshave been shown to effect positive clinical, humanistic andeconomic outcomes in patients with CVD conditions.Improvements in blood pressure, lipid levels, medicationadherence and CVD risk have been demonstrated usingdifferent study designs. Satisfaction for GPs, pharmacists andconsumers has also been reported. Perceived ‘turf’encroachment, expertise of the pharmacist, space, time andremuneration are challenges to the implementation of diseasemanagement services involving community pharmacists.

  1. Exploring community pharmacists' experiences of surveying patients for drug utilization research purposes

    DEFF Research Database (Denmark)

    Frisk, Pia; Bergman, Ulrika; Kälvemark Sporrong, Sofia

    2015-01-01

    Background Patient self-reported data are important in drug utilization research, but often logistically difficult to collect. During 2006–2012, 72 Swedish community pharmacies regularly collected such data through structured survey interviews at the pharmacy counter, performed by the dispensing...... pharmacists. This study is part of a validation of that data acquisition method. Objectives (1) To explore the experiences of the pharmacists involved, (2) to explore a random or systematic exclusion of eligible patients by the pharmacists, and (3) to find areas of improvement to the applied method...... of the pharmacies. Main outcome measure Proportions of pharmacists reporting positive and negative experiences of structured survey interviews, the nature of their experiences, proportion of pharmacists reporting to avoid survey interviews and reasons for doing so, and suggested areas of improvement. Results...

  2. Pharmaceutical Services in Primary Health Care: are pharmacists and users on the same page?

    Science.gov (United States)

    Luz, Tatiana Chama Borges; Costa, Maria Emília Silva de Souza; Portes, Daniela Santana; Santos, Lucas Barbi Costa E; Sousa, Samuel Rodrigues Almeida E; Luiza, Vera Lucia

    2017-08-01

    This study investigated structural and organizational characteristics of the Pharmaceutical Services based on Primary Health Care (PHCPS) from the viewpoints of users and pharmacists. A mixed method design was applied, combining one-to-one semi-structured interviews with four pharmacists in charge of five public dispensing facilities and 69 users, with a secondary database analysis. Data were collected from February to August 2014 in Divinópolis, a municipality in Minas Gerais State. PHCPS were similar in terms of general activities performed and staff profile and background. While users were concerned about medicines' availability and improvements related to the PHCPS' conveniences and personnel, pharmacists pointed out problems regarding infrastructure to storage. Despite most users had low information on how to use their medicines, no pharmacists declared to participate in medicines dispensing activities. There was a low match between users and pharmacists viewpoints and advantages for concentrate medicines dispensing in a smaller number of facilities were not clear.

  3. The clinical utility of HIV outpatient pharmacist prescreening to reduce medication error and assess adherence.

    Science.gov (United States)

    Seden, K; Bradley, M; Miller, A R O; Beadsworth, M B J; Khoo, S H

    2013-03-01

    Antiretroviral therapy (ART) is complex and has high propensity for medication error and drug-drug interactions (DDIs). We evaluated the clinical utility of pharmacist prescreening for DDIs, adherence to ART and medicines reconciliation prior to HIV outpatient appointments. A pharmacist took detailed medication histories and ART adherence assessments, then screened medication for DDIs. A template detailing current medication, potential DDIs and adherence was filed in the clinical notes and physicians were asked for structured feedback. Potential DDIs were observed in 58% of 200 patients, with 22 (9%) potential DDIs occurring with medication that was not previously recorded in the patients' notes. Of 103 physician responses, 61.2% reported that the pharmacist consultation told them something they did not know, and pharmacist consultants led to change in management in 13.6% of cases. Pharmacist consultations were more likely to add benefit in patients taking two or more concomitant medications in addition to ART (P = 0.0012).

  4. A Five-State Continuing Professional Development Pilot Program for Practicing Pharmacists

    Science.gov (United States)

    Dopp, Anna Legreid; Moulton, Jennifer R.; Rouse, Michael J.

    2010-01-01

    Objective To determine whether a structured educational intervention would support pharmacists' utilization of a continuing professional development (CPD) model compared to pharmacist control subjects. Methods A prospective, randomized, observational case-control study of CPD was conducted in which pharmacists participated in several educational interventions, and study and control groups completed prestudy and poststudy survey instruments. Results Survey data from 57 pharmacists (n = 28 study, n = 29 control) were analyzed and significant outcomes from the CPD stages of reflect, plan, act, evaluate, and record were found between matched study subjects and study and control group comparisons. Conclusions With appropriate training and support, pharmacists can utilize a CPD approach to their lifelong learning and professional development. PMID:20414441

  5. Awareness and Knowledge of Autism Spectrum Disorders among Pharmacists: A Cross-Sectional Study in Palestinian Pharmacy Practice

    Science.gov (United States)

    Shawahna, Ramzi; Fahed, Basel; Qadri, Dana; Sharawi, Lamees; Soroghli, Mai; Dweik, Maen

    2017-01-01

    Pharmacists are trusted and easily accessible healthcare providers. We assessed awareness and knowledge of symptoms, etiology, and treatment of autism spectrum disorders (ASDs) among pharmacists practicing in Palestine. The pharmacists reported low familiarity with ASDs. The median score on the 12-item knowledge section was 50.0% with an…

  6. The use of opioids at the end of life: knowledge level of pharmacists and cooperation with physicians

    OpenAIRE

    Borgsteede, S.D.; Rhodius, C.A.; Smet, P.A.G.M. de; Pasman, H.R.W.; Onwuteaka-Philipsen, B. D.; Rurup, M.L.

    2010-01-01

    Abstract Purpose What is the level of knowledge of pharmacists concerning pain management and the use of opioids at the end of life, and how do they cooperate with physicians? Methods A written questionnaire was sent to a sample of community and hospital pharmacists in the Netherlands. The questionnaire was completed by 182 pharmacists (response rate 45%). Results ...

  7. Impact of pharmacists' directive guidance behaviors on patient satisfaction.

    Science.gov (United States)

    Singhal, Puneet K; Gupchup, Gireesh V; Raisch, Dennis W; Schommer, Jon C; Holdsworth, Mark T

    2002-01-01

    To determine the impact of directive guidance (DG) behaviors by pharmacists on patient satisfaction with pharmaceutical care services. DG behaviors are social support behaviors and include such activities as supplying information about medications and providing encouragement and feedback regarding drug therapy. Cross-sectional observational study using a self-administered survey. Two university-affiliated ambulatory care clinics, two chain pharmacies, and one independent pharmacy. One hundred sixty patients with a chronic disease (e.g., asthma, hypertension, diabetes). Patient satisfaction with pharmaceutical care services. A total of 160 completed questionnaires were collected from patients at 5 sites. Overall, patients patronizing ambulatory care clinics perceived higher rates of DG behaviors and were more satisfied with pharmaceutical care services, compared with patients in community pharmacies (P < .05). The hierarchical regression model was significant (F(13,112) = 4.9091, P < .001). DG behaviors explained 32.4% (P < .001) of the variance in patient satisfaction with pharmaceutical care services. Higher rates of DG behaviors by pharmacists are associated with greater patient satisfaction with pharmaceutical care services.

  8. Antibiotic resistance awareness: a public engagement approach for all pharmacists.

    Science.gov (United States)

    Allison, David G; Higginson, Paula; Martin, Sandra

    2017-02-01

    The main objective of this study was to promote knowledge about antibiotic resistance development and good stewardship principles amongst the general population through pharmacy student-led public engagement workshops in high schools. Structured questionnaires, based on the Key Stage 4 curriculum were initially used to assess awareness and knowledge of antibiotic resistance issues amongst year 10 and 11 (GCSE stage) high school pupils. A Prezi-style presentation (https://prezi.com/) was subsequently developed to deliver a positive message that the young learners could share with friends and family. Misconceptions still exist regarding the correct and appropriate use of antibiotics. The person-person approach adopted by this study was well received, key antibiotic stewardship messages being delivered to the general population through either educational surveys or hands-on workshops. It is widely acknowledged that antibiotic resistance is one of the biggest threats facing society today. As healthcare professionals, pharmacists in all sectors have a crucial role to play in educating the public about antibiotics and how to use them effectively. This article describes the different ways by which all pharmacists can help educate the public on key issues, with particular emphasis on the next generation. © 2016 Royal Pharmaceutical Society.

  9. NEED OF CLINICAL PHARMACIST FOR RATIONALIZATION OF PRESCRIPTION

    Directory of Open Access Journals (Sweden)

    Naveed Muhammad

    2012-02-01

    Full Text Available A cross sectional study was conducted in the Medical ward of Hayath Abad Medical Complex (HMC, Peshawar, Pakistan from 1st June 2009 to 31st December 2009. HMC is one of the teaching hospital in KPK, Pakistan, it consist of 800 beds. The data were collected through prescribed history form and questionnaire designed from the general medical ward. The results indicates that the hepatotoxic drug prescribed in hepatic impaired patients were 5.6% of the study and about 31% drugs were found with improper dose or the frequency of dose was not mentioned. About 12.56% drugs were prescribed without mentioning the duration of therapy while, untreated conditions were found about 15.70% of our study. In the present study 21.46% drug interactions was found. The prescription containing unnecessary drugs without any indication were 7.85%. All these mentioned irrationality were due to the lack of clinical pharmacist in the whole hospital. It is concluded that the presence or involvement of a competent and qualified clinical pharmacist is very essential for the rationalization of the prescription in any hospital or health institution.

  10. Student pharmacists' use and perceived impact of educational technologies.

    Science.gov (United States)

    Stolte, Scott K; Richard, Craig; Rahman, Ateequr; Kidd, Robert S

    2011-06-10

    To assess the frequency of use by and perceived impact of various educational technologies on student pharmacists. Data were obtained using a validated, Web-based survey instrument designed to evaluate the frequency of use and impact on learning of various technologies used in educating first-, second-, and third-year student pharmacists. Basic demographic data also were collected and analyzed. The majority (89.4%) of the 179 respondents were comfortable with the technology used in the academic program. The most frequently used technologies for educational purposes were in class electronic presentations, course materials posted on the school Web site, and e-mail. The technologies cited as having the most beneficial impact on learning were course materials posted on the Web site and in-class electronic presentations, and those cited as most detrimental were video-teleconferencing and online testing. Compared to the course textbook, students reported more frequent use of technologies such as electronic course materials, presentations, digital lecture recordings, e-mail, and hand-held devices. Because students' opinions of educational technologies varied, colleges and schools should incorporate educational technologies that students frequently use and that positively impact learning.

  11. Medication administration in nursing homes: pharmacists' contribution to error prevention.

    Science.gov (United States)

    Verrue, Charlotte L; Mehuys, Els; Somers, Annemie; Van Maele, Georges; Remon, Jean Paul; Petrovic, Mirko

    2010-05-01

    The elderly use a large number of medications, which exposes them to an increased risk for medication-related errors, especially in nursing homes. The aim of this study was to investigate the impact of an educational session addressing good medication administration practices on the medication administration error rate in 2 nursing homes. A before-after study was performed, comparing outcome measurements 1 month before and 1 month after implementation of a formal training session on "good medication administration principles." Medication administration errors were detected using a direct observation method. Two experts (a geriatrician and a clinical pharmacist) scored the clinical relevance of these errors. The study was carried out between March 2007 and June 2007. In both nursing homes, the overall error rate (preparation errors and administration errors) decreased after the intervention. This decrease was significant both in nursing home 1 (P errors was rated highly likely to cause harm according to the experts. An educational session about good medication administration practices provided by a pharmacist is a very simple way to decrease medication administration error rates and to raise awareness on the possible clinical significance of the errors. Copyright (c) 2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.

  12. [Role of pharmacists in disaster medicine: required knowledge and skills].

    Science.gov (United States)

    Nakura, Hironori

    2014-01-01

    Immediately after the Great East Japan Earthquake of March 2011, Okayama University dispatched a medical assistance team based on the request of Iwate Prefecture. The first team was followed by 12 medical teams. I was one of the members of the fourth and fifth medical teams sent to Rikuzen-takata and Ofunato for a week beginning March 16th to support medical relief operations as a pharmacist during the sub-acute phase of the disaster. As a member of the team at the temporary clinic in Rikuzen-takata, pharmacists such as myself required physical assessment skills to perform related tasks, along with expertise in drug dispensing and consultation. In my next medical team, which headed the pneumonia unit at Oofunato Hospital, I played a critical role in the effective use of medicine reserved/provided for disasters, including antibiotics. Throughout the relief operations, strong clinical reasoning and decision making, as well as good teamwork, proved vital, especially in emergency situations. For future community medical systems, emergency/disaster medicine should be included in pharmacy education. The School of Pharmacy at Okayama University will establish emergency medicine program in the next school year, in cooperation with the Medical, Dental and Health Care Departments.

  13. FOUR NOTCH ROADLESS AREA, TEXAS.

    Science.gov (United States)

    Houser, B.B.; Ryan, George S.

    1984-01-01

    A geologic and geochemical investigation of the Four Notch Roadless Area, Texas, was conducted. The area has a probable resource potential for oil and gas. There is, however, little promise for the occurrence of metallic mineral resources or other energy resources. Acquisition of seismic data and detailed comparisons with logs from wells from the vicinity of the Four Notch Roadless Area is necessary to better determine if the subsurface stratigraphy and structures are favorable for the accumulation of oil or gas.

  14. Factors associated with pharmacists' perceptions of their working conditions and safety and effectiveness of patient care.

    Science.gov (United States)

    Tsao, Nicole W; Lynd, Larry D; Gastonguay, Louise; Li, Kathy; Nakagawa, Bob; Marra, Carlo A

    2016-01-01

    In recent years, the role of pharmacists has changed, as have various provincial legislations, which now allow pharmacists to provide additional health services to patients. With these changes comes growing concern about how well the current pharmacy working environment is adapting and whether it may also be creating work-related stress that may contribute to potentially unsafe practices of patient care. To characterize the current working conditions of pharmacists in British Columbia, an online survey was developed and distributed to all College of Pharmacists of BC (CPBC) registrants by email. The survey consisted of questions on pharmacists' demographics, practice setting and perceptions of workplace conditions. Responses were collected from October 1 to November 10, 2013. All data were summarized using descriptive statistics, and regression models were constructed to assess the association between various factors and pharmacists' self-reported working conditions. Twenty-three percent (1241/5300) of pharmacists registered with the CPBC responded, with 78% working in the community pharmacy setting (58% chain, 19% independent). Pharmacists mostly disagreed with the statements that they had enough time for breaks or lunches or to do their jobs, as well as enough staffing support. Pharmacists' perceptions of their workplace environment were negatively associated with workplace-imposed advanced service quotas (for medication reviews, immunizations and prescription adaptations); being employed at chain store pharmacies, compared to independent pharmacies or hospitals/long-term care settings; and higher prescription volume. Pharmacists working in chain community pharmacies who are required to meet monthly quotas for expanded services reported a substantial negative impact on their working conditions and perceived safety of patient care. Can Pharm J (Ott) 2016;149:xx-xx.

  15. Assessment of pharmacists' job satisfaction and job related stress in Amman.

    Science.gov (United States)

    Al Khalidi, Doaa; Wazaify, Mayyada

    2013-10-01

    The myriad changes in pharmacy practice in Jordan have transformed the pharmacist's role to be more focused on the patient and his/her therapeutic needs than on just the traditional dispensing. This, in addition to other possible factors, is believed to have influenced pharmacists' job satisfaction and stress level in different practice settings in Jordan. This study aimed to determine the level of job satisfaction and job related stress among pharmacists in Amman. Moreover, the main causes of dissatisfaction and stress-related factors affecting pharmacists at their working positions were also explored. The study was conducted in four pharmacy practice settings: independent and chain community pharmacies as well as private and public hospital pharmacies. The study adopted the self-administered survey methodology technique using a pre-validated pre-piloted questionnaire. The questionnaire was adapted from one previously used in Northern Ireland. Data were entered into SAS database and analysed using descriptive statistics, Chi square and regression analysis. The significance level was set at P pharmacy practice settings (P = 0.038), pharmacists' registration year (P = 0.048) and marital status (P = 0.023). Moreover, job related stress situations like patient care responsibility have been associated significantly with the type of pharmacy practice settings (P = 0.043) and pharmacists' registration year (P = 0.013). Other job stressors like long working hours, lack of advancement, promotion opportunities and poor physician pharmacists' relationship have also been reported by participants. The study concluded that community pharmacists in Amman are found to be less satisfied with their jobs than their hospital counterparts. Pharmacists' job satisfaction should be enhanced to improve pharmacists' motivation and competence. Consequently, this will improve their productivity and provision of pharmaceutical care.

  16. Rural Australian community pharmacists' views on complementary and alternative medicine: a pilot study

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    Willis Jon A

    2011-10-01

    Full Text Available Abstract Background Complementary and alternative medicines (CAMs are being used increasingly across the world. In Australia, community pharmacists are a major supplier of these products but knowledge of the products and interactions with other medicines is poor. Information regarding the use of CAMs by metropolitan pharmacists has been documented by the National Prescribing Service (NPS in Australia but the views of rural/regional community pharmacists have not been explored. The aim of this pilot study was to explore the knowledge, attitudes and information seeking of a cohort of rural community pharmacists towards CAMs and to compare the findings to the larger NPS study. Methods A cross sectional self-administered postal questionnaire was mailed to all community pharmacists in one rural/regional area of Australia. Using a range of scales, data was collected regarding attitudes, knowledge, information seeking behaviour and demographics. Results Eighty eligible questionnaires were returned. Most pharmacists reported knowing that they should regularly ask consumers if they are using CAMs but many lacked the confidence to do so. Pharmacists surveyed for this study were more knowledgeable in regards to side effects and interactions of CAMs than those in the NPS survey. Over three quarters of pharmacists surveyed reported sourcing CAM information at least several times a month. The most frequently sought information was drug interactions, dose, contraindications and adverse effects. A variety of resources were used to source information, the most popular source was the internet but the most useful resource was CAM text books. Conclusions Pharmacists have varied opinions on the use of CAMs and many lack awareness of or access to good quality CAMs information. Therefore, there is a need to provide pharmacists with opportunities for further education. The data is valuable in assisting interested stakeholders with the development of initiatives to

  17. Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review.

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    Okumura, Lucas Miyake; Rotta, Inajara; Correr, Cassyano Januário

    2014-10-01

    Background Pharmacists' counseling has improved health-related outcomes in many acute and chronic conditions. Several studies have shown how pharmacists have been contributing to reduce morbidity and mortality related to drug-therapy (MMRDT). However, there still is a lack of reviews that assemble evidence-based clinical pharmacists' counseling. Equally, there is also a need to understand structure characteristics, processes and technical contents of these clinical services. Aim of the review To review the structure, processes and technical contents of pharmacist counseling or education reported in randomized controlled trials (RCT) that had positive health-related outcomes. Methods We performed a systematic search in specialized databases to identify RCT published between 1990 and 2013 that have evaluated pharmacists' counseling or educational interventions to patients. Methodological quality of the trials was assessed using the Jadad scale. Pharmacists' interventions with positive clinical outcomes (p Pharmacists were more likely to provide counseling at ambulatories (60 %) and hospital discharge (25 %); on the other hand pharmacists intervention were less likely to happen when dispensing a medication. Teaching back and explanations about the drug therapy purposes and precautions related to its use were often reported in RCT, whereas few studies used reminder charts, diaries, group or electronic counseling. Most of studies reported the provision of a printed material (letter, leaflet or medication record card), regarding accessible contents and cultural-concerned informations about drug therapy and disease. Conclusion Pharmacist counseling is an intervention directed to patients' health-related needs that improve inter-professional and inter-institutional communication, by collaborating to integrate health services. In spite of reducing MMRDT, we found that pharmacists' counseling reported in RCT should be better explored and described in details, hence

  18. Improving population management through pharmacist-primary care integration: a pilot study.

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    Kennedy, Amanda G; Chen, Harry; Corriveau, Michele; MacLean, Charles D

    2015-02-01

    Pharmacists have unique skills that may benefit primary care practices. The objective of this demonstration project was to determine the impact of integrating pharmacists into patient-centered medical homes, with a focus on population management. Pharmacists were partnered into 5 primary care practices in Vermont 1 day per week to provide direct patient care, population-based medication management, and prescriber education. The main measures included a description of drug therapy problems identified and cost avoidance models. The pharmacists identified 708 drug therapy problems through direct patient care (336/708; 47.5%), population-based strategies (276/708; 38.9%), and education (96/708; 13.6%). Common population-based strategies included adjusting doses and discontinuing unnecessary medications. Pharmacists' recommendations to correct drug therapy problems were accepted by prescribers 86% of the time, when data about acceptance were known. Of the 49 recommendations not accepted, 47/49 (96%) were population-based and 2/49 (4%) were related to direct patient care. The cost avoidance model suggests $2.11 in cost was avoided for every $1.00 spent on a pharmacist ($373,092/$176,690). There was clear value in integrating pharmacists into primary care teams. Their inclusion prevented adverse drug events, avoided costs, and improved patient outcomes. Primary care providers should consider pharmacists well suited to offer direct patient care, population-based management, and prescriber education to their practices. To be successful, pharmacists must have full permission to document findings in the primary care practices' electronic health records. Given that many pharmacist services do not involve billable activities, sustainability requires identifying alternative funding mechanisms that do not rely on a traditional fee-for-service approach.

  19. New roles for pharmacists in community mental health care: a narrative review.

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    Rubio-Valera, Maria; Chen, Timothy F; O'Reilly, Claire L

    2014-10-21

    Medicines are a major treatment modality for many mental illnesses, and with the growing burden of mental disorders worldwide pharmacists are ideally positioned to play a greater role in supporting people with a mental illness. This narrative review aims to describe the evidence for pharmacist-delivered services in mental health care and address the barriers and facilitators to increasing the uptake of pharmacist services as part of the broader mental health care team. This narrative review is divided into three main sections: (1) the role of the pharmacist in mental health care in multidisciplinary teams and in supporting early detection of mental illness; (2) the pharmacists' role in supporting quality use of medicines in medication review, strategies to improve medication adherence and antipsychotic polypharmacy, and shared decision making; and (3) barriers and facilitators to the implementation of mental health pharmacy services with a focus on organizational culture and mental health stigma. In the first section, the review presents new roles for pharmacists within multidisciplinary teams, such as in case conferencing or collaborative drug therapy management; and new roles that would benefit from increased pharmacist involvement, such as the early detection of mental health conditions, development of care plans and follow up of people with mental health problems. The second section describes the impact of medication review services and other pharmacist-led interventions designed to reduce inappropriate use of psychotropic medicines and improve medication adherence. Other new potential roles discussed include the management of antipsychotic polypharmacy and involvement in patient-centered care. Finally, barriers related to pharmacists' attitudes, stigma and skills in the care of patients with mental health problems and barriers affecting pharmacist-physician collaboration are described, along with strategies to reduce mental health stigma.

  20. A qualitative study of hospital pharmacists and antibiotic governance: negotiating interprofessional responsibilities, expertise and resource constraints.

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    Broom, Alex; Plage, Stefanie; Broom, Jennifer; Kirby, Emma; Adams, Jon

    2016-02-06

    Antibiotic treatment options for common infections are diminishing due to the proliferation of antimicrobial resistance (AMR). The impact of Antimicrobial Stewardship (AMS) programs seeking to preserve viable antibiotic drugs by governing their use in hospitals has hitherto been limited. Pharmacists have been delegated a critical role in antibiotic governance in AMS teams within hospitals but the experience of pharmacists in influencing antibiotic use has received limited attention. In this study we explore the experiences of pharmacists in antibiotic decision-making in two Australian hospitals. We conducted 19 semi-structured interviews to explore hospital-based pharmacists' perceptions and experiences of antibiotic use and governance. The analysis was conducted with NVivo10 software, utilising the framework approach. Three major themes emerged in the pharmacist interviews including (1) the responsibilities of pharmacy in optimising antibiotic use and the interprofessional challenges therein; (2) the importance of antibiotic streamlining and the constraints placed on pharmacists in achieving this; and (3) the potential, but often under-utilised expertise, pharmacists bring to antibiotic optimisation. Pharmacists have a critical role in AMS teams but their capacity to enact change is limited by entrenched interprofessional dynamics. Identifying how hospital pharmacy's antibiotic gatekeeping is embedded in the interprofessional nature of clinical decision-making and limited by organisational environment has important implications for the implementation of hospital policies seeking to streamline antibiotic use. Resource constraints (i.e. time limitation and task prioritisation) in particular limit the capacity of pharmacists to overcome the interprofessional barriers through development of stronger collaborative relationships. The results of this study suggest that to enact change in antibiotic use in hospitals, pharmacists must be supported in their negotiations

  1. Perceptions and attitudes of community pharmacists toward professional ethics and ethical dilemmas in the workplace.

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    Vuković Rodríguez, Jadranka; Juričić, Živka

    2017-05-22

    Formal training in pharmacy ethics is relatively new in Croatia, and the professional code of ethics is more than 20 years old. Very little is known about how practicing pharmacists implement ethical considerations and relevant professional guidelines in their work. This study aimed to provide the first description of the perceptions and attitudes of Croatian community pharmacists toward ethics in pharmacy practice, how often they face certain ethical dilemmas and how they resolve them. A cross-sectional survey of 252 community pharmacists, including community pharmacists and pre-licensing trainees, was conducted in Zagreb, Croatia. This group accounts for 18% of licensed pharmacists in Croatia. The survey questions included four sections: general sociodemographic information, multiple-choice questions, pre-defined ethical scenarios, and ethical scenarios filled in by respondents. More than half of pharmacists (62.7%) face ethical dilemmas in everyday work. Nearly all (94.4%) are familiar with the current professional code of ethics in Croatia, but only 47.6% think that the code reflects the changes that the pharmacy profession faces today. Most pharmacists (83.3%) solve ethical dilemmas on their own, while nearly the same proportion (75.4%) think that they are not adequately trained to deal with ethical dilemmas. The pre-defined ethical scenarios experienced by the largest proportion of pharmacists are being asked to dispense a drug to someone other than the patient (93.3%), an unnecessary over-the-counter medicine (84.3%), a generic medicine clinically equivalent to the prescribed one (79.4%), or hormonal contraception over the counter (70.4%). The results demonstrate a need to improve formal pharmacy ethics education and training in how to assess ethical issues and make appropriate decisions, which implies the need for stronger collaboration between pharmacists and their professional association. Our results also highlight an urgent need to revise and update the

  2. Knowledge, perception and practice of pharmacovigilance among community pharmacists in South India

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    Prakasam A

    2012-12-01

    Full Text Available Pharmacovigilance has not progressed well in India and the concept is still in its infancy. India rates below 1% in pharmacovigilance as against the world rate of 5%. Objectives: The aim of our study was to evaluate the knowledge, perception and practice of pharmacovigilance among registered community pharmacists in Hyderabad, India. Methods: This was a prospective study to find out the knowledge, perception and practice of adverse drug reaction reporting among community pharmacists. It was conducted by a face to face questionnaire and the convenience factor of the pharmacist was taken into consideration. Results: From the 650 questionnaire administered to community pharmacists, 347 (53.3% were returned completely filled questionnaires. A number of 120 (34.6% pharmacists could define the term ‘pharmacovigilance’ to an acceptable extent and 119 (34.3% knew about the National Pharmacovigilance Programme in India. 96 (27.7% had good knowledge, 36(10.4% had fair knowledge and 215(61.9% had poor knowledge about pharmacovigilance. We have found that 196 (56.5% had good perception, 94(27.1% had fair perception and 57(16.4% had poor perception. Only 41(11.8% pharmacists ever reported an ADR and the other never reported ADR. The majority of pharmacists 223(64.3% felt that the AE is very simple and non-serious and hence did not report. Pharmacists have poor knowledge, good perception and negligibly low reporting rates. Conclusions: Incorporation of ADR reporting concepts in education curriculum, training of pharmacists and voluntary participation of pharmacists in ADR reporting is very crucial in achieving the safety goals and safeguarding public health.

  3. A web-based training program to support chronic kidney disease screening by community pharmacists.

    Science.gov (United States)

    Gheewala, Pankti A; Peterson, Gregory M; Zaidi, Syed Tabish R; Bereznicki, Luke; Jose, Matthew D; Castelino, Ronald L

    2016-10-01

    Background Community pharmacists' role in screening of several chronic diseases has been widely explored. The global health burden of chronic kidney disease is high; however, the progression and adverse outcomes can be prevented or delayed by detecting and treating the disease in its initial stages 1-3. Therefore, a web-based training program was developed to enhance pharmacists' knowledge and skills required to perform a chronic kidney disease screening service in a community setting. Objective The aim of this study was to evaluate the impact of a web-based training program on community pharmacists' knowledge and skills associated with chronic kidney disease screening. As secondary aim, pharmacists' satisfaction with the training program was assessed. Setting Community pharmacy practice. Method A web-based training program was developed by four pharmacists and a nephrologist. Quantitative data was collected by employing a self-administered, web-based questionnaire, which comprised a set of five multiple-choice knowledge questions and one clinical vignette to assess skills. A nine-item Likert scale was used to determine pharmacists' satisfaction with the training program. Main outcome measure Pharmacists' knowledge and skills scores at pre and post-training, reliability of the Likert scale, and the proportion of responses to the individual nine items of the satisfaction survey. Results Fifty pharmacists participated in the pre-questionnaire and 38 pharmacists completed the web-based training and post-questionnaire. Significant differences were observed in the knowledge scores (p web-based training program positively enhanced pharmacists' knowledge and skills associated with chronic kidney disease screening. These findings support further development and widespread implementation of the training program to facilitate health promotion and early identification of chronic kidney disease in a community setting.

  4. Work-related well-being of South African hospital pharmacists

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    Sebastiaan Rothmann

    2011-03-01

    Full Text Available Orientation: Hospital pharmacists in South Africa are experiencing increased stress because of the high demand for their services, a lack of resources in hospital pharmacies, and the shortage of pharmacists in South Africa.Research purpose: The objective of this study was to investigate whether job stress and coping strategies could predict the work-related well-being (burnout and work engagement of hospital pharmacists in South Africa.Motivation for the study: Information about the work-related well-being and coping strategies of hospital pharmacists could be used to plan individual and organisational interventions which can be used to retain them and to manage their well-being and performance.Research design, approach and method: A survey design was used. A stratified random sample (N = 187 of pharmacists in South African hospitals was studied. The Maslach Burnout Inventory – Human Services Survey, Utrecht Work Engagement Scale, Pharmacist Stress Inventory and the COPE questionnaire were administered.Main findings: The results showed that job related stress and three coping strategies (approach coping, avoidant coping, and turning to religion predicted burnout and work engagement of South African hospital pharmacists.Practical implications: Job stressors that are in the main responsible for the unfavourable work environment and that lead to the development of burnout amongst hospital pharmacists should be addressed. It is also important to enhance the coping capabilities of the hospital pharmacists.Contribution/value-add: The findings of this study provide insight into the factors impacting on the work-related well-being of hospital pharmacists in South Africa.

  5. Oceanographic measurements from the Texas Automated Buoy System (TABS)

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    National Oceanic and Atmospheric Administration, Department of Commerce — The Texas Automated Buoy System contains daily oceanographic measurements from seven buoys off the Texas coast from Brownsville to Sabine. The Texas General Land...

  6. Pharmacists' knowledge and interest in developing counseling skills relating to oral contraceptives.

    Science.gov (United States)

    Amin, Mohamed E K

    2016-04-01

    Possessing correct therapeutic information on oral contraceptives is an important prerequisite for the provision of sound advice to women who are using these products. This study examines Egyptian pharmacists' knowledge of pharmacotherapeutic aspects of oral contraceptives as well as interest in developing skills in providing counseling on oral contraceptive pills. Community pharmacies throughout Alexandria, Egypt. A cross-sectional survey was self-administered by a random sample of community pharmacists in Alexandria, Egypt. Five multiple choice questions likely to arise when counseling women on oral contraceptives were constructed. Questions covered compatibility with breastfeeding, precautions, health risks and managing missed pills of oral contraceptives. Using ordered logistic regression, a model was estimated to predict pharmacists' interest in developing skills in providing counseling on oral contraceptives. Pharmacists' aggregate scores for knowledge questions and pharmacists' interest in developing skills in providing counseling on oral contraceptive pills. Of the 181 approached pharmacists, 92 % participated. Twenty one pharmacists (13 %) did not know the correct answer to any question, 122 (73 %) answered one-two correctly, 23 (14 %) answered three-four correctly. No pharmacist answered all five questions correctly. For pharmacists' interest in developing skills in providing counseling on oral contraceptives, the percentage values for answers were: not interested at all (10.2 %), slightly interested (27.0 %), somewhat interested (23.4 %), interested (30.0 %) and extremely interested (9.6 %). Pharmacists' interest in developing skills in providing counseling on oral contraceptives was significantly associated with the number of women who requested advice from the pharmacists on oral contraceptives (OR 1.54, CI 1.24-1.91). In terms of the learning method of preference, percentage values for answers were: attending a workshop (4 %), online course (18

  7. Knowledge and Practices About the Subject Emergency Contraception of the Pharmacists and Their Helpers in the Pharmacies in Manisa

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    Ayten Taspinar

    2012-08-01

    Full Text Available AIM: The study was carried out as descriptive to determine the knowledge and practices about the subject emergency contraception of the pharmacists and their helpers in the pharmacies in central Manisa. METHOD: The universe of the research was formed by the 113 pharmacies registered to Manisa chamber of pharmacists in the year 2008 and all the pharmacies were included in the study. 47 pharmacists and 88 helpers agreed to join the study. The research which was planned to be descriptive March-to-June 2008. A questionnaire was produced by researchers and filled in during face-to face interviews with the pharmacists and their helpers. RESULTS: The pharmacists and their helpers stated that combined pills (46.8% and 44.5% and condoms (41.5% and 42.7% the most requested family planning methods their pharmacy. It was determined that 48.9% of the pharmacists, 33% of the pharmacist’s helpers gave information to customers about their use of family planning methods, 38.3% of the pharmacists, 23.9 % of the pharmacist’s helpers gave information what to do in case of failure to use/ where to apply to. 91.5% of the pharmacists, 95.5% of the pharmacist’s helpers stated that they had emergency contraception (EC purpose pills in their pharmacies. It was determined that 61.7% of the pharmacists, 28.4% of the pharmacist’s helpers had the knowledge about EC, 61.7% of the pharmacists, 52.3% of the pharmacist’s helpers could consider the EC methods true, 68.1% of the pharmacists, 70.5% of the pharmacist’s helpers gave the correct answers to the question of when the EC – purpose pills would be used. 68.1% of the pharmacists, 45.5% of the pharmacist’s helpers stated that EC methods might have adverse effects, 14.9% of the pharmacists, 25% of the pharmacist’s helpers stated that EC methods were protect agains to STD or not information about it, 12.8% of the pharmacists, 9.1% of the pharmacist’s helpers stated that these pills might be effective after the

  8. What's West Nile Virus?

    Science.gov (United States)

    ... About Puberty Train Your Temper What's West Nile Virus? KidsHealth > For Kids > What's West Nile Virus? Print A A A en español ¿Qué es el Virus del Nilo Occidental? What exactly is the West ...

  9. A Study on How Industrial Pharmacists Rank Competences for Pharmacy Practice: A Case for Industrial Pharmacy Specialization

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    Jeffrey Atkinson

    2016-02-01

    Full Text Available This paper looks at the way in which industrial pharmacists rank the fundamental competences for pharmacy practice. European industrial pharmacists (n = 135 ranked 68 competences for practice, arranged into 13 clusters of two types (personal and patient care. Results show that, compared to community pharmacists (n = 258, industrial pharmacists rank competences centering on research, development and production of drugs higher, and those centering on patient care lower. Competences centering on values, communication skills, etc. were ranked similarly by the two groups of pharmacists. These results are discussed in the light of the existence or not of an “industrial pharmacy” specialization.

  10. The Preparedness of Pharmacist in Community Setting to Cope with Globalization Impact

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    Max Joseph Herman

    2015-05-01

    Full Text Available A descriptive study to identify the preparedness of pharmacist in community pharmacies to cope with globalization impact was conducted in 2009. This cross-sectional study was done in DKI Jakarta, Bali and Maluku. Informants were purposively determined involving pharmacists from schools of pharmacy, Indonesian Pharmacist Association (IAI, community pharmacies, Provincial and District Health Offices, as well as comunity pharmacy owners. Primary data were collected through in-depth interviews and observation using check-list in community pharmacy. Data were analyzed descriptively and qualitatively using triangulation method. Results of the study show that according to Health Offices and the Indonesian Pharmacist Association, pharmacists were not adequately prepared and pharmacists in stand alone community pharmacy are less prepared than those in a network or franchise pharmacy. Licensed pharmacists of network community pharmacy in the metropolis are going to prepare themselves to face the new patient-oriented paradigm and to meet the standard of pharmacy service, whereas stand-alone community pharmacy still prioritized fast service and lower drug price.

  11. Use of pharmacists or pharmacies as Medicare Part D information sources.

    Science.gov (United States)

    Kennelty, Korey A; Thorpe, Joshua M; Chewning, Betty; Mott, David A

    2012-01-01

    To characterize beneficiaries who used a pharmacy or pharmacist as a Medicare Part D information source. This cross-sectional descriptive study involved 4,724 Medicare Part D beneficiaries who graduated from Wisconsin high schools in 1957. The main outcome measure was beneficiary self-reported use of a pharmacy or pharmacist as a Medicare Part D information source. Only 13% of the total sample and 15% of those with three or more medications used a pharmacy or pharmacist for Medicare Part D information. Adjusted logistic regression revealed that beneficiaries living in rural communities, compared with metropolitan areas, and with higher out-of-pocket prescription costs were more likely to use a pharmacy or pharmacist for Medicare Part D information. Beneficiaries with lower educational attainment were less likely to use a pharmacy or pharmacist for Medicare Part D information. Pharmacists have the knowledge and are in the position in the community to effectively educate beneficiaries about the Medicare Part D program. However, this study suggests that few beneficiaries are using pharmacists or pharmacies for Medicare Part D information.

  12. A newly developed assessment tool on collaborative role of doctor–pharmacist in patient medication management

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    Mayur Porwal

    2016-02-01

    Full Text Available Background Poor communication is one of the most important common factor contributing to medication errors. Despite their common history, there are many intellectual and practical differences between the professions of medicine and pharmacy that eventually affects patient care and health outcomes. Objectives. The main objective of the study is to evaluate the coordination and teamwork between pharmacist and doctor to provide betterment in the care of the patient health. Material and methods . A questionnaire of 10 questions was developed each for the patient, pharmacist and doctor posted on District Hospital, Moradabad (U.P., India and data collected from the patient and medical professionals through questionnaire were analyzed for collaborative role of doctor-pharmacist with respect to patient care. The results were analyzed using Graph Pad Prism 5. Results. The data obtained from the questionnaire highlights a significant effort between pharmacist and doctors. However, some patients often doubt in the skills of pharmacist for treatment outcome, but the majority of people responds positive to doctor-pharmacist role as they prove to be fruitful in removing medication errors. Conclusions . To facilitate the patient care, doctor-pharmacist alliance is necessary, desired and should be motivated as professed by the respondents. Collaboration is an important element of effective patient-focused health care delivery.

  13. Knowledge, attitudes, practices, and barriers related to research utilization: a survey among pharmacists in Malaysia.

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    Tan, Sin Yee; Hatah, Ernieda

    2017-04-01

    Background Research utilization is part of evidence-based practice referring to the process of reviewing and critiquing scientific research and applying the findings to one's own clinical practice. Many studies on research utilization have been conducted with doctors and nurses, but to our knowledge, none have been investigated amongst pharmacists. Objective To assess research utilization and its barriers among pharmacists and identify potential influencing factors. Setting Malaysia. Methods This cross-sectional survey was administered online and by mail to a convenient sample of pharmacists working in hospitals, health clinics, and retail pharmacies in rural and urban areas. Main outcome measure Pharmacists' research utilization knowledge, attitudes, and practices. Results Six hundred surveys were mailed to potential respondents, and 466 were returned (77.7% response rate). Twenty-eight respondents completed the survey online. The respondents' research utilization knowledge, attitudes, and practices were found to be moderate. Research utilization was associated with respondents' knowledge and attitude scores (P research utilization were modelled, higher educational level was associated with higher level of research utilization (P research utilization, respectively. The main reported barrier to research utilization was lack of sufficient authority to change patient care procedures. Conclusion Pharmacists' research utilization knowledge, attitudes, and practices can be improved by encouraging pharmacists to pursue higher degrees, promoting active participation in institutions' journal clubs, and introducing senior clinical pharmacist specialization.

  14. The role of a clinical pharmacist in a multidisciplinary amyotrophic lateral sclerosis clinic.

    Science.gov (United States)

    Jefferies, Kristen A; Bromberg, Mark B

    2012-02-01

    Patients with ALS have complicated medication regimens and many questions about medications. Our multidisciplinary ALS clinic includes a clinical pharmacist, and the purpose of this study was to assess the types and outcomes of consultative interactions. This was a prospective, data collection study of patients seen by the pharmacist at a single ALS clinic visit. The following data were obtained: 1) current medications; 2) number and types of pharmacy interventions; 3) amount of time spent by the pharmacist with each patient. Thirty-seven patients were included. The average number of prescriptions used per patient was 3.59 (0-10) with 1.75 (0-9) used for ALS related indications. The average number of pharmacist interventions was two per patient, with the majority related to medication monitoring and optimizing drug therapy for ALS symptoms. The pharmacist provided education on an average of 2.5 topics per patient. The pharmacist spent an average of 21 (5-50) min with each patient. In conclusion, a clinical pharmacist contributes to the team by: 1) optimizing drug therapy for ALS symptoms; 2) providing medication-related education to patients; 3) allowing more time for the neurologist to attend to neurologic issues; and 4) discussing general medicine issues.

  15. A qualitative study exploring public perceptions on the role of community pharmacists in Dubai

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    Rayes IK

    2014-03-01

    Full Text Available Background: The role of community pharmacists is very important due to their access to primary care patients and expertise. For this reason, the interaction level between pharmacists and patients should be optimized to ensure enhanced delivery of pharmacy services. Objective: To gauge perceptions and expectations of the public on the role of community pharmacists in Dubai, United Arab Emirates (UAE. Methods: Twenty five individuals were invited to participate in 4 separate focus group discussions. Individuals came from different racial groups and socio-economic backgrounds. Interviews were audio-recorded and transcribed. Using thematic analysis, two reviewers coded all transcripts to identify emerging themes. Appropriate measures were taken to ensure study rigor and validity. Results: All facilitators and barriers that were identified were grouped into 5 distinct themes. The pharmacist as a healthcare professional in the public mind was the most prominent theme that was discussed in all 4 focus groups. Other themes identified were, in decreasing order of prevalence, psychological perceptions towards pharmacists, important determinants of a pharmacist, the pharmacy as a unique healthcare provider, and control over pharmacies by health authorities. Conclusions: This study provided insight into the way that the public looks at the role of community pharmacists in Dubai. Determinants that influence their perception are the media, health authorities, pharmacist’s knowledge level, attire, nationality, age, and pharmacy location.

  16. Use of probiotics to prevent ventilator-associated pneumonia: A survey of pharmacists' attitudes.

    Science.gov (United States)

    Wheeler, Kathleen E; Cook, Deborah J; Mehta, Sangeeta; Calce, Adriana; Guenette, Melanie; Perreault, Marc M; Thiboutot, Zoé; Duffett, Mark; Burry, Lisa

    2016-02-01

    The primary objective of this survey was to describe pharmacists' attitudes regarding probiotic use in the intensive care unit (ICU); secondary objectives were to evaluate pharmacists' knowledge and use of probiotics for critically ill patients. The survey instrument was rigorously designed and pretested, then distributed in both English and French to Canadian ICU pharmacists. The online survey was open for 5 weeks, and 3 follow-up emails were sent to maximize response rates. Of 303 eligible surveys, 191 were returned (63.0%). Probiotics were available in the hospitals of 69.8% (113/162) of respondents, and 62.0% (101/163) indicated that they had used probiotics for at least 1 ICU patient in the previous year. Most pharmacists (137/171, 80.1%) said that they would "never" consider recommending probiotics for prevention of ventilator-associated pneumonia in ICU patients, and this response was more common (P = .0074) among pharmacists who were "unsure" about the safety of probiotics in this population when compared to those who felt that they knew how safe probiotics are. Most Canadian ICU pharmacists have used probiotics at least once in the ICU in the last year. However, based on uncertain efficacy and safety, most ICU pharmacists would not currently recommend probiotics for the prevention of ventilator-associated pneumonia. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Pharmacists implementing transitions of care in inpatient, ambulatory and community practice settings

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    Sen S

    2014-06-01

    Full Text Available Objective: To introduce pharmacists to the process, challenges, and opportunities of creating transitions of care (TOC models in the inpatient, ambulatory, and community practice settings. Methods: TOC literature and resources were obtained through searching PubMed, Ovid, and GoogleScholar. The pharmacist clinicians, who are the authors in this manuscript are reporting their experiences in the development, implementation of, and practice within the TOC models. Results: Pharmacists are an essential part of the multidisciplinary team and play a key role in providing care to patients as they move between health care settings or from a health care setting to home. Pharmacists can participate in many aspects of the inpatient, ambulatory care, and community pharmacy practice settings to implement and ensure optimal TOC processes. This article describes establishing the pharmacist’s TOC role and practicing within multiple health care settings. In these models, pharmacists focus on medication reconciliation, discharge counseling, and optimization of medications. Additionally, a checklist has been created to assist other pharmacists in developing the pharmacist’s TOC roles in a practice environment or incorporating more TOC elements in their practice setting. Conclusion: Optimizing the TOC process, reducing medication errors, and preventing adverse events are important focus areas in the current health care system, as emphasized by The Joint Commission and other health care organizations. Pharmacists have the unique opportunity and skillset to develop and participate in TOC processes that will enhance medication safety and improve patient care.

  18. A newly developed assessment tool on collaborative role of doctor–pharmacist in patient medication management

    Directory of Open Access Journals (Sweden)

    Mayur Porwal

    2016-02-01

    Full Text Available Background Poor communication is one of the most important common factor contributing to medication errors. Despite their common history, there are many intellectual and practical differences between the professions of medicine and pharmacy that eventually affects patient care and health outcomes. Objectives. The main objective of the study is to evaluate the coordination and teamwork between pharmacist and doctor to provide betterment in the care of the patient health. Material and methods . A questionnaire of 10 questions was developed each for the patient, pharmacist and doctor posted on District Hospital, Moradabad (U.P., India and data collected from the patient and medical professionals through questionnaire were analyzed for collaborative role of doctor-pharmacist with respect to patient care. The results were analyzed using Graph Pad Prism 5. Results. The data obtained from the questionnaire highlights a significant effort between pharmacist and doctors. However, some patients often doubt in the skills of pharmacist for treatment outcome, but the majority of people responds positive to doctor-pharmacist role as they prove to be fruitful in removing medication errors. Conclusions . To facilitate the patient care, doctor-pharmacist alliance is necessary, desired and should be motivated as professed by the respondents. Collaboration is an important element of effective patient-focused health care delivery.

  19. Pharmacists' perspective on providing care when patients engage in unhealthy behaviors.

    Science.gov (United States)

    Lee, Christine; Segal, Richard; Kimberlin, Carole; Smith, W Thomas; Weiler, Robert M

    2014-01-01

    OBJECTIVE To assess the association between unhealthy lifestyle-related behaviors in patients and the pharmacist's professional obligation for providing care. DESIGN Repeated measures ANOVA was used to examine the effect of severity of lifestyle disease on professional obligation. SETTING Four live continuing education programs on law and management conducted in the state of Florida. PARTICIPANTS 488 Florida pharmacists were surveyed with 65% completing the survey. MAIN OUTCOME MEASURES Pharmacists' opinions based on lifestyle-related diseases classified as follows: low lifestyle-related disease (low LD): nonsmoker with asthma who is adherent with asthma medications; moderate (mod) LD: nonsmoker with asthma who is nonadherent with asthma medications; high LD: smoker with asthma who is adherent with asthma medications. RESULTS The difference between the scales for measuring professional obligation for low and mod LD was significant, with pharmacists reporting greater professional obligation for low versus mod LD. The difference between professional obligation for low and high LD was significant, with pharmacists reporting greater professional obligation for low than high LD. The difference between professional obligation for mod and high LD was significant, with pharmacists reporting a higher professional obligation for mod than high LD. CONCLUSION The differences in professional obligation between the three patient scenarios were small but statistically significant. The findings suggest that certain patient behaviors, such as smoking or medication nonadherence, can have a negative effect on pharmacists' sense of professional obligation to the patient.

  20. Clinical and Financial Impact of Pharmacist Involvement in Discharge Medication Reconciliation at an Academic Medical Center: A Prospective Pilot Study.

    Science.gov (United States)

    Sebaaly, Jamie; Parsons, Laura Beth; Pilch, Nicole A Weimert; Bullington, Wendy; Hayes, Genevieve L; Easterling, Heather

    2015-06-01

    Medication reconciliation is one of the more challenging aspects of inpatient care, and its accuracy is paramount to safe transitions of care. Studies have shown that pharmacists have a role in medication reconciliation through improving patient safety and avoiding costs associated with medication errors. The wide-scale use of pharmacists in this process has been limited by time constraints, cost, and lack of resources. This study evaluates the impact of pharmacists in resolving medication errors, decreasing readmission rates, and reducing institutional costs during the discharge medication reconciliation process. Pharmacists evaluated discharge medication reconciliation documentation for patients to determine its accuracy, the accuracy of the admission reconciliation documentation, and any potential issues unrelated to accuracy. Analysis of these data determined the time required for pharmacist involvement, the number of errors identified by pharmacists, the quality of pharmacist interventions, the cost avoidance for each error, and the overall impact on hospital readmission. During the 7-week study period, pharmacists performed 67 discharge medication reviews and identified 84 errors. Seventy-five percent were considered to be significant and 6% were considered to be serious. The 30-day readmission rate in the study cohort was 18% compared with 20% in the control group. Based on the clinical severity scale and pharmacist salaries, pharmacist interventions resulted in $42,300 in cost avoidance. Pharmacists involved in this pilot discharge process identified and resolved significant errors on medication reconciliation orders that resulted in a financial benefit to the institution.

  1. Effect of critical care pharmacist's intervention on medication errors: A systematic review and meta-analysis of observational studies.

    Science.gov (United States)

    Wang, Tiansheng; Benedict, Neal; Olsen, Keith M; Luan, Rong; Zhu, Xi; Zhou, Ningning; Tang, Huilin; Yan, Yingying; Peng, Yao; Shi, Luwen

    2015-10-01

    Pharmacists are integral members of the multidisciplinary team for critically ill patients. Multiple nonrandomized controlled studies have evaluated the outcomes of pharmacist interventions in the intensive care unit (ICU). This systematic review focuses on controlled clinical trials evaluating the effect of pharmacist intervention on medication errors (MEs) in ICU settings. Two independent reviewers searched Medline, Embase, and Cochrane databases. The inclusion criteria were nonrandomized controlled studies that evaluated the effect of pharmacist services vs no intervention on ME rates in ICU settings. Four studies were included in the meta-analysis. Results suggest that pharmacist intervention has no significant contribution to reducing general MEs, although pharmacist intervention may significantly reduce preventable adverse drug events and prescribing errors. This meta-analysis highlights the need for high-quality studies to examine the effect of the critical care pharmacist.

  2. Attitudes of community pharmacists to antibiotic dispensing and microbial resistance: a qualitative study in Portugal.

    Science.gov (United States)

    Roque, Fátima; Soares, Sara; Breitenfeld, Luiza; López-Durán, Ana; Figueiras, Adolfo; Herdeiro, Maria Teresa

    2013-06-01

    The inappropriate use of antibiotics is considered a main cause of microbial resistance. This is an important public health problem. Community pharmacists have an important role in the management of drugs for outpatients. Our study sought to explore pharmacists' knowledge, attitudes, perceptions and dispensing habits insofar as to antibiotics and microbial resistance. The study was developed with community pharmacists in the North of Portugal. Qualitative research in the form of focus groups (FG). Focus groups were conducted with 4-7 pharmacists, using a moderator. A topic guide was developed to lead the discussions, which were audio-recorded and transcribed. The study was carried out between December 2010 and March 2011 in the five districts of the Northern Health Region of Portugal (ARS-N). Pharmacists from different regions of each district were invited to participate in the study by an investigator responsible for the study. Participants were informed about the study and that sessions were audio-recorded to facilitate data interpretation. They signed an informed consent form before taking part in the focus groups. The Ethical Committee of ARS-N was informed of this study. Pharmacists' knowledge and perceptions on antibiotic use and microbial resistance, attitudes related to antibiotic dispensing habits, and pharmacists' suggestions to improve antibiotic use. A total of 6 focus groups were conducted with community pharmacists (n = 32). Attitudes related to the problem of resistance were attributed external responsibility, to patients, to physicians, to other pharmacies, and to veterinary consumption. Some attitudes were identified that could lead to antibiotic dispensing without a prescription. These attitudes are complacency, precaution and external complacency. Portuguese pharmacists perceive that antibiotic use and bacterial resistance could be improved, showing a behavioural intention to improve antibiotic dispensing habits.

  3. The perceptions of pharmacists in Victoria, Australia on pharmacogenetics and its implications

    Directory of Open Access Journals (Sweden)

    McMahon T

    2011-09-01

    Full Text Available Objectives: This study aimed to explore how well Victorian pharmacists perceived they understood pharmacogenetics, their perceived capacity to counsel a patient about such testing, how they believed pharmacogenetics would impact upon their profession, and to investigate the ways in which Victorian pharmacists would like to be educated about pharmacogenetics.Methods: A cross-sectional survey was dispatched to 800 Victorian pharmacists. The participants were randomly selected and the survey was anonymous. The survey contained questions about where the pharmacists worked, the pharmacists’ perceived knowledge of pharmacogenetics, how well they believed they would be able to counsel patients about pharmacogenetic testing, how they thought pharmacists should be educated on the topic and how they believed pharmacogenetics would impact upon their profession.Results: 291 surveys were returned (36% response rate. Results suggest that Victorian pharmacists generally perceived they had a poor understanding of pharmacogenetics and that those who have more recently graduated from tertiary education had a better perceived understanding than those who have been in the workforce for longer. Most pharmacists indicated that they did not believe that they could counsel a patient adequately about the results of a pharmacogenetic test. Regarding education about pharmacogenetics, participants suggested that this would be best delivered during tertiary studies, and as seminars and workshops forming part of their continuing professional development. Although some pharmacists were unsure how pharmacogenetics would affect their profession, many believed it would have a major impact upon their role as a pharmacist and lead to improved patient care. Some concerns about the implementation of pharmacogenetics were noted, including economic and ethical issues.Conclusion: This study highlights the need for further research across the pharmacy profession in Australia on the

  4. An exploration of clinical interventions provided by pharmacists within a complex asthma service

    Directory of Open Access Journals (Sweden)

    LeMay KS

    2015-03-01

    Full Text Available Background: Pharmacists in Australia are accessible health care professionals, and their provision of clinical pharmacy interventions in a range of areas has been proven to improve patient outcomes. Individual clinical pharmacy interventions in the area of asthma management have been very successful. An understanding of the nature of these interventions will inform future pharmacy services. What we do not know is when pharmacists provide a complex asthma service, what elements of that service (interventions they choose to deliver. Objective: To explore the scope and frequency of asthma-related clinical interventions provided by pharmacists to patients in an evidence-based complex asthma service. Methods: Pharmacists from 4 states/territories of Australia were trained in asthma management. People with asthma had 3 or 4 visits to the pharmacy. Guided by a structured patient file, the pharmacist assessed the patient’s asthma and management and provided interventions where and when considered appropriate, based on their clinical decision making skills. The interventions were recorded in a checklist in the patient file. They were then analysed descriptively and thematically. Results: Pharmacists provided 22,909 clinical pharmacy interventions over the service to 570 patients (398 of whom completed the service. The most frequently delivered interventions were in the themes ‘Education on asthma’, ‘Addressing trigger factors’, ‘Medications – safe and effective use’ and ‘Explore patient perspectives’. The patients had a high and ongoing need for interventions. Pharmacists selected interventions based on their assessment of perceived need then revisited and reinforced these interventions. Conclusion: Pharmacists identified a number of areas in which patients required interventions to assist with their asthma management. Many of these were perceived to require continuing reinforcement over the duration of the service. Pharmacists were

  5. How pharmacists check the appropriateness of drug therapy? Observations in community pharmacy.

    Science.gov (United States)

    Nusair, Mohammad B; Guirguis, Lisa M

    In Alberta (Canadian province), the Chat Check Chart (CCC) model was developed to help pharmacists understand how patient care standards fit into routine practice. The CCC model outlines a process that covers the following: 1) Chart-asking three prime questions to gather information; 2) Check-perform pharmacotherapy workup by assessing prescription's indication, efficacy, safety and manageability; and 3) Chart-document findings of the pharmacotherapy workup. To characterize how pharmacist collect patient information and apply the pharmacotherapy workup when evaluating routine prescriptions in community pharmacy settings. An observational study with a mixed methods analysis was employed. Participants were surveyed and audio-recorded talking with patients, as well as thinking aloud while evaluating medication therapy. Quantitative analysis was conducted to describe the proportion of time allotted to clinical or technical duties when using the 3 prime questions and pharmacotherapy workup in routine practice. A generic qualitative approach was conducted to describe how the pharmacists evaluated prescriptions and counseled patients. Nine pharmacists from five different pharmacy stores participated in this study. Fifteen recordings of consults and 14 think-alouds were eligible for analysis. Pharmacists allotted 16% of their think-aloud on clinical related issues for new and chronic medications, and the remainder on technical dispensing activities. All pharmacists checked if the medication was safe, but fewer than half checked if the prescription was indicated, effective, or useable (i.e., adherence). Pharmacists covered more content areas when checking the appropriateness for new prescriptions in comparison to chronic refills. Four overarching themes arose from the qualitative analysis: missed opportunities, absence of personalized assessments, reliance on routine pharmacist activities, and non-specific questions. Pharmacists gathered insufficient clinical information to

  6. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.

    Science.gov (United States)

    Weant, Kyle A; Humphries, Roger L; Hite, Kimberly; Armitstead, John A

    2010-11-01

    The effect of an emergency medicine (EM) clinical pharmacist on medication-error reporting in an emergency department (ED) was studied. The medication-error reports for patients seen at a university's ED between September 1, 2005, and February 28, 2009, were retrospectively reviewed. Errors reported before the addition of an EM pharmacist (from September 1, 2005, through February 28, 2006) were compared with those reported after the addition of two EM pharmacists (from September 1, 2008, through February 28, 2009). The severity of errors and the provider who reported the errors were characterized. A total of 402 medication errors were reported over the two time periods. Pharmacy personnel captured significantly more errors than did other health care personnel (94.5% versus 5.7%, p pharmacists resulted in 14.8 times as many medication-error reports as were made when no EM pharmacist was in the ED. More errors that actually occurred were captured with two pharmacists providing care (95.7% versus 4.3%, p errors documented were ordering errors (79.8%). Of these, 73.7% were captured after the addition of two EM pharmacists. Performance (40.0%) and knowledge (27.9%) deficits were the most common contributing factors to medication errors. During the study period after the addition of two EM pharmacists in the ED, 371 medication-error reports were completed, compared with 31 reports during the study period before the addition of the pharmacists. Pharmacy personnel reported the majority of medication errors during both study periods.

  7. Mentoring and supervising clinical pharmacist students at patients' bedside: which benefits?

    Science.gov (United States)

    Rouzaud-Laborde, Charlotte; Damery, Léa; Cestac, Philippe; Sallerin, Brigitte; Calvet, Pauline

    2016-02-01

     Hospital clinical pharmacists are involved in teaching students during professional internship. Organization between the unit care and the pharmacy place is complicated. This study evaluated the effectiveness of two pharmaceutical teams: an experienced pharmacist in the pharmacy place, reachable by phone (team 1) or an experienced pharmacist in the ward, near patients and students (team 2). Pharmaceutical interventions were collected during two successive time periods, each of 6 months in a 15-bed unit (neurology). During the first time period, prescriptions were analyzed by the student (resident) in the ward and experienced pharmacist in the pharmacy place. During the second time period, prescriptions were analyzed by both experienced pharmacist and the resident in the ward. We compared the number, the type, the approval of pharmaceutical interventions and the medication reconciliation activities. Proportions were compared by a chisquared test (or Fisher exact test) as well as the quantitative value was calculated by a Student test. 'Mentoring and supervising' students in the ward increased significantly the number of pharmaceutical interventions (PI; 104 interventions for 1408 analyzed prescriptions (7.4%) by the students in the ward and 317 interventions for 1391 (22.8%) by both the experienced pharmacist and the students in the ward (P = 0.002). Furthermore, specific interventions from medication reconciliation were significantly increased by the presence of experienced pharmacist in the ward (0.96% vs. 8.83% P = 0.018). Effectiveness of clinical pharmacists can be improved by the presence of experienced pharmacist at patients' bedside, near students. © 2015 John Wiley & Sons, Ltd.

  8. Knowledge and attitudes of pharmacists regarding oral health care and oral hygiene products in Chennai city

    Directory of Open Access Journals (Sweden)

    Priya Shanmuga

    2008-01-01

    Full Text Available Objectives : This study was done to find out the knowledge and attitudes of pharmacists regarding oral health care and oral hygiene products in Chennai city. Materials and Methods : A cross-sectional survey among a sample of the pharmacists in Chennai city was done and data regarding their knowledge and attitudes towards oral health care and oral hygiene products were obtained using a closed-ended questionnaire. Results: Among the 60 pharmacies approached, 50 pharmacists participated in the study and completed the questionnaire. Though 48% of the participants gave a positive answer when asked whether they had met the dentist practicing close to their pharmacies, the frequency with which they met the dentist ranged from once a week (24% to once a month (28%. Most of the pharmacists stocked oral health-related products, which comprised 15-25% of their total stock. Of these products toothpaste was the most common (62%, followed by mouth rinses (12%. Toothache or painful teeth was the most common dental problem (78% for which patients approached the pharmacists for advice. With regard to the advice given, 38.5% of the pharmacists asked the patient to consult a nearby dentist after dispensing medications, while 22.4% of the pharmacists dispensed antibiotics and painkillers without any referral. Seventy percent of the pharmacists expressed interest in giving oral health care advice to patients. However, many of them (38% felt that lack of proper knowledge is a barrier to providing oral health care advice. Conclusion : It is clear from the present study that pharmacists are presently an underutilized resource, and there is a definitive need to improve their training and access to information on available dental services.

  9. Delegation: a solution to the workload problem? Observations and interviews with community pharmacists in England.

    Science.gov (United States)

    Lea, Victoria M; Corlett, Sarah A; Rodgers, Ruth M

    2016-05-01

    This study aims to describe how pharmacists utilise and perceive delegation in the community setting. Non-participant observations and semi-structured interviews with a convenience sample of community pharmacists working in Kent between July and October 2011. Content analysis was undertaken to determine key themes and the point of theme saturation informed sample size. Findings from observations were also compared against those from interviews. Observations and interviews were undertaken with 11 pharmacists. Observations showed that delegation occurred in four different forms: assumed, active, partial and reverse. It was also employed to varying extents within the different pharmacies. Interviews revealed mixed views on delegation. Some pharmacists presented positive attitudes towards delegation while others were concerned about maintaining accountability for delegated tasks, particularly in terms of accuracy checking of dispensed medication. Other pharmacists noted the ability to delegate was not a skill they found inherently easy. Comparison of observation and interview data highlighted discrepancies between tasks pharmacists perceived they delegated and what they actually delegated. Effective delegation can potentially promote better management of workload to provide pharmacists with additional time to spend on cognitive pharmaceutical services. To do this, pharmacists' reluctance to delegate must be addressed. Lack of insight into own practice might be helped by self-reflection and feedback from staff. Also, a greater understanding of legal accountability in the context of delegation needs to be achieved. Finally, delegation is not just dependent on pharmacists, but also on support staff; ensuring staff are empowered and equipped to take on delegated roles is essential. © 2015 Royal Pharmaceutical Society.

  10. Workload and its impact on community pharmacists' job satisfaction and stress: a review of the literature.

    Science.gov (United States)

    Lea, Victoria M; Corlett, Sarah A; Rodgers, Ruth M

    2012-08-01

    The objective was to identify, review and evaluate published literature on workloads of pharmacists in community pharmacy. It included identification of research involving the measurement of pharmacist workload and its impact on stress levels and job satisfaction. The review focused on literature relating to practice in the UK. Electronic databases were searched from 1995 to May 2011. In addition, manual searches were completed for documents not available electronically. The findings were analysed with specific focus on research methodology, workload and its impact on pharmacist job satisfaction and stress levels. Thirteen relevant studies relating to workload in community pharmacy alone or in conjunction with job satisfaction and stress were identified. One utilised both qualitative and quantitative methods to identify differences in pharmacist workload in retail pharmacy businesses before and after the implementation of the 2005 English and Welsh community pharmacy contractual framework. This indicated that pharmacists spend most of their working day dispensing. The majority of studies suggested community pharmacists generally perceived that workload levels were increasing. Several also stated that increased workload contributed to increasing job-related stress and decreasing job satisfaction. No studies reporting dispensing rates for community pharmacies in the UK were identified and there was limited evidence concerning time devoted to non-dispensing services. One study investigated the differences between self-estimated and actual workload. Whilst there is a clear perception that the type and amount of work output expected from individual community pharmacists has been changing and increasing over the last few decades, pharmacists are viewed as continuing to remain based in the dispensary. The impact of such changes to the practice of community pharmacy in the UK is poorly defined, although links have been made to increasing levels of pharmacist job

  11. Measurement of Grit and Correlation to Student Pharmacist Academic Performance.

    Science.gov (United States)

    Pate, Adam N; Payakachat, Nalin; Harrell, T Kristopher; Pate, Kristen A; Caldwell, David J; Franks, Amy M

    2017-08-01

    Objective. To describe grittiness of students from three pharmacy schools and determine if grit is associated with academic performance measures. Methods. Pharmacy students completed an electronic questionnaire that included the Short Grit Scale (Grit-S). Associations were determined using logistic regression. Results. Grit-S total score was a significant and independent predictor for participants who reported a GPA ≥3.5, and Consistency of Interest (COI) and Perseverance of Effort (POE) domain scores were significantly higher compared to participants with a GPA of 3.0-3.49. Participants reporting a D or F had slightly lower average total Grit-S scores and COI domain scores compared to participants who did not. In addition, the group who reported a GPA GPA of 3.0-3.4. Conclusion. Grittiness may be associated with student pharmacist academic performance and the Grit-S Scale may have substantive implications for use in pharmacy programs.

  12. The pharmacist's role in promoting optimal antimicrobial use.

    Science.gov (United States)

    Dickerson, L M; Mainous, A G; Carek, P J

    2000-06-01

    Optimal use of antimicrobials is essential in the face of escalating antibiotic resistance, and requires cooperation from all sectors of the health care system. Although antibiotic-restriction policies in the hospital setting are important in altering microbial susceptibility patterns, an overall reduction in antibiotic prescriptions in the outpatient setting is more likely to significantly impact antibiotic resistance. Education of providers, application of clinical practice guidelines, audit and feedback activities, and multifaceted interventions all have had an effect in altering antibiotic prescribing in a research setting. Clinicians must alter antibiotic prescribing for the treatment of infectious diseases, and patients must change their perception of the need for these drugs. Pharmacists can play a major role through clinician education and focused clinical services. With cooperation of health care teams, the effectiveness of available antibiotics may be sustained and the threat of resistance minimized.

  13. The Development of the Croatian Competency Framework for Pharmacists.

    Science.gov (United States)

    Mucalo, Iva; Hadžiabdić, Maja Ortner; Govorčinović, Tihana; Šarić, Martina; Bruno, Andreia; Bates, Ian

    2016-10-25

    Objective. To adjust and validate the Global Competency Framework (GbCF) to be relevant for Croatian community and hospital pharmacists. Methods. A descriptive study was conducted in three steps: translation, consensus development, and validation by an expert panel and public consultation. Panel members were representatives from community pharmacies, hospital pharmacies, regulatory and professional bodies, academia, and industry. Results. The adapted framework consists of 96 behavioral statements organized in four clusters: Pharmaceutical Public Health, Pharmaceutical Care, Organization and Management, and Personal and Professional Competencies. When mapped against the 100 statements listed in the GbCF, 27 matched, 39 were revised, 30 were introduced, and 24 were excluded from the original framework. Conclusions. The adaptation and validation proved that GbCF is adaptable to local needs, the Croatian Competency Framework that emerged from it being an example. Key amendments were made within Organization and Management and Pharmaceutical Care clusters, demonstrating that these issues can be country specific.

  14. Pharmacist-led medication review in an acute admissions unit

    DEFF Research Database (Denmark)

    Hansen, Trine Graabæk; Bonnerup, Dorthe Krogsgaard; Kjeldsen, Lene Juel

    2015-01-01

    Objectives Over the last decades, several papers have evaluated clinical pharmacy interventions in hospital settings with conflicting findings as results. Medication reviews are frequently a central component of these interventions. However, the term ‘medication review’ covers a plethora.......Methods A procedure was developed based on clinical experience and inspiration from previous studies and literature on medication review models. The procedure was developed to fit the busy workflow in acute admissions units.Results The procedure consists of five steps: (1) collection of clinical patient data, (2...... of principles and methodologies, and the practical procedure is seldom described in detail, which makes reproducing study findings difficult. The objective of this paper is to provide a detailed description of a procedure developed and used for pharmacist-led medication review in acute admissions units...

  15. Public health in community pharmacy: A systematic review of pharmacist and consumer views

    Directory of Open Access Journals (Sweden)

    Ferguson Jill S

    2011-07-01

    Full Text Available Abstract Background The increasing involvement of pharmacists in public health will require changes in the behaviour of both pharmacists and the general public. A great deal of research has shown that attitudes and beliefs are important determinants of behaviour. This review aims to examine the beliefs and attitudes of pharmacists and consumers towards pharmaceutical public health in order to inform how best to support and improve this service. Methods Five electronic databases were searched for articles published in English between 2001 and 2010. Titles and abstracts were screened by one researcher according to the inclusion criteria. Papers were included if they assessed pharmacy staff or consumer attitudes towards pharmaceutical public health. Full papers identified for inclusion were assessed by a second researcher and data were extracted by one researcher. Results From the 5628 papers identified, 63 studies in 67 papers were included. Pharmacy staff: Most pharmacists viewed public health services as important and part of their role but secondary to medicine related roles. Pharmacists' confidence in providing public health services was on the whole average to low. Time was consistently identified as a barrier to providing public health services. Lack of an adequate counselling space, lack of demand and expectation of a negative reaction from customers were also reported by some pharmacists as barriers. A need for further training was identified in relation to a number of public health services. Consumers: Most pharmacy users had never been offered public health services by their pharmacist and did not expect to be offered. Consumers viewed pharmacists as appropriate providers of public health advice but had mixed views on the pharmacists' ability to do this. Satisfaction was found to be high in those that had experienced pharmaceutical public health Conclusions There has been little change in customer and pharmacist attitudes since reviews

  16. [Jean Hachette, pharmacist of Maison royale de Santé, complementary biography].

    Science.gov (United States)

    Trépardoux, F

    2001-01-01

    Until 1814, Jean Hachette (1775-1840) practised as a military pharmacist and then as a hospital pharmacist in Paris. For him both professional and personal aspects of his life were affected by his fondness for gambling. His son, Louis (1800-1860), famous businessman and publisher, tempted to introduce him again to the authorities as military pharmacist in 1830 when he had to resign after a dispute with professeur Duméril (1774-1860). So, Hachette ended his career at the military hospital of Longwy. These facts are attested by archives documents.

  17. Pharmacist-provided immunization compensation and recognition: white paper summarizing APhA/AMCP stakeholder meeting.

    Science.gov (United States)

    Skelton, Jann B

    2011-01-01

    To identify the current challenges and opportunities in compensation and recognition for pharmacist-provided immunizations across the lifespan and to establish guiding principles for pharmacist-provided immunization compensation and recognition. 22 stakeholders gathered on June 29, 2011, at the American Pharmacists Association (APhA) headquarters in Washington, DC, for a meeting on immunization compensation that was convened by APhA and the Academy of Managed Care Pharmacy. Participants included representatives from community pharmacy practices (chain, grocery, and independent), employers, national consumer health and advocacy organizations, national pharmacy and public health organizations, health plan representatives, pharmacy benefit managers, and health information technology, standards, and safety organizations. Key immunization leaders from TRICARE Management Activity, the Centers for Medicare & Medicaid Services, the National Vaccine Program Office of the Department of Health & Human Services, and the Centers for Disease Control and Prevention (CDC) also participated in the meeting. The increased numbers of pharmacists providing vaccination services and the availability of pharmacist-provided immunizations to populations in need of vaccines has continued to increase. This has resulted in a rise in the percentage of patients who receive vaccines at pharmacies. Pharmacists are now working to lever-age their ability to identify people with key risk factors (e.g., diabetes, heart disease or previous myocardial infarction), encourage them to receive their CDC-recommended vaccinations, and administer the required vaccine. Challenges and opportunities in compensation and recognition for pharmacist-provided immunizations across the adult lifespan persist. Variability in state practice acts, reimbursement and compensation processes and systems, and mechanisms for documentation of vaccine services create substantial differences in how pharmacist-provided immunizations

  18. Technicians or patient advocates?--still a valid question (results of focus group discussions with pharmacists)

    DEFF Research Database (Denmark)

    Almarsdóttir, A B; Morgall, J M

    1999-01-01

    New legislation went into effect in Iceland in March 1996 making it the first Nordic country to liberate their drug distribution system. The term liberalization implies the abolishment of the professional monopoly in that ownership was not tied to the pharmacy profession anymore. Focus group...... and the self-image of the pharmacist has changed in the short time since the legislative change. The pharmacists generally said that their patient contact is deteriorating due to the discount wars, the rural pharmacists being more optimistic, and believing in a future competition based on quality. Secondly...

  19. Opinion of community pharmacists on use of nonprescription medications in Alexandria, Egypt.

    Science.gov (United States)

    Elhoseeny, Taghareed A; Ibrahem, Samaa Z; Abo el Ela, Azza M

    2013-08-01

    Many studies have reported the use of over-the counter (OTC) or nonprescription medications (medications that are available to consumers without a prescription) to be inappropriate and associated with risks to consumers. Among healthcare professionals, pharmacists have a key role in providing information and helping customers make a safe choice of nonprescription medicines. This study aimed to measure the attitudes and beliefs of community pharmacists toward the use of nonprescription medications by Egyptian customers. A cross-sectional descriptive study was carried out among community pharmacies in Alexandria. A self-administered questionnaire was used to collect data from 335 pharmacists working in community pharmacies. The use of nonprescription medicine among patients/consumers was reported by 66.9% of pharmacists to have increased in the past 4 years and 94.1% of them considered such a use to be very serious or somewhat serious. Long-term or chronic use was cited by 76.7% of pharmacists as the most common reason for the widespread inappropriate use of nonprescription medications, and 82.4% of the pharmacists considered the most common contributing factor to be lack of knowledge of patients/customers about the active ingredients in a branded product. The most common medications enquired about by patients/consumers were those for cough, cold, or sore throat, as reported by 73.5% of pharmacists, whereas 79.4% of pharmacists reported that patients asked about how to use nonprescription drugs. Sixty percent of pharmacists reported that the main reason that patients/customers did not seek consultation for nonprescription medicines was that they believed that nonprescription medicines were safe, and 52.5% reported that patients believed that taking advice on how to use it was unnecessary. To learn about nonprescription medicine, 93.7% of pharmacists turned to drug product labeling. Use of nonprescription drugs is a serious problem that has increased over the past few

  20. Pharmacists' awareness of clinical decision support in pharmacy information systems: an exploratory evaluation.

    Science.gov (United States)

    Hines, Lisa E; Saverno, Kim R; Warholak, Terri L; Taylor, Ann; Grizzle, Amy J; Murphy, John E; Malone, Daniel C

    2011-12-01

    Clinical decision support (CDS), such as drug-drug interaction (DDI) and drug-allergy checking, has been used in pharmacy information systems for several decades; however, there has been limited research on CDS use by practicing pharmacists. The purpose of this study was to document pharmacists' awareness of DDI and other medication-related CDS features available within pharmacy information systems. Researchers conducted on-site interviews with pharmacists throughout the state of Arizona from December 2008 to November 2009 regarding their pharmacy information systems features. Pharmacists were asked to provide information about DDI and other medication-related decision support features of the pharmacy software at their practice site. Descriptive statistics were used to summarize interview responses. Sixty-one pharmacists from a variety of practice settings completed the interview. All respondents indicated that their pharmacy system provided drug-allergy and DDI alerts. Approximately 60% of the pharmacists reported that their DDI decision support systems included recommendations for managing drug interactions. Two-thirds of respondents reported that their pharmacy's computer system permitted the addition of medications from other pharmacies and/or over-the-counter products to a patient's profile. Approximately 40% of the pharmacists reported that some drugs entered into the pharmacy computer system were not included in (or linked to) the electronic DDI checking. Most pharmacists indicated the presence of other medication-related decision support features, such as drug-disease (78%), drug-age precautions (67%), and inappropriate dosage alerts (79%). However, fewer pharmacists reported more advanced functionality, such as laboratory recommendations (34%) and pediatric dosing (39%). Overall, pharmacists' awareness regarding the many decision support functionalities of their systems was limited. Based on the study findings, it appears that there are a number of

  1. Texas Migrant Labor, 1974 Annual Report.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    Organized under a 1943 Federal grant and later funded by legislative appropriations, the Good Neighbor Commission of Texas coordinates the work of Federal, State, and local government units endeavoring to improve the travel, living, and working conditions of Texas migrant farmworkers and their families. The 1974 annual report chronicles the facts,…

  2. TEXAS MIGRANT LABOR, THE 1966 MIGRATION.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    THE CALENDAR YEAR 1966 WAS THE SECOND FULL YEAR IN WHICH NO BRACEROS WERE IMPORTED FROM MEXICO. CRITICAL LABOR SHORTAGES OCCURRED IN SOME AREAS, HOWEVER, THE DOMESTIC LABOR SUPPLY BECAME MORE STABLE AND FEWER PROBLEMS WERE EXPERIENCED THAN IN 1965. THE MAJORITY OF TEXAS MIGRANTS LIVE IN SOUTH TEXAS AND APPROXIMATELY 95 PERCENT OF THEM ARE OF…

  3. Texas Migrant Labor. Annual Report, 1971.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    The Good Neighbor Commission of Texas, organized under a Federal grant in 1943 and later constituted as an agency of state government by legislative mandate, is charged under its basic law to coordinate the work of the Federal, State, and local government units endeavoring to improve the travel and working conditions of Texas migrant farm workers.…

  4. TEXAS MIGRANT LABOR, THE 1965 MIGRATION.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    THE CALENDAR YEAR 1965 WAS THE FIRST FULL YEAR IN WHICH NO BRACEROS WERE IMPORTED FROM MEXICO. CROP LOSSES OCCURRED IN SOME AREAS OF THE COUNTRY DUE TO LABOR SHORTAGES, HOWEVER, GOVERNMENT OFFICIALS STATE THAT THESE SHORTAGES CAN BE AVOIDED IN THE FUTURE. THE MAJORITY OF TEXAS MIGRANTS LIVE IN SOUTH TEXAS AND APPROXIMATELY 95 PERCENT OF THEM ARE…

  5. Texas Migrant Labor. 1975 Annual Report.

    Science.gov (United States)

    Good Neighbor Commission of Texas, Austin.

    The Good Neighbor Commission of Texas coordinates the work of the Federal, State, and local government toward the improvement of travel and living and working conditions of Texas migrant laborers and their families. Covering the full spectrum of migrant labor activity directly related to the improvement of the well-being of migrant and seasonal…

  6. 78 FR 39822 - Texas Disaster #TX-00409

    Science.gov (United States)

    2013-07-02

    ... ADMINISTRATION Texas Disaster TX-00409 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Texas dated 06/25/2013... CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd Street...

  7. 75 FR 70763 - Texas Disaster #TX-00363

    Science.gov (United States)

    2010-11-18

    ... ADMINISTRATION Texas Disaster TX-00363 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Texas dated 11/09/2010... INFORMATION CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409...

  8. 76 FR 35260 - Texas Disaster # TX-00375

    Science.gov (United States)

    2011-06-16

    ... ADMINISTRATION Texas Disaster TX-00375 AGENCY: U.S. Small Business Administration. ACTION: Amendment 1. SUMMARY: This is an amendment of the Administrative declaration of a disaster for the State of TEXAS dated 04/26... INFORMATION CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409...

  9. 40 CFR 81.429 - Texas.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Texas. 81.429 Section 81.429 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF... Visibility Is an Important Value § 81.429 Texas. Area name Acreage Public Law establishing Federal land...

  10. Texas Migrant Council, Inc. Siempre Unidos.

    Science.gov (United States)

    Texas Migrant Council, Inc., Laredo.

    In 1969 the Texas Migrant Council Mobile Head Start began a program of year-round day care/head start services that would follow migrant children from their South Texas winter home to certain northern states during the summer. Services included educational, medical and nutritional help. Prime grantee for the project was initially the Colorado…

  11. 76 FR 40765 - Texas Disaster #TX-00378

    Science.gov (United States)

    2011-07-11

    ... ADMINISTRATION Texas Disaster TX-00378 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Texas dated 07/05/2011. Incident: Dyer Mills Fire. Incident Period: 06/19/2011 through 06/26/2011. Effective Date:...

  12. Medicine-related services in community pharmacy: public preferences for pharmacy attributes and promotional methods and comparison with pharmacists' perceptions.

    Science.gov (United States)

    Gammie, Shivaun M; Rodgers, Ruth M; Loo, Ruey Leng; Corlett, Sarah A; Krska, Janet

    2016-01-01

    Public awareness of pharmacy services designed to support the use of medicines is low, yet little is known about how the public view promotion of these services, or their preferences for the attributes of pharmacies from which they would like to receive them. To compare the public's preferred attributes of pharmacies and methods for promoting medicine-related services with community pharmacists' perceptions of their customers' views. Parallel surveys were conducted in South East England, using a street survey for the general public and a postal survey for community pharmacists. Response rates were as follows: public 47.2% (1,000/2,012) and pharmacists 40.8% (341/836). Pharmacists' perceptions of customer preferences for using the same pharmacy, independent ownership, and personal knowledge of the pharmacist were higher than actual public preferences. More pharmacists than public respondents also believed that approachability and previous good service would be important. The public's desires for long opening hours and for a pharmacy with a good relationship with their doctor's surgery were higher than pharmacists believed. The majority of the public prefer not to interrupt a pharmacist who is busy in the dispensary, which was not perceived by pharmacists as a factor. Pharmacists' perceptions aligned more with the preferences of regular medicine users and frequent pharmacy users. Both groups viewed direct recommendation as the most effective approach for promoting pharmacy services, particularly by doctors and pharmacy staff. Pharmacists' expectations of the effectiveness of posters and mass media methods were much higher than those of the public. Pharmacists and pharmacy owners must ensure good relationships with local medical practices to enable them to maximize opportunities for using the promotional methods judged most effective in encouraging the use of medicine-related services. Staff must be approachable and enable access to pharmacists, ensuring that

  13. Risks of childhood cancer among Texas watersheds, based on mothers' living locations at the time of birth.

    Science.gov (United States)

    Thompson, James A; Carozza, Susan E; Bissett, Wesley T; Zhu, Li

    2010-03-01

    Cancer is the most common fatal disease among US children. The fetus has reduced resistance to toxic injury and is especially prone to mutagenic injury because of the high rate of cell division. A fetus can be exposed to environmental toxins through maternal consumption of contaminated water. The objective of this study was to estimate the incidence risk for childhood cancers within each watershed in Texas. The approach modeled risk for 19 cancer histotypes incorporating correlations among the cancer types and spatial correlation. Several watersheds in a very large area known as the Central Great Plains of North Texas were associated with increased risk for astrocytoma. Two watersheds near Houston, Buffalo-San Jacinto and West Galveston Bay, had increased risk for renal cancer and acute lymphoid leukemia, respectively. A watershed in South Texas, the South Laguna Madre, had increased risk for atypical leukemias. The possibility that waterborne toxins cause these childhood cancers should be investigated further.

  14. Lithospheric velocity model of Texas and implications for the Ouachita orogeny and the opening of the Gulf of Mexico

    Science.gov (United States)

    Yao, Yao; Li, Aibing

    2016-12-01

    A 3-D shear wave velocity model of Texas has been developed from Rayleigh wave phase velocities by using ambient noise data recorded at the USArray stations. In the upper crust, the Ouachita front separates high velocity in the Laurentia to its west from low velocity in the east and south Texas basins. The Ouachita belt is characterized as a high-velocity zone with local maximums coinciding with known uplifts, which we interpret as accreted island arcs during the Ouachita orogeny. Our model evidences a strong Ouachita lithosphere that helped to buffer crust thinning from the Mesozoic rifting. A significantly low-velocity anomaly is present in southeast Texas in the lower crust and upper mantle. We associate this anomaly with a past asthenosphere upwelling that likely originated from the edge of the subducted slab during the Ouachita collision and was potentially responsible for the opening of the Gulf of Mexico.

  15. Changes between early development (1930–60) and recent (2005–15) groundwater-level altitudes and dissolved-solids and nitrate concentrations In and near Gaines, Terry, and Yoakum Counties, Texas

    Science.gov (United States)

    Thomas, Jonathan V.; Teeple, Andrew; Payne, Jason; Ikard, Scott

    2016-06-21

    Llano Estacado Underground Water Conservation District, Sandy Land Underground Water Conservation District, and South Plains Underground Water Conservation District manage groundwater resources in a part of west Texas near the Texas-New Mexico State line. Declining groundwater levels have raised concerns about the amount of available groundwater in the study area and the potential for water-quality changes resulting from dewatering and increased vertical groundwater movement between adjacent water-bearing units.

  16. The raison d'etre for the community pharmacy and the community pharmacist in Sweden

    DEFF Research Database (Denmark)

    Wisell, Kristin; Kälvemark Sporrong, Sofia

    2016-01-01

    Community pharmacies are balancing between business (selling medicines and other products) and healthcare (using the pharmacists’ knowledge in order to improve drug utilization). This balance could be affected by regulations decided upon by politicians, but also influenced by others. The aim...... of this study was to explore important stakeholders’ views on community pharmacy and community pharmacists in Sweden. The method used was that of semi-structured qualitative interviews. Political, professional, and patient organization representatives were interviewed. The results show that informants who...... are pharmacists or representatives of a professional pharmacist organization generally have a healthcare-centered view on community pharmacy/pharmacists. However, different views on how this orientation should be performed were revealed, ranging from being specialists to dealing with uncomplicated tasks...

  17. Bridging the gap between hospital and primary care: the pharmacist home visit.

    Science.gov (United States)

    Ensing, Hendrik T; Koster, Ellen S; Stuijt, Clementine C M; van Dooren, Ad A; Bouvy, Marcel L

    2015-06-01

    Bridging the gap between hospital and primary care is important as transition from one healthcare setting to another increases the risk on drug-related problems and consequent readmissions. To reduce those risks, pharmacist interventions during and after hospitalization have been frequently studied, albeit with variable effects. Therefore, in this manuscript we propose a three phase approach to structurally address post-discharge drug-related problems. First, hospitals need to transfer up-todate medication information to community pharmacists. Second, the key phase of this approach consists of adequate follow-up at the patients' home. Pharmacists need to apply their clinical and communication skills to identify and analyze drug-related problems. Finally, to prevent and solve identified drug related problems a close collaboration within the primary care setting between pharmacists and general practitioners is of utmost importance. It is expected that such an approach results in improved quality of care and improved patient safety.

  18. What practicing pharmacists think about their role in healthcare: Preliminary findings from Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Shazia Qasim Jamshed

    2014-01-01

    Conclusion: The pharmacists expressed dissatisfaction about their perceived status in the healthcare system of Pakistan. In order to intensify the feel of professionalism, reconceptualization of education and training system is advocated.

  19. Validation of an Instrument to Measure Pharmacy and Medical Students’ Attitudes Toward Physician-Pharmacist Collaboration

    OpenAIRE

    Van Winkle, Lon J.; Fjortoft, Nancy; Hojat, Mohammadreza

    2011-01-01

    Objectives. To assess the validity and reliability of an instrument to measure pharmacy students’ attitudes toward physician-pharmacist collaboration, and compare those attitudes to the attitudes of medical students.

  20. The role of the clinical pharmacist in the care of patients with cardiovascular disease.

    Science.gov (United States)

    Dunn, Steven P; Birtcher, Kim K; Beavers, Craig J; Baker, William L; Brouse, Sara D; Page, Robert L; Bittner, Vera; Walsh, Mary Norine

    2015-11-10

    Team-based cardiovascular care, including the use of clinical pharmacists, can efficiently deliver high-quality care. This Joint Council Perspectives paper from the Cardiovascular Team and Prevention Councils of the American College of Cardiology provides background information on the clinical pharmacist's role, training, certification, and potential utilization in a variety of practice models. Selected systematic reviews and meta-analyses, highlighting the benefit of clinical pharmacy services, are summarized. Clinical pharmacists have a substantial effect in a wide variety of roles in inpatient and ambulatory settings, largely through optimization of drug use, avoidance of adverse drug events, and transitional care activities focusing on medication reconciliation and patient education. Expansion of clinical pharmacy services is often impeded by policy, legislation, and compensation barriers. Multidisciplinary organizations, including the American College of Cardiology, should support efforts to overcome these barriers, allowing pharmacists to deliver high-quality patient care to the full extent of their education and training.

  1. Evaluation of a Danish pharmacist student-physician medication review collaboration model

    DEFF Research Database (Denmark)

    Kaae, Susanne; Sørensen, Ellen Westh; Nørgaard, Lotte Stig

    2014-01-01

    Background Interprofessional collaboration between pharmacists and physicians to conduct joint home medication reviews (HMR) is important for optimizing the medical treatment of patients suffering from chronic illnesses. However, collaboration has proved difficult to achieve. The HMR programme...

  2. Certification of sterile equipment and facilities: what pharmacists need to know.

    Science.gov (United States)

    Lanze, Amanda; Rudner, Shara

    2014-01-01

    Although it is common knowledge that all sterile compounding pharmacies must have their equipment and facilities certified and calibrated every six months, it is not as clear what is expected of pharmacists. There is currently a disconnect between the certification companies and the pharmacists. As pharmacists, we look to the certification companies as the experts and rely upon them accordingly. The certification companies look upon the pharmacy to know which testing is required. It is the role of the pharmacist to know which tests are necessary and how they are to be interpreted correctly. The end goal of certification testing is to prove that the standards listed in United States Pharmacopeia Chapter are met. Testing requirements can vary from state to state. A few of the most commonly required sterile certification and calibration tests will be discussed in this article.

  3. Temporal evolution of depth-stratified groundwater salinity in municipal wells in the major aquifers in Texas, USA.

    Science.gov (United States)

    Chaudhuri, Sriroop; Ale, Srinivasulu

    2014-02-15

    We assessed spatial distribution of total dissolved solids (TDS) in shallow (150 m) municipal (domestic and public supply) wells in nine major aquifers in Texas for the 1960s-1970s and 1990s-2000s periods using geochemical data obtained from the Texas Water Development Board. For both time periods, the highest median groundwater TDS concentrations in shallow wells were found in the Ogallala and Pecos Valley aquifers and that in the deep wells were found in the Trinity aquifer. In the Ogallala, Pecos Valley, Seymour and Gulf Coast aquifers, >60% of observations from shallow wells exceeded the secondary maximum contaminant level (SMCL) for TDS (500 mg L(-1)) in both time periods. In the Trinity aquifer, 72% of deep water quality observations exceeded the SMCL in the 1990s-2000s as compared to 64% observations in the 1960s-1970s. In the Ogallala, Edwards-Trinity (plateau), and Edwards (Balcones Fault Zone) aquifers, extent of salinization decreased significantly (paquifers), north central (Trinity-downdip aquifer) and south (southern Gulf Coast aquifer) Texas. In west Texas, mixed cation SO4-Cl facies led to groundwater salinization, as compared to Na-Cl facies in the southern Gulf Coast, and Ca-Na-HCO3 and Na-HCO3 facies transitioning to Na-Cl facies in the Trinity-downdip regions. Groundwater mixing ensuing from cross-formational flow, seepage from saline plumes and playas, evaporative enrichment, and irrigation return flow had led to progressive groundwater salinization in west Texas, as compared to ion-exchange processes in the north-central Texas, and seawater intrusion coupled with salt dissolution and irrigation return flow in the southern Gulf Coast regions.

  4. Exploring factors underlying the attitude of community pharmacists to generic substitution: a nationwide study from Poland.

    Science.gov (United States)

    Drozdowska, Aleksandra; Hermanowski, Tomasz

    2016-02-01

    Generic uptake will increasingly be promoted by governments in the face of increasing healthcare costs and global economic uncertainties. The purpose of this study was to investigate attitudes towards generic substitution among community pharmacists, with a focus on the perception of the efficacy, knowledge of the generics characteristics, as well as the willingness to recommend generic substitution. Community pharmacies in Poland. The survey was conducted in 2013 by telephone interviews with 802 holders of an MSc degree in pharmacy working as community pharmacists. Stratified sampling was implemented to make the study representative in geographic terms. Pharmacists' attitudes towards generics drugs. The study showed that only 40 % of pharmacists always inform patients about their right to choose a generic substitute. It was also shown that the less time a pharmacist has been practising, the less likely they are to invite consumers to choose between generic and innovator products. The likelihood of informing was not affected by pharmacist's sex or age, or by pharmacy location or status (chain vs. independent pharmacy) (p > 0.05). Pharmacists varied in their approach to their statutory obligation to inform about a generic; a more or less equal share of respondents were either in favour or against it. Approximately 60 % pharmacists were shown to be familiar with the definition of a generic medicine. Pharmacists with shorter time of practice proved to know more about generics. However, more than 30 % respondents failed to choose the correct statement on generic versus reference medicine dosage. The majority of respondents (67 %) believed there are no differences in efficacy between generics and innovator drugs, whereas 31 % claimed that original brands could be more effective. A significant correlation was demonstrated between the views of pharmacists on the therapeutic efficacy and their willingness to substitute for generics whenever permitted by a physician. It is

  5. Piloting the role of a pharmacist in a community palliative care multidisciplinary team: an Australian experience

    Directory of Open Access Journals (Sweden)

    Box Margaret

    2011-10-01

    Full Text Available Abstract Background While the home is the most common setting for the provision of palliative care in Australia, a common problem encountered here is the inability of patient/carers to manage medications, which can lead to misadventure and hospitalisation. This can be averted through detection and resolution of drug related problems (DRPs by a pharmacist; however, they are rarely included as members of the palliative care team. The aim of this study was to pilot a model of care that supports the role of a pharmacist in a community palliative care team. A component of the study was to develop a cost-effective model for continuing the inclusion of a pharmacist within a community palliative care service. Methods The study was undertaken (February March 2009-June 2010 in three phases. Development (Phase 1 involved a literature review; scoping the pharmacist's role; creating tools for recording DRPs and interventions, a communication and education strategy, a care pathway and evidence based patient information. These were then implemented in Phase 2. Evaluation (Phase 3 of the impact of the pharmacist's role from the perspectives of team members was undertaken using an online survey and focus group. Impact on clinical outcomes was determined by the number of patients screened to assess their risk of medication misadventure, as well as the number of medication reviews and interventions performed to resolve DRPs. Results The pharmacist screened most patients (88.4%, 373/422 referred to the palliative care service to assess their risk of medication misadventure, and undertook 52 home visits. Medication reviews were commonly conducted at the majority of home visits (88%, 46/52, and a variety of DRPs (113 were detected at this point, the most common being "patient requests drug information" (25%, 28/113 and "condition not adequately treated" (22%, 25/113. The pharmacist made 120 recommendations in relation to her interventions. Fifty percent of online

  6. 9 CFR 72.5 - Area quarantined in Texas.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Area quarantined in Texas. 72.5... AGRICULTURE INTERSTATE TRANSPORTATION OF ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS TEXAS (SPLENETIC) FEVER IN CATTLE § 72.5 Area quarantined in Texas. The area quarantined in Texas is the quarantined area...

  7. The Texas Ten Percent Plan's Impact on College Enrollment

    Science.gov (United States)

    Daugherty, Lindsay; Martorell, Paco; McFarlin, Isaac, Jr.

    2014-01-01

    The Texas Ten Percent Plan (TTP) provides students in the top 10 percent of their high-school class with automatic admission to any public university in the state, including the two flagship schools, the University of Texas at Austin and Texas A&M. Texas created the policy in 1997 after a federal appellate court ruled that the state's previous…

  8. Texas Public School Technology Survey, 1988. Final Report.

    Science.gov (United States)

    Denton, Jon; Davis, Trina; Strader, Arlen; Jessup, George

    The Texas Association of School Administrators (TASA) with technical support from the South Central Regional Technology in Education Consortia-Texas (SCR*TEC-TX) conducted a survey of the technology infrastructure in all public schools in Texas. This document provides the final report of the 1998 Texas Public School Technology Survey. Following…

  9. 27 CFR 9.155 - Texas Davis Mountains.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Texas Davis Mountains. 9... Texas Davis Mountains. (a) Name. The name of the viticultural area described in this section is “Texas Davis Mountains.” (b) Approved map. The appropriate maps for determining the boundary of the Texas...

  10. The Texas Ten Percent Plan's Impact on College Enrollment

    Science.gov (United States)

    Daugherty, Lindsay; Martorell, Paco; McFarlin, Isaac, Jr.

    2014-01-01

    The Texas Ten Percent Plan (TTP) provides students in the top 10 percent of their high-school class with automatic admission to any public university in the state, including the two flagship schools, the University of Texas at Austin and Texas A&M. Texas created the policy in 1997 after a federal appellate court ruled that the state's previous…

  11. Influence of pharmacy practice on community pharmacists' integration of medication and lab value information from electronic health records.

    Science.gov (United States)

    Hughes, Christine A; Guirguis, Lisa M; Wong, Timothy; Ng, Karen; Ing, Lesley; Fisher, Kyle

    2011-01-01

    To describe how an electronic health record (EHR) was integrated into community pharmacists' patterns of patient care and to explore factors that are related to the use of medication and laboratory value information from the EHR. Descriptive, exploratory, nonexperimental study. Edmonton, Canada, between November 2008 and March 2009. 16 pharmacists, 3 pharmacy technicians, and 2 pharmacy interns from primary care networks, long-term care settings, community independent and chain pharmacies, and grocery store pharmacies. Qualitative interviews. Pharmacists' self-reported use of EHR. Pharmacists in a patient-centered care practice (involving medication therapy management activities) were more likely to adopt the EHR for medication history and laboratory values, whereas pharmacists whose practice was focused on medication dispensing primarily used the EHR for patient demographic and dispensing records. Six general factors influenced the use of EHR: patients, pharmacists, pharmacy, other health professionals (i.e., physicians), EHR, and environment. Access to the medical record versus EHR and timeliness were barriers specific to pharmacists in a patient-centered practice. Factors that affected EHR use for pharmacists with primarily a dispensing practice were role understanding, dispensing versus lab records, valid reasons for using EHR, and fear of legal and disciplinary issues. Many community pharmacists embraced the EHR as a part of practice change, particularly those in patient-centered care practices. Practice type (patient-centered care or dispensing) greatly influenced pharmacists' use of EHR, specifically laboratory values. Because these qualitative findings are exploratory in nature, they may not be generalized beyond the participating pharmacies.

  12. Exploring the nature of power distance on general practitioner and community pharmacist relations in a chronic disease management context.

    Science.gov (United States)

    Rieck, Allison Margaret

    2014-09-01

    To improve collaboration in Australian primary health care, there is a need to understand aspects of the general practitioner (GP)/community pharmacist relationship, its influence on collaborative chronic disease management (CDM) and if this influence can be explained by a pre-existing theory or concept. Adopting a grounded theory approach, 22 GP and 22 community pharmacist semi-structured interviews were undertaken. Analysis of the transcripts identified common themes regarding the GP/community pharmacist relationship. Trustworthiness of the themes identified was tested through negative case analysis and member checking. Hofstede's (in 1980) phenomenon of power distance was employed to illuminate the nature of GP/community pharmacist relations. The majority of GPs and community pharmacists described the characteristics of this phenomenon. The power distance was based on knowledge and expertise and was shown to be a barrier to collaboration between GPs and community pharmacists because GPs perceived that community pharmacists did not have the required expertise to improve CDM above what the GP could deliver alone. Power distance exists within the GP/community pharmacist relationship and has a negative influence on GP/community pharmacist collaborative CDM. Understanding and improving GP awareness of community pharmacist expertise has important implications for the future success of collaborative CDM.

  13. Quantitative study evaluating perception of general public towards role of pharmacist in health care system of Pakistan.

    Science.gov (United States)

    Jin, Xianglan; Azhar, Saira; Murtaza, Ghulam; Xue, Feiran; Mumtaz, Amara; Niu, Huanmin; Taha, Asia; Zhang, Yunling

    2014-01-01

    To investigate general public perception towards the role of pharmacist in developing countries' healthcare system was the main aim of this study, which would be the basic foundation for researching the treatment pattern of cognitive disorder after stroke in communities. The study population (sample size = 385) consisted of general public from Islamabad, Faisalabad and Lahore, Pakistan. Main sections of the questionnaire comprised of series of statements pertaining to consumer's perception and experience with the pharmacists. The response rate of study was 77.1%. A majority (80.1%) of the consumers knows who is pharmacist; 49.8% (n = 148) of the respondents found the pharmacist working in the pharmacies; 74.1% (n = 220) believed that pharmacist can guide them regarding their medicine. With respect to government efforts to improve services provided by community pharmacies, less percentage (31.0%) of the consumers were satisfied. Half of the respondents (59.9%) were expecting from the pharmacists to be knowledgeable drug therapy experts, whereas 61.3% (n = 182) expect from the pharmacists to educate them regarding safe and appropriate use of medication. The findings of this study conclude that the quality of pharmaceutical services provided is very low in Pakistan. There is a gap between the public and the pharmacist, which can only be filled by creating awareness among public regarding the pharmacist's role in healthcare system and by focusing on how services provided by the pharmacists can add improvement to general public health.

  14. Drug experts of the future, today?--depiction of the pharmacist profession in Swedish professional and lay print media.

    Science.gov (United States)

    Carlsson, Jenny Rubensdotter; Renberg, Tobias; Sporrong, Sofia Kälvemark

    2012-01-01

    The Swedish pharmacy market is presently being reregulated. The state-owned pharmacy monopoly company was divided and sold during 2009, and certain nonprescription medicines are now allowed in nonpharmacy settings. The changes will likely affect the pharmacist's role and the image of the community pharmacist in society. This change may affect how pharmacists are seen by society at large, and therefore, a baseline showing how pharmacists are depicted before the reregulation is of great value. The aim of this study was to describe how the pharmacist profession is depicted in print media in Sweden, with a focus on community pharmacy. A deductive qualitative content analysis with material from print media was conducted, using professional criteria as a framework. Swedish print media from October 2005 to October 2008 were searched and all relevant articles included. A total of 139 articles were included. Most articles came from professional journals, that is, journals directed toward pharmacist or related professions. The results show that the pharmacist profession is not highly visible and that this lack of visibility is disappointing to pharmacists. Society, as reflected in print media, does not display an awareness of the pharmacist role in Sweden. Although this is disappointing for the profession, it allows pharmacists to influence the depiction and hence their position in society. Copyright © 2012 Elsevier Inc. All rights reserved.

  15. A cross-sectional survey on the attitudes and interests of rural population towards expanded pharmacist prescribing in India.

    Science.gov (United States)

    Khan, Muhammad Umair; Arief, Mohammad; Ahmad, Akram; Malik, Sadiqa; Gogoi, Lakhya Jyoti; Kalita, Manabendra; Saleem, Fahad; Hassali, Mohamed Azmi Ahmad

    2017-04-01

    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.

  16. Pharmacists' role in handling problems with prescriptions for antithrombotic medication in Belgian community pharmacies.

    Science.gov (United States)

    Desmaele, S; De Wulf, I; Dupont, A G; Steurbaut, S

    2015-08-01

    Community pharmacists have an important task in the follow-up of patients treated with antithrombotics. When delivering these medicines, pharmacists can encounter drug-related problems (DRPs) with substantial clinical and economic impact. To investigate the amount and type of antithrombotic related DRPs as well as how community pharmacists handled these DRPs. Belgian community pharmacies. MSc pharmacy students of six Belgian universities collected data about all DRPs encountered by a pharmacist during ten half days of their pharmacy internship. Data were registered about DRPs detected at delivery and in an a posteriori setting, when consulting the medical history of the patient. Classification of the DRP, cause of the DRP, intervention and result of the intervention were registered. Amount and type of antotrombitocs related DRPs occurring in community pharmacies, as well as how community pharmacists handled these DRPs. 3.1 % of the 15,952 registered DRPs concerned antithrombotics. 79.3 % of these DRPs were detected at delivery and 20.7 % were detected a posteriori. Most antithrombotic-related DRPs concerned problems with the choice of the drug (mainly because of drug-drug interactions) or concerned logistic problems. Almost 80 % of the antithrombotic-related DRPs were followed by an intervention of the pharmacist, mainly at the patient's level, resulting in 90.1 % of these DRPs partially or totally solved. Different DRPs with antithrombotic medication occurred in Belgian community pharmacies. About 20 % was detected in an a posteriori setting, showing the benefit of medication review. Many of the encountered DRPs were of technical nature (60.7 %). These DRPs were time-consuming for the pharmacist to resolve and should be prevented. Most of the DRPs could be solved, demonstrating the added value of the community pharmacist as first line healthcare provider.

  17. Pharmacist Remote Review of Medication Prescriptions for Appropriateness in Pediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Moran Lazaryan

    2016-08-01

    Full Text Available Background: One aspect of ordering and prescribing medication is the requirement for a trained professional to review medication orders or prescriptions for appropriateness. In practice, this review process is usually performed by a clinical pharmacist. However, in many medical centers there is a shortage of staff and a pharmacist is not always available.Objective: To determine whether remote review of medication orders by a pharmacist is a plausible method in a pediatric intensive care unit (PICU. Methods: A pharmacist from the pharmacy department reviewed medication orders of patients admitted to our PICU over a 7-month period for appropriateness. A special form for medical orders was filled in and sent to the physician in the PICU, who replied informing whether the recommendation had been accepted. The time spent by the pharmacist for this activity was recorded.Results: The review time for one medical record was 8.9 (95% CI, 6.9-10.9 minutes. Every additional drug prescribed increased the total review time by 0.8 (95% CI, 0.45-1.11 minutes. The pharmacist filled in 186 forms on 117 admissions for 109 children. The median review time was 15 (12.8-18.8 and 12 (9-15 minutes, respectively, for patients with psychiatric-neurologic disorders compared to those without (p=0.032. Usually, a daily workload of 240 minutes was needed for the pharmacist accompanying the round in contrast to 108 minutes per day needed to review all the medical records in 95% of the cases. The physician accepted 51.2%, rejected 11.9% and made no comment on 36.9% of the recommendations. Conclusion: Hospitals facing budget shortages can carry out focused remote reviews of prescriptions by the pharmacist.

  18. How can pharmacist remuneration systems in Europe contribute to generic medicine dispensing?

    Directory of Open Access Journals (Sweden)

    Dylst P

    2012-03-01

    Full Text Available Generic medicines can generate larger savings to health care budgets when their use is supported by incentives on both the supply-side and the demand-side. Pharmacists’ remuneration is one factor influencing the dispensing of generic medicines.Objective: The aim of this article is to provide an overview of different pharmacist remuneration systems for generic medicines in Europe, with a view to exploring how pharmacist remuneration systems can contribute to generic medicine dispensing.Methods: Data were obtained from a literature review, a Master thesis in Pharmaceutical Care at the Catholic University of Leuven and a mailing sent to all members of the Pharmaceutical Group of the European Union with a request for information about the local remuneration systems of community pharmacists and the possible existence of reports on discounting practices.Results: Pharmacists remuneration in most European countries consists of the combination of a fixed fee per item and a certain percentage of the acquisition cost or the delivery price of the medicines. This percentage component can be fixed, regressive or capped for very high-cost medicines and acts as a disincentive for dispensing generic medicines. Discounting for generic medicines is common practice in several European countries but information on this practice tends to be confidential. Nevertheless, data for Belgium, France, the Netherlands and United Kingdom indicated that discounting percentages varied from 10% to 70% of the wholesale selling price.Conclusion: Pharmacists can play an important role in the development of a generic medicines market. Pharmacists should not be financially penalized for dispensing generic medicines. Therefore, their remuneration should move towards a fee-for-performance remuneration instead of a price-dependent reimbursement which is currently used in many European countries. Such a fee-for-performance remuneration system provides a stimulus for generic medicines

  19. Responding to patient demand: community pharmacists and herbal and nutritional products for children

    OpenAIRE

    2010-01-01

    Abstract The attitudes and behaviour of pharmacists working in a multi-ethnic community regarding herbal and nutritional products (HNPs) for children, were explored in depth. Qualitative interviews with four pharmacists were analysed using Framework Analysis. Quantitative diary recording of all HNP-related events for child customers in four pharmacies was carried out over 2 separate week periods between March - June 2008. Of 29 events recorded, most involved parents buying product...

  20. Knowledge of folic acid and counseling practices among Ohio community pharmacists

    OpenAIRE

    Rodrigues CR; DiPietro NA

    2012-01-01

    Objective: To determine knowledge of folic acid use for neural tube defect (NTD) prevention and counseling practices among community pharmacists registered in Ohio.Methods: A cross-sectional study was performed on a random sample (n=500) of community pharmacists registered with the Ohio Board of Pharmacy and practicing in Ohio. A survey previously used by researchers to assess folic acid knowledge and practices among samples of other healthcare provider groups in the United States was adapted...