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1.
Pharmacy (Basel) ; 9(3)2021 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-34449708

RESUMO

BACKGROUND: Pharmacists play a vital role in recommending and providing vaccines to improve public health and are on the front line of mass immunization efforts. AIM: The objective of this study is to evaluate pharmacists' perceptions on COVID-19 vaccines prior to emergency use authorization (EUA) amid a global pandemic. METHODS: A voluntary, anonymous, cross-sectional survey was conducted between September and November 2020. Survey respondents included a convenience sample of licensed pharmacists in the United States. The primary outcomes were pharmacists' willingness to receive and recommend hypothetical COVID-19 vaccines. Covariates assessed in the survey included COVID-19 exposure or personal experience, primary pharmacy practice setting, background in training, geographic region, and prioritization of clinical data. The data were analyzed using descriptive and inferential statistics. RESULTS: This study surveyed 763 pharmacists and results from 632 participants were included in final analysis. Overall, 67.1% of the pharmacists were willing to receive a COVID-19 vaccine and 63.4% of the pharmacists were willing to recommend a COVID-19 vaccine at ≤1 year from the time of vaccine approval. At >1 year after vaccine approval, 78% of the pharmacists were willing to receive a COVID-19 vaccine and 81.2% of the pharmacists were willing to recommend a COVID-19 vaccine. CONCLUSIONS: Survey findings suggest that, while a majority of pharmacists surveyed indicate acceptance of hypothetical COVID-19 vaccines, there remains to be hesitancy among pharmacists to receive or recommend vaccination.

2.
Nursing ; 51(7): 70, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34157006
3.
Nursing ; 51(5): 70, 2021 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-33885437
4.
Nursing ; 51(3): 70, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33674541
5.
Nursing ; 50(5): 70, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32332511
6.
Nursing ; 50(3): 70, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32068712
7.
Nursing ; 50(1): 70, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31855994
8.
Nephrol Dial Transplant ; 34(Suppl 3): iii45-iii50, 2019 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-31800078

RESUMO

Hyperkalemia represents a common and potentially life-threating electrolyte abnormality, a complication frequently observed in patients with heart failure, kidney disease, diabetes or in those receiving drug therapies influencing the renin-angiotensin-aldosterone system. Elevated serum potassium levels are often the result of impaired urinary potassium elimination, inadequate or reduced cellular potassium uptake, severe heart failure, use of medications influencing potassium levels in the circulation, or, more commonly, a combination of these factors. Strategies for the treatment of nonemergent hyperkalemia include the use of cation-exchange resins, polymers or other novel mechanisms of potassium trapping, including sodium polystyrene sulfonate, patiromer and sodium zirconium cyclosilicate. These agents differ in their pharmacology and mechanism of action, clinical efficacy, including onset and extent of potassium-lowering effect, dosage and administration, and potential safety and adverse effect profiles. In this review, an evaluation of these characteristics, including clinical evidence and safety concerns, in the management of nonemergent hyperkalemia will be explored.


Assuntos
Hiperpotassemia/tratamento farmacológico , Antagonistas de Receptores de Mineralocorticoides/administração & dosagem , Poliestirenos/administração & dosagem , Potássio/sangue , Silicatos/administração & dosagem , Quelantes/administração & dosagem , Relação Dose-Resposta a Droga , Humanos , Hiperpotassemia/sangue , Sistema Renina-Angiotensina/efeitos dos fármacos , Sistema Renina-Angiotensina/fisiologia , Resultado do Tratamento
9.
Nursing ; 49(11): 70, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31651782
10.
Nursing ; 49(9): 70, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31436730
11.
Nursing ; 49(7): 70, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31219993
12.
Nursing ; 49(5): 70, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31022036
13.
Curr Pharm Teach Learn ; 11(3): 236-242, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30904144

RESUMO

BACKGROUND AND PURPOSE: The purpose of this project was to evaluate the impact of a calorie tracking and dietary modification activity on students' perceptions of the challenges associated with weight loss. EDUCATIONAL ACTIVITY AND SETTING: Students maintained a two-day paper calorie log, then received a weight management lecture, followed by four additional days of calorie tracking using a mobile application. Demographics, self-evaluation of obesity-related knowledge, perceptions on weight loss difficulties, utility of mobile technology, and overall program value were evaluated. FINDINGS: A total of 79% of students completed all three surveys (n = 150). Students' perceptions regarding their knowledge and comfort with respect to weight loss counseling and dietary modification strategies increased following the lecture and mobile technology-based calorie counting activity. Seventy-eight percent of students either agreed or strongly agreed that this activity was valuable to their professional development while 86% of students agreed or strongly agreed this activity helped them understand the challenges faced by patients trying to lose weight. DISCUSSION: Student attitudes regarding weight loss, including nutritional tracking, and comfort in establishing a weight loss goal, as well as student's perceived knowledge of the types of dietary fats and empathy, all significantly improved over the course of activity participation. SUMMARY: This activity improved student pharmacists' understanding of lifestyle modifications necessary for weight loss, exposed them to novel technologies available to help support patient's weight loss attempts, and provided them with first-hand experience in tracking calories.


Assuntos
Promoção da Saúde/normas , Percepção , Aprendizagem Baseada em Problemas/normas , Comportamento de Redução do Risco , Estudantes de Farmácia/psicologia , Adulto , Feminino , Promoção da Saúde/métodos , Promoção da Saúde/estatística & dados numéricos , Humanos , Masculino , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/estatística & dados numéricos , Estudantes de Farmácia/estatística & dados numéricos , Inquéritos e Questionários , Perda de Peso
14.
Nursing ; 49(3): 70, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30801413
15.
Curr Pharm Teach Learn ; 11(2): 204-210, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30733019

RESUMO

BACKGROUND: Scientific poster content and delivery methodology have evolved in recent years. The objective of this observational cross-sectional survey-based study was to evaluate pharmacists' preferences of two different scientific poster formats conducted at a conference in May 2017. Two posters on the same topic were developed and presented utilizing different formatting; one in the traditional, text-based format and the other in an infographic-based format. Study participants (n = 61) included 23 (38%) preceptors and 37 (61%) residents. Preceptors and residents scored clarity and comprehensibility similarly for both poster formats respectively, but rated aesthetic appeal higher for the infographic format. Both groups found more detailed information to be missing from the infographic poster format. Overall, residents did not prefer one poster format to another, while preceptors overwhelmingly preferred the infographic poster format over the traditional poster format. IMPACT: Several key confounders limit the interpretations of the study results. These confounders include lack of large and well-distributed sample size, inability to control for the effect of preference on comprehension scores, and differences between resident and preceptor experience that may ultimately influence preferences and results. RECOMMENDATIONS: In repeating this study, investigators should consider capturing a national and larger sample size to increase applicability of results, design questions to assess comprehension, and collect participant baseline characteristics. DISCUSSION: Variations in preferences and perceptions for optimal scientific poster content and design among pharmacists exist. The findings of this study suggest infographic poster formats are more aesthetically appealing, but demonstrate similar clarity and comprehensibility as a traditional poster format.


Assuntos
Apresentação de Dados/normas , Educação/normas , Pôsteres como Assunto , Estudos Transversais , Apresentação de Dados/estatística & dados numéricos , Educação/métodos , Educação/estatística & dados numéricos , Humanos , Inquéritos e Questionários
16.
BMC Cardiovasc Disord ; 19(1): 319, 2019 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-31888499

RESUMO

PURPOSE: Serum immunoglobulins (Igs) play a critical role in modulating the immune response by neutralizing pathogens, although little is known about the effect of Igs in development of atherosclerotic cardiovascular disease (ASCVD). Elevated serum Immunoglobulin A (IgA) concentrations have been identified in previous studies in populations with obesity and hypertriglyceridemia, whereas variable concentrations of Immunoglobulin M (IgM) have been observed in the setting of dyslipidemia. METHODS: In this cross-sectional study, investigators examined the association of serum Ig concentrations with components of metabolic syndrome, including obesity, diabetes, and dyslipidemia. All consecutive adult patients aged 18 years or older discharged from two academic teaching hospitals with serum Immunoglobulin G (IgG) concentration measured during their admission were evaluated, with a total of 1809 individuals included and stratified into two groups: those with and those without dyslipidemia. RESULTS: Mean IgG concentration in individuals with and without dyslipidemia was 997 ± 485 mg/dL and 1144 ± 677 mg/dL, respectively (P <  0.0001). After controlling for confounders in the generalized linear model (GLM), the least square mean IgG concentration in individuals with and without dyslipidemia was 1095 and 1239 mg/dL, respectively (P <  0.0001). The mean IgA and IgM concentrations were not significantly different in individuals with and without dyslipidemia both before and after adjusting covariates. After controlling for confounding variables, all three serum Ig concentrations were not significantly different in individuals with and without diabetes. CONCLUSION: Dyslipidemia was associated with a lower mean serum IgG concentration. No association with any serum Ig was indentified in individuals with diabetes. Exploration of the association between alterations in serum Igs and metabolic syndrome and the role of alterations of Ig concentrations in disease progression represents an important step in identification of appropriate targeted treatment options for reducing cardiovascular risk.


Assuntos
Diabetes Mellitus/sangue , Dislipidemias/sangue , Imunoglobulina G/sangue , Síndrome Metabólica/sangue , Obesidade/sangue , Adulto , Idoso , Idoso de 80 Anos ou mais , Biomarcadores/sangue , Estudos Transversais , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/imunologia , Dislipidemias/diagnóstico , Dislipidemias/imunologia , Feminino , Humanos , Imunoglobulina A/sangue , Imunoglobulina M/sangue , Masculino , Síndrome Metabólica/diagnóstico , Síndrome Metabólica/imunologia , Pessoa de Meia-Idade , New Jersey , Obesidade/diagnóstico , Obesidade/imunologia
17.
Nursing ; 49(1): 70, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30586057
18.
Curr Pharm Teach Learn ; 10(12): 1647-1651, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30527833

RESUMO

BACKGROUND AND PURPOSE: Pharmacy residency training standards require development of medical writing skills. These skills are fundamental to pharmacy clinicians and scholars alike. Despite this requirement, new practitioners and seasoned clinicians frequently struggle with scholarly development and manuscript generation for a variety of reasons, ranging from lack of experience or familiarity with the process of peer-review submission to time constraints. EDUCATIONAL ACTIVITY AND SETTING: We describe a process for fostering pharmacy resident scholarship and publication utilized at Robert Wood Johnson University Hospital, including the stages of the project development process and corresponding responsibilities during each phase of the manuscript submission process. From identification of interest, to project and manuscript development, review, submission, revision, and reflection, our postgraduate pharmacy residents receive guidance and structure from a preceptor mentor to usher them through this experience for the first time. FINDINGS: The program has had success utilizing this structured approach to supporting residency publication efforts, with the preparation of 23 manuscripts that have resulted in peer-reviewed publications from 28 residents graduating between 2013 and 2017. This results in a resident authorship rate of 82%. SUMMARY: Although medical writing and manuscript development may not be an intuitive process, it is imperative that preceptors and individuals interacting with postgraduate pharmacy trainees consider exposing their trainees to this process, with foresight into thinking about a structured approach to publication at the onset of project development.


Assuntos
Residências em Farmácia/métodos , Editoração/normas , Educação em Farmácia/métodos , Humanos , Residências em Farmácia/normas , Estudantes de Farmácia/estatística & dados numéricos
19.
Curr Pharm Teach Learn ; 10(9): 1165-1167, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30497617

RESUMO

INTRODUCTION: Over the past twenty years, the acceptance and use of medicinal cannabis has increased in the United States. However, there is still a lack of education and comfort as it relates to the therapeutic uses of botanical cannabis and cannabidiol in pharmacy professional curricula. Professional training programs have failed to keep pace with the evolving national landscape and growing acceptance of this therapy. PERSPECTIVE: In this manuscript, the current landscape of pharmacy professional involvement in the dispensing and administration of medicinal cannabis throughout the United States is described. A concern exists that there is a knowledge gap among pharmacists and pharmacy students, as demonstrated by recent survey results, related to the pharmacology, dosing, administration, adverse effects, drug interactions, and monitoring of both medicinal and recreational cannabis use. IMPLICATIONS: While cannabis use is still considered illegal by the federal government, it is imperative pharmacy educators prepare the next generation of pharmacists to be knowledgeable on the safe and effective use and communication tactics related to cannabis. As a therapy garnering national attention with growing support for use, education on this topic must be included in pharmacy curricula and pharmacy continuing education.


Assuntos
Currículo/normas , Educação em Farmácia/tendências , Maconha Medicinal/farmacologia , Currículo/tendências , Educação em Farmácia/métodos , Humanos , Maconha Medicinal/uso terapêutico , Minnesota , Inquéritos e Questionários , Estados Unidos
20.
Infect Drug Resist ; 11: 1975-1981, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30464539

RESUMO

Purpose: To evaluate the use of aztreonam as an active empiric therapy against subsequent culture of Pseudomonas aeruginosa (P. aeruginosa). Methods: This was a retrospective cohort study conducted among patients who received either aztreonam or an antipseudomonal beta-lactam (BL) as an empiric therapy with subsequent culture with P. aeruginosa. All patients with at least one positive culture for P. aeruginosa between January 2014 and August 2016 were included in this analysis. The primary composite outcome was empiric therapy failure, defined as inappropriate empiric therapy, alteration of empiric antibiotic following culture results, or 30-day in-hospital mortality. Secondary outcomes included appropriate empiric therapy, alteration of empiric therapy, 30-day-in-hospital mortality, and post-culture hospital length of stay. Results: The primary outcome of empiric therapy failure was significantly higher in the aztreonam group than in the BL group (77.8% vs 41.9%; P=0.004). The aztreonam group had a lower rate of appropriate empiric therapy compared with the BL group (44.4% vs 66.1%; P=0.074) and higher alteration of empiric therapy once susceptibilities were known than when compared with the BL group (61.1%vs 28.2%; P=0.005). Although numerically higher, 30-day-in-hospital mortality and median hospital length of stay were not significantly different between the two groups. Conclusion: Empiric therapy failure occurred more often when initially using aztreonam vs a BL in a patient who subsequently had a P. aeruginosa infection. Only a third of patients within the aztreonam group had a documented BL allergy, demonstrating an inclination for clinicians to utilize this drug as an empiric therapy when there were more appropriate therapies available.

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