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I can't remember whether I've shared this little snippet with you. If I have you'll know what the diagnosis is, so let's hope I haven't. As you must know by now the little bits of information I get from the wireless intrigue me. I...
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I can't remember whether I've shared this little snippet with you. If I have you'll know what the diagnosis is, so let's hope I haven't. As you must know by now the little bits of information I get from the wireless intrigue me. It's a unique medium, far better in many ways for imparting ideas than either newspapers or television. What left an impression on me recently was a discussion about the difficulties of prescribing the correct medicine. Slightly disconcerting when you think about it, but that's another story. The problem it seems starts with the poor old doctor and the rot sets in if he or she is just plain ignorant of the best medicine to prescribe in the first place and that of course is assuming a correct diagnosis to start with. It gets worse. Apparently doctors writing is as awful as it's reputed to be and when they've made the right diagnosis and prescribed the correct medicine the pharmacist can't read the prescription, so makes a guess. At that stage the doctor's done his bit andthe pharmacist takes over. Even if, apparently against heavy odds, everything is still all right at that stage mistakes can and do occur. It seems many drugs have very similar packaging. The pharmaceutical companies are more interested in promoting theircorporate image than ensuring that drugs can't be confused. So if the poor dispenser is a bit stressed he has ample opportunity to take a package, an incorrect one, that looks exactly like the one he's seeking. But, and this for me was the punchline, the stow of potential disasters isn't yet complete. All is going swimmingly so far, a well-informed doctor, an accomplished diagnostician, has prescribed the right drugs for the right problem and, saint that he is, has written enough for the methodical pharmacist to dispense the correct drugs and it can all still go pear-shaped.
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Background: Abuse of medicines is becoming a serious problem in many parts of the world, with negative consequences ranging from addiction, psychosis, cardiovascular complications, and premature deaths from unintentional overdose....
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Background: Abuse of medicines is becoming a serious problem in many parts of the world, with negative consequences ranging from addiction, psychosis, cardiovascular complications, and premature deaths from unintentional overdose. In Pakistan, prescription drugs, which are misused or abused by some patients, are often obtained from pharmacies. However, intervention for prescription drugs misuse has not been tested in this setting. Objectives: The objective of the study was to assess knowledge, perception and attitudes regarding interventions towards the abuse of prescription medicines (PM) among practicing pharmacists in Pakistan. Materials and Methods: This transversal study was conducted from June to September 2015 by adopting a pre validated questionnaire distributed to practicing pharmacists in different private and public sector hospitals of Karachi. Descriptive statistics were used to demonstrate participants’ demographic information and their response to the questionnaire items. Pearson’s chi-squared test was executed to evaluate the association of gender, age, organization, and experience of pharmacists with their response. A p value < 0.05 was considered as significant. Results: The study revealed that mass population 75% claimed that they had adequate knowledge of prescription medicine abuse. 81.25% perceived drug abuse as a problem and 88.10% considered that the role of pharmacist was very important in prevention of PM abuse. However pharmacists were not confident that patients would take their advice, respond positively and make needed behavior changes. Respondents also were not confident regarding the manner in which screenings and interventions should occur. Conclusion: Findings from this study will assist health authorities to formulate appropriate health promotion interventions to control and prevent abuse of prescription medicines. Actions directed at early intervention, capacity building, education, public health initiatives and law enforcements will hopefully curb the menace of PM abuse.
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While Testoni, Hornik, Smith, Benjamin, and McKinney (2013) do a good job of identifying ethical questions raised in sports medicine, we suggest three areas in which their analysis needs supplementation. First, the authors' discus...
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While Testoni, Hornik, Smith, Benjamin, and McKinney (2013) do a good job of identifying ethical questions raised in sports medicine, we suggest three areas in which their analysis needs supplementation. First, the authors' discussion of autonomy needs to be more robust, most crucially concerning what counts as autonomous decision making, particularly in the context of external pressures. The authors neglect to include the significant and extensive sport philosophy literature on sports medicine and ethics, which contains considerable analysis of several of the questions the authors pose. A final gap the article does not address in detail regards the doping-related obligations for team physicians working with sports federations and leagues that are signatories of theWorldAnti-DopingAgencyCode (WADA Code) and thus held to additional standards and requirements.
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Abstract Objectives The aim of the current study was to describe prescription medication sharing behaviours (i.e. borrowing and lending) among adults living in Saudi Arabia. Methods This cross‐sectional survey was conducted in Sa...
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Abstract Objectives The aim of the current study was to describe prescription medication sharing behaviours (i.e. borrowing and lending) among adults living in Saudi Arabia. Methods This cross‐sectional survey was conducted in Saudi Arabia during December 2018. The eligibility criteria were an ability to communicate in Arabic or English and aged ≥18?years. An online survey was distributed to a convenience sample, supplemented by snowballing, by email and social media via an Internet link leading to a web‐based survey platform in QuestionPro to assess their medication sharing behaviours. Bivariate and multivariate analyses were used to assess the associations. Key findings A total of 667 completed the questionnaire. The prevalence of borrowing and lending prescription medication was found to be 14% and 16% in 2018 (past year), respectively. Twenty per cent of participants revealed that they had given a medication prescribed for one child to another child in their care, and 75% reported having leftover prescription medicine at home. The majority (90%) had borrowed or lent on one to three occasions. A wide range of medications were borrowed and lent mainly between immediate family members. Different reasons have been identified for medicine borrowing or lending behaviours. Conclusions Borrowing and lending prescription medications are a common practice in the Saudi population. Further research is warranted into the development of successful approaches or interventions to reduce medication sharing behaviour.
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Medicine prescriptions play an important role in medical treatments. More insight in medicine prescription behavior can lead to more efficient and effective treatments, as well as reflection on prescription behavior for specific p...
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Medicine prescriptions play an important role in medical treatments. More insight in medicine prescription behavior can lead to more efficient and effective treatments, as well as reflection on prescription behavior for specific physicians, types of medicines, or classes of patients. Most current medical visualization systems show health data only from the perspective of patients, whereas to understand prescription behavior multiple perspectives are relevant. We present a new approach to visualize prescription data from four different perspectives: physician, patient, medicine, and prescription. Information about physicians, patients, and medicines is shown in three tables; relations between selected items in these tables are shown using custom glyphs and histograms. These tables can also be used to define selections of prescriptions which can be compared to each other by showing a variety of metrics. This enables physicians and possibly other stakeholders to perform a wide variety of queries and inspections, while the use of familiar metaphors, such as tables and histograms, enables them to use the system in short time. This was confirmed by an evaluation session with six neurologists from an institute of epileptology. Our system is tailored to medicine prescription data, but we argue that the underlying pattern in the data is ubiquitous, and that hence our approach can be useful for many other cases where A provides B to C.
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Lifestyle Medicine prescriptions are a foundational component to the practice of Lifestyle Medicine. With expanding technology, prescriptions are moving from single sheets of paper to customizable ongoing feedback that encourages ...
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Lifestyle Medicine prescriptions are a foundational component to the practice of Lifestyle Medicine. With expanding technology, prescriptions are moving from single sheets of paper to customizable ongoing feedback that encourages continuous dialogue and feedback between patient and provider.
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OBJECTIVES: Nonmedical prescription opiate use (NPOU) and nonmedical prescription sedative use (NPSU) are serious public health concerns. The objectives of this study were to determine the prevalence and emergency department (ED) ...
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OBJECTIVES: Nonmedical prescription opiate use (NPOU) and nonmedical prescription sedative use (NPSU) are serious public health concerns. The objectives of this study were to determine the prevalence and emergency department (ED) visit characteristics and other correlates associated with past-year NPOU and NPSU among adolescents and young adults using the ED. METHODS: Participants aged 14 to 20 presenting to the ED at the University of Michigan Medical Center between September 2010 and September 2011 were systematically recruited. A computerized self-report screening survey with validated items measuring past-year NPOU, NPSU, substance use, and violence was delivered to participants, and a retrospective chart review was performed. RESULTS: Of the 2135 participants (86.0% response rate), 222 (10.4%) reported either NPOU or NPSU. Among the 185 (8.7%) participants that reported NPOU, 14.6% had a current home prescription for an opioid and among the 115 (5.4%) with NPSU, 12.3% had a current home prescription for a sedative. After controlling for demographics (age, gender, race, public assistance), correlates of NPOU or NPSU included other substance use, and drinking and driving or riding with a drinking driver. Additional correlates of NPOU included receiving an intravenous opioid in the ED and for NPSU, dating violence, presenting to the ED for a noninjury complaint, and previous ED visit in the past year. CONCLUSIONS: Nearly 1 in 10 young people who use the ED for care report NPOU or NPSU, and only 12.3% and 14.6% report having current home prescriptions for sedatives and opioids. The ED represents a key location for screening and intervention efforts. Pediatrics 2013;132:825-832.
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Aims To apply established methods to identify ADR-related admissions and to determine the proportion which was preventable and which were caused by non-prescription medicines (NPMs). Methods This prospective, observational study s...
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Aims To apply established methods to identify ADR-related admissions and to determine the proportion which was preventable and which were caused by non-prescription medicines (NPMs). Methods This prospective, observational study screened all acute hospital admissions (n = 1,101) by ward pharmacists over a 2-week period. Suspected ADR-related admissions were reported to the researcher and established criteria were used to evaluate probability, causality and preventability of the ADR-related admissions. Results Of the 1,101 emergency admissions which occurred during the study period, 30 were categorised as ADR-related, equating to a prevalence of 2.7% (95% CI, 1.8–3.7%). Three (9.7%) of the 30 admissions were associated with NPMs. The ADR was the dominant reason for admission in 56.7% (n = 17/30) and only 13.3% (n = 4/30) of all reported admissions were assessed as unavoidable. Conclusion The proportion of ADR-related admissions was lower than in previous studies in the UK. A substantial proportion of ADRs was associated with NPMs, highlighting the need for greater awareness amongst patients, prescribers and other health care professionals regarding possible serious adverse effects caused by these medicines.
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Abstract Migraine is a disabling neurovascular disease with unilateral or bilateral pulsatile headache, which intensively affects human health and quality of life due to high morbidity worldwide. Migraine is commonly accompanied b...
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Abstract Migraine is a disabling neurovascular disease with unilateral or bilateral pulsatile headache, which intensively affects human health and quality of life due to high morbidity worldwide. Migraine is commonly accompanied by abnormal pain sensitization, neuroinflammatory response, and vasomotor dysfunction. Owing to the management dilemmas of migraine, there is an urgent need to develop effective and low‐cost therapies. In recent years, herbal medicines as a promising strategy with analgesic activity and minor side effect, have been proposed for the prevention and treatment of migraine. Considering the lack of a review integrating experimental studies regarding the herbal treatment of migraine, this review systematically summarizes the important potential applications of herbal medicines in ameliorating migraine via multiple therapeutic targets and pathways, as well as provides a reference for further development of novel antimigraine drugs.
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