Drug Alert, May 7, 2015

Newsletter produced by Iowa Governor's Office of Drug Control Policy.

Alcohol Facts, June 14, 2012

Facts about Alcohol use in Iowa produced by Office of Drug Control Policy.

Guide to Medicare prescription drug coverage, 2013

A guide for seniors on medicare and prescription drug plans

From geriatric service to primary care: a retrospective pharmaceutical analysis of the medical prescription

Introduction The population of elderly persons is increasing andnegative outcomes due to polymedication are frequent. Discrepanciesin information about medication are frequent when older persons aretransitioning from hospital to home, increasing the risk of hospitalreadmission. The aims of this study were a) to determine discrepanciesin medical regimen indicated in two official discharge documents(DS = discharge summary, DP=discharge prescription); b) to characterizethe pharmacotherapy prescribed in older patients dischargedfrom a geriatric service.Materials & Methods Elderly patients (N=230) discharged from thegeriatric service (CHUV, Lausanne) over a 6-month period (January toJune 2009) were selected. Community pharmacists compared DS andDP to identify discrepancies including (a) drugs' name; (b) schedule ofadministration, dosage, frequency, prn prescription, treatment durationand galenic formulation. Beers' criteria were applied to identifypotentially inappropriate drugs and a descriptive analysis of drug costs,prescription profiles and generics were also performed.Results On average, patients were 82 ± 7 years old and stayed23.0 ± 11.6 days in the geriatric service. The delay between the datesof patient's discharge with the DP and the sending of the DS to hisgeneral physician averaged 14.0 ± 7.5 days (range 1-55). The DPhad an average of 10.0 ± 3.3 drugs (range 2-19). 77% of patients hadat least one discrepancy. A drug was missing on the DS in 57.8% ofpatients and 19.6% had a missing prn prescription. Among the 2312drugs prescribed, 3% belonged to Beers' list. They were prescribed to61 patients (26.5%), with 6 patients cumulating two Beers' potentiallyinappropriate drugs in their treatment. Analgesics (85% of thepatients), anticoagulants (80%), mineral supplements (77%), laxatives(52%) and antihypertensives (46%) were the drug classes most frequentlyprescribed. Mean costs of treatment as per DP was160.4 ± 179.4 Euros. Generic prescription represented more than 5%of the costs for 3 therapeutic classes (cholesterol-lowering agents(64%), antihypertensives (50%) and antidepressants (47%)).Discussion & Conclusion The high discrepancy rate between medicationlisted in the DP and the DS highlights a need for safetyimprovement. Potential benefits are expected from reinforced pharmacist-physician collaboration in transition from hospital to primarycare. In addition, even though Beers' criteria are questionable, thedrugs prescribed in this already fragile population, and the potentialopportunities of economical optimizations, are advocating thedevelopment and the scientific evaluation of a structured advancedcollaborative pharmacy practice service. This foresees improvedeffectiveness, safety and efficiency in the medication management ofelderly persons.

Sähköisten reseptien hallinta

Sähköinen reseptijärjestelmä nykyisessä muodossaan sai alkunsa Sosiaali- ja terveysministeriön aloitteesta ja Kansaneläkelaitoksen toimesta vuoden 2001 aikana. Käytössä oleva kansallinen reseptipalvelin mahdollistaa potilaiden oikeudet muun muassa apteekin vapaaseen valintaan ja lääkkeiden suorakorvausmenetelmään. Sähköinen resepti pyritään integroimaan olemassa olevien potilasrekisterijärjestelmien yhteyteen, joten semanttisen webin tuomat teknologiat kuten Web-palvelut ja XML-pohjaiset kielet ovat tärkeässä asemassa reseptien hallinnassa. Tässä työssä pyritään esittämään sähköisen reseptijärjestelmän toimintaa ja sen mahdollistavia jo olemassa olevia tekniikoita. Esille tuodaan myös uusia lisäarvoa tuovia tekniikoita, kuten RDF(S)-kuvauskielet, jotka mahdollistavat muun muassa resepteihin kohdistuvat kyselyt ja täten uudet terveyspalvelut sekä potilaille että lääkäreille. Oleellista on tietenkin myös tietoturva, sillä organisaatioiden välillä resepteissä liikkuu arkaluontoisia tietoja. Turvallisuutta pyritään edistämään muun muassa sähköisillä allekirjoituksilla ja älykorttien avulla tapahtuvalla järjestelmään tunnistautumisella. Jotta sähköinen resepti toimisi tulevaisuudessakin halutulla tavalla ja mahdollistaisi lisäarvopalveluita, on siinä panostettava sisällön lisäksi senkuvaamiseen. Sisällön ja sen suhteiden tarkka määrittely auttaa muun muassa reseptikyselyjen tekemisessä, mikä onkin olennainen osa potilasturvallisuuden ylläpitoa. Kuvauskielien ja ontologioiden käyttö voi myös auttaa lääkehoidon määrittämisessä useiden erilaisten ja jatkuvasti lisääntyvien lääkkeiden viidakossa, kun lääkkeitä voidaan etsiä tietokannoista reseptin kirjoituksen yhteydessä.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Anàlisi dels indicadors de la gestió per processos de la docència pràctica a la Unitat de Laboratoris Docents (ULD) de la Facultat de Farmàcia

[eng] In the Unitat de Laboratoris Docents (ULD) of the Faculty of Pharmacy a Quality System has been implemented to improve the management of the training laboratories and to introduce practical aspects of this system in the formation of the students. In the last years, we have designed the process map, and the flowcharts with the corresponding key point tables from which the indicators have been identified. The main objective of this work was to found a system that allows the evaluation of the ULD service, the teaching innovation introduced as well as the grade of implication of the lecturers who teach practical training and thus are directly responsible for the formation of the students. The values obtained for the operating ULD procedures correspond to the data from obligatory courses, with practical teaching in the ULD laboratories, of Pharmacy and Food Science and Technology degrees for the 2005-06 academic year. [spa] En la Unidad de Laboratorios Docentes (ULD) de la Facultad de Farmacia, se ha implantado un sistema de gestión de la calidad con el objetivo de mejorar la gestión de la docencia práctica y a su vez introducir aspectos prácticos de la gestión de la calidad en la formación de los estudiantes. En los últimos años se ha elaborado el mapa de procesos, el diagrama de flujo y la ficha de cada proceso a partir de la cual ha sido posible la identificación de los indicadores. El Prat, J. et al. Edusfarm, revista d"educació superior en Farmàcia. Núm. 2. 2007 2 principal objetivo del presente trabajo es buscar un sistema que permita evaluar el propio funcionamiento de la ULD, la innovación realizada así como el grado de implicación de los profesores que imparten la docencia práctica y que son responsables directos de la formación de los estudiantes. Los valores obtenidos para los procesos operativos de la ULD provienen de los datos generados en el curso académico 2005-2006 en las asignaturas troncales de las Licenciaturas de Farmacia y de Ciencia y Tecnología de los Alimentos.

Safety of human immunisation with a live-attenuated Mycobacterium tuberculosis vaccine: a randomised, double-blind, controlled phase I trial.

BACKGROUND: Tuberculosis remains one of the world's deadliest transmissible diseases despite widespread use of the BCG vaccine. MTBVAC is a new live tuberculosis vaccine based on genetically attenuated Mycobacterium tuberculosis that expresses most antigens present in human isolates of M tuberculosis. We aimed to compare the safety of MTBVAC with BCG in healthy adult volunteers. METHODS: We did this single-centre, randomised, double-blind, controlled phase 1 study at the Centre Hospitalier Universitaire Vaudois (CHUV; Lausanne, Switzerland). Volunteers were eligible for inclusion if they were aged 18-45 years, clinically healthy, HIV-negative and tuberculosis-negative, and had no history of active tuberculosis, chemoprophylaxis for tuberculosis, or BCG vaccination. Volunteers fulfilling the inclusion criteria were randomly assigned to three cohorts in a dose-escalation manner. Randomisation was done centrally by the CHUV Pharmacy and treatments were masked from the study team and volunteers. As participants were recruited within each cohort, they were randomly assigned 3:1 to receive MTBVAC or BCG. Of the participants allocated MTBVAC, those in the first cohort received 5 × 10(3) colony forming units (CFU) MTBVAC, those in the second cohort received 5 × 10(4) CFU MTBVAC, and those in the third cohort received 5 × 10(5) CFU MTBVAC. In all cohorts, participants assigned to receive BCG were given 5 × 10(5) CFU BCG. Each participant received a single intradermal injection of their assigned vaccine in 0·1 mL sterile water in their non-dominant arm. The primary outcome was safety in all vaccinated participants. Secondary outcomes included whole blood cell-mediated immune response to live MTBVAC and BCG, and interferon γ release assays (IGRA) of peripheral blood mononuclear cells. This trial is registered with ClinicalTrials.gov, number NCT02013245. FINDINGS: Between Jan 23, 2013, and Nov 6, 2013, we enrolled 36 volunteers into three cohorts, each of which consisted of nine participants who received MTBVAC and three who received BCG. 34 volunteers completed the trial. The safety of vaccination with MTBVAC at all doses was similar to that of BCG, and vaccination did not induce any serious adverse events. All individuals were IGRA negative at the end of follow-up (day 210). After whole blood stimulation with live MTBVAC or BCG, MTBVAC was at least as immunogenic as BCG. At the same dose as BCG (5×10(5) CFU), although no statistical significance could be achieved, there were more responders in the MTBVAC group than in the BCG group, with a greater frequency of polyfunctional CD4+ central memory T cells. INTERPRETATION: To our knowledge, MTBVAC is the first live-attenuated M tuberculosis vaccine to reach clinical assessment, showing similar safety to BCG. MTBVAC seemed to be at least as immunogenic as BCG, but the study was not powered to investigate this outcome. Further plans to use more immunogenicity endpoints in a larger number of volunteers (adults and adolescents) are underway, with the aim to thoroughly characterise and potentially distinguish immunogenicity between MTBVAC and BCG in tuberculosis-endemic countries. Combined with an excellent safety profile, these data support advanced clinical development in high-burden tuberculosis endemic countries. FUNDING: Biofabri and Bill & Melinda Gates Foundation through the TuBerculosis Vaccine Initiative (TBVI).

ClientBS : Aplicació Android per a l'ajuda en les preses de medicaments

L'objectiu principal d'aquest treball és desenvolupar una aplicació Android destinada a aquells pacients en tractament mèdic que estiguin donats d'alta en alguna de les farmàcies vinculades a un servei professional paral·lel dedicat a l'ajut en l'emplenat de SPDs (sistema personalitzat de dosificació). Aquesta aplicació pretén proporcionar-li una ajuda directa al pacient en diversos aspectes: obtenint la seva posologia mèdica acordada amb la farmàcia, configurant els horaris de les preses dels medicaments i rebent notificacions o alertes relatives a aquestes preses directament al seu dispositiu.

O gênero copaifera L.

This review details the history, chemistry and pharmacology of the Copaifera L. genus (Leguminosae - Caesalpinoideae), including copaiba oils.

Avaliação de uma proposta contextualizada sobre o ensino de polarimetria nos cursos de farmácia e engenharia de alimentos, na Universidade Federal do Ceará

This work deals with an evaluation of an experimental application about polarimetry for pharmacy and food engineering courses. Foods obtained from the undergraduate students were used for demonstrating multidisciplinary concepts and these concepts were associated to the teaching of polarimetry. According to the results, the benefits of the contextualization are beyond the class and the undergraduating students became interested in control of quality of foods. From these results, it can be concluded that the experimental emphasis given is valid and creates motivation and interest for learning physico-chemistry, in comparison with the traditional methodology applied to teach polarimetry.

Alterações em medicamentos mal acondicionados: uma estratégia para desenvolver habilidades investigativas, comunicação científica e interdisciplinaridade nas aulas de química

The chemist must master a number of abilities. These include a solid knowledge of theory and the capacity to devise theoretical problems. The chemist is also expected to solve problems. In order to improve these abilities, this work aimed to evaluate several tools, such as the use of contextualization, problem-based learning and the interdisciplinary approach. In the methodology developed, undergraduate students had to investigate and propose a hypothesis, suggesting how physical changes took place in inappropriately stored drugs. The interdisciplinary approach is achieved by connecting public interest, chemistry, biology and pharmacology concepts. The tools can improve these abilities required for a well-prepared chemist.