摘要:

The overall results are reported from a project designed to identify the type and frequency of problems associated with the use of medicine by the general public, and to establish any differences between the inner urban area and the rest of the borough of Bolton, England. Two separate groups in the community have been identified who need assistance with medicines. One group, referred by health care professionals, need extensive support and supervision of their medicines. The other group, identified by postal questionnaire, exhibit specific problems, such as difficulties with medicine packaging, general use and storage problems. All could be resolved, to varying degrees, by the intervention of pharmacists.

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00524.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Administration of total parenteral nutrition solutions via a peripheral vein is an attractive concept. An ideal regimen would meet the requirements of moderately catabolic patients and would contain about 14g of nitrogen and 2200kcals. The feasibility of administering such a regimen was examined in a study at Hammersmith hospital, London. To prolong vein survival and minimise the risk of phlebitis, all patients had a glyceryl trinitrate patch and twice daily hydrocortisone cream applied to the infusion site. Patients were randomised to receive either heparinised or non‐heparinised TPN at a concentration of 1 IU/ml. Sixteen patients were recruited to the study of whom nine received heparin in their TPN. The end point was determined as occurring when the cannula was removed electively or accidentally, or when phlebitis around the cannula site necessitated removal. Infusions ending in phlebitis or tissuing were counted as true failures while cannulae electively withdrawn or pulled out were treated as censored data. The median survival time of infusion sites receiving heparinised TPN was 69 hours while the median survival time of sites receiving TPN only was 31 hours. Life table analysis was carried out on the duration of patency of individual cannulation sites. Comparison of the two groups using the logrank test showed a significant difference (p=0.013). Thus, the addition of heparin at 1 IU/ml to TPN infusate produced a marked extension of the survival of the infusion sites. This technique warrants further investigation with other peripheral regimen

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00525.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Monitoring the drug interactions generated during one month's dispensing revealed that 1 per cent (49) of the 5,000 items dispensed were interactions requiring contact with the patient's GP. The majority of those (31) involved items on separate prescription forms, and therefore would not have been detectable without the aid of patient medication records.The interactions were monitored using a database that indicated their clinical significance, an approach commended by the authors.During the month, the pharmacist referred to the records 582 times for extra information, yet on only 12 of those occasions was it necessary to refer to the GP, indicating that the PMRs, saved time in the dispensary.

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00526.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The effect on prescribing of co‐operation between four pharmacists and 10 general medical practitioners in west Rotterdam, the Netherlands, was studied using the case‐control method. Prescribing statistics provided by the Rotterdam Health Insurance Foundation for the years 1979‐1982 were used to examine the effect of co‐operation on the number of prescriptions per year, the number of units of supply per year and the cost of drugs supplied. The results show that it is possible to standardise drug therapy used by a group of GPs and pharmacists, that prescribing agreements can be maintained over a number of years and that doctors who co‐operate with pharmacists prescribe more rationally and more cheaply than those w

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00527.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

An independent report into pharmacy in Britain recommended that schools of pharmacy and hospitals should set up joint academic practice units to promote teaching and research. A number of such units have now been established in the south‐east of England in association with the school of pharmacy, London universit

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00528.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Policy makers need good practice research, and the profession must develop a clear strategy. That was the clear message to come from international speakers at the first British practice research conference, held in London in February

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00529.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Patient compliance can have a significant effect on outcome with certain treatments. Not taking it into account can mean a real drug benefit is missed. But how should it be measured? What effect does improving it have on patient response? For which drugs does it really matter? Some of these problems were discussed at a conference at Leeds university, England, on March 8.

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00530.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00531.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00533.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Book reviewed in this article:Sociology: ‘Sociology for pharmacists: an introduction’, by Geoffrey Harding, Sarah Nettleton, and Kevin Taylor.Drugs In Use: ‘Drugs in use: clinical case studies for pharmacists’, edited by Lind

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1991.tb00534.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY