scholarly journals Skin disorder management in oral anticancer drugs by collaboration of hospital pharmacists and community pharmacists

2020 ◽  
Author(s):  
Ryuta Urakawa ◽  
Sanae Hashimoto ◽  
Hideki Hirohata ◽  
Katsunori Sakai ◽  
Kayo Matsuura ◽  
...  
Keyword(s):  
Early Detection ◽  
Anticancer Drugs ◽  
Skin Disorder ◽  
Community Pharmacists ◽  
Skin Care ◽  
Team Approach ◽  
Skin Disorders ◽  
Hospital Pharmacists ◽  
High Motivation ◽  
Medical Examinations

Abstract Background In Japan, the multidisciplinary team approach in cancer chemotherapy has become quite widespread. However, patients treated with oral anticancer drugs in outpatient clinics usually receive short medical examinations from doctors without any intervention of pharmacists. To improve this medical circumstance, we made a skin disorder manual for community pharmacists and evaluated its feasibility. Methods Patients who underwent oral skin toxic chemotherapy from May 1, 2017, to October 31, 2017, were enrolled. The severity of skin toxicities was evaluated based on NCI-CTCAE ver4.0. Skin care and skin disorders were assessed by community pharmacists based on the assessment document arranged by the investigator. Numbers of patients who replied to the assessment, numbers of replies, numbers of assessments and instructions for skin care, and numbers of prescription proposals were evaluated to assess the value of intervention of community pharmacists. Results Sixty-two patients were enrolled in this study. Community pharmacy responded to 55 patients (88.7%), for a total of 335 replies. The data described in the replies were as follows: 317 assessments of skin disorders (94.6%), 307 assessments of skin care (91.6%), 248 instructions for skin care (74%), and 19 prescription proposals (5.7%). Conclusions Community pharmacists have high motivation for prevention and early detection of skin disorders. Although the number of prescription proposals is small, some proposals have contributed to improving side effects. Collaboration of hospital pharmacists and community pharmacists is important for prevention, early detection, and treatment of skin disorders caused by oral anticancer drugs.

To evaluate the efficacy of Jalaukavacharana followed by Khadira Prayoga in Vicharchika w.s.r to Eczema

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Kulkarni Sharad ◽  
Syeda Ather Fathima ◽  
Naveen B. S.
Keyword(s):  
Incidence Rate ◽  
Clinical Features ◽  
Skin Disease ◽  
Skin Disorder ◽  
Age Groups ◽  
High Rate ◽  
Main Line ◽  
Treatment Modalities ◽  
Skin Disorders

Vicharchika (Eczema) is a skin disorder with predominance of Pitta Kapha Dosha, with clinical features like Kandu, Srava, Pidaka, Shyavata, Rookshata, Raji, Ruja and Daha mainly in the extremities. It is the second commonest skin disease affecting all age groups, with incidence rate of 2-3% and high rate of recurrence. Ayurveda emphasizes Shodhana therapy as the main line of treatment in skin disorders. Raktamokshana is indicated as Rakta is mainly involved in Vicharchika. In the present study, two treatment modalities were selected to find out which is more appropriate.

scholarly journals Decision Tree for Early Detection of Cognitive Impairment by Community Pharmacists

2018 ◽  
Vol 9 ◽  
Author(s):  
Maria Teresa Climent ◽  
Juan Pardo ◽  
Francisco Javier Muñoz-Almaraz ◽  
Maria Dolores Guerrero ◽  
Lucrecia Moreno
Keyword(s):  
Cognitive Impairment ◽  
Early Detection ◽  
Decision Tree ◽  
Community Pharmacists

scholarly journals Frequency and types of skin disorders and associated diabetes mellitus in elderly Jordanians

2021 ◽  
Vol 8 (4-5) ◽  
pp. 574-578
Author(s):  
F. Najdawi ◽  
M. Fa'ouri
Keyword(s):  
Diabetes Mellitus ◽  
Bacterial Infection ◽  
Fungal Infection ◽  
Skin Disorder ◽  
Skin Diseases ◽  
The Elderly ◽  
Skin Lesions ◽  
Skin Disorders ◽  
Patients With Diabetes ◽  
Considerable Morbidity

A retrospective study of 232 elderly patients seen between August 1998 and April 2000 at the skin clinic in Princess Haya hospital, Aqaba, was undertaken to determine the prevalence of skin disorders, and those most commonly associated with diabetes mellitus, in the elderly. Eczema/dermatitis was the commonest skin disorder seen [25.9% of cases], followed by pruritus without skin lesions [15.1%], viral infection [14.7%, most commonly herpes zoster], fungal infection [13.8%], and bacterial infection [10.3%]. Bacterial infection was the commonest skin disorder in patients with diabetes mellitus [62.5%], followed by fungal infection [50.0%]. Skin diseases cause considerable morbidity in elderly people; health promotion and education can do much to reduce the risks of these disorders in the elderly, especially those with diabetes

scholarly journals Feasibility of cardiovascular risk screening in Portuguese community pharmacies

2021 ◽  
Vol 19 (2) ◽  
pp. 2255
Author(s):  
Anabela Fonseca ◽  
Tacio Lima ◽  
Margarida Castelo-Branco ◽  
Isabel Vitória Figueiredo
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Early Detection ◽  
Community Pharmacists ◽  
Physical Parameters ◽  
Community Pharmacies ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Risk Screening ◽  
Screening Programs

Background: Cardiovascular disease (CVD) remains the leading cause of human mortality. As highly accessible and qualified health professionals, community pharmacists can be included in the early detection of patients at risk for CVD by implementing CVD screening programs. Objective: To assess the feasibility of CVD risk screening services in Portuguese community pharmacies from the evaluation of customers acceptability. Methods: A cross-sectional study was conducted in a community pharmacy in Portugal. The purpose of entering the pharmacy was recorded for all customers. Afterwards, the customers were invited to be interviewed by the pharmacist, who registered their willingness to participate and collected the participants’ data and biochemical and physical parameters to assess their CV risk by applying the Systematic COronary Risk Evaluation (SCORE) model. For the participants who were not eligible for the SCORE-based risk assessment, the pharmacist considered the major modifiable CVD risk factors - hypertension, dyslipidemia, smoking habits, obesity, impaired fasting glucose and sedentary behavior - according to the ESC guidelines. Results: Picking up medication was the most prevalent reason 69.8% (n=1,600) for entering the pharmacy, and among the contacted customers, 56.4% (n=621) agreed to have their CVD risk assessed. Of the 588 participants, 56.6% (n=333) were already on CV pharmacotherapy and were therefore not eligible for screening. Of the 43.4% (n=255) CV pharmacotherapy-naïve participants, 94.9% (n=242) were screened with at least one CVD risk factor; 52.9% (n=135) were not eligible for the SCORE assessment, of which 92.6% (n=125) presented CVD risk factors. Of the 120 SCORE eligible participants, 80.0% (n=96) were at least at moderate risk of CVD. Conclusions: We determined the feasibility of CVD risk screening in Portuguese community pharmacies, as we found high customer acceptability, noted the reasons for nonattendance, and found a high prevalence of CVD risk factors in at-risk patients. This is an opportunity for Portuguese community pharmacists to take a leading role in the early detection of CVD.

scholarly journals Prevalence of Ectoparasitic Infections and Other Dermatological Infections and Their Associated Factors among School Children in Gampaha District, Sri Lanka

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Nayana Gunathilaka ◽  
Nilmini Chandrasena ◽  
Lahiru Udayanga
Keyword(s):  
Sri Lanka ◽  
School Children ◽  
Skin Disorder ◽  
Fungal Infections ◽  
Medical Officer ◽  
Cross Sectional Study ◽  
School Level ◽  
Skin Disorders ◽  
Cross Sectional ◽  
Study Participants

Skin disorders are one of the commonest conditions among school children in developing countries. There are only a few published studies available from Sri Lanka on the prevalence of skin disorders. A community-based cross-sectional study was carried out among five government-run schools randomly selected from the district of Gampaha, Sri Lanka, during 2016-2017. A total of 41 students between 5 and 16 years of age were randomly selected from each school. Sociodemographic profile and hygienic behaviors of selected students were assessed using a pretested interviewer-administered questionnaire. Students were examined by a medical officer for the presence of different skin disorders. The chi-squared test of association and binary logistic regression were used for the identification of the significance of socioeconomic factors and hygienic practices among the study participants. A total of 205 school children participated in the study. The commonest skin disorder was pediculosis (42.0%; n=86), followed by dandruff (8.3%; n=17), fungal infections (6.8%; n=14), and scabies (1.5%; n=3). Almost one-fourth of the study participants (22.9%; n=30/131) had more than one disorder, majored by Pediculus captis infestation with dandruff. Over one-third (36.1%; n=74) were free of any skin disorders. The prevalence of skin disorders was significantly high among females (87.3%; n=110), compared to males (26.6%; n=21). Presence of long hair, higher family size, and limited number of rooms in the house were risk factors associated with the prevalence of skin disorders. The commonest skin disorder was pediculosis, while scabies and fungal infections were scarce among school children in the district of Gampaha, Sri Lanka. Implementation of health education and monitoring programs at the school level for maintaining the dermal health status of school children is recommended.

Hypomelanosis Secondary to Cutaneous Inflammation

2021 ◽  
Author(s):  
Behzad Dalvand
Keyword(s):  
Medical Therapy ◽  
Skin Disorder ◽  
Clinical Manifestations ◽  
Skin Disorders ◽  
Dark Skin ◽  
Melanin Production ◽  
Cutaneous Inflammation ◽  
Inflammatory Skin

Hypomelanosis is a prevalent skin disorder in individuals with dark skin. Numerous inflammatory skin disorders cause hypomelanosis, even depigmentation. Its pathogenesis remains unknown, but it can be attributed to changes in melanin production in response to inflammation. The clinical manifestations, often including lesions with ill-defined borders limited to the site of inflammation, mostly appear in individuals with dark skin. The most important way to manage PIH is to effectively treat the underlying skin disorder that has led to it, however, medical therapy and phototherapy can be helpful, as well.

Evaluation of Recent Pharmacy Graduates' Practice Patterns, Professional Lifelong Learning, Pharmacy Organization Memberships, and Salary

1994 ◽  
Vol 28 (1) ◽  
pp. 21-28 ◽  
Author(s):  
C.A. Bond ◽  
Michael E. Pitterle ◽  
Cynthia L. Raehl
Keyword(s):  
Lifelong Learning ◽  
Degrees Of Freedom ◽  
Practice Patterns ◽  
Community Pharmacists ◽  
Advanced Degree ◽  
Hospital Pharmacists ◽  
Bachelor Of Science ◽  
Pharmacy Organization ◽  
American Society ◽  
Organization Membership

OBJECTIVES: To document information on recent bachelor of science (B.S.) pharmacy graduates' practice patterns, professional lifelong learning (PLL) methods, pharmacy organization memberships, and salary. The association between advanced training and education on PLL methods, pharmacy organization membership, and salary are explored. DATA SOURCES: Pertinent literature was identified by MEDLINE searches (1966–1992). STUDY DESIGN: The results of a Fall 1991 survey of recent B.S. pharmacy graduates (n=371) of the University of Wisconsin School of Pharmacy are reported (55 percent response rate). RESULTS: Hospital pharmacists devoted more time to PLL outside of work (l8.00 ± 17.89 h/mo) than community pharmacists (9.93 ± 8.76 h/mo), t=5.02, degrees of freedom (df)=289, p <0.001. Graduates who had completed an advanced degree program, residency, or fellowship (advanced degree/training [ADT]) spent more time in PLL (17.76 ± 10.63 h/mo) compared with graduates who had only obtained a B.S. degree (10.63 ± 8.56 h/mo), t=3.80, df=311, p<0.001. Graduates who had ADT were more likely to belong to multiple pharmacy organizations (2.14 ± 1.38 organizations) than hospital pharmacists (1.61 ± 1.27 organizations) and community pharmacists (l.ll ± 1.06 organizations). Of the pharmacists who graduated in 1989 and 1990 (one to two years postgraduation), 55 percent belonged to the American Pharmaceutical Association. This declined to 19 percent of the graduates from 1984 and 1985 (six to seven years postgraduation), a 62 percent decline in membership. Membership in the American Society of Hospital Pharmacists (ASHP) was held by 19 percent of graduates one to two years after graduation; and 34 percent of graduates belonged to ASHP six to seven years after graduation, an 81 percent increase. Graduates with ADT (compared with graduates with the B.S. degree only) showed the strongest correlation of membership affiliation, which was about equal with ASHP (phi=0.32) and ACCP (phi=0.33). Although pharmacists changed their individual pharmacy organization memberships during the first seven years after graduation, there was no evidence of a decline in overall interest in pharmacy organization membership. Pharmacists who had completed ADT had an annual mean salary of $51 112 ± $10 012; those pharmacists who did not complete an ADT program had an annual mean salary of $46 440 ± $7802, a difference of $4672 per year. Hospital pharmacists who had obtained ADT had an annual mean salary of $51 840 ± $9765; B.S. pharmacists without ADT in hospital practice had an annual mean salary of $43 603 ± $8192, a difference of $8237 per year. CONCLUSIONS: Pharmacists' PLL methods, organization memberships, and salaries varied significantly by their practice site and the completion of an ADT program.

Skin care in burn patients: a team approach

Burns ◽  
2001 ◽  
Vol 27 (5) ◽  
pp. 489-491 ◽  
Author(s):  
W.-S. Ho ◽  
H.H. Chan ◽  
S.Y. Ying ◽  
H.S. Cheng ◽  
C.S. Wong
Keyword(s):  
Skin Care ◽  
Team Approach ◽  
Burn Patients
Sign in / Sign up

Export Citation Format

Share Document