Re: Overuse of Antimicrobial Prophylaxis in Community Practice Urology

The start of the early Christian church is recounted in the book of Acts. In Acts 2 (NKJV) shares that after the outpouring of the Spirit of God, over 3,000 believers gather themselves together, where they “held everything in common, shared their resources, and that each person’s needs were met (Acts 2:42, The Message). The following article takes a bird’s eye view that assists us, as social workers, in understanding the importance of community practice. Community calls us to a sense of belonging and inclusion with a group of people. Community also calls us to consider again our shared values and resources. This article grounds us in the Biblical narrative, moves to our social work skills and knowledge base, and then concludes with thoughts that encourage us to address the “wicked problems” by being disruptive forces in the planned change process which is at the heart of community practice.

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Faculty Opinions recommendation of The effectiveness of single-dose fosfomycin as antimicrobial prophylaxis for patients undergoing transrectal ultrasound-guided biopsy of the prostate.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717967486.793467146 ◽

2012 ◽

Author(s):

John Smith

Keyword(s):

Single Dose ◽

Antimicrobial Prophylaxis ◽

Transrectal Ultrasound ◽

Ultrasound Guided ◽

Guided Biopsy ◽

Ultrasound Guided Biopsy

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Common Comorbidities that Alter Heart Failure Prognosis - shaping new thinking for practice.

Current Cardiology Reviews ◽

10.2174/1573403x16666201113093548 ◽

2020 ◽

Vol 16 ◽

Author(s):

Pupalan Iyngkaran ◽

Merlin Thomas ◽

John D Horowitz ◽

Paul Komesaroff ◽

Michael Jelinek ◽

...

Keyword(s):

Heart Failure ◽

Self Management ◽

Community Practice ◽

Elderly Age ◽

Medical Specialists ◽

General Internal ◽

Allied Health Care ◽

Speciality Training ◽

New Thinking ◽

Failure Prognosis

: At least half of all heart failure (CHF) patients will have a comorbidity that could be undertreated, requires additional speciality input and/or polypharmacy. These patients are then at risk from iatrogenic and disease related complications and readmissions if not closely supervised. Common comorbidities of relevance are cardiorenal and cardiometabolic syndromes (DM, obesity, OSA), chronic airways disease, elderly age and accompanying therapeutic optimisation. The structure of community practice often leaves primary, speciality and allied health care in silos. For example, cardiology speciality training in Australia creates excellent sub-specialists to deliver on the diagnostics and therapeutic advances. A casualty of this process has been gradual alienation of general cardiology towards general internal medical specialists and GP's. The consequences are largely noticed in community practice. The issue are compounded by suboptimal communication of information. This review explores these issues from a cardiology sub-speciality lens, firstly cross speciality areas important for cardiologist to maintain their skill and finally a brief overview of disease management and identifying game changing common denominators such as endothelial dysfunction and self-management.

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A study on the realization of community care for the developmentally disabled : Focusing on Japanese community practice

Journal of Industrial Convergence ◽

10.22678/jic.2020.18.5.088 ◽

2020 ◽

Vol 18 (5) ◽

pp. 88-96

Author(s):

Kyung-An Shin ◽

◽

Eun-A Lee ◽

Do-Hoon Kim

Keyword(s):

Community Care ◽

Developmentally Disabled ◽

Community Practice

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Integration of a Virtual Dispensing Simulator “MyDispense” in an Experiential Education Program to Prepare Students for Community Introductory Pharmacy Practice Experience

Pharmacy ◽

10.3390/pharmacy9010048 ◽

2021 ◽

Vol 9 (1) ◽

pp. 48

Author(s):

Ashley E. Johnson ◽

Jillian Barrack ◽

Jill M. Fitzgerald ◽

Diana M. Sobieraj ◽

Lisa M. Holle

Keyword(s):

Community Pharmacy ◽

Experiential Education ◽

Self Care ◽

Pharmacy Practice ◽

Pharmacy Education ◽

P Value ◽

Community Practice ◽

Practice Experience ◽

Group A ◽

Group B

Background: Technology is increasingly used to enhance pharmacy education. We sought to evaluate student learning and preparedness for community introductory pharmacy practice experiences (IPPEs) after implementation of “MyDispense” into experiential education. Methods: Both first-year pharmacy students and assigned community IPPE preceptors were eligible. Students were stratified based on previous community pharmacy experience (< or ≥ 50 h), then randomized to complete MyDispense exercises before IPPE (group A) or after 24–32 h of IPPE (group B). We evaluated preceptors’ assessment of student readiness using a 6-item Likert scale survey and students’ readiness and opinion of MyDispense using an anonymous 9-item survey. Descriptive statistics were used to characterize data. The Mann–Whitney U test was used to compare groups and a p-value < 0.05 was considered statistically significant. Results: Of 177 eligible students, 155 were randomized and 56 completed study. Group A included 32 students; 56.3% had prior community practice experience. Group B included 24 students; 50% had prior community practice experience. Forty-eight preceptors were enrolled. Students who completed exercises before rotation received higher preceptor scores for patient counseling of self-care and of medications (p < 0.05 for both). Students self-assessed their counseling skills lower than all other skills; 30.4% and 42.9% of students felt mostly or always prepared to counsel for self-care and medications, respectively. Students found MyDispense straightforward, realistic, and appreciated the ability to practice in a safe, electronic, community pharmacy, patient-care environment. Conclusion: Simulation-based software, such as MyDispense, can enhance learner understanding of the prescription fill and counseling process in a community pharmacy practice setting.

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