scholarly journals Application of intervention mapping to develop and evaluate a pharmaceutical discharge letter to improve information transfer between hospital and community pharmacists

Author(s):  
Nicky Cornelissen ◽  
Fatma Karapinar-Çarkit ◽  
Selma En-nasery-de Heer ◽  
Elien B. Uitvlugt ◽  
Jacqueline G. Hugtenburg ◽  
...  
BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e029016 ◽  
Author(s):  
Elizabeth Jane Miller ◽  
Julie D Morgan ◽  
Alison Blenkinsopp

ObjectiveTo investigate timely access to palliative medicines/drugs (PMs) from community pharmacies to inform palliative care service delivery.DesignMixed methods in two sequential phases: (1) prospective audit of prescriptions and concurrent survey of patients/representatives collecting PMs from pharmacy and (2) interviews with community pharmacists (CPs) and other healthcare professionals (HCPs).SettingFive community pharmacies in Sheffield, UK and HCPs that deliver palliative care in that community.ParticipantsPhase 1: five CPs: two providing access to PMs within a locally commissioned service (LCS) and three not in the LCS; 55 patients/representatives who completed the survey when accessing PMs and phase 2: 16 HCPs, including five phase 1 CPs, were interviewed.ResultsThe prescription audit collected information on 75 prescriptions (75 patients) with 271 individual PMs; 55 patients/representatives (73%) completed the survey. Patients/representatives reported 73% of PMs were needed urgently. In 80% of cases, patients/representatives received all PMs on the first pharmacy visit. One in five had to travel to more than one pharmacy to access PMs. The range of PMs stocked by pharmacies was the key facilitating factor. CPs reported practical issues causing difficulty keeping PMs in stock and playing a reactive role with palliative prescriptions. Confidentiality concerns were cited by other HCPs who were reluctant to share key patient information proactively with pharmacy teams. Inadequate information transfer, lack of CP integration into the care of palliative patients and poor HCP knowledge of which pharmacies stock PMs meant patients and their families were not always able to access PMs promptly.ConclusionsConsistent routine information transfer and integration of pharmacy teams in the care of palliative patients are needed to achieve timely access to PMs. Commissioners of PM access schemes should review and monitor access. HCPs need to be routinely made aware and reminded about the service and its locations.


Author(s):  
David A. Grano ◽  
Kenneth H. Downing

The retrieval of high-resolution information from images of biological crystals depends, in part, on the use of the correct photographic emulsion. We have been investigating the information transfer properties of twelve emulsions with a view toward 1) characterizing the emulsions by a few, measurable quantities, and 2) identifying the “best” emulsion of those we have studied for use in any given experimental situation. Because our interests lie in the examination of crystalline specimens, we've chosen to evaluate an emulsion's signal-to-noise ratio (SNR) as a function of spatial frequency and use this as our critereon for determining the best emulsion.The signal-to-noise ratio in frequency space depends on several factors. First, the signal depends on the speed of the emulsion and its modulation transfer function (MTF). By procedures outlined in, MTF's have been found for all the emulsions tested and can be fit by an analytic expression 1/(1+(S/S0)2). Figure 1 shows the experimental data and fitted curve for an emulsion with a better than average MTF. A single parameter, the spatial frequency at which the transfer falls to 50% (S0), characterizes this curve.


Author(s):  
D. Van Dyck

An (electron) microscope can be considered as a communication channel that transfers structural information between an object and an observer. In electron microscopy this information is carried by electrons. According to the theory of Shannon the maximal information rate (or capacity) of a communication channel is given by C = B log2 (1 + S/N) bits/sec., where B is the band width, and S and N the average signal power, respectively noise power at the output. We will now apply to study the information transfer in an electron microscope. For simplicity we will assume the object and the image to be onedimensional (the results can straightforwardly be generalized). An imaging device can be characterized by its transfer function, which describes the magnitude with which a spatial frequency g is transferred through the device, n is the noise. Usually, the resolution of the instrument ᑭ is defined from the cut-off 1/ᑭ beyond which no spadal information is transferred.


2009 ◽  
Vol 14 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Kenneth Hugdahl ◽  
René Westerhausen

The present paper is based on a talk on hemispheric asymmetry given by Kenneth Hugdahl at the Xth European Congress of Psychology, Praha July 2007. Here, we propose that hemispheric asymmetry evolved because of a left hemisphere speech processing specialization. The evolution of speech and the need for air-based communication necessitated division of labor between the hemispheres in order to avoid having duplicate copies in both hemispheres that would increase processing redundancy. It is argued that the neuronal basis of this labor division is the structural asymmetry observed in the peri-Sylvian region in the posterior part of the temporal lobe, with a left larger than right planum temporale area. This is the only example where a structural, or anatomical, asymmetry matches a corresponding functional asymmetry. The increase in gray matter volume in the left planum temporale area corresponds to a functional asymmetry of speech processing, as indexed from both behavioral, dichotic listening, and functional neuroimaging studies. The functional anatomy of the corpus callosum also supports such a view, with regional specificity of information transfer between the hemispheres.


2006 ◽  
Author(s):  
Ayse P. Gurses ◽  
Yan Xiao ◽  
Paul Gorman ◽  
Brian Hazlehurst ◽  
Grant Bochicchio ◽  
...  

2019 ◽  
Author(s):  
Sarah Puhl ◽  
Torben Steenbock ◽  
Carmen Herrmann ◽  
Jürgen Heck

Pinching molecules via chemical strain suggests intuitive consequences, such as compression at the pinched site, and clothespin-like opening of other parts of the structure. If this opening affects two spin centers, it should result in reduced communication between them. We show that for a naphthalene-bridged biscobaltocenes with competing through-space and through-bond pathways, the consequences of pinching are far less intuitive: despite the known dominance of through-space interactions, the bridge plays a much larger role for exchange spin coupling than previously assumed. Based on a combination of chemical synthesis, structural, magnetic and redox characterization, and a newly developed first-principles theoretical pathways analysis, we can suggest a comprehensive explanation for this nonintuitive behavior. These results are of interest for molecular spintronics, as naphthalene-linked cobaltocenes can form wires on surfaces for potential spin-only information transfer.


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