Pain Management Stewardship Programs, Part I: A Review of Legislative and Regulatory Changes

2019 ◽  
pp. 001857871986840
Author(s):  
Matthew Gibson ◽  
Phuoc Anh (Anne) Nguyen ◽  
Elizabeth Ann Casserly ◽  
Leigh E. Efird ◽  
Melanie K. Kuester ◽  
...  
Keyword(s):  
Best Practices ◽  
Review Of The Literature ◽  
Opioid Use ◽  
State Laws ◽  
Comprehensive Management ◽  
Regulatory Changes ◽  
Short Period ◽  
Rapid Changes ◽  
The Impact ◽  
Pharmacy Leaders

Background: Opioid use is classified as an epidemic by many due to the impact of these medications on society. Federal and state laws for prescribing and dispensing opioids have changed rapidly in a short period of time to hopefully balance proper pain control with their use. Pharmacy directors must be informed of these rapid changes to effectively work as part of any opioid stewardship team. Objective: The objective of this study was to provide foundational leadership guidance to pharmacy directors on current opioid legislation, literature, and best practices to assist in improving opioid use. Methods: A review of the literature from 2003 to the present was conducted along with collating important up to date resources and other publications that provide foundational information to help support a comprehensive management of opioid use. A summary of these data has been collated into an easy to use table and summarized throughout this article. Conclusion: The information provided in this article helps to properly inform pharmacy leaders to the resources available to improve the prescribing, dispensing, and monitoring of opioids and alternatives.

Gender-Inclusive Educational Programs for Workforce Development

2018 ◽  
Vol 29 (3) ◽  
pp. 94-103
Author(s):  
Sarah M. Ray ◽  
Ovidio Galvan ◽  
Jill Zarestky
Keyword(s):  
Best Practices ◽  
Vocational Education ◽  
Workforce Development ◽  
Feminist Pedagogy ◽  
Workforce Education ◽  
Review Of The Literature ◽  
Education Students ◽  
Program Administrators ◽  
Participation Of Women ◽  
The Impact

Vocational and workforce education provide economic opportunity but often exclude or limit the participation of women. Here, we lay the foundation for developing workforce programming from a feminist perspective and building inclusion efforts within academic institutions for vocational education students and practitioners. Based on a systematic review of the literature, we present findings pertaining to three aspects of feminist pedagogy—career choice, care, and multiculturalism—as the basis for identifying the best practices for a feminist pedagogy of vocational education. We conclude with a discussion of the impact of the findings on the personal/social and political/structural qualities of education programs and provide an extensive and concrete checklist for vocational and workforce program administrators and educators to use when evaluating and modifying their programs for inclusive practices.

scholarly journals Survey on Antimicrobial Drug Use Practices in California Preweaned Dairy Calves

2021 ◽  
Vol 8 ◽  
Author(s):  
Emmanuel Okello ◽  
Deniece R. Williams ◽  
Wagdy R. ElAshmawy ◽  
Jaymes Adams ◽  
Richard V. Pereira ◽  
...  
Keyword(s):  
Antimicrobial Drug ◽  
Dairy Calves ◽  
Herbal Remedies ◽  
Antimicrobial Drugs ◽  
Record Keeping ◽  
Regulatory Changes ◽  
Short Period ◽  
Final Rule ◽  
Future Evaluation ◽  
The Impact

The California (CA) dairy industry was surveyed in July 2017 to evaluate producers' knowledge and perceptions and antimicrobial drug (AMD) use in preweaned dairy calves following the implementation of the nationwide veterinary feed directive final rule (VFD) in January 2017 and prior to statewide implementation of CA Senate Bill (SB) 27 in January 2018. Together, these regulations require veterinary oversight for all uses of medically important antimicrobial drugs (MIADs) administered to livestock in CA. Survey questionnaire was mailed to 1,361 CA Grade A milk producing dairies and calf ranches across CA resulting in a 12% (169) response. Most respondents (83%) were aware of the VFD and SB 27 changes. Use of antibiotics was perceived as important (77%) in raising preweaned dairy calves and judicious use of antibiotics was ranked as the most important antimicrobial stewardship practice, amongst record keeping, observing withdrawal periods, having a valid Veterinarian-Client-Patient-Relationship (VCPR), and use of alternatives to antibiotics. Treating sick calves was the major indication for AMD use (90.5%); however, few producers reported use of antibiotics to control (12.7%) or prevent disease (11%). Neomycin sulfate, chlortetracycline, oxytetracycline and sulfamethazine were the most used AMD. The respondents reported a decreased use of AMD in milk (10%) and in solid feed (5%), and discontinuation of one or more AMDs used in milk (18.6%) or in solid feed (5%) post-VFD rule implementation in 2017. Most respondents reported keeping treatment records and the information recorded included date (82%), dose (44%) and route (15%) of AMD used. A few respondents reported they had initiated use of alternatives to AMDs, such as vitamins (32.6%), minerals (25.6%), herbal remedies (11.6%) and pathogen specific antibodies (7%), post-VFD. The limited changes noted in AMD use could be attributed to the short period between the implementation of the VFD and the time of the survey. Our study outcomes identified opportunities to improve AMD use practices, including record keeping and use of AMD alternatives, and provides a baseline for future evaluation of the impact of these regulatory changes, as well as guidance for the future recommendations on best practices to promote judicious AMD use.

scholarly journals How fats we eat modulate our immunity?

OCL ◽  
2020 ◽  
Vol 27 ◽  
pp. 22 ◽  
Author(s):  
Benjamin Buaud
Keyword(s):  
Fatty Acids ◽  
Immune Cells ◽  
Lipid Mediators ◽  
Dietary Fatty Acids ◽  
Dietary Fats ◽  
Generate Functional ◽  
Optimal Functioning ◽  
Short Period ◽  
Rapid Changes ◽  
The Impact

The development and optimal functioning of our immune system is directly influenced by our diet. Any deficiency or excess of certain nutrients can affect the number and activity of immune cells. Among the nutrients identified, dietary fatty acids are described as having major effects on immunity. Indeed, the fatty acid composition of the membranes of immune cells seems to be easily modulated under the effect of dietary fats and the resulting rapid changes in composition are likely to generate functional effects on the reactivity and functioning of these cells within a very short period of time. Among the different mechanisms identified to explain the impact of dietary fatty acids on the immune function, the synthesis of lipid mediators from polyunsaturated fatty acids is a key one notably in the context of inflammation.

scholarly journals Universal ESL Scaffolding for the K-12 Teacher: A Literature Review

2020 ◽  
pp. 57-62
Author(s):  
Marlynn Nicole Tatum ◽  
Tonya Huber
Keyword(s):  
Best Practices ◽  
Esl Students ◽  
Review Of The Literature ◽  
Esl Teachers ◽  
Professional Educators ◽  
Grade Levels ◽  
Instructional Scaffolding ◽  
Temporary Support ◽  
K 12 ◽  
The Impact

This review of the literature analyzes scaffolding as it relates to best practices in the English as a second language (ESL) classroom, grades K-12. As defined by many professional educators, instructional scaffolding is temporary support provided to students on an individual basis based on their needs. Despite the ever-increasing population of ESL students in K-12 classrooms, the ESL instructional approach lacks consistency from country to country, state to state, and classroom to classroom. There is a wealth of research on ESL instructional techniques, but a lack of studies on the impact of various approaches to instructional scaffolding. The articles in question address instructional scaffolding in different ways for different grade levels spanning K-12. Did one prevail as a potential universal scaffold? How might we, as educators, stop reinventing the wheel and rely on a sound methodology? Studies on scaffolding as it relates specifically to ESL student’s comprehension is limited. These findings have important implications for the practices of current and future ESL teachers.

Preventing Opioid-Related Harms in the Construction Industry

2021 ◽  
pp. 104829112110081
Author(s):  
Cora Roelofs ◽  
Christopher Rodman ◽  
Richard Rinehart ◽  
Chris T. Cain
Keyword(s):  
Best Practices ◽  
Construction Industry ◽  
Trade Unions ◽  
Task Force ◽  
Construction Sector ◽  
Opioid Use ◽  
Training Module ◽  
Awareness Training ◽  
Building Trade ◽  
The Impact

The construction sector has been hit hard by the opioid crisis. We describe CPWR—The Center for Construction Research and Training’s recent efforts to address the challenges of opioid use in the construction industry. With support and guidance from the National Association of Building Trade Unions Opioid Task Force, CPWR undertook three projects to promote prevention and best practices for struggling construction workers. The first project focused on recommendations for communications that reframe stigmatizing narratives into effective messages about prevention solutions. The second project refined and distributed a one-hour construction worker opioid hazard awareness training module. The third project assessed opportunities and barriers for the expansion and improvement of existing union peer support programs to support workers through treatment and recovery. Additional resources, such as opioid hazard tool box talks, to help reverse the impact on the sector are also described.

Stages of the formation of temporary and permanent occlusion and the impact of early tooth extraction on the dentition state. Literature review

2019 ◽  
pp. 22-24
Author(s):  
G.A. Murachueva ◽  
I.M. Rasulov ◽  
S.G. Gusenov
Keyword(s):  
Literature Review ◽  
Temporomandibular Joint ◽  
Tooth Extraction ◽  
Physiological State ◽  
Review Of The Literature ◽  
Full Development ◽  
Permanent Occlusion ◽  
The Impact

A review of the literature on the stages of the formation of temporary and permanent occlusion has been performed. This stages play an important role not only for the full development of the maxillofacial apparatus, temporomandibular joint, but also the whole organism. The role of early tooth extraction in the formation of the physiological state of the dentoalveolar system is considered. The conclusion is drawn about the need for a deeper study of this problem in the structure of general dental morbidity.

HBOT Application at Cases of Gingival Inflammation

2019 ◽  
Author(s):  
Ilma Robo
Keyword(s):  
Root Resorption ◽  
Periodontal Diseases ◽  
Therapeutic Effects ◽  
Clinical Effects ◽  
Gingival Inflammation ◽  
Beneficial Effects ◽  
New Therapeutic Approaches ◽  
Short Period ◽  
Mechanical Therapy ◽  
The Impact

The treatment of periodontal diseases, mainly of their origin, with the most common clinical manifestation in form of gingival inflammation, is manifold and powerful, including: mechanical therapy, antibiotic, antiseptic and various approaches to treatment, which are recommended to be used within a short period of time. New therapeutic approaches have been proven as alternative treatment to conventional therapy, or in combination with conventional therapies, to reduce the number of periodontopathic pathogens in gingival sulcus. HBOT has a detrimental effect on periodontal microorganisms, as well as beneficial effects on the healing of periodontal tissue, increasing oxygen pressure in gingival pockets. Our study is aimed at reviewing the current published literature on hyperbaric oxygen therapy and focuses on role of HBOT as a therapeutic measure for the individual with periodontal disease in general and for the impact on the recovery of gingival inflammation. HBOT and periodontal treatment together, reduce up to 99% of the gram-negative anaerobic load of subgingival flora. HBOT, significantly reduces subgingival anaerobic flora. Clinical effects in 2-year follow-up of treated patients are sensitive. Reduction of gingival hemorrhage indexes, depth of peritoneum, plaque index, occurs in cases of combination of HBOT and detraction. Reduced load persists up to 2 months after therapy. The significant increase in connective tissue removal starts at the end of 2nd week, to achieve the maximum in week 3-6 of application. HBOT used for re-implantation, stimulates the healing of periodontal membrane, pulp, prevents root resorption, healing of periodontal lining tissues. HBOT, significantly reduces the hemorrhage index with 1.2 value difference, 0.7mm probe depth, reduces gingival fluid by 2. HGH exposure is increased by gingival blood flow, with a difference of 2 in measured value. The therapeutic effects of HBOT in the value of the evaluation index can be saved up to 1-year post treatment.

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