scholarly journals Acceptability of Naloxone Dispensing Among Pharmacists

2018 ◽  
Vol 33 (3) ◽  
pp. 247-254 ◽  
Author(s):  
Vivian Do ◽  
Emily Behar ◽  
Caitlin Turner ◽  
Michelle Geier ◽  
Phillip Coffin
Keyword(s):  
San Francisco ◽  
Safety Net ◽  
Instructional Materials ◽  
Primary Care Clinics ◽  
Prescriptive Authority ◽  
The Past ◽  
Mandatory Training ◽  
Safety Net Clinics ◽  
The Common

Background: The San Francisco Department of Public Health initiated naloxone prescribing at 6 safety net clinics. We evaluated this intervention, demonstrating that naloxone prescribing from primary care clinics is feasible and acceptable. Objective: To evaluate acceptability of naloxone dispensing to patients prescribed opioids among pharmacists serving clinics participating in a naloxone intervention. Methods: We surveyed 58 pharmacists from November 2013 through January 2015 at pharmacies that serviced San Francisco safety net clinics. Surveys collected information on demographics, experiences in dispensing naloxone, and interest in prescriptive authority. We conducted descriptive analyses and assessed bivariate relationships. Results: Most respondents were staff (56.9%) or supervising pharmacists (34.5%). Most (92.9%) were aware their pharmacy stocked naloxone and 86.8% felt it should be prescribed to some or all patients on long-term opioids. Most (82.1%) dispensed naloxone at least once in the past 12 months. More than half were comfortable providing naloxone education. Nearly half (43.4%) indicated they would want authority to furnish without a prescription. Over half (55.2%) reported no problems dispensing. The common problem was insufficient naloxone knowledge. Only 12% reported more than one problem in dispensing naloxone, which was associated with being uncomfortable with educating patients ( P = .03). Conclusion: Naloxone dispensing was acceptable among pharmacists. Their most cited problem was insufficient naloxone education. This may be resolved with improved instructional materials, incentives for patient education, or mandatory training.

Anti-Immigration Propaganda in the Northern League and the Freedom Party of Austria

2021 ◽  
Vol 65 ◽  
pp. 81-100
Author(s):  
Caner Tekin
Keyword(s):  
Western Europe ◽  
Female Workers ◽  
The Past ◽  
Northern League ◽  
Female Migrants ◽  
The Common ◽  
Gender Perspectives ◽  
And Gender ◽  
Gender Images

Over the past two decades, populist-radical parties of Western Europe arguably re- vised their propaganda towards the rejection of Muslim migrants with gender-sen- sitive arguments. Among these parties, the Northern League (LN) and the Freedom Party of Austria (FPÖ) achieved their electoral breakthrough thanks to their anti-mi- gration campaigns, which, inter alia, aligned peculiar gender perspectives with long- term attitudes towards ethnicity, welfare and Islam. Drawing on the LN’s and FPÖ’s election programmes, visuals and leader statements from the early 2000s, the present article discusses the common assumptions regarding the populist radical right’s dis- cursive changes towards anti-Islamism. The paper argues that the two parties in the mentioned period forged their propaganda against the rejection of Muslim migrants in religious and gender-sensitive terms, but their ethnic and class-oriented exclusions equally remained. The documents in question also revealed that these parties recent- ly softened their attitudes towards migrant caregivers to preserve traditional gender images in Austria and Italy. The LN’s and FPÖ’s long-term preoccupations with Ital- ian and Austrian women’s roles in worklife, family and reproduction are likely to bring about changes in the conceptions of female migrants in the care sector. The question still remains whether the parties began to tolerate Muslim female workers, since their propaganda, in contrast to the literature, did not suggest the acknowledgement of Muslims in any of the labour fields.

scholarly journals Modern approaches to the treatment of urogenital disorders in perimenopausal women

2020 ◽  
pp. 114-118
Author(s):  
L.V. Potapova ◽  
◽  
I.N. Shcherbina ◽  
Keyword(s):  
Malignant Tumors ◽  
Reproductive Function ◽  
Reproductive Age ◽  
Menstrual Disorders ◽  
Surgical Interventions ◽  
The Past ◽  
Perimenopausal Women ◽  
The Common ◽  
Systemic Nature

In modern gynecology, hormone-dependent pathology is one of the most significant problems. The importance of solving this problem is due to the significant prevalence of this pathology, its long-term recurrent course and the presence of a medico-social task of preserving the reproductive function of patients. The age of women who develop dyshormonal diseases is already 30–35 years old, which leads to premature loss of reproductive function, an increase in the frequency of surgical interventions. The systemic nature of the lesion in dyshormonal pathology is due to the common links of pathogenesis. The leading factor in the pathogenesis of hormone-dependent pathology is absolute or relative hyperestrogenism. Menstrual disorders (MD) is one of the most overlooked problems in modern gynecology. Over the past decade, an increase in the frequency of MD in women of reproductive age has been noted in the world by almost 11 times. In the structure of gynecological morbidity, according to most authors, MD s account for about 60% of all dyshormonal disorders, which often lead to an underestimation of future not only reproductive, but also general somatic problems: from miscarriage and infertility to the formation of both benign and malignant tumors in the female organism. Keywords: hormone-dependent pathology, menstrual disorders, estrogens, progesterone, treatment, indole-3-carbinol, rod extract, Agidol.

scholarly journals Macroscopic Hematuria—A Leading Urological Problem in Patients on Anticoagulant Therapy: Is the Common Diagnostic Standard Still Advisable?

ISRN Urology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Artur A. Antoniewicz ◽  
Łukasz Zapała ◽  
Sławomir Poletajew ◽  
Andrzej Borówka
Keyword(s):  
Anticoagulant Therapy ◽  
Clinical Importance ◽  
Standards Of Care ◽  
Macroscopic Hematuria ◽  
The Past ◽  
Anticoagulant Drugs ◽  
The Common ◽  
Definition Of

All urological standards of care are based on the past definition of the clinical importance of macroscopic hematuria. The aim of the study was to assess the phenomenon of iatrogenic hematuria in current clinical practice and analyze its origins in patients receiving anticoagulant drugs. Retrospective analysis of clinical documentation of 238 patients that were consulted for hematuria in 2007–2009 by 5 consultant urologists was performed. In the group of 238 patients with hematuria, 155 (65%) received anticoagulants. Abnormalities of urinary tract were found in 45 (19%) patients. Estimated cost of a single neoplasm detection reached the value of 3252 Euro (mean 3-day hospitalization). The strong correlation between the presence of hematuria and anticoagulant treatment was observed. Authors suggest to redefine the present and future role of hematuria from a standard manifestation of serious urological disease to a common result of a long-term anticoagulant therapy.

The Implications for British Insurance, Particularly Long-Term Business, of Joining the European Common Market.

1971 ◽  
Vol 97 (2-3) ◽  
pp. 153-198 ◽  
Author(s):  
T. H. M. Oppé
Keyword(s):  
Common Market ◽  
National Interests ◽  
The Past ◽  
Life Assurance ◽  
The Common ◽  
The Times ◽  
Distinguished Contribution ◽  
The Right ◽  
European Thought

The right way to negotiate with Europe is the way in which, at its best, the Common Market has handled its own problems. One should start from the view that there is a collective European interest to be served, as there always is. One should then make sure that the separate national interests are reconciled with the interests of Europe. Only a man who thinks in European terms can make this adjustment of national and European interests successfully.The Times—29 July 1970.This paper must be forward-looking. To dwell on the past, and even the present, would fill many pages to little purpose. The author is convinced after reviewing many files of documents that the European Common Market would not have gone forward if its founders had allowed themselves to be sidetracked by narrow interests. This perhaps sounds ominous to experts in particular fields, such as actuaries, for it is not always a happy position when political motives may overrule, or cut short, technical considerations. But the concept of the Common Market is a political one and this is becoming more apparent as the years roll on. The collective European interest will prevail but that does not mean that British philosophy and practice cannot make a distinguished contribution to European thought in the field of insurance, particularly life assurance. In practical terms, it is clearly not possible to argue for the adoption of British practice in its entirety. But I do believe that unless the profession takes every opportunity to argue the merits of our own ways of providing life assurance in the private sector, we may well live to regret the omission.

Effective pharmacotherapeutic effect of indole-3-carbinol and rod extract as part of the drug Agidol

2020 ◽  
pp. 107-113
Author(s):  
T.V. Skritskaya ◽  
Keyword(s):  
Malignant Tumors ◽  
Reproductive Function ◽  
Reproductive Age ◽  
Menstrual Disorders ◽  
Women Of Reproductive Age ◽  
Surgical Interventions ◽  
The Past ◽  
The Common ◽  
Systemic Nature

In modern gynecology, hormone-dependent pathology is one of the most significant problems. The importance of solving this problem is due to the significant prevalence of this pathology, its long-term recurrent course and the presence of a medico-social task of preserving the reproductive function of patients. The age of women who develop dyshormonal diseases is already 30–35 years old, which leads to premature loss of reproductive function, an increase in the frequency of surgical interventions. The systemic nature of the lesion in dyshormonal pathology is due to the common links of pathogenesis. The leading factor in the pathogenesis of hormone-dependent pathology is absolute or relative hyperestrogenism. Menstrual disorders (MD) is one of the most overlooked problems in modern gynecology. Over the past decade, an increase in the frequency of MD in women of reproductive age has been noted in the world by almost 11 times. In the structure of gynecological morbidity, according to most authors, MD s account for about 60% of all dyshormonal disorders, which often lead to an underestimation of future not only reproductive, but also general somatic problems: from miscarriage and infertility to the formation of both benign and malignant tumors in the female organism. Keywords: hormone-dependent pathology, menstrual disorders, estrogens, progesterone, treatment, indole-3-carbinol, rod extract, Agidol.

scholarly journals The fishery conservation policy of the European Union after 2002: towards long-term sustainability

2007 ◽  
Vol 64 (4) ◽  
pp. 588-595 ◽  
Author(s):  
Ernesto Penas
Keyword(s):  
European Union ◽  
Conservation Policy ◽  
Reform Process ◽  
Scientific Advice ◽  
The European Union ◽  
Effective Implementation ◽  
The Past ◽  
Fisheries Policy ◽  
The Common

Abstract Penas, E. 2007. The fishery conservation policy of the European Union after 2002: towards long-term sustainability. – ICES Journal of Marine Science, 64: 588–595. In December 2002, changes were introduced in the Common Fisheries Policy (CFP) as part of a longer-term reform process. Although implementation of these changes is gradual, experience over the past 3 years has already provided some lessons. This paper summarizes the main elements of the reform, describes the progress in their implementation, draws some provisional conclusions, and highlights the main scientific challenges in relation to implementation of the revised CFP. The adaptation of the scientific advice to changing needs, the difficulty of changing the tradition of managing stocks through annual decisions, and the development of a fruitful dialogue among fishers, scientists, and managers are the main challenges still to be resolved to ensure effective implementation.

Past and Pending Decisions Controlling San Francisco Bay and Delta

1984 ◽  
Vol 16 (3-4) ◽  
pp. 667-676
Author(s):  
W T Davoren ◽  
J E Ayres
Keyword(s):  
San Francisco ◽  
San Francisco Bay ◽  
Golden Gate ◽  
Long Term Effects ◽  
San Jose ◽  
River Deltas ◽  
The Past ◽  
San Joaquin River ◽  
Land And Water Management

Over the past 130 years, the largest inland estuary of America's west coast, the San Francisco Bay and Delta,1 has been altered greatly by land and water development. To the detriment of estuarine processes and indicator species, upstream impoundments, diversions and pumped exports from the Delta have reduced river flows by 50 percent or more. Long-term effects of the upstream impoundments and removals are just beginning to be understood. Additional storage and diversion units are planned. The responsibility for repelling salinity intrusion from the Bay to the Delta's waters is not clearly defined. Additionally, drainage projects are underway to transport land-derived salts from inland irrigated areas for discharge into the Bay's headwaters. Also, the threat of levee collapse in the Delta from erosion and subsidence advances yearly. Navigation, agriculture, recreation and fish/wildlife needs further complicate land and water management challenges in the Delta. This paper appraises the present realities produced by past projects and policies. 1Delta is used throughout as a California place name that applies to the combined areas of the Sacramento and San Joaquin River deltas (Fig. 2). The Bay begins at Chipps Island, just below the confluence of the two rivers, and extends to Golden Gate on the west and San Jose on the south (Fig. 1).

San Francisco's New Deal Murals in Long-Term Perspective

2020 ◽  
Vol 97 (1) ◽  
pp. 3-32
Author(s):  
Robert W. Cherny
Keyword(s):  
High School ◽  
San Francisco ◽  
New Deal ◽  
Public Art ◽  
George Washington ◽  
Art Programs ◽  
City College ◽  
Washington High School ◽  
Treasure Island

The federal art programs of the New Deal produced public art in quantities not seen before or since. Historians have studied many aspects of the New Deal's art programs, but few have considered the long-term history of works produced by them. New Deal art programs produced large numbers of public murals—so many that such murals are often thought of as the typical form of New Deal art. They thus provide readily available examples of the long-term experience of New Deal art. San Francisco has a particularly rich collection of these murals. Some of them have been well cared for over the past eight decades, but public officials have proved negligent stewards—and occasionally destructive stewards—of others. Some of San Francisco's murals were considered so controversial at the time they were created that they were modified or even destroyed. Others became controversial later, with calls for modification or destruction. Some of the latter were covered, some were vandalized, and some have deteriorated. Most of the damaged murals have been restored, sometimes more than once. This article looks at the city's New Deal murals at Coit Tower, the Mothers Building at the Zoo, the Beach Chalet, the University of California San Francisco, the Alemany Health Center, Treasure Island/City College, and Rincon Annex/Center, with special attention to the George Washington High School murals that have recently been highly controversial. Controversies over the murals at Coit Tower, Rincon Annex, and George Washington High School also reveal significant changes in the role of the city's political and civic leadership with regard to public art.

Enabling Community Well-being Self-Monitoring in the Context of Mining: The Naskapi Nation of Kawawachikamach

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Robert Klinck ◽  
Ben Bradshaw ◽  
Ruby Sandy ◽  
Silas Nabinacaboo ◽  
Mannie Mameanskum ◽  
...  
Keyword(s):  
Indigenous Peoples ◽  
Well Being ◽  
Aboriginal Community ◽  
Self Monitoring ◽  
Community Engaged Research ◽  
The Past ◽  
Mineral Development ◽  
Iron Deposits ◽  
Term Monitoring

The Naskapi Nation of Kawawachikamach is an Aboriginal community located in northern Quebec near the Labrador Border. Given the region’s rich iron deposits, the Naskapi Nation has considerable experience with major mineral development, first in the 1950s to the 1980s, and again in the past decade as companies implement plans for further extraction. This has raised concerns regarding a range of environmental and socio-economic impacts that may be caused by renewed development. These concerns have led to an interest among the Naskapi to develop a means to track community well-being over time using indicators of their own design. Exemplifying community-engaged research, this paper describes the beginning development of such a tool in fall 2012—the creation of a baseline of community well-being against which mining-induced change can be identified. Its development owes much to the remarkable and sustained contribution of many key members of the Naskapi Nation. If on-going surveying is completed based on the chosen indicators, the Nation will be better positioned to recognize shifts in its well-being and to communicate these shifts to its partners. In addition, long-term monitoring will allow the Naskapi Nation to contribute to more universal understanding of the impacts of mining for Indigenous peoples.

Courting the Youth Vote in 2008: The Obama Effect

2009 ◽  
Vol 5 ◽  
Author(s):  
Lindsey C Bohl
Keyword(s):  
Presidential Elections ◽  
Voter Registration ◽  
The Internet ◽  
The Past ◽  
Several Variables ◽  
High Turnout ◽  
Short And Long Term ◽  
Use Of The Internet ◽  
Youth Vote

This paper examines a few of the numerous factors that may have led to increased youth turnout in 2008 Election. First, theories of voter behavior and turnout are related to courting the youth vote. Several variables that are perceived to affect youth turnout such as party polarization, perceived candidate difference, voter registration, effective campaigning and mobilization, and use of the Internet, are examined. Over the past 40 years, presidential elections have failed to engage the majority of young citizens (ages 18-29) to the point that they became inclined to participate. This trend began to reverse starting in 2000 Election and the youth turnout reached its peak in 2008. While both short and long-term factors played a significant role in recent elections, high turnout among youth voters in 2008 can be largely attributed to the Obama candidacy and campaign, which mobilized young citizens in unprecedented ways.

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