Cognitive Services in Nutrition Support Pharmacy

1994 ◽  
Vol 7 (6) ◽  
pp. 271-279
Author(s):  
James J. Murray

Many new opportunities are available to the clinical pharmacist in search of an appropriate environment in which to tailor specific clinical services. This is an opportune time for pharmacists to become more creative in their practice settings and to become more involved with, and responsible for, the therapy process of patients. Cognitive services provide a value-added service to the patient, physician, and third-party payor. The value of pharmaceutical cognitive services becomes more evident in the outpatient setting. The value of cognitive services varies depending on the practice setting, demographics of the patient, and resources of the pharmacy organization. This article describes a pharmacist's experience in developing nutritional support cognitive services to patients and targeted physicians in an outpatient home infusion pharmacy. If properly developed, a well-marketed cognitive service can add tremendous revenue to a pharmacy by creating respect and loyalty from physicians and third-party payors, creating a formidable patient base. Cognitive services are not reimbursed separately at present, but future studies should show the value of these services if more pharmacists will provide cost-effective cognitive services and be able to show more positive patient therapy outcomes.

2017 ◽  
Vol 70 (9) ◽  
pp. 740-744 ◽  
Author(s):  
Dawn Williams-Voorbeijtel ◽  
Francisco Sanchez ◽  
Christine G Roth

AimsElimination of non-value added testing without compromising high-quality clinical care is an important mandate for laboratories in a value-based reimbursement system. The goal of this study was to determine the optimal combination of flow cytometric markers for a screening approach that balances efficiency and accuracy.MethodsAn audit over 9 months of flow cytometric testing was performed, including rereview of all dot plots from positive cases.ResultsOf the 807 cases in which leukaemia/lymphoma testing was performed, 23 were non-diagnostic and 189 represented bronchoalveolar lavage specimens. Of the remaining 595 cases, 137 (23%) were positive for an abnormal haematolymphoid population. Review of the positive cases identified minimum requirements for a screening tube as well as analysis strategies to overcome the diagnostic pitfalls noted. It is estimated that 38% fewer antibodies would be used in a screening approach, representing an opportunity for significant cost savings.ConclusionsWe provide a framework for developing an evidence-based screening combination for cost-effective characterisation of haematolymphoid malignancies, promoting adoption of ‘just-in-time’ testing systems that tailor the evaluation to the diagnostic need.


2014 ◽  
Vol 9 (11) ◽  
pp. 1934578X1400901 ◽  
Author(s):  
Muhammad Irshad ◽  
Muhammad Asgher ◽  
Zahid Anwar ◽  
Aftab Ahmad

In the last several years, in serious consideration of the worldwide economic and environmental issues there has been an increasing research interest in the value of naturally occurring bio-sourced materials. Agro-industrial based biomass comprised of pectin is an inexpensive, renewable, abundant natural resource that could be utilized for large-scale and cost-effective production of natural products i.e., pectinolytics. Pectinolytics are one of the most widely distributed enzymes in bacteria, fungi and plants. From ancient times to date, many methods have been introduced to improve the optimization of pectinolytics to obtain high yields of maximal purity. To expand the range of natural bio-resources the rapidly evolving tools of biotechnology can lower the conversion costs and also enhance target yield of the product of interest. This green biotechnology presents a promising approach to convert most of the agricultural materials into a value-added product with multiple applications. Major advances have already been achieved in recent years in order to obtain high levels of purity with optimal yields. The present review begins with an overview of pectinolytics and their physico-chemical features, and their specific role with classification based on pectic materials. Information is also given on the culture influences and potential sources of pectinolytics, followed by a brief summary of various industrial and biotechnological applications and future considerations.


2016 ◽  
Vol 36 (3) ◽  
pp. 286-307 ◽  
Author(s):  
Yangyan Shi ◽  
Abraham Zhang ◽  
Tiru Arthanari ◽  
Yanping Liu

Purpose – Third-party purchase (3PP) is a new value-added service offered by third-party logistics (3PL) providers. The purpose of this paper is to examine the perception of 3PP service from the perspective of 3PL users. Design/methodology/approach – The authors conducted a survey of Chinese 3PL users and received 242 usable responses. The authors then employed structural equation modeling to test the conceptual model. Findings – The authors found that the likelihood of 3PL users using a 3PP service is significantly associated with uncertainty, but not with asset specificity or frequency or transaction size. 3PP usage is significantly associated with value-to-client. Originality/value – This research is the first survey study of 3PP as a value-added service offered by 3PL providers, from the perspective of 3PL users. The findings suggest that 3PL users are very positive about the value of 3PP service. The 3PP market is still in its infancy but it has great potential, especially for commodity items that have less demand uncertainty.


2013 ◽  
Vol 33 (4) ◽  
pp. 161-172 ◽  
Author(s):  
Izabela Michalak ◽  
Katarzyna Chojnacka

AbstractIn the present paper, the possibilities of the utilization of large amounts of beach-cast seaweeds are discussed. It is important to examine the methods of removing and processing algal biomass and find a manner of its cost-effective utilization in order to obtain a value-added product. A review of composting methods of algal biomass is presented. Compost from seaweeds can find several applications, for example, as an alternative to conventional fertilizers. Algae have been used for centuries as a natural fertilizer in many coastal areas because they are known to be rich in nitrogen, phosphorus, and potassium. Moreover, the biomass is characterized by the high content of trace elements and metabolites. There are different ways of management for algae for their use in agriculture. The most common is composting of algal biomass, for example, in piles. The advantages (i.e., high content of plant nutrients, organic components, etc.) and disadvantages (i.e., heavy metal content and salinity) of the composted biomass are presented. Finally, examples of the application of seaweed compost in plant cultivation are reported.


2018 ◽  
Author(s):  
Younghwan Cha ◽  
Jung-In Lee ◽  
Panpan Dong ◽  
Xiahui Zhang ◽  
Min-Kyu Song

A novel strategy for the oxidation of Mg-based intermetallic compounds using CO<sub>2</sub> as an oxidizing agent was realized via simple thermal treatment, called ‘CO2-thermic Oxidation Process (CO-OP)’. Furthermore, as a value-added application, electrochemical properties of one of the reaction products (carbon-coated macroporous silicon) was evaluated. Considering the facile tunability of the chemical/physical properties of Mg-based intermetallics, we believe that this route can provide a simple and versatile platform for functional energy materials synthesis as well as CO<sub>2</sub> chemical utilization in an environment-friendly and sustainable way.


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