Community pharmacies to supply antiviral treatments to high-risk COVID-19 patients

2022 ◽  
Keyword(s):  
High Risk ◽  
Community Pharmacies

Prediabetes, undiagnosed diabetes and diabetes risk in Italy in 2017–2018: results from the first National screening campaign in community pharmacies

2021 ◽  
Author(s):  
P Brunetti ◽  
L Baldessin ◽  
S Pagliacci
Keyword(s):  
High Risk ◽  
Diabetes Risk ◽  
World Health ◽  
Undiagnosed Diabetes ◽  
Community Pharmacies ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Health Organization ◽  
Very High

Abstract Background Effective policies for diabetes prevention remain urgent. We conducted a mass screening campaign in Italy to identify subjects potentially having undiagnosed diabetes, prediabetes or at diabetes risk. Methods This cohort study was conducted in community pharmacies joining the unitary National federation of pharmacy holders (Federfarma) and participating in the 7-day screening campaign ‘DiaDay’ in 2017–2018. Capillary blood glucose levels and the risk of developing diabetes in 10 years (through the Finnish Diabetes Risk Score) were assessed. Results 145 651 volunteers aged ≥20 years without known diabetes were screened at 5671 community pharmacies in 2017 and 116 097 at 5112 in 2018. Overall, 3.6% had glucose values suggestive of undiagnosed diabetes; under fasting conditions (N = 94 076), 39.9% and 16.4% had values suggestive of prediabetes by the American Diabetes Association and the World Health Organization criteria, respectively. Of those without diabetes (N = 252 440), 19.2% had scores compatible with a high risk (1:3) and 2.7% with a very high risk (1:2) of developing the disease; in the prediabetes group, the risk rose with higher impaired fasting glucose values. Conclusions DiaDay, the first National screening campaign, highlights the need to screen the population and the key role of the pharmacist both in screening activities and education promotion.

scholarly journals Concomitant Cannabis Misuse and Associations with Depression, Pain and Substance Misuse among Patients Prescribed Opioids

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 134
Author(s):  
M. Aryana Bryan ◽  
Elizabeth Charron ◽  
Omolola Adeoye-Olatunde ◽  
Jennifer Brown ◽  
Udi Ghitza ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
High Risk ◽  
Substance Misuse ◽  
Monitoring Program ◽  
Secondary Data ◽  
Cannabis Use ◽  
Community Pharmacies ◽  
Medical Cannabis ◽  
Abuse Treatment ◽  
The Relationship

Background: Cannabis use is common among individuals with pain who are prescribed opioids, occurring in approximately 10% of this population. This study aims to explore the relationship between non-medical cannabis use and other health risks among individuals filling opioids at community pharmacies. Methods: This study was an exploratory secondary data analysis of a National Drug Abuse Treatment Clinical Trials Network (CTN)-sponsored study, Validation of a Community Pharmacy-Based Prescription Drug Monitoring Program Risk Screening, examining the relationship between risky cannabis use and depressive symptoms, pain, overdose, and other substance misuse among individuals filling opioid prescriptions in community pharmacies (N = 1440). Results: Participants reporting moderate- to high-risk compared to low-risk cannabis use were more likely to report depressive symptoms (adjusted OR = 1.67, 95% CI = 1.11–2.56), history of overdose (adjusted OR = 2.15, 95% CI = 1.34–3.44), and moderate- to high-risk use of alcohol (adjusted OR = 2.10, 95% CI = 1.28–3.45), opioids (adjusted OR = 2.50, 95% CI = 1.67–3.76), sedatives (adjusted OR = 2.58, 95% CI = 1.72–3.86), stimulants (adjusted OR = 4.79, 95% CI = 2.83–8.01), and tobacco (adjusted OR = 3.60, 95% CI = 2.47–5.24). Conclusions: Community pharmacies may be valuable sites for identifying, studying, and intervening with substance use problems.

scholarly journals Pharmacy Malpractice: The rate and prevalence of dispensing high-risk prescription-only medications at community pharmacies in Saudi Arabia

2017 ◽  
Vol 25 (5) ◽  
pp. 709-714 ◽  
Author(s):  
Thamir M. Alshammari ◽  
Salman A. Alhindi ◽  
Ahmed M. Alrashdi ◽  
Imaan Benmerzouga ◽  
Mohamad Aljofan
Keyword(s):  
Saudi Arabia ◽  
High Risk ◽  
Community Pharmacies

scholarly journals COPD case finding by spirometry in high-risk customers of urban community pharmacies: A pilot study

2009 ◽  
Vol 103 (6) ◽  
pp. 839-845 ◽  
Author(s):  
D. Castillo ◽  
R. Guayta ◽  
J. Giner ◽  
F. Burgos ◽  
C. Capdevila ◽  
...  
Keyword(s):  
Pilot Study ◽  
High Risk ◽  
Urban Community ◽  
Case Finding ◽  
Community Pharmacies

A Randomized Controlled Trial of a Community Pharmacist—Initiated Screening and Intervention Program for Patients at High Risk for Osteoporosis—The OsteoPharm Study

2008 ◽  
Vol 141 (6) ◽  
pp. 323-323
Author(s):  
Nese Yuksel ◽  
S.R. Majumdar ◽  
Catherine Biggs ◽  
Ross T. Tsuyuki
Keyword(s):  
Quality Of Life ◽  
High Risk ◽  
Intervention Program ◽  
Primary Outcome ◽  
Intervention Group ◽  
Relative Increase ◽  
Community Pharmacies ◽  
Randomized Controlled ◽  
Heel Ultrasound

Objective: To determine the effect of a community pharmacist-initiated screening intervention for high-risk patients on subsequent testing and treatment of osteoporosis. Methods: This was a randomized, controlled multisite trial with blinded ascertainment of outcomes in 15 community pharmacies in Alberta. Patients were recruited based on national guidelines for bone mineral density (BMD) testing, including patients 65 years or older, or between 50 to 64 years with a previous fracture or with multiple other risk factors. We excluded patients who had a BMD in the past 2 years or if they were on current treatment for osteoporosis. Patients randomized to the intervention group were given education, a quantitative heel ultrasound measurement and referred to their physician. Controls received “usual care” in the community. The primary outcome was a composite endpoint of the performance of a BMD test or a new prescription for an osteoporosis medication within 4 months. Secondary outcomes included each component of the primary outcome, calcium and vitamin D supplementation, osteoporosis-related knowledge and quality of life. Results: From November 2005 to September 2007, 561 patients were screened. Overall, 262 were randomized as follows: 129 pharmacist interventions and 133 controls. Median age was 62 years, 65% were female and 17% of patients reported a previous fracture. The primary endpoint was reached in 28 patients in the intervention group (22%) compared with 14 patients in the control group (11%) (adjusted relative increase 2.14, 95% CI 1.19-3.85; p = 0.011). Calcium intake increased significantly more among intervention patients than controls (42% vs 25%, adjusted relative increase 1.69, 95% CI 1.13-2.54, p = 0.011); vitamin D intake was also greater in the intervention group, though not significant. There was no effect on knowledge or quality of life. In multivariable models, making an osteoporosis-specific appointment with the family physician, being female and having a heel ultrasound result indicating low bone mass predicted achievement of the primary endpoint. Conclusion: A multifaceted intervention program in community pharmacies directed at patients at high risk for osteoporosis doubled the number of patients getting the primary outcome. This study highlights the role community pharmacists can play in identifying and educating patients for preventive care.

scholarly journals Training and Toolkit Resources to Support Implementation of a Community Pharmacy Fall Prevention Service

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 113 ◽  
Author(s):  
Robinson ◽  
Renfro ◽  
Shockley ◽  
Blalock ◽  
Watkins ◽  
...  
Keyword(s):  
High Risk ◽  
Fall Prevention ◽  
Community Pharmacists ◽  
Improve Patient Care ◽  
Community Pharmacies ◽  
Post Intervention ◽  
Web Based ◽  
Prevention Services ◽  
Prevention Service ◽  
Training Resources

Community pharmacies are an ideal setting to manage high-risk medications and screen older adults at risk for falls. Appropriate training and resources are needed to successfully implement services in this setting. The purpose of this paper is to identify the key training, tools, and resources to support implementation of fall prevention services. The service was implemented in a network of community pharmacies located in North Carolina. Pharmacies were provided with onboard and longitudinal training, and a project coach. A toolkit contained resources to collect medication information, identify high-risk medications, develop and share recommendations with prescribers, market the service, and educate patients. Project champions at each pharmacy received a nine-question, web-based survey (Qualtrics) to identify usefulness of the training and resources. The quantitative data were analyzed using descriptive statistics. Thirty-one community pharmacies implemented the service. Twenty-three project champions (74%) completed the post-intervention survey. Comprehensive onboard training was rated as more useful than longitudinal training. Resources to identify high-risk medications, develop recommendations, and share recommendations with prescribers were considered most useful. By providing appropriate training and resources to support fall prevention services, community pharmacists can improve patient care as part of their routine workflow.

A Community Based High Risk Register for Hearing Loss

1982 ◽  
Vol 47 (4) ◽  
pp. 373-375 ◽  
Author(s):  
James L. Fitch ◽  
Thomas F. Williams ◽  
Josephine E. Etienne
Keyword(s):  
Hearing Loss ◽  
System Identification ◽  
High Risk ◽  
Language Learning ◽  
Education Program ◽  
Communication System ◽  
Auditory Signal ◽  
Early Age ◽  
Community Based ◽  
Children With Hearing Loss

The critical need to identify children with hearing loss and provide treatment at the earliest possible age has become increasingly apparent in recent years (Northern & Downs, 1978). Reduction of the auditory signal during the critical language-learning period can severely limit the child's potential for developing a complete, effective communication system. Identification and treatment of children having handicapping conditions at an early age has gained impetus through the Handicapped Children's Early Education Program (HCEEP) projects funded by the Bureau of Education for the Handicapped (BEH).

A Community Based High Risk Register for Hearing Loss

1983 ◽  
Vol 48 (1) ◽  
pp. 110-110
Keyword(s):  
Hearing Loss ◽  
High Risk ◽  
Community Based

For the November 1982 JSHD article, "A Community Based High Risk Register for Hearing Loss," the author would like to acknowledge three additional individuals who made valuable contributions to the study. They are Marie Carrier, Gene Lyon, and Bobbie Robertson.

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