Expanded Pharmacy Practice Implementation: Lessons from Remote Practice

Aim: The aim of this study is to explore pharmacist perspectives of the implementation of a community pharmacy-based ear health service in rural communities. Method: A community pharmacy-based health service model was designed and developed to provide an accessible ear care service (LISTEN UP—Locally Integrated Screening and Testing Ear aNd aUral Program) and pharmacist’s perspectives of the implementation of LISTEN UP were explored. Thematic analysis was conducted and data coded according to the Consolidated Framework for Implementation Research. Results: A total of 20 interviews were conducted with 10 pharmacists, averaging 30 min. Visualistion of the ear canal was reported as the greatest advantage of the service, whilst the time required for documentation reported as a complexity. The number of pharmacists working at one time and the availability of a private consultation room were identified as the two limiting factors for execution. On reflection, the need for government funding for service viability and sustainability was highlighted. Discussion/Conclusion: Expanded pharmacy practice is emerging for the Australian pharmacy profession. Rural community pharmacists are recognised as integral members of healthcare teams, providing accessible medication supply and health advice to seven million people in Australia who call rural and remote regions home. However, there are no structured models supporting them to provide expanded services to improve health outcomes in their communities. This study provides lessons learnt to guide future design and development of expanded models of pharmacy practice.

Indoor Air Quality including Respiratory Viruses

The detection of SARS-CoV-2 in indoor environments is a cause of increasing concern. In this study, three sampling methodologies have been used in order to collect SARS-CoV-2 and 17 other respiratory viruses in indoor air, combined with a new analytical process to analyze respiratory viruses. Different areas of an ophthalmological hospital were investigated for the presence of these airborne viruses. Moreover, indoor air quality (IAQ) parameters (carbon dioxide, CO2; carbon monoxide, CO; nitrogen dioxide, NO2; volatile organic compounds, VOCs; formaldehyde, HCHO; and particulate matter, PM) have been examined to study the relationship between IAQ and airborne viruses. All indoor air and surface samples assessed were found to be negative for SARS-CoV-2. Nevertheless, another airborne respiratory virus (HRV/ENV) was detected, illustrating that the methodology set out here is a suitable one. Regarding the results for the IAQ, chemical parameters studied in the hall and waiting room of the hospital presented acceptable values. However, in the doctor′s consultation room VOCs and HCHO show some instantaneous levels higher than the recommended guide values. The methodological approach described in this paper, integrating conventional IAQ and the assessment of bioaerosols, can be used in research and control programs aimed at promoting a healthy indoor environment.

Objective Video-Based Assessment of ADHD-Like Canine Behavior Using Machine Learning

Canine ADHD-like behavior is a behavioral problem that often compromises dogs’ well-being, as well as the quality of life of their owners; early diagnosis and clinical intervention are often critical for successful treatment, which usually involves medication and/or behavioral modification. Diagnosis mainly relies on owner reports and some assessment scales, which are subject to subjectivity. This study is the first to propose an objective method for automated assessment of ADHD-like behavior based on video taken in a consultation room. We trained a machine learning classifier to differentiate between dogs clinically treated in the context of ADHD-like behavior and health control group with 81% accuracy; we then used its output to score the degree of exhibited ADHD-like behavior. In a preliminary evaluation in clinical context, in 8 out of 11 patients receiving medical treatment to treat excessive ADHD-like behavior, H-score was reduced. We further discuss the potential applications of the provided artifacts in clinical settings, based on feedback on H-score received from a focus group of four behavior experts.

Patient satisfaction with primary health care services in two districts in Lower and Upper Egypt

Thistudy compares patient satisfaction with primary health care services and identifies factors associated with patient satisfaction in two health districts in Egypt where a project for upgrading primary health care services had been running for three years. An exit interview was conducted for 1108 patients using a structured questionnaire. The results revealed that most clients using primary health care services were females. Patient satisfaction was high for accessibility, waiting area conditions and performance of doctors and nurses. The main complaints centred on the availability of prescribed drugs and laboratory investigations. Additionally, level of privacy in the consultation room was described as unsatisfactory by 33% of patients. There was no association between overall patient satisfaction and age, gender, education level or type of service received

Making Use of Patient-Reported Outcome Measures for Haemorrhoidal Disease in Clinical Practice: A Perspective

Haemorrhoidal disease (HD) affects millions of people around the world and for most it is a recurring problem. Increasingly, clinicians broaden their focus on the patient's experiences with haemorrhoidal symptoms, including their impact on daily life. The patient's experience can be assessed using a patient-reported outcome measure (PROM). A PROM facilitates a deeper understanding of the disease-burden and allows a clinician to obtain information directly from the patients about their experiences with the ailment. Over the last years, PROMs have shown their additional role to traditional outcomes for several diseases and have earned their place in the daily consultation room. In order to improve and personalize the treatment of HD, we endorse the use of validated PROMs in clinical care.

SHARING SESSION: PENCEGAHAN TINDAKAN PLAGIARISME DALAM PENULISAN KARYA ILMIAH MAHASISWA STKIP CITRA BAKTI

ABSTRAKKegiatan pengabdian kepada masyarakat ini dilatarbelakangi oleh permasalahan mahasiswa STKIP Citra Bakti, antara lain: (1) penguasaan teori-teori yang digunakan dalam menulis karya ilmiah sangat minim; (2) kemampuan mengakses informasi karya ilmiah dari berbagai sumber masih minim. (3) kaidah ilmiah yang digunakan dalam menulis masih rendah; (4) masih banyak ditemukan copy paste. Oleh karena itu, perlu adanya upaya pencegahan tindakan plagiarisme dalam menulis karya ilmiah di kalangan mahasiswa STKIP Citra Bakti melalui kegiatan sharing se­ssion dengan tema “Perilaku Plagiarisme dan Strategi Anti Plagiarisme dalam Menulis Karya Ilmiah” dan membuka ruang konsultasi apabila mahasiswa kesulitan dalam menghadapi masalah plagiarism di lingkup STKIP Citra Bakti. Metode pelaksanaan kegiatan melalui ceramah, presentasi, tatap muka, dan diskusi secara semi-online. Khalayak sasaran dari program pendampingan ini adalah 109 orang mahasiswa STKIP Citra Bakti yang sedang mengambil program mata kuliah skripsi. Indikator keberhasilan kegiatan didasarkan pada respon positif peserta terhadap pelaksanaan kegiatan sharing session dan seluruh naskah skripsi mahasiswa bebas dari tindakaan plagiarisme dengan toleransi kemiripan sebesar < 30% sebagai syarat dalam mengikuti sidang skripsi di STKIP Citra Bakti. Adapun hasil cek similarity naskah skripsi mahasiswa ditemukan ada 128 kali pengecekan naskah skripsi dimana terdapat 46 (35,9%) lolos cek similarity di tahap pertama, 31(24,2%) lolos cek similarity di tahap kedua, 25 (19,5%) lolos cek similarity lebih dari dua kali. Kata kunci: karya ilmiah; menulis; pencegahan; plagiarism; sharing session. ABSTRACTThis community service activity is motivated by the problems of STKIP Citra Bakti students, including: (1) mastery of the theories used in writing scientific papers is very minimal; (2) the ability to access scientific work information from various sources is still minimal. (3) scientific principles used in writing are still low; (4) there are still many copy-pastes found. Therefore, there is a need for efforts to prevent plagiarism in writing scientific papers among STKIP Citra Bakti students through sharing sessions with the theme "Plagiarism Behavior and Anti-Plagiarism Strategies in Writing Scientific Papers" and open a consultation room if students have difficulty dealing with plagiarism problems in the scope of STKIP Citra Bakti. The method of carrying out activities is through lectures, presentations, face-to-face, and discussions by semi-online.The target audience of this mentoring program is 109 STKIP Citra Bakti students who are currently taking thesis courses. The indicator for the success of the activity is based on the positive response of participants to the implementation of sharing session activities and the student's thesis script passes the similarity check with a similarity tolerance <30% as a requirement for participating in the thesis trial at STKIP Citra Bakti. The results of the similarity check for student thesis scripts found that there were 128 thesis checks where 46 (35.9%) passed the similarity check in the first stage, 31 (24.2%) passed the similarity check in the second stage, 25 (19.5%) passed the similarity check. similarity check more than twice. Keywords: scientific paper; writing; prevention; sharing session.

The Analisis SOAR dalam Menentukan Strategi Pelayanan Pasca Diklat Penguatan Kepala Sekolah di BPSDM Provinsi DKI Jakarta

In organizing School Principal Strengthening Training, BPSDM Province DKI Jakarta is required to produce graduates capable of compiling RPS document in order to improve education quality. The problem faced was the large number of graduates who have difficulties during the preparation of RPS document and they need guidance to arrange RPS document, so that the resulting RPS document can be implemented properly in order to improve education quality. One of the strategic step taken is through post training services. This study is aimed to analyze the post training strategy of Strengthening School Principal Training using SOAR strategy analysis. The research method used is descriptive quantitative. Data collection was carried out through interview, observation and questionnaire. The data obtained were processed and tabulated as a basis for conducting SOAR analysis. The analysis used SOAR analysis by calculating the IFE-EFE matrix. Based on the result of the SOAR analysis, BPSDM Province DKI Jakarta is in the quadrant III/OA strategy quadrant, which is to take advantage of existing opportunities to achieve the expected result through a strategy for making forum/media in order to optimize and maintain the competence of Training graduates, namely the School Principal Managerial Consultation Room.

Interpreting in Sexual and Reproductive Health Consults With Burma Born Refugees Post Settlement: Insights From an Australian Qualitative Study

Interpreters work with health care professionals to overcome language challenges during sexual and reproductive (SRH) health discussions with people from refugee backgrounds. Disclosures of traumatic refugee journeys and sexual assault combined with refugees’ unfamiliarity with Western health concepts and service provision can increase the interpreting challenges. Published literature provides general guidance on working with interpreters in primary care but few studies focus on interpretation in refugee SRH consults. To address this, we explored the challenges faced by providers of refugee services (PRS) during interpreter mediated SRH consultations with Burma born refugees post settlement in Australia. We used qualitative methodology and interviewed 29 PRS involved with migrants from Burma including general practitioners, nurses, interpreters, bilingual social workers, and administrative staff. The interviews were audio-recorded, transcribed, and subjected to thematic analysis following independent coding by the members of the research team. Key themes were formulated after a consensus discussion. The theme of “interpretation related issues” was identified with six sub-themes including 1) privacy and confidentiality 2) influence of interpreter’s identity 3) gender matching of the interpreter 4) family member vs. professional interpreters 5) telephone vs. face-to-face interpreting 6) setting up the consultation room. When faced with these interpretation related challenges in providing SRH services to people from refugee backgrounds, health care providers combine best practice advice, experience-based knowledge and “mundane creativity” to adapt to the needs of the specific patients. The complexity of interpreted SRH consultations in refugee settings needs to be appreciated in making good judgments when choosing the best way to optimize communication. This paper identifies the critical elements which could be incorporated when making such a judgement. Future research should include the experiences of refugee patients to provide a more comprehensive perspective.

Both, and: Transmedicalism and resistance in non-binary narratives of gender-affirming care

While gender dysphoria is a real and acute distress for many transgender people, it is not universal, and it is experienced and oriented to in a myriad of ways. However, its status as a prerequisite for gender-affirming care can lead trans people to feel compelled to amplify its salience in their pursuits for medical support. Through a critical discourse analysis of non-binary healthcare narratives, I trace the relationship between linguistic practices in these care interactions and the gender and sexual logics of the transmedicalist model of transgender care. With a focus on excerpts that center on individuals’ descriptions of dysphoria in the consultation room, I contend that these experiences are not straightforward accounts of assimilation to transmedicalist expectations. Rather, when read from a trans linguistic perspective, these strategies are examples of non-binary patients enacting their own interventions on a process over which (it may seem) they have minimal control and present a critical thirding (Tuck 2009) of a dichotomous view of either transnormativity or resistance.