bluuebunny/crossref_metadata_2025_split huggingface dataset:
COMPARAÇÃO DO CONSUMO DE SÓDIO E FIBRAS ENTRE ADOLESCENTES DE AMBOS OS SEXOS
Authors: Reis Ingrid Rafaella Mauricio Silva , Omena Messias Cristhiane Maria Bazílio de , Souza Havena Mariana dos Santos 
Published: January 2018

Embora apresentem manifestação clínica na idade adulta, há fortes evidências de que as doenças cardiovasculares podem ter início na infância e na adolescência, sendo os fatores dietéticos os mais condicionantes. O objetivo desta pesquisa foi comparar o consumo de sódio e fibras entre adolescentes de ambos os sexos de uma escola pública de Petrolina, Pernambuco. Tratou-se de estudo transversal, realizado nos meses de fevereiro de 2013 a novembro de 2014, com alunos matriculados da faixa etária de 15-17 anos de ambos os sexos, totalizando 209 participantes. Foi usado o Recordatório 24 horas como instrumento de avaliação do consumo alimentar. Os resultados indicaram que a maioria, de ambos os sexos, apresentou o consumo de sódio superior ao recomendo (2.000 mg de sódio). Enquanto que, para ingestão de fibras, a maioria apresentou um consumo inferior. Concluiu-se que não foi observada diferença estatísticas entre sexo, faixa etária e o consumo de sódio e fibra, destacando a necessidade de intervenções nos hábitos de vida devem ser iniciadas o mais cedo possível, inclusive na adolescência, fase em que ocorrem mudanças importantes de personalidade e o indivíduo ganha autonomia para escolher seu próprio alimento, sendo considerada como uma fase favorável para a consolidação de hábitos que poderão trazer implicações diretas para a saúde na idade adulta.
Palavras-chave: Adolescente. Sódio. Fibras alimentares. Alimentos industrializados.
DOENÇAS E AGRAVOS DO TRABALHO EM MINAS GERAIS DE 2008 A 2012
Authors: Lamy Renata de Lourdes Ribeiro Franco , Dazini Paula Oliveira , Goulart Thaís Pereira , Horta de  Lima Rafaela Caetano , Balbi Guilherme Guimarães Moreira , Almeida Vitor de Assis 
Published: January 2018

A notificação dos acidentes de trabalho é de fundamental importância na gestão da saúde pública, tendo grande impacto no atendimento dos serviços de emergência e nos benefícios acidentários da Previdência Social. O objetivo deste estudo foi realizar uma análise descritiva dos dados de doenças ou agravos relacionados ao trabalho notificados em Minas Gerais, Brasil por meio de sistemas de informação do SUS, disponíveis no DATASUS. Tratou-se de estudo ecológico, exploratório descritivo, quantitativo, retrospectivo, apoiado em análise de base de dados secundários, no período de janeiro de 2008 a dezembro de 2012. Os resultados apontaram um aumento de 101,1% na proporção de municípios com casos de doenças ou agravos notificados relacionados ao trabalho e de 39,1% na taxa de acidentes de trabalho em Minas Gerais por 100 mil habitantes, taxa não proporcional ao crescimento populacional do estado no mesmo período. Concluiu-se que havia ainda um grande sub-registro nos sistemas de informação, principalmente no Sistema de Informação de Agravos de Notificação, apesar do crescimento das variáveis analisadas.
Palavras-chave: Notificação de acidentes de trabalho. Saúde do trabalhador. Saúde pública.
INTERNAÇÕES POR CONDIÇÕES SENSÍVEIS À ATENÇÃO PRIMÁRIA EM MINAS GERAIS, ENTRE 1999 E 2007
Authors: Oliveira Éder Samuel Bonfim Esteves , Oliveira Veneza Berenice , Caldeira Antônio Prates 
Published: January 2018

O indicador Internações por Condições Sensíveis à Atenção Primária tem sido utilizado no Brasil para avaliar o impacto das atividades da Estratégia Saúde da Família, possibilitando a identificação de fragilidades regionais, para que possam ser enfrentadas de modo mais efetivo pelos gestores de saúde. Este estudo objetivou analisar as taxas de Internações por Condições Sensíveis à Atenção Primária nas regiões de saúde de Minas Gerais, no período de 1999 a 2007. Desenvolveu-se estudo ecológico, com análise de correlação entre as taxas de internações e a cobertura da Estratégia Saúde da Família. Os números de internações foram fornecidos pelo departamento de informática do Sistema Único de Saúde e a população, a cada ano, foi obtida com base nas estimativas populacionais do Instituto Brasileiro de Geografia e Estatística. Os resultados indicaram que, no período avaliado, as taxas das Internações por Condições Sensíveis à Atenção Primária passaram de 244,19 para 143,5/10.000 habitantes, uma redução de 41,2% ao longo dos anos. Houve redução em todas as regiões de saúde, mas de forma heterogênea, com piores resultados para as regiões mais carentes. Registrou-se correlação negativa e estatisticamente significante entre a cobertura populacional pela Estratégia Saúde da Família e o número dessas internações. Concluiu-se que houve melhora da efetividade da Atenção Primária em Saúde em Minas Gerais e redução das taxas e do percentual das Internações por Condições Sensíveis à Atenção Primária no total de internação entre os anos de 1999 e 2007.
Palavras-chave: Atenção Primária à Saúde. Hospitalização. Qualidade da assistência à saúde. Avaliação.
PENGEMBANGAN TEKNIK SEROLOGI UNTUK DETEKSI DINI PENYAKIT JAMUR AKAR PUTIH (RIGIDOPORUS MICROPORUS) PADA TANAMAN KARET
Authors: Dalimunthe Cici Indriani , Tistama Radite , Wahyuni Sri , Darwis Hilda Syafitri 
Published: January 2018

Penyakit Jamur Akar Putih (JAP) yang disebabkan oleh Rigidoporus microporus merupakan salah satu penyakit penting pada tanaman karet. Penyakit ini dapat menimbulkan kerugian besar karena mengakibatkan kematian tanaman dan tambahan biaya yang cukup tinggi untuk pengendalian penyakit tersebut. Oleh karena itu, usaha pencegahan melalui deteksi dini akan lebih efektif dan ekonomis dari pada pendekatan kuratif. Deteksi dini gejala penyakit JAP secara konvensional masih sulit dilakukan, dan baru diketahui secara pasti ketika serangan patogen sudah sampai pada tahap lanjut (stadia berat). Upaya mempercepat deteksi ini membutuhkan teknologi yang praktis dan mudah diadopsi oleh para pekebun. Perangkat teknologi untuk mendeteksi adanya materi protein dapat dilakukan melalui pemeriksaan antibodi yang berada di dalam serum. Tujuan dari penelitian ini adalah mengembangkan teknik serologis untuk mendeteksi gejala serangan dini penyakit jamur akar putih. Hasil penelitian menunjukkan bahwa produksi antibodi untuk mendeteksi JAP dapat diperoleh dengan mengimunisasi ayam petelur dengan ekstrak kasar fruiting body (AgF) atau miselium (AgM) sebanyak dua kali dengan interval 3 hari. Antibodi hasil reaksi inokulasi ekstrak badan buah (AbF) dan ekstrak miselium (AbM) dapat mengenali AgM dan AgF dengan tingkat reaksi yang berbeda. AbM tidak dapat secara spesifik mendeteksi adanya infeksi JAP melalui daun dan kurang sensitif mendeteksi miselium di tanah. Sebaliknya AbF dapat mendeteksi tanaman terserang JAP melalui daun dan dapat mendeteksi miselium di dalam tanah.
Hospitalized Patients' Perceived Knowledge and Risk of Monoamine Oxidase Inhibitor Medications Before and After a Pharmacist's Classroom-Based Education
Authors: Wenzel Richard G. , Schommer Jon C. 
Published: January 2018

Objective: Assess if a classroom-based pharmacy education service for hospitalized headache patients newly prescribed a monoamine oxidase inhibitor (MAOI) results in, 1) higher self-perceived medication knowledge, or 2) lower perceived risk of using MAOIs.
Subjects: Individuals admitted to an inpatient headache unit over a five month period
Methods: Patient survey administered before and after the education service to any patient newly prescribed an MAOI.
Results: Seventy-eight individuals completed the study. Paired-samples t-tests showed that for each of the four items related to self-perceived medication knowledge, the scores reflected higher knowledge after the MAOI class compared to before the class (p < 0.05). For three out of the four items related to perceived risk of using MAOIs, the scores reflected a lower level of perceived risk after the MAOI class compared to before the class (p < 0.05). One item did not significantly change: "The MAOI prescribed for me is just as good as other products available for treating headache." Conclusion: Our results demonstrate a pharmacist-conducted, classroom-based teaching method for newly prescribed MAOI patients can result in higher self-perceived medication knowledge and lower perceived risks.
Type: Original Research
Development and Implementation of an Academic-Community Partnership to Enhance Care among Homeless Persons
Authors: Gatewood Sharon B.S. , Moczygemba Leticia R. , Alexander Akash J. , Osborn Robert D. , Reynolds-Cane Dianne L. , Matzke Gary R. , Goode Jean-Venable R. 
Published: January 2018

An academic-community partnership between a Health Care for the Homeless (HCH) clinic and a school of pharmacy was created in 2005 to provide medication education and identify medication related problems. The urban community based HCH clinic in the Richmond, VA area provides primary health care to the homeless, uninsured and underinsured. The center also offers eye care, dental care, mental health and psychiatric care, substance abuse services, case management, laundry and shower facilities, and mail services at no charge to those in need. Pharmacist services are provided in the mental health and medical clinics. A satisfaction survey showed that the providers and staff (n = 13) in the clinic were very satisfied with the integration of pharmacist services. The quality and safety of medication use has improved as a result of the academic-community collaborative. Education and research initiatives have also resulted from the collaborative. This manuscript describes the implementation, outcomes and benefits of the partnership for both the HCH clinic and the school of pharmacy.
Type: Clinical Experience
Medication adherence and its relationship to the therapeutic alliance: Results from an innovative pilot study within a community pharmacy MTM practice
Authors: Pringle Janice , Melczak Michael , Aldridge Arnie , Snyder Margie , Smith Randall 
Published: January 2018

Objectives: To determine whether patients who received Medication Therapy Management (MTM) from community pharmacists using a brief scale to measure Therapeutic Alliance (i.e., MTM + TA) would show better medication adherence than patients who received MTM without use of the TA scale (MTM only).
Design: Quasi-experimental, using a direct intervention group (MTM + TA) and a comparison group of randomly selected claims records from patients who received only the MTM service (MTM only). We used a doubly robust propensity score approach to estimate the average effect of therapeutic alliance on medication adherence. The analysis was limited to the following broad medication categories: antihypertensives, antidiabetic agents, and antihyperlipidemics.
Setting: The direct intervention group included patients receiving MTM services from pharmacists in a community pharmacy chain setting.
Participants: After matching with claims data, the direct intervention group was n=117, with an average age of 76.4. The comparison group was n=146, with an average age of 76.2.
Intervention: Administration of two brief scales designed to measure general health outcomes and TA within the context of MTM (with focus on TA scale administration). Main Outcome Measures Proportion of Days Covered (PDC) and PDC80.
Results: Using the therapeutic alliance scales in the context of community pharmacist-provided MTM was associated with a 3.1 percentage point increase in patients' overall PDC (p<.001) and an increase of 4.6 percentage points in PDC80 (p=.02) as compared to patients receiving MTM without use of the therapeutic alliance scales.
Conclusion: Measuring therapeutic alliance in the context of MTM is associated with improved medication adherence and represents one strategy for enhancing the effectiveness of MTM encounters. Furthermore, administration of the therapeutic alliance scales used very little time; therefore it is likely feasible for pharmacists to routinely use the scales in their practice.
Type: Original Research
A Description of Medication Therapy Management Services in Minnesota
Authors: Digatono Amie Jo 
Published: January 2018

Objective: To describe Medication Therapy Management (MTM) services in Minnesota, quantifying how many patient encounters occur per week and compiling provider and practice site characteristics. Design: Cross-sectional study. Setting: Minnesota practice sites surveyed in June and July 2010. Participants: MTM providers in Minnesota who are registered users of the Assurance™ documentation system or are members of the Minnesota Pharmacists Association MTM Academy. Intervention: Self-administered online questionnaire completed by study participants. Main Outcome Measures: The number of patient encounters per week, practice site location, practitioner length of time as a MTM service provider, and the motivating factors for providing direct patient care services. Results: There were 56 respondents, reporting a median of 5 MTM patient encounters per week (range 0 to 35) and a median length of service of 4 years (range15). Clinic-based practices were reported by 66% of providers and community pharmacy-based practices by 30%. Eighty-five percent practice in an urban setting, 9% in a large rural town and 6% in a small rural town. Nearly half (46%) of providers are the sole practitioner at their site. The most commonly cited motivation for providing direct patient care services was to improve patient outcomes. Conclusion: MTM service providers in Minnesota were more likely to report practicing in an urban area and in a clinic. Many practices were low-volume or newly established, with half of all respondents reporting 5 or fewer MTM patient encounters per week and a length of service of four years or less.
Type: Student Project
Clinical Pharmacy Clerkship in Pakistan: A leap from paper to practice
Authors: Aslam Nousheen , Ahmed Khwaja Zafar 
Published: January 2018

This is the first article of its type to describe the advances taking place in clinical pharmacy education in Pakistan. The Pharmacy Council of Pakistan has developed a five-year Pharm.D program to replace the four-year B.Pharm degree. Completing clinical pharmacy clerkships is a prerequisite for receiving the Pharm.D degree. To meet this requirement, Ziauddin College of Pharmacy has developed a specialized clerkship program for its 4th and 5th year students. The College is fortunate to be linked with well developed tertiary care hospitals at three prime locations in the in the metropolitan city of Karachi, which provides opportunity for the students to gain exposure to real life situations and work with patients. The article presents an account of the efforts taken for development of the clinical pharmacy clerkship program, the problems encountered during its development, and the main outcomes of a clerkship program.

Type: Note
Chemical Stability of Hydrocortisone in Topical Preparation in Proprietary VersaPro™ Cream Base
Authors: Sarkar Arindam Basu , Dudley Richard , Melethil Srikumaran , Speidel Jonathon , Bhatt Gopalkumar Markandakumar 
Published: January 2018

The United States Pharmacopeia-National Formulary (USP-NF) suggests beyond use dating ((BUD) for compounded topical preparations containing active pharmaceutical ingredients (API) [1]. The beyond the use dates of the preparations are based on the conservative and empirical guidelines of USP 795. Hydrocortisone (HC) content compounded in the VersaPro™ base cream was quantified using a HPLC method at time zero and after 30 and 60 days of storage at both room temperature and 4°C. The analysis suggests that the compounded preparations retain > 95% of the stated initial potency of HC regardless of storage conditions. Thus HC creams prepared in VersaPro™ cream base can be safely assigned a beyond the use date of two months when stored at room temperature.

Type: Original Research
Building a Community of Scholars in Educational Research: A Case Study for Success
Authors: Brahm Nancy C. , Davis Tamra S. , Peirce Gretchen L. , Lamb Michelle M. 
Published: January 2018

Objective: To present the model of the Education Research/Scholarship of Teaching Community of Scholarship (EdCOS) as one Community of Scholars (COS) within a department of pharmacy.
Case Study: A case study describing the Education Research/Scholarship of Teaching Community of Scholars (EdCOS). Faculty members were self-selected into one or more of eight COS. The EdCOS was comprised of 14 members. The EdCOS developed a vision statement to "foster and support a learning culture that enables faculty to capture and evaluate teaching and learning experiences." The process by which the EdCOS set out to initiate this COS will be discussed. Since its inception all members of the EdCOS have become IRB Certified. Through a combined project, members had the opportunity to develop, learn, and acquire experience in areas of conducting research from the conception of a project through final submission of the manuscript. Departmental publications and grant funding increased over the years after the implementation of the COS.
Conclusion: Although cause and effect cannot be explicitly determined, the EdCOS has had a positive impact on its members building confidence, experience, and ideas for future projects.

Type: Idea Paper
Adopting an Advanced Community Pharmacy Practice Experiential Educational Model Across Colleges of Pharmacy
Authors: Rodis Jennifer L. , Jennings Brandon T. 
Published: January 2018

Objective: To discuss the experience of sharing an experiential model of education and practice development between two colleges of pharmacy and to provide a framework to guide faculty in this type of collaboration.
Case Study: The Ohio State University College of Pharmacy (OSU COP) Partner for Promotion (PFP) program was developed in response to the need for advancing practice in the community pharmacy setting. After successful implementation of this program, the PFP program design and materials were shared, adapted, and implemented at the University of Utah College of Pharmacy (Utah COP). Collaborating faculty developed a framework based on lessons learned through this experience which proposes key guiding strategies as considerations to address prior to embarking on sharing any aspect of an educational program or model between institutions. Each step of the framework is described and applied to the process followed by The OSU COP and Utah COP in sharing the PFP program. Additional considerations related to transfer of educational models are discussed.
Results/Conclusion: Sharing the education model and materials associated with the PFP program between institutions has enhanced experiential opportunities for students and helped develop residency training sites in the community setting. In addition, the relationship between the two colleges has contributed to faculty development, as well as an increase in community pharmacy service development with community pharmacy partners at each institution. It is hoped this experience will help guide collaborations between other colleges of pharmacy to enhance education of future pharmacists while positively impacting pharmacy practice, teaching, and research by faculty.

Type: Case Study
Evaluating Pennsylvania Pharmacists' Provision of Community-based Patient Care Services
Authors: Osborne Maria A. , Snyder Margie E. , Hall Deanne L. , Coley Kim C. , McGivney Melissa Somma 
Published: January 2018

Objective: To identify and describe Pennsylvania pharmacists who currently provide or are interested in providing community-based patient care services and are interested in joining a statewide practice network.
Design: Cross-sectional survey.
Setting: February to June 2009 in Pennsylvania.
Participants: 1700 pharmacists.
Intervention: Mailed and electronic survey.
Main outcome measures: Number and geographic location of pharmacists providing or interested in providing community-based patient care in Pennsylvania. Description of patient care documentation methods; physical space; services provided; perceived barriers to providing patient care; training needs; and interest in joining a statewide practice network.
Results: The final analysis included data from 1700 pharmacists. Approximately one-third of pharmacists (n=554) were providing patient care services to community-based patients. Most were routinely documenting (67.5%) and many had a semi-private or private space to provide care. MTM and immunizations were the most common services provided. Respondents reported the most significant barrier to providing MTM, diabetes education, and smoking cessation education was time constraints, whereas training was a barrier for immunization provision. Most pharmacists were not being compensated for patient care services. Of the 869 pharmacists interested in joining a statewide network, those providing care were more interested in joining than those who were not (70.8% vs. 43.8%, p < 0.001).
Conclusion: Pennsylvania pharmacists are interested in providing community-based patient care services and joining a statewide practice network focused on providing community-based patient care services. This research serves as a foundation for building a pharmacist practice network in Pennsylvania.

Type: Original Research
Experience Developing a Community Pharmacy Practice-based Research Network
Authors: Snyder Margie E. , Frail Caitlin K. , Seel Lindsey V. , Hultgren Kyle E. 
Published: January 2018

In 2010, the Purdue University College of Pharmacy established the Medication Safety Research Network of Indiana (Rx-SafeNet), the first practice-based research network (PBRN) in Indiana comprised solely of community pharmacies. In the development of Rx-SafeNet and through our early project experiences, we identified several "lessons learned." We share our story and what we learned in an effort to further advance the work of the greater PBRN community. We have formed the infrastructure for Rx-SafeNet, including an Executive Committee, Advisory Board, member pharmacies/site coordinators, and Project Review Team. To date, 22 community pharmacies have joined and we have recently completed data collection for the network's first project. Lessons learned during the development of Rx-SafeNet may benefit PBRNs nationally. Although community pharmacy PBRNs are not yet commonplace in the U.S., we believe their development and subsequent research efforts serve as an important avenue for investigating medication use issues.

Type: Idea Paper
Practice Change in Community Pharmacy: A Case Study of Multiple Stakeholders' Perspectives
Authors: Elrod Shara , Snyder Margie E. , Hall Deanne , McGivney Melissa A. Somma , Smith Randall B. 
Published: January 2018

Objective: To obtain a multi-stakeholder perspective of community pharmacy practice change.
Design: Qualitative study.
Setting: Community pharmacy in rural Mississippi.
Participants: Fourteen key stakeholders of the patient care practice including pharmacists (n=4), support staff (n=2), collaborating providers (n=4), patients (n=3), and a payer (n=1).
Intervention: Semi-structured interviews and participant-observation techniques were used.
Main outcome measures: Description of the community pharmacy's practice and business model and identification of practice change facilitators.
Results: Change facilitators for this practice included: a positive reputation in the community, forming solid relationships with providers, and convenience of patient services. Communication in and outside of the practice, adequate reimbursement, and resource allocation were identified as challenges.
Conclusions: This case study is a multi-stakeholder examination of community pharmacy practice change and readers are provided with a real-world example of a community pharmacy's successful establishment of a patient care practice.

Type: Case Study