Background: Strong working relationships between pharmacists and physicians are needed to optimize patient care. Understanding attitudes barriers collaboration may help with delivery of primary health care services. The objective this study was capture the opinions family community in Newfoundland Labrador (NL) regarding collaborative practice. Methods: Two parallel surveys were offered all NL. Surveys assessed following: experience practice, preferred communication methods, perceived role...

Although patients express an interest in using mobile health (mHealth) interventions to manage their and chronic conditions, many current mHealth are difficult use. Usability testing is critical for the success of novel interventions. Researchers recognize utility qualitative quantitative approaches usability testing, but researchers lack awareness integration from advances mixed methods research that can add value technology.

The beneficial outcomes of oral anticoagulation therapy are dependent upon achieving and maintaining an optimal INR therapeutic range. There is growing evidence that better achieved when managed by a pharmacist with expertise in management rather than usual care family physicians. This study compared program (PC) to physician (UC) medicine clinic. A retrospective cohort was carried out clinic which included clinical pharmacist. In 2006, the assumed management. For 17-month period, PC group...

Using a mobile health (mHealth) intervention, consisting of smartphone and compatible medical device, has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes while mitigating care costs.The aim this study was explore facilitators barriers among providers (HCPs) regarding use mHealth interventions for COPD management.This qualitative study. Semistructured individual interviews were conducted with HCPs, including nurses, pharmacists, physicians who work...

Background Using a mobile health (mHealth) intervention consisting of smartphone and compatible medical device has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes while mitigating care costs. Objective This study aims describe demographics, use, access smartphones patients with COPD. It also explore develop an understanding facilitators barriers that might influence using mHealth interventions for COPD management. Methods was explanatory, sequential...

A pharmacist managed anticoagulation service was initiated in a multi-physician family medicine clinic December 2006. In order to determine the patient and physician satisfaction with service, study designed describe patients' warfarin education management they received from pharmacist, physicians' level of care provided by for patients taking warfarin. self-administered survey completed both eligible receiving physicians prescribing between 2006 May 2008. The collected information on...

Cancer patients face substantial care-related out-of-pocket (oop) costs that may influence treatment decisions, attitudes, and use of drug- or appointment-related cost-saving strategies. We examined the relationship between oop responses by patients.We surveyed 170 prostate 131 breast cancer presenting at clinics support groups, listed on registry in Newfoundland Labrador.In 3-month period before survey, 18.8% 25.2% had greater than $500. Those consumed more 7.5% quarterly household income...

Patients with chronic obstructive pulmonary disease (COPD) are often nonadherent medications and have poor inhaler technique. Community pharmacists can help to improve health-related quality of life overall outcomes in patients COPD. We aim measure the effectiveness a systematic, pharmacist-driven intervention on diagnosed COPD.This pragmatic, parallel-group, cluster randomized controlled trial is designed determine multifactorial, pharmacist-led medication adherence, technique, life, health...

Background: The use of mobile health (mHealth) interventions has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes. Further research is needed determine which mHealth features are required potentially COPD self-management. Aim: aim this study was explore an intervention for management with healthcare providers (HCPs) and patients COPD. It could inform development successful implementation management. Methods: This a qualitative study. We conducted...

To report a case of aseptic meningitis induced by intramuscularly administered methotrexate in patient with rheumatoid arthritis.A 62-year-old male presented on 3 separate occasions symptoms consistent meningitis: 2 required hospitalization and 1 was noted during subsequent ambulatory care visit. Prior to the first episode, dose ranged between 17.5 mg 20 given once weekly over 5 years, 11 months. One month before patient's admission, increased 22.5 mg. Symptoms presentation included...

Hyperkalemia can be a life-threatening event due to the risk of potentially fatal arrhythmias. has been reported in 1.3% (serum potassium greater than 6.0 mEq/mL) 10% (greater 5.3 patients. secondary beta-adrenergic receptor blockade occur 1% 5% patients and is more likely non-cardio-selective beta-blockers versus cardio-selective beta-blockers. This case report describes hyperkalemia 72-year-old female with diabetes underlying chronic renal failure receiving metoprolol. Chronically, balance...

1Although Mycobacterium avium complex continues to be responsible for most cases, a number of other species may cause infection, 1 including malmoense , slow-growing nonphotochromogenic mycobacterium that was first isolated in 1977. 2 Although relatively common the United Kingdom and northern Europe, M. has date been only rarely North America. This presents unique challenges diagnosis treatment considerable morbidity mortality if inadequately treated. 1,3 The following case report describes...

We describe a case of healthy 61-year-old man who developed disseminated intravascular coagulation and venous thromboembolism secondary to acute Epstein-Barr virus (EBV) infection. The EBV was confirmed via serology polymerase chain reaction. Although more common in children young adults, infection may also occur middle-age older adults should be considered as differential diagnosis every patient presenting with coagulation.

Low adherence to cystic fibrosis (CF) treatment is associated with poor health outcomes, while knowledge of the disease and medication regimen can positively influence adherence. This study's purpose was develop validate a questionnaire help determine CF pediatric patients caregivers. Our had 37 items: 22 selected-response 15 open-response questions. We used validation processes from Standards for Educational Psychological Testing. experts analyzed validity evidence based on content. Then,...

Once-daily intravenous cefazolin with probenecid is used commonly to treat cellulitis. The primary objective of this study was determine the risk factors treatment failure regimen.This a retrospective cohort adult outpatients cellulitis who were initially treated once-daily plus probenecid. Treatment defined as inadequate improvement that necessitates either hospital admission or change in antibiotic therapy different regimen. A stepwise logistic regression analysis performed for regimen...

Background: The prevalence and mortality rates of chronic obstructive pulmonary disease (COPD) are increasing worldwide. Therefore, COPD remains a major public health problem. There is growing interest in the use smartphone technology for promotion management interventions. However, effectiveness smartphones reducing number patients having exacerbation poorly understood.

The majority of medications used in treating asthma and chronic obstructive pulmonary disease (COPD) are taken through metered-dose inhalers (MDIs). Studies have reported that most patients demonstrate poor inhaler technique, which has resulted control. Digital Health applications the potential to improve technique adherence inhaled medications.

Background: In 2007, because of a potential interaction between ceftriaxone and calcium-containing IV solutions, Roche Laboratories (manufacturer Rocephin [ceftriaxone] in the United States) issued letters to health care professionals advising them changes product monograph. Subsequently, warning were also by US Food Drug Administration (FDA) Health Canada. The Canada recommendations their implications for clinical practice generated debate Canadian hospital pharmacy community.Objective: To...

International standards of pharmacy curricula are necessary to ensure student readiness for international placements. This paper explores whether from two programs, in Australia and Canada, congruent with if students feel prepared Nationally prescribed educational the schools were compared each other then against Pharmaceutical Federation (FIP) Global Competency Framework. Written reflections complemented this analysis. Mapping results suggested substantial agreement between FIP framework...