{"title":"Will Fallacies in Pharmacy Determine our Future","authors":"R. Plumridge","doi":"10.1002/JPPR1999294193","DOIUrl":"https://doi.org/10.1002/JPPR1999294193","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"233 1","pages":"193-194"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77688990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extemporaneous dispensing: opinions of Victorian community pharmacists","authors":"Arthur Pappas","doi":"10.1002/JPPR1999294196","DOIUrl":"https://doi.org/10.1002/JPPR1999294196","url":null,"abstract":"Objectives: To determine estimates of the type and extent of extemporaneous dispensing undertaken by Victorian community pharmacists and to analyse their views on related issues. Study Procedure: After telephone contact, a survey was mailed to every third community pharmacy in Victoria (n=420). Results: Completed surveys were received from 296 premises (70.5%). 1. Sample: 71% male; 61% sole/partner proprietor; 35% PhC and 67% BPharm graduates. 2. Extent: 60% dispensed 1-5 extemporaneous prescriptions per week (excluding water reconstitutions); for 75% of the sample, extemporaneous prescriptions made up < 1% of total prescriptions. 3. Preparation: 63% rated the adequacy of the range of ingredients as high or very high, 52% and 10% stated that the prescriber was often or very often a dermatologist and general practitioner, respectively. 4. Demand for service: 72% felt that extemporaneous prescribing had decreased or greatly decreased in the past five years, and 74% felt it would decrease or greatly decrease in the future. 5. Pharmacist confidence and satisfaction: 68% had high or very high confidence in their extemporaneous dispensing ability and 60% had high or very high satisfaction. 6. Factors influencing attitudes: high or very high on the list were time constraints for 35%; lack of stability data for 20%; and unknown efficacy for 20%. 7. Proposals for future: 75% agreed or strongly agreed that extemporaneous dispensing should remain one of the tasks undertaken by all pharmacists, 3% agreed or strongly agreed to forgo for all, and 13% agreed or strongly agreed to specialisation. 8. Skill level (since registration): 45% felt it was at the same level. 9. Need for refresher course: 21% felt it would be useful or very useful for them. Conclusions: Even though extemporaneous dispensing forms a minor part of community pharmacy business, most pharmacists strongly believed that it should be retained by the profession generally. Main concerns revolved around time constraints for undertaking the task and lack of stability and efficacy information. Most pharmacists reported that their levels of skill and preparation were of a high order. However, there were some areas for improvement, particularly relating to raw materials handling and equipment maintenance. It is recommended that comprehensive self-audits and update courses are implemented for quality assurance of dispensed products. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"3 1","pages":"196-201"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89279564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Premedication for surgery: a survey of Australian practice","authors":"R. Riley, W. Lim","doi":"10.1002/JPPR1999294206","DOIUrl":"https://doi.org/10.1002/JPPR1999294206","url":null,"abstract":"Objective: To survey anaesthetists' premedication practices for adult surgical patients. Methods: With institutional approval, a survey questionnaire was given to anaesthetists in Western Australia during January-May 1995. The survey was anonymous and contained 16 questions. Seven responses were recorded using an anchored, 100 mm visual analogue scale (VAS). Two clinical scenarios were described and respondents were asked to detail their use of premedication drugs. Participants: Consultant and trainee anaesthetists practising in Western Australia. Results: Completed forms were returned by 107 anaesthetists. Respondents were aged 27-63 yr (mean age 42 +/- 9 yr) and were grouped by staff position (77% consultant, 23% trainee), sex (85% male) and years of practice. In general, inpatients were visited on the day before surgery (VAS=86) but not always questioned about their anxiety (VAS=56). Anaesthetists believed that premedication itself was somewhat important (VAS=67) and that patients expect premedication drugs to be used more often than not (VAS=68). Anaesthetists considered the route of administration to be unimportant (VAS=31). Patients undergoing day case surgery had an even chance of receiving no premedication whereas inpatients were more likely to receive premedication. The main aims of premedication were considered to be anxiolysis (71%), to make the anesthetic experience more pleasant for the patient (50%) and to reduce aspiration risk (39%). The preferred drug for premedication was temazepam. Conclusion: Premedication remains a popular practice although there are diverse opinions on its aims. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"PC-23 1","pages":"206-209"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84845382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creating the future of clinical pharmacy in Australia","authors":"C. Alderman","doi":"10.1002/JPPR199929128","DOIUrl":"https://doi.org/10.1002/JPPR199929128","url":null,"abstract":"The author reflects on the future of clinical pharmacy in Australia. He asserts that the future will be what clinical pharmacists create for themselves through their own actions. (non-author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"21 1","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72632797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computer-assisted exam revision by pharmacy students","authors":"Arthur Pappas, B. Cesnik, Len Sorgetti","doi":"10.1002/JPPR199929110","DOIUrl":"https://doi.org/10.1002/JPPR199929110","url":null,"abstract":"Objectives: Various versions of a computer program were developed and evaluated between 1994 and 1997 to assist first year students independently revise for a final examination. With the ongoing upgrade of hardware at the Victorian College of Pharmacy over this period, the software was piloted on stand-alone machines followed by extensive use in a networked environment (N) and finally on disk (D) to enable home use. Study Procedure: Improved versions of the software were implemented over the four years. Each group of students that was exposed to the software was surveyed by questionnaire between one to two months after release. Data on program use was collected for both 1995 and 1996 networked versions. Results: Students were asked to rate various aspects of the program. High or very high ratings were given for the objectives of each version: N[1995] (68-92%); N[1996] (66- 94%) and D (79-98%). The programs were rated better or much better than paper-based exams: N[1995] (69-91%); N[1996] (77-90%) and D (58- 93%). The number of program features were increased with each new version and most students rated them as useful or very useful. Conclusions: Overall, students responded very positively to this program as a mode of independent revision. The limitation of the campus computer access (15 computers to serve all students) was greatly reduced when the program was available on floppy disk. We believe that the wide range of program features increased the value and attraction of this mode for self-testing. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"39 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79403295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oh, you are a chemist!","authors":"Kay Dunkley","doi":"10.1002/JPPR199929147","DOIUrl":"https://doi.org/10.1002/JPPR199929147","url":null,"abstract":"The author discusses both the vocational aspects of pharmacy training as well as the broader employment opportunities. (non-author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"31 1","pages":"47-48"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85122950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Peptic Ulcer Disease in Older People","authors":"Gregory Lockrey","doi":"10.1002/JPPR199929140","DOIUrl":"https://doi.org/10.1002/JPPR199929140","url":null,"abstract":"Peptic ulcer disease is common in older people, and they bear much of the impact of its complications. Improved understanding of the principal causes of ulcers n Helicobacter pylori and non-steroidal anti-inflammatory drugs n has recently led to significant advances in drug treatment for ulcer disease. These new treatments offer the prospect of better symptom relief and improved mortality in the elderly. Aust J Hosp Pharm 1999; 29: 45-50.","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"41 1","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82298866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interventions of an antibiotic management team","authors":"A. Jenney, M. O'reilly, Des Meagher, C. Corallo","doi":"10.1002/JPPR199929136","DOIUrl":"https://doi.org/10.1002/JPPR199929136","url":null,"abstract":"Objective: To evaluate interventions made by medical and pharmacy staff in association with an antibiotic approval system at Box Hill Hospital. Design: Ward pharmacists identified all restricted antibiotics and prescribers then obtained approval numbers from the Infectious Diseases Unit. Details of all antibiotic approvals, including interventions, were recorded by the Unit during a three month period. Details of ward pharmacists' antibiotic-related interventions were extracted from the Pharmacy's computer records. Results: During the study period, 195 requests for antibiotics requiring approval numbers were made. Approval was given in 93% of cases and there were 41 additional interventions made by Infectious Diseases Unit at the time of issuing the number. Overall, treatment was altered on 55 occasions (28%). Pharmacists recorded a further 37 major interventions subsequent to the approval of antibiotics. Conclusion: An approval system for selected antibiotics can limit inappropriate prescribing particularly when a team approach is used. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"1 1","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86682001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimisation of drug delivery 11: Delivery of therapeutic peptides and proteins","authors":"R. Prankerd, H. Benson","doi":"10.1002/JPPR199929120","DOIUrl":"https://doi.org/10.1002/JPPR199929120","url":null,"abstract":"This review describes the problems of using peptides and proteins as therapeutic agents, approaches used in overcoming these problems and alternatives to the oral route of administration.","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"200 1","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75669528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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