Practice description: Community pharmacists at the study site routinely provide pharmacy services including medication therapy management, immunizations, point-of-care testing, blood pressure monitoring, and diabetes education. The pharmacy is a training site for post-graduate year 1 and 2 community-pharmacy residents and for introductory click here and advanced pharmacy practice experience students.
Practice innovation: Implementation of a pharmacogenetics testing service in a community pharmacy.
Main outcome measures: Feasibility of offering a pharmacogenetics testing service in a community pharmacy.
Results: Study investigators identified several
internal and external barriers to the community pharmacy when initiating a pharmacogenetics service. This article shares experiences of the study team and solutions to the identified barriers.
Conclusion: Community pharmacies interested in providing pharmacogenetic testing can overcome barriers by check details identifying practice partners and planning appropriately.”
“Case
Description-3 alpaca crias and cadavers of an alpaca cria and a llama cria were evaluated for evidence of esophageal dysfunction.
Clinical Findings-All 5 crias were between 3 and 5 months of age when clinical signs developed, and all had a thin body condition when examined. Clinical signs included coughing, regurgitation, and grossly visible esophageal peristaltic waves. A barium esophagram was used to diagnose esophageal obstruction, megaesophagus, and
a vascular ring anomaly (VRA). Fluoroscopy was used to evaluate deglutition, esophageal peristalsis, and the extent of esophageal dilation in 1 alpaca cria. A persistent right aortic arch was identified in 1 alpaca cria, and a left aortic arch with right ductus arteriosus or ligamentum arteriosum and an aberrant right subclavian artery were identified in the 4 remaining crias.
Treatment and Outcome-Surgical correction of the VRA was attempted in the 3 live alpaca crias. It was complicated by the conformation and location of each VRA and inaccurate anatomic diagnosis of the VRAs before surgery. Treatment was universally unsuccessful because of intraoperative complications and the persistence of clinical signs after surgery.
Clinical Relevance-Megaesophagus is typically an idiopathic condition in camelids. However, INCB018424 these findings suggested that camelids with esophageal dysfunction during the neonatal period may have a VRA. The prognosis is grave for camelids with VRA, and accurate anatomic diagnosis of the VRA via the use of advanced imaging techniques leg, angiography, computed tomography, or magnetic resonance imaging) may improve the success of surgical intervention. (J Am Vet Med Assoc 2010;237:311-316)”
“Objectives: To understand how community pharmacists use electronic prescribing (e-prescribing) technology and to describe the workflow challenges pharmacy personnel encounter as a result of using e-prescribing technology.