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Pharmacist Consult Service In Geriatric Trauma Patients, Vanessa M. Gleason, Pharm D., Rohit A. Moghe, Pharm D., MSPH, CDE, Doris Warner, MSN, RN, CEN, Michael S. Weinstein, MD, FACS 2014 Thomas Jefferson University

Pharmacist Consult Service In Geriatric Trauma Patients, Vanessa M. Gleason, Pharm D., Rohit A. Moghe, Pharm D., Msph, Cde, Doris Warner, Msn, Rn, Cen, Michael S. Weinstein, Md, Facs

Pharmacy, Presentations and Grand Rounds

Introduction

• Geriatric patients (> 65 years of age) have a 3-5% incremental increase in annual occurrence of trauma making it a top five leading cause of death in this population.

• The mortality rate ranges from 15-30%, which is 4-5 times higher than younger patients.

• In 2011, data from the Pennsylvania Trauma Systems Foundation (PTSF) demonstrated nearly 32% of injured patients statewide and nearly 50% of the trauma patients at Thomas Jefferson University Hospital (TJUH) were > 65 years.

• Most geriatric patients have comorbidities that are treated with many medications, which may predispose them for falls.

• Although there are many methods to assess ...


Azithromycin Use In Upper Respiratory Infection, Charles D. Snyder, Sarah Winey, Scarlet Lau, Ryley Uber, Mouhannad Saad, Rebecca Widder, Douglas Anderson 2014 Cedarville University

Azithromycin Use In Upper Respiratory Infection, Charles D. Snyder, Sarah Winey, Scarlet Lau, Ryley Uber, Mouhannad Saad, Rebecca Widder, Douglas Anderson

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Antibiotic resistance is a problem that is growing worldwide. Misuse and overprescribing of antibiotics leads to a rise in pathogens that are resistant to the conventional drugs prescribed, causing increases in morbidity and mortality rates. Antibiotic resistance occurs when microbes still survive despite the presence of an antibiotic. The remaining microbes grow in strength and multiply until there is a population that are now resistant to treatment. One such treatment is azithromycin, an antibiotic often prescribed for upper respiratory tract infections (URI). A URI is any infection of the respiratory tract from the nasal cavities to the larynx that can ...


Assessing Student Empathy For Hemodialysis Patients, Stephanie M. Cailor, Logan Conkey, Laura K. Farleman, Rachel M. Wilcox, Emily M. Laswell 2014 Cedarville University

Assessing Student Empathy For Hemodialysis Patients, Stephanie M. Cailor, Logan Conkey, Laura K. Farleman, Rachel M. Wilcox, Emily M. Laswell

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Hemodialysis is a treatment process utilized by kidney patients to filter their blood. These patients are required to undergo an intensive regimen including hemodialysis treatments multiple times per week lasting 3-5 hours each. As a result of hemodialysis, patients experience decreased autonomy, freedom, and independence. An estimated 50% of these patients do not adhere to their treatment regimen. Patients on hemodialysis may be more compliant to their treatment if they are satisfied with the level of care and empathy they perceive from their healthcare providers. Currently there is no literature measuring empathy levels of healthcare professionals or students towards patients ...


Gmo Vs. Non-Gmo: Comparing The Addictiveness Of Corn In Rats, Sara L. Hill, Aric Carroll, Tyler Michael, Courtney Noll, Kelly A. Huston 2014 Cedarville University

Gmo Vs. Non-Gmo: Comparing The Addictiveness Of Corn In Rats, Sara L. Hill, Aric Carroll, Tyler Michael, Courtney Noll, Kelly A. Huston

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Genetically modified organisms (GMOs) refer to organisms whose DNA has been altered to produce a certain characteristic. GMOs account for a significant proportion of the crops produced in the United States. Specifically, GMO corn accounted for approximately 88% of all corn grown for human and animal consumption in the year 2012. Previously conducted studies have not uniformly demonstrated the safe use of GMO corn, and no studies have been conducted analyzing the addictiveness of GMO corn.

The idea of addiction refers to more than just a physical dependence, but to a psychological dependence on something as well. It is sometimes ...


Medication Reconciliation Of Medically-Complex Emergency Department Patients By Second-Year Professional Pharmacy Students, Lauren Haines, Neal S. Fox, Rachel Bull, Jeb Ballentine, Zachary Jenkins 2014 Cedarville University

Medication Reconciliation Of Medically-Complex Emergency Department Patients By Second-Year Professional Pharmacy Students, Lauren Haines, Neal S. Fox, Rachel Bull, Jeb Ballentine, Zachary Jenkins

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

ABSTRACT:

Background: There is a high potential for medication discrepancies to occur during patient care transitions. However, health professionals must find ways to reduce these and improve patient care, such as with medication reconciliation. This intervention is used to identify a patient’s most accurate medication list by comparing the medical record to another list obtained from the patient, hospital, or other provider. Pharmacists have a major role in this process because of their medicinal expertise, but paying them is expensive, so using students may be more cost-effective. Research has examined fourth-year professional pharmacy students (P4s) performing medication reconciliation during ...


Assessing Patient Adherence And Satisfaction: Clinical Services Beyond The Pharmacy Counter, Thaddeus Franz, Bryan Feldmann, Colin J. Behm, Danielle Grear, Jeremy Flikkema 2014 Cedarville University

Assessing Patient Adherence And Satisfaction: Clinical Services Beyond The Pharmacy Counter, Thaddeus Franz, Bryan Feldmann, Colin J. Behm, Danielle Grear, Jeremy Flikkema

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Medication adherence is a bigger problem than many of us are willing to admit. If patients do not take their medications as prescribed, they will not get the full therapeutic benefits and will put themselves at risk if serious harm. An estimated 125,000 deaths occur in the United States annually due to non-adherence. The objective of this study is to establish a pharmacy intervention model that best provides patient satisfaction and improved medication adherence through the use of home visits and follow-up calls by pharmacists and pharmacy interns at Clark’s Pharmacy. In order to do this, patients receiving ...


A Measure Of The Amount Of Vitamin K Leached Out From Cooked Greens In Potlicker, Douglas Anderson, Kara Bobka, Matthew Johnson, Chelsea Manion, Samuel Tesfaye, Rebecca Widder, Joshua Willoughby 2014 Cedarville University

A Measure Of The Amount Of Vitamin K Leached Out From Cooked Greens In Potlicker, Douglas Anderson, Kara Bobka, Matthew Johnson, Chelsea Manion, Samuel Tesfaye, Rebecca Widder, Joshua Willoughby

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Vitamin K, a fat-soluble vitamin synthesized by plants, is found in large quantities within green leafy vegetables, such as collard, mustard, turnip and spinach. These greens are commonly cooked with fat to enhance flavor. The vitamin K in these greens can leach out during cooking into the liquid portion of the pot, which is referred to as potlicker. Vitamin K activates clotting factors (II, VII, IX, and X,), which can lead to the formation of a thromboembolism (blood clot). People at a higher risk of forming blood clots are often prescribed warfarin, an anti-coagulant that acts as a competitive inhibitor ...


Community Education On Mtm Services, Kristin Lessig, Lindsay Mailloux, Jacob Davis, Samantha Smolinski, Stephen Yeboah, Aleda Chen, Thaddeus Franz, Ginger Cameron, Jenna Lawhead 2014 Cedarville University

Community Education On Mtm Services, Kristin Lessig, Lindsay Mailloux, Jacob Davis, Samantha Smolinski, Stephen Yeboah, Aleda Chen, Thaddeus Franz, Ginger Cameron, Jenna Lawhead

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Abstract

Background

Medication nonadherence, defined as “the number of doses not taken or taken incorrectly that jeopardizes the patient’s therapeutic outcome,” is a major health problem with about 43% of the general population nonadherent to their medications. Medication nonadherence accounts for an estimated 125,000 deaths per year in the US, 33-69% of medication-related hospital readmissions, and an estimated $100 to $300 billion in direct and indirect medical costs. Medication therapy management (MTM), defined as “a distinct service or group of services that optimize therapeutic outcomes for individual patients,” has been found to reduce medication nonadherence. However, many individuals ...


Pharmaceutical Stability Of Promethazine In Iv Infusion Fluids, Josh Knoebel, Ruth Choi, Michael Kapraly, Brandon Kime, Kaysie J. Brittenham, Denise S. Simpson, Rebecca J. Gryka, Samson Amos 2014 Cedarville University

Pharmaceutical Stability Of Promethazine In Iv Infusion Fluids, Josh Knoebel, Ruth Choi, Michael Kapraly, Brandon Kime, Kaysie J. Brittenham, Denise S. Simpson, Rebecca J. Gryka, Samson Amos

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

BACKGROUND: Promethazine is an antiemetic often administered intravenously in healthcare facilities for postoperative nausea and vomiting. Due to potential adverse events that may result with intravenous push administration, some safety-minded healthcare facilities have elected to use alternative methods of administration. One such method is the intravenous piggyback (IVPB). However, limited stability data exist for promethazine in intravenous solutions.

OBJECTIVE: To analyze the stability over time of promethazine dissolved in commonly used intravenous infusion fluids when exposed to various light and temperature conditions.

PROPOSED METHODS: Promethazine will be formulated into IVPB bags of normal saline, dextrose 5% in water and Lactated ...


Redesign Of Trans-Splicing Molecules For The Correction Of Dystrophia Myotonica Type 1 Toxic Rna Transcripts, Eleanor G. Harrison 2014 East Tennessee State University

Redesign Of Trans-Splicing Molecules For The Correction Of Dystrophia Myotonica Type 1 Toxic Rna Transcripts, Eleanor G. Harrison

Undergraduate Honors Theses

Dystrophia myotonica (DM1), one of the most common forms of muscular dystrophy, is caused by a repeated trinucleotide expansion in the DMPK gene. This mutation results in the accumulation of toxic cellular RNA transcripts. Spliceosome-mediated RNA trans-splicing (SMaRT) technology is a form of gene therapy that possesses the potential to correct these toxic RNA transcripts and thus cure the disease. Despite its promise, prior research applications of SMaRT technology to DM1 have been hampered by poor efficiency and have not been validated in a relevant model of the disease. In order to improve the efficiency of trans-splicing, this study examined ...


Exploring The Attitudes, Knowledge, And Receptivity Of Community-Working Pharmacists Regarding Two Over-The-Counter Medications (Otcs), Robin Spielmann, John Redwanski 2014 University of New England

Exploring The Attitudes, Knowledge, And Receptivity Of Community-Working Pharmacists Regarding Two Over-The-Counter Medications (Otcs), Robin Spielmann, John Redwanski

Pharmacy Practice Faculty Posters

Many patients go without access to contemporary or traditional Western medicine due to lack of quality health insurance. Thus, more patients are turning to other less expensive, alternative forms of treatment. Our analysis of several different community-pharmacies in Maine, Indiana, Ohio, and Kentucky showed that many practicing pharmacists know little about these types of alternative therapies, and make little effort answering questions and/or making a safe recommendation about these products. Two OTCs were chosen with purpose: Calcium with Vitamin D and Grape Seed Extract. A convenience sample of pharmacies and pharmacists were selected based on travel time and location ...


Formulation And Stability Of An Extemporaneously Compounded Oral Solution Of Chlorpromazine Hcl, Daniel L. Prohotsky, Katherine Juba, Fang Zhao 2014 St. John Fisher College

Formulation And Stability Of An Extemporaneously Compounded Oral Solution Of Chlorpromazine Hcl, Daniel L. Prohotsky, Katherine Juba, Fang Zhao

Pharmacy Faculty Publications

Chlorpromazine is a phenothiazine antipsychotic which is often used in hospice and palliative care to treat hiccups, delirium, and nausea. With the discontinuation of the commercial oral solution concentrate, there is a need to prepare this product by extemporaneous compounding. This study was initiated to identify an easy-to-prepare formulation for the compounding pharmacist. A stability study was also conducted to select the proper storage conditions and establish the beyond-use date. Chlorpromazine HCl powder and the Ora-Sweet® syrup vehicle were used to prepare the 100 mg/mL solution. Once the feasibility was established, a batch of the solution was prepared and ...


Overview And Impact Of Implementation Of A Pharmacy Concierge Service, William Balas, PhD, Christine H. DeLash, Pharm.D, Brian G. Swift, Pharm.D., MBA, Lynda Thomson, Pharm D., CACP 2014 Thomas Jefferson University

Overview And Impact Of Implementation Of A Pharmacy Concierge Service, William Balas, Phd, Christine H. Delash, Pharm.D, Brian G. Swift, Pharm.D., Mba, Lynda Thomson, Pharm D., Cacp

Pharmacy, Presentations and Grand Rounds

Problem / Issue:

Patients are at risk for adverse events and re-admissions due to outpatient medication errors and non-adherence to prescribed medication regimens. Patients are especially at risk for medication errors and misunderstanding of prescribed medication regimens during the transition of care process from the inpatient to outpatient setting.


Interprofessional Simulation Learning With Nursing And Pharmacy Students: A Qualitative Study, Pauline Paul, Joanne K. Olson, Cheryl Sadowski, Brian Parker, Angele Alook, Deirdre Jackman, Cheryl Cox, Stewart MacLennan 2014 Canadian Association of Schools of Nursing

Interprofessional Simulation Learning With Nursing And Pharmacy Students: A Qualitative Study, Pauline Paul, Joanne K. Olson, Cheryl Sadowski, Brian Parker, Angele Alook, Deirdre Jackman, Cheryl Cox, Stewart Maclennan

Quality Advancement in Nursing Education - Avancées en formation infirmière

Health science students are increasingly learning in simulated situations within their own disciplines, but interprofessional simulation learning (ISL) does not occur as often and is rarely investigated. This research explored perceptions of undergraduate nursing (n=5) and pharmacy (n=4) students with respect to how ISL contributed to discipline-specific learning, to learning about the other profession, and to the development of interprofessional skills. The students were exposed to three ISL activities with data gathered from observation of the simulation sessions, individual interviews, and field notes. Content analysis was conducted. Student participants described the ISL activities as a positive learning experience ...


The Effect Of Pomegranate Juice Extract On The Hedgehog Signaling Pathway In Pancreatic Cancer, Veronica Gomez, Talia Shackelford, Autumn Tocchi, Melissa Rowland-Goldsmith, Ph.D. 2014 Chapman University

The Effect Of Pomegranate Juice Extract On The Hedgehog Signaling Pathway In Pancreatic Cancer, Veronica Gomez, Talia Shackelford, Autumn Tocchi, Melissa Rowland-Goldsmith, Ph.D.

e-Research: A Journal of Undergraduate Work

Pancreatic cancer is the fourth leading cause of cancer death in the United States. There have been several reports indicating that phytochemicals in fruits can reduce the risk of cancer due to the anti-oxidant and anti-inflammatory effects of the polyphenols. Our lab has shown that pomegranate juice extract (PJE) has anti-proliferative and pro-apoptotic effects in human pancreatic cancer cells. In the past, we have shown that cells adhere more strongly to the plate when treated with PJE. This observation prompted an investigation of how PJE regulates cell adhesion proteins. Previously, our lab investigated E-cadherin, a cell adhesion protein. Upon activation ...


2014 White Coat Ceremony Program, School of Pharmacy, Cedarville University 2014 Cedarville University

2014 White Coat Ceremony Program, School Of Pharmacy, Cedarville University

2014 White Coat Ceremony Documents

No abstract provided.


Pledge Of Professionalism, School of Pharmacy, Cedarville University 2014 Cedarville University

Pledge Of Professionalism, School Of Pharmacy, Cedarville University

2014 White Coat Ceremony Documents

No abstract provided.


2014 White Coat Ceremony Invitation, School of Pharmacy, Cedarville University 2014 Cedarville University

2014 White Coat Ceremony Invitation, School Of Pharmacy, Cedarville University

2014 White Coat Ceremony Documents

No abstract provided.


Class Of 2018, School of Pharmacy, Cedarville University 2014 Cedarville University

Class Of 2018, School Of Pharmacy, Cedarville University

2014 White Coat Ceremony Documents

No abstract provided.


Alternative Reaction Pathways To Metformin Hydrochloride, Mohammed S. Suleiman, Stephen A. Reeves, Jorge E. Gatica 2014 Cleveland State University

Alternative Reaction Pathways To Metformin Hydrochloride, Mohammed S. Suleiman, Stephen A. Reeves, Jorge E. Gatica

Undergraduate Research Posters 2014

Metformin Hydrochloride is an important pharmaceutical used for the treatment of type 2 diabetes. The current manufacturing of this product involves a well-known and proven process. The process includes the dissolution and reaction, followed by the precipitation of Metformin Hydrochloride. Although reliable and effective, the current process relies on the use of a solvent; which later needs to be eliminated from the precipitates. The purpose of this project is the investigation of an alternative reaction pathway which will avoid the use of solvents and simplify the final purification stage. The anticipated benefits include reduced costs for the processing and a ...


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