Pharmacy and Pharmaceutical Sciences Commons^™

Sitagliptin Associated Pancreatic Carcinoma: A Review Of The Fda Aers Database, Angela Nagel, Gabriela Cipriano, Nabila Ahmed-Sarwar, Robbert Van Manen, Jack Brown

Pharmacy Faculty/Staff Publications

Purpose: Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor used in the treatment of type 2 diabetes mellitus in adults, as adjunct to diet and exercise to improve glycemic control. During phase III studies, sitagliptin was shown to cause toxicity to the pancreas, including pancreatitis. To date there is limited information available regarding its association with pancreatic carcinoma. Our goal was to qualitatively and quantitatively review available information in the AERS database in order to provide clinicians with a general understanding of the comparative occurrence of sitagliptin use and pancreatic carcinoma and any clinically relevant characteristics that may be useful in …

Extended-Release Hydrocodone: The Devil In Disguise Or Just Misunderstood?, Anne Schweighardt, Katherine Juba

Pharmacy Faculty/Staff Publications

Opioid abuse in the United States increased significantly over the past decade, leading to opioid-related deaths. Approval of Zohydro ER, a product that lacks an abuse-deterrent formulation, has provoked media controversy and aggressive legislative action from multiple stakeholders. Only the American Academy of Pain Management has released a position statement on this medication, and individual opinion varies. Additional single-entity extended-release hydrocodone formulations are in the pipeline, and Zohydro ER's limited clinical utility may make the controversy associated with its approval a moot point. As with other opioids, providers will need to assess individual patient risk versus benefit when prescribing Zohydro …

Once-Weekly Exenatide As Adjunct Treatment Of Type 1 Diabetes Mellitus In Patients Receiving Continuous Subcutaneous Insulin Infusion Therapy, Andrea N. Traina, Melinda E. Lull, Adrian C. Hui, Toni M. Zahorian, Jane Lyons-Patterson

Pharmacy Faculty/Staff Publications

Objective

The use of once-weekly exenatide in type 2 diabetes mellitus is well supported, but little is known about its effectiveness in type 1 diabetes. The objective of this study was to determine the clinical efficacy of once-weekly exenatide on glycemic control in patients with type 1 diabetes when added to basal-bolus insulin therapy.

Methods

For this retrospective study, patients with type 1 diabetes, aged 18 years and older, receiving continuous subcutaneous insulin infusion, using a continuous glucose monitoring device or regularly measuring blood glucose levels and receiving 2 mg of exenatide once weekly for at least 3 months were …

Expanding The Role Of Pharmacology Tutors Through The Use Of Online Quizzes, Melinda E. Lull, Nicole E. Moore, Matthew Stryker, Jennifer Mathews

Pharmacy Faculty/Staff Publications

Objectives: Pharmacology tutors have been available each semester for the past two years, but have been under-utilized by the student population. The primary objective of this study was to use innovative methods to increase the use of tutors in pharmacology courses.

The Use Of Student Development Workshops To Supplement The Traditional Pharmacy Curriculum, Melinda E. Lull, Jennifer Mathews

Pharmacy Faculty/Staff Publications

Objectives: Preparing students to be successful in the classroom and as practitioners requires more than didactic education. The objectives of this study were to develop and assess a series of student development workshops aimed at addressing supplementary professional and academic needs of pharmacy students.

Enhancing Ambulatory Care Appes By Incorporating Patient-Centered Medical Home Principles, Nabila Ahmed-Sarwar, Angela Nagel

Pharmacy Faculty/Staff Publications

Objective: Incorporation of various clinical activities during ambulatory care APPEs to achieve exposure to the five principals of a patient centered medical home (PCMH) provide Pharm.D. Candidates at the Wegmans School of Pharmacy with a strong foundation for a future practice in patient centered care.

Methods: The APPE is designed to engage students in activities involving the five principals of a PCMH practice. Students that are assigned to complete their Ambulatory Care APPE at one of two Level 3 National Committee for Quality Assurance (NCQA) certified PCMH Family Medicine Residency Training Practices are directly involved in engaging patients in decision …

A Transgender Health Care Panel Discussion In A Required Diversity Course, Amy L. Parkhill, Jennifer Mathews, Scott Fearing, Jeanne Gainsburg

Pharmacy Faculty/Staff Publications

OBJECTIVES: To examine the impact of a panel discussion on transgender health care on first-year (P1) pharmacy students' knowledge and understanding of transgender experiences in an Introduction to Diversity course.

DESIGN: The panel consisted of both transgender males and females. After panelists shared their healthcare experiences, students asked them questions in a moderated setting. Students completed evaluations on the presentation and learning outcomes. They also wrote a self-reflection paper on the experience.

ASSESSMENT: Ninety-one percent of students agreed that they could describe methods for showing respect to a transgender patient and 91.0% evaluated the usefulness of the presentation to be …

Design Of A Problem-Based Learning Pain And Palliative Care Elective Course, Katherine Juba, Bernard P. Ricca

Pharmacy Faculty/Staff Publications

Objective

To implement and evaluate a problem-based learning (PBL) pain and palliative care elective course to develop studentsʼ pain and symptom management pharmacotherapy knowledge, clinical reasoning process, and self-directed learning skills.

Methods

Each week students received a patient case to independently develop an assessment and plan for each pain and symptom management problem. During class the students discussed their findings within small groups in preparation for a large-group discussion with the instructor. Studentsʼ course grades were based on weekly pre-class case preparation, individual case studies, and self-reflection questions. To assess knowledge gained over the semester a free-response pre- and post-course …

Education In Pediatrics In Us Colleges And Schools Of Pharmacy, William Allan Prescott, Elizabeth M. Dahl, David Hutchinson

Pharmacy Faculty/Staff Publications

Objective. To determine the extent to which pediatrics is taught at US doctor of pharmacy (PharmD) programs and to characterize what is being taught and how.

Methods. A 40-question online survey instrument was sent to accredited and candidate-status US PharmD programs.

Results. Of 86 participating programs (67.2% response rate), 81 (94.2%) indicated that pediatric topics were included in their required classroom curricula (mean, 21.9 contact hours). A pediatric elective course was offered by 61.0% of programs (mean, 25.9 contact hours). Advanced pharmacy practice experiences (APPEs) in pediatrics were offered by 97.4% of programs, with an average of 27 students per …

Advanced Screencasting With Embedded Assessments In Pathophysiology And Therapeutics Course Modules, Ashley Woodruff, Megan Jensen, William Loeffler, Lisa M. Avery

Pharmacy Faculty/Staff Publications

Objective. To implement and assess the effectiveness of a hybrid learning model using advanced screencasting with embedded assessments in pathophysiology and therapeutics modules.

Design. Two pathophysiology and therapeutics course modules on viral hepatitis and the clinical pharmacokinetics of aminoglycosides were chosen for study. The preclass portion of the hybrid model involved student completion of interactive e-lectures that were created with the use of advanced screencasting and included embedded assessments. Students viewed the e-lectures and completed the assessment questions prior to in-class lecture.

Assessment. Preimplementation and postimplementation test scores were compared and student survey data were analyzed. Test scores improved significantly …

Cancer Vaccines: A Ray Of Hope, Lipika Chablani

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here are the article's first two paragraphs:

Recent cancer statistics review by Surveillance, Epidemiology, and End Results (SEER) Program by National Cancer Institute (NCI) shows that cancer is the second most leading cause of death after heart diseases. Cancer incidence has grown from 19.2% to 23.3% from 1975 to 2010 (Figure 1)[1]. Lung cancer remains to be the most fatal form of cancer followed by colorectal, breast and prostate cancer in the country (Table 1)[1]. Regardless of several treatment options, cancer remains to be a unique challenge for both patients and the healthcare providers. Several …

Computer Testing To Document Student Achievement Of Learning Outcomes, Richard O'Brocta

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here is the letter's first paragraph:

To the Editor. Every course should have published learning outcomes describing what students should be able to do upon successful completion of the course.1 Assessing how well the students have achieved the learning outcomes for the course is very important as this can provide evidence of learning for the student and a measure of the effectiveness of the course. Evidence of learning is important for accreditation purposes and can provide data that can be used to improve the course.2 Documenting student achievement of outcomes can be …

Acquisition Of Medication For Short-Term Medical Mission Trips, Christine R. Birnie

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here is the article's first paragraph:

Each year, increasing numbers of pharmacists and pharmacy students participate in medical mission trips around the world. The Christian Pharmacist Fellowship International (CPFI) partners with Global Health Outreach (GHO) to ensure that one or two pharmacists are included on each of their multi-disciplinary medical trips. Over the past years, the number of pharmacists participating on these trips has increased from 20 pharmacists in 2002 to 78 pharmacists in 2012.¹ In recent years, pharmacy students have also become active team members, and several schools are now organizing medical mission …

Empowering Students With Assessment Data, Jane M. Souza, Karen D.C. Bobak

Pharmacy Faculty/Staff Publications

Students’ perspective on assessment may be limited to summative grades for semester performance. However, providing access to data tracking their progress formatively could empower them to be more proactive in preparing for success. Examples of empowering students through access to data will be shared from two campuses. One campus will demonstrate how requiring students to reflect on longitudinal reports of their performance on learning outcomes can assist in targeting their studies. The second campus will exhibit how assessment data can be linked to peer mentoring. Participants will strategize how to engage students actively in the use of assessment data.

Using Embedded Assessments To Track Accreditation Standards And Generate Evidence-Based Curriculum Maps, Jane M. Souza

Pharmacy Faculty/Staff Publications

St. John Fisher College mined existing course-level assessments to address accreditation standards at the course, curricular, and student levels. This presentation demonstrated a strategy for coding existing test bank items to correspond to learning outcomes and accreditation standards and then using the data for multiple audiences. It also exemplified how an existing rich data source can simultaneously track student longitudinal progress, test bank item performance, and density of curriculum coverage. Strategies are offered to implement this embedded assessment approach to evidence-based curriculum mapping.

Rupture Test And Bioavailability Of Oil-Soluble Vitamins, Lipika Chablani

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here is the article's first paragraph:

Bioavailability of multi-vitamins as dietary supplements has always been a concern. Dissolution studies have been successfully used to predict drug release of bioactive molecules, but with vitamins there are some exceptions. United State Pharmacopoeia (USP) defines the dissolution requirements of multi-vitamin supplements based on the composition and type of dosage form. As oil-soluble vitamins do not meet the criterion of “dissolution”, the performance of dosage forms containing such vitamins is evaluated by disintegration studies primarily. Dissolution studies are not applicable for such dosage forms [1].

Dose Ratios Between High Dose Oral Morphine Or Equivalents And Oral Methadone, Megan S. Chatham, Elizabeth S. Dodds Ashley, Jefferson S. Svengsouk, Katherine Juba

Pharmacy Faculty/Staff Publications

Background: Methadone is a commonly used opioid in hospice and palliative care for patients with refractory pain. Various methadone dose conversion methods utilize progressively higher morphine equivalent dose (MED) to methadone dose ratios to compensate for increased methadone potency with escalating opioid doses.

Objective: The purpose of this study was to determine the dose ratio between equianalgesic doses of high dose oral morphine (daily doses >1200 mg morphine or MED) and oral methadone.

Methods: This study was a retrospective chart review of 324 patients who received methadone at Strong Memorial Hospital or the associated outpatient clinic during a nine-month period …

Morphine And Hydromorphone-Induced Hyperalgesia In A Hospice Patient, Katherine Juba, Robert G. Wahler, Susan M. Daron

Pharmacy Faculty/Staff Publications

Opioids including morphine and hydromorphone are widely used for control of moderate to severe pain and dyspnea in hospice and palliative care patients. Accumulation of the active morphine-3-glucuronide (M3G) and hydromorphone-3-glucuronide (H3G) metabolites is one proposed mechanism for the development of neuroexcitatory effects including allodynia and opioid-induced hyperalgesia (OIH). We report the case of a 43-year-old female hospice patient with metastatic non-small cell lung cancer who initially developed allodynia following morphine administration and again following administration of hydromorphone. The allodynia resolved both times following the discontinuation of the opioid and rotation to a different opioid regimen. Potential opioid-induced neuroexcitatory treatment …

Evolution Of Preprofessional Pharmacy Curricula, Brenda L. Gleason, Mark V. Siracuse, Nader H. Moniri, Christine R. Birnie, Curtis T. Okamoto, Michael A. Crouch

Pharmacy Faculty/Staff Publications

Objectives. To examine changes in preprofessional pharmacy curricular requirements and trends, and determine rationales for and implications of modifications.

Methods. Prerequisite curricular requirements compiled between 2006 and 2011 from all doctor of pharmacy (PharmD) programs approved by the Accreditation Council of Pharmacy Education were reviewed to ascertain trends over the past 5 years. An online survey was conducted of 20 programs that required either 3 years of prerequisite courses or a bachelor’s degree, and a random sample of 20 programs that required 2 years of prerequisites. Standardized telephone interviews were then conducted with representatives of 9 programs.

Results. In 2006, …

Stability Of U-500 Regular Insulin In Prefilled Syringes, Melinda E. Lull, Justin J. Piacentino, Andrea N. Traina

Pharmacy Faculty/Staff Publications

Objective: To evaluate the stability of U-500 regular insulin in prefilled syringes stored under refrigeration for up to 28 days.

Methods: U-500 regular insulin was drawn up in 1 mL insulin syringes in a clean, nonsterile environment to emulate conditions of a patient’s home. Samples were assayed using a stability-indicating reverse-phase high-performance liquid chromatography method immediately after preparation (day 0) and after 7, 14, 21, and 28 days under refrigeration. Before evaluation, all samples were diluted to a concentration of 40 units/mL in the starting mobile phase. Stability was determined by evaluating the percentage of the initial concentration remaining at …

Embedded Assessment And Evidence-Based Curriculum Mapping: The Promise Of Learning Analytics, Jane M. Souza

Pharmacy Faculty/Staff Publications

At Wegmans School of Pharmacy, we have adopted an embedded assessment approach to curriculum mapping and data collection on student learning outcomes achievement. In essence, we capture the data from the course level exams that our faculty members craft to measure student learning.

Resolution Of Clinical And Laboratory Abnormalities After Diagnosis Of Ventilator-Associated Pneumonia In Trauma Patients, Joseph M. Swanson, Kathryn A. Connor, Louis J. Magnotti, Martin A. Croce, Jessica Johnson, G. Christopher Wood, Timothy C. Fabian

Pharmacy Faculty/Staff Publications

Background: Guidelines advise that patients with ventilator-associated pneumonia (VAP) should respond clinically by Day 3 of antibiotics. White blood cell (WBC) count, maximum temperature (Tmax), and PaO2:FIO2 ratio are all said to respond significantly by Day 6. Resolution of abnormalities has not been evaluated in trauma patients.

Methods: Retrospective review of trauma patients with VAP. The WBC count, Tmax, and PaO2:FIO2 were evaluated for 16 days after diagnosis. Patients were grouped into uncomplicated VAP, complicated VAP (those with inadequate empirical therapy [IEAT], VAP relapse/superinfection, or acute respiratory distress syndrome), and concurrent infection +VAP (those also infected at another site).

Results: …

A Novel Anti-Inflammatory And Pro-Resolving Role For Resolvin D1 In Acute Cigarette Smoke-Induced Lung Inflammation, Hsi-Min Hsiao, Ramil E. Sapinoro, Thomas H. Thatcher, Amanda Croasdell, Elizabeth P. Levy, Robert A. Fulton, Keith C. Olsen, Stephen J. Pollock, Charles N. Serhan, Richard P. Phipps, Patricia J. Sime

Pharmacy Faculty/Staff Publications

Introduction: Cigarette smoke is a profound pro-inflammatory stimulus that contributes to acute lung injuries and to chronic lung disease including COPD (emphysema and chronic bronchitis). Until recently, it was assumed that resolution of inflammation was a passive process that occurred once the inflammatory stimulus was removed. It is now recognized that resolution of inflammation is a bioactive process, mediated by specialized lipid mediators, and that normal homeostasis is maintained by a balance between pro-inflammatory and pro-resolving pathways. These novel small lipid mediators, including the resolvins, protectins and maresins, are bioactive products mainly derived from dietary omega-3 and omega-6 polyunsaturated fatty …

New Oral Anticoagulants In The Treatment Of Pulmonary Embolism: Efficacy, Bleeding Risk, And Monitoring, Kelly M. Rudd, Elizabeth Phillips

Pharmacy Faculty/Staff Publications

Anticoagulation therapy is mandatory in patients with pulmonary embolism to prevent significant morbidity and mortality. The mainstay of therapy has been vitamin-K antagonist therapy bridged with parenteral anticoagulants. The recent approval of new oral anticoagulants (NOACs: apixaban, dabigatran, and rivaroxaban) has generated significant interest in their role in managing venous thromboembolism, especially pulmonary embolism due to their improved pharmacokinetic and pharmacodynamic profiles, predictable anticoagulant response, and lack of required efficacy monitoring. This paper addresses the available literature, on-going clinical trials, highlights critical points, and discusses potential advantages and disadvantages of the new oral anticoagulants in patients with pulmonary embolism.

Pharmacovigilance Of Biosimilars, Lipika Chablani

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here is the article's first paragraph:

Biotech industry forms the backbone of the current pharmaceutical products. Seven out of top ten anticipated drugs of the industry in 2014 will be biologics [1]. Considering the fast pace growth of the biotechnological products, there is a parallel demand of biosimilars. As defined by FDA, “A biosimilar is a biological product that is highly similar to a U.S.-licensed reference biological product notwithstanding minor differences in clinically inactive components, and for which there are no clinically meaningful differences between the biological product and the reference product in terms of …

Oral Mucositis And Stomatitis Associated With Conventional And Targeted Anticancer Therapy, Amy Parkhill

Pharmacy Faculty/Staff Publications

Oral mucositis and stomatitis are characterized by pain, inflammation, and redness in the oral cavity. In the case of mucositis, ulceration also occurs. Despite being understudied, these symptoms are some of the most troubling, and yet common, adverse effects associated with cancer treatment. The incidence of these toxicities is highly variable depending on treatment-related and patient-related risk factors. However, most cancer treatment regimens carry some risk of this toxicity. The presence of mucositis or stomatitis can result in a significant decrease in the patient?s quality of life due to severe pain and the inability to eat or drink. These toxicities …

Breast Cancer Vaccine: Are We There Yet?, Lipika Chablani

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here is the article's first paragraph:

Breast cancer is the most fatal form of cancer for female population worldwide. National Cancer Institute (NCI) estimates 226,870 females and 2,190 males to be diagnosed with breast cancer in the United States by the end of 2012. The estimated death toll for this year includes 39,510 females and 410 males, as reported by NCI. Statistics state that 1 in every 8 females will be diagnosed with breast cancer during her lifetime. These alarming numbers have provoked a large number of scientists to contribute towards the fight against breast …

Educating Pharmacy Students To Improve Quality (Epiq) In Colleges And Schools Of Pharmacy, Adrienne M. Gilligan, Jaclyn Myers, James D. Nash, Jill Lavigne, Leticia R. Moczygemba, Kimberly S. Plake, Ana C. Quiñones-Boex, David Holdford, Donna West-Strum, Terri L. Warholak

Pharmacy Faculty/Staff Publications

Objective. To assess course instructors’ and students’ perceptions of the Educating Pharmacy Students and Pharmacists to Improve Quality (EPIQ) curriculum.

Methods. Seven colleges and schools of pharmacy that were using the EPIQ program in their curricula agreed to participate in the study. Five of the 7 collected student retrospective pre- and post-intervention questionnaires. Changes in students’ perceptions were evaluated to assess their relationships with demographics and course variables. Instructors who implemented the EPIQ program at each of the 7 colleges and schools were also asked to complete a questionnaire.

Results. Scores on all questionnaire items indicated improvement in students’ perceived …

The Crossroads Of Interprofessionalism: Four Avenues Of Collaboration At The Wegmans School Of Pharmacy, David Hutchinson, Jane M. Souza, Jennifer Mathews, Anthony Corigliano, Katherine Juba, Jill Lavigne, Andrea Traina, Karen A. Bobak, Constance Baldwin, O.J. Sahler

Pharmacy Faculty/Staff Publications

Objective: The utilization of interprofessional education and collaborative practice delivers optimal health services and improves patient outcomes. Training future healthcare providers in an integrated environment promotes a “collaborative practice-ready” workforce. The aim of this study was to identify ongoing specific interprofessional collaborative projects and promote their awareness among faculty at the St. John Fisher College Wegmans School of Pharmacy.

Methods: Faculty members were surveyed to identify the ongoing interprofessional collaborative initiatives among pharmacy faculty.

Results: A total of four collaborative practices were identified among faculty: ambulatory care, assisted-living, didactic, and assessment. The ambulatory care setting at an osteoporosis clinic provides …

Individualized Reflective Learning Through Portfolio Use In Pharmacy School Education, Melinda E. Lull, Jennifer Mathews, C. R. Utter, R. J. Bova

Pharmacy Faculty/Staff Publications

Objectives: The ability to teach one’s self is a skill that will greatly enhance students in their future professional lives. To this end, learning portfolios have often been used longitudinally as a development tool. The objective of this study was to design and implement the use of an electronic portfolio to individualize student learning experiences in a one-semester pharmacy elective course.

Methods: In a forensic toxicology pharmacy elective course, students were asked to find specific articles related to lecture material but geared toward their individual interests, attach it to an online portfolio, and answer four short reflective questions. Students then …