Pharmacy and Pharmaceutical Sciences Commons^™

Kikuchi-Fujimoto Disease, Rohan Karkra

Digital Journal of Clinical Medicine

No abstract provided.

Macular And Optic Disc Drusenoid Deposits With Hemifield Defects In A Patient With Iga Nephropathy: New Findings, Dr. Prabhakar S K

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Megaloblastic Anemia With Suspected Gilbert Syndrome, Nair A, Prasad R, Dr. Ravikumar S, Dr. Prasanna Kumar

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Recurrent Pregnancy Loss Due To Bicornuate Uterus, Chandran S

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Right Lower Lobe Lung Abscess With Stage Iii Empyema, Dey Sauparna, Dr. Ravi M D

Digital Journal of Clinical Medicine

No abstract provided.

Uterine Prolapse, Nimisha Sinha, Sakshi Anurika, Dr. Anu Prerana

Digital Journal of Clinical Medicine

No abstract provided.

Ataxia Telangiectasia- A Case Report, Pooja Pallavi, Dr. Rajani H.S

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Sjogren’S Syndrome With Leucocytoclastic Vasculitis With Hypokalemic Periodic Paralysis, Dr. Pranay Penmetsa, Dr. Subramanian R

Digital Journal of Clinical Medicine

No abstract provided.

“Hunting” A Case Of External Ophthalmoplegia: Tolosa-Hunt Syndrome, Dr Vaishnavi S.G, Dr Shasthara P

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Tenofovir Induced Osteopenia, Dr Kruthi M, Dr Rajendra Prasad S

Digital Journal of Clinical Medicine

No abstract provided.

Implementation Of A Pediatric Pharmacy Education Program At A Community Regional Medical Center., Chelsea L Ferguson Pharmd, Sarah Ferrell Pharmd, Karen Kovey Pharmd, Joanna Young, Sara Trovinger

Parkview Pharmacy Department

OBJECTIVES: This study aimed to implement a web-based pediatric education program designed for pharmacists who participate in neonatal and pediatric order verification at a community-based health system and to evaluate the success through measuring outcomes related to both comfort and competence of pharmacists in pediatric and neonatal pharmacotherapy.

METHODS: This prospective quality improvement study assessed changes in confidence and competence from before to after education. Eight educational modules were designed to provide education based on the needs of this institution. All pharmacists who participate in neonatal and pediatric order verification were eligible for inclusion throughout the health system. Time in …

An Evaluation Of The Medical Management Received In The Institutional Setting During Cardiac Arrest At A Community Hospital, Danielle Carr, Jillian Coons Pharmd, Bcps, Jamie Gaul Pharmd, Bcps, Sarah Ferrell Pharmd, Abby L. Todt Pharmd, Bcps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual Meeting / Poster # SP-501

Objective: To evaluate the medical management patients receive in the institutional setting during cardiac arrest compared to the 2019 American Heart Association (AHA) advanced cardiac life support (ACLS) treatment algorithms

Appropriateness Of Intravenous Acetaminophen Use In The Emergency Departments Across A Multi-Hospital Community Health System, Allison Clemens Pharmd, Sarah Meeks Pharmd, Bryan Statz Pharmd

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting

The objective of this study was to evaluate adherence to institutional restriction criteria for intravenous acetaminophen use in the emergency departments within a community hospital system.

Evaluation Of Beta-Lactam Allergy Classification And Carbapenem Use In Patients Admitted To The Medical-Surgical Floors Of A Large, Community Hospital, Zachary Brown Pharmd, Dylan Walker, Trent Towne Pharmd, Bcps

Parkview Pharmacy Department

Background and Objective

Background • CDC reports half of patients admitted to the hospital received at least 1 dose of antibiotics from 2006-2012 • Approximately 32 million people in the United States have a documented allergy to a beta-lactam (BL) antibiotic • Approximately 10% of all US patients report having an allergic reaction to a BL in their lifetime • Fewer than 1% has a true IgE (immunoglobulin E) mediated allergy to a BL • Over 80% of those patients with an IgE-mediated allergy lose sensitivity after 10 years • Penicillin-skin testing cost: ~$220 • Per the CDC, carbapenem use …

Evaluation Of A Pharmacy Managed Vancomycin Dosing Protocol For Critically Ill Adult Patients Requiring Continuous Renal Replacement Therapy (Crrt) At A Community Hospital, Ally Fulton, Aubrey Mills Pharmd, Abby L. Todt Pharmd, Bcps, Sarah Ferrell Pharmd, Jamie Gaul Pharmd, Bcps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual Meeting/ Poster

Objective: The purpose of this medication use evaluation (MUE) was to evaluate a pharmacy managed vancomycin dosing protocol for patients on CRRT patients in a community hospital.

A Retrospective Evaluation Of Non-Operative Use Of Push Dose Phenylephrine In Critically Ill Adults, Erin Dark, Dustin D Linn Pharmd, Bcps, Bcccps, Jamie Gaul Pharmd, Bcps, Abby L. Todt Pharmd, Bcps

Parkview Pharmacy Department

Poster Presentation

Objective: To investigate the efficacy, safety and usage patterns of push-dose phenylephrine in non-operative, critically ill patients.

Fertility Treatments Of Women In Nigeria: Using Long Versus Short Protocols, Michael Egwu

Walden Dissertations and Doctoral Studies

A global estimate indicates that over 70 million heterosexual married couples live with the burden of infertility, and Nigeria accounts for about 30%. Although protocols exist, it appears there are no standardized treatment guidelines for practicing fertility experts in Nigeria. This study, therefore, aimed to determine which protocol provides a better outcome across a given population of infertile women in Nigeria as a method to move towards developing standardized treatment guidelines. The study was grounded using the Patient-Centered Care Treatment Model, and the method of inquiry was a retrospective, cross-sectional, quantitative, and nonexperimental technique, and the influence of the patient’s …

Strategies For Automating Pharmacovigilance Adverse Event Case Processing, Mythily Easwar

Walden Dissertations and Doctoral Studies

Business leaders who fail to implement innovative technology solutions in their companies face economic distress in these organizations. Guided by the task technology fit model as the conceptual framework, the purpose of this qualitative single case study was to explore strategies used by pharmacovigilance (PV) systems leaders to implement innovative technology solutions. The participants were 4 PV systems managers working in a pharmaceutical company in the Boston area of Massachusetts, United States, who used successful strategies to implement innovative technology solutions to automate adverse events case processing. Data were collected using semistructured interviews and company documents. The collected data were …

Effects Of Chronic Energy Drink Consumption On Cardiometabolic Endpoints, May Chen

University of the Pacific Theses and Dissertations

Background: Since its introduction in the early 2000s, energy drinks have become increasingly popular among an extensive range of consumers, including adolescents and young adults. Currently, the United States Food and Drug Administration (FDA) does not regulate the formulation of energy drinks, which may vary widely in the amounts of caffeine and sugar, as well as various types of supplements. Recent reports of severe and fatal adverse effects related to energy drinks have led to growing concerns on the safety of energy drink consumption.

Objective: This study aimed to investigate the effects of chronic daily consumption of energy drinks on …

Regulation Of Intracellular Aryl Hydrocarbon Receptor Protein Levels, Jinyun Chen

University of the Pacific Theses and Dissertations

The aryl hydrocarbon receptor (AHR) is a ligand-activated signaling molecule which controls tumor growth and metastasis, T cell differentiation, and liver development. Expression levels of this receptor protein are sensitive to the cellular p23 protein levels in immortalized cancer cell lines. As little as 30% reduction of the p23 cellular content can suppress the AHR function. Here we reported that down-regulation of the p23 protein content in normal, untransformed human bronchial/tracheal epithelial cells to 48% of its content also suppresses the AHR protein levels to 54% of its content. This p23-mediated suppression of AHR is responsible for the repression of …

Midazole-Based Ph-Sensitive Convertible Liposomes For Anticancer Drug Delivery, Ruiqi Huang

University of the Pacific Theses and Dissertations

Solid tumors possess biological features that are different from those in healthy tissues, which provides opportunities of anticancer treatment by nanomedicines. Due to the presence of the fenestrated tumor vasculatures, nanomedicines can selectively accumulate in tumor tissues by the enhanced permeability and retention (EPR) effect. The acidic pH in tumor interstitium (pH 6.0-7.0) also provides a promising mechanism to trigger the nanomedicines to promote the cellular uptake of cargo drugs. The previously reported stealth liposomes coated with PEG are known to accumulate in tumors owing to their prolonged circulation time. The PEG coating on liposomes can hinder serum protein adsorption …

Role Of Polymer Physicochemical Properties On In Vitro Mucoadhesion, Qing Zhang

University of the Pacific Theses and Dissertations

Polymers with mucoadhesive properties are universally used in the development of mucoadhesive drug delivery system. Their physicochemical properties as well as the mechanisms related to their adhesive actions draw great attention for the modification of mucoadhesive properties.

In this study, relationships between physicochemical properties of hydroxypropyl methylcellulose (HPMC) compacts and mucoadhesive performance were investigated. Different commercial grades of HPMC (K3, E3, E5, E50, K4M, E4M and K15M) were prepared into compacts, and their surface hydrophilicity and hydration behavior were characterized. The in vitro mucoadhesive performance was determined by the tension strength between the compacts and different regions of mucous membrane …

Development Of Lipid-Based Nano Formulations Of Miriplatin Against Lung Cancer, Zizhao Xu

University of the Pacific Theses and Dissertations

Cancer is the second leading cause of death and is responsible for approximately 9.6 million deaths worldwide in 2018. Among all oncological diseases, lung cancer claims the highest mortality (male: 23.5%; female: 22%) and the second most new cases (male: 13%; female: 12%) in the US. Approximately 40% of newly diagnosed lung cancer patients are in the advanced stage IV, for which platinum-based chemotherapy is the first-line treatment, either by itself or in combination with surgery or radiotherapy.

Cisplatin, the first-generation platinum-based anticancer chemotherapeutic agent, has the highest potency against lung cancer but carries many severe adverse effects. Cisplatin also …

Elephant And Anchors ‒ Photoelectron Photoion Coincidence Spectroscopy Of Small Oxygenated Molecules, Apeter Weidner

University of the Pacific Theses and Dissertations

The dissociative photoionization reactions of two small, oxygenated organics, namely 1,3-dioxolane and methyl vinyl ketone, were studied by photoelectron photoion coincidence (PEPICO) spectroscopy. Experiments involving 1,3-dioxolane were carried out in the photon energy range of 9.5‒13.5 eV. The statistical thermodynamics model shows that a total of six dissociation channels are involved in the formation of three fragment ions, namely C3H5O2+ (m/z 73), C2H5O+ (m/z 45) and C2H4O+ (m/z 44), with two channels contributing to the formation of each. By comparing the results of ab initio quantum chemical calculations to the experimentally derived appearance energies of the fragment ions, the most …

Studies On The Size And Non-Planarity Of Aromatic Stacking Moiety On Conformation Selectivity And Thermal Stabilization Of G-Quadruplexes, Mandeep Singh

University of the Pacific Theses and Dissertations

Targeting DNA has the advantage over proteins for cancer remediation because of the fewer copies of the ligands required for the desired therapeutic effect. Traditionally, covalent DNA binders like alkylating agents have been used to induce genetic instability through the formation of DNA lesions and strand breaks, leading to cellular apoptosis. The primary drawback of this treatment is the non-specific binding that affects both cancerous and non-cancerous cells. G-quadruplexes are the DNA secondary structures that are present in abundance near the promoter regions of the oncogenes and are involved in the regulation of their activities. A ligand-mediated stabilization of G-quadruplexes …

Formulation Strategies To Enhance Solubility And Permeability Of Small Molecules For Drug Delivery Applications, Pradeep Kumar Bolla

Open Access Theses & Dissertations

All the new chemical entities/drug molecules intended for therapeutic use must be administered using an appropriate delivery system/dosage form to achieve maximum bioavailability. However, designing a drug delivery system is complex as several factors such as lipophilicity, molecular mass, crystallinity, ionic charge, polymorphic forms and hydrogen bonding) affect the solubility and permeability of these molecules. Biopharmaceutics drug classification system (BCS) categorizes the existing drugs into four classes based on the aqueous solubility and membrane permeability and it is reported that >70% of the drugs are poorly soluble and belong to BCS class II and BCS class IV. Several physical, chemical …

Benchmarking Machine Learning Methods For Molecular Property Prediction, Govinda Bahadur Kc

Open Access Theses & Dissertations

Machine learning (ML) techniques have been widely applied in a variety of areas ranging from pattern recognition, natural language processing, and computer games to self-driving cars, clinical diagnostics, and molecular structure prediction easing day to day life of human beings. Drug discovery is an expensive, complex, and time taking process. Currently, the pharma industry is hoping to leverage machine learning methods in expediting the drug discovery process. Molecular property prediction is one of the most important tasks in drug discovery. While developing a new drug relies on a proper understanding of molecular properties, there has been great interest in the …

Pharmaceutical Manufacturing In The 21st Century: Identification And Analysis Of Key Elements, Robert N. Mills

Honors Program: Senior Projects (Public)

The availability of quality pharmaceutical products impacts the lives of the global population on a daily basis. The importance of product availability and quality within pharmaceutical manufacturing requires that quality systems put into place are capable of accurately and robustly capturing the quality compliance, or lack thereof, of the various stages of production. This review intends to analyze current expert-recommended best practices within key elements of a pharmaceutical manufacturing quality control system and provide recommendations throughout. The quality elements discussed include Quality by Design method validation, necessary equipment determination, and equipment qualification, followed by documentation control and data flow.

Pharmacists Improve Door To Needle Times In The Emergency Department, Kevin Phan, Megan Degener

Books, Presentations, Posters, Etc.

No abstract provided.

ผลของสารทำอิมัลชันต่อคุณสมบัติและความคงตัวของแอสตาแซนทีนนาโนอิมัลชันสำหรับรับประทาน, พรรณรัตน์ นงนวล

Chulalongkorn University Theses and Dissertations (Chula ETD)

แอสตาแซนทีนเป็นสารต้านออกซิเดชันที่มีฤทธิ์แรงซึ่งมีผลิตภัณฑ์จำหน่ายในรูปแบบเม็ดและแคปซูลสำหรับรับประทาน อย่างไรก็ตาม แอสตาแซนทีนมีข้อจำกัดด้านการดูดซึมเข้าสู่ทางเดินอาหาร จึงมีการนำระบบนาโนอิมัลชันมาใช้ในการพัฒนาเป็นระบบนำส่งแอสตาแซนทีน โดยทำการศึกษาผลของชนิดและความเข้มข้นของสารทำอิมัลชันต่อคุณสมบัติและความคงตัวของตำรับแอสตาแซนทีนนาโนอิมัลชันชนิดรับประทาน โดยใช้น้ำมันรำข้าว และใช้สารทำอิมัลชันเดี่ยว (โซเดียมเคซิเนต 1, 3, 5% หรือ พอลิซอร์เบต 80 4, 6, 8%) และใช้สารทำอิมัลชันผสมทั้งสองชนิด ผลการศึกษาพบว่า ขนาดหยดอนุภาคของตำรับนาโนอิมัลชันเปล่าที่ใช้สารทำอิมัลชันเดี่ยวโซเดียมเคซิเนตใหญ่กว่าตำรับที่ใช้สารทำอิมัลชันเดี่ยวพอลิซอร์เบต 80 และการเพิ่มความเข้มข้นของพอลิซอร์เบต 80 ส่งผลให้ขนาดหยดวัฏภาคภายในลดลงอย่างมีนัยสำคัญ (p<0.05) สำหรับตำรับที่ใช้สารทำอิมัลชันผสม การเพิ่มความเข้มข้นของสารทำอิมัลชัน ทำให้ขนาดหยดวัฏภาคภายในมีขนาดเล็กลงและมีค่าศักย์ไฟฟ้าซีต้าอยู่ระหว่างการใช้สารทำอิมัลชันเดี่ยว 2 ชนิด จากการศึกษาความคงตัวทางกายภาพภายใต้สภาวะเร่งร้อน-เย็น จำนวน 6 รอบ พบว่า ทุกตำรับที่ใช้สารทำอิมัลชันเดี่ยวและตำรับที่ใช้สารทำอิมัลชันผสมที่มีโซเดียมเคซิเนต 1% มีความคงตัวทางกายภาพที่ดี จากนั้น เลือกใช้สารทำอิมัลชันที่ความเข้มข้นน้อยที่สุดและให้ความคงตัวที่ดี นำมาเตรียมนาโนอิมัลชันที่บรรจุแอสตาแซนทีน โดยเลือกใช้สารทำอิมัลชันเดี่ยว 1% โซเดียมเคซิเนต, 4% พอลิซอร์เบต 80 และสารทำอิมัลชันผสมทั้งสองชนิดที่ความเข้มข้นเดียวกัน จากการศึกษาความคงตัวทางกายภาพและเคมี ที่อุณหภูมิ 5 °C และ 25 °C เป็นเวลา 100 วัน พบว่า ที่อุณหภูมิ 5 °C ตำรับแอสตาแซนทีนนาโนอิมัลชันมีความคงตัวทางเคมีดีกว่าที่อุณหภูมิ 25 °C และตำรับที่ใช้สารทำอิมัลชันผสมมีความคงตัวทางเคมีดีกว่าตำรับที่ใช้สารทำอิมัลชันเดี่ยวโซเดียมเคซิเนต และพอลิซอร์เบต 80 ตามลำดับ ผลการศึกษาที่ได้สามารถนำไปประยุกต์ใช้ในการพัฒนาระบบนำส่งแอสตาแซนทีนในรูปแบบนาโนอิมัลชันสำหรับรับประทานต่อไป