Clinical Pharmacist-Led Program On Medication Reconciliation And Patient Counseling In The Department Of Gastroenterology

Objective: To study the effects of medication reconciliation and patient counseling on the overall health benefits of the patients in the department of gastroenterology. Methods: This study is a prospective interventional study, was conducted in a 500 bedded MNR Hospital. The sample size taken was 150 patients and the study population comprised of patients aged 18-80 y, admitted in the hospital during the study period of six months. Results: Out of 150 patients, there were 98 (65.33%) male patients and 52 (34.67%) female patients. Patients between 18 and 30 y of age were 29(19.33%), between the age of 30 and 50 y were 71 (47.33%) and above 50 were 50(33.33%). Pancreatitis was most prevalent with 21% of total prevalence, followed by CLD and cholelithiasis with 17%, then IBD 16%, PUD and Gastritis 5%, GERD 4% and other diseases 15%. Conclusion: The basic role of the pharmacist, is to help in minimizing the errors and to perform medication reconciliation. In patient counseling, pharmacists provide information about the disease, and the medications to increase patient safety and the changes in the behavior for the better outcome.

Assessment of professional competency and need of smoking cessation counseling for dental students / 보건의료교육평가

PURPOSE: The aim of this study was to analyze the smoking prevalence among dental students and to assess the need for promoting tobacco education and intervention by exploring their knowledge about smoking related risk factors. The study also examined the attitudes and practices of the students toward tobacco consumption, and their responsibilities toward the community. METHODS: In total, 53 male students participated in the study (21 juniors and 32 seniors). The training program was divided into three modules, and the questionnaire was administered before and after the counseling sessions, which provided the comparative data on the students' views about smoking cessation. RESULTS: The most commonly practiced mode of tobacco consumption was found to be cigarette smoking (90.6%), while a few consumed Gutkha (9.4%). All the junior students (100%) reported to have been benefitted by the counseling program, while 68.8% of the students from the senior group reported the same. Bivariate statistical analysis was conducted using the Pearson's chi-square test for testing the difference across the age groups. P-values less than 0.05 were considered statistically significant. CONCLUSION: Curbing tobacco influence on dental students in their initial days can ensure a smoke-free life for them, as well as prevents them from feeling embarrassed or experiencing a lack of confidence while seeing their patients. Thus, tobacco education and intervention programs can motivate the students and increase their potential to be credible advisors regarding smoking cessation.

Anthelmintic activity of methanolic extract of rhizomes of picrorrhiza kurroa royal ex. Benth.

The objective of this study is to evaluate and compare the Anthelmintic activity of methanolic extract of Picrorrhiza kurroa Royle ex. Benth (Scrophhulariaceae). Picrorrhiza kurroaia a small perennial herb growing in the hilly parts of the North-western Himalayan region in India and Nepal. Earth worms were used for Anthelmintic activity. Piperazine citrate was used as standard drug. Time required for paralysis and death of the earth worms were noted for each sample.

A simplified technique for custom made overdenture semi-precision attachments.

Context: Overdentures are the choice of treatment for most of them, but the only snag is its cost. In India, the rural areas are still deprived of quality treatment. This manuscript is showcasing a study, which is a cheaper, but effective way to provide the best to the patient. Aims: The aim of this study was to develop a custom made system, which can be used as an alternative treatment for the management of patients who need overdentures. The primary objective of this study was to provide a cost-effective attachment with the best functional efficacy. Materials and Methods: The semi-precision attachments were made by using the conventional technique of preparation of post space. The patterns were prepared by using the pattern resin material and the rest of the male and female attachments were fabricated by using innovative methods fulfilling the criteria. Results: The attachments were successfully used in patients with remarkably good function and comfort. Conclusion: It was a successful attempt to provide the specialized treatment in affordable cost. There is a need of innovative work to make the sophisticated systems more economical and readily available.

Discordant findings of Iodine-131 scintiscan and chest radiogram in carcinoma of thyroid patients.

Since 1987, 560 patients have been treated in our department for carcinoma of thyroid with radioactive Iodine-131. Recently, we have come across a patient with bilateral pulmonary concentration of Iodine-131, that is visualised on Iodine-131 whole body scintiscan, whereas chest radiogram was negative. Respectively, the files of 560 patients of carcinoma of thyroid were analysed. It is found, out of 560 patients treated, 16 patients, had pulmonary concentration of Iodine-131. The chest radiogram was normal in six out of these 16 patients. Details of both chest radiogram and scintiscans are presented in this study.