Impact of the COVID-19 pandemic: Community and hospital shared pharmaceutical care model. Satisfaction and acceptability of patients with HIV infection on antiretroviral treatment.

OBJECTIVE: The health crisis due to the COVID-19 pandemic is a challenge in the dispensing of outpatient hospital medication (OHM). Models of Antiretroviral Therapy (ART) based on community pharmacy support (ARTCP) have proven to be successful. The aim was to evaluate the degree of satisfaction, acceptability and limitations of the implementation of ARTCP, in the context of a pandemic, in our environment. METHODS: Descriptive cross-sectional study carried out in a Barcelona hospital, during the months of July-November 2020. A telephone survey was carried out via a questionnaire on the quality dimensions of the model (degree of satisfaction, acceptability) and associated inconveniences. Data collected: demographics, antiretroviral treatment (ART), concomitant medication, drug interactions (DDIs), CD4 lymphocyte count and plasma viraemia. Data analysis included descriptive statistics. RESULTS: A total of 533 (78.0%) HIV patients receiving ART were included. 71.9% (383/533) of these patients were very satisfied and 76.2% preferred attending the community pharmacy rather than the hospital. The mean satisfaction rating was 9.3 (DS: 1.4). The benefits reported were: 1) proximity to home (406: 76.1%); 2) lower risk of contagion of COVID-19 (318: 59.7%); 3) shorter waiting time (201: 37.1%); 4) time flexibility (104: 19.5%); 5) reduction of financial expenses (35: 6.57%). A total of 11 (2%) patients reported no benefit. Only 22.9% reported disadvantages associated with ARTCP: 1) lack of privacy (65: 12.2%); 2) lack of coordinationorganization (57: 10.7%). CONCLUSIONS: The COVID-19 pandemic has had an impact on the provision of pharmaceutical care for HIV patients. The ARTPC model has proved efficient, with patients reporting a high degree of satisfaction.

[Study on feeding behavior in school children aged 11-13 years from Barcelona]. / Estudio del comportamiento alimentario en escolares de 11 a 13 años de Barcelona.

OBJECTIVE: To know the family environment, living habits and social characteristics in 11-13 years-old school children. METHODOLOGY: A descriptive transversal study performed in 65 schools of Barcelona during the second three-month, involving 2354 school children aged 11-13 interviewed by 73 pharmacists. The questionnaire has thirty-nine questions referring to family structure, eating and drinking habits, preferences, life style parameters such as physical activity and television viewing. RESULTS: The survey revealed a family unit of two children and their parents was the most common. Only a 12% of the children surveyed lived with their grandparents. Furthermore, the findings revealed a low family presence during the three main meals on the working days, which increased on weekends, 26% on breakfast, 44% on lunch and 11% on dinner. A 24% had breakfast alone and the 46% ate what they wanted. About the afternoon snack, the 25% alone and the 55% what they wanted. A 60% never or practically never participated in decision making, when buying food. A 70% reported they did other activities while eating. Concretely, a 40, 39 and 59% of the children reported they had breakfast, lunch and dinner while watching television. The consumption frequency of trinkets, soft drinks and television viewing were lower for the children from private compared to public schools. CONCLUSIONS: This study show that food choice at shopping was mainly done by the parents, however, children had an important role in making decisions of what food they eat and the activities they do while eating. Therefore, pharmacists could have a potential role to intervene in the nutritional education to parents and children.

Estudio del comportamiento alimentario en escolares de 11 a 13 años de Barcelona / Study on feeding behavior in school children aged 11-13 years from Barcelona

Objetivo: Conocer el entorno familiar, hábitos cotidianos y características sociales que pueden influir en la alimentación de los escolares de 11 a 13 años. Metodología: Estudio descriptivo transversal realizado en 65 escuelas de la provincia de Barcelona, durante el segundo trimestre del 2000, obteniendo una muestra de 2.354 escolares encuestados por 73 farmacéuticos. El cuestionario está compuesto por 39 preguntas referentes al entorno familiar, hábitos alimentarios y de estilo de vida como el visionado de la televisión y la actividad física. Resultados: El estudio muestra que la unidad familiar formada por dos hijos y los padres es la más habitual. Solo el 12% de los adolescentes encuestados viven con los abuelos. Se observa poca presencia de toda la familia durante las principales comidas en los días laborables mientras que se produce un incremento en los días festivos de un 26% en desayuno, un 44% en la comida y de un 11% en la cena. El 24% de los escolares desayunan sin compañía y el 46% comen lo que quieren. En cuanto a la merienda el 25% lo hacen solos y el 55% comen lo que quieren. Un 60% nunca o casi nunca participan en la decisión de compra de los alimentos. El 70% realizan alguna otra actividad mientras comen. Concretamente, el 40, 39 y 59% de los adolescentes manifiestan que ven la televisión durante el desayuno, la merienda y la cena, respectivamente. La frecuencia de consumo de horas de televisión, chucherías y refrescos es significativamente menor en los adolescentes de los centros privados que en los de los públicos. Conclusiones: El estudio revela que mayoritariamente los padres deciden los alimentos que compran, pero los adolescentes tienen un papel importante en la decisión de los alimentos que consumen principalmente en el desayuno y en la merienda así como en las actividades que realizan mientras comen. Por ello, el farmacéutico, como profesional de la salud, debe intervenir en la educación nutricional de los padres y los adolescentes (AU)

Objective: To know the family environment, living habits and social characteristics in 11-13 years-old school children. Methodology: A descriptive transversal study performed in 65 schools of Barcelona during the second three-month, involving 2354 school children aged 11-13 interviewed by 73 pharmacists. The questionnaire has thirty-nine questions referring to family structure, eating and drinking habits, preferences, life style parameters such as physical activity and television viewing. Results: The survey revealed a family unit of two children and their parents was the most common. Only a 12% of the children surveyed lived with their grandparents. Furthermore, the findings revealed a low family presence during the three main meals on the working days, which increased on weekends, 26% on breakfast,44% on lunch and 11% on dinner. A 24% had breakfast alone and the 46% ate what they wanted. About the afternoon snack, the 25 % alone and the 55% what they wanted. A 60% never or practically never participated in decision making, when buying food. A 70% reported they did other activities while eating. Concretely, a 40, 39 and 59% of the children reported they had breakfast, lunch and dinner while watching television.The consumption frequency of trinkets, soft drinks and television viewing were lower for the children from private compared to public schools. Conclusions: This study show that food choice at shopping was mainly done by the parents, however, children had an important role in making decisions of what food they eat and the activities they do while eating. Therefore, pharmacists could have a potential role to inter-vene in the nutritional education to parents and children (AU)

[Updated study of enteral nutritional diets sold in Spain]. / Estudio actualizado de las dietas de nutrición enteral comercializadas en España.

Due to the large number of enteral nutrition diets on the market in Spain, it is difficult to collect together all the information on the subject. This study sets out the criteria recommended by the Hospital of Alabama and the University of Birmingham in the evaluation of the information furnished by the laboratories that prepare the enteral nutrition diets. The study includes a compendium of the data provided by these laboratories with a view to simplifying the electron of the preparations.