Rituximab is a relatively safe and viable treatment that is superior to glucocorticoids or saline for patients with moderate to severe GO. However, the incidence of serious adverse events was disparate among the included trials. Additional studies involving a larger sample size and investigating the optimal rituximab dosage, frequency, and method of administration are warranted.
Introduction:Smoking among adolescents remains a major concern because of its long term health hazards.An effective adolescent-specific anti-smoking education is needed. Objectives: To measure the impact of a school-based tobacco prevention program provided by pharmacists on the attitudes and knowledge of senior high students. Methods:An anti-smoking program specifically aimed at high school students was developed by pharmacists and introduced to 354 students inTaiwan. It consisted of a role play and a lecture. The students were asked to complete a structural questionnaire right before and after the intervention. Results: After the intervention, the average of the total attitude scores increased from 41.7 to 43.2 (p=0.001), and the total knowledge scores increased from 6.4 to 8.2 (p<0.001). The average practice score was 31.2 (maximum score = 50) and the result suggested that the practice score was associated with attitude rather than knowledge. Conclusion: This pharmacist-conducted anti-smoking program for high school students resulted in positive changes regarding both attitude and knowledge. This suggests that further anti-smoking programs targeting students would be effective in helping to prevent youth smoking.
What is known and objective
Pharmacist‐managed clinics (PMCs) are established to solve drug‐related problems and enhance the quality of care of ambulatory patients. Although the benefits of such services have been demonstrated, little is known about PMC operations, especially outside the United States. The aim of this study was to explore how PMCs were established and to discuss implementation issues of PMCs in Taiwan.
Methods
A purposive sample of pharmacists, pharmacy administrators and physicians involved with PMCs was recruited from hospitals of varying scales across Taiwan. Semi‐structured, individual interviews were conducted to understand the perceptions of the clinical service of PMCs. Interviews were transcribed verbatim and analysed by thematic analysis to find underlying themes.
Results
A total of 12 pharmacists, 5 pharmacy administrators and 3 physicians from 8 institutions were interviewed. Pharmacists spent 4 to 20 h per week at PMCs, and the practice experiences of PMC ranged from 1 to 6 years. PMCs have been provided in these institutions for 4 to 11 years with an average volume of 28 h and 25 patient visits weekly. Study participants described influential factors in establishing PMCs, including clinical expertise, attitude towards patient care and trust building with collaborating physicians. Operational concerns in implementing PMCs included role clarifications, manpower shortage, inadequate advanced training or certification, regulatory issues and a lack of service promotion.
What is new and conclusion
This research broadens the understanding of operating PMC services and reveals key requirements and concerns regarding the care model, which can be useful for other countries. Resolving perceived barriers and collecting other stakeholders’ perspectives may reinforce the integration of PMCs into patient care in the future.
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