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1.
Jeroen M. van de Pol Jurjen G. Geljon Svetlana V. Belitser Geert W.J. Frederix Anke M. Hövels Marcel L. Bouvy 《Research in social & administrative pharmacy》2019,15(1):70-76
Introduction
The nature of community pharmacy is changing, shifting from the preparation and distribution of medicines to the provision of cognitive pharmaceutical services (CPS); however, often the provision of traditional services leaves little time for innovative services. This study investigated the time community pharmacists spend on the tasks and activities of daily practice and to what extent they are able to implement CPS-related services in daily practice.Methods
Self-reporting work sampling was used to register the activities of community pharmacists. A smartphone application, designed specifically for this purpose, alerted participants to register their current activity five times per working day for 6 weeks. Participants also completed an online survey about baseline characteristics.Results
Ninety-one Dutch community pharmacists provided work-sampling data (7848 registered activities). Overall, 51.5% of their time was spent on professional activities, 35.4% on semi-professional activities, and 13.1% on non-professional activities. The proportion of time devoted to CPS decreased during the workweek, whereas the time spent on traditional task increased.Discussion and conclusion
This study shows it is feasible to collect work-sampling data using smartphone technology. Community pharmacists spent almost half of their time on semi-professional and non-professional activities, activities that could be delegated to other staff members. In practice, the transition to CPS is hampered by competing traditional tasks, which prevents community pharmacists from profiling themselves as pharmaceutical experts in daily practice. 相似文献2.
增生型原发性醛固酮增多症的研究进展 总被引:1,自引:0,他引:1
增生型原发性醛固酮增多症包括特发性醛固酮增多症(IHA)、原发性肾上腺增生(PAH)、糖皮质激素可抑制性醛固酮增多症(GRA)和单侧肾上腺增生症(UAH)。IHA为主要类型,发病与异常的促醛固酮分泌因子的增加及基因变异有关。UAH是一种新的亚型,较为少见。肾上腺静脉采样是鉴别腺瘤与增生、双侧增生和单侧增生的有效方法。 相似文献
3.
Mhamed 《Computerized medical imaging and graphics》2006,30(8):447-451
The aim in this work is to report a new method to calculate parametric images from a single scan acquisition with positron emission tomography (PET) and fluorodeoxyglucose (FDG) in the human brain without blood sampling. It is usually practical for research or clinical purposes to inject the patient in an isolated room and to start the PET acquisition only for some 10–20 min, about 30 min after FDG injection. In order to calculate the cerebral metabolic rates for glucose (CMRG), usually several blood samples are required. The proposed method considers the relation between the uptake of the tracer in the cerebellum as a reference tissue and the population based input curve. Similar results were obtained for CMRG values with the present method in comparison to the usual autoradiographic and the non-linear least squares fitting of regions of interest. 相似文献
4.
建立了顶空毛细管GC法测定吉非罗齐中甲酸乙酯、THF和甲基环己烷3种有机溶剂的残留量。采用HP-1毛细管柱,溶剂DMA,内标乙酸乙酯。平均同收率分别为99.8%、100.3%、100.0%,RSD分别为0.71%、1.51%和1.76%。 相似文献
5.
目的建立石茶感冒胶囊中可能残留的7种有机溶剂(正己烷、苯、甲苯、对二甲苯、邻二甲苯、苯乙烯、二乙烯苯)的检测方法。方法采用顶空气相色谱法,色谱柱为Agilent HP—INNOWAX毛细管柱(30m×1.0mm,0.53μm),载气为高纯氮气;项空温度为70℃,顶空时间30min;柱温自30℃恒定5min,以10℃/min升温速率升至200℃,恒定5min;氢火焰离子检测器(FID),温度为250℃。结果7种有机溶剂残留物在所考察的浓度范围内线性关系良好(r=0.9994~0.9998),精密度RSD均小于5.0%,被测组分的平均回收率在99.16%~102.0%之间。结论该方法操作简便、快速、准确度高,可用于检测石茶感冒胶囊中的有机溶剂残留物。 相似文献
6.
E. Stermer J. Bejar† I. Miselevich† O. Goldstein D. Keren A. Lavy J. H. Boss† D. Keren 《Colorectal disease》2005,7(4):345-349
BACKGROUND: Total excision of colonic polyps is not always attainable and in some patients it is clinically contraindicated. Also, a resected polyp may be lost at any step between its endoscopic removal and its embedding in paraffin. The aim of this study was to compare the histological features of colonic polyps as analysed by the study of biopsy-forceps obtained samples with those assessed on scrutinizing the totally resected growths. PATIENTS AND METHODS: This prospective study included a cohort of 59 patients in whom, in the course of an elective colonoscopy, a total excision of a 6 mm-sized or larger polyp was called for. Sizeable biopsies were obtained by means of an Olympus Multibyte forceps prior to the total polypectomy. Subsequent to the study of the polypectomy specimens, the forceps biopsy samples were submitted for histological examination. The pathologists were blinded as to the source of the tissue they were studying. The diagnoses rendered by evaluating the biopsy samples and polypectomy specimens of each patient were contrasted with each other. RESULTS: Major discrepancies between the histological features of the fragments captured by the biopsy-forceps and the factual nature of the totally removed polyps were uncovered in 11 (18.6%) of 59 cases. Intriguingly, the grade of the tumours was underrated in all the 11 cases, as judged by contrasting the tentative diagnoses of the forceps-biopsies with the decisive diagnoses of the polypectomies. Importantly, 2 adenocarcinomas would have been missed by just looking at the forceps-retrieved sample. CONCLUSIONS: In our experience, a discordance of 18.6% is to be expected between the diagnoses rendered after examining forceps-biopsies of and totally excised colonic polyps. Nevertheless, it is advisable to procure biopsies prior to the excision of the growths, because on those occasions in which patients' growths cannot be removed or have not been retrieved for one reason or another, a small forceps-captured tissue sample correctly reflects the characteristics of the polyp in 81.4% of the cases. Finally, the biopsies may be discarded in the event that total removal was successful. 相似文献
7.
层流洁净手术室空气日常监测方法效果观察 总被引:2,自引:0,他引:2
目的探讨层流洁净手术室空气日常监测有效方法。方法对层流洁净手术室百级、千级、万级各1间手术间,分别按《医药卫生洁净室(区)沉降菌的测试方法》GB/T16294-1996、《医药消毒卫生标准》GB/T15982-1995,在相同的温度、湿度下,共计8d,专人定时静态下,采用多点布控法(多点布控组)与常规布控法(常规布控组),分两组不同高度进行空气沉降法采样,30min后进行检测。结果多点布控与常规布控采样,细菌菌落数均未超标;无致病菌检出。多点布控组与常规布控组监测结果经t检验,有显著性差异(P<0.01)。多点布控采样效果优于常规布控组。手术区在0.8m、1.2m高度多点布控采样检测结果无细菌生长;周边区地面上采样与周边高度0.8m处采样监测结果经χ2检验,有显著性差异(P<0.05),多点布控周边区地面上采样阳性率高于周边高度0.8m采样。常规布控0.8m高度采样阳性率高于1.2m高度采样,采样监测结果经χ2检验,无显著性差异(P>0.05)。结论采用多点布控,手术区0.8 ̄1.2m高度、周边地面上采样进行空气沉降法监测是洁净手术室空气日常监测的有效方法。 相似文献
8.
Takanobu Anai M.D. Isao Miyakawa M.D. Ph.D. Hiromi Ohki M.D. Teruyuki Ogawa M.D. Ph.D. 《Pediatrics international》1992,34(3):324-327
There have been only 2 previous reports of nonimmunologic hydrops fetalis (NIHF) caused by fetal Kasabach-Merritt syndrome, both of which were pathological studies. This is the first clinical case report of NIHF due to fetal Kasabach-Merritt syndrome that was prenatally diagnosed by sonography, computerized tomography, and percutaneous umbilical blood sampling. 相似文献
9.
Stuart A. Batterman Alfred Franzblau Nanzheng Zhou 《International archives of occupational and environmental health》1996,68(4):268-274
Dermal exposures of methanol were administered in a clinical study designed to compare several biological indicators. Four
subjects were exposed in five exposure sessions of varying length. In each session, a sequence of measurements of methanol
concentrations in blood, breath, and headspace samples of air at exposed and unexposed skin were collected before and after
dermal exposures. Skin headspace samples, collected in gas sampling bags, were designed to reflect equilibrium skin: air partitioning.
At exposed skin, headspace samples were highly elevated for at least 8 h following exposure, indicating the presence of a
methanol reservoir in skin. After exposure, methanol concentrations at exposed skin showed a rapid initial decline, then a
slower first-order decrease. Methanol concentrations were clearly detectable in headspace samples at unexposed skin. Substantial
transfer from exposed skin occurred due to mechanical contact and washing. When transfer was restricted, surface concentrations
at unexposed skin were similar to levels in breath and were strongly correlated to methanol concentrations in blood. While
results are preliminary due to the small sample sizes and several unresolved experimental issues, the simple, rapid, and noninvasive
skin headspace measurements appear useful as a biological exposure indicator that clearly shows the presence and site of a
dermal exposure, and measurements at unexposed skin reflect concentrations in blood.
Received: 14 March 1995/Accepted: 3 November 1995 相似文献
10.
The Design and Analysis of Hospital Utilization Studies 总被引:1,自引:1,他引:0