3 research outputs found
RETHINKING PRESCRIPTIONS: DESIGNING A CLINICAL PROCESS MAP TO MITIGATE DAPAGLIFLOZIN-INDUCED PRESCRIBING CASCADES
No full textA 68-year-old man developed fever, breathlessness, and excessive sweating. He is a known case of type 2 diabetes mellitus; recently, dapagliflozin was prescribed. Dapagliflozin reduces blood glucose by inhibiting selective sodium-glucose cotransporter-2. Sometimes, it induces infection due to an excessive amount of glucosuria. The patient’s laboratory report indicates the bacterial infection and prescribes antibiotics. Occasionally, adverse drug reactions (ADRs) are misinterpreted by doctors as new medical conditions or symptoms, adding one more drug to the treatment chart or prescription needlessly, and this process is called the prescribing cascade (PC). This typical case is also the best example for two different types of PCs, such as an intentional, inappropriate, and prophylactic PC, with pantoprazole and ciprofloxacin and tinidazole as an unintentional and appropriate PC. Because of the PC, patients unnecessarily spend money, increasing the treatment cost. A detailed medical and medication history during the consultation and clinical process maps (CPM) will help minimize this advanced stage of ADRs. CPM are one tool generated using different geometric shapes with various colors. Hence, we have designed the CPM, which can play a pivotal role in diminishing the incidence of ADR and PCs by better understandin
STUDY OF KNOWLEDGE, ATTITUDE, AND PRACTICE OF PHARMACIST TOWARDS ADVERSE DRUG REACTION REPORTING IN DAVANGERE CITY
No full textABSTRACT Objective: To study the knowledge, attitude, and practice of pharmacists towards adverse drug reaction (ADR) reporting in Davangere city. Method: A prospective and questionnaire-based study, conducted for a period of 6 months in different pharmacies of Davangere city. The sample includes 145 pharmacists. Result: Among 145 pharmacists approached, 102 (response rate is 70.34%) pharmacists agreed to give the consent for study. Majority of them were male (90.2%). Out of these respondents, only 15 (14.7%) pharmacists knew the correct definition of ADR. Only 32 (31%) were aware of Pharmacovigilance Programme of India. 77 (75.4%) agreed that pharmacists could be the right person to assist physician in ADR reporting. Seventyfive (73.53%) respondents felt that ADR reporting has good outcome and 82 (80.4%) thought that they are not adequately trained in ADR reporting. Conclusion: Majority of pharmacists have poor knowledge, but positive attitude towards ADR reporting. Incorporation of ADR reporting concepts in education curriculum, training of pharmacists and voluntary participation of pharmacists in ADR reporting is very vital in safe guarding the public health
SCREENING OF COLLEGE STUDENTS FOR OBESITY
No full text A prospective, cross-sectional study on the prevalence of overweight and underweight among students at an institute in Bengaluru, was conductedby estimating their body mass index. The study was carried out on 121 students in the age group of 14-28 years. Of 121 students, 35 (28.92%) wereunderweight, 73 (60.33%) were normal weight and 13 (10.74%) were overweight. Based on the age group, 14-20 years of age group, 28 (38.8%) wereunderweight, 48 (55.5%) were normal weight and 4 (5.5%) were overweight. In age group of 21-25 years, 7 (15.5%) were underweight, 32 (71.11%)were normal weight and 6 (13.33%) were overweight and in age group 25-28 years, 0 (0%) were underweight, 1 (25%) were normal weight and3 (75%) were overweight. The study concludes that the prevalence of underweight is higher than overweight among the college students.Keywords: Prevalence, Overweight, Underweight and Body mass index
