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Seizure Manage in Neonates Considering Verification versus Confirmatory EEG Overseeing.
The Pharmacy and Medically Underserved Areas Enhancement Act, better known as the pharmacist provider status act, has been introduced in Congress in both the House of Representatives and the Senate The bill would reimburse pharmacists for Medicare Part B-covered services within their state authorized scope of practice if performed in areas recognized as being medically underserved. Paul Baldwin debates the likeliness of the bill's passage.OBJECTIVE To challenge the standard of practice by evaluating the identification of medication discrepancies found depending on type of access to an electronic health record (EHR). In other words, is there a difference in the number of discrepancies between a pharmacist with only access to the postacute long-term care (PALTC) EHR (ie, single-access pharmacist [SAP]) compared with a pharmacist with access to both the PALTC and hospital EHRs (ie, dual-access pharmacist DAP) In October 2018, the Improving Medicare PostAcute Care Transformation (IMPACT) Act mandated admission drug review (DRR) upon admission to a postacute, long-term care (PALTC) facility. CONCLUSION These results strongly suggest that current standard of practice should change to require access to both hospital and PALTC EHR systems for a pharmacist completing the medication reconciliation. Until the gap in EHR interoperability is closed, the potential breakdown in communication associated with SAP places patients transitioning from hospital to PALTC facilities at increased risk for medication problems and accompanying adverse medication events.OBJECTIVE To assess prevalence, risk factors, and cost burden of fall-related hospital admissions among older people in India. PDS-0330 solubility dmso Previous studies conducted in India have not focused on the number of fall-related hospital admissions. CONCLUSIONS Falls are a common reason for hospital admission among older populations. Clinicians need to focus on modifiable risk factors to reduce the prevalence of falls and advise patients and their caregivers about appropriate self-care behaviors.OBJECTIVE To review the safety and efficacy of cannabis use for chronic pain in older people. CONCLUSION Further safety and efficacy evidence is needed for using combination cannabis products for pain management in older people.Despite statin therapy being the cornerstone for the treatment of hypercholesterolemia, a significant number of patients do not tolerate statin therapy because of muscle-related adverse effects or cannot achieve their individual low-density lipoproteincholesterol (LDL-C) goals with statin therapy alone. Several nonstatin agents have been evaluated for the management of LDL-C levels and reduction of cardiovascular (CV) risk in these patients, but there are some limitations with their use. Bempedoic acid is a novel nonstatin agent for the management of lipid disorders, via the inhibition of adenosine triphosphate citrate lyase (ACL). It was recently approved by the US Food and Drug Administration based on several phase III trials which showed promising results regarding safety and efficacy. Though CV outcome data are not available yet, bempedoic acid may be a useful adjunct therapy for select patients. The purpose of this review is to evaluate the major findings in these clinical trials and discuss the potential role of bempedoic acid in clinical practice and its use in older people.People have consumed alcohol for centuries. Most clinicians who work with people who have dementia acknowledge that alcohol may cause or exacerbate dementia's symptoms. Alcohol-related dementia (ARD) has been recognized since the 1960s, but clinicians rarely use this diagnosis. Regardless, it is common and develops pursuant to long-term excessive alcohol consumption. It may, in some cases, evolve into Wernicke-Korsakoff syndrome. Diagnosis can be obscured if patients are not truthful about their alcohol consumption. Often, friends or family provide a better picture of the patient's alcohol history than patients do themselves. Thiamine treatment may prevent or improve symptoms. Abstinence from alcohol is critical, but it is difficult for older people with long histories of heavy drinking. Consultant pharmacists can help the heath care team develop nuanced care plans for patients who have ARD.Authors respond to the article by Dr. Karaoui and colleagues from the November issue of volume 35 in this journal that describes challenges in pharmacy education due to the COVID-19 pandemic. The authors are students who provide strategies for student success while on virtual introductory or Advanced Pharmacy Practice Experiences during COVID-19.Each year, millions of falls-related injuries occur among older people. Every 11 seconds, an older person is treated in the emergency room for a fall; and every 19 minutes, an older person dies from a fall. Falls among older people are largely preventable, yet, each year one-third of Americans 65 years-of-age and older fall, resulting in costly negative outcomes.The World Health Organization highlighted that older people have the highest risk of death or serious injury from falls, and the associated risks increase with age. The effects of medications are an important contributor in the overall equation for the risk of falls-related morbidity and mortality, and that is consistently demonstrated in research from around the world. In this edition of The Senior Care Pharmacist, there is further evidence presented, and the importance of this information cannot be challenged. However, the question remains why has effective remediation of this risk consistently defeated the clinical community around the world?
A key characteristic of healthcare systems that deliver high quality and cost performance in a sustainable way is a systematic approach to capacity and capability building for quality improvement. The aim of this research was to explore the factors that lead to successful implementation of a program of quality improvement projects and a capacity and capability building program that facilitates or support these.

Between July 2018 and February 2020, the Southern Adelaide Local Health Network (SALHN), a network of health services in Adelaide, South Australia, conducted three capability-oriented capacity building programs that incorporated 82 longstanding individual quality improvement projects. Qualitative analysis of data collected from interviews of 19 project participants and four SALHN Improvement Faculty members and ethnographic observations of seven project team meetings were conducted.

We found four interacting components that lead to successful implementation of quality improvement projects and the overall program that facilitates or support these an agreed and robust quality improvement methodology, a skilled faculty to assist improvement teams, active involvement of leadership and management, and a deep understanding that teams matter.
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