"Medicine / Pharmacy" Essays

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Generic Prescription Drug Program as a Pharmaceutical Case Study

Case Study  |  3 pages (1,005 words)
Bibliography Sources: 3

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¶ … Generic Prescription Drug Program

As a pharmaceutical benefit manager, I have a variety of pricing strategies at my disposal, to determine the amount charged to employers for prescription drugs. This paper will briefly assess each of these strategies. Despite these tools, as Jones (2003) notes,

The primary goal of any pharmacy benefit plan-including the generic drug program should not be simply to lower the cost of prescription drugs. Placing too much emphasis on controlling costs alone will likely lead to higher medical costs, poor patient outcomes and a pharmacy benefit that provides little true value. Only by focusing on the complete array of components that comprise an effective generic drug program can employers and plan sponsors ensure that they secure both the affordable cost and quality programs that both they and their employees need and deserve (p. 18).

As such, a combination of these strategies is recommended to provide the most value to the employer, the patient, the pharmacy, and the pharmaceutical industry.

Pricing Strategies:

Pharmaceutical benefit managers utilize several strategies to determine the price that an employer is charged for prescription drugs. These pricing strategies fall into six primary categories: wholesale acquisition cost (WAC), maximum allowable cost (MAC), average wholesale price (AWP), administrative fees, dispensing fees, and rebates. Each of these categories affects the employer's cost in a different way and can vary greatly.

The WAC strategy is calculated by a national data company, according to Jones (2003). This company averages several wholesaler purchase prices to determine the WAC for each prescription drug. Similarly, the AWP is determined using wholesaler figures, this time the average price that is being charged for a drug. The AWP price can change weekly or daily and is dependent on a variety of factors, including: the exclusivity of the drug, costs for research and development, competitive climate, market demand, and the manufacturer's desire to capture market share (McClurg, 2009). These two pricing strategies are in contrast to MAC pricing which is set by the prescription benefits manager and can be used to hide costs to the employer. MAC pricing is not necessarily based on wholesaler costs or pricing. In addition to this pricing structure, additional fees may also be charged that affects the pricing of prescription benefit plans.

Administrative fees are often charged on a per claim basis, as a means of recapturing costs associated with basic reporting, utilization reviews and account management. According to Jones (2003), this fee can be as much as $0.70 per claim. A dispensing fee may also be charged and paid to the pharmacy filling the prescription. Rebates often too can be figured into a pricing structure. if, as a pharmaceutical benefit manager I have acquired a significant rebate for a particular drug that will be used frequently with a new employer, then it may be advantageous to pass this along as a savings to secure the benefit plan. As a pharmaceutical benefit manager, I would recommend using a combination of these pricing strategies to determine what… [read more]


Professional Goal Statement Admission Essay

Admission Essay  |  2 pages (627 words)
Bibliography Sources: 0

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Application Goal Statement

Personal/Professional Goals

I am applying for a Masters in Clinical Research Administration because that field will allow me to apply my degree in medicine directly to scientific research. While I hope to start a medical residency in two years, I am not in a rush to do that at the expense of achieving the most well-rounded and comprehensive education and training possible. In the long-term, I would like to preserve as many options as possible for the direction of my future practice. In addition to helping me become the best physician that I can be, I believe that the Masters in Clinical Research Administration will allow me to contribute to human healthcare in a broader capacity than a scientific degree by itself.

Academic Experience

I was awarded a Bachelor of Science degree in Biology from UTSA in 2000. Thereafter, I interrupted my pursuit of a Masters degree in Biotechnology Research after completing 32 of 36 hours required for that degree because I was accepted to the Universidad Autonoma de Guadalajara School of Medicine in my last semester. While I regret having had to make that choice, my academic experience at ____ firmly established in me the interest in clinical research that I hope to explore more fully in connection with administrative responsibilities at

Research Experience

My research experience is limited to three semesters as a research assistant at the UTHSC in San Antonio. In that capacity, I also worked under Dr. M Gdovin in the Biology Department as a teaching assistant at UTSA. I fulfilled a UTSA Neuroscience internship funded by the NIH and another NIH internship in Abuja, Nigeria.

Work / Other Experience

At the Universidad Autonoma de Guadalajara School of Medicine, I fulfilled an 8-week clinical rotation in each of the following disciplines: Internal Medicine; Pediatrics; Obstetrics, Labor and Delivery & Gynecology; Trauma and Orthopedics; Elective Rotation in…… [read more]


Cam Regulatory Overview Natural Products: Herbs (Botanicals) Term Paper

Term Paper  |  2 pages (552 words)
Bibliography Sources: 2

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CAM Regulatory Overview

Natural products: Herbs (botanicals)

Herbal supplements are regulated by the U.S. Food and Drug Administration (FDA), the same organization that regulates prescription and over-the-counter drugs. Herbs are subject to less stringent regulatory standards. Once it is on the market the FDA can 'pull' a product that has been demonstrated to be unsafe, as in the case of the weight loss herb ephedra. Although supplements are marketed with warning labels that the products are "not intended to diagnose, treat, cure, or prevent any disease" it would seem to be in the public's interest to test new products to ensure that they are not actively harmful (Using dietary supplements wisely, 2009, NCCAM).

Mind-body: Acupuncture

Acupuncture is one of the best-regulated forms of CAM in the U.S. "The practitioner must hold a state acknowledged license. Different states have different rules" (Scientific acupuncture, 2011, Official Website). However, doctors and chiropractors do not have to obtain a license or additional training in the practice -- only non-physicians. Acupuncturists consider this unfair; doctors and chiropractors would counter that additional training would be burdensome, limiting the ability of individuals to find treatment. Few objections have been raised to the current system, except for opponents of the practice who dispute its validity.

Manipulative and body based: Spinal manipulation

Spinal manipulation is not a specific, regulated technique; it is "performed by chiropractors and other health care professionals such as physical therapists" (Spinal manipulation, 2011, NIH). Practitioners are policed by different regulatory bodies within their own fields. Use and competency at the spinal manipulation may vary, depending on the individual's training. As the technique is not a specific method, with a clear history…… [read more]


Generic vs. Brand Drugs Thesis

Thesis  |  7 pages (2,572 words)
Bibliography Sources: 6

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Generic vs. Name Brand Drugs

Many healthcare consumers are familiar with generic drugs, but some may not realize the intense debate that has taken place in recent years concerning the manner in which generic drug manufacturers are able to provide these medicines at a fraction of the price charged by brand-name manufacturers. Pioneer drug manufacturers incur enormous research and development… [read more]


Economics of the Pharmaceutical Industry Thesis

Thesis  |  10 pages (3,522 words)
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Economics of the Pharmaceutical Industry

The pharmaceutical industry is highly complex and segmented. The costs for bringing a new product idea to the market are high. It is a long process that is heavily influenced by government regulation, the need for patent protection, and the risks associated with failure. The failure rate is high, making this one of the most… [read more]


Radiologic Technology Thesis

Thesis  |  3 pages (770 words)
Style: MLA  |  Bibliography Sources: 0

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Radiology Careers

Modern medicine is capable of treating a tremendous range of human disease and injuries, but the usefulness of all medical specialties depends on accurate diagnosis. Virtually every conceivable medical specialty relies on radiological technologies to provide formal diagnoses, making radiology one of the most important of all medical specialties. Radiologists enjoy some of the best working conditions in modern medicine and typically experience very positive employment conditions. Consequently, their services are generally in very high demand, with many starting out with six-figure annual incomes immediately after completion of their professional training.

Within the field of radiology, there are: (1) radiologists who are physicians specializing in interpreting diagnostic images in connection with diagnosing illnesses and injuries and monitoring medical conditions in relation to many other areas of clinical medicine; (2) radiological nurses specialize in providing nursing services exclusively in connection with radiological medicine; (3) radiologist assistants are the first line of support for radiological physicians and perform many of the procedures and tests ordered by radiologists; and (4) radiological technologists operate and maintain some of the sophisticated medical imaging systems and tools and work side-by-side radiologist assistants and radiologists in conducting the diagnostic tests on patients.

Radiology is one of the few so-called "physical-science"-based fields of medicine, making it a challenging and rewarding application of an academic interest in science. It combines advanced knowledge of human physiology with principles of atomic physics and nuclear decay, electricity and magnetism, and both organic and inorganic chemistry. At the same time, radiology is directly responsible for enabling many specific treatments available from modern medicine and allows significant opportunity to work directly with patients in many clinical environments. The field is also varied enough that it provides opportunities to work primarily in a private office setting for those with the same scientific interest in radiology but a preference for working primarily with technological equipments and diagnostic testing results instead of more directly with patients. In the words of my Radiology professor, Warren Hejny, "Radiology can take you anywhere; it can be used as a starting block or stepping stone."

Specialties within Radiology

Because of its tremendously wide applications within modern medicine, radiology offers more than a dozen distinct areas of even greater specialization within the field. Some of those specialty areas involve direct medical intervention, such as in…… [read more]


Pharmaceutical Sexual Enhancements Thesis

Thesis  |  6 pages (1,669 words)
Style: APA  |  Bibliography Sources: 5

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Sexual Enhancement

Viagra, Levitra, And Cialis

The objective of this work is to examine Viagra, Levitra and Cialis and how they work and as well this work will examine erectile dysfunction and the differences, side effects and enhancement of the sexual experience of each of these medications. This work will examine the effects of use of these medications by a… [read more]


Can Pharmacogenomics Improve Drugs Safely Research Proposal

Research Proposal  |  7 pages (2,167 words)
Style: Harvard  |  Bibliography Sources: 25

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Pharmacogenomics

The Opportunity for Health and Safety Improvement Through Pharmacogenomics

The currently dominant tendency in Western medicine is to appeal to methods of pharmacological treatment to attack ailments, diseases and the symptoms of conditions. The degree to which this strategy for treatment is successful may be subject to widespread debate. On one side, it is clear that pharmacy-based treatment may… [read more]


Cva Health - Nursing Essay

Essay  |  3 pages (1,162 words)
Style: APA  |  Bibliography Sources: 3

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CVA

Health - Nursing

A nursing overview of a cerebrovascular accident (CVA)

Pathophysiology: What is occurring in the body when a patient is experiencing a CVA?

A cerebrovascular accident (CVA), more commonly referred to as a stroke, is usually caused by a blockage of blood flow to the patient's brain, and the subsequent sudden death of brain cells due to lack of oxygen. The blockage can be caused by a build up of atherosclerosis plaque or a rupture of an artery running to the brain (Definition, 2009, Medicine net). Two primary kinds of stroke exist: an ischemic stroke that is "caused by a blocked brain artery and the resulting insufficient supply of blood to part of the brain" and a hemorrhagic stroke that is "caused by the rupture of a brain artery and bleeding into or around the brain" (Stroke, 2009, Mayo clinic)

What signs and symptoms would you observe from a patient having a CVA?

The fact that a patient is about to have a stroke is not always immediately obvious to casual or even medically-trained observers. The stroke may appear to occur suddenly, even though the conditions that precipitated the stroke have been building up over time. For example, an artery to the patient's brain can be blocked by a blood clot or as an indirect result of atherosclerosis or hardening of the arteries. This is called an embolic stroke: a blood clot or a piece of an atherosclerotic plaque detaches itself from the artery wall and travels through the circulatory system, plugging an artery of the brain. A blood clot can also form in a chamber of the heart when the heart beats irregularly. Bleeding in the brain from an aneurysm, a widening and weakening of a blood vessel in the brain, is another common cause of strokes (Definition, 2009, Medicine net).

The symptoms of the onset of the stroke will vary in severity and physical location in the patient's body, depending upon the cause. Some common symptoms that quickly manifest themselves to observers are weakness or paralysis of one side of the patient's body, loss of movement capabilities, and numbness or tingling in a limb or entire side of the body. There can be speech problems and signs of laxity in the facial or muscles. There may be a loss of muscular control, prompting the patient to drool. "A stroke involving the base of the brain can affect balance, vision, swallowing, breathing" and even cause unconsciousness (Definition, 2009, Medicine net).

Tests: What studies are available to confirm the diagnosis of a CVA?

The most common test of a patient suspected of having a CVA is a CT or MRI scan of the brain, particularly if ischemic stroke is suspected (Stroke: Tests and diagnosis, 2009, Mayo Clinic). Such tests can look for bleeding in the brain to determine what areas are affected and to rule out other causes of the patient's symptoms such as a brain tumor. A stroke due to bleeding in the brain is treated… [read more]


Drug Receptor Interaction Essay

Essay  |  5 pages (1,601 words)
Style: Harvard  |  Bibliography Sources: 15

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Phenylephrine: An Alpha1 Andrenegic Receptor With Limited Effectiveness

Phenylephrine has come largely to replace pseudoephedrine as the preferred method of treatment for decongestant and other cold related symptoms. Phenylephrine is an Alpha1-adrenegic (a1 andrenegic) receptor that functions as an agonist in specific reactive functions within the body. (Bylund et al., 1) in addition to its function as a decongestant, other… [read more]


Preventing Medication Errors Essay

Essay  |  2 pages (570 words)
Bibliography Sources: 2

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Preventing Medication Errors:

According to Walter D. Glanze, medication errors in a hospital or clinical setting "continues to be a very serious problem for physicians and patients," especially when one considers that medication errors can lead to prolonged stays in a hospital or even death (2001, 134). In the Brief Report issued by the Institute of Medicine of the National Academies, "in any given week, four out of five U.S. adults will use prescription medicines" (2006, 1) or take over-the-counter medications, and most of the time, these medications do cause some harm to the person taking them. However, when a physician or a pharmacist makes an error related to prescribing the wrong medication, "adverse drug events (ADE's). . . are inevitable" and the more powerful the medication, the more likely that the patient will experience harmful side effects, possibly even death (2006, 1).

Therefore, the Centers for Medicare and Medicaid Services requested that a study be done to discover how widespread these medication errors are in the U.S. And to set up a national agenda for reducing and/or preventing such errors. Overall, this study revealed that medication errors are quite common and in order to decrease the prevalence of these errors, "this will require changes from doctors, nurses (and) pharmacists in the health care industry," the FDA, other government agencies, health care organizations and of course from patients who must be more vigilant when taking their medication to assure that they are not mixing together medications which may exacerbate their conditions or possibly lead to death ("Preventing Medication Errors," 2006, 1).

Within this report by the Institute of Medicine, there are three specific recommendations which will hopefully lead to a decrease in medication errors on…… [read more]


Chemistry in the News Research Paper

Research Paper  |  4 pages (1,274 words)
Style: MLA  |  Bibliography Sources: 2

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¶ … home interiors to driving to manufacturing, the talk of the world is going green. People are encouraged to drive green, live green, and even eat green. Beginning to realize that their actions have a large impact on the earth, people are trying to make every decision in an earth-friendly manner, but according to Science News, chemistry can actually make this transition easier. In fact, the article, "Water Used To Make Complicated Chain Of Chemical Reactions For Plastics And Medicines Much More Environmentally Friendly," details how one chemist might be able to change the face of certain industries known for their pollution. Professor of Chemistry at Tel Aviv University Arkadi Vigalok has discovered that the addition of water to a series of complex chemical reactions used in manufacturing can make those reactions more "green."

Traditionally, solvents, which are environmental pollutants, have been used in order to carboxylic acid, a component necessary for production the plastics industry, the oil industry, and the production of medications. But what Vigalok realized is that water can be mixed with alehydes before the oxidation process occurs. Because water and alehydes do not mix, the alehydes float on the water so that oxidation can take place. According to Vigalok, the new process can be used when producing anywhere from 10 to 20 reactions, reactions that are commonly used in manufacturing. Although scientists have long believed this could be done, according to Science Daily, Vigalok was the first who attempted it, and his contribution is certainly significant in the effort to make manufacturing more "green."

The future of Vigalok's discovery, however, is not strictly limited to a few infamous industries. Instead, Vigalok and a few other scientists have banded together to create a new fiend -- green chemistry. Vigalok states, "The plastics industry, the oil refinery business, every drug we take -- they're all parts of the chemical industry, the biggest industry in the world by far. In making certain steps of the chemical process greener, we may not have an enormous impact on the environment at present, but we certainly challenge chemists to rethink methods used in traditional chemistry" ("Water Used").

Thus, Vigalok certainly sees the long-term impact of his work on both manufacturing and the environment, as well as the study of chemistry

But Vigalok's discovery is actually much more significant than even he realizes. The industries that Vigalok mentions as being directly affected by this discovery -- plastics manufacturing, oil refineries, and medication production -- are among the industries most targeted for environmentally unsound manufacturing processes. If scientific solutions can be found that allow them to continue to manufacture their products without using those damaging processes, implications can be made for other industries. While many in the business sector have seen the struggle as one between environment and economy, Vigalok suggests that this is not necessarily true. In addition, Vigalok's discovery has implications for individuals. First, it suggests the importance of buying products that are manufactured using environmentally sound methods like Vigalok's water… [read more]


Dramatic New Scientific Discoveries Revealing the Healing Research Paper

Research Paper  |  2 pages (707 words)
Bibliography Sources: 0

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Dramatic New Scientific Discoveries Revealing the Healing Powers of Herbs, Vitamins and Other Natural Remedies by Jean Carper

Miracle Cures: Dramatic New Scientific Discoveries Revealing the Healing Powers of Herbs, Vitamins, and Other Natural Remedies by Jean Carper

In this book, Carper discusses herbs, vitamins, and other natural remedies that can be used to help people look and feel better at any stage of their lives and no matter what their current level of health. There have been a lot of books that have talked about these kinds of things, and there are more and more people every day who are getting into the holistic side of healing. However, that does not mean that everyone in the scientific community is in agreement as to whether these kinds of remedies actually do what they are supposed to do. Some say that they are beneficial and others say that they are nothing more than placebos - 'sugar pills' - that do no good at all. In the book, Carper addresses this and also looks at the scientific evidence and discoveries that surround these kinds of remedies.

This helps to show that there is direct and compelling evidence that these types of holistic and natural remedies do have their place in the medical field, sometimes in place of western medicine and sometimes as a complement to it, and that more doctors are becoming aware of this. There will never be total agreement when it comes to these kinds of issues, just like there will never be total agreement on issues such as religion or politics, but as long as the scientific community continues to explore alternative medicine there will be more opportunities to find vitamins, minerals, herbs, and other natural remedies that are beneficial to people who are dealing with many different medical conditions.

Whether acute or chronic, medical problems have been with society since it began. Various ways to treat these problems naturally worked well, and others did not. As western medicine evolved many doctors turned away from the natural types of medicine in favor of scientific advances, but Carper shows that science and natural…… [read more]


Stem Cell Research the Field of Regenerative Thesis

Thesis  |  5 pages (1,676 words)
Style: MLA  |  Bibliography Sources: 5

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Stem Cell Research

The field of regenerative medicine has achieved great strides in the recent years. Particularly, the research on stem cells and the promising possibilities for several degenerative diseases, cardiovascular, and neurological conditions has created a paradigm shift in our medical perspective. Stem cells have the unique ability to differentiate into different types of cells based on the environment.… [read more]


To the Minister of Health; Canada Research Proposal

Research Proposal  |  3 pages (864 words)
Style: APA  |  Bibliography Sources: 2

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To the Minister of Health;
Canada has a serious healthcare issue on its hands. Though we
proudly proclaim ourselves a progressive nation with public healthcare
access, there remain children who today do not have the proper access to
prescription medicines and proven treatment avenues. This is a serious
flaw in our system, relating both to economic disparity and access
limitations. Based on the disposition that Ontario has historically taken
toward its publics, we have grown accustomed to expecting the kind of
compassionate treatment that saves lives.
On the matter of public healthcare, it is clear to me that the
government is interested in redressing these matters. Therefore, I feel
confident that words of my letter will be well received. According to your
website, Ontario is fortunate to have a "government committed to reforming
the public drug system through the Transparent Drug System for Patients
Act, 2006, which made changes to the Ontario Drug Benefit Act and the Drug
Interchangeability and Dispensing Fee Act." (Ministry of Health and Long
Term Care, 1) In particular, you have claimed a direct interest improving
patient access. This is an issue which is clearly of great importance to
us. Indeed, it is the purpose of my letter to contend that there is still
quite a great deal of work to be done in helping to realize that goal.
Moreover, the government of Ontario has a direct responsibility here.
There is little question that you have shown the awareness and
ability that are necessary to help address the need in the general public
for an access that defies economic divisions. Indeed, improvements in
accessibility of prescription drugs have genuinely helped to raised living
standards and life expectancy amongst Canadians. This is to note that "
'illnesses that were at one time rapid and a death sentence, we're now able
to treat with the benefits of modern medicine and we've been able to turn
catastrophic illness into chronic illness." (Gillis, 1) Our medicine has
certainly seen improvement.
However, the idea of public and universal health coverage remains
elusive, especially where drugs are concerned. As you are likely aware,
drug plans have yet to become a universal part of healthcare treatment
opportunities. You must also know that the significant social problem of
high "drug costs is particularly critical in Atlantic Canada, where 24 per
cent of the populace, or 600,000 people, have no drug plan." (Gillis, 1)
There are many families with children who fall quite problematically in a
middle ground between those who are most in need and those who have the
means to receive the highest possible care.…… [read more]


Social Interactions Between Alternative Therapists and Patients Thesis

Thesis  |  14 pages (4,392 words)
Style: APA  |  Bibliography Sources: 5

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Social Interactions Between Alternative Therapists and Patients

The goal of the research in this work has as its focus interactions that take place among natural and social groups. This work will study a social group in its natural state and natural setting; ethnography seeks to describe culture in its terms. The statement of thesis in this work is that 'The… [read more]


Off Label Drug Use Term Paper

Term Paper  |  10 pages (3,084 words)
Style: APA  |  Bibliography Sources: 8

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¶ … Label Drug Use

USELESS, COSTLY or FATAL

Off-Label Drug Use

In November, 2003, the Knight-Ridder news service conducted an investigation on a practice called "off-label prescribing (Devitt 2006)." It found that doctors wrote up to 115 million prescriptions per year for drugs for off-label or unapproved uses. The concern has been that 8,000 to 80,000 people could develop… [read more]


Aromatherapy Ecdriesbaugh Aromatherapy Is Considered Non-Traditional Medicine Term Paper

Term Paper  |  3 pages (980 words)
Style: APA  |  Bibliography Sources: 4

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Aromatherapy Ecdriesbaugh

Aromatherapy

Aromatherapy is considered non-traditional medicine and falls under "complementary and alternative medicine" also known as CAM. Many CAM therapies such as acupuncture, dietary supplements, reflexology, yoga, massage, chiropractic services, Reiki, and aromatherapy center on the concept of energy in the body (Fowler, Newton 2006). According to Fowler and Newton, nurses have a special role in supporting patients towards wholeness through the practice of CAM, but also stress how important it is to understand all the aspects. These aspects include costs, drug interactions, and the patient's knowledge and understanding of CAM concepts.

CAM is sometimes called mind-body medicine because it is an approach to healing that uses the power of thought and emotions to positively provoke physical health. Because of this approach aromatherapy is not presently considered to be part of conventional medicine; however, the purpose of CAM therapies is to heal and promote wholeness and well-being. Nurses are innate healers. Together with patients, they restore patients' minds and bodies back to health. As a result, both the quality and quantity of patients' years of life can be greater than before. CAM therapies are noninvasive, often cost far less than traditional medical care, and make use of the natural healing abilities of healthcare providers. The use of CAM therapies may be constrained by insurance companies and viewed suspiciously by healthcare providers because of limited research and the fact that CAM therapies seem so different from conventional medicine (Fowler, Newton, 2006).

When essential oils are utilized for curative effects such as during a massage, the practice is called "aromatherapy." In the United States, aromatherapy hasn't gained respect as being medically valid in mainstream culture. Many advertisements abuse the phrase to sell everything from coffee, perfume, dish soap, and laundry soap in the name of "aromatherapy." However, in France aromatherapy has been a highly esteemed practice within the medical field. The term was created in France 1937 by Rene-Maurice Gattefosse who wrote out the medicinal therapeutic uses of essential oils. Many years later, England's Robert Tisserand combined the established medical view with a more holistic approach to healing in the book the Art of Aromatherapy, which helped others to discover the use of essential oils in healing (Milivojevik, 2006).

To investigate essential oils is to discover more than just pleasant aromas. Many aromatherapy experts claim that intensely concentrated plant extracts have the power to heal mind, body, and spirit. According to Schnaubelt, essential oils interact with human biochemistry in ways that science has been able to witness and document. For example, lavender is known for its calming effects. Scientists have noted that essential oil molecules attach to cellular receptors, usually through inhalation or direct contact with the skin, and this stimulates a chemical reaction (Milivojevic, 2006). "When a scent is inhaled, the chemical components within the scent pass through the nostrils to the olfactory bulb and then to the limbic area of the brain. The limbic area of the brain…… [read more]


Beloved Grandmother Was Stricken With Alzheimer Admission Essay

Admission Essay  |  1 pages (355 words)
Style: MLA  |  Bibliography Sources: 0

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¶ … beloved Grandmother was stricken with Alzheimer's, I spent a great deal of time incredibly frustrated by the fact that there was little I could do to help that lovely woman. From that adversity and pain, my interest in pharmacy was born. Since I spent so much time helping my Grandmother manage her medications, I realized the value of patient education when it comes to prescriptions. My desire to help others, coupled with my knowledge of the difficulties that many patients on more than one medication face, convinced me that pharmacy was the right choice for me.

Currently, I am finishing my last year for my Masters in Biomedical Science and working on a thesis dealing with the Nicotine Receptors in the Brain. I have worked incredibly hard to get to where I am today. I came to this country from Iran after high school, where I graduated as Valedictorian, and when I first began college, my English was not yet very good. As a result of this, my grades suffered during that first year. This…… [read more]


Acupuncture TMC Term Paper

Term Paper  |  3 pages (988 words)
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Acupuncture -- an Overview

Briefly describe the five categories of therapies as defined by the National Institutes of Health and the National Center for Complementary and Alternative Medicine and specify to which category the selected therapy belongs.

According to its official website, the National Institutes of Health and the National Center for Complementary and Alternative Medicine NIH/NCCAM divides alternative therapies into five categories. The first are biologically-based practices that focus on herbs and food, the second are energy-focused treatments that treat energy imbalances in the body, the third are manipulative and body-based practices like massage and chiropractic therapy that treat the body through touching, the fourth is psychologically oriented mind-body medicine, and finally, there are 'whole' medical systems. While acupuncture is specifically an energy-based treatment to heal imbalances of ying and yang that affect a sufferer's qi or energy, it is important to remember that it is part of the whole medical or whole cultural body of practice known as Traditional Chinese Medicine. Traditional Chinese medicine treats sufferers with a variety of herbs, pressure points, and counseling in Chinese thought, as well as acupuncture.

Explain the philosophy, purpose, and treatment principles of the therapy.

Although usually thought of as 'needle therapy,' the term acupuncture actually refers to the stimulation of various pressure points on the body through a variety of techniques, including but not limited to needles. Heat, pressure, cupping with a glass, or small electrical impulses are also used to stimulate physical pressure points (Singer, 2007) However, the acupuncture techniques familiar to most Westerners and which have the greatest research-based scientific support involve penetrating the epidermis of the skin with "thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation" ("Acupuncture," 2006, NIH). Most Westerners use acupuncture for the purpose of non-pharmaceutical pain alleviation and it became more widely known in the U.S. In the 1970s when New York Times reporter James Reston wrote about how doctors in China used needles to ease his pain after surgery ("Acupuncture," 2006, NIH). Nerve pain is the most common reason people turn to acupuncture, although it has been used for all chronic pain conditions, including post-operative pain, fibromyalgia, arthritis, etc.

Acupuncture's philosophy is rooted in the assumptions of traditional Chinese medicine that disease is called by a blockage in the flow of qi or energy which causes an imbalance of yin and yang, the hot and masculine and cold and feminine principles. Vital energy exists along pathways known as meridians. It is believed that acupuncture through the use of pressure points can help restore the correct energy balance between the twelve main organ meridians and eight secondary meridians ("Acupuncture," 2006, NIH).

Briefly summarize the historical development and evolution of the therapy.

Although it is commonly described as a 'New Age' therapy, acupuncture was first used in China more than 2,000 years ago, making it one of the oldest and most commonly used medical procedures in the world ("Acupuncture," 2006, NIH). The American…… [read more]


Consent the Most Important Statement Term Paper

Term Paper  |  2 pages (585 words)
Bibliography Sources: 0

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Consent

The most important statement included in the NCCAOM related to the practice of Traditional Chinese medicine is the statement referring to the obligation of "keeping the patient informed by explaining treatments and outcomes." This statement is basically valid in any treatment, but, given the fact that traditional Chinese medicine is less of a custom in Western treatment, it is thus even more in this particular case.

The patient needs to have explanations, first of all, on the meanings of Chinese medicine, on the principles it is based upon. These will help him understand why acupuncture can be helpful in delivering certain illnesses and how a general equilibrium can be reached in the body. Further more, the patient needs to be fully informed on the expected outcome and be convinced that this is a long-term process rather than a quick recovery.

On the other hand, issue #5 from the basic principles of the AMA makes reference to similar ideas. The physician not only has the duty to inform, but to remain continuously informed by a continuous research in any medical segments, including the Traditional Chinese medicine.

Finally, the AOM Code of ethics makes again clear reference to the necessity of constantly informing the patient about the techniques used and the potential outcome.

2. The two main problems that generally may appear are related to (1) obtaining consent and (2) communicating consent and information. In the first case, the patients may be physically unable to give consent, because of the physical condition they are in. In this case, it is generally up to the closest relatives to do so, but what happens if we are not 100% sure that they are most likely to have the patient's best interest at heart? In other…… [read more]


Gerontology and Gerontic Nursing Practice Term Paper

Term Paper  |  7 pages (2,770 words)
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SAMPLE TEXT:

1. As she suffers from osteoporosis, several mechanisms are at play in
Mrs. Wood's condition. The basic elements result from poor bone mass
accumulation during childhood combined with an acceleration of bone loss
adulthood, when peak bone mass has been achieved. One half of bone mass is
made during pre-puberty, with only minimal accumulation of minerals in the
teens and… [read more]


Acupuncture Is a Traditional Chinese Medical Technique Term Paper

Term Paper  |  5 pages (1,506 words)
Style: MLA  |  Bibliography Sources: 6

SAMPLE TEXT:

Acupuncture is a traditional Chinese medical technique that has been practiced in that country for more than 2,000 years. (Acupuncture) the theory that underlies this form of medical treatment is based on a very eastern perception of the function of the body. In essence acupuncture acts through the unblocking of energy centers or Chi in the humans being.

Acupuncture has… [read more]


Pros and Cons of Buying Prescription Drugs From Canada Term Paper

Term Paper  |  3 pages (1,135 words)
Bibliography Sources: 6

SAMPLE TEXT:

¶ … Consumers to Import Drugs from Canada

Importation or smuggling? As drugs become more and more costly, the possibility of importing drugs from Canada has seemed increasingly attractive to many American consumers. Internet pharmacies offer cheap drugs from Canada-based online pharmacies and prescriptions can be obtained online without patients actually seeing a doctor in person. Such situations certain skirt the edge of legality, as do some persons who merely stroll across the border and stroll back with their medications without reporting this to customs agents. ("It's Easy to Get a Prescription Online but is it Legal, 2005, Healthy Place) But many of these Canada-bound shoppers are not looking for a ready supply of Prozac or a quick weight-loss pill, but are in search of medications such as insulin or heart medication that they cannot otherwise afford, or at least believe they cannot afford on a fixed income. Drugs in Canada typically cost one-third as much as drugs in the U.S. (Bast, 2005) And sales from such pharmacies have only been growing in the past several years. (Frederick, 2003) The issue of Canadian pharmacies' making available discount drugs to American consumers dramatizes the tension between the altruistic nature of medicine and the need for pharmaceutical companies to remain profitable enterprises. It highlights what constitutes fair medical practice in terms of the ethics of patients taking their healthcare into their own hands, versus allowing their health to rest in the hands of a physician.

Advocates of importing drugs argue that currently people are paying too much for necessary prescription drugs or cannot afford them at all in the U.S., and must pay unfairly high prices. They argue that the drug companies are making large profits from drugs that are unfairly marked up in the United States, in comparison to Canada, which has a national health care system and makes drugs affordable to all of its citizens. (Bast, 2005) Advocates for the drug companies counter that drug companies have a legitimate right to profit from their research and development, and if they did not, then new and better treatments would cease to be available. Even if drugs seem expensive, companies must make money before the drugs they have strived to develop run out of their patents. They also point out that drug prices are only about ten percent of total health care spending in America. (Bast, 2005) How much can consumers be saving?

Of course, merely because there are more overpriced arenas of American medicine does not mean that it is acceptable to overcharge for drugs. Still, most drug companies offer discount cards that offer significant discounts on their drugs to low-income consumers and while the industry's median profit of eighteen percent in 2001 may have been higher than any other industry, drug company investors and shareholders take on more risk than because they must make considerable expenditures to invest in experimental medical research that may or may not pay off in the long run. (Bast, 2005) Advocates for patients state that… [read more]


Allocation of Costs Data Analysis Chapter

Data Analysis Chapter  |  2 pages (637 words)
Bibliography Sources: 2

SAMPLE TEXT:

Allocation of costs using ABC and Transitional costing accounting

Allocation of Costs at Jumper Hospital Takes a New Approach

As part of the Jumper Hospital Administrative Coordinator, our committee came together last week for our annually meeting for the fiscal year 2010 to determine that even though we understand the history of a traditional cost, and it has always been our way of handling and determining the allocation of costs to our departmental cost approach we are considering a transformation in to the Activity-Based Costing perspective (WiseGeek, 2011). We, The Committee, feel, after looking at the transitional and ABC approach by conducting two simple diagrams that compares the effectiveness of the accounting system we want to offer to you in this obvious and through explanation in these comparisons.

We used three main parts as part of the ABC method and could only put two of them in place within the transitional model with the example of Resources at the top of both which is used to describe as everything inside the organization which is Jumper Hospital as a whole (all the different departments in relation to the maintenance department. While the resources are everything within the organization the different approaches classify what is considered there and in the activity approach, this is the hospital as a whole and routine repairs needed in each department and in the pharmacy, and then we look at what is used in the repairs in maintenance, how it effects consumers, patients, and staff which lead up the resource development that the research box represents. In the other cost accounting, the resources traditionally include considering be considered in reducing cost and increasing overall revenue and if the services provided should be eliminated. The next box we label in the diagram below the resources box is the activity box in the new approach we are considering and the fact there is no activities listed in…… [read more]


Effects of Quality Management on Domestic and Global Competition Research Paper

Research Paper  |  3 pages (957 words)
Bibliography Sources: 3

SAMPLE TEXT:

¶ … Quality Management on Domestic and Global Competition

Describe OR diagram a process or procedure that is similar between the organizations

The most important process in developing medicines is conducting research and clinical trials. This is mandatory to avoid legal problems and also is the method of ensuring that the derived drug or medicine is effective and without any side effects. The company Pfizer is into R&D for finding new medicines for challenging diseases. The clinical trials of discovered medicines are a process that is very crucial for the medicine to be approved. The regulations are such that there are regulations regarding the clinical trials and rights of the participants. While Pfizer is a research-based company that develops drugs after trial, the Par Pharmaceutical is more of a generic drug company. (Par Pharmaceuticals, 2011)

The difference is that in the case of a generic drug the clinical trials would have already been conducted by the original discovering company. The generic drugs are patent free drug formulas that become so after a lapse of the original patent. Pfizer is also a generic drug manufacturer and both are thus able to give out low cost drugs in the market. Par Pharmaceutical confines itself to the market in the United States and is recently gone global. In the case of Pfizer, it is a multinational drug company. Each company has its own policies and positions regarding the clinical trial. The process in the clinical trial is long and elaborate. (Clinical Trials. Gov, 2007)

The selective use of the medicine discovered of patient volunteers who meet the conditions are of two types-interventional and observational. In the interventional type the volunteers are subject to the treatment and the results and the reactions measured and the result shows the success of the formulation. In the second type that is the observational the volunteers are just observed without the induction of the drug and comparisons created. The protocols for the trial is common for all companies and participants and all such trials in the U.S. come under the purview of the Institutional Review Board -- IRB and thus institutions that conduct or support biomedical research involving people must have the IRB that approves the research. (Clinical Trials. Gov, 2007)

Clinical trials have different phases. In the first the experimental drug or treatment is confined to a very small group and is tested for safety, dosage range, and side effects. On establishing this, the research moves to the second step a larger group of over one hundred people to see its effect in a larger group. In the third phase the number increase to more than three thousand which can effectively provide a conclusion on the trial. In the last phase the drug is perfected and sent for market study. (Clinical Trials. Gov, 2007) This is the process by which pharmacy companies introduce new drugs.…… [read more]


Robert Courtney Case Term Paper

Term Paper  |  2 pages (692 words)
Bibliography Sources: 2

SAMPLE TEXT:

Robert Courtney Case

Robert Courtney was a successful pharmacist in Kansas City, MO, who got greedy and decided he would water down cancer-related drugs in order to pocket money for himself. He did not get away with his ill-gotten gains, and in fact he has admitted his guilt and has been sentenced to up to thirty years for his crimes. This paper delves into the life and crimes of Courtney, who was a minister's son and was active in the Northland Cathedral Pentecostal Church, giving large amounts of money to the church building fund, and singing in the choir.

What did Courtney do to land in federal prison? CBS News reports that Courtney admitted to watering down the drugs of thirty-four cancer victims; but authorities familiar with the Courtney case say he may have "diluted 98,000 prescriptions" that were issued through "about 400 doctors" possibly having a negative affect on up to 4,200 patients" (Freed, 2009, p. 2).

The drugs that Courtney admitted diluting were Taxol and Gemzar (drugs used for chemotherapy patients) and cancer-fighting drugs, Platinol and Paraplatin, according to Freed's account in the CBS News story. The New York Times reports that prior to Courtney's arrest in 2001, he had "amassed $18.7 million in total assets" albeit he was reporting to the IRS that he earned far less than that (Draper, 2003). The Times' article went into great depths in its investigation, pointing to Courtney's lavish lifestyle, his crude treatment of his second wife (he wanted her to be "…like a doll on a shelf"), and his habit of "fending off inquiries from pharmaceutical reps in the Kansas City region about how much of which drugs he was selling" (Draper, p. 3).

He got caught because "He was sloppy," according to Todd Graves, the U.S. Attorney who served as prosecutor in the litigation against Courtney (Draper, p. 3). The moral code that Courtney operated by "required a rationale," Draper writes. That rationale? "He most likely took comfort in what amounted to his defense in the civil proceedings against him" that regardless of the worthlessness…… [read more]


Comparison of Spect Lung Scintigraphy and Ctpa for the Diagnosis of Pulmonary Embolism Article Review

Article Review  |  7 pages (2,245 words)
Style: Harvard  |  Bibliography Sources: 6

SAMPLE TEXT:

SPECT vs. CPTA

Pulmonary embolism or PE is the sudden blockage in a lung artery by a blood clot coming from a vein in the leg (NHLBI 2009). PE can permanently damage part of the lung due to lack of blood flow into the tissue, decrease oxygen level in the blood, or damage other organs from lack of sufficient oxygen.… [read more]


Joint 7-Year Program Provides a Unique Opportunity Application Essay

Application Essay  |  6 pages (1,783 words)
Bibliography Sources: 0

SAMPLE TEXT:

¶ … joint 7-year program provides a unique opportunity for the right student: a student that maintains high academic standards and is dedicated to the medical profession. For the right motivated individual, this program gives them an accelerated route to achieving a lifetime dream. My passion for medicine began when I volunteered at the Comprehensive Health Center. There I assisted… [read more]


Drugs and Medicine Term Paper

Term Paper  |  4 pages (1,275 words)
Bibliography Sources: 4

SAMPLE TEXT:

Chemistry is doing more than simply turning liquids different colors in vials. In fact, one of the most cutting edge areas of modern chemistry is drug innovation. Chemists within drug pharmacology are discovering drugs that do everything from reducing inflammation of human tissue to targeting specific cancer cells without harming the rest of the body. Discoveries are being made that extend life, regrow cells, and kill some of the world's most deadly diseases. All of this is done through the innovation of chemistry.

The body's functions and reactions are all based upon chemicals. Chemicals are sent through and received by the various cells in the body. When a desired health outcome is needed, it is up to modern chemists to isolate the body's chemicals and find a way to prevent those chemicals from reaching their receptors. Some drugs do this through bonding with the chemicals, while others actually target and destroy the DNA of harmful cells, and still other drugs simply mimic other hormones to create an artificially communicated image within the body. Through forming various chemical bonds and deriving structures from nature, modern chemists are on the forefront of uncovering cures for nearly everything that ales modern man.

Introduction: Medicinal drugs are among the forefront of modern medicine and both help and hurt mankind in many ways. At the leading role in this industry are biochemists, whose specialty is to find and explain new reactions within the human body to chemicals. There are many different drugs on the market today and each does something very different to help the human body function better. However, all drugs also have side effects on the human body. In fact, one of the primary jobs of chemists in the drug industry is to discover all of the possible side effects and weight those side effects against the benefits. The most commonly used drugs can be divided into 5 categories: analgesic, antibiotics, hormones, steroids, and anticancer.

Content: The first group of drugs are known as analgesic. Analgesic drugs, or pain relievers, use chemical reactions to prevent certain neurotransmitters from being received within the body. Acetaminophen, commercially known as Tylenol, is a large organic molecule that when dissolved into the bloodstream acts as an analgesic and an antipyretic. Acetaminophen is available over the counter in oral doses of 325 mg to 650 mg. Acetaminophen is an organic molecule with a very large structure compared to most organic molecules. It is comprised of eight carbon atoms, nine hydrogen atoms, a nitrogen atom and two oxygen atoms (CRC Handbook). The actual chemical weight, according to the CRC Handbook of Chemistry and Physics is 151.17 g/mol. Acetaminophen is crystalline in nature and nearly impossible to vaporize. At room temperature it takes on a white, powdery form and does not melt until it reaches 338 degrees (Material Safety). Acetaminophen is denser than water with a gravity of 1.293 and dissolves at a rate of 14mg per milliliter of water. In a healthy adult, Acetaminophen reacts very interestingly to effectively… [read more]


Drug Monograph Essay

Essay  |  5 pages (1,394 words)
Bibliography Sources: 5

SAMPLE TEXT:

Drug Monograph

FOR SERIOUS INFECTIONS ONLY

Drug Monograph: Vancomycin

Drug Name -- Vancocin (brand), Vancomycin HCL -- oral (generic)

This is a time-dependent bactericidal antibiotic, which inhibits cell wall synthesis (Levinson, 2009).

Glycopeptides

VA Class - AM900

CAS Number 1404-93-9

Therapeutic Category -- a tricyclic glycopeptide antibiotic

Pharmacology

Vancomycin is not too well-absorbed from the GI tract after oral administration (Levinson 2009). When given parenterally, it penetrates the bile, pleural, pericardial, synovial and ascitic fluids. It is excreted unchanged by glomerular filtration (Levison).

When taken orally, Vancomycin is not absorbed in the intestines so that it can stop the growth of a severe intestinal condition known as Clostridium difficile-associated diarrhea (Medicine Net, 2012). When vancomycin is given by mouth, it is not absorbed by the body but remains in the intestines. This is to allow it to stop the growth of the Clostridium difficile bacteria. Vancomycin is intended as treatment only for bacterial infections of the intestines. It is not effective for other bacterial infections or infections caused by viruses. Its overuse can decrease its effectiveness (Medicine Net).

Indications

Vancomycin is intended for the treatment of serious or severe bacterial infections caused by susceptible strains of methicillin-resistant staphylococci (PDR, 2012, Drug.com, 2012). It is indicated for use by patients who are allergic to penicillin and cannot or fail to respond to other drugs. It is for infections caused by Vancomycin-susceptible organisms resistant to other anti-microbials. It is indicated as initial therapy when methicillin-resistant staphylococci infection is suspected. It is also effective in the treatment of staphylococcal endocarditis. It has been successfully used in combination with either rifampin or an aminoglycoside or both for early-onset prosthetic valve endocarditis, caused by S. epidermidis or diphtheroid. Its parenteral form may be administered orally in treating antibiotic-associated pseudomembranous colitis caused by C. difficile and for staphylococcal enterocolitis (PDR, Drug.com).

Vancomycin is the drug of choice against serious infection and endocarditis caused by Methicillin-resistant S. aureaus, Methicillin-resistant coagulase-negative Staphylococci, Streptococcus pneumoniae, B-Hemolytic streptococci, Corynebacterium group JK, Viridans streptococci and enterococci (Levinson, 2009). It has been used as an alternative drug for pneumococcal meningitis caused by strains with reduced penicillin sensitivity. But its erratic penetration into the CSF and reported clinical failures make it not advisable for use alone to treat pneumococcal meningitis.

Dosages

For Adults

The usual is 500 mg by IV every 6 hours or 1 g by IV every 12 hours (PDR, 2012). It should be administered no more than at 10 mg per minute or at least 60 minutes, whichever is longer. For those with renal impairment, the initial dose is not less than 15 mg per kg. The daily dosage is about 15 times the GFR in ML per minute. For elderly patients, the dose should be reduced. The initial dose for anephric patients is 15 mg/kg then 1.9 mg/kg/24 hours. The dose for those with marked renal impairment is 250-1,000 mg once every several days and for those with anuria, 1,000 mg every 7-10 days. For PO administration, divided doses… [read more]


Aspirin Usage in Patients Research Paper

Research Paper  |  9 pages (2,946 words)
Bibliography Sources: 5

SAMPLE TEXT:

Aspirin Usage in Patients With Type 2 Diabetes

Aspirin Usage in Patients

Should aspirin be used in primary prevention of cardiovascular mortality and morbidity in patients with Type 2 diabetes?

Should aspirin be used in primary prevention of cardiovascular mortality and morbidity in patients with Type 2 diabetes?

Aspirin has been known to prevent and reduce the chances of cardiovascular… [read more]


Alternative and Complementary Healing Practices Research Paper

Research Paper  |  3 pages (1,042 words)
Bibliography Sources: 4

SAMPLE TEXT:

Alternative and Complementary Healing Practices

Many people around the world are spending huge amounts of money on alternative and complementary medicine treatment options every year. The reason for this is that these alternative treatment options do provide quick recovery options for patients, and they help to manage their conditions with ease. In order to understand why alternative medicine works, it is first important to define alternative medicine.

Ramsey et al. (2012)

define alternative medicine as the practices outside the conventional medicine practices which are used to treat or manage the symptoms of the patients. They include practices such as diet, changes in lifestyle, nutrition, herbal remedies, mind-body control and other biological treatments such as bio-field therapies and bio-electromagnetic-based therapies. They have been shown to be effective for the treatment of various diseases such as flu and various forms of cancer.

Reasons for use of alternative medicine

Many patients feel more comfortable with alternative medicine than conventional medicine for various reasons. The first, and probably the most important reason is that people are more comfortable with the natural compounds used in these alternative treatment methods than the man-made ones. These man-made compounds have been found to have among other negatives, side-effects and adverse reactions.

A survey that was conducted by the CDC (National Center for Health Statistics) and the National Center for Complementary and Alternative Medicine found that 54.9% of the respondents used various forms of complementary and alternative medicine to treat their conditions. The patients first went to see a doctor to get confirmation of their diagnosis, but in terms of treatment, they prefer to use alternative and complementary medicine. The respondents stated they feel that alternative and complementary methods are safer than conventional methods. Some reported that they feel alternative and complementary methods are much safer. This is as a result of most of these practices being there for thousands of years, longer than the presence of conventional medicine. One particular respondent stated that the use acupuncture has never been reported to kill or maim a person, and that is why they prefer these alternative methods. When asked about why they felt they first need to see a doctor, the patients stated that they do not believe that either conventional or alternative treatment is superior to the other. They just feel that conventional medicine gives a more accurate diagnosis while alternative medicine serves to treat and manage these symptoms better Barnes, Powell-Griner, McFann, & Nahin, 2004()

Alternative methods and complementary medicine are preferred because some people may have had a bad experience with conventional methods. People take personal experiences seriously, and why they do have a bad experience with a particular thing, they tend to shy away from it. For example, one patient who was surveyed said that when they were pregnant, the patient had a constant feeling of nausea that just would not go away. The patient had tried various conventional medicine methods, but one day decided to try acupuncture. When pressure was applied to the patient's wrists,… [read more]


Prescription, OTC and Herbal Remedies Term Paper

Term Paper  |  5 pages (1,353 words)
Bibliography Sources: 1+

SAMPLE TEXT:

There is also a movement to address the quality and efficacy of alternative supplements in Canada, where recently the pharmaceutical industry started manufacturing herbal remedies and McNeil Consumer Products received approval within Canada for the "release of Tanacent for the treatment of migraines (Silverstein & Spiegel, 2001). This drug is derived from an herbal medication, feverfew.

Legislation and Medication

There are many that have suggested that the drug review process and legislation governing herbal remedies in Canada is less stringent than in the United States; in Canada for example there is typically one individual responsible for evaluating a prospective agent whereas a team of reviewers is typically employed in the U.S. (Silverstein & Spiegel, 2001; Ruedy, Kaufman & Macleod, 1999). The cost of obtaining a 'drug identification number' is also less in Canada (Silverstein & Spiegel, 2001).

Prescription medications are highly regulated whereas herbal and OTC preparations less so, particularly herbal therapies. Prescription medications must meet several different standards and go through testing before a product can be marketed for a specific disease.

In 1999 Canada allocated 7 million dollars to establish an Office of Natural Health Products that was tasked with governing pre-market assessment, labeling, licensing and monitoring of herbal supplements though the full scope of the office has yet to be fully determined (Longtin & Miller, 2000).

Within Canada prescription medications go through the same rigorous legislation and regulation they would in other countries. The national authority for drug regulation in Canada, Health Canada, operates under Canada's Food and Drugs Act and Regulations, and is responsible for conducting regulatory reviews of drugs to ensure sufficient "evidence of safety, efficacy and quality" (HC, 2004).

Prescription and OTC drugs on the market available for consumer purchase are continually monitored by Health Canada for safety and efficacy (HC, 2004). Prescription drugs may only be sold if a consumer has a valid prescription written by a physician licensed to practice in Canada (HC, 2004).

The provincial and territorial governments within Canada are tasked with regulating the practice of medicine and pharmacy, and pharmacies are required to be registered within each territory before they may dispense medication (HC, 2004).

Conclusions/Analysis

There is a growing trend among consumers to 'self-medicate' or find natural remedies to help prevent and treat mild or acute illnesses. Because of this many consumers have turned to OTC remedies or natural remedies for support and healing.

Prescription remedies require that a consumer obtain a prescription from a licensed physician in Canada prior to disbursement. This extra step is often warranted, and assures a patient will receive a proper diagnosis before attempting to self-medicate. However, this is not to say that OTC or herbal remedies are not entirely safe. They can be used safely when consumers are properly educated regarding their side effects and potential hazards.

To some extent OTC medications are also regulated by Health Canada, which continually monitors the safety and efficacy of drugs on the market in Canada. The Canadian government considers such legislation and routine monitoring vital… [read more]


Healthcare Infrastructure Term Paper

Term Paper  |  4 pages (1,740 words)
Bibliography Sources: 1+

SAMPLE TEXT:

S. (Herbal Medicine in the United States)

The Congress is in the process of enacting a Medical Treatment Act, that will permit an individual to be treated by any health care practitioner with any method of medical treatment should such a request be made by the individual. The Medical practitioner would however be required to warn the individual that the food, drug or device has not been declared safe and effective by the Federal Government and as such any individual choosing to use any such food, drug or device does so at the individuals own risk. This will give easier for any person in the U.S. To access any mode of treatment as per the person's choice. (Access to Medical Treatment Act)

References

"Acupuncture FAQ" Retrieved from http://qi-journal.com/TCM.asp?-token.SearchID=Acupuncture%20FAQ Accessed on 12/03/2004

Brown, Lonny J. (2001) "What is Holistic Health?' Retrieved from http://www.holistic.com/holistic/learning.nsf/0/6d6ad242c4e75c9c87256b8f00021919?OpenDocument Accessed on 12/03/2004

"Herbal Medicine in the United States" Retrieved from http://www.naturalhealthvillage.com/reports/rpt2oam/herb.htm Accessed on 12/03/2004

"Homeopathy" (1 November, 2004) Retrieved from http://skepdic.com/homeo.html Accessed on 12/03/2004

Jarvis, William T. (December 1, 2000) "Access to Medical Treatment Act" Retrieved from http://www.ncahf.org/articles/a-b/amta.html Accessed on 12/03/2004

Morgan, Chris. "Ayurveda: Medicine of the Gods" Retrieved from http://www.compulink.co.uk/~mandrake/ayurveda.htm Accessed on 12/03/2004… [read more]


Working as a Pharmacist Application Essay

Application Essay  |  1 pages (361 words)
Bibliography Sources: 0

SAMPLE TEXT:

Already I have demonstrated determination and focus in the pursuit of my future career. My academic coursework and professional and volunteer positions have all related to pharmaceuticals and health care. I am applying to the University of Washington PharmD Program because of the unique affiliations with other UW schools, affiliations that will enable me to better hone my talents and develop areas of specialization as I familiarize myself with the field. I look forward to studying with the esteemed faculty at the university, networking with them as well as with my fellow students.

While in the PharmD program I also hope to take advantage of the many resources and opportunities for internships that the University of Washington offers. I feel that the UW program suits my needs as an aspiring pharmacist and I also feel that I will fit in well on campus because I am an affable, open-minded, caring, and flexible individual who thrives in a diverse and challenging environment. Thank you for your consideration.… [read more]


Jacob Warren-Scott Westman Term Paper

Term Paper  |  2 pages (580 words)
Bibliography Sources: 0

SAMPLE TEXT:

She was not a pleasant person, but the fact that she was a doctor was all that mattered. Blood tests were ordered and these showed a high WBC count indicative of an infection. Additional tests were run and the doctor diagnosed Jacob as having a throat infection and ordered Zithromax, which she considered a strong enough antibiotic. Jacob's mother suggested that tests for Meningitis and Encephalitis be done, but the doctor turned it down as Jacob was quite steady mentally. (Jacob Warren-Scott Westman)

In addition to the antibiotic, she prescribed Advil and Ibuprofen and said Jacob would be well by Monday and if he did not get well by Wednesday to bring him to the hospital. As the prescription was being filled out in the pharmacy Jacob vomited. His mother took him home and gave him the medicines. Though the night was rough Jacob did not vomit and woke up feeling better. He had the best day with his mother eating solid food that he wanted and played with his friends, but in the evening he felt sick again and complained of severe headache. She gave him his medicine, but a little later he vomited again and his mother now became more suspicious that he had contracted Meningitis and called up the family doctor to move Jacob to the Emergency Room and he concurred. She took him to the ER of the same hospital they had visited earlier though Jacob was not very happy about it. The same lady that checked them in earlier was there and she did the needful, and added that she believed even the previous evening, when they came in that Jacob… [read more]


Pharmaceutical Industry Term Paper

Term Paper  |  9 pages (2,330 words)
Bibliography Sources: 1+

SAMPLE TEXT:

Pharmaceutical Industry

The purpose of this work is to research the pharmaceutical industry and to answer the question of whether the costs of pharmaceuticals in the United States are too high and whether the cost of pharmaceuticals should be regulated. Further this work will attempt to answer the question of whether the Federal Drug Administration (FDA) is adequately protecting U.S.… [read more]


Cultural Competency Practiced Term Paper

Term Paper  |  3 pages (870 words)
Bibliography Sources: 1+

SAMPLE TEXT:

In 1996, the Food and Drug Administration took the needles used in acupuncture off its "experimental" instruments list. And, in 1997, the National Institutes of Health issued a consensus statement concludes that acupuncture:

Clearly works to treat a number of conditions, including nausea from chemotherapy, surgery and pregnancy, and pain after surgery (including dental surgery).

May also be an effective adjunct therapy for a number of other conditions, including stroke rehabilitation, relieving addictions, headaches, menstrual cramps, a variety of muscle pains, carpal tunnel syndrome, tennis elbow, low back pain, osteoarthritis, and asthma.

Has substantially lower incidence of adverse side effects than that of many drugs or other accepted medical procedures used for the same conditions.

Should be integrated into standard medical practice and be covered by Medicare, Medicaid and private insurance companies.

The World Health Organization has issued a provisional list of forty-one diseases amenable to acupuncture treatment (The fine points of acupuncture, Health Pages). These include respiratory ailments, pain and chronic pain conditions, PMS and other gynecological disorders, gastrointestinal disorders and many other health problems.

Today, acupuncture is achieving a healthy blend with Western practices. For example, true Chinese acupuncturists do not name specific diseases when a patient goes to them for treatment (Acupuncture -- acupressure, Let Us Reason). They will only tell the patient that they have a black in a certain meridian and then treat the patient. However, new Western acupuncturists do name specific diseases as a respect to traditional Western medicine. This leaves the patient with the knowledge to seek additional treatment if needed.

Cultural competence is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to increase the quality of services; thereby producing better outcomes (Davis, 1997). As many Americans are seeking a more holistic, naturalistic approach to health care and as acupuncture has become a widely accepted form of treatment in the United States, acupuncture is a valid and welcome addition to the cultural competence of Western medicine.

Bibliography

Acupuncture. Medicomm. Retrieved May 7, 2005 from Web stie: http://www.medicomm.net/Consumer%20Site/am/accupuncture.htm

Acupuncture -- acupressure, Let Us Reason. Retrieved May 7, 2005 from Web site: http://www.letusreason.org/Nam10.htm

Davis, K. (1997). Exploring the intersection between cultural competency and managed behavioral health care policy: Implications for state and county mental health agencies. Alexandria, VA: National Technical Assistance Center for State Mental Health Planning.

Pfeifer S. (1988). Healing at any Price? New York: Word Books.

The fine points of acupuncture. Health Pages. Retrieved May7, 2005 from Web site: http://www.thehealthpages.com/articles/ar-acupn.html… [read more]


Pharmaceutical Career Every Year, Increasing Admission Essay

Admission Essay  |  1 pages (332 words)
Bibliography Sources: 0

SAMPLE TEXT:

Pharmaceutical Career

Every year, increasing numbers of people's lives are improved due to advancements in pharmaceuticals. The future holds even greater promise. Now that the human genome is sequenced, scientists will be applying the data to treat and cure a variety of diseases. Some of the best opportunities for transforming medicine with the newly acquired human genetic information rest in the design and enhancement of prescription drugs.

I look forward to being a part of this exciting future in the pharmaceutical field. With my BS degree in cell and molecular biology from (NAME OF SCHOOL), excellent academic history and deep interest in the area, I will be able to make a sizeable contribution.

My interest in pharmaceuticals goes back to my childhood, when I already showed curiosity about and aptitude for the sciences. In high school, I had already begun conducting research. I also had the chance to attend a special program called Leadership and Service, which included a number of different science-related field trips with…… [read more]


Glaxowellcome Introducing a Second Migraine Medication? Case Study

Case Study  |  2 pages (544 words)
Bibliography Sources: 1+

SAMPLE TEXT:

¶ … GlaxoWellcome introducing a second migraine medication?

With the vast opportunity to capture a wider and untapped market on prescription medication intended for migraines, GlaxoWellcome introduced a second migraine medication, Naramig/Amerge which GlaxoWellcome is planning to launch as a second generation prescription migraine medicine, triptans, parallel to Zenecks, Zomig. Although the previous medication being endorsed by Glaxo, which is Imigran, is still in circulation, the introduction of the new medication was not initially intended to replace the drug. As it was noted;

It was not as though Imigran had not been successful, Glaxo had captured 91% of the prescription-medication market share.

Data shows that the positive response of hospitals and patients to the latter medication, since its launch in early 1993. This vital information have revealed remaining potential in its market, hence, continuous studies were made to develop a new and better medication than Imigran/Imitrex.

2. How should GlaxoWellcome position Naramig in the U.K.

Market positioning of a products is very vital to its success. Based on the decision and the considerations made by the marketing team of Glaxo Wellcome in the UK, the company would be positioning the new prescription medication, Naramig, as a replacement for the previous drug Imigran. Doing so it would lessen confusion amongst doctors and patients as it was noted:

This option fit well with the overall concept that Naramig was an overall superior drug to Imigran. Itwould also allow Naramig to gain all the benefits of a new compound. second-generation, safety, and low recurrence.

3. Was the chosen strategy (Option 4) the best decision?

Issues with regards to existing products being replaced by a more…… [read more]


Moxifloxacin Pharmacology Term Paper

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Moxifloxacin (Pharmacology)

Composition/formulation & structure/nomenclature a) What is in the drug?

The drug is an antibiotic, and it comes under the classification of fluoroquinolones. It is primarily used to fight bacteria in the body, and to treat bacterial infections, including pneumonia, acute bronchitis, and sinusitis, and at times, for other purposes as well, depending upon the discretion of the attending… [read more]


Aspirin -- Wonder Drug Today Term Paper

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Many doctors recommend taking 80 mg of aspirin each day to ward off heart disease and generally aid in blood circulation by thinning the blood.

How does the drug "work?" Recent studies have finally shed some light on what actually happens when a person swallows this little white pill. Aspirin has a variety of effects, but one of the major effects is reducing the production of prostaglandins. Prostaglandins are substances somewhat like hormones that affect the flexibility of blood vessels, among many other things in the body, and this is one reason aspirin is effective in promoting a healthy heart.

Today, aspirin may seem innocuous and even a little old fashioned, but it is still the most widely used drug in the world -- something Bayer did not expect when Hoffman made the discovery over 100 years ago. Author Jan R. McTavish says of Bayer, "No one, however, apparently anticipated that in less than two decades this new compound would become the manufacturer's best-selling medicine and the world's most widely used drug (a distinction it still holds)" (McTavish 112). New forms of aspirin have been developed as more study has gone into the drug. Aspirin causes gastrointestinal distress and even bleeding in some people or if people take it over long periods, so scientists came up with buffered aspirin to combat these problems. A new type of "plasticized" aspirin is also being developed to help combat these problems.

Aspirin can also cause death if it is taken in extremely large doses -- especially in children. In some people, it can also cause nausea, diarrhea, and/or vomiting. However, for most people it is one of the safest, inexpensive, and effective ways to combat fever, aches and pains, and many other illnesses. It is also a major portion of over 50 other over-the-counter drugs ("Aspirin"). Aspirin really is the wonder drug of the world!

References

"Aspirin." The Columbia Encyclopedia. 6th ed. 2004.

Editors. "The World of Aspirin." Aspirin.com. 2005. 22 Aug. 2005.

< http://www.aspirin.com/world_of_aspirin_en.html#

Flieger, Ken. "Aspirin: A New Look at an Old Drug." FDA Consumer Jan.-Feb. 1994: 18+.

McTavish, Jan R. Pain and Profits: The History of the Headache and Its Remedies in America. New…… [read more]


How Does the Pharmaceutical Industry Affect the U.S. Economy? Term Paper

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Pharmaceutical Industry

How does the Pharmaceutical industry affect the U.S. economy

In the September 01, 2005 issue of Pharmaceutical Executive, it was reported that the overall global industry growth has to slowed to single digit rates: 2004 global dollar volume was $550 billion, a 7% increase over 2003, which represented a 9% increase over 2002. Sales in the United States… [read more]


Cardiac Problems, Gi Issues and Anticoagulants Term Paper

Term Paper  |  3 pages (874 words)
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¶ … cardiac problems, GI issues and anticoagulants as discussion topics the writer illustrates medical understanding. There were two sources used to complete this paper.

CARDIAC

In the world of cardiac events most people immediately think about heart attacks however there are many other disorders that can place stress on the heart and the patient.

Supra ventricular tachycardia is a disorder in which the heart rate begins to beat rapidly with no notice. Heart rates can jump from 60 to 320 beats per minutes without acceleration. While SVT is rarely life threatening a sustained AVT attack can create potentially dangerous situations including ventricular fibrillation that can cause sudden cardiac death.

Three medications that are commonly used for SVT include Verapamil, Betapace and Calan SR. Verapamil is a calcium channel blocker designed to reduce the calcium signal for electrical conduction of the heart. Betapace is a beta blocker that helps control the electric conduction of the heart. Calan is another calcium channel blocker that works in a similar manner to Verapamil.

Each of the medications used have precautions and possible side effects that can vary from nausea to fatigue to more serious issues such as heart rate problems. Side effects usually are not severe enough to stop the medication but should be reported to a doctor. Betapace is the exception. It can cause very serious side effect during the loading dose including sudden cardiac death therefore patients are admitted into a hospital before being started and for the first three days of taking it so they can be closely monitored.

There are no herbal treatments recommended however, the reduction of caffeine, quitting smoking, getting enough rest and reducing stress are all believed to be helpful with these conditions.

ANTICOAGULANTS

When receiving anticoagulants, there are four areas of education that should be addressed with the patient and the patient's family.

Anticoagulants are powerful medications that can have life saving results, however, they also have several important issues that should be addressed with the patient and their family. The first area of education that the family needs to be aware of is the instruction to tell all medical doctors, dentists and pharmacists that they are on that medication. The medication has other medications that it cannot be mixed with. In addition before surgery or dental work is performed precautions must be taken so that the patient does not hemorrhage (Precautions While Using This Medicine http://www.healthopedia.com/drugs/detailed/anticoagulants/precautions.html#).

The second thing that must be addressed is to tell the doctor before taking any over the counter medications as they can create the same problems as above.

It is important that patient carry identification…… [read more]


Mr. Everett Is Diagnosed With Tinea Pedis Term Paper

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Mr. Everett is diagnosed with Tinea Pedis and Tinea Corporis. What is his problem? How might he have acquired this problem? What classification of anti-infective drugs would be ordered for his treatment? Name three drugs and dosages. Are the drugs RX and/or OTC? What are adverse effects and contraindications? Can they be ordered for children, pregnant and the eldery patients?… [read more]


Genome Project on Drug Design and Discovery Term Paper

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¶ … Genome Project on Drug Design and Discovery

The advances that have been made due to the mapping of the human genome are substantial and along with this are substantial advances in medicine and most specifically in pharmacology. It was reported recently that "a further human homolog of ACE, referred to as ACE 2, was identified and shown to be an essential regulator of cardiac function. It differs from ACE in that it contains a sing zinc-binding catalytic domain, is a carboxypeptidase with preference for carboxy-terminal hydrophic or basic residues, and is not affected by ACE inhibitors." (Riordan, 2003) These ACE inhibitors are now the chosen treatment for treatment of hypertension and congestive heart failure, left ventricular systolic dysfunction and myocardial infarction.

SEARCHING THE PUBLIC GENOME DATABASE

Time Asia reports that "sifting through the human genome for therapeutically useful gems...requires a well-designed search strategy combined with powerful technology. At Millennium, housed in a factory that once stamped out heart shaped candy boxes for Valentines' Day, that strategy is embodied in Zeus, whose job is to find the handful of genes among the genome's tens of thousands that are key to individual diseases and thus key to making effective medications." (Lemonick, 2001)

II. USING MICROASSAYS TO NARROW THE OPTIONS

In 1998 a team used the reasoning of other drug companies who have "often found new medicines by seeking compounds similar to ones they already know, and since most pharmacologically active compounds are based on proteins" or in actuality "chemicals manufactured naturally from genetic instructions" to attempt improvement on the drugs used for lower blood-pressure which are known as 'ace inhibitors'. The researches went to work and "plugged in some genetic sequences found in the gene for ace and came up with 10,000 genes that might have comparable activity." (Lemonick, 2001) Then Zeus was used in the initiative of setting up microarray analyses "and winnowed the 10,000 down to one promising protein they call ace-2." (Lemonick, 2001) Stated in a separate article entitled: "DNA Microarrays: The Workhorse of Genomic Medicine" is the explanation of the use of Microarrays. Stated is that: "Microarrays detect active genes by exploiting the fact that when the two strands of a gene in the double-stranded DNA molecule are separated, each can readily pick its partner out of a crowd of similar molecules." (Kher, 2001)

III. IDENTIFYING AND ISOLATING THE DRUGS

Stated in the Time Asia publication is that: "Testing the enzyme on tissue cells from different organs in the body, the scientists showed that whereas the original ace acts broadly on many tissues in the body, ace-2 is particularly active in heart and kidney cells, where it might be more effective in controlling high blood pressure." (Lemonick, 2001) Since the team was already knowledgeable of how ace worked on the molecular level they knew which test to use to determine whether the same effects came from ace-2 and it was found that it did.

IV. TESTING ON ANIMALS

The research team and scientists worked their way… [read more]


Allergy in Human Term Paper

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Allergy in Humans

Allergy was first recognized in 1906 by Clarens Von Pirquet, a pediatrics professor in Vienna, as a group of early skin reactions to cowpox vaccination (Kim and Drake-Lee 2002). Today, allergy is applied to more specific IgE-mediated reactions or to all immunological responses to environmental antigens, which cause tissue inflammation and organ dysfunction. It was first identified… [read more]


Pharmacist.In This Case, Case Study

Case Study  |  5 pages (1,583 words)
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¶ … pharmacist."In this case, the pharmacist is faced with a moral and ethical dilemma of informing one Mr. Ramirez's (a congestive heart failure patient) doctor, the risks that he might be exposing himself to by his tendency/trend of increasing dosage of his medication while also consuming several packages of salted nuts. Such an increase of medication and ingestion of… [read more]


Flooding Lessons Learned Essay

Essay  |  2 pages (706 words)
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Flooding Lessons Learned

One of the more serious natural disasters that affected the United States in recent years was that of Hurricane Katrina, a 2005 disaster that had over a $100 billion effect on the U.S. Economy, interruption of the Gulf oil supply, ruin of exports and forestry, thousands unemployed or displaced, and a huge impact on tourism in the Gulf States (Reidy, 2005, Cooper, 2007). Katrina was a call to action for the system of crisis management, whether public or private, and changed the approach to natural disasters; hopefully allowing for firm and structured plans and a robust communication and cooperation paradigm.

Emergency Prescription Assistance Program

EPAP is designed to assist individuals in Federal -- identified disaster areas who are in need of prescription medication. Pharmacies are part of society's infrastructure in public health and healthcare, and after a disaster, many are closed, destroyed, or unavailable. In addition, the distribution system to delivery drugs to individuals is usually compromised. As part of the Robert T. / Stafford Disaster Relief and Emergency Assistance Act, EPAP activities provide essential assistance to support state, regional, and local jurisdictions in getting both Durable Medical Equipment and at least a 30-day supply of medication to treat an acute condition or to replace maintenance programs that were affected by disaster (Emergency Prescription, 2012).

Benefits -- the benefits to the program are many. The program will allow life-saving drugs to be delivered even if local hospitals and pharmacies are shut down, as well as delivering new medications or equipment for those severely affected by the disaster. The program is set up so that there is no cost to individuals for this service, and the service will network into other pharmacies in other areas (for those evacuated) so that they, too, can continue with their needed medications.

Barrier to Effectiveness- as of October, 2012, no Presidential Emergency Declaration or Major Disaster Declaration has been issued and EPAP remains inactive (Emergency). Therefore, the barrier to effectiveness is approval for funding and ensuring that the infrastructure will support the program.

State Social Media Sites

Forty million people use social media on a…… [read more]


H1N1 Executive Summary and Issue Statement Tennessee Term Paper

Term Paper  |  3 pages (774 words)
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H1N1 Executive Summary and Issue Statement

Tennessee had multiple reported cases within less than one month of the virus reaching the United States. In order to mitigate the spread of the disease, Tennessee formed a network of politicians and experts to coordinate and advise all sectors of the state and ensure timely organization and distribution of medicines and vaccines. In order for the panel's goals to be met, the state had to usurp much of the power that was given to local governments and in doing so ensure united policies and strategies to stop the spread of the virus. While Tennessee's overall results far exceeded the national results in both vaccine distribution and disease prevention, there are still many measures that must be improved before the next outbreak. A successful response to future influenza outbreaks requires increased devolution of power to states, localities, and businesses.

During the 2009 H1N1 outbreak, there were six actors selected to aid in mitigating the spread of the disease: the state of Tennessee, the World Health Organization, the United States Federal Government, local health departments, non-government organizations including private businesses, and organizations in charge of at-risk populations. These organizations came together and formed two successful strategies that mitigated the outbreak in Tennessee: the for-profit drug distribution program and the preparedness coordination with the Tennessee Hospital Association. Additionally, the state's response revealed the dangers of depending upon foreign nations for vaccine purchases. Once this issue was overcome and vaccines were made available, the state had already prepared the proper lines of communication and distribution allowing higher vaccine rates than the rest of the country.

Issue Statement

Taskforce Purpose and Charge

When the 2009 H1N1 outbreak was declared a pandemic by the World Health Organization, the state of Tennessee formed a taskforce to combat and prepare for the oncoming spread of the virus. The Governor's Taskforce on Disaster Preparedness for Pandemics was tasked with thinking ahead to the next event and making recommendations to the Governor on how to prepare for and manage the next pandemic threat to the great state of Tennessee.

The first goal appointed to the taskforce was to work with other members for the Public Affairs community. This goal was accomplished through clear and detailed public speeches where questions were answered freely and information was readily given. At the start…… [read more]


Transcultural Nursing Essay

Essay  |  2 pages (657 words)
Bibliography Sources: 2

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CAM Therapy:

According to the findings of the National Health Interview Survey in 2007, many Americans i.e. 38% of adults tend to use Complementary and Alternative Medicine (CAM) in their efforts to be healthy and promote their well-being ("What is Complementary and Alternative Medicine?" 2012). One of the major types of complementary and alternative medicine is natural products that incorporate the use of various herbal medicines or botanicals, minerals, vitamins, and other natural items. While this CAM therapy also includes probiotics, most of the natural products are sold over the counter as dietary supplements. Probiotics are live microorganisms or bacteria that are akin to microbes usually found in the human digestive tract that have beneficial impacts. The origin of this CAM therapy can be traced back to the first attempts by people to use botanical medicines to enhance the human condition. In 1991, during the prehistoric ice man, one of the personal effects found in the Italian Alps was medicinal herbs.

While the use of natural products has become very popular in America, patients considering using this CAM therapy should discuss the decision with their nurse of physician and seek for information regarding the therapy. This is an important step because the therapy may interfere with standard treatment or be detrimental when incorporated with traditional medicine. However, the use of natural products in treatment of health issues is usually surrounded with concerns regarding the safety and effectiveness of the practices. Therefore, the nursing implications for patient assessment for this CAM therapy involve addressing the myths and concerns associated with the effectiveness and safety of natural products. Health care providers should include the issue of natural products as part of patient assessment because many patients use the therapy without informing their physicians or nurses. Such discussions would help to ensure a personalized effective and secure integrative health care plan.

Religious/Spiritual Organization:

Religion or spirituality is a major concept that has significant impacts on the physical and mental health of…… [read more]


Macpherson, Thorpe, and Thomas (2006) Article Review

Article Review  |  8 pages (2,481 words)
Style: APA  |  Bibliography Sources: 1

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This type of research concerning acupuncture's effectiveness could be designed around a depiction of the treatment that transcends just the process of needling and incorporates the associated diagnostic, treatment, and the therapeutic relationship components that are specific to acupuncture as it is commonly practiced by acupuncturists. Thus, the use of one standardized treatment is not supported by the data (even… [read more]


Translating Evidence Into Practice Research Paper

Research Paper  |  3 pages (1,099 words)
Bibliography Sources: 3

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Nursing Research

PICO Question -- Are Guided Imagery techniques effective in the management of pain?

The objective of this research study was to investigate the effects guided imagery sessions have on the management of pain. Nursing theory is both carative and pushing towards increased advocacy for the patient. Guided imagery is controversial, but the idea of using this as a relaxation technique within a nursing environment is quite common. Nurses, however, are beginning to use GI to assist in pain management, to promote relaxation, to accelerate wound healing, and to diminish depression.

Pain is quite individualized. Some people can tolerate extreme pain, for others, slight pain is agonizing. This is particularly frustrating in the post-surgical wards in which patients have a rather large continuum of procedures and resultant pain. Nursing research continues to look for non-invasive ways to improve or even augment pain management techniques, particularly if they can be put into place and require no pharmaceutical support (Bresler, 2010).

The challenge when working with GI as part of a pain or anxiety control program is the lack of available controls. When one gives a certain medication, there is a dosage amount and a way to determine cause and effect. With GI, the client brings different past knowledge and emotions to the situation, which it is difficult to determine a specific therapeutic approach that can be quantified. Within the articles surveyed, most of the research found that GI did have a positive therapeutic approach to most situations involving stress, pain, and/or anxiety. In many ways, this makes a great deal of sense from a basic psychological model. When one is anxious, in pain, nervous, or feeling lonely or out of sorts, relaxation connects them back to the world, in particular if someone is expressing empathy for them.

Literature Review Summary -- Guided imagery is simply self-visualization and control of thoughts for a specific time. Research shows that patients not only receive systematic relief from pain using GI techniques, they actually receive physiologic healing. Incorporating these techniques, typically that involve sending the client home with a guided imagery tape or utilizing such tapes in post-surgical wards, are far less expensive and dangerous than pharmaceutical solutions (Bresler). Pain may be debilitating or irritating, chronic or occasional. The use of GI, though, may help in all types of situations; from discomfort from a mild headache to the intense pain of cancer, and everything in between. These techniques work well with patients of all ages -- even the elderly report an increase in quality of life and well-being (Ferrell, B., et al., 1994). Further, the technique can easily be adapted to children even as young as five. Using breathing exercises and GI techniques, children had a significantly lower amount of days with pain and less missed activities (Weydert, J., et al., 2006)

Using GI techniques at home 1-2 times per day for weeks shows a marked improvement in the ability to relax, manage pain, and perceive ways to work through the pain. Further, patients… [read more]


Grant Proposal on Outcomes Grant Proposal

Grant Proposal  |  4 pages (1,312 words)
Bibliography Sources: 1+

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Yet, it must also be made clear that Fibrinolytic therapy is a good alternative in situations where PCI is not rapid and/or even effectively available in the acute setting. The work proposed in this grant request will first review existing scholarly medical research associated with the outcomes of exclusive fibrinolytic therapy vs. primary percutaneous coronary intervention (PCI), looking specifically at timely vs. later administration of PCI in STEMI.

The work will then move on to look at historical outcomes data regarding patient intervention of exclusive fibrinolytic therapy vs. primary percutaneous coronary intervention (PCI) in patient cases at a major cardiac center and then comparatively at a rural hospital dealing with STEMI on a regular basis. The work will attempt to review the outcomes of fibrinolytic therapy vs. primary percutaneous coronary intervention (PCI) in situations where the door-to-balloon window is more likely to be bridged beyond the 90 minute window.

The work will look at cases of STEMI that have occurred within the last 3 years to judge outcomes of these two therapies in cases where they are used independently of one another during acute STEMI presentation, i.e. within the first 4 hours of acute intervention. The analysis will then calculate variances in outcomes over the year following the acute STEMI event looking for repeat occurrences of acute cardiac and/or thrombolytic events.

Conclusion

This work will serve as a basis for a greater understanding of outcomes associated with the training, availability and acute application of PCI in STEMI and look at fibrinolytic therapy as a viable treatment response to STEMI in cases where PCI is not available or administered in a timely manner. Even most small and rural hospitals have at least some availability for trainin in acute cardiac crisis, associated with the use of PCI but it is not clear that its application has been adopted as the only and best treatment for STEMI and other acute cardiac events. This work will look at the varied outcomes and also the tendency of less sophisticated treatment sites to use fibrinolytic therapy as a viable alternative with positive outcomes sand at the very least as a stabilizing treatment associated with identified need to transfer STEMI patients to more specialized facilities often over significant distances in time and miles.

Rural hospitals with limited response alternatives often must seek the least invasive and least damaging treatment options for patients who present with conditions they are poorly equipped to deal with. In the case of STEMI this is sometimes assumed to lead to less than favorable outcomes, yet the research needs to be much more thorough and ongoing to determine if these less invasive and less specialized responses allow for outcomes that give the patient time to reach more advanced care. Best practices for alternative responses are to STEMI need to be well established, especially in places where PCI is not an alternative for rapid response treatment, regardless of the desire to provide the best possible and most advanced emergency treatment at all times.

Resources… [read more]


Clinical Decision Making Process Essay

Essay  |  3 pages (782 words)
Bibliography Sources: 3

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" (Mangoni and Jackson, 2004) The elderly patient experiences changes in their stomach and primarily in regards to changes involving "the secretion of hydrochloric acid and pepsin, which are decreased under basal conditions." (Mangoni and Jackson, 2004) The liver is also affected by aging in regards to a "progressive reduction in liver volume and liver blood flow." (Mangoni and Jackson, 2004) Finally, there are body composition changes that are significant in the elderly in that there is reported to be a "progressive reduction in total body water and lean body mass, resulting in a relative increase in body fat." (Mangoni and Jackson, 2004)

IV. Pharmacodynamics and Pharmokinetics of Common Medications

Pharmacodynamics refers to what medication does when administered and pharmokinetics refers to what the body does with the medication. In the elderly, impact of the advances of aging results in the body's functions becoming impaired in the regulatory processes providing "functional integration between cells and organs." (Mangoni and Jackson, 2004) The result is a "failure to maintain homeostasis under conditions of physiological stress." (Mangoni and Jackson, 2004) This reduction in homeostatic ability is reported to negatively impact various regulatory systems in the elderly individual's body resulting in significant pharmacokinetic and pharmacodynamic changes. Included in pharmokinetic changes is a reduction in "renal and hepatic clearance and an increase in volume of distribution of lipid soluble drugs" and the prolonging of elimination half-life. (Mangoni and Jackson, 2004) Pharmacodynamic changes are reported to be such that "involve altered sensitivity to several classes of drugs such as anticoagulants, cardiovascular and psychotropic drugs. " (Mangoni and Jackson, 2004)

Summary and Conclusion

The nurse plays a significant role in the administration of medication to the elderly and therefore must be aware of the legal and ethical issues related to medication administration to those who are advancing in age. As well the nurse must necessarily be aware of the changes that the body of the elderly person is undergoing in order to safety administer medicine to this specific patient group.

Bibliography

Harris, H. (2012) The Nurse's Role in Geriatric Medication Safety. Retrieved from: http://www.ehow.com/about_6544279_nurse_s-role-geriatric-medication-safety.html

Hauswirth, K (2012) Administration of Medication. Healthline. Retrieved from: http://www.healthline.com/galecontent/administration-of-medication

Mangoni, AA and Jackson, SHD (2004) Age-Related Changes in pharmacokinetics and pharmacodynamics: basic principles and practical applications. Br J. Clin Pharmacol. 2004 January…… [read more]


Medication Administration Tech Policy Research Paper

Research Paper  |  4 pages (1,247 words)
Bibliography Sources: 5

SAMPLE TEXT:

The system could also go farther if the institution decided to implement a patient bracelet system such as are found in nearly all hospitals and many other medical institutions in the U.S. This type of barcode system, referred to as a point of care system works basically like this:

The basic concept for a bar code point-of-care test is that information is encoded in bar codes, allowing for the comparison of the medication being administered with what was ordered for the individual patient (Sakowski et al.,2005). After a medication order is written (electronically or manually), a pharmacist enters, verifies, and profiles the order. Prior to administration of the first dose, the nurse confirms a match between the written and electronically profiled order. When the nurse is ready to administer a medication to a patient, he or she uses a handheld bar-code reader to scan the patient's special wristband and medication, at which time the software verifies it is the correct medication and dose as well as the correct time and patient. (Fowler, Sohler & Zarillo, 2009, p. 106)

This system would then allow the nursing staff to be assured that traditional medication errors error are rarely made, especially at the point of delivery and with the integrated inventory and manufacturer bar code system in place and accuracy of pharmacist fill and physician orders many fewer errors are made from order to delivery (Fowler, Sohler & Zarillo, 2009).

Research on bar code reading systems in both the pharmacy and at point of care is relatively new, but is very promising in its results of long-term reduction in medication errors (Fowler, Sohler & Zarillo, 2009). More research clearly needs to be done as more and more of such systems are implemented. This research is integral to a greater understanding of how the systems need to be altered to best meet the goal of excellent patient safety with regard to medication errors as well as ease of use and practicality for staff. The most important research should be focused on how to best develop and tweak bar code systems so they are both most effective in reducing medication errors and highly usable and functional for staff (Wild, Szczepura & Nelson, 2011).

There is a clear sense of the changing times associated with medical care technology and ultimately such technology has patients' safety as a priority. With a new Bar code point of delivery system the challenges of medication administration will decrease over time and allow integrated systems to create higher delivery value and more efficient operations (Fowler, Sohler & Zarillo, 2009). Though all change takes time to be integrated and accepted many changes are patient centered and therefore seek a higher quality of care. Therefore it is recommended that the Utah State Hospital adopt such technologies and integrate them to develop more timely care and safer delivery of medication to patients.

Resources

"ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications: developed through the ASHP Section of Pharmacy Informatics and… [read more]


Medical Safety Poor Essay

Essay  |  4 pages (1,205 words)
Bibliography Sources: 4

SAMPLE TEXT:

Over the past decade, efforts have been made to define and measure medical related errors. A huge problem has been indentified to the tune of $2 billion dollars a year which represents the cost of preventable medication related errors. Since identifying these serious problems, several valid solutions have been proposed and implemented in many medical establishments. Standardization and use of new technology to improve accuracy have proven to be excellent weapons in the fight against medication related errors.

Standard Protocols and Procedures

Standard protocols and procedures is an effective way to begin to eliminate common mistakes. Standardizing the way in which work is performed and managed within a medical establishment is the low-hanging fruit in the quest to improve medication-related errors. Standardizing protocols, devices and procedures amongst medical facilities across the nation will allow our healthcare provider system to run as a well-oiled machine. Reducing variation in processes, policies, procedures and devices across the board will allow for increased precision and delivery of services without defects. Standardization allows for controllable treatment procedures with predictable and repeatable outcomes.

Technology to Improve Accuracy

Dosing errors can be eliminated through the use of technology. Dosing errors include administration, prescribing and dispensing errors. Prescriptions written in one unit such as micrograms and calculated in another unit (such as milligrams) is a very preventable error. Tools such as the CPOE or Computerized Physician Order-Entry System which allows orders to be written directly into the computer and transcribed to the pharmacy and the Automated Dispensing Cabinets (ADC) which has an automated dispensing system with frequently used medications in patient-care areas have proven to be great in reducing dosing errors. Nearly 60% of hospitals in the United States use the ADC process (Grissinger & Globus, 2004). CPOE has also shown positive results and is responsible decreasing medication errors by 40% in facilities it has been used.

Unfortunately, a recent study suggests no progress in patient safety in the past decade a meager 1.5% of hospitals are utilizing methods and systems that have already shown success. What this means is 98.5% hospitals around the country have the opportunity to save lives, reduce overall costs and provide better care and they are opting out. The study conducted by The New England Journal of Medicine suggests that the rate of adverse affects due to medical errors hasn't budged since the 1999 study. What do we do? Now is the time to hold medical facilities accountable. Patient safety isn't option, it is mandatory and all medical facilities from administration to staff should be committed to the elimination of these errors. Government (both federal and state) should institute a score card which rates hospitals on their implementation and results in the reduction of medical errors. If the only way to get medication safety to be a priority to medical facilities is to force them to comply, then the government should take action. How many more people must die and be harmed unnecessarily? Our future focus should be on instituting mandatory requirements on… [read more]


Efficacy and Safety of Dabigatran Research Paper

Research Paper  |  4 pages (1,986 words)
Bibliography Sources: 3

SAMPLE TEXT:

In terms of safety, the results are mixed. For example, increased reports of dyspepsia (Schulman et al., 2009) and major gastrointestinal bleeding (Wallentin et al., 2010) in patients taking 150 mg dabigatran twice daily suggest warfarin might be a better anticoagulant choice for patients with a history of bleeding ulcers and other forms of gastrointestinal distress. Although Ezekowitz et al. (2007) reported increased rates of "gastrointestinal symptoms" in patients receiving dabigatran at 50, 150, and 300 mg dosages, when compared to warfarin, patients taking dabigatran with or without aspirin were grouped together. The overall safety of dabigatran vs. warfarin was established in the large phase III clinical trial (Connolly et al., 2009), but this was called into question by the results of Schulman et al. (2009) and Wallentin et al. (2010) after they analyzed all adverse events or all adverse coronary outcomes, respectively. The results from these comparisons suggest warfarin is safer overall. Wallentin et al. (2010) showed that any safety advantage that dabigatran treatment might provide was erased for many adverse outcomes at centers predicted to provide higher quality of care. This could be an important consideration for clinics with suboptimal resources and funding. Any advantage that dabigatran is predicted to provide because it requires less intensive monitoring seemed to be erased by higher rates of patient non-compliance due to adverse events (Ezekowitz et al., 2007; Schulman et al., 2009), but as the authors mentioned in the phase III clinical trial the major gastrointestinal bleeding and dyspepsia problems associated with dabigatran may have to do with inclusion of tartaric acid in the dabigatran formulation to aid absorption. The general, overall conclusion is that dabigatran is at least as effective as warfarin in protecting patients against stroke and systemic embolism, but the few remaining safety concerns are serious enough to warrant further study.

Notes

Centers for Disease Control and Prevention. "Public health and aging: Atrial fibrillation as a contributing cause of death and Medicare hospitalization -- United States, 1999." Morbidity and Mortality Weekly Report 52 (2003): 128-131. Web.

Connolly, S.J., Ezekowitz, M.D., Yusuf, S., F.R.C.P.C., D.Phil., Eikelboom, J., Oldgren, J., Parekh, A., Pogue, J., Reilly, P.A., Themeles, E., Varrone, J., Wang, S., Alings, S., Xavier, D., Zhu, J., Diaz, R., Lewis, B.S., Darius, H., Diener, H-C., Joyner, C.D., Wallentin, L., and RE-LY Steering Committee and Investigators. "Dabigatran vs. warfarin in patients with atrial fibrillation." New England Journal of Medicine 361 (2009): 1139-1151. Web.

Ezekowitz, Michael D., Reilly, Paul A., Nehmiz, Gerhard, Simmers, Timothy A., Nagarakanti, Rangadham, Parcham-Azad, Kambiz, Pedersen, K. Erik, Lionetti, Dominick A., Stangier, Joachim, and Wallentin, Lars. "Dabigatran with or without concomitant aspirin compared with warfarin alone in patients with nonvalvular atrial fibrillation (PETRO Study)." American Journal of Cardiology 100 (2007): 1419-1426. Web.

Lemos, Silva R., Carvalho de Sousa, J., Calisto, C., Nogueira,…… [read more]


Pre-Medications Current Practices Capstone Project

Capstone Project  |  2 pages (855 words)
Bibliography Sources: 2

SAMPLE TEXT:

A further study showed that it is not only medicine that can be used as a pre-treatment, but that music could be used as well. What the study determined was that "relaxing music decreases the level of anxiety in a pre-operative setting to a greater extent than orally administrated midazolam" (Bringman, Giesecke, Thorne, Bringman, 2009, p. 759). Other studies have also determined the effectiveness of pre-medication, and perhaps that is one of the reasons why the practice of administering Benadryl or Tylenol before bone marrow transplants continues to take place. Evidence of the ill effects of such actions make this study one of importance to the BMTU across the United States.

Methodology

Many of the consults that take place after investigations to a reaction to blood transfusions recommend that the practice of administering the medicines be discontinued because of the effects of doing so. What this study will seek to determine is whether the administration of Benadryl or Tylenol as a pre-medication is more harmful than beneficial in two specific aspects. Those aspects are the masking effects of the pre-medications and the mild reactions that can be produced by the pre-medications. The methodology used to determine the results will be quantitative in nature due to the fact that the study does not concern thoughts or feelings just physical reactions to the action of pre-medicating.

Numerical data will be gathered in an ongoing basis from patients undergoing bone marrow transplants. The data will be analyzed in quantitative manner with two separate groups; a control group receiving pre-medications of Benadryl and Tylenol and a non-control group who do not receive the pre-medications.

Conclusion

The administering of pre-medications in the BMTU may be a practice that can be terminated. It is hoped that the study will show that such a termination would lower or alleviate the incidence(s) of reaction to blood transfusions before BMTU surgeries. A quantitative analysis is proposed to determine whether the termination of pre-medicating is viable.

References

Bringman, H.; Giesecke, K.; Thorne, A.; Bringman, S.; (2009) Relaxing music as pre-medication before surgery: a randomized controlled trial, Acta Anaesthesiologica Scandinavica, Vol. 53, Issue 6, pp. 759 -- 764

Horng, H.C.; Wong, C.S.; Hsiao, K.N.; Huh, B.K.; Kuo, C.P.; Cherng, C.H.; Wu, C.T.; (2007) Pre-medication with intravenous clonidine suppresses fentanyl-induced cough, Acta Anaesthesiologica Scandinavica, Vol. 51, Issue 7, pp. 862 -- 865

Kennedy, L.D.; Case, L.D.; Hurd, D.D.; Cruz, J.M.; Pomper, G.J.; (2008) Transfusion: A prospective, randomized, double-blind controlled trial of acetaminophen and diphenhydramine pretransfusion medication vs. placebo for the prevention of transfusion reactions, Tranfusion, Vol.…… [read more]


Compendium to Research in Cardiology Annotated Bibliography

Annotated Bibliography  |  4 pages (1,273 words)
Bibliography Sources: 7

SAMPLE TEXT:

Sample to the study enrolled 134 out-patients from 18 centers who had existing CRT-D systems with software capable of automatically executing LV threshold measurements. Measurements were downloaded into the random access memory (RAM) of the device. Reported outcomes to the study indicate that the algorithm measured the threshold successfully in 96% and 97% of patients after 1 and 3 months respectivel, with augmentation of the data derived from the Holter monitor analysis where a subset of the test subjects revealed accurate performance of the algorithm. The test supports the claim that the new CRT-D improved ability to maintain LV capture without sacrificing device longevity.

Vasamreddy, C et al. (2006). Symptomatic and Asymptomatic Atrial Fibrillation in Patients Undergoing Radiofrequency Catheter Ablation. Journal of Cardiovascular Electrophysiology, 17(2), 134-139. doi:10.1111/j.1540-8167.2006.00359.x.

Objectives to the investigation to "(i) evaluate the feasibility and results of monitoring patients prior to and following catheter ablation of AF with the mobile cardiac outpatient telemetry (MCOT) system and to (ii) correlate symptoms and the presence or absence of atrial fibrillation (AF)" were designed to demonstrate the potential utility of wireless monitoring systems in the follow-up of AF patients. Of a total of 12/19 consecutive patients with (63%) age 60 ( ± 6 years) with highly symptomatic drug refractory AF underwent catheter ablation, each was provided with a MCOT monitor (CardioNet, USA) for a total of 494 days (11,856 hours) of monitoring. Termination of the study concluded at the end of the study with 6/10 patients completing the test. In those subjects (70%) patients were free of symptomatic AF recurrences compared to (50%) asymptomatic AF recurrences. Some identified poor patient compliance with an intensive monitoring protocol as an important limitation.

Chow, E. et al. (2009). Toward an Implantable Wireless Cardiac Monitoring Platform Integrated with an FDA-Approved Cardiovascular Stent. Journal of Interventional Cardiology, 22(5), 479-487. doi:10.1111/j.1540-8183.2009.00483.x.

The researchers investigate the value of a miniaturized stent-based antenna system for use in wireless telemetry and power transfer for the implanted electronics. Reduced to an area of less than 1 mm2, with a thickness under 300 ?m, research studies implantation of a minimally invasive implantation procedure; allowing the delivery of the stent-based implant in nearly any major vessel of the body. Initial prototype with two stents "configured as a single dipole, a 2.4-GHz transmitter microchip and battery [that] validates transcutaneous transmission through ex-vivo and in vivo porcine" is described.

The stent-based antenna can be used in monitoring of blood pressure from a minimally invasive device inserted for tracking the pulmonary artery in diagnostic and early warning system for cardiac health. In cardiac diagnostics, the foremost challenge in using a like device is the wireless transfer of data and power from within the blood vessel to external devices; whilst maintaining unrestricted blood flow through the artery.

Paoletti, R., Suess, T., Lesko, M., Feroli, A., Kennel, J., Mahler, J., et al. (2007). Using bar-code technology and medication observation methodology for safer medication administration. American Journal of Health-System Pharmacy, 64(5), 536-543. doi:10.2146/ajhp060140.

A three (3) inpatient nursing unit… [read more]


Pharmaceuticals in Russia Term Paper

Term Paper  |  7 pages (2,040 words)
Bibliography Sources: 1+

SAMPLE TEXT:

Independent republics today do not have a federally mandated system in place to provide top quality pharmaceutical industry. There are several reasons for this problem aside from the counterfeit industry.

Some include the following:

Most plants have technologically obsolete production systems installed more than 30 years ago.

Depreciation rate of manufacturing equipment averages 70-90%.

Relatively few plants have production facilities that meet good manufacturing practice (GMP) standards.

Russian managers have little experience operating in a new market economy and are unfamiliar with Western procedures, methods, policies, and accounting principles.

Russian businesses, in general, have produced notoriously poor-quality products.

Manufacturing facilities have very poor internal quality controls.

Pharmaceutical workers need training in the new, unfamiliar standards and manufacturing procedures (Privin, 1998)."

All those factors have contributed to hold pharmaceutical operations to a 30-65% of industry production capacity. Nearly 66% of pharmaceutical companies in Russia are close to bankruptcy. A single pharmaceutical manufacturer - Russia's top market performer Akrikhin - accounts for more than 3% of the federation's drug product output (Privin, 1998). "

Aside from the problems the manufacturing plants are having there is also the problem of imported drugs taking away business of in house manufacturers. Currently there is also an issue with consumers being able to purchase products without a prescription which interferes with any hope of regulation and supply and demand forecasts being possible within the industry." Because of the increased import of foreign drugs, Russian pharmacists lack complete, updated official lists of available prescription and OTC drugs. They often sell ethical drugs to customers without a doctor's prescription. In Ryazan, for example, a survey of 19 community pharmacies reveals that patients can purchase antibiotics without a prescription in 17 locations, or 89.5% of pharmacies studied (Privin, 1998)."

The government is working on several possible solutions and is fine tuning their ability to be implemented. Some of the things that are being considered in the effort to regulate the pharmaceutical industry include:

examining new drugs drug standardization drug quality inspection and laboratory control regulatory control and oversight of pharmaceutical enterprises (Privin, 1998).

Some of the things the government has put into place is to mandate that companies who want to do pharmaceutical business in Russia must file with the government outlining the type of medications they want to bring in and the manufacturers regulations for their development. In addition all trials and studies on medications must also adhere to strict government regulations.

CONCLUSION The pharmaceutical industry of Russia has been filled with problems since the dismantling of the former Soviet Union. There have been issues with the quality of the drugs being sold as well as the packaging which leads consumers to believe they are buying a well-known brand and they are not. In addition to the health and safety issues that these problems produce there is also the financial trouble it causes the legitimate manufacturers. As the nation moves toward a democratic existence it also works to regulate and legitimize its pharmaceutical industry.

References

Privin, Irina (1997).… [read more]


Alternative Medicine: The Biology Term Paper

Term Paper  |  5 pages (1,376 words)
Bibliography Sources: 1+

SAMPLE TEXT:

There are industrial standard and safety protection regulation to meet. This is exactly what the business players need to notify the industry.

The business is inseparable from the advancement of biology as knowledge, both in the past and in the future. In the past, business people made great profit from the herbal plantation establishment, discoveries of new medicines upon health care performances, and not to mention, the increasing numbers of trained herbal consultants by ages. Current businesses have another opportunities ahead, as armed with the practical knowledge inheritance from the earlier health remedy archives, they have preliminary informal studies to discover what contained in the botanical materials, and bring the direction for the industry.

There is a requirement for a strong relation between business strategies and biology as a part of science. Angell (1999) encouraged that current chemical and pharmacological methods would be able to "identify and purify the active ingredients in botanicals," for further study. She said, "Once the chemistry was understood, it was possible to synthesize related molecules with more desirable properties." She gave example of penicillin isolation from Penicillium mold, which turned out triumphantly to cure millions of people in communities that formerly lost their people from wound infection and pus.

In recent biology industries, the option does not stop to that. Scientists come out to discover that one chemical compound or substance may probably have multiple effects toward different forms of diseases. The industry has a broad range of possibilities where it wants to aim the research at. Scientist can predict the potential of chemical substance isolation from herbs and raw materials and point out what the substance can do to save lives upon variety if diseases.

However, such researches would be time consuming and prone to financial exhaustion. To cover the expenses, the promoter organizations need to incorporate the researches to the existing projects addressing specific health issue. It is not necessary that they explore the medicines without analyzing the most relevance result it can produce to solve urgent health problems.

Building Public-oriented Remedy Products

It is essentially ironical that upon the long time exposure to natural remedies, many alternative health care practitioners are allowed to sell their service without official license, even in major countries like England and the U.S. They rely only on restricted technical skills of the subjects from daily practices, and lack of medical qualifications or professional trainings (Mills, 2001).

Some contrary opinions towards the surfacing interest of alternative medicine rise from the fact that those remedies are sold freely in the market without official warnings that some remedies does not only heal, but also cause fatal effects when someone overdoses on them. People tend to consume such medicine without certain awareness and without informing their physicians (Angell, 1999).

A commonly elapsed responsibility of the industry is the publicity factor. It is necessary that the industry develop the marketing and promotion concept carefully so that it does not only focus on introducing the products to public and attracting their attention to… [read more]


Radiology Program and My Personal Term Paper

Term Paper  |  1 pages (324 words)
Bibliography Sources: 0

SAMPLE TEXT:

As for my personal strengths that I feel will help me complete the program, I think that the most important one is my ability in science. Obviously, an aptitude for science is critical to success in a program like radiology. I also believe that I have excellent people skills. These skills will help me be successful in college because an ability to work with and interact with peers and instructors has an impact on a student's success. Furthermore, I have a very good work ethic. I've always taken my studies seriously and complete them before engaging in other interests. I'm capable of working hard and prioritizing my activities. I believe that this will ensure my success. In short, I chose this program because of my desire to help others. Your program is one of the best, and I believe that my personal qualities will allow me to succeed in…… [read more]


Hypnosis in Medicine Proven Term Paper

Term Paper  |  12 pages (4,577 words)
Bibliography Sources: 0

SAMPLE TEXT:

Yet, it is clear that one question that was often answered was that it was effective and some of the most respected clinicians of psychology and medicine came to see it as a valid and useful tool for the treatment of diseases and/or symptoms that could not otherwise be easily or quickly treated by more traditional means.

In the initial… [read more]


Penicillin Focuses on the Miraculous Term Paper

Term Paper  |  2 pages (811 words)
Bibliography Sources: 1

SAMPLE TEXT:

Even though penicillin is not effective against all bacteria, its miraculous discovery has saved the lives of millions of people all over the world. Researchers that were inspired by Fleming's example soon helped to create an industry that invests millions today in order to discover new and ever more specific drugs, from which it gains even more millions in profits. The discovery of new drugs has led to the elimination of many other deadly diseases.

Penicillin turned out, as Fleming inspected, to be nontoxic to most persons, although a few are allergic to it. Many of the drugs that have contributed to the medical marvels of our era might have side effects. A general argument against antibiotics is that its discovery has caused resistant strains of bacteria and it is getting really difficult for the doctors to combat such bacteria. The important point to realize here is that if penicillin had not been discovered than human beings would have been greatly endangered by deadly bacterium. The discovery of penicillin paved a way for a better life for millions of people. It not only cured people but also motivated researchers to discover new life saving antibiotics. One of the side effects of these discoveries led to a group of bacteria that was more resistant to the antibiotics. According to my perception this was not the dark side of Fleming's life giving discovery. Instead it is the beauty of evolution that caused bacteria to become more resistant. Which creature in the world has not gone through the process of evolution? Even we human beings have been victims of this process and done rather well. The resistant strains of bacteria might prove to be a challenge for many doctors initially but it will also make doctors and scientists well aware of the behavior of the bacteria. This will also cause many researchers to discover new medicines that would treat bacterial diseases.

Nothing is more precious than the value of human life. Human life per se should be treated with dignity and respect. Hence, the great discovery of Alexander Fleming has had a great impact on the lives of many people and has paved a way for a healthier society.

Works Cited

Mary B. The History Of Penicillin. 2003. Available on the address http://inventors.about.com/library/inventors/blpenicillin.htm. Accessed on 22 Nov.… [read more]


Aspirin Term Paper

Term Paper  |  2 pages (721 words)
Bibliography Sources: 1+

SAMPLE TEXT:

However, there are some dangers that come with taking large doses of Aspirin. Most people know that taken over long periods, Aspirin can cause gastrointestinal bleeding, and some people cannot take the drug because it upsets their stomachs, which is one reason buffered Aspirin was developed. Regular dosages can also cause nausea, vomiting, and diarrhea, and large doses can be fatal, especially in children ("Aspirin"). Scientists have developed some alternatives to Aspirin like Acetaminophen (Tylenol), which often does not irritate the gastric system but can help relieve pain and lower fevers. In addition, a new "poly-Aspirin" has been developed that helps those who are allergic to the drug tolerate dosages (Gribbin 28).

Unlike many other early drugs that have been replaced by newer and better drugs, today Aspirin is still used extensively for a variety of ailments. Scientists believe Aspirin works by "interfering with the synthesis of specific prostaglandins in the body" ("Aspirin"). However, many more uses have surfaced for Aspirin in modern times, including the treatment and prevention of some types of heart disease and strokes. "Because of its ability to inhibit the formation of blood clots, aspirin is also used in low doses to prevent heart attack and stroke and to control unstable angina" ("Aspirin"). In addition, researchers are looking into the "drug's usefulness in preventing certain cancers, the dangerous high blood pressure that sometimes occurs during pregnancy (toxemia), and migraine headaches" ("Aspirin"). Clearly, the many uses for Aspirin are still developing, and scientists will continue to find more uses for this amazing and versatile drug.

In conclusion, Aspirin may truly be a wonder drug. When it was first developed, it seemed like a magical cure for many debilitating and painful diseases. Today, scientists still recognize the value of Aspirin therapy for a variety of ailments, and it seems that Aspirin will become even more viable in the future if science discovers even more uses for this productive little white pill.

References

Aspirin." The Columbia Encyclopedia. 6th ed. 2000.

Editors. "The World of Aspirin." Aspirin.com. 2004. 12 April 2004. http://www.aspirin.com/world_of_aspirin_en.html#

Gribbin, August. "Plastic Aspirin Gets Rave Reviews." Insight…… [read more]


Admissions, Personal the Optometrists Term Paper

Term Paper  |  2 pages (575 words)
Bibliography Sources: 0

SAMPLE TEXT:

The Chinese experience taught me that experimental and traditional medicine can sometimes solve problems even better than the normal approach we are used to in the Western world.

The trip to China was an experience that came about in the summer of 2004, when I was nominated by one of my professors to travel to China with the international Mission on Medicine. I knew this would be perhaps a once in a lifetime opportunity, a period during which I could accumulate and learn, so I took no moments to decide and swiftly accepted the challenge.

The trip to China also convinced me that being an optometrist is my vocation. Indeed, during my period spent there, I volunteered at an office for 12 hours a week doing vision therapy with children. Children are perhaps the best example of patients that make you understand the importance of your profession. For example, the case of an eight-year-old that had a focusing problem is most relevant.

The little boy was very bright and knew how to read, however, the focusing problem meddled with his ability and he was frustrated over the fact that, although he had learned to read and was quite able to perform reading, he couldn't because of his physical disability.

After working with him for several weeks, the problem gradually began to ameliorate. After six weeks of therapy, the reward was maximal: a smiling face came and announced that reading was no longer an issue for him.

The Chinese optometric experience, combined with traditional medicine and working with patients, made me understand that medicine and practicing medicine is indeed a gift and an honor of which I want to…… [read more]


Healthcare Making Prescription Drugs Affordable? Term Paper

Term Paper  |  3 pages (1,456 words)
Bibliography Sources: 1+

SAMPLE TEXT:

This medical insurance was typically financed in whole or in part by an individual's employer. As healthcare costs continued to rise, many corporate and municipal employers were forced to either cut back on, or eliminate, their contributions to their employees' insurance. It is to avoid precisely this circumstance that Mayor Albano, and others like him, have looked to reimportation.

However,… [read more]


Post Bac Discuss an Academic Term Paper

Term Paper  |  2 pages (726 words)
Bibliography Sources: 0

SAMPLE TEXT:

Yet in medicine, the doctor, student, or researcher daily deals with the currently finite capacity of medicine to understand the full scope of the human body's ability to be penetrated by small viral intrusions, to be threatened by pathologies, viruses, bacteria, and the small and lager, and the visible and invisible instruments and intrusions that can cause death and disease.

Success for me has long been defined in terms of my academic success, of which I am proud. Yet despite my academic and cerebral credentials, despite working at the Mayo Clinic at present, and also volunteering at its gastrointestinal unit, I have yet to discover a cure for the ailments that strike the food system of the nation of India and others and cause malnutrition and starvation. Many wiser and older researchers and doctors than myself have labored in vain to discover the cure for cancers of the stomach and esophagus. Although I am proud of my successes in understanding, I am well aware of the failures of those more experienced than myself in my field of choice, and the frustrations I may encounter in my future studies in the medical field.

While working at the Mayo Clinic as a volunteer at GI Diagnostic Center I had to notify patients' family members and friends of patients in waiting area that the patients near and dear to them had completed often variously uncomfortable and undignified procedures. I was amazed, witnessing these patients in the recovery room, at their ability to bear up against physical discomfort, as well as their loved one's compassion and fortitude in giving them emotional aid during such a difficult time. I frequently visited patients in waiting area and assisted with history transport between procedure room and recovery room. The patient's emotional testimony was a success to me that I hope to replicate in the scientific realm when I become a doctor, as well as become successful in taking these lessons of strength learned not only to my studies and research but also the practice of medicine.… [read more]


Personal Statement on the Career Term Paper

Term Paper  |  1 pages (324 words)
Bibliography Sources: 0

SAMPLE TEXT:

.

It is my desire to work in a community setting such as a hospital, healthcare facility nursing home, neighborhood clinic, and in cohesion with health practitioners to provide information to patients on an individual basis as needed to guide their proper aftercare. This assures progress at the time of their next appointment with the Health Practitioner.

As a pharmacist it is my goal to fully understand the use, clinical effects and composition of drugs as well as their biological, chemical and physical properties.

I believe that a pharmacist that supports the Health care providers by utilizing all possible communications with the patient to help them understand the nature and role of their self-care is one of the highest callings which exist. Finally, to do all of this and furthermore, to do so professionally and with compassion is my goal and motivation for pursing a career as a…… [read more]


Docs Drugs "Doctors Often Accept Essay

Essay  |  2 pages (661 words)
Bibliography Sources: 2

SAMPLE TEXT:

Docs Drugs

"Doctors often accept gifts from drug companies," (Chren, Landefeld & Murray, 1989). Sometimes, this issue is framed as an ethical problem. Doctors who accept money are believed to be unethical. However, the solution to the problem depends on the ethical framework being used. There is no clear reason why there is an ethical problem in this case. Doctors are highly trained professionals who are entrusted with the most intimate details of our lives. Therefore, it is unethical to assume that doctors are doing something wrong when they accept gifts from pharmaceutical companies. Doctors would not know about drugs if the pharmaceutical companies did not market the drugs they manufacture, or rebrand the drugs that are already made to be used in new ways. Therefore, the best way to tackle the ethical problems of the doctor-drug company relationship is to foster that relationship as being one of caring and compassion. The best ethical approach to take in addressing this situation is utilitarianism and libertarianism. According to the Institute for Humane Studies (2013), a libertarian is someone who believes that "people should be permitted to run their own lives as they wish." From this point-of-view, it is ethical to allow both doctors and drug companies to practice as they wish. Patients have a full responsibility to be educated about their personal health, and cannot place the burden of ethical responsibility on other people like doctors. Doctors do what they wish because they are trained professionals, which is why the government allows the pharmaceutical companies to market to them. If there was a problem with this relationship that was seriously harming people, then the government would be forced to intervene. The utilitarian maxim is doing that which causes the greatest good to the greatest number of people. Marketing pharmaceuticals to doctors could save lives, by introducing doctors to medications and interventions that might be used on patients. It is ethical to promote the doctor-pharmaceutical relationship and unethical to impede that relationship.…… [read more]


Status of the Nation's Drug Supplies Term Paper

Term Paper  |  10 pages (2,839 words)
Bibliography Sources: 10

SAMPLE TEXT:

The PDMA was passed in response to growing concerns over counterfeit pharmaceuticals in the United States. In this regard, Conlan advises that, "To a large degree, [the PDMA] was spurred by the discovery of two million birth control pills meant to look like G.D. Searle's Ovulen-21. However, they contained little or no estrogen" (2009, p. 33). The FDA's Web site… [read more]


Poly-Pharmacy Low Income Elderly and Social Theories Essay

Essay  |  5 pages (1,676 words)
Bibliography Sources: 5

SAMPLE TEXT:

However, there needs to be a specific and laser focus on the poor as they are more likely than most to forgo medications or other treatments because they perceive that they have no other options. However, through proper medical care and the use of government programs and best practices, that is absolutely not the case.

Conclusion

The social safety net in the United States will be tested more and more as the next two or three decades roll on. With the solvency issues that Social Security, Medicare and Medicaid are all having, there needs to be a focus on getting the assistance to where it needs to be and to avoid sending it to where it is not needed. Best practices should always be employed to prevent unneeded or unnecessary care. Even when care is clearly needed, it should be done in an efficient and caring way that attends to the needs of the patient and the streamlining of care at the same time. Part and parcel of using evidence-based care is to use social theories, both nursing and non-nursing, to keep the process and the results as proper and efficacious as possible. Doing otherwise is a disservice to the patient and the system.

References

Allen, K.R., Hazelett, S.E., Jarjoura, D., Wright, K., Fosnight, S.M., Kropp, D.J., & ...

Pfister, E.W. (2011). The after-discharge care management of low income frail elderly (AD-LIFE) randomized trial: Theoretical framework and study

Design. Population Health Management, 14(3), 137-142.

doi:10.1089/pop.2010.0016

Eckstein, D., Eckstein, D., & Mullener, B. (2010). Seven psychological considerations in working with elderly adults. Journal of Education & Sociology,

(4), 4-15.

Hearn, S., Saulnier, G., Strayer, J., Glenham, M., Koopman, R., & Marcia, J. (2012).

Between integrity and despair: Toward construct validation of Erikson's Eighth

Stage. Journal of Adult Development, 19(1), 1-20. doi:10.1007/s10804-011-

9126-y

Sergi, G., De Rui, M., Sarti, S., & Manzato, E. (2011). Poly-pharmacy in the elderly: Can

comprehensive geriatric assessment reduce inappropriate medication

Use?. Drugs & Aging, 28(7), 509-518. doi:10.2165/11592010-

Vieira, L. (2013). The elderly and the family caregiver: Home care in the light of Imogene…… [read more]


Treatment Plan for Cardiomyopathy-Congestive Heart Failure Patient Case Study

Case Study  |  2 pages (803 words)
Bibliography Sources: 3

SAMPLE TEXT:

Education Plan as Part of Treatment

The heart failure screening plan has shown to be effective in teaching evidence-based treatment and adequate intervention and patient education to practitioners (Packard et al., 2010). It increases practitioner knowledge and confidence in administering therapy management to CHF patients. Its guidelines have demonstrated successes in administering and managing medication and patient education. These guidelines enable hospitalized CHF patients to understand indications, dosages, effects of drugs, and recognize common side effects. They also help patients understand the importance of taking medications regularly and as prescribed. New guidelines were created in 2009 by the American College of Cardiology Foundation and American Heart Association. These new guidelines are adjusted to individual patient conditions, with emphasis on the six aspects of care, diet, discharge medication and adherence, persistence and dose filtration, follow-ups, daily weight monitoring, and measure to take when symptoms get worse (Packard et al.).

Teaching Plan

In the case of Mr. P, this teaching plan consists of the 6 aspects of diet, discharge medications and adherence to them, activity balanced with rest, regular follow-ups, daily weight monitoring and actions to take if symptoms worsen. The multidisciplinary team to handle his case should include a counselor or psychologist and a social worker. The counselor or psychologist shall manage the resistance and negative attitude of the patient and his wife towards Mr. P.'s condition. And the social worker will assist in locating foundations and other non-government organizations providing financial medical assistance to ailing senior citizens.

BIBLIOGRAPHY

Jaarsma, T. (2005). Interpersonal team approach to patients with heart failure. Vol. 91 #

6, Heart: BMJ Group, Inc. Retrieved on July 13, 2014 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1768956

MedicineNet (2014). Definition of congestive heart failure. MedTerms. Retrieved on July

17, 2014 from http://www.medterms.com/script/main/art.asp?articlekey=6972

NHLBI (2014). Congestive heart failure. National Institute of Health. Retrieved on July

17, 2014 from http://www.medterms.com/script/main/art.asp?articlekey=6972

Packard, K.A. (2010). Teaching heart failure treatment guidelines and assuring heart therapy. Vol. 74 # 6, American Journal of Pharmaceutical Education: American

Association of Colleges of Pharmacy. Retrieved on July 13, 2014 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933012

X-Plain Patient Education (2013). Congestive heart failure. The Patient Education

Institute, Inc. Retrieved on July 13, 2014 from http://www.ncbi.nlm.nih.gov/medlineplus/tutorials/congestiveheartfailure/ct129106.pdf… [read more]


Creating Urgency in the Field of Medicine Essay

Essay  |  2 pages (680 words)
Bibliography Sources: 2

SAMPLE TEXT:

¶ … Chaos, & Complexity

Change, Chaos, and Complexity

One of the most profound changes that I have experienced in my nursing practice is the implementation of remote digitally supported medicine that is commonly referred to as telemedicine. Although the changes that support the eventual universal application of telemedicine have occurred in bits and pieces, so to speak, taken together, these changes have the potential to transform medical practice. Already, there are hospitals equipped to let parents of premature or acutely ill babies observe their infants -- and the care that they receive -from their own homes at all hours of the day and night. This enables the parents and practitioners to engage in close communication about the infant's care and to establish trust to reduce parental anxiety and induce confidence in the provision of care. Telemonitoring also fosters high levels of adherence to medication and health regimens by using mobile phone technology to communicate via text messages. This version of telemedicine ramps up the quality of care that patients living in remote areas can receive, and also reduces the cost of care by reducing the frequency of trips to centralized medical facilities.

Digital mobile devices and the platforms on which they operate have been described as disruptive technology because they disrupted the existing technological systems and practices. In their study of complexity, Snowden and Boone (2007) argue that in a dynamic system, "the whole is greater than the sum of its parts, and solutions can't be imposed, rather, they arise from the circumstances" (p. 3). This phenomenon, called emergence, is what made it possible for physicians to utilize videotelephony to communicate with parents of premature babies while providing care in the newborn intensive care units (NICU). As a leader in nursing, I believe it is crucial to remember this point made by Snowden and Boone (2007): "…best practice is, by definition, past practice…since hindsight no longer leads t foresight after a shift in context, a corresponding change in management style may be called for." (p.4). In complex contexts, best…… [read more]


Business Sustainability Research Paper

Research Paper  |  14 pages (3,768 words)
Style: Harvard  |  Bibliography Sources: 1+

SAMPLE TEXT:

¶ … Strategic Multilateral Partnerships Help Address the Limitations of Access to Essential Medicines in Emerging Markets?

The Case of Anti-Malarial Drugs in Nigeria.

Business Case Background

The Company Challenge

Opportunities

Business Case Analysis

Wider Sustainability Context

Conceptual framework

Stakeholders and Community interest

Challenges for the Organization

Critical Analysis of Data Collected

Business Case Background

The organization known as Cure… [read more]


Drug Business Case Study

Case Study  |  5 pages (1,459 words)
Bibliography Sources: 5

SAMPLE TEXT:

Health Care

The pharmaceutical industry is defined as "all enterprises that were involved in the invention of drugs, the production of the active substances in drugs, the formulation of drugs and the promotion of them to the public, as well as the specialists who prescribe them" (Text). Drugs are typically understood to be those non-food items that are produced for… [read more]


Cephalosporin Romano, A. Et.al. (2004). "Cross-Reactivity Article

Article  |  2 pages (490 words)
Bibliography Sources: 1

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Cephalosporin

Romano, a. et.al. (2004). "Cross-Reactivity and Tolerability of Cephalosporins in Patients with Immediate Hypersensitivity to Penicillins." Annals of Internal Medicines, 141 (1): 16-22.

The antibiotic group, Cephalosporins, are a class of lactam antibiotics originally isolated from cultures of acremonium from refuse in Sardinia in 1948, just post World War II by Giuseppe Brotzu. Brotzu noticed that these cultures produced substances that appeared to be effective against the bacteria that caused typhoid fever. At this point in medical history, antibiotics were in great need and part of the medical world's most researched topics. Further study of the Cephalosporins found that the mechanism and efficacy were somewhat analogous to penicillin, but in some specific ways, a bit more powerful (Podolsky, 1998).

Like penicillin, the cephalosporin class is used for the treatment of bacterial infections. First-generation cephalosporins were predominately active against Gram-positive bacteria, but successive generations and improvement have increased activity against Gram-negative bacteria, but unfortunately with the effect of reduced Gram-positive actions. In addition, one of the most positive effects of the cephalosporins has been for people who are allergic, sensitive, or do not tolerate penicillin (Dash, 1975, 107-8).

Allergic reactions to penicillin are quite common (some estimates indicate 20-26% of the population). The class of Cephalosporins tend to aggressive fight similar pathogens. As might be expected, the chemical structure of penicillin and the Cephalosporins is quite similar, which unfortunately means that for a certain element of the population, those who are sensitive or allergic to…… [read more]

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