No abstract

Clinicians may face pragmatic, ethical, and legal issues when treating addicted patients. Equal pressures exist for clinicians to always address the health care needs of these patients in addition to their addiction. Although controversial, mainly because of the lack of evidence regarding their long-term efficacy, the use of opioids for the treatment of chronic pain management is widespread. Their use for pain management in the addicted population can present even more challenges, especially when evaluating the likelihood of drug-seeking behavior. As the misuse and abuse of opioids continues to burgeon, clinicians must be particularly vigilant when prescribing chronic opioid therapy. The purpose of this article is to summarize recommendations from a recent meeting of experts convened to recommend how primary care physicians should approach treatment of chronic pain for addicted patients when an addiction specialist is not available for a referral. As there is a significant gap in guidelines and recommendations in this specific area of care, this article serves to create a foundation for expanding chronic pain guidelines in the area of treating the addicted population. This summary is designed to be a practical how-to guide for primary care physicians, discussing risk assessment, patient stratification, and recommended therapeutic approaches. (Population Health Management 2014;17:79-89)

The Study entitled "Assessment of Knowledge, Attitude and perception of Pharmacovigilance and Adverse Drug Reaction (ADR) Reporting among the Pharmacy Students in South India" was designed to assess the awareness of Pharmacovigilance and ADR reporting, and to evaluate the impact of an educational intervention. A validated (pilot study) self administered (KAP) Knowledge, attitude, perception survey questionnaire was used in the study. This prospective knowledge attitude practice (KAP) questionnaire study, of 6 month duration included a total of 225(90%) participants out of 250. An interactive educational intervention was designed for all participants of pre-KAP questionnaire survey. The impact of effectiveness of educational intervention among the pharmacy students was evaluated by means of post-KAP questionnaire survey. The paired t-test and chi-square test in GraphPad InStat was used for statistical calculation. The overall response rates between pre intervention and post intervention was statistically significant (P< 0.001) shows effectiveness of educational intervention for improving awareness of pharmacovigilance and ADR reporting among the participants. The study concluded that imparting the knowledge and awareness of Pharmacovigilance among the pharmacy students by means of continuous educational intervention would bring up updated knowledge and practice in drug safety and rational use.

No abstract

Introduction:The IR absorption patterns (in cm−1) provide the basis to distinguish among the constituents and to separately quantify as well as qualify them and they possess many advantages such as very small sample volume requirement, good precision over entire physiological range, avoid of costly disposables, wealth of information from a single spectral measurement. The efficacy of anti-diabetic drug metformin hydrochloride as used to treat diabetic-induced Wistar rats and their sera were analyzed by FT-IR (ATR) in absorption mode.Materials and Methods:The present work was attempted in the study of normal and antidiabetic regimen-treated rat blood samples using FTIR spectroscopy by the attenuated total reflectance (ATR) sampling technique. The biomolecule characteristics were measured as intensity ratio parameter (IRP) values and interpreted.Results:To quantify the results three IRPs such as R1, R2 and R3 were calculated, respectively, for lipid, protein, and glucose. The glucose IRP value R3 showed, 0.3802, 0.3304, and 0.2847, respectively, for diseased, metformin-treated, and normal rats.Conclusion:The IRP values for glucose are compared to the glucose level obtained by using a glucometer. This study can be conveniently used in diagnostic procedures, patient compliance assessment, and efficacy evaluation of metformin hydrochlorides.