Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.76
Laura Day
Climate change is having a negative effect on our health and on our planet. The NHS has made a commitment to achieve net zero greenhouse gas emissions (GHGE) by 2050 as a way of addressing this. Switching pressurised metered dose inhalers (pMDIs) to dry powder inhalers (DPIs) has the potential to significantly reduce GHGEs. The primary aim of this systematic review was to establish how to make sustainable inhaler changes in primary care that do not compromise patient care and outcomes. pMDI devices have a significantly higher global warming potential than DPIs, but the latter are not suited to everyone. In patients unsuited to DPI devices, changing prescribing habits can help to lower emissions. Returning inhalers to pharmacies for incineration also lowers global warming potential. DPI devices are easier to use and are linked with improved health outcomes. It is possible to lower the carbon footprint of inhalers by switching pMDI to DPI, and through education and changed prescribing habits.
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Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.62
Stephen Bennett
{"title":"Surface area-based dosing of caspofungin in children","authors":"Stephen Bennett","doi":"10.12968/jprp.2024.6.2.62","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.62","url":null,"abstract":"","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"83 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.86
Stephen Bennett
{"title":"Surface area-based dosing of caspofungin in children: Answers","authors":"Stephen Bennett","doi":"10.12968/jprp.2024.6.2.86","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.86","url":null,"abstract":"","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"28 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.76
Laura Day
Climate change is having a negative effect on our health and on our planet. The NHS has made a commitment to achieve net zero greenhouse gas emissions (GHGE) by 2050 as a way of addressing this. Switching pressurised metered dose inhalers (pMDIs) to dry powder inhalers (DPIs) has the potential to significantly reduce GHGEs. The primary aim of this systematic review was to establish how to make sustainable inhaler changes in primary care that do not compromise patient care and outcomes. pMDI devices have a significantly higher global warming potential than DPIs, but the latter are not suited to everyone. In patients unsuited to DPI devices, changing prescribing habits can help to lower emissions. Returning inhalers to pharmacies for incineration also lowers global warming potential. DPI devices are easier to use and are linked with improved health outcomes. It is possible to lower the carbon footprint of inhalers by switching pMDI to DPI, and through education and changed prescribing habits.
{"title":"Reducing the environmental impact of inhalers in primary care","authors":"Laura Day","doi":"10.12968/jprp.2024.6.2.76","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.76","url":null,"abstract":"Climate change is having a negative effect on our health and on our planet. The NHS has made a commitment to achieve net zero greenhouse gas emissions (GHGE) by 2050 as a way of addressing this. Switching pressurised metered dose inhalers (pMDIs) to dry powder inhalers (DPIs) has the potential to significantly reduce GHGEs. The primary aim of this systematic review was to establish how to make sustainable inhaler changes in primary care that do not compromise patient care and outcomes. pMDI devices have a significantly higher global warming potential than DPIs, but the latter are not suited to everyone. In patients unsuited to DPI devices, changing prescribing habits can help to lower emissions. Returning inhalers to pharmacies for incineration also lowers global warming potential. DPI devices are easier to use and are linked with improved health outcomes. It is possible to lower the carbon footprint of inhalers by switching pMDI to DPI, and through education and changed prescribing habits.","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"87 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.68
Susanne Storm, Sonya MacVicar
Pelvic health physiotherapy is recommended as first-line treatment for those with lower urinary tract symptoms and pelvic floor dysfunction. Pelvic health physiotherapists treat a number of genitourinary conditions conservatively, including stress urinary incontinence, overactive bladder, pelvic organ prolapse and vaginal atrophy. When physiotherapy management alone does not fully resolve symptoms, medication may be required. Independent prescribing enables the physiotherapist to maintain continuity of care, allowing a smoother, more effective patient journey. This offers quicker access to medicines and helps avoid delays in commencing appropriate treatment, reducing waiting times across other services. In this article, the role of the pelvic health physiotherapy independent prescriber is detailed in a case study of a patient referred with symptoms of stress urinary incontinence associated with impaired pelvic floor function and episodic constipation, in addition to perimenopausal vaginal dryness causing dyspareunia.
{"title":"Management of stress urinary incontinence associated with perimenopause","authors":"Susanne Storm, Sonya MacVicar","doi":"10.12968/jprp.2024.6.2.68","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.68","url":null,"abstract":"Pelvic health physiotherapy is recommended as first-line treatment for those with lower urinary tract symptoms and pelvic floor dysfunction. Pelvic health physiotherapists treat a number of genitourinary conditions conservatively, including stress urinary incontinence, overactive bladder, pelvic organ prolapse and vaginal atrophy. When physiotherapy management alone does not fully resolve symptoms, medication may be required. Independent prescribing enables the physiotherapist to maintain continuity of care, allowing a smoother, more effective patient journey. This offers quicker access to medicines and helps avoid delays in commencing appropriate treatment, reducing waiting times across other services. In this article, the role of the pelvic health physiotherapy independent prescriber is detailed in a case study of a patient referred with symptoms of stress urinary incontinence associated with impaired pelvic floor function and episodic constipation, in addition to perimenopausal vaginal dryness causing dyspareunia.","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"39 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139869688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.62
Stephen Bennett
{"title":"Surface area-based dosing of caspofungin in children","authors":"Stephen Bennett","doi":"10.12968/jprp.2024.6.2.62","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.62","url":null,"abstract":"","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"84 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.12968/jprp.2024.6.2.49
Deborah Robertson
{"title":"Safety in prescribing","authors":"Deborah Robertson","doi":"10.12968/jprp.2024.6.2.49","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.49","url":null,"abstract":"","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"61 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cockroaches and antibiotic resistance","authors":"George Winter","doi":"10.12968/jprp.2024.6.2.64","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.2.64","url":null,"abstract":"In this month's article, George Winter discusses efforts to identify measures to prevent antibiotic resistance across the world","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"59 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-02DOI: 10.12968/jprp.2024.6.1.18
G. Winter
George Winter discusses the need to evaluate the respective roles of diet, lifestyle, and pharmaceuticals in relation to improving glycaemic and insulin control in type 2 diabetes
George Winter 讨论了评估饮食、生活方式和药物在改善 2 型糖尿病患者血糖和胰岛素控制方面各自作用的必要性。
{"title":"Hyperinsulinaemia","authors":"G. Winter","doi":"10.12968/jprp.2024.6.1.18","DOIUrl":"https://doi.org/10.12968/jprp.2024.6.1.18","url":null,"abstract":"George Winter discusses the need to evaluate the respective roles of diet, lifestyle, and pharmaceuticals in relation to improving glycaemic and insulin control in type 2 diabetes","PeriodicalId":16882,"journal":{"name":"Journal of Prescribing Practice","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139630841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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