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Authors of the Original Article Respond to Dr. Stachler. 原创文章的作者回复Stachler博士。
Q2 Medicine Pub Date : 2023-10-01
Jaylan M Yuksel
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引用次数: 0
Chronic Obstructive Pulmonary Disease, Part 5: Clinical Pearls for Comorbid COPD. 慢性阻塞性肺病,第5部分:合并COPD的临床珍珠。
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.4140/TCP.n.2023.404
Kalin M Clifford, Mary S Klein, Lindsay A Courtney, Alaina Van Dyke, Meredith Sigler, Rachel L Basinger

Chronic obstructive pulmonary disease (COPD) is often diagnosed with other comorbid conditions. This can complicate therapy overall by contributing to adverse events leading to poor outcomes to not only COPD, but other comorbid conditions. This manuscript will discuss common comorbid conditions often seen with COPD, update vaccination recommendations for COPD patients, and provide information regarding smoking cessation in COPD. The senior care pharmacist has an important role where they can recommend medication adjustments to potentially avoid these adverse events, immunize their patients appropriately, and provide assistance with smoking cessation to improve not only COPD outcomes but outcomes associated with other comorbid conditions.

慢性阻塞性肺病(COPD)通常被诊断为其他共病。这可能会导致不良事件,导致COPD和其他合并症的不良结果,从而使治疗总体复杂化。本文将讨论COPD常见的合并症,更新COPD患者的疫苗接种建议,并提供有关COPD患者戒烟的信息。高级护理药剂师发挥着重要作用,他们可以建议药物调整,以潜在地避免这些不良事件,对患者进行适当的免疫接种,并协助戒烟,不仅改善COPD的结果,还改善与其他共病相关的结果。
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引用次数: 0
Artificial Intelligence: The Future Is Here. 人工智能:未来在这里。
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.4140/TCP.n.2023.427
Paul Baldwin

Although artificial intelligence (AI) has been around since the 1950s, it has become a phenomenon within the past couple of years, peaking in online search results in early 2023, following the release of OpenAI's ChatGPT. Inevitably, concerns began to surface over the impact that AI would have on jobs in an advanced economy like the United States.

尽管人工智能(AI)自20世纪50年代以来就一直存在,但在过去几年里,它已经成为一种现象,在OpenAI的ChatGPT发布后,在线搜索结果在2023年初达到峰值。不可避免的是,人们开始担心人工智能会对美国等发达经济体的就业产生影响。
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引用次数: 0
Letter to the Editor. 给编辑的信。
Q2 Medicine Pub Date : 2023-10-01
Eva Stachler
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引用次数: 0
Robert J. Miller Research & Education Poster Abstracts: Presented at the ASCP Annual Meeting & Exhibition Gaylord Palms & Convention Center, Kissimmee, Florida October 26-29, 2023. Robert J.Miller研究与教育海报摘要:于2023年10月26日至29日在佛罗里达州基西米盖洛德棕榈树会议中心举行的ASCP年会和展览上发表。
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.4140/TCP.n.2023.429
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引用次数: 0
Telehealth: Moving Older People Along the Adoption Trajectory. 远程医疗:让老年人走上收养轨道。
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.4140/TCP.n.2023.415
Jessica Dillon, Jeannette Y Wick

Although the concept of telehealth has been in development for many years, the global pandemic galvanized its growth and utility. In general, people adopt technological advancements at different velocities that, when plotted in a chart, resemble a bell-shaped curve. People who are quick to adopt new technologies are designated innovators, while those who are the very last to adopt new technologies are dubbed laggards. Often, older people fall into the laggard category for several reasons including physical, mental, and emotional barriers. In some cases, they lack the technology or experience with various programs that would make such programs accessible. Regardless, telehealth has proven its worth as a way to deliver care in areas distant to the health care provider when physical examination is unnecessary. It can reduce the likelihood of exposure to contagious disease. Telehealth also has the potential to reduce unnecessary emergency department visits, and long-term care facilities that have used telehealth have demonstrated cost savings. Little study has been conducted to determine how pharmacists are using telehealth, but after examining available research on telehealth, pharmacists can identify pitfalls and implement steps that reduce barriers for older people.

尽管远程医疗的概念已经发展了多年,但全球疫情激发了它的增长和效用。一般来说,人们以不同的速度采用技术进步,当绘制在图表中时,这些速度类似于钟形曲线。那些快速采用新技术的人被指定为创新者,而那些最后采用新技术者则被称为落后者。通常,老年人之所以属于落后者,有几个原因,包括身体、心理和情感障碍。在某些情况下,他们缺乏各种程序的技术或经验,无法访问这些程序。无论如何,远程医疗已经证明了它的价值,它可以在不需要体检的情况下,在远离医疗保健提供者的地区提供护理。它可以降低接触传染病的可能性。远程医疗也有可能减少不必要的急诊就诊,使用远程医疗的长期护理机构已经证明节省了成本。很少有研究来确定药剂师是如何使用远程医疗的,但在检查了现有的远程医疗研究后,药剂师可以发现陷阱,并采取措施减少老年人的障碍。
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引用次数: 0
Can Pharmacists Outperform Machines? A Critical Turing Test. 药剂师能胜过机器吗?一个关键的图灵测试。
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.4140/TCP.n.2023.393
Chris Alderman

Just as practitioners in the 1980s were blissfully unaware of what the future held, today's new practitioners can only speculate about the future of the profession. To move the profession forward will require singular focus upon the core values of what pharmacists can and should represent in the health care system.

正如20世纪80年代的从业者幸福地不知道未来会怎样一样,今天的新从业者只能猜测这个职业的未来。要推动这一职业的发展,就需要特别关注药剂师在医疗保健系统中能够和应该代表的核心价值观。
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引用次数: 0
STOPP/START Version 3: An Age-Friendly Evolution. 停止/开始版本3:一个年龄友好的演变。
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.4140/TCP.n.2023.355
Kristin M Zimmerman
The STOPP/START criteria for Potentially Inappropriate Prescribing in Older People were initially published in 2008. The criteria were designed to be a comprehensive list of potentially inappropriate medications and potential prescribing omissions found on European formularies that were rooted in evidence and supported by expert consensus. With the expansion of the literature on medication use and outcomes in older people over the past 15 years, the criteria have been revised twice—first in 2015 (version 2) and most recently in 2023 (version 3). In their revisions, the version 3 authors worked to prioritize higher levels of evidence, including meta-analyses and randomized controlled trials.
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引用次数: 0
ASCP Foundation Is Vaccinating Older People Through USA Boxing Partnership. ASCP基金会正在通过美国拳击伙伴关系为老年人接种疫苗。
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.4140/TCP.n.2023.350
Chad Worz
The ASCP Foundation's recent achievement of securing a $1.3 million grant from USAging demonstrates the growing recognition of pharmacists' pivotal role in health care. In collaboration with USA Boxing, the ASCP Foundation launched the “Coaching You Up” campaign, which draws a parallel between the corner coach in a boxing match and the guidance provided by pharmacists to their patients. This partnership aims to educate and vaccinate individuals during major boxing events and in local gyms across the country.
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引用次数: 0
Community-Based Research: Interviewing Older People in Community Pharmacies. 以社区为基础的研究:访问社区药房的老年人。
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.4140/TCP.n.2023.378
Ibrahim Alfayoumi, Nicole Henry, Phillip Ieng, Jeannie K Lee

Objective Community pharmacists play an important role in providing many essential services to older adult patients. This study aimed to assess participants' awareness and utilization of current services provided by the community pharmacy and to identify preferences for innovative strategies and services related to healthy aging. Design This is community-based research using interviews with older people in community pharmacies. Student pharmacists performed the interviews, asking 11 questions developed by the research team. The interview questions included services currently provided by the community pharmacy to determine patient awareness and use. Setting One-on-one structured interviews with participants 50 years of age and older were conducted at community pharmacies in Arizona. Results A total of 53 older people (54.7% female) participated, with most patients knowledgeable about current pharmacy services and 69.7% using at least one service. When asked if they would participate in innovative services, more than half of those interviewed (56.6%) were interested in medication side effect screening and education, and 54.7% would want to participate in medication review with drug interaction screening. Almost half were interested in lifestyle education for healthy aging in nutrition and physical activities (49.1%) and medication disposal (47.2%). Most participants preferred to communicate in person with their pharmacists, but some showed interest in mobile phone texts and calls. Conclusion Community pharmacies may be a viable setting to provide novel services to promote healthy aging among older people, particularly medication side effect and drug interaction screenings and education.

目的社区药师在为老年患者提供多种基本服务方面发挥着重要作用。本研究旨在评估参与者对社区药房提供的现有服务的认识和利用情况,并确定与健康老龄化相关的创新策略和服务的偏好。这是一项基于社区的研究,通过对社区药房的老年人进行访谈。学生药剂师进行了访谈,询问了研究小组制定的11个问题。访谈问题包括社区药房目前提供的服务,以确定患者的认识和使用。在亚利桑那州的社区药房,对50岁及以上的参与者进行了一对一的结构化访谈。结果共有53名老年人参与调查,其中女性占54.7%,大多数患者了解现有的药房服务,69.7%的患者至少使用过一种服务。当被问及是否愿意参与创新服务时,超过一半(56.6%)的受访者对药物副作用筛查和教育感兴趣,54.7%的受访者希望参与药物相互作用筛查的药物审查。近半数受访者对健康老年生活方式教育感兴趣,包括营养和体育活动(49.1%)和药物处置(47.2%)。大多数参与者更喜欢亲自与他们的药剂师交流,但有些人对手机短信和电话感兴趣。结论社区药房可为促进老年人健康老龄化提供新颖的服务,特别是药物副作用和药物相互作用的筛查和教育。
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引用次数: 0
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Senior Care Pharmacist
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