All Hospital Charges 2020
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Pharmacy Phacts in This Issue Pharmd Candidates Discuss Oral Health and Preventing Eye Strain at Work
Pharmacy Phacts In this issue PharmD candidates discuss Oral Health and Preventing Eye Strain At Work Oral Health Landon Forrest Stewart, PharmD Candidate 2021 Why is Oral Health important? Oral health is an important part of our overall health. Oral health issues can cause oral pain, increased costs in healthcare, and less productivity. Recent developments in oral hygiene have led to improved outcomes for patients. Many oral health issues are still prevalent today, but the good news is that many are preventable with daily healthy habits. Healthy habits are required to maintain good oral health and many oral health issues are still prevalent today. One of the most common oral health problems is decay in the tooth also known as a cavity. The outer layer of the tooth is a tough mineral layer called the enamel. Bacteria group together on teeth to form plaques that can erode the enamel and the deeper layers of your teeth, causing cavities. Cavities are present and untreated in up to 26% up American adults. (1) If left untreated, they can lead to pain in the tooth and more severe infections known as an abscess. Another common oral health problem is gum disease. When bacteria group together on the teeth, it causes the immune system to respond and causes inflammation in the mouth. The initial inflammation is called gingivitis and makes your gums swell and bleed more easily. Untreated gingivitis can progress to a more severe gum disease called periodontitis. Periodontitis can damage the structure that holds your teeth in place and is a common cause of tooth loss. -
Study Protocol
RESEARCH PROTOCOL Project Title A multicenter, single blind, randomized controlled trial of virucidal effect of Polyvinylpyrrolidone-Iodine on SARS-CoV-2 as well as safety of its application on nasopharynx & oropharynx of COVID-19 positive patients BMRC Reg. No: 38624012021 Page-1/17 Project Title A multicenter, single blind, randomized controlled trial of virucidal effect of Polyvinylpyrrolidone- Iodine on SARS-CoV-2 as well as safety of its application on nasopharynx & oropharynx of COVID- 19 positive patients. Summary Povidone Iodine (Iodine with water soluble polymer Polyvinylpyrolidone) or PVP-I is a proven and time trusted antiseptic agent having best possible (99.99%) virucidal effect in it‟s only 0.23% concentration, against all viruses including SARS-Co, MERS-CoV; even in SARS-COV-2 due to it‟s nonspecific mode of action for virus killing and having no resistance [1,2]. Corona virus is transmitted by/via respiratory droplets or aerosol, produced from sneezing or coughing of infected persons to healthy individual through mouth and nose mainly [5, 6]. The routes of entry of coronavirus in human body are mouth, nose and eye. PVP-I products for gargling the throat and spraying or washing the nose may have a preventive effect on COVID-19 and if it is proved in this study following human trial, this will be a landmark research in COVID-19 pandemic. In line of this, PVP-I containing oro-nasal spray, proposed Bangasafe, which should be regarded as PONS (Povidone Iodine oro-nasal spray) in this protocol, has been developed and proposed to use against corona virus disease. -
Viscotears Liquid Gel Later Than Four Weeks After First Opening
Viscotears® Liquid Gel carbomer (polyacrylic acid) Patient Information Leaflet This product will be called Viscotears in this leaflet. Please read this leaflet carefully before you start to use Viscotears. It contains important information. Keep the leaflet in a safe place because you may want to read it again. Do not share these eye drops with anyone else just in case you have an eye infection which you could pass on. If you have any other questions, or if there is something you don’t understand, please ask your pharmacist. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. In this leaflet: 1. What Viscotears is and what it’s used for 2. Things to consider before you start to use Viscotears 3. How to use Viscotears 4. Possible side effects 5. How to store Viscotears 6. Further information 1. What Viscotears is and what it’s used for Viscotears contains the active ingredient, carbomer (polyacrylic acid). Viscotears is used to make your eyes more comfortable when they feel dry. It is one of a group of eye drops called ‘artificial tears’. 2. Things to consider before you start to use Viscotears DO NOT use Viscotears if: If you are allergic to carbomer or any of the other ingredients of this medicine (listed in section 6). Take special care: In children and adolescents aged to 18 years, the safety and efficacy of Viscotears at the posology recommended in adults has been established by clinical experience, but no clinical trial data are available. -
Formulary Drug List
AMLODIPINE ORAL SUSPENSION Products Affected Step 2: • KATERZIA 1 MG/ML ORAL SUSPENSION Details Criteria PRIOR CLAIM FOR GENERIC AMLODIPINE TABLETS WITHIN THE PAST 120 DAYS. 1 ANTIBACTERIALS (EENT) Products Affected Step 2: • BESIVANCE 0.6 % EYE DROPS,SUSPENSION Details Criteria PRIOR CLAIM FOR FORMULARY VERSION OF CIPROFLOXACIN OPHTHALMIC OR OFLOXACIN OPHTHALMIC DROPS WITHIN THE LAST 120 DAYS. 2 ANTIDEPRESSANTS Products Affected Step 2: • FETZIMA 120 MG CAPSULE,EXTENDED RELEASE CAPSULE,EXTENDED RELEASE • FETZIMA 40 MG • FETZIMA 20 MG (2)-40 MG (26) CAPSULE,EXTENDED RELEASE CAPSULE,EXTENDED RELEASE,24 • FETZIMA 80 MG HR,DOSE PACK CAPSULE,EXTENDED RELEASE • FETZIMA 20 MG Details Criteria PRIOR CLAIM FOR TRINTELLIX AND VIIBRYD WITHIN THE PAST 365 DAYS. 3 ANTIPSYCHOTIC AGENTS Products Affected Step 2: • aripiprazole 10 mg disintegrating tablet • FANAPT 4 MG TABLET • aripiprazole 15 mg disintegrating tablet • FANAPT 6 MG TABLET • asenapine 10 mg sublingual tablet • FANAPT 8 MG TABLET • asenapine 2.5 mg sublingual tablet • SECUADO 3.8 MG/24 HOUR • asenapine 5 mg sublingual tablet TRANSDERMAL 24 HOUR PATCH • CAPLYTA 42 MG CAPSULE • SECUADO 5.7 MG/24 HOUR • clozapine 100 mg disintegrating tablet TRANSDERMAL 24 HOUR PATCH • clozapine 12.5 mg disintegrating tablet • SECUADO 7.6 MG/24 HOUR • clozapine 150 mg disintegrating tablet TRANSDERMAL 24 HOUR PATCH • clozapine 200 mg disintegrating tablet • VERSACLOZ 50 MG/ML ORAL • clozapine 25 mg disintegrating tablet SUSPENSION • FANAPT 1 MG TABLET • VRAYLAR 1.5 MG (1)-3 MG (6) • FANAPT 10 MG TABLET CAPSULES -
Handbook ESRA
TECHNIQUES HEAD & NECK 4 Intracranial surgery p. 3 Eye blocks p. 5 Face anatomy p. 16 Face particularity p. 23 Ophtalmic nerve blocks p. 27 Maxillary nerve blocks p. 33 Mandibular nerve blocks p. 46 THORAX & ABDOMEN 50 Epidural anaesthesia in Cardio-thoracic surgery p. 50 Ilioinguinal-Iliohypogastric block p. 55 Peri-umbilical & Rectus sheath block p. 57 Pudendal block p. 58 UPPER LIMB 61 Choice of a technique p. 61 Brachial plexus anatomy p. 65 Interscalen block p. 68 Supraclavicular blocks p. 73 Infraclavicular blocks p. 80 Axillary block p. 83 LOWER LIMB 90 Lumbar plexus block p. 90 Iliofascial block p. 100 Obturator block p. 102 Sciatic blocks o Sciatic blocks - parasacral nerve approach p. 109 o Sciatic blocks - posterior popliteal approach p. 115 Ankle blocks p. 119 AXIAL BLOCKS 123 Lumbar epidural p. 123 OBSTETRICS AXIAL BLOCKS 126 Epidural p. 126 PERIPHERAL BLOCKS Pudendal block p. 58 2 Aknowledgement The provenience of the materials included in this handbook is from the Learning Zone on the official site of “European Society of Regional Anesthesia and Pain Therapy”. http://www.esra-learning.com/ 2007 3 HEAD & TABLE OF CONTENTS NECK • Intracranial surgery • Eye blocks • Face anatomy • Face particularity • Ophtalmic nerve blocks • Maxillary nerve blocks • Mandibular nerve blocks • Cervical plexus blocks HEAD & INTRACRANIAL SURGERY NECK Paul J. Zetlaoui, M.D. Kremlin-Bicetre - France In intra-cranial neurosurgery, scalp infiltration aims to prevent systematic and cerebral hemodynamic variations, contemporary of skin incision. The potential morbidity of these hypertension-tachycardia episodes, even in patients profoundly anaesthetized, is secondary in the increase of the cerebral blood flow and in its deleterious consequences on intra-cranial pressure in these compromised patients. -
A Potential Alternative Orodispersible Formulation to Prednisolone Sodium Phosphate Orally Disintegrating Tablets
pharmaceutics Article A Potential Alternative Orodispersible Formulation to Prednisolone Sodium Phosphate Orally Disintegrating Tablets Essam A. Tawfik 1,2,* , Mariagiovanna Scarpa 2, Hend E. Abdelhakim 2 , Haitham A. Bukhary 2,3, Duncan Q. M. Craig 2 , Susan A. Barker 4 and Mine Orlu 2 1 National Center for Pharmaceutical Technology, Life Science and Environment Research Institute, King Abdulaziz City for Science and Technology, P.O. Box 6086, Riyadh 11442, Saudi Arabia 2 Department of Pharmaceutics, UCL School of Pharmacy, University College London, 29-39 Brunswick Square, London WC1N 1AX, UK; [email protected] (M.S.); [email protected] (H.E.A.); [email protected] (H.A.B.); [email protected] (D.Q.M.C.); [email protected] (M.O.) 3 Department of Pharmaceutics, College of Pharmacy, Umm Al-Qura University, Makkah 24381, Saudi Arabia 4 Medway School of Pharmacy, The Universities of Greenwich and Kent at Medway, Anson Building Central Avenue, Chatham, Kent ME4 4TB, UK; [email protected] * Correspondence: etawfi[email protected] Abstract: The orally disintegrating tablet (ODT) has shown vast potential as an alternative oral dosage form to conventional tablets wherein they can disintegrate rapidly (≤30 s) upon contact with saliva fluid and should have an acceptable mouthfeel as long as their weight doesn’t exceed 500 mg. However, owing to the bitterness of several active ingredients, there is a need to find a suitable alternative to ODTs that maintains their features and can be taste-masked more simply and inexpensively. Therefore, electrospun nanofibers and solvent-cast oral dispersible films (ODFs) are used in this study as potential OD formulations for prednisolone sodium phosphate (PSP) that is Citation: Tawfik, E.A.; Scarpa, M.; commercially available as ODTs. -
SURGICAL TECHNIQUE PIP Total Joint – Dorsal Approach Table of Contents
® Ascension SURGICAL TECHNIQUE PIP Total Joint – Dorsal Approach Table of Contents Introduction Humanitarian Device .................................................................................................................................................................2 Indications ................................................................................................................................................................................2 Contraindications ......................................................................................................................................................................2 Warnings and Precautions ......................................................................................................................................................... 3 Keys to Successful PIP Replacement ...........................................................................................................................................4 Surgical Technique Preoperative Assessment .......................................................................................................................................................... 5 Step 1: Skin Incision, Capsular Opening and Exposure ................................................................................................................ 5 Step 2: Medullary Canal Opening and Alignment ........................................................................................................................6 Step 3: First -
Cancer Lung: an Unusual Presentation
www.ijmpo.org CA se Re po RT Cancer lung: An unusual presentation Shankar L. Jakhar, ABSTRACT Rohitashwa Dana, D. P. Punia Phalanx bone metastasis as the initial manifestation of lung cancer is a rare presentation. Department of Radiotherapy, A 70-year-old man presented with swelling and pain in his right ring finger. He had no Mathura Das Mathur Hospital, other complaints or abnormal findings on clinical examination. A right hand radiograph Dr. Sampurnanand Medical showed an osteolytic lesion in the first phalanx of the ring finger. Fine needle aspiration College, Jodhpur, Rajasthan, cytology of the swelling suggested a metastatic adenocarcinoma. A skeletal survey, India hematological, biochemical, and other radiological tests were found to be normal, except for an opacity seen in the right lung midzone. A bronchoscopic biopsy revealed Address for correspondence: adenocarcinoma of the lung. Dr. Shankar Lal Jakhar, Department of Radiotherapy, Mathura Das Mathur Hospital, Key words: Bone metastasis, cancer lung, phalanx Jodhpur, Rajasthan, India. E-mail: [email protected] DOI: 10.4103/0971-5851.65343 INTRODUCTION of the lung. A bone scan showed increased uptake in the proximal phalanx of the right ring finger. We planned Bone metastases from the lung cancer may occur early in systemic chemotherapy and palliative radiotherapy to the the clinical course and are usually discovered to exist with finger with a nonsteroidal analgesic for relieving pain. pain.[1,2] The spine and ribs are often the earliest sites of bone metastases, whereas, the skull, femur, humerus, and scapula DISCUSSION are involved later.[3] Metastases to the hands are rare events with around 200 cases reported in the literature.[4-8] They Bone metastasis in distal parts of the extremities is [9-11] comprise only 0.1% of all osseous metastases. -
Can Pilocarpine Eye Drops Be Used to Treat Dry Mouth?
Page 1 of 5 Question: Can pilocarpine eye drops be used to treat dry mouth? July 2019 Summary Pilocarpine is not recommended as a first line treatment for dry mouth (xerostomia). However, saliva stimulants are generally more effective than saliva substitutes (unless a main salivary duct is blocked) 1, and are preferred by patients.2 Other saliva stimulants such as sugar-free chewing gum should be tried prior to the initiation of pilocarpine. Pilocarpine tablets (Salagen®) are unlicensed in Ireland but are licensed in the UK for the treatment of dry mouth following irradiation for head and neck cancer and for patients with Sjögren's syndrome.3 There is limited information available to support the oral use of pilocarpine eye drops as an alternative. The use of pilocarpine eye drops to treat a dry mouth is unlicensed. For cost/reimbursement reasons, pilocarpine eye drops administered orally are favored over the use of Salagen® oral tablets (unlicensed). A recommended dose of 5mg - 10mg three times daily of oral pilocarpine tablets is approximately equivalent to pilocarpine 4% w/v, 3 - 5 drops (6mg-10mg) taken orally three times daily. 1 - 6 Palliative Meds Info: Terms and Conditions The information outlined above is intended for healthcare professionals only. The information outlined above is believed to accurately reflect the medical literature at the time of writing. Healthcare professionals must use their own judgment to determine the accuracy and relevance of the information. See www.olh.ie for full terms and conditions. Page 2 of 5 Availability Pilocarpine tablets are indicated for the treatment of dry mouth following irradiation for head and neck cancer and for dry mouth and dry eyes in Sjogren’s syndrome. -
Real Bodies Educator Guide
EDUCATOR GUIDE TABLE OF CONTENTS REAL BODIES EDUCATOR GUIDE INTRODUCTION TO THE EXHIBITION ........................................................................................................3 ABOUT THIS GUIDE ................................................................................................................................................3 ANATOMIST’S STUDY: THINK: SKELETAL SYSTEM ....................................... 4 NERVOUS SYSTEM .......................................... 14 Talking Points . 4 Talking Points . 14 Activity: Egg Carton Spinal Cord . 5 Activity: Memory Quiz . 15 BREATH: WHAT BECOMES OF US: RESPIRATORY SYSTEM ............................... 6 DEATH .................................................................... 16 Talking Points . 6 Talking Points . 16 Activity: Plastic Bottle Lung . 7 Activity: Living, Not Living, or Dead . 17 HUNGER: LOVE : DIGESTIVE SYSTEM ....................................... 8 REPRODUCTIVE SYSTEM ........................... 18 Talking Points . 8 Talking Points . 18 Activity: Bread Digestion . 9 Activity: What is Love? . 19 RYTHMN: FETAL DEVELOPMENT: ............................. 20 CIRCULATORY SYSTEM ............................... 10 Talking Points . 20 Talking Points . 10 Activity: Fruit Development . 20 Activity: What’s In Your Blood? . 11 REPAIRS: MOVE : MEDICINE AND BODY REPAIRS ............ 21 MUSCULAR SYSTEM ..................................... 12 Talking Points . 21 Talking Points . 12 Activity: Surgeons . 23 Activity: Which Muscle? . 13 REAL BODIES | EDUCATOR -
A Comprehensive Analysis of the Butchering Activities Performed at the Fincastle Bison Kill Site (D1ox-5)
University of Lethbridge Research Repository OPUS http://opus.uleth.ca Theses Arts and Science, Faculty of 2008 A comprehensive analysis of the butchering activities performed at the Fincastle Bison Kill Site (D1Ox-5) Watts, Angela (Ang) Lethbridge, Alta. : University of Lethbridge, Faculty of Arts and Science, 2008 http://hdl.handle.net/10133/748 Downloaded from University of Lethbridge Research Repository, OPUS A COMPREHENSIVE ANALYSIS OF THE BUTCHERING ACTIVITIES PERFORMED AT THE FINCASTLE BISON KILL SITE (DlOx-5) ANGELA (ANG) WATTS B.A., The University of Lethbridge, 2004 A Thesis Submitted to the School of Graduate Studies of The University of Lethbridge in Partial Fulfillment of the Requirements for the Degree MASTER OF SCIENCE Department of Geography, The University of Lethbridge LETHBRIDGE, ALBERTA, CANADA ©Angela (Ang) Watts, 2008 Dedication This thesis is dedicated to my family (Dad, Mum, Dave and crew!) who have been, and always will be, my #1 fan, no matter what I do, or where I end up. Finally, to Shawn, my professor, but even more so, my friend, who convinced me that I could win the hardest battle that I have ever been faced with; completing my masters. iii 1. ABSTRACT The Fincastle site (DlOx-5) is located in Southern Alberta, Canada. Excavations from 2004-2007 unearthed a significant number of lithic artefacts, fire-broken rock and a dense bone bed. Radiocarbon dates (ca. 2500 BP) place the single occupancy kill site in the Late Middle Prehistoric Period. This thesis investigates the butchering activities that took place in the East Block of the site, where 60,000 bone fragments were collected. -
Hollows and Folds of the Body
Hollows and folds of the body by David Mead 2017 Sulang Language Data and Working Papers: Topics in Lexicography, no. 31 Sulawesi Language Alliance http://sulang.org/ SulangLexTopics031-v2 LANGUAGES Language of materials : English DESCRIPTION/ABSTRACT In this paper I discuss certain hollows, notches, and folds of the surface anatomy of the human body, features which might otherwise go overlooked in your lexicographical research. Along the way I also mention names for wrinkles of the face and fold lines of the hands. TABLE OF CONTENTS Head; Face; Neck, chest, and abdomen; Back and buttocks; Arms and hands; Legs and feet; References; Appendix: Bones of the body. VERSION HISTORY Version 2 [29 May 2017] Edits to ‘fontanelle’ and ‘straie,’ order of references and appendix reversed, minor edits to appendix. Version 1 [15 May 2017] Drafted September 2010, revised June 2013, revised for publication May 2017. © 2017 by David Mead. Text is licensed under terms of the Creative Commons Attribution- ShareAlike 4.0 International license. Images are licensed as individually noted. Hollows and folds of the body by David Mead Who has measured the waters in the hollow of his hand, or with the breadth of his hand marked off the heavens? Isaiah 40:12 Names for the parts of the human body are universal to human language. In fact names for salient body parts are considered part of the basic or core vocabulary of a language, and are often some of the first words elicited when learning a language. In this paper I want to raise your awareness concerning certain less salient features of the surface anatomy of the body that may otherwise go overlooked in your lexicography research.