Financial and Economic Criteria for Evaluating the Performance of Pharmacies

Improving the economic performance of pharmacies need to economic and financial indicators. Despite this necessity, economic and financial performance indicators have not been identified comprehensively in the pharmacy setting. Thus the aim of this study is to determine the economic and financial performance assessment criteria of the pharmacies by specialist’s point of view. This study is a qualitative study in which experts and professional’s point of view were gathered by focus group discussion. 15 health system experts were selected by purposive sampling approach. Data from focus group discussions (FGD) were analyzed by thematic analysis method. Twelve main themes in two scopes were obtained to assess the economic and financial performance of the pharmacy by review of specialists view. These themes are waste rate, profitability, cost control, financial management, economic and political issues, pharmacist, doctor, medical insurance, management system, pharmaceutical companies, cultural issues and public or private administration system of pharmacy.Based on the results of this study, the most important criteria to evaluate the financial and economic performance of pharmacies were identified. These results can be used for to economic and financial performance evaluation of pharmacies

Heparin- induced thrombocytopenia (HIT): a case report of CABG patient

Heparin- induced thrombocytopenia (HIT) is an antibody mediated adverse effect of heparin therapy which is classified into two subtypes, HITI which is non-immune, spontaneously reversible thrombocytopenia and; HITII which is an autoimmune-mediated adverse effect of heparin therapy. In this case report, we described a 65-year old male patient with HITII after coronary artery bypass grafting.Key words: Heparin- induced thrombocytopenia, Heparin- induced thrombosis, coronary artery bypass grafting

Effects of resistance exercise type on cortisol and androgen cross talk in resistance-trained women

The current study aimed to compare the effect of hypertrophy-, strength-, and power-type resistance exercise in resistance-trained women with considering cortisol and androgen cross talk. After one-repetition maximum (1-RM) estimation, ten resistance-trained women (age: 26.30 ± 4.95 years; body mass index: 22.07 ± 2.02 kg/m2; body fat: 24.64 ± 4.98%) conducted hypertrophy- (70% of 1-RM), strength- (90% of 1-RM), and power-type (45% of 1-RM) resistance exercise for three consecutive weeks. The movements included lever leg extension, reverse-grip lat pull-down, horizontal leg press, standing biceps cable curl, lying leg curl, machines bench press, standing cable triceps extension, and seated calf raises. Fasting blood was taken before and immediately after each trial. Statistical analyses were performed at a significance level of

Effects of Intravenous Fluid Therapy on Clinical and Biochemical Parameters of Trauma Patients

Introduction: The administration of crystalloid fluids is considered as the first line treatment in management of trauma patients. Infusion of intravenous fluids leads to various changes in hemodynamic, metabolic and coagulation profiles of these patients. The present study attempted to survey some of these changes in patients with mild severity trauma following normal saline infusion. Methods: This study comprised 84 trauma patients with injury of mild severity in Shahid Rajaei Hospital, Shiraz, Iran, during 2010-2011. The coagulation and metabolic values of each patient were measured before and one and six hours after infusion of one liter normal saline. Then, the values of mentioned parameters on one and six hours after infusion were compared with baseline measures using repeated measures analysis of variance. Results: Eighty four patients included in the present study (76% male). Hemoglobin (Hb) (df: 2; F=32.7; p<0.001), hematocrit (Hct) (df: 2; F=30.7; p<0.001), white blood cells (WBC) (df: 2; F=10.6; p<0.001), and platelet count (df: 2; F=4.5; p=0.01) showed the decreasing pattern following infusion of one liter of normal saline. Coagulation markers were not affected during the time of study (p>0.05). The values of blood urea nitrogen (BUN) showed statistically significant decreasing pattern (df: 2; F=5.6; p=0.007). Pressure of carbon dioxide (PCO2) (df: 2; F=6.4; p=0.002), bicarbonate (HCO3) (df: 2; F=7.0; p=0.001), and base excess (BE) (df: 2; F=3.3; p=0.04) values showed a significant deteriorating changes following hydration therapy. Conclusion: It seems that, the infusion of one liter normal saline during one hour will cause a statistically significant decrease in Hb, Hct, WBC, platelet, BUN, BE, HCO3, and PCO2 in trauma patients with mild severity of injury and stable condition. The changes in, coagulation profiles, pH, PvO2, and electrolytes were not statistically remarkable.

In Vitro Study of Mebendazole (Anthelmintic drug) Effects on the Aspartate Aminotransferase (AST) Enzyme Activity of Hydatid Cyst Parasite

Hydatid disease is caused by the larva of Echinococcus granulosus parasite. Mebendazole (MBZ) is used as an alternative choice for the treatment of the disease. Aspartate aminotransferase (AST) is an essential enzyme in amino acid metabolism. The aim of the present study is to evaluate the effect of MBZ on AST activity of hydatid cyst parasite in order to detect enzymatic parameter for drug efficiency. In the present study, AST activity was estimated in the extracts of untreated parasite (hydatid cyst protoscolices) and treated samples by MBZ (100 µg final concentration). Samples’ protein quantity and quality were detected by Bradford and sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) methods respectively. For the purpose of determining the significant difference between the two independent samples, t-test was conducted. The values of the assayed AST specific activities of treated and untreated parasite samples were measured as 0.18 and 1.53U/ml/mg protein respectively. The difference between AST activities mean values of the two groups proved to be significant (P<0.05). SDS-PAGE demonstrated protein band of 50 kDa for AST enzyme. Considering the effect of the MBZ drug on AST activity in parasite, it can be concluded that this enzyme is useful for improving the drug efficiency

Using BOLD-fMRI to Compute the Respiration Volume per Time (RTV) and Respiration Variation (RV) with Convolutional Neural Networks (CNN) in the Human Connectome Development Cohort

In many fMRI studies, respiratory signals are unavailable or do not have acceptable quality. Consequently, the direct removal of low-frequency respiratory variations from BOLD signals is not possible. This study proposes a one-dimensional CNN model for reconstruction of two respiratory measures, RV and RVT. Results show that a CNN can capture informative features from resting BOLD signals and reconstruct realistic RV and RVT timeseries. It is expected that application of the proposed method will lower the cost of fMRI studies, reduce complexity, and decrease the burden on participants as they will not be required to wear a respiratory bellows.Comment: 6 pages, 5 figure

Genetic analysis of water loss of excised leaves associated with drought tolerance in wheat

BACKGROUND: . Wheat is widely affected by drought. Low excised-leaf water loss (ELWL) has frequently been associated with improved grain yield under drought. This study dissected the genetic control of ELWL in wheat, associated physiological, morphological and anatomical leaf traits, and compared these with yield QTLs. Methods. Ninety-four hexaploid wheat (Triticum aestivum L.) doubled haploids, mapped with over 700 markers, were tested for three years for ELWL from detached leaf 4 of glasshouse-grown plants. In one experiment, stomata per unit area and leaf thickness parameters from leaf cross-sections were measured. QTLs were identified using QTLCartographer. Results. ELWL was significantly negatively correlated with leaf length, width, area and thickness. Major QTLs for ELWL during 0-3 h and 3-6 h were coincident across trials on 3A, 3B, 4B, 5B, 5D, 6B, 7A, 7B, 7D and frequently coincident (inversely) with leaf size QTLs. Yield in other trials was sometimes associated with ELWL and leaf size phenotypically and genotypically, but more frequently under non-droughted than droughted conditions. QTL coincidence showed only ELWL to be associated with drought/control yield ratio. Discussion. Our results demonstrated that measures of ELWL and leaf size were equally effective predictors of yield, and both were more useful for selecting under favourable than stressed conditions