Correlation Study: Student Success in Biochemistry as a Prerequisite for Integrated Pharmacology and Medicinal Chemistry

Background A rise in new schools of pharmacy has led to implementation of new curriculums. Pharmacy schools must adhere to standards set by the Accreditation Council of Pharmacy Education in order to provide knowledge of foundational sciences and prepare pharmacy students for the future. Prerequisites are typically foundational science courses taken early in the program so that students have the knowledge necessary to be excellent pharmacists. Within the Cedarville University School of Pharmacy, Biochemistry is a prerequisite course for Integrated Medicinal Chemistry and Pharmacology (PCoMedChem). Objectives The goal of this study is to determine if Biochemistry should remain a prerequisite course for Integrated Medicinal Chemistry and Pharmacology at Cedarville University under a TBL setting based on if student success in Biochemistry influences student success in PcoMedChem. Methodology The study will evaluate student individual and overall course grades for both Biochemistry and PcoMedChem. The data will include grades from the 2018-2021 cohorts of pharmacy students. Inclusion criteria consists of completion of Biochemistry and Integrated Medicinal Chemistry and Pharmacology. No exclusion of students exist because all student data will be evaluated. Students will complete a survey through Qualtrics regarding extracurricular commitments as well as perceptions towards the courses to supplement the findings and explain discrepancies. Analysis The demographics and students’ perceptions will be compared in SPSS by analyzing frequency of responses. Using SPSS, the Wilcoxon test and Levene’s test will be conducted followed by a Pearson or Spearman correlation, depending on distribution, in order to determine correlation between grades in Biochemistry and PcoMedChem. Additionally, an ANCOVA test will be used to analyze the data gathered from our survey. A p-value of 0.05 will be indicative of statistical significance

Emergency Contraceptive (EC) Use in Indigent Populations

The indigent population in America is defined as persons who do not have the financial means to support themselves and are below the federal/state poverty line. According to the 2010 United States Census, 13.8% of Americans are living below the poverty line. Indigent populations often rely on the help of others to provide for their basic needs, whether the help of family and friends or government support. Indigent women are disproportionately affected by unwanted, unplanned pregnancies. It is a continuous cycle that plagues families, often causing poverty and an increased dependence on the welfare system. In Medicaid-eligible populations, many women have reported inconsistency in taking their normal birth control after having their first child which may result in another unplanned and/or unwanted pregnancy. This has led to a push for contraceptive education, both routine and emergency, to be integrated in as many places as possible, including schools, doctors’ offices, women’s clinics, and pharmacies

Factors Influencing Emergency Contraception Use in Indigent Populations

Introduction: Indigent women are disproportionately affected by unwanted, unplanned pregnancies. Studies previously identified lack of knowledge about emergency contraception (EC) as a major deterrent from use. This study was performed to address three potential barriers to the use of EC in indigent populations: culture and religion, patient education, and cost. For the entirety of this study, EC refers to levonorgestrel (LNG). Objectives: To determine the impact of culture and religion, patient education, and cost on EC use in the indigent population. Methods: This study was a cross-sectional observational study to explore and investigate relationships between indigent populations and the use of EC. To be included in the study, participants had to be: at least 14 years old, female, and have an annual household income below the federal poverty line (FPL). Those excluded were less than 14 years old, male, and reported an annual household income above the FPL. A questionnaire consisting of 31 survey questions were utilized to assess the endpoints of the study. The study utilized both paper and electronic forms of the survey. Participants signed informed consent to enable them participate in the study. Out of 319 participants, 59 met all inclusion criteria and were used in statistical analyses. Results:Based on Kruskal-Wallis results, religious groups’ acceptance of EC influenced indigent women’s decision to use it (p=0.016). Level of education also influenced women’s understanding of EC as an abortifacient and knowledge of when LNG is effective. Spearman rho revealed correlations between participants’ willingness to pay for EC or routine birth control and knowing that EC was an option (coefficient 0.391; p-value 0.005). There was also a correlation between the cost of EC and ultimate use (coefficient -0.603; p-value Conclusion: Our research found that religious groups’ acceptance of EC use and knowledge about how LNG works does affect the decision to use EC. Neither cultural identification nor cost of EC appears to have a significant impact on the final decision to use

Garden Street Community, Lee County : an action-oriented community diagnosis : findings and next steps of action

Between November 2003 and April 2004, five students from the School of Public Health at the University of North Carolina worked in conjunction with community members and service providers to conduct an Action Oriented Community Diagnosis (AOCD) in the Garden Street community in Sanford, North Carolina. The goal was to identify strengths and needs of this small public housing community and bring community members and service providers together to create action steps for positive change. The information and dialogue generated are intended to help guide programs for promoting the health and well-being of the Garden Street community. This document summarizes the team’s research process and findings, explains the outcomes of the Garden Street Community Meeting, and provides recommendations for the future. A total of 30 people were interviewed, including 16 community members and 14 service providers. Secondary data was collected from several sources, and team members kept field notes to document experiences and reflections throughout the process. Data analysis revealed several themes of importance to the Garden Street community members and service providers. Relationships, both within the community and between community members and service providers, emerged as an important topic. Many feel that Garden Street has a supportive, family-like atmosphere, while some feel that community members may avoid social interaction in order to prevent conflict. Relationships between community members are service providers seem to be characterized by a need for more direct communication regarding programs and services. Policies related to living in public housing also surfaced as a key issue. While many believe that policies are in place to keep people safe, some community members feel that policies are enforced too strictly and do not allow community members enough freedom. One policy that generates mixed feelings is the community service requirement. While community members are not necessarily opposed to doing community service, some feel that the policy is carried out unfairly. Some service providers see potential benefits of community service and may be willing to help community members find ways to fulfill this requirement. Community members and service providers have some concerns regarding crime and drugs, especially in regards to “outsiders” coming in to Garden Street, but most agree that the community has undergone some significant improvements over the past several years. Both parties recognize a need for structured activities in Garden Street. The community center has not been consistently open, but both community members and service providers agree that it should be open and used for programs, especially for children and youth. Community members place a high priority on family and community life and enjoy informal social gatherings in Garden Street, which help foster a sense of community. Transportation also came up as fairly important issue; some community members see the limited availability of affordable transportation in Sanford as a significant barrier. Service providers also feel that the lack of public transportation and cost of other options is problematic. The Garden Street Community Meeting generated discussion about a few of these topics. From these discussions, action steps were created to improve communication lines between community members and service providers, open the Garden Street community center and plan activities for children, and help community members fulfill the community service requirement in a potentially more feasible way. Overall, the AOCD in Garden Street provided an opportunity for community members and service providers to voice their views on the assets of the community, share concerns about areas needing improvement, and dialogue together about ways to enhance the quality of life in Garden Street.Master of Public Healt

Evolution of pharmacogenomic services and implementation of a multi-state pharmacogenomics clinic across a large rural healthcare system

Introduction: Pharmacogenomics (PGx) aims to maximize drug benefits while minimizing risk of toxicity. Although PGx has proven beneficial in many settings, clinical uptake lags. Lack of clinician confidence and limited availability of PGx testing can deter patients from completing PGx testing. A few novel PGx clinic models have been described as a way to incorporate PGx testing into the standard of care.Background: A PGx clinic was implemented to fill an identified gap in provider availability, confidence, and utilization of PGx across our health system. Through a joint pharmacist and Advanced Practice Provider (APP) collaborative clinic, patients received counseling and PGx medication recommendations both before and after PGx testing. The clinic serves patients both in-person and virtually across four states in the upper Midwest.Results: The majority of patients seen in the PGx clinic during the early months were clinician referred (77%, n = 102) with the remainder being self-referred. Patients were, on average, taking two medications with Clinical Pharmacogenetics Implementation Consortium guidelines. Visits were split almost equally between in-person and virtual visits.Conclusion: Herein, we describe the successful implementation of an interdisciplinary PGx clinic to further enhance our PGx program. Throughout the implementation of the PGx clinic we have learned valuable lessons that may be of interest to other implementors. Clinicians were actively engaged in clinic referrals and early adoption of telemedicine was key to the clinic’s early successes

Evaluating a Prioritization Framework for Monitoring Chemicals of Emerging Concern in the Salish Sea Based on Lessons Learned from Western States Programs

We are now approaching a tipping point where priority pollutants may no longer be the primary driver of environmental impairment. Contaminants of Emerging Concern (CECs) present a challenge to environmental monitoring and management programs because the rapidly emerging state of the knowledge requires an adaptive and transparent prioritization framework. The state of the science, treatment technologies, and regulatory policies are not well understood, CEC quantification is challenging and expensive, and the management approach is not simply a concentration based criteria, but may include biological end-points. The need for a shared responsibility and leveraging across many programs was evaluated through a series of webinars with other programs studying CECs including Columbia River Toxics Program, Washington Department of Ecology, Oregon Department of Environmental Quality, Southern California Coastal Waters Research Project, and San Francisco Bay Regional Monitoring Program. The lessons learned were articulated into a 10-step prioritization framework. The critical lesson learned included: 1) Develop clear objectives, definitions of CECs, and target audience; 2) Identify conceptual models to provide a clear target for the appropriate media to monitor for various chemicals and at what frequency; 3) Define the chemical characteristics in terms of usage, persistence, bioaccumulation, and toxicity; 4) Develop a target CEC analyte list; 5) Screen and rank the CEC analyte list based on chemical characteristics, environmental concentrations, and state of the science; 6) Create a transparent prioritization process to include input from key stakeholders and end users that builds consensus during development; 7) Prioritize the chemical categories by using specific metrics such as available data, status of analytical methods, available thresholds, costs, programmatic concerns and opportunities for leveraging with other programs; 8) Identify potential biological end-points and other indicators; 9) Create a formal review process to support data and knowledge sharing, adaptively manage prioritization to include new science and critical research gaps; and 10) Develop a working group to facilitate leveraging of funds across many programs