Evaluation of an enhanced service for medication review with follow up in Swiss community pharmacies: Pre-post study protocol.

In Switzerland, 20,000 people are hospitalized each year as result of drug related problems (DRPs). The sources of DRPs can be related to patients' behavior (i.e., wrong administration) or to health processes (i.e., drug-drug interaction). No community pharmacy (CP) service focus on DRPs related to patients' behavior is currently recognized or remunerated in Switzerland. A medication review with follow up (MRF) has been developed to evaluate prescription and non-prescription medication. To evaluate the impact of MRF service for the identification and management DRPs associated to patients' behavior and to describe pharmaceutical interventions carried out through MRF. A pre-post intervention study with a cluster design and one intervention group will be carried out in CPs in the canton of Vaud (Switzerland) for 15 months. Volunteer pharmacists will be trained on the identification and management of DRPs related to patients' behavior. After training, they will include randomly selected adults taking four or more chronic drugs prescribed for at least three months prior to recruitment. Then, they will conduct three pharmacist-patient face-to-face consultations at 6-month intervals. Tasks will be differentiated by pharmacy technician or pharmacist to triage expired medication or to manage DRPs in a structured manner, respectively. The primary outcome is the identification of DRPs associated to patients' behavior. Secondary outcomes are to assess patients' medication knowledge, number of expired medications, interventions carried out by pharmacists and pharmacists' satisfaction. The study will begin in April 2023 in 19 to 35 pharmacies that will recruit at least 162 patients. A sub analysis will be carried out for patients with 65 years old or over. The MRF intervention features a training designed for an enhanced evaluation of patient's behavior towards their medication. The study will allow the assessment and management of DRPs in Swiss CPs with the support of the local health authorities and pharmacist association. Clinicaltrials.gov NCT05348538

Microwave Acid Leaching of Beneficiated Ilmenite for the Production of Synthetic Rutile

Beneficiated ilmenite is an intermediate product formed by the aqueous rusting of metallised ilmenite and separation of iron oxide. This product enriched with TiO2 by the removal of metallic iron can further be upgraded by subs-equent removal of residual iron by acid leaching for the production of synthetic rutile which is a preferred tita-nium feedstock for the preparation of TiO2 pigment

Changing trends in oral cancer

Context: No study highlighting the incidence of oral squamous cell carcinoma (OSCC) in young adults has been reported from North Kerala until now. Aims: To study the cases of OSCC reported at our institution, with emphasis on the clinicopathologic variables in young adults. Settings and Design: This was a retrospective study of OSCC cases reported from 2002 to 2007. Materials and Methods: Data of oral cancer cases reported between 2002 and 2007 were retrieved from the records. The cases in patients below 40 years of age formed a separate study group. The data obtained was tabulated and comparisons drawn on the observed variables between the two groups. Results: Results showed a high incidence of OSCC among young adults. The demographic and anatomic location of these cases showed significant variations from cases of oral cancer in older patients. In addition, a significant number of these cases failed to show any relation with the commonly implicated etiologic agents of oral cancer. Conclusion : The findings of our study indicate a high incidence of oral cancer among young adults in our region. The tongue is the most common site in these cases with a significant number showing no possible etiological factors

Changing trends in oral cancer

Context: No study highlighting the incidence of oral squamous cell carcinoma (OSCC) in young adults has been reported from North Kerala until now. Aims: To study the cases of OSCC reported at our institution, with emphasis on the clinicopathologic variables in young adults. Settings and Design: This was a retrospective study of OSCC cases reported from 2002 to 2007. Materials and Methods: Data of oral cancer cases reported between 2002 and 2007 were retrieved from the records. The cases in patients below 40 years of age formed a separate study group. The data obtained was tabulated and comparisons drawn on the observed variables between the two groups. Results: Results showed a high incidence of OSCC among young adults. The demographic and anatomic location of these cases showed significant variations from cases of oral cancer in older patients. In addition, a significant number of these cases failed to show any relation with the commonly implicated etiologic agents of oral cancer. Conclusion : The findings of our study indicate a high incidence of oral cancer among young adults in our region. The tongue is the most common site in these cases with a significant number showing no possible etiological factors

Endocrine Autoimmunity in Association with Female Infertility

Infertility is the inability to conceive after a year of regular unprotected sexual intercourse, affecting 10-15% of couples. Advanced age, obesity, and certain medications can hinder fertility. Endocrine autoimmunity is increasingly recognized as a significant contributor to female infertility, often complicating various gynecological conditions. Autoimmune issues involving the hypothalamus, pituitary gland, thyroid, adrenal glands, and ovaries can impact fertility. A multidisciplinary approach is essential for diagnosing infertility, with a crucial focus on identifying potential endocrine disorders. Here we discuss how to identify endocrine autoimmune patients with ovulatory dysfunction. Women must be advised about limiting factors to be avoided, to protect their fertility. A comprehensive understanding of the underlying mechanisms, coupled with appropriate diagnostic and therapeutic approaches, is crucial for effectively managing this complex condition and helping women achieve their reproductive goals

The Role of Hla Genes in Immune Response, Disease Susceptibility, and Social Behaviours: A Comprehensive Review

Major Histocompatibility Complexes (MHC), which assist to code for proteins that distinguish between self and non-self, are significantly influenced by the Human Leukocyte Antigen (HLA) genes. Particularly important in the suppression of immune response are the HLA genes. The bulk of the genes in the MHC region shows considerable variation. The two most important functions of HLA molecules are selection of T cell accumulation and the formation and control of immunological responses. The causes of HLA-G gene-associated illnesses and the underlying mechanisms are still up for dispute. The HLA-G gene has an impact on social behaviour as well. Numerous polymorphisms have been connected to heightened susceptibility to the beginning of autoimmune illnesses as well as heightened disease severity. The lifetime of some HLA genes is shorter.Genetic background, environmental circumstances, and certain polymorphisms have been linked to increased illness severity. certain HLA genes have shorter life spans than others, and vice versa. The major functional elements of HLA-G in both normal and autoimmune disorders are summarized in this study

Air-sea interaction in the Bay of Bengal

Author Posting. © The Oceanography Society, 2016. This article is posted here by permission of The Oceanography Society for personal use, not for redistribution. The definitive version was published in Oceanography 29, no. 2 (2016): 28–37, doi:10.5670/oceanog.2016.36.Recent observations of surface meteorology and exchanges of heat, freshwater, and momentum between the ocean and the atmosphere in the Bay of Bengal are presented. These observations characterize air-sea interaction at 18°N, 89.5°E from December 2014 to January 2016 and also at other locations in the northern Bay of Bengal. Monsoonal variability dominated the records, with winds to the northeast in summer and to the southwest in winter. This variability included a strong annual cycle in the atmospheric forcing of the ocean in the Bay of Bengal, with the winter monsoon marked by sustained ocean heat loss resulting in ocean cooling, and the summer monsoon marked by strong storm events with dark skies and rain that also resulted in ocean cooling. The spring intermonsoon was a period of clear skies and low winds, when strong solar heating and weak wind-driven mixing led to ocean warming. The fall intermonsoon was a transitional period, with some storm events but also with enough clear skies and sunlight that ocean surface temperature rose again. Mooring and shipboard observations are used to examine the ability of model-based surface fluxes to represent air-sea interaction in the Bay of Bengal; the model-based fluxes have significant errors. The surface forcing observed at 18°N is also used together with a one-dimensional ocean model to illustrate the potential for local air-sea interaction to drive upper-ocean variability in the Bay of Bengal.Deployment of the WHOI mooring and R. Weller and J.T. Farrar were supported by the US Office of Naval Research, grant N00014-13-1-0453. N. Suresh Kumar and B. Praveen Kumar acknowledge the financial support from Ministry of Earth Sciences (MoES, Government of India)

Idatidosi Splenica. Descrizione di un caso clinico e revisione della letteratura

A rare case of primary hydatid cyst of the spleen is described. The hypotheses of this possible primary localization, diagnostic techniques and the therapeutic management are discussed

Test of the photon detection system for the LHCb RICH Upgrade in a charged particle beam

The LHCb detector will be upgraded to make more efficient use of the available luminosity at the LHC in Run III and extend its potential for discovery. The Ring Imaging Cherenkov detectors are key components of the LHCb detector for particle identification. In this paper we describe the setup and the results of tests in a charged particle beam, carried out to assess prototypes of the upgraded opto-electronic chain from the Multi-Anode PMT photosensor to the readout and data acquisition system.Comment: 25 pages, 22 figure

In vitro efficacy of Metarhizium anisopliae sensu lato against unfed Amblyomma parvum (Acari: Ixodidae).

Amblyomma parvum Aragão (Acari: Ixodidae) is a tick species found with wide distribution in the Neotropical region. Even though it is a wildlife-related tick, it is also a frequent parasite of domestic animals, is aggressive to human beings and may harbor pathogenic microorganisms. Therefore, it is a target species for control on domestic animals, particularly those at the rural?wildlife interface. Herein, the efficacy of two isolates (E9 and IBCB 425) of an entomopathogenic fungus, Metarhizium anisopliae sensu lato, already evaluated for ticks that parasitize domestic animals, was tested against unfed A. parvum adults. Both isolates displayed high acaricidal efficacy after immersion in fungal conidial suspensions for 5 min. Isolate E9 killed all ticks by the 7th day post-treatment, and isolate IBCB 425 did so by the 11th day. Tick mortality of 80 and 90% was achieved as early as the 3rd and 4th days, respectively, with both treatments. Thus, if a commercial M. anisopliae s.l. acaricide against domestic animal ticks is developed, it would also be effective against A. parvum