Patient attitudes toward self-medication during hospitalization

This study explored patient attitudes toward the behaviour of self-medication during hospitalization using Ajzen\u27s and Fishbein\u27s model of Reasoned Action {1980}. The goal of Ajzen\u27s and Fishbein\u27s model is to predict and understand an individual\u27s behaviour. This study adapted the model and identified seven variables which were thought to influence a person\u27s intention to self-medicate. Two hypotheses were developed based upon the relationships between the variables in the model and their predicted effect upon the behaviour of self-medication. Correlational statistics were performed to determine the general relationships between a subject\u27s specific and general attitudes toward the behaviour of self-medication, their intentions to self-medicate both during hospitalization and at home, the subject\u27s specific and general subjective norms toward the behaviour of self-medication, and their adherence to and knowledge of current medical regime. In addition, the suitability of Ajzen\u27s and Fishbein\u27s model to nursing research was investigated. Forty adults, twenty female and twenty male who met the inclusion criteria participated in the study. They were required to complete an attitudinal questionnaire including a sub-section on patient knowledge of current medications. The data were collected over a six week period in a busy Perth metropolitan medical practice. The subjects were required to complete the questionnaire based upon past experience as a patient in an acute-care setting. The study found that there was a strong and positive correlation between patients\u27 general attitudes toward the behaviour of self-medication and their intentions to self-medicate during hospitalization (r=0.81}. A 0.05 alpha level of significance was used for this study. Similarly there was a positive correlation between patients\u27 subjective norms and their intention to self-medicate during hospitalization (r=0.52}. These findings support hypothesis one of the study which states, that the intention to selfmedicate during hospitalization will be influenced by the attitude a patient holds toward self-medication, and their perception of the beliefs of others concerning the behaviour of self-medication. However, the findings of this study did not support the second hypothesis which stated that the intention to self-medicate during hospitalization would be influenced by the patient\u27s knowledge level of his or her prescribed medications. Further investigation is required before conclusive evidence can be drawn to support or disprove the second hypothesis. Overall, the study suggested that patients do wish to participate in self-medication programs during hospitalization and furthermore, it is one avenue by which the patient can become more involved and gain greater control in their own healthcare

Loyola Marymount University\u27s President\u27s Institute on the Catholic Character of Loyola Marymount University: A Twenty-one Year Tradition

The President’s Institute on the Catholic Character of Loyola Marymount University provides an opportunity for faculty learn about the University’s Catholic and Ignatian traditions and identity. Each year faculty from colleges and departments across the University participate as fellows in a week-long program exploring issues such as Ignatian pedagogy, scholarship of engagement, faith and the arts, justice, and hospitality. The President’s Institute is designed to provide opportunity for experience, reflection and action. We create a context of trust, allowing faculty to deepen their relationship to the University’s mission and to each other. This year, we focused specifically on the relationship of faith and reason in the 21st century university. After exploring definitions of faith, reason and their intersection from philosophical, theological, and practical perspectives, we explored ways to incorporate this understanding into our work at the University. Throughout the week fellows reflected and shared their insights and provided feedback about the Institute. We use their insights to understand the impact of President’s Institute on their work. Fellows reported a deeper understanding of the University’s mission, a closer connection to their colleagues, and a fuller understanding of the potential for integrating faith and reason in to their research and teaching

Towards standard setting for patient-reported outcomes in the NHS homeopathic hospitals

We report findings from a pilot data collection study within a programme of quality assurance, improvement and development across all five homeopathic hospitals in the UK National Health Service (NHS).<p></p> <b>Aims</b> (1) To pilot the collection of clinical data in the homeopathic hospital outpatient setting, recording patient-reported outcome since first appointment; (2) to sample the range of medical complaints that secondary-care doctors treat using homeopathy, and thus identify the nature and complexity of complaints most frequently treated nationally; (3) to present a cross section of outcome scores by appointment number, including that for the most frequently treated medical complaints; (4) to explore approaches to standard setting for homeopathic practice outcome in patients treated at the homeopathic hospitals.<p></p> <b>Methods</b> A total of 51 medical practitioners took part in data collection over a 4-week period. Consecutive patient appointments were recorded under the headings: (1) date of first appointment in the current series; (2) appointment number; (3) age of patient; (4) sex of patient; (5) main medical complaint being treated; (6) whether other main medical complaint(s); (7) patient-reported change in health, using Outcome Related to Impact on Daily Living (ORIDL) and its derivative, the ORIDL Profile Score (ORIDL-PS; range, –4 to +4, where a score ≤−2 or ≥+2 indicates an effect on the quality of a patient's daily life); (8) receipt of other complementary medicine for their main medical complaint.<p></p> <b>Results</b> The distribution of patient age was bimodal: main peak, 49 years; secondary peak, 6 years. Male:female ratio was 1:3.5. Data were recorded on a total of 1797 individual patients: 195 first appointments, 1602 follow-ups (FUs). Size of clinical service and proportion of patients who attended more than six visits varied between hospitals. A total of 235 different medical complaints were reported. The 30 most commonly treated complaints were (in decreasing order of frequency): eczema; chronic fatigue syndrome (CFS); menopausal disorder; osteoarthritis; depression; breast cancer; rheumatoid arthritis; asthma; anxiety; irritable bowel syndrome; multiple sclerosis; psoriasis; allergy (unspecified); fibromyalgia; migraine; premenstrual syndrome; chronic rhinitis; headache; vitiligo; seasonal allergic rhinitis; chronic intractable pain; insomnia; ulcerative colitis; acne; psoriatic arthropathy; urticaria; ovarian cancer; attention-deficit hyperactivity disorder (ADHD); epilepsy; sinusitis. The proportion of patients with important co-morbidity was higher in those seen after visit 6 (56.9%) compared with those seen up to and including that point (40.7%; P < 0.001). The proportion of FU patients reporting ORIDL-PS ≥ +2 (improvement affecting daily living) increased overall with appointment number: 34.5% of patients at visit 2 and 59.3% of patients at visit 6, for example. Amongst the four most frequently treated complaints, the proportion of patients that reported ORIDL-PS ≥ +2 at visit numbers greater than 6 varied between 59.3% (CFS) and 73.3% (menopausal disorder).<p></p> <b>Conclusions</b> We have successfully piloted a process of national clinical data collection using patient-reported outcome in homeopathic hospital outpatients, identifying a wide range and complexity of medical complaints treated in that setting. After a series of homeopathy appointments, a high proportion of patients, often representing “effectiveness gaps” for conventional medical treatment, reported improvement in health affecting their daily living. These pilot findings are informing our developing programme of standard setting for homeopathic care in the hospital outpatient context

Intellectual Property and Public Health – A White Paper

On October 26, 2012, the University of Akron School of Law’s Center for Intellectual Property and Technology hosted its Sixth Annual IP Scholars Forum. In attendance were thirteen legal scholars with expertise and an interest in IP and public health who met to discuss problems and potential solutions at the intersection of these fields. This report summarizes this discussion by describing the problems raised, areas of agreement and disagreement between the participants, suggestions and solutions made by participants and the subsequent evaluations of these suggestions and solutions. Led by the moderator, participants at the Forum focused generally on three broad questions. First, are there alternatives to either the patent system or specific patent doctrines that can provide or help provide sufficient incentives for health-related innovation? Second, is health information being used proprietarily and if so, is this type of protection appropriate? Third, does IP conflict with other non-IP values that are important in health and how does or can IP law help resolve these conflicts? This report addresses each of these questions in turn

Recruitment of latent pools of high-avidity CD8+ T cells to the antitumor immune response

A major barrier to successful antitumor vaccination is tolerance of high-avidity T cells specific to tumor antigens. In keeping with this notion, HER-2/neu (neu)-targeted vaccines, which raise strong CD8+ T cell responses to a dominant peptide (RNEU420-429) in WT FVB/N mice and protect them from a neu-expressing tumor challenge, fail to do so in MMTV-neu (neu-N) transgenic mice. However, treatment of neu-N mice with vaccine and cyclophosphamide-containing chemotherapy resulted in tumor protection in a proportion of mice. This effect was specifically abrogated by the transfer of neu-N–derived CD4+CD25+ T cells. RNEU420-429-specific CD8+ T cells were identified only in neu-N mice given vaccine and cyclophosphamide chemotherapy which rejected tumor challenge. Tetramer-binding studies demonstrated that cyclophosphamide pretreatment allowed the activation of high-avidity RNEU420-429-specific CD8+ T cells comparable to those generated from vaccinated FVB/N mice. Cyclophosphamide seemed to inhibit regulatory T (T reg) cells by selectively depleting the cycling population of CD4+CD25+ T cells in neu-N mice. These findings demonstrate that neu-N mice possess latent pools of high-avidity neu-specific CD8+ T cells that can be recruited to produce an effective antitumor response if T reg cells are blocked or removed by using approaches such as administration of cyclophosphamide before vaccination

The Grizzly, March 27, 1981

Parents Day Slated for Early April • Overwhelming Enthusiasm Welcomes Special Olympics • Bomberger Tower Under Construction • SPC Elects New Grizzly Editor-in-Chief • Shakespeare Opens • Departmental Focus: Math Department • Transplanted Texan: NY to Collegeville • Spectrum Tries New Ticket Sales • Values Next Forum Topic • TV Production in Communications • Language Clubs Host Dessert Festival • Final Exam Schedule • Baseball Team Carries Much Potential • Hoopsters Finish 3rd in Nation • Tennis Team Prepares for Tough Season • Women\u27s Lacrosse Start Season 1-1https://digitalcommons.ursinus.edu/grizzlynews/1056/thumbnail.jp

The Grizzly, February 27, 1981

Police Involvement: Fraternity Pledging Marred by Bad Reports • Lewis Thomas Graduation Speaker • FCA Gearing Up for Special Olympics • Off-Campus Housing Explored by USGA • USGA Notes • Wickersham Outlines Fall Semester Senior Symposium • Departmental Focus: Romance Languages • Middle East: Soviet Rivalry Topic of Forum • Beta Sig to Sponsor Franken & Davis • Cafe International Opens Tonight • Bierprobe Taste-Testing a Big Success • Reborn Songfest Loses Appeal • IFC Dance Slated for March 20 • You See UC to Become Regular Friday Feature • Registration Delayed • Gifford Heading for Nationals • Lady Swimmers End Season at .500 • Basketball Shooting for NCAA Tournament • Aquabears Have High Hopes for MACs • Sweeney, DiMattia Take 1sts in Indoor Track • Women Hoopsters Enter Playoffs Looking for Titlehttps://digitalcommons.ursinus.edu/grizzlynews/1054/thumbnail.jp

The Grizzly, March 20, 1981

Special Olympics at Ursinus This Weekend • IFC All Set for Dance • Basketball Team Shootin\u27 for National Title • St. Andrews Scholarship Applications Being Taken • McQuillan Warns of Student Loan Cuts • USGA Notes • Evening Student Awarded Phillips Prize • Departmental Focus: Economics / Business Administration • Texan in New York • Rush Clarifies Itself in Moving Pictures • Positive Rock Radio • Midsummer Night\u27s Dream in Final Preparation • UC Secretaries: Service Beyond the Call of Duty • Classics Club Announces Movie • Course Offerings 1981-1982 • Ursinus Basketball in Final Four • All-American Giff Earns Third • Gymnastics Season Seen as a Successhttps://digitalcommons.ursinus.edu/grizzlynews/1055/thumbnail.jp

Social media for research discourse, dissemination, and collaboration in rheumatology

Social media has become an important venue for rheumatologists, patients, organizations, and other stakeholders to discuss recent research advances in diagnosis and management of rheumatic disorders. In this article, we describe the current state of how social media may enhance dissemination, discourse, and collaboration in rheumatology research. Social media may refer to social platforms like Twitter and Instagram or digital media like podcasts and other websites that are operated for providing as free, open-access medical education (FOAM). Twitter has been one of the most active social media venues and continues to host a vibrant rheumatology community. Examples of research discussions on Twitter include organic user tweets, educational threads ( tweetorials ), live-tweeting academic conferences, and journals posting recently-accepted articles. Some research collaborations have been initiated through social media interactions. Social media may also directly contribute to research by facilitating the recruitment of study participants and the collection of survey-based data. Thus, social media is an evolving and important tool to enhance research discourse, dissemination, and collaboration in rheumatology

Exploring Adaptive Management for Greater Sage Grouse in Northern Montana in the Face of Climate Change

A collaboration has begun in Montana among several state and federal agencies and non-governmental organizations interested in the management of greater sage grouse (Centrocercus urophasianus) in a > 5,000,000-ac (> 20,234-ha) landscape including the Charles M. Russell National Wildlife Refuge. The first step was conducting personal interviews with field biologists and managers in the general area to assess what management actions they are making. Using this information, we conducted an on-line survey to further identify those actions and how they are made. Finally, almost 40 managers and scientists met to discuss whether an adaptive management approach might be useful to gain an understanding of the interaction among habitats and management actions and how this will be affected by annual weather and climate patterns. A conceptual model of how these factors affect the life cycle of grouse has been drafted, and we are gathering comments on it. The intent is for that to be used as an ecological response model for assessing the effects of possible climate change scenarios. Future work will entail: (1) further delineation of management actions and the social networks associated with them, (2) building and evaluating a working model using rapid prototype methods, (3) conducting futures analyses of associated landscapes, (4) continuing to foster collaborative effort, and (5) working one-onone with managers to evaluate model and adaptive management applicability using such tools as LCMAP (Landscape Conservation Management and Analysis Portal)