Role of pharmacists in the care of adult asthma patients: A scoping review

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record Background: Asthma is a common long-term condition that affects people of all ages. Evidence suggests that a significant proportion of asthma patients in the Gulf Cooperation Council (GCC) do not receive appropriate diagnosis, monitoring and/or treatment. When inadequately treated, asthma can negatively affect quality of life and may lead to hospitalisation and death. Although pharmacists play a role in asthma care globally, there appears to be no defined role for pharmacists in providing care to patients with asthma in the GCC countries. Aim: This scoping review aims to review and summarise studies conducted in the GCC countries involving pharmacists in the management of adults with asthma or evaluating pharmacists' asthma care knowledge and/or skills. Method: A systematic scoping review was undertaken. Seven databases were searched using relevant search terms for articles published up to May 2023. Studies that evaluated pharmacists’ roles, knowledge and skills in providing asthma care to adults in the United Arab Emirates (UAE), Qatar, Kuwait, Oman, Saudi Arabia, and Bahrain were considered eligible for inclusion. Extracted data were collated using tables and used to produce narrative descriptive summaries. Results: Out of the 1588 search results, only seven studies met the inclusion criteria. Of those, only one developed and tested a pharmacist-led inhaler technique educational intervention in the UAE within community pharmacy setting for asthma patients. The remaining six studies assessed community pharmacists’ knowledge in providing asthma management and patient education in UAE, Saudi Arabia and Qatar. The quality of the included studies varied with four relying on simulated patients to assess pharmacists’ knowledge. The study that tested the intervention suggested improvement in inhaler technique and asthma symptoms control after receiving the intervention. The findings suggest a need to improve pharmacists’ knowledge of inhaler technique demonstration (mainly Metered Dose Inhalers), asthma management advice and assessment of asthma control and medication use. Conclusion: This review highlights a lack of research on pharmacist-led asthma interventions and identifies training needs to enable pharmacists to be involved in asthma care in the GCC countries. Future research could develop approaches involving pharmacists to improve asthma care and outcomes in the region.University of Exeter Global MENA Development fundUniversity of Sharja

Distance learning: opportunities and challenges in quarantine.

The urgent introduction of distance education into the learning process due to the COVID-19 pandemic has become a spontaneous experiment, requiring urgent decisions, effective mechanisms to implement into the educational process and analysis of ongoing educational process. The possibilities of modern digital technologies made it possible to quickly set up the information component of education and to controle student’s knowledge. A detailed analysis of the communication between the faculty members of the department among themselves and analysis of the features of teaching and self-education of students in the field of medical radiology and oncology based on answers and comments with using Google classroom, Socrative, Messenger Telegram, etc. was made. Issues of communicative interaction between faculty members and students, psychological aspects of distance communication, language of instruction, logistics of distance education and methodological problems are described in details. It has been suggested that distance education may be equally effective for theoretical subjects in full-time study form, but when studying clinical disciplines, the priority should be given to traditional methods of teaching, involving student's bedside training. Taking into account technical possibilities and high risk of development of extreme and emergency situations, it is suggested to introduce permanent readiness for distance education, to create all – Ukrainian distance imitation service of patients’ follow-up. The importance of using the state language in training as the basis for mastering the professional Ukrainian and English language as the basis for mastering international medical experience is indicated

Effects of postmortem delays on protein composition and oxidation.

Human autopsy brain tissue is widely used to study neurodegenerative diseases such as Alzheimer's, Parkinson's and other diseases. However, when it comes to an evaluation of data obtained from such tissue, it is essential to consider potential postmortem effects on protein composition, posttranslational modification and proteolysis with increasing postmortem delays. In this study, we analyzed mouse brain tissues with different postmortem delays (pmd) of 0h, 6h and 24h, for changes in protein composition, proteolysis and modifications such as S-nitrosylation, carbonylation and ubiquitination. Proteins involved in Alzheimer's disease (AD) were of special interest, including cytoskeletal and synaptic proteins or proteins involved in inflammation. Several proteins were fairly resistant to degradation during the first 6h but started to degrade thereafter. S-nitrosylation and carbonylation showed not much variation, except for those proteins that were susceptible to degradation. Brain spectrin was S-nitrosylated at death, and S-nitrosylated degradation fragments were measured at a pmd of 24h, indicating a susceptibility of brain spectrin to degradation. Furthermore, the physiological role of S-nitrosylation remains to be investigated. When studying human brain tissue, some proteins are more susceptible to degradation than others, while ubiquitination and carbonylation were little affected during the first 24h after death

A bone reaming system using micro sensors for Internet force-feedback control

The development of a medical surgical tool packaged with micro sensors for transmission of Supermedia information over the Internet is described in this paper. We define Supermedia as a set of communication media, which encompasses acoustic, force, visual, audio, temperature, tactile, and chemical (e.g., taste an smell) information, and which can be physically experienced by a communicator. In this project, we specifically develop Supermedia capability for a bone-reaming system that is used for intramedullary fixation procedure of fractured bone treatments. Thus far, transmission of temperature, force, and pressure information from MEMS sensors over the Internet has been demonstrated. Force-reflective control over the Internet using force information from a micro tip has also been shown. We have also packaged a MEMS pressure sensor inside a bone reaming guide-rod and proved that pressure variations inside a long cavity that simulated the environment inside a bone can be monitored, even with the guide-rod rotating up to 600rpm. This paper describes our experimental methods and gives the experimental results for these accomplishments.Link_to_subscribed_fulltex

Modeling and control of Internet based cooperative teleoperation

Robotic operations carried out via the Internet face several challenges and difficulties. These range from human-computer interfacing and human-robot interaction to overcoming random time delay and task synchronization. These limitations are intensified when multi-operators at multi-sites are collaboratively teleoperating multi-robots to achieve a certain task. In this paper, a new modeling and control method for Internet-based cooperative teleoperation is developed. Combining Petri Net model and event-based planning and control theory, the new method provides an efficient way to model the concurrence and complexity of the Internet-based cooperative teleoperation. It also provides an efficient analysis tool to study the stability, transparency and synchronization of the system. Furthermore, the new modeling and control method enables us to design an Internet-based cooperative telerobotic system that is reliable, safe and intelligent. This new method has been experimentally implemented in a three site tes t bed consisting of robotic laboratories in the USA, Hong Kong and Japan. The experimental results have verified the theoretical development and further demonstrated the advantages of the new modeling and control method.Link_to_subscribed_fulltex

Herbal and nutritional supplement use among college students in Qatar

There is increasing demand for herbal and nutritional supplements in the Middle East. This study aimed to examine the use of supplements by college students in Qatar and to elucidate users' views about them. A total of 419 college students completed a self-administered questionnaire. Almost half of the respondents (49.6%) had used supplements (ever users), with 32.7% reporting using them in the previous 6 months (current users). Of the latter, 27.7% had used herbal supplements, 56.2% vitamins and minerals and 56.9% non-vitamin, non-mineral, non-herbal supplements. Many participants considered supplements to be safer and more effective than conventional medicines. Supplements were preferred over conventional medicines for the treatment of digestive conditions and common respiratory ailments and for weight management. Educating health-care providers about the benefits and risks of supplements is imperative and will enable health-care practitioners to guide patients in making informed decisions about supplement use.Scopu

Multi-site real-time tele-cooperation via the Internet

Robotic operations carried out via the Internet face several challenges and difficulties. These range from human-computer interfacing and human-robot interaction to overcoming random time delay and task synchronization. These limitations are intensified when multi-operators at multi-sites are collaboratively teleoperating multi-robots to achieve a certain task. In this paper, a new modeling and control method for Internet-based cooperative teleoperation is developed. Combining the Petri Net model and event-based planning and control theory, the new method provides an efficient way to model the concurrence and complexity of the Internet-based cooperative teleoperation. It also provides an efficient analysis tool to study the stability, transparency and synchronization of the system. Furthermore, the new modeling and control method enables us to design an Internet-based cooperative telerobotic system that is reliable, safe and intelligent. This new method has been experimentally implemented in a three-site test bed consisting of robotic laboratories in the USA, Hong Kong and Japan. The experimental results have verified the theoretical development, and further demonstrated the advantages of the new modeling and control method.Link_to_subscribed_fulltex

A user study of command strategies for mobile robot teleoperation

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (KRF-2007-D00042)