Clinical Practice Education: Perspectives from Internship and Externship Experiences

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68968/2/10.1177_089719009000300207.pd

Editorial: The spread of poliomyelitis via international travel

10.1111/j.1365-3156.2007.01912.xTropical Medicine and International Health12101137-113

Concerns and Challenges in Pharmacy Education: Mind the Gaps

Pharmacy college is the primary setting where students could and should take advantage of the opportunity to develop their personal and professional attributes. It is also the place that will assist students in shaping their future as a healthcare professional. Pharmacists should acquire these competencies when they are in college: providing patient-centered care, working in interprofessional teams, employing evidence-based practice, applying quality improvement, and using informatics. There are great challenges expected ahead with the complex healthcare system of today and in the future. We need pharmacy graduates with a special set of skills, knowledge, and competencies that fit with future needs and expectations. We need effective, competent, and experienced leaders and educators in the education sector. We need leaders who have divergent thinking and could lead in the present moment, keep in line with changes in pharmacy, read the future, and and stay relevant

A real life evaluation of non invasive ventilation in acute cardiogenic pulmonary edema: a multicenter, perspective, observational study for the ACPE SIMEU study group

Abstract Background During the past three decades conflicting evidences have been published on the use of non-invasive ventilation (NIV) in patients with acute cardiogenic pulmonary edema (ACPE). The aim of this study is to describe the management of acute respiratory failure (ARF) due to ACPE in twelve Italian emergency departments (EDs). We evaluated prevalence, characteristics and outcomes of ACPE patients treated with oxygen therapy, continuous positive airway pressure (CPAP) or Bi-level positive airway pressure (BiPAP) on admission to the EDs. Methods In this multicenter, prospective, observational study, consecutive adult patients with ACPE were enrolled in 12 EDs in Italy from May 2009 to December 2013. Three study groups were identified according to the initial respiratory treatment: patients receiving oxygen therapy, those treated with CPAP and those treated with BiPAP. Treatment failure was evaluated as study outcome. Results We enrolled 1293 patients with acute cardiogenic pulmonary edema. 273 (21%) began with oxygen, 788 (61%) with CPAP and 232 (18%) with BiPAP. One out of four patient who began with oxygen was subsequently switched to NIV and initial treatment with oxygen therapy had an odds ratio for treatment failure of 3.65 (95% CI: 2.55–5.23, p < 0.001). Conclusions: NIV seems to be the first choice for treatment of ARF due to ACPE, showing high clinical effectiveness and representing a rescue option for patients not improving with conventional oxygen therapy