Pharmacist’s age affect information provided for pharmacy clients about generic substitution

2017 ◽  
Vol 86 (2) ◽  
pp. 163
Author(s):  
Pawel Lewek ◽  
Janusz Śmigielski ◽  
Izabela Banaś ◽  
Przemyslaw Kardas
Keyword(s):  
Correlation Analysis ◽  
Generic Substitution ◽  
Generic Drugs ◽  
Healthcare Systems ◽  
Scientific Data ◽  
Factors Affecting ◽  
The World ◽  
The Moment ◽  
The Way

Introduction. According to WHO, increase in usage of generic drugs may be one of the ways to reduce costs of healthcare systems around the world. However, according to scientific data, physicians and pharmacists doubt in their effectiveness – the reason for that is not well known. Due to this fact an evidence of factors affecting their opinion is being searched for. Aim. The aim of this study was to assess whether correlation exist between the age of pharmacist and the way information about generic drugs is provided.Material and Methods. This was a questionnaire‑based study. Especially prepared questionnaire was made available to pharmacists of Lodzkie province. Survey was conducted in Lodz (81.8%) and other towns of lodzkie province.Results. One hundred and forty eight pharmacists working in Lodzkie province have answered the questionnaire (84.5% women and 13.5% men, aged 23–59, working mainly in private pharmacies – 89.1%). Most of pharmacists (47; 31.8%) younger than 35 years provided information about generic drugs, after being asked about it. Most of pharmacists older than 35 years had given information before patients asked them about it. Correlation analysis revealed that strong statistically significant correlation between pharmacist’s age and the moment when he provides an information about generic drugs exist (P < 0.05).Conclusions. Age of pharmacists affect their commitment to provide information about generic drugs for pharmacy clients.

Causality Then and Now

1993 ◽  
Vol 10 (2) ◽  
pp. 165-177
Author(s):  
Karen Harding
Keyword(s):  
Quantum Theory ◽  
Common Sense ◽  
Mechanical Model ◽  
Physical World ◽  
Scientific Data ◽  
The World ◽  
The Common ◽  
The Universe ◽  
The Way

Ate appearances deceiving? Do objects behave the way they do becauseGod wills it? Ate objects impetmanent and do they only exist becausethey ate continuously created by God? According to a1 Ghazlli, theanswers to all of these questions ate yes. Objects that appear to bepermanent are not. Those relationships commonly tefemed to as causalare a result of God’s habits rather than because one event inevitably leadsto another. God creates everything in the universe continuously; if Heceased to create it, it would no longer exist.These ideas seem oddly naive and unscientific to people living in thetwentieth century. They seem at odds with the common conception of thephysical world. Common sense says that the universe is made of tealobjects that persist in time. Furthermore, the behavior of these objects isreasonable, logical, and predictable. The belief that the univetse is understandablevia logic and reason harkens back to Newton’s mechanical viewof the universe and has provided one of the basic underpinnings ofscience for centuries. Although most people believe that the world is accutatelydescribed by this sort of mechanical model, the appropriatenessof such a model has been called into question by recent scientificadvances, and in particular, by quantum theory. This theory implies thatthe physical world is actually very different from what a mechanicalmodel would predit.Quantum theory seeks to explain the nature of physical entities andthe way that they interact. It atose in the early part of the twentieth centuryin response to new scientific data that could not be incorporated successfullyinto the ptevailing mechanical view of the universe. Due largely ...

scholarly journals Knowledge, perceptions and practices of pharmacists regarding generic substitution in China: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051277
Author(s):  
Jinghan Qu ◽  
Wei Zuo ◽  
Shaohong Wang ◽  
Liping Du ◽  
Xin Liu ◽  
...  
Keyword(s):  
Generic Substitution ◽  
Generic Drugs ◽  
Community Pharmacists ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
True Value

ObjectiveTo evaluate pharmacists’ knowledge, perceptions and practices towards generic substitution in the 11 pilot locations in China.DesignAn online cross-sectional survey using questionnaires was conducted. A convenience sampling technique was implemented to recruit pharmacists.Setting and participantsThe study took place in medical institutions of 11 pilot locations that participated in the pilot national centralised procurement programme in 2019. Two thousand two hundred and ninety-one pharmacists including hospital pharmacists or community pharmacists based on health-systems or clinics participated in the study.ResultsMost of the participants had the good knowledge of requirements for evaluating the quality and efficacy of generic drugs (n=2118; 92.4%), and the definition of generic drugs (n=2078; 90.7%). In terms of perceptions, 67.3% of respondents were of the opinion that generic drugs are equally as effective as the brand-name drugs, and 69.0% of respondents were of the opinion that generic drugs are as safe as brand equivalents. A high percentage of participants supported the policy of generic substitution (n=1634; 71.4%). A significant positive correlation was demonstrated between total knowledge score and total perception score (ρ=0.267; p<0.001). Efficacy, safety and the direction of national policies and hospital regulations were the main factors affecting pharmacists’ willingness to dispense generic drugs.ConclusionsThe study identified gaps in respondents’ knowledge and perceptions of generic substitution. Pharmacists who are more knowledgeable in generic drugs tend to hold a more supportive attitude towards generic substitution. Although it appeared that pharmacists in China have largely accepted generic substitution, they still have concerns regarding the reliability and quality of generic drugs. The current issues need to be addressed for the realisation of the true value of generic drugs as part of the country’s healthcare cost-containment strategy as well as the implementation of generic substitution policy in China.

Real moments

2017 ◽  
Author(s):  
Peggy D. Bennett
Keyword(s):  
The World ◽  
The Moment ◽  
The Way

Can you remember a time when you were totally absorbed in the moment? When “the rest of the world” ceased to exist? When returning to your surroundings felt a bit jolting? If so, you may have experienced a “real moment.” Our “real moments” as teachers often happen when a stu­dent has an “aha!” experience. Or when we finally figure out how to present a confusing concept, and it works just the way we hoped. Or when there is such a meeting of the minds with fellow teachers that it feels like a wave of perfection has just rolled over us. And when they do occur, real moments can revitalize and invigorate us. The trick to relishing these real moments is to notice them. Then we can acknowledge and savor them as bits of bliss. According to Barbara De Angelis, “Real moments occur only when you are consciously and completely experiencing where you are, what you are doing, and how you are feeling . . . you are paying attention”. Paying attention is not neces­sarily as easy as it may seem. Having racing minds and darting attentions, we get in the habit of not paying attention. So may our students. What can we do to stop, drop, and be? Simply stop think­ing. Notice your surroundings. Listen and watch as others speak. Drop your hurry and worry long enough to breathe, feel, and notice what surrounds you. Be present to soak up all that your senses allow. You allow real moments to happen when you totally surren­der into whatever you are experiencing, and let go of trying to be in control.

Essential Education

2030 ◽  
2010 ◽  
Author(s):  
Rutger van Santen ◽  
Djan Khoe ◽  
Bram Vermeer
Keyword(s):  
First Year ◽  
Human Beings ◽  
The People ◽  
Equal Chance ◽  
The World ◽  
The Subject ◽  
The Moment ◽  
First Year Of Life ◽  
The Brain ◽  
The Way

The helplessness of newborn babies is very endearing. They can just about breathe unaided, but they are otherwise entirely unadapted and dependent. Babies can barely see, let alone walk or talk. Few animals come into the world so unprepared, and no other species is as dependent on learning as human beings are. Elephant calves, for instance, can stand up by themselves within a few minutes of being born. Most animals are similarly “preprogrammed.” Female elephants carry their young for no fewer than 22 months, whereas we humans have to go on investing in our offspring long after they are born. Children need years of adult protection. They guzzle fuel, too; their brains consume fully 60 percent of the newborn’s total energy intake. In the first year of life, the infant’s head buzzes with activity as neurons grow in size and complexity and form their innumerable interconnections. The way the brain develops is the subject of the next chapter (chapter 5.2). Here we concentrate on the way we are educated from the first day on. There is virtually no difference between Inuits and Australian aborigines in terms of their ability—at opposite ends of the earth and in climates that are utterly different—to bear children successfully. Other animal species are far more closely interrelated with their environment. Other primates have evolved to occupy a limited biotope determined by food and climate. Humans are much more universal. Every human child has an equal chance of survival wherever they are born. As a species, we delay our maturation and adaptation until after birth, which makes the inequality of subsequent human development all the more acute. Someone who is born in Mali or Burkina Faso is unlikely ever to learn to read. A person whose father lives in Oxford, by contrast, might have spoken his or her first words of Latin at an early age. Inuit and aboriginal babies may be born equally, but their chances begin to diverge the moment they start learning how to live. We are not shaped by our inborn nature but by the culture that is impressed upon us by the people with whom we grow up.

scholarly journals Blackawton bees

2010 ◽  
Vol 7 (2) ◽  
pp. 168-172 ◽  
Author(s):  
P. S. Blackawton ◽  
S. Airzee ◽  
A. Allen ◽  
S. Baker ◽  
A. Berrow ◽  
...  
Keyword(s):  
Science Education ◽  
Historical Context ◽  
Relevant Information ◽  
Educational Programme ◽  
Scientific Data ◽  
Bumble Bees ◽  
Real Science ◽  
The World ◽  
Asking Questions ◽  
The Way

Background Real science has the potential to not only amaze, but also transform the way one thinks of the world and oneself. This is because the process of science is little different from the deeply resonant, natural processes of play. Play enables humans (and other mammals) to discover (and create) relationships and patterns. When one adds rules to play, a game is created. This is science: the process of playing with rules that enables one to reveal previously unseen patterns of relationships that extend our collective understanding of nature and human nature . When thought of in this way, science education becomes a more enlightened and intuitive process of asking questions and devising games to address those questions. But, because the outcome of all game-playing is unpredictable, supporting this ‘messyness’, which is the engine of science, is critical to good science education (and indeed creative education generally). Indeed, we have learned that doing ‘real’ science in public spaces can stimulate tremendous interest in children and adults in understanding the processes by which we make sense of the world. The present study (on the vision of bumble-bees) goes even further, since it was not only performed outside my laboratory (in a Norman church in the southwest of England), but the ‘games’ were themselves devised in collaboration with 25 8- to 10-year-old children. They asked the questions, hypothesized the answers, designed the games (in other words, the experiments) to test these hypotheses and analysed the data. They also drew the figures (in coloured pencil) and wrote the paper. Their headteacher (Dave Strudwick) and I devised the educational programme (we call ‘i,scientist’), and I trained the bees and transcribed the childrens' words into text (which was done with smaller groups of children at the school's local village pub). So what follows is a novel study (scientifically and conceptually) in ‘ kids speak ’ without references to past literature, which is a challenge. Although the historical context of any study is of course important, including references in this instance would be disingenuous for two reasons. First, given the way scientific data are naturally reported, the relevant information is simply inaccessible to the literate ability of 8- to 10-year-old children, and second, the true motivation for any scientific study (at least one of integrity) is one's own curiousity, which for the children was not inspired by the scientific literature, but their own observations of the world. This lack of historical, scientific context does not diminish the resulting data, scientific methodology or merit of the discovery for the scientific and ‘non-scientific’ audience. On the contrary, it reveals science in its truest (most naive) form, and in this way makes explicit the commonality between science, art and indeed all creative activities. Principal finding ‘We discovered that bumble-bees can use a combination of colour and spatial relationships in deciding which colour of flower to forage from. We also discovered that science is cool and fun because you get to do stuff that no one has ever done before. (Children from Blackawton)’.

scholarly journals Religia a poszukiwania metafi zyczne współczesnego człowieka

2018 ◽  
Vol 15 ◽  
pp. 107-128
Author(s):  
MAREK SZULAKIEWICZ
Keyword(s):  
Closed World ◽  
The World ◽  
The Absolute ◽  
The Moment ◽  
The Way

Contemporary post-metaphysical culture undertook the express fi ght against absoluteness and universality by propagating and defending pluralism. It seemed that if instead of the quest for what is universal and absolute there will be almost infi nite magnitude of views, opinions, meanings etc., everybody will fi nd something for himself what will be his own meaning. The loss of the reference to what is absolute and universal led though to the loss of concrete goals, values and meanings. But we cannot “manage diversity” if we lack this reference. What is more, the world becomes closed and limited and it recedes to the static and locked-in state in which admittedly everything is in fl ux, views are being liberally changed, meanings accepted and rejected depending on the moment, but actually everything is motionless in the closed world. If we know all of this and deeply experience the crisis of the meaning of existence that stems from the rejection of metaphysics and from the surrender of culture to the most important questions and to boot fragmentation of reality becomes dangerous and destructive, then the revival of metaphysical thinking becomes the need of our world. The man itself is not enough; neither the culture that tantalises itself with selfsuffi ciency; both of them lose the meaning of their existence. Man cannot indefi nitely recede from the world. On the contrary, he has to place this world within some meaningful order. All these needs are metaphysical. The quest for the foundation of all meaning has been the essence of metaphysics for ages. That is why we experience not only longing for metaphysics but we also enter the way of the search for it. However, before the quest for metaphysics there are metaphysical quests which purpose is to recall questions and to slowly teach the man these questions anew. For we are bonded with the absolute – not necessarily with the “existence of the absolute” but inescapably with “questions about it”.

Becoming Politicized

2017 ◽  
Vol 225 (4) ◽  
pp. 324-335 ◽  
Author(s):  
Dimitrios Barkas ◽  
Xenia Chryssochoou
Keyword(s):  
Collective Identity ◽  
Political Socialization ◽  
Greek Society ◽  
Economic Vulnerability ◽  
The World ◽  
The Future ◽  
Identity Model ◽  
Beliefs About The Future ◽  
Of Greece ◽  
The Way

Abstract. This research took place just after the end of the protests following the killing of a 16-year-old boy by a policeman in Greece in December 2008. Participants (N = 224) were 16-year-olds in different schools in Attiki. Informed by the Politicized Collective Identity Model ( Simon & Klandermans, 2001 ), a questionnaire measuring grievances, adversarial attributions, emotions, vulnerability, identifications with students and activists, and questions about justice and Greek society in the future, as well as about youngsters’ participation in different actions, was completed. Four profiles of the participants emerged from a cluster analysis using representations of the conflict, emotions, and identifications with activists and students. These profiles differed on beliefs about the future of Greece, participants’ economic vulnerability, and forms of participation. Importantly, the clusters corresponded to students from schools of different socioeconomic areas. The results indicate that the way young people interpret the events and the context, their levels of identification, and the way they represent society are important factors of their political socialization that impacts on their forms of participation. Political socialization seems to be related to youngsters’ position in society which probably constitutes an important anchoring point of their interpretation of the world.

Restrained Airs: The Diegetic Surface and Nondiegetic Depth of British Film Music

2019 ◽  
Vol 16 (4) ◽  
pp. 429-443
Author(s):  
Paul Mazey
Keyword(s):  
Film Music ◽  
The World ◽  
British Cinema ◽  
Film Making ◽  
The Way

This article considers how pre-existing music has been employed in British cinema, paying particular attention to the diegetic/nondiegetic boundary and notions of restraint. It explores the significance of the distinction between diegetic music, which exists in the world of the narrative, and nondiegetic music, which does not. It analyses the use of pre-existing operatic music in two British films of the same era and genre: Kind Hearts and Coronets (1949) and The Importance of Being Earnest (1952), and demonstrates how seemingly subtle variations in the way music is used in these films produce markedly different effects. Specifically, it investigates the meaning of the music in its original context and finds that only when this bears a narrative relevance to the film does it cross from the diegetic to the nondiegetic plane. This reveals that whereas music restricted to the diegetic plane may express the outward projection of the characters' emotions, music also heard on the nondiegetic track may reveal a deeper truth about their feelings. In this way, the meaning of the music varies depending upon how it is used. While these two films may differ in whether or not their pre-existing music occupies a nondiegetic or diegetic position in relation to the narrative, both are characteristic of this era of British film-making in using music in an understated manner which expresses a sense of emotional restraint and which marks the films with a particularly British inflection.

Profilometry. Using Corneo-scleral topography for scleral lens fitting

The Eye ◽  
2019 ◽  
Vol 21 (128) ◽  
pp. 19-22
Author(s):  
Gregory DeNaeyer
Keyword(s):  
Ocular Surface ◽  
World Wide ◽  
Contact Lenses ◽  
The Past ◽  
The World ◽  
The Future ◽  
The Way

The world-wide use of scleral contact lenses has dramatically increased over the past 10 year and has changed the way that we manage patients with corneal irregularity. Successfully fitting them can be challenging especially for eyes that have significant asymmetries of the cornea or sclera. The future of scleral lens fitting is utilizing corneo-scleral topography to accurately measure the anterior ocular surface and then using software to design lenses that identically match the scleral surface and evenly vault the cornea. This process allows the practitioner to efficiently fit a customized scleral lens that successfully provides the patient with comfortable wear and improved vision.

PINGVINAS IR PROTĖJAS. Įsivaizdavimas kaip kitybė manyje

2007 ◽  
Vol 4 ◽  
pp. 21-37
Author(s):  
Kristupas Sabolius
Keyword(s):  
Fight Club ◽  
The World ◽  
The Moment ◽  
Hollywood Movie

Kitybės klausimas dažniausiai kyla iš ego santykio su kitais arba su pasauliu. Šiame straipsnyje daroma prielaida, kad įsivaizdavimo funkcija ištirpdo subjektą ir jame pačiame atveria intersubjektyvią perspektyvą. Šiuo tikslu sugretinami Sartre’o, Husserlio bei Merleau-Ponty įsivaizdavimo funkcijos tyrimai, kuriuose išryškėja vaizdo kaip iš ego centro išslystančios ribos statusas, ir Holivudo filmo „Kovos klubas“ siužetas. Viename iš šios juostos epizodų pasirodantis pingvinas žymi egologinės schizmos akimirką ir tampa fantazijos apsireiškimu ir įsikūnijimu.Išgryninus žaidybinį, savarankišką ir multiformišką charakterį, galime konstantuoti, kad įsivaizdavimas, jei kalbėtume Kanto terminais, yra ne papildanti tarpinė funkcija, bet transcendentalinio subjekto genezėje atlieka paradoksalų „svetimos vidujybės“ arba „vidinės svetimybės“ vaidmenį. Vaizduotė yra katalizatoriaus, kuris, likdamas šalia, įgalina transcendentalinių formų išsikristalizavimą.Pagrindiniai žodžiai: vaizduotė, įsivaizdavimas, fantazija, ego, kitybė, sąmonė.PENGUIN AND PROTEUSImagination as Otherness in meKristupas Sabolius SummaryThe question of Otherness is usually taken into account while discussing the Ego’s relation with Others as well as with the World. This article is based on the premises that the function of phantasy melts the subjectivity, revealing the perspective of intersubjectivity within it. On this purpose Sartre’s, Husserl’s and Merleau-Ponty’s researches on the function of imagination, which elucidate the image as the boundary slipping from the centre of Ego, are compared to the story of Hollywood’ movie „Fight Club“. The penguin, which appears in one of the episodes, registers the moment of egological schism, thus becoming the revelation and incarnation of phantasy. While the playful, autonomous and multiform character of imaginary is cleared out, we can ascertain, speaking in Kantian terms, that it has not a complementary or intermediary function, but, in the genesis of transcendental subject, plays the paradoxical role of „allien innerness“ or „inner alienity“. Thought remaining always beside, imagination is a catalyzer which enables crystallization of transcendental forms.Keywords: imagination, imaginary, phantasy, ego, otherness, consciousness.

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