The medical prescription and its forensic aspects

La prescription médicale, souvent réduite à l’ordonnance, est un acte médical d’une importance capitale. Elle doit répondre à un impératif technique certes, mais aussi à un cadre juridique. La prescription est une source d’obligations, toute erreur dans sa formulation ou manquement aux règles de droit, peut être évoqué pour poursuivre le prescripteur, autant devant les juridictions civile, disciplinaire que pénale. Les aspects médicolégaux relatifs au sujet, concernent le prescripteur, les aspects de la prescription et ses limites, et les retombées économiques.

Towards Personalized Antioxidant Use in Female Infertility: Need for More Molecular and Clinical Studies

Treatment with antioxidants is increasingly used to slow down aging processes in different organs of the human body, including those implicated in female fertility. There is a plethora of different natural, synthetic or semi-synthetic medicines available on the market; most of them can be purchased without medical prescription. Even though the use of antioxidants, even under conditions of auto-medication, was shown to improve many functions related to female infertility related to oxidative stress, the lack of medical control and supervision can lead to an overmedication resulting in an opposite extreme, reductive stress, which can be counterproductive with regard to reproductive function and produce various adverse health effects in general. This paper reviews the current knowledge relative to the effects of different antioxidants on female reproductive function. The persisting gaps in this knowledge are also highlighted, and the need for medical supervision and personalization of antioxidant prescription is underscored.

Medication Errors in Compounding Pharmacy

The traditional role of compounding pharmacies is to make drugs prescribed by physicians for patients with needs that cannot be met by commercially available drugs. Medication errors have attracted attention of health authorities since they compromise the patient’s assistance, enhance morbidity rates and increase the healthcare costs. This study analyzed medication errors that occurred in a compounding pharmacy school in order to identify types and periodicity and to outline strategies in the service delivery process to mitigate such errors. This is a retrospective descriptive study carried out from March to June of 2018 and based on the analysis of occurrences recorded by the service sector of a magistral pharmacy school in Rio de Janeiro. The errors were classified according to the stage in the pharmaceutical assistance process and reached 124 records, with an average of 1.03 occurrence/day. The main causes were prescription errors (95 occurrences or 76.60%), administering (12 occurrences or 9.68%), labeling (7 occurrences or 5.65%), dispensing (7 occurrences or 5.65%) and handling (3 occurrences or 2.42%). The errors in the prescription stage, the most frequent ones, were potential but intercepted and cleared before they resulted in a harmful outcome. This study identified medication errors in a magistral pharmacy. The errors were potential but intercepted and resolved before they resulted in a harmful outcome. The results points to the need for systematic surveillance of adverse events in a more active way and for standardizing the procedures throughout the process, from assessing the medical prescription to guiding the patient for proper administration and storage. Keywords: Pharmaceutical Preparations. Risk Management. Pharmacovigilance. Pharmacoepidemiology. ResumoO papel tradicional das farmácias de manipulação é manipular medicamentos prescritos por médicos para pacientes com necessidades que não podem ser atendidas pelos medicamentos disponíveis no mercado. Os erros de medicação são eventos que vêm recebendo grande destaque entre autoridades sanitárias por contribuírem com o aumento das taxas de morbidade e dos custos do sistema de saúde, comprometendo a qualidade da assistência prestada ao paciente. O presente estudo teve por objetivo analisar os principais erros de medicação observados em uma Farmácia Escola magistral localizada no sudeste do Brasil. Foi desenvolvido um estudo descritivo retrospectivo no período de março a junho de 2018, baseado na análise das ocorrências de erros de medicação registradas no período. Os erros foram classificados de acordo com as etapas da assistência farmacêutica. Um total de 124 registros foram verificados no período, com média diária de 1,03 ocorrências/dia. As principais causas destes registros foram em 95 (76,60%) devido a erros de prescrição, 3 (2,42%) referentes à erros de manipulação dos medicamentos, 7 (5,65%) erros de rotulagem, 7 (5,65%) erros de dispensação, e 12 (9,68%) referentes à erros de administração do medicamento pelo paciente. Os erros de maior frequência foram relacionados à escrituração da prescrição. Os erros verificados eram potenciais e foram interceptados e resolvidos antes que resultassem em um desfecho danoso. Os resultados indicaram a necessidade de avançar para uma vigilância sistemática de eventos adversos de forma mais ativa e padronização das condutas relacionadas aos processos desde a avaliação da qualidade da prescrição até a orientação para administração e guarda adequada do medicamento pelo paciente. Palavras-chave: Preparações Farmacêuticas. Gestão de Riscos. Farmacovigilância. Farmacoepidemiologia.

The Meaning of Carnival Expel Epidemic Covid-19: Case Study Community Kelenteng Hian Thian Sian Tee and Hok Tek Bio in Welahan Jepara Central Java

This paper is based on writings that are description Khonghucu people in Kelenteng Hian Thian Sian Tee (Dewa Langit) and Hok Tek Bio (Dewa Bumi) at Covid-19 era in Welahan, Jepara City, Central Java. This research based on interview and participative, observation, and literature by approach description analysis. Result, effort people Khonghucu pandemic covid-19 era heirloom carnival purpose expel the plague (pagebluk covid-19) to be comfortable safe sosial at local and national. Carnival every Saturday night until April-November 2020 and every two weeks until Desember 2020 until now. Carnival by surround the Tionghoa village and Kelenteng so far 2 kilometers. Start and finish carnival in Kelenteng Hian Thian Siang Tee Gang Pinggir Pasar No.4. This kelenteng exist 5 kimsin (Kong Co Hiang Thian Siang Tee/Patung Dewa), referensi 120 medical prescription China vertion, a sword (pedang Tiongkok), bamboo fortune telling (ciamsi) by 49 poem, Po Kiam Hip lauw (ashtray, tempat abu), a volume of medical books (tjioe hwat). The meaning ornaments for carnival black flag, sword, rupang dewa, incense (dupa), and hio.

Self-Medication with Antibiotic among Public Population in Erbil City

Self-medication is the administration of medications without a medical prescription to manage self-diagnosed health problems or symptoms. Self-medication with antibiotics is a global phenomenon, and it is more common in developing countries due to poor regulatory controls. The aim of this study was to evaluate the prevalence of self-medication with antibiotics in Erbil city, Iraq. This was an observational cross-sectional study involving a total of 100 people from the public population in Erbil City, Iraq. A self-administered questionnaire was used to collect data from the participants. Among 100 participants, 90% of them were self-medicated with antibiotics. Amoxicillin was the most commonly used antibiotic for self-medication. For successful treatment, 77% of the participants were satisfied by self-medication with the antibiotic. The primary source for the antibiotic was from a community pharmacy with 38%. The study showed that there is a significant association between self-medication with antibiotics and the occupational status of the participants. Self-medication with antibiotics was found to be prevalent among the public population of Erbil City. As a recommendation regulatory control should be implemented to prevent dispensing antibiotics without a medical prescription.