Journal of clinical pharmacy and therapeutics
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To review and document the current utilization of pharmacotherapy for the secondary prevention of acute coronary syndromes (ACS) in patients discharged from an Australian hospital. ⋯ There is a good adherence to evidence-based guidelines for the secondary prevention of ACS in this local setting. However, there is some potential underutilization in the older population and patients presenting with unstable angina. Variability in the use of oral anticoagulants alongside dual antiplatelet therapy indicates there is potentially a need for further guidance regarding the prescription of antithrombotics in those requiring poly-therapy.
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Randomized Controlled Trial
Post-operative pain relief following intrathecal injection of acetylcholine esterase inhibitor during lumbar disc surgery: a prospective double blind randomized study.
As spinal cholinergic receptors participate in the control of somatic pain, this effect could be potentiated by intrathecal injection of a cholinesterase inhibitor, neostigmine. ⋯ Injection of 100 microg hyperbaric neostigmine intrathecally was effective for pain relief, and reduced post-operative opiate demand.
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Pharmacists are in an optimal position to provide health care to patients with sleep disorders, however, at present their involvement in sleep services is limited. This study aimed to (i) establish an understanding of baseline levels of sleep health awareness, and attitudes towards sleep health in pharmacists and pharmacy undergraduate students in comparison with sleep physicians and (ii) collate the expressed preferences for sleep health training by final year pharmacy undergraduate students and practising community pharmacists. ⋯ These results provide a valid indication of the pharmacy profession's expressed and actual training needs, and should be used to inform the design, implementation and evaluation of a sleep health educational strategy, which targets practising community pharmacists and students.