2.Cultivation of prescription-auditing pharmacists’ability in prescription pre-audit and case analysis
Li WANG ; Yue MA ; Ping XU ; Mili SHI ; Chunsong YANG
China Pharmacy 2022;33(15):1893-1897
OBJECTIVE To summariz e the expe rience of the ability training of prescription-auditing pharmacists in prescription pre-audit,and introduce the typical cases of the prescription-auditing pharmacists participating in the drug intervention. METHODS From October ,2020 to October ,2021,under the audit mode of “prescription pre-audit system+prescription-auditing pharmacists ” adopted by Yuxi People ’s Hospital (hereinafter referred to as “the hospital ”),the abilities of prescription-auditing pharmacists were cultivated from the aspects of training in pharmaceutical related professional knowledge ,training in the use of Chinese and English medical retrieval tools ,databases and websites ,and clinical thinking and communication ability ;through the construction of ability evaluation form of prescription-auditing pharmacists ,their abilities were assessed. RESULTS & CONCLUSIONS After one year ’s ability training ,the rational rate of prescription (doctor’s order ),the proportion of doctors ’active revision of problem prescription (doctor’s order )and the doctor ’s acceptance rate of intervention by prescription-auditing pharmacists showed an upward trend ,the average time of irrational prescription (doctor’s order )by prescription-auditing pharmacists showed a shortening trend ,and the intervention rate of prescription (doctor’s order )showed a downward trend. In addition to the publication of papers (belonging to the bonus item ),the average score of the ability evaluation form of prescription-auditing pharmacists had significantly increased , from 45.2 in October 2020 to 97.6 in October 2021.
3.Association between chronic periodontitis and hyperlipidemia: a Meta-analysis based on observational studies.
Lianhui YANG ; Meifei LIAN ; Zhongyue HU
West China Journal of Stomatology 2017;35(4):419-426
Objective The aim of this study is to evaluate the relationship between periodontitis and hyperlipidemia risks through Meta-analysis. Methods Two researchers conducted an electronic search on PubMed, Cochrane Library, Embase, CBM, CNKI, Wanfang and VIP databases established until July 2016 for observational studies on the association between periodontitis and hyperlipidemia. The language used was limited to Chinese and English. After data extraction and quality evaluation of included trials, Meta-analysis was conducted using the RevMan 5.3 software. The GRADE 3.6 software was used to evaluate the quality level of the evidence. Results Six case-control studies and one cohort study were included. The results of Meta-analysis showed that serum triglyceride (TG) in patients with periodontitis was significantly higher than that of the periodontal health group (MD=50.50, 95% confidence interval=39.57-61.42, P<0.000 01), as well as serum total cholesterol (TC) (MD=17.54, 95% confidence interval=10.91-24.18, P<0.000 01). Furthermore, the risks of TG and TC in the serum of patients with chronic periodontitis were 4.73 times (OR=4.73, 95% confidence interval=2.74-8.17, P<0.000 01) and 3.62 times (OR=3.62, 95% confidence interval=2.18-6.03, P<0.000 01) of that of periodontal healthy patients. No significant difference was observed between the group with high-density lipoprotein cholesterol (HDL-C) and that with low density lipoprotein cholesterol (LDL-C). Conclusion Current evidence indicates that a correlation exists between chronic periodontitis and hyperlipidemia, and chronic periodontitis is an independent risk factor for hyperlipidemia, especially for TC and TG in serum.