1.Workshop on Women's Leadership, Followership, and Sponsorship in Preparation for Diversity Promotion
Rieko GOTO ; Akiko NAKAYAMA ; Junko MORIYA ; Makiko OZAKI ; Maki NISHIMURA
An Official Journal of the Japan Primary Care Association 2024;47(1):28-31
In light of the implementation of a quota system for electing the Society's Board of Directors, the Diversity Promotion Committee organized a workshop to explore women's leadership, followership, and sponsorship.This initiative identified unique characteristics associated with these roles for women and identified ways to support them in expressing these qualities effectively.The workshop also served as a peer meeting, and both needs and satisfaction levels were high. We aim to extend this workshop to other fields in the future.
2.Pharmaceutical Interventions for Cancer Chemotherapy Utilizing Drug Information
Megumi KAWAKAMI ; Noriaki KITADA ; Atsushi YONEZAWA ; Miyako OKAMURA ; Junko OZAKI ; Yasuaki IKEMI ; Shunsaku NAKAGAWA ; Satoshi IMAI ; Takayuki NAKAGAWA ; Keitaro DOI ; Shuji AKIZUKI ; Manabu MUTO ; Tomohiro TERADA
Japanese Journal of Drug Informatics 2023;25(2):83-90
Objective: In patients with specific backgrounds, comprehensive identification of health problems and proactive pharmacist intervention are crucial to providing safe and effective medical care. However, there are insufficient reports on chemotherapy regimen selection and supportive care management in patients taking immunosuppressants. In this study, to circumvent adverse events, pharmacists intervened with a patient administering tacrolimus (TAC) using known information, focusing on multiple factors attributable to the patient in addition to drug interactions.Methods: The patient was a male in their 70s who received palliative chemotherapy for gastric cancer during their dermatomyositis treatment with TAC. Pharmaceutical support for cancer chemotherapy was provided using the following four procedures: (1) Patient information was collected from interviews and electronic medical records to identify patient-specific problems; (2) Basic pharmacological information was collected from tertiary sources, focusing on the interaction between TAC and aprepitant (APR). Furthermore, clinical reports were collected, and the pharmacokinetic drug interaction significance classification system was used for quantitative predictions; (3) The information obtained in steps 1) and 2) was evaluated, and comprehensive proposals linked to the patient information were presented; (4) Adverse events, TAC blood level, and patient outcomes were monitored after treatment initiation.Results: A chemotherapy regimen consisting of S-1/oxaliplatin therapy without APR was selected. The adverse effects were controllable, and the treatment was completed without many adverse events. Meanwhile, TAC adherence was unaffected by cancer chemotherapy, and the TAC blood concentration or dose ratios were controlled within the same range as previously reported.Conclusion: In cancer chemotherapy, for cases with limited evidence or information, comprehensive pharmaceutical support was provided using known patient information, considering multiple patient factors. This report is beneficial as an example of supportive care management by a pharmacist and contributes to providing optimal service in cases with specific backgrounds.