1.Evaluation of Clinical Pharmacy Training for Adverse Drug Events Based on Japan Pharmaceutical Association Drug Information
Takanao Hashimoto ; Nobuyuki Takahashi ; Emiko Sato ; Noriyasu Hirasawa ; Yoshihisa Tomioka ; Katsuyuki Tochikubo ; Hiroshi Sato
Japanese Journal of Drug Informatics 2012;14(3):110-116
Objective: Collection of the latest information for appropriate and safe drug use is clinically essential, and the “Japan Pharmaceutical Association Drug Information” (JPADI) is a useful source. We prepared a text on the basis of JPADI for undergraduates to learn adverse drug events (ADEs). The objective of this study was to report the outcomes of our educational plan and student perspectives regarding the management of ADEs.
Methods: We provided 20 students with a self-study text for ADEs, including ADE reports, relief services by the Pharmaceuticals and Medical Devices Agency, and pharmacist medication errors. Case reports were categorized by disease discipline. Students were administered a questionnaire regarding their evaluation and interest regions of our text, the significance of relief services, and roles of drug information specialist.
Results: Fifteen students (75%) completed the questionnaire. Interest regions were pharmacist medication errors (n=9), systemic and multi-organ disorders (n=9), and cardiovascular disorders (n=5). We received comments such as “these errors are experiences creating cascades for the prevention of recurrence” (n=2). In terms of relief services, “expenses relief ” (n=4) as a merit and “vagueness of relief standards” (n=4) as a demerit were provided. Roles of drug information specialist included “provide easy-to-understand drug information to patients” (n=4) and “share with other medical staff ” (n=2). No specific improvements for the text were suggested.
Conclusion: Our educational plan using a self-study text based on drug information is useful for developing student responsibility and expertise for becoming pharmacist.
2.Cross-sectional associations between replacing sedentary behavior with physical activity by accelerometer-measured and depression in frail older adults: An Isotemporal Substitution approach
Kuniko ARAKI ; Akitomo YASUNAGA ; Ai SHIBATA ; Kouta HATTORI ; Ryota HONMA ; Noriyasu SATO ; Ryosuke TATEISHI ; Kaori ISHII ; Koichiro OKA
Japanese Journal of Physical Fitness and Sports Medicine 2022;71(2):185-192
The purpose of the present study was to examine the associations of replacing accelerometer-measured sedentary behavior (SB) with physical activity (PA) and depression in a sample of Japanese frail older adults using an Isotemporal Substitution (IS) model. Among 139 frail older adults, accelerometer was utilized to identify the daily average time spent in SB, light-intensity PA (LPA), and moderate- to vigorous-intensity PA (MVPA). Depression was assessed using the Geriatric Depression Scale-Short Version-Japanese (GDS-S-J). The relationship between SB, LPA, and MVPA with depression was examined with three models of multiple regression analysis: single factor model, partition model, and IS model. As results, LPA times was negatively associated with GDS-S-J scores in the single factor model (B = -0.09, p = 0.007) and the partition model (B = -0.13, p < 0.001). In the IS model, replacement of 10 minutes of SB with an equal amount of LPA time showed a significant negative association with GDS-S-J scores (B = -0.09, p=0.003). These results suggest that replacing a small amount of SB with LPA may be associated with an improvement in depression in frail older adults.