著者

名徳 倫明 仲下 知佐子 北出 尚子 岡 隆志 中村 紗矢香 梅谷 亮介 瀬名波 宏昌 岩本 千晶 田河 みゆき 浦嶋 庸子 廣谷 芳彦

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.40, no.6, pp.334-343, 2014-06-10 (Released:2015-06-10)

参考文献数

18

被引用文献数

4 3

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Pharmacists need to check prescriptions of parenteral lipid emulsions from various aspects due to the many difficulties that occur when administering them. Thus, we performed a questionnaire survey on the usage of and current involvement of pharmacists in administering parenteral lipid emulsions. Pharmaceutical departments of 381 institutions in Osaka Prefecture participated in this survey between June 1 and July 31, 2012. The questionnaire contained items including the characteristics of the hospital, usage of parenteral lipid emulsions, and current prescription-checking by pharmacists. A hundred and twelve institutions (29.4%) responded to the survey; parenteral lipid emulsions were used in 96 institutions. Some institutions appropriately used them but others did not. Additionally, in some institutions, pharmacists did not check the prescriptions for detailed items, such as the dosing rate and administration route. Furthermore, we observed a trend toward more items indicating the inappropriate use of these emulsions and less involvement of pharmacists in institutions without compared to with a nutrition support team (NST). These current situations were considered to largely relate to the number of pharmacists and whether NST therapists (pharmacists) are available. In the future, pharmacists should significantly contribute to nutritional and risk management in in-hospital team medicine.

著者

名徳 倫明 秋山 紗奈江 松浦 亜梨紗 面谷 幸子 長井 克仁 初田 泰敏 向井 淳治 廣谷 芳彦

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.43, no.8, pp.438-443, 2017-08-10 (Released:2018-08-10)

参考文献数

17

被引用文献数

1 1

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In many hospitals, semi-solid enteral nutrients are administered. Dietary fibers are used as the main component of semi-solid agents, but some studies have reported that dietary fibers influence the bioavailability of drugs. In this study, we examined the influence of the adsorption of phenobarbital (PB) to dietary fibers and semi-solid agents used for the manufacturing of enteral nutrients. Five types of dietary fiber or 3 semi-solid agents were dissolved in 0.01% PB solution to prepare concentrations of 1.0, 0.5, and 0.1%, and the adsorption rate and viscosity were measured. In PB solution containing 1.0% guar gum, which was prepared with purified water, the adsorption rate of PB was 33.7%. It reduced with a decrease in the concentration of guar gum. The adsorption rate of PB to xanthan gum was also similar, although it was slightly lower than that to guar gum. There was no adsorption of PB to dextrin hydrate or cellulose under any condition. The first and second solutions established by the Japanese Pharmacopoeia also showed similar results. The results of this study indicate that the adsorption rates of PB to guar gum and xanthan gum were high. When administering drugs to patients receiving semi-solid enteral nutrients, the timing of administration at which there is no influence of adsorption must be reviewed.

著者

丸田 栄一 但馬 重俊 廣谷 芳彦 前田 義美 西井 諭司 東 敏夫 山路 昭 紀氏 汎恵 平岡 栄一 三牧 孝至 田川 哲三 藪内 百治

出版者

一般社団法人 日本医療薬学会

雑誌

病院薬学 (ISSN:03899098)

巻号頁・発行日

vol.11, no.5, pp.398-402, 1985-10-20 (Released:2011-08-11)

参考文献数

15

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Phenytoin (PHT) fine granule, which has the same bioavailability as the tablet, has recently been marketed. We projected a change of PHT dosage form from usual powder to fine granule. In view of the fact that 97% of PHT products prescribed and marketed are available in fine granules, 50% PHT preparations were produced in hospital pharmacy. 5 kinds of preparations using various lactoses as diluents were prepared and tested for their quality. Among them, the preparation from Aleviatin fine granule passing through a 42-mesh sieve and EFC lactose showed the best results in the mixing property and various sense tests. The change to this dosage form and its bioavailability tests were carried out by a cooperation of doctors and pharmacists. Serum PHT levels of all patients, assayed by EMIT method, showed a 20% to 30% increase after the administration of the new preparation (50% PHT fine granule with EFC lactose).

著者

廣谷 芳彦 原口 清美 向井 淳治 槙本 和加子 浦嶋 庸子 名徳 倫明

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.41, no.4, pp.266-274, 2015-04-10 (Released:2016-04-10)

参考文献数

11

被引用文献数

1 6

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We conducted a home medical care (HMC) training workshop consisting of presentations given by regional HMC leaders that targeted community pharmacists in collaboration with a nearby pharmaceutical association. Subsequently, we conducted a questionnaire survey with the pharmacists in attendance to assess their opinions of the present HMC situation. The participants' satisfaction with the workshop was relatively high, at an average of 8.13 out of 10. Among the participants, 70.9% had experience with HMC, such as visiting pharmacy services at patients' homes, with the most frequently practiced activity being “drug administration guidance for patients at home.” However, activities such as “accompanying medical rounds” and “participation in home care conferences” were not widely practiced (at a rate of less than 50% of the most popular activity) among the participants. Next, many participants responded that the key HMC factors were the creation of systems of cooperation between different professionals and their environmental arrangements. Participants also made suggestions for future lectures, such as on the subjects of contract procedures and HMC case reports. Furthermore, the participants suggested that the qualities necessary for effective HMC were a wide and practical knowledge of HMC and a positive attitude. In conclusion, many patients stated that cooperation with other professionals is important in deepening pharmacists' HMC involvement, and the pharmacists hoped to establish greater communication between pharmacists and other HMC workers.

著者

廣谷 芳彦 原口 清美 槙本 和加子 浦嶋 庸子 名徳 倫明

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.33, no.2, pp.73-79, 2014-12-10 (Released:2015-09-04)

参考文献数

11

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After we organized a community-based home medical care (HMC) training workshop composed of presentations by welfare and care workers in addition to patients’ family and targeting community pharmacists in collaboration with a regional pharmacy association, we carried out a questionnaire survey to the pharmacists in attendance to take hold on pharmacist’ opinions for the workshop and attitudes for HMC. The participants had a relatively high level of satisfaction regarding the workshop, rating an average of 7.81 out of 10.0. Among the participants, 77.5% had experience of HMC such as visiting pharmacy services at patient’ home, with the most widely practiced activity being “drug administration guidance for patients at home.” However, activities such as “accompany at the time of rounds” and “participation in conferences” were not widely practiced (less than 50% of the most activity) among the participants. Many participants responded that the key factors of HMC were the cooperation system between different professionals and its environmental arrangement. Overall, positive feedback from participants regarding this workshop was reported, through statements such as “I was able to rediscover the need for cooperation in a diverse team with differing job functions” and “the care of patients and their family was important.” We found many opinions that cooperation with other professionals is important in deepening pharmacists’ involvement in HMC, and that this workshop serves as a bridge to establish greater communication between care workers and pharmacists.

著者

廣谷 芳彦 八十 永理 的場 俊哉 池田 賢二 恩田 光子 川瀬 雅也 名徳 倫明

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.38, no.6, pp.371-378, 2012-06-10 (Released:2013-06-12)

参考文献数

6

被引用文献数

5 11

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To clarify the issues involved in the promotion of pharmacists’ participation in home medical care, we performed a questionnaire survey on the implementation situation of home medical care and pharmacists’ attitudes and opinions in community pharmacies. We mailed a questionnaire to 715 community pharmacies in July 2010. The pharmacists’ attitudes and opinions were validated through text mining. 78.3% of community pharmacies were requested to visit a patient’s home and provide a pharmaceutical service, but only 53.0% of these visits were made. In many pharmacies, an average of 2.3 pharmacists provided care to within 5 patients and visited the patient’s homes twice a month. Meanwhile, 27.7% of the pharmacies delivered prescription medicines to nursing facilities, and of these, only 19.8% of the pharmacies provided instructions regarding pharmaceutical care. Only 9.1% of the pharmacists participated in training workshops related to home medical care. 48.4% of the pharmacists recognized that they had to provide pharmaceutical care visits for patients coming to their pharmacies. Only 3.7% of the pharmacists participated in joint directions at the time of hospital discharge. Results of text mining showed the need for pharmaceutical care visits for patients with poor compliance, those who found it difficult to go to the pharmacy or had dementia, and the elderly living alone. Also, the patients and other homecare staff felt the necessity for pharmacists to provide pharmaceutical care in the patient’s home. In conclusion, in order to promote home medical care, inhibitory factors such as lack of pharmacists’ manpower and cooperation with home care staff, and insufficient provision of training workshops for home medical care need to be tackled.