s Pipeline for August 2011 | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2014         Volume. 6 No. 6   
Information to Pharmacists

Editorial

From the desk of the editor

Welcome to the July 2014 homepage edition of i2P (Information to Pharmacists) E-Magazine.
At the commencement of 2014 i2P focused on the need for the entire profession of pharmacy and its associated industry supports to undergo a renewal and regeneration.
We are now half-way through this year and it is quite apparent that pharmacy leaders do not yet have a cohesive and clear sense of direction.
Maybe the new initiative by Woolworths to deliver clinical service through young pharmacists and nurses may sharpen their focus.
If not, community pharmacy can look forward to losing a substantial and profitable market share of the clinical services market.
Who would you blame when that happens?
But I have to admit there is some effort, even though the results are but meagre.
In this edition of i2P we focus on the need for research about community pharmacy, the lack of activity from practicing pharmacists and when some research is delivered, a disconnect appears in its interpretation and implementation.

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News Flash

Newsflash Updates for July 2014

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
Access and click on the title links that are illustrated

Comments: 1

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Feature Contribution

Woolworths Pharmacy - Getting One Stage Closer

Neil Johnston

It started with “tablet” computers deployed on shelves inside the retailer Coles, specifically to provide information to consumers relating to pain management and the sale of strong analgesics.
This development was reported in i2P under the title Coles Pharmacy Expansion and the Arid PGA Landscape”
In that article we reported that qualified information was a missing link that had come out of Coles market research as the reason to why it had not succeeded in dominating the pain market.
Of course, Woolworths was working on the same problem at the same time and had come up with a better solution - real people with good information.

Comments: 5

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Intensive Exposition without crossing over with a supermarket

Fiona Sartoretto Verna AIAPP

Editor's Note: The understanding of a pharmacy's presentation through the research that goes into the design of fixtures and fittings that highlight displays, is a never-ending component of pharmacy marketing.
Over the past decade, Australian pharmacy shop presentations have fallen behind in standards of excellence.
It does not take rocket science - you just have to open your eyes.
Recently, our two major supermarkets, Woolworths and Coles, have entered into the field of drug and condition information provision - right into the heartland of Australian Pharmacy.

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The sure way to drive business away

Gerald Quigley

I attended the Pregnancy, Baby and Children’s Expo in Brisbane recently.
What an eye and ear opening event that was!
Young Mums, mature Mums, partners of all ages, grandparents and friends……...many asking about health issues and seeking reassurances that they were doing the right thing.

Comments: 1

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‘Marketing Based Medicine’ – how bad is it?

Baz Bardoe

It should be the scandal of the century.
It potentially affects the health of almost everyone.
Healthcare providers and consumers alike should be up in arms. But apart from coverage in a few credible news sources the problem of ‘Marketing Based Medicine,’ as psychiatrist Dr Peter Parry terms it, hasn’t as yet generated the kind of universal outrage one might expect.

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Community Pharmacy Research - Are You Involved?

Mark Coleman

Government funding is always scarce and restricted.
If you are ever going to be a recipient of government funds you will need to fortify any application with evidence.
From a government perspective, this minimises risk.
I must admit that while I see evidence of research projects being managed by the PGA, I rarely see community pharmacists individually and actively engaged in the type of research that would further their own aims and objectives (and survival).

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Organisational Amnesia and the Lack of a Curator Inhibits Cultural Progress

Neil Johnston

Most of us leave a tremendous impact on pharmacies we work for (as proprietors, managers, contractors or employees)—in ways we’re not even aware of.
But organisational memories are often all too short, and without a central way to record that impact and capture the knowledge and individual contributions, they become lost to time.
It is ironic that technology has provided us with phenomenal tools for communication and connection, but much of it has also sped up our work lives and made knowledge and memory at work much more ephemeral.

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Academics on the payroll: the advertising you don't see

Staff Writer

This article was first published in The Conversation and was written by Wendy Lipworth, University of Sydney and Ian Kerridge, University of Sydney
In the endless drive to get people’s attention, advertising is going ‘native’, creeping in to places formerly reserved for editorial content. In this Native Advertising series we find out what it looks like, if readers can tell the difference, and more importantly, whether they care.
i2P has republished the article as it supports our own independent and ongoing investigations on how drug companies are involved in marketing-based medicine rather than evidence-based medicine.

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I’ve been thinking about admitting wrong.

Mark Neuenschwander

Editor's Note: This is an early article by Mark Neuenschwander we have republished after the soul-searching surrounding a recent Australian dispensing error involving methotrexate.
Hmm. There’s more than one way you could take that, huh? Like Someday when I get around to it (I’m not sure) I may admit that I was wrong about something. Actually, I’ve been thinking about the concept of admitting wrong. So don’t get your hopes up. No juicy confessions this month except that I wish it were easier for me to admit when I have been wrong or made a mistake.
Brian Goldman, an ER physician from Toronto, is host of the award-winning White Coat, Black Art on CBC Radio and slated to deliver the keynote at The unSUMMIT for Bedside Barcoding in Anaheim this May. His TED lecture, entitled, “Doctors make mistakes. Can we talk about it?” had already been viewed by 386,072 others before I watched it last week.

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Dispensing errors – a ripple effect of damage

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Most readers will be aware of recent publicity relating to dispensing errors and in particular to deaths caused by methotrexate being incorrectly packed in dose administration aids.
The Pharmacy Board of Australia (PBA), in its Communique of 13 June 2014, described a methotrexate packing error leading to the death of a patient and noted “extra vigilance is required to be exercised by pharmacists with these drugs”.
This same case was reported by A Current Affair (ACA) in its program on Friday 20 June
http://aca.ninemsn.com.au/article/8863098/prescription-drug-warning

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Take a vacation from your vocation

Harvey Mackay

Have you ever had one of those days when all you could think was, “Gosh, do I need a vacation.”
Of course you have – because all work and no play aren’t good for anyone.
A vacation doesn’t have to be two weeks on a tropical island, or even a long weekend at the beach. 
A vacation just means taking a break from your everyday activities. 
A change of pace. 
It doesn’t matter where.
Everyone needs a vacation to rejuvenate mentally and physically. 
But did you also know that you can help boost our economy by taking some days off? 
Call it your personal stimulus package.

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Explainer: what is peer review?

Staff Writer

This article was first published in the Conversation. It caught our eye because "peer review" it is one of the standards for evidence-based medicines that has also been corrupted by global pharma.
The article is republished by i2P as part of its ongoing investigation into scientific fraud and was writtenby Andre Spicer, City University London and Thomas Roulet, University of Oxford
We’ve all heard the phrase “peer review” as giving credence to research and scholarly papers, but what does it actually mean?
How does it work?
Peer review is one of the gold standards of science. It’s a process where scientists (“peers”) evaluate the quality of other scientists' work. By doing this, they aim to ensure the work is rigorous, coherent, uses past research and adds to what we already knew.
Most scientific journals, conferences and grant applications have some sort of peer review system. In most cases it is “double blind” peer review. This means evaluators do not know the author(s), and the author(s) do not know the identity of the evaluators.
The intention behind this system is to ensure evaluation is not biased.
The more prestigious the journal, conference, or grant, the more demanding will be the review process, and the more likely the rejection. This prestige is why these papers tend to be more read and more cited.

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Dentists from the dark side?

Loretta Marron OAM BSc

While dining out with an elderly friend, I noticed that he kept his false tooth plate in his shirt pocket. He had recently had seven amalgam-filled teeth removed, because he believed that their toxins were making him sick; but his new plate was uncomfortable. He had been treated by an 'holistic dentist'. Claiming to offer a "safe and healthier alternative" to conventional dentistry, are they committed to our overall health and wellbeing or are they promoting unjustified fear, unnecessarily extracting teeth and wasting our money?

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Planning for Profit in 2015 – Your key to Business Success

Chris Foster

We are now entering a new financial year and it’s a great time to reflect on last year and highlight those things that went well and those that may have impacted negatively in the pursuit of your goals.
It's also a great to spend some time re-evaluating your personal and business short, medium and long term goals in the light of events over the last year.
The achievement of your goals will in many cases be dependent on setting and aspiring to specific financial targets. It's important that recognise that many of your personal goals will require you to generate sufficient business profits to fund those aspirations

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Attracting and Retaining Great People

Barry Urquhart

Welcome to the new financial year in Australia.
For many in business the past year has been described as a challenging period.
Adjectives are a key feature of the English language.  In the business lexicon their use can be, and often is evocative and stimulate creative images.  But they can also contribute to inexact, emotional perceptions.
Throughout the financial pages of newspapers and business magazines adjectives abound.
References to “hot” money draw attention and comment.  The recent wave of funds from Chinese investors, keen to remove their wealth from the jurisdiction and control of government regulations is creating a potential property bubble in Australia.

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Updating Your Values - Extending Your Culture

Neil Johnston

Pharmacy culture is dormant.
Being comprised of values, unless each value is continually addressed, updated or deleted, entire organisations can stagnate (or entire professions such as the pharmacy profession).
Good values offer a strong sense of security, knowing that if you operate within the boundaries of your values, you will succeed in your endeavours.

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Evidence-based medicine is broken. Why we need data and technology to fix it

Staff Writer

The following article is reprinted from The Conversation and forms up part of our library collection on evidence-based medicines.
At i2P we also believe that the current model of evidence is so fractured it will never be able to be repaired.
All that can happen is that health professionals should independently test and verify through their own investigations what evidence exists to prescribe a medicine of any potency.
Health professionals that have patients (such as pharmacists) are ideally placed to observe and record the efficacy for medicines.
All else should confine their criticisms to their evidence of the actual evidence published.
If there are holes in it then share that evidence with the rest of the world.
Otherwise, do not be in such a hurry to criticise professions that have good experience and judgement to make a good choice on behalf of their patients, simply because good evidence has not caught up with reality.

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Laropiprant is the Bad One; Niacin is/was/will always be the Good One

Staff Writer

Orthomolecular Medicine News Service, July 25, 2014
Laropiprant is the Bad One; Niacin is/was/will always be the Good One
by W. Todd Penberthy, PhD

(OMNS July 25, 2014) Niacin has been used for over 60 years in tens of thousands of patients with tremendously favorable therapeutic benefit (Carlson 2005).
In the first-person NY Times best seller, "8 Weeks to a Cure for Cholesterol," the author describes his journey from being a walking heart attack time bomb to a becoming a healthy individual.
He hails high-dose niacin as the one treatment that did more to correct his poor lipid profile than any other (Kowalski 2001).

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Culture Drive & Pharmacy Renewal

Neil Johnston

Deep within all of us we have a core set of values and beliefs that create the standards of behaviour that we align with when we set a particular direction in life.
Directions may change many times over a lifetime, but with life experiences and maturity values may increase in number or gain greater depth.
All of this is embraced under one word – “culture”.
When a business is born it will only develop if it has a sound culture, and the values that comprise that culture are initially inherent in the business founder.
A sound business culture equates to a successful business and that success is often expressed in the term “goodwill” which can be eventually translated to a dollar value.

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Pharmacy 2014 - Pharmacy Management Conference

Neil Johnston

The brave new world of health and wellness is not the enemy of Pharmacy, it is its champion.
Australian futurist, Morris Miselowski, one of the world's leading business visionaries, will present the Opening Keynote address on Pharmacy's Future in the new Health and Wellness Landscape at 2.00pm on Wednesday July 30.
Morris believes the key to better health care could already be in your pocket, with doctors soon set to prescribe iPhone apps, instead of pills.
Technology will revolutionise the health industry - a paradigm shift from healthcare to personal wellness.
Health and wellness applications on smartphones are already big news, and are dramatically changing the way we manage our personal health and everyday wellness.

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Generation and Application of Community Pharmacy Research

Neil Johnston

Editor’s Note: We have had a number of articles in this issue relating to pharmacy research.
The PGA has conducted a number of research initiatives over the years, including one recently reported in Pharmacy News that resulted from an analysis of the QCPP Patient Questionnaire.
Pharmacy Guild president, George Tambassis, appears to have authored the article following, and there also appears to be a disconnect between the survey report and its target audience illustrated by one of the respondent comments published.
I have asked Mark Coleman to follow through, elaborate and comment:

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Pipeline for August 2011

Pipeline Extras

articles by this author...

Pipeline brings you news "bytes" from everywhere.

A range of global and local news snippets and links that may be of interest to readers.
Pipeline Extra simply broadens the range of topics that can be concentrated in one delivery of i2P to your desktop.

* Chef Pepin becomes the newest face of Navarro Discount Pharmacies

Navarro Discount Pharmacies has tapped a TV personality to serve as its celebrity spokesman.

Chef Pepin now is part of Navarro’s overall marketing campaign and expansion strategy, the Miami-based drug store chain said. In addition to promoting a healthy lifestyle to Navarro's customers through in-store demonstrations and other outreach efforts, Pepin will assist with the promotion of the company's extensive line of household appliances -- currently available in stores and soon to be available online.

The healthy-eating promotion is part of Navarro's Diabetes Club, which focuses on nutrition, exercise and prevention for adults and children, the retailer said. “Chef Pepin is an icon to Hispanics and Latinos everywhere,” said Steve Kaczynski, Navarro Discount Pharmacies CEO. “Together, we will educate Hispanics about adopting a healthier approach to food and how to cook healthy.”

* More nurse practitioner clinics to be opened

Australia’s first standalone nurse-practitioner-led clinic is scheduled to open at Brisbane Chermside Westfield shopping next month.
The clinic will be staffed by ten nurse practitioners and four midwives to deliver delivering standalone primary healthcare “with the support of a GP” says its operator, SmartClinics (link).
Patients at the clinic will have access to treatment for colds and flu, vaccinations, wound care, blood tests, repeat prescriptions and medical certificates, health checks, fracture assessment, pregnancy check-ups and more, the company says.

* Green roofs and walls are growing up

Environmental roof and wall installations are in vogue across the country for their touted efficiencies and cosmetic attractiveness. Architects, engineers, landscape gardeners, horticulturalists and even ecologists are teaming up to advance the base technology in Australia.

* New research exposes alcohol industry public relations tactics

A new study has revealed how the alcohol industry is using its Drinkwise organisation to create an impression of social responsibility while promoting measures for which there is little evidence of impact and are unlikely to hurt profits.

A research team from Deakin University’s School of Psychology examined submissions to the Australian National Preventative Health Taskforce (NPHT) to determine which organisations or individuals discussed positive relationships or work by Drinkwise. They found that all the submissions mentioning Drinkwise were submitted by the alcohol industry or its affiliates as evidence of their social responsibility or in recommending actions that are likely to benefit their bottom line.

* The next generation of stores

The retail sector in Australia continues to reverberate with profit downgrades and restructuring including DJ's and Solomon Lew's Premier Retail Group last week.
However, the steps being taken by all major retailers send a clear message that things are changing for the better. Retailers are shaking out poor performing stores and categories and embracing online as another part of their offering.Almost all key department stores in the world use online as a time saving service for their store shoppers. Shoppers can order online and collect in-store to save time. Or use the online store as an extended home delivery or gift giving service.

* Why do people take part in clinical trials?

By Geoff Bird Producer, Radio 5 live Cancer Trials

Tamoxifen, the breast cancer drug, was first trialled at The Christie 40 years ago
Taking part in a clinical trial for a new cancer drug is not something to be done lightly.
Often the patients involved are at an advanced stage of their illness, and have already been through long and debilitating bouts of treatment. In some cases, the time left to them is short.
So why spend it returning time and again to hospital to be given drugs whose properties aren't yet fully understood - they're on trial after all - and potentially highly toxic?

* How a decade has changed the world of pharmacy

It's official: your workload shot up 70 per cent in the past decade. In actual fact, it's probably more than that, with MURs, enhanced services and the endless reams of paperwork that plague pharmacists' daily lives. The 70 per cent figure is just how much the annual number of scripts dispensed in England has gone up since 2000.
It's a shocking rise, and just one of the facts that will startle and amaze (perhaps I'm getting a little carried away) in the latest 10-year review of prescription costs from the NHS, published on Wednesday (July 27).

 

Last Month:

Testosterone and brain function link

It is already known that testosterone plays an important role in cardiovascular health as well as its function as the male sex hormone. Now Australian researchers are testing the links between testosterone and brain function in women.
Researchers believe it could unlock the secrets of treating dementia and even improve the libido of people on anti-depressants.
But despite this, they say Australian pharmaceutical regulators have set the bar too high for testosterone therapy.

Robotic aged care still on the cards

New Zealand nursing homes are considering using robots to perform routine tasks such as dispensing pills, serving meals and helping residents seek assistance as the ongoing aged care workforce crisis comes to a head.

In a study of attitudes to “assistive technologies” among nursing home staff and residents, New Zealand primary care researchers found that robots would be welcomed if they could perform tasks that would result in allowing staff to spend more time with residents.

Don’t work yourself into the ground

While employment in our later years can have positive impacts on self-esteem and overall health, we should not have to work until we drop.
A UK study, issued by the Office for National Statistics (ONS), found the last 20 years have seen a significant increase in the number of over-50s and people over retirement age in employment.
Analysis showed the job market has changed significantly since 1992. About 57% of people aged between 50 and 64 were employed in April 1992, but this rose to 65% by December last year.
This is said to be a significant increase for retirement age workers in the UK, who now make up a bigger share of the total working population.


Sensing promise in seniors’ health

A small pilot study of wireless mobile sensors used by a group of retirees suggests the technology may be useful in detecting meaningful changes in seniors' health, researchers at Dartmouth College in Connecticut say.

Eight elderly residents in a continuing care community, whose average age was 85, wore the waist-mounted, two-inch sensors for 10 days while the devices continuously measured such factors as time spent walking, sitting, standing and speaking with other people.

“These everyday behaviours often reflect physical and psychological health and potentially predict health problems, like depression or dementia,” the study author, Dr Ethan Berke says.

Twitter Yields Useful Public Health, Flu Information

Twitter allows millions of social media fans to comment in 140 characters or less on just about anything: an actor's outlandish behavior, an earthquake's tragic toll or the great taste of a grilled cheese sandwich. But by sifting through this busy flood of banter, is it possible to also track important public health trends? Two Johns Hopkins University computer scientists would respond with a one-word tweet: "Yes!"

Toughbook H2 Most Rugged Tablet Yet

Taking the ruggedized tablet concept to a new level, Panasonic released the Toughbook H2, arguably the hardiest tablet computer available to the healthcare market. Hardened to “military-grade" ruggedness, the H2, which has a variant specifically designed for the healthcare sector, has a magnesium alloy casing coated with an anti-scratch surface. It can survive a 6-foot drop on concrete, temperatures from -20 degrees to 140 degrees Fahrenheit and exposure to dust and sprayed water. (Full immersion is not mentioned on the spec sheet.)

Why Google Health’s Failure Is Good News

Google officially shuttered its stumbling Google Health personal health record (PHR) service on Friday, marking an ignominious end to an ambitious project to make health and medical data storable and searchable for vast numbers of consumers.

“With a few years of experience, we’ve observed that Google Health is not having the broad impact that we hoped it would," wrote senior product manager Aaron Brown and Bill Weihl, head of green energy for Google, in a blog post. (Google is also shutting down its PowerMeter smart-grid service.) “There has been adoption among certain groups of users like tech-savvy patients and their caregivers, and more recently fitness and wellness enthusiasts. But we haven’t found a way to translate that limited usage into widespread adoption in the daily health routines of millions of people."

Dawn of a new profession

The role of the case manager in Australia is poised to undergo the biggest evolutionary change in its fifteen year history as it agrees its first process of formal case manager certification.  

At the 14th Case Management Society of Australia’s (CMSA) national conference next month, members will hear for the first time, details of a certification scheme which aims to provide increased structure and professionalism for the rapidly growing healthcare role

South Australians continue to migrate to eastern states

Victoria, Queensland and New South Wales were the top three interstate migration destinations for South Australians, according to the June edition ofSA Stats (cat. no. 1345.4) released today by the Australian Bureau of Statistics (ABS).

More residents are moving from South Australia interstate than are arriving, with a net loss of 3,000 people between June 2009 and June 2010. The highest number of people leaving South Australia were in the 25-29 year age group, with a net loss of 700, followed by the 20-24 year age group with a net loss of 500.

 

 

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