Intervention: A survey was mailed to the community pharmacies, which were randomly selected from a list obtained from a state board of pharmacy in the northeastern United States.
Main outcome measures: Pharmacist attitudes toward individuals with schizophrenia and depression and willingness to provide pharmacy services to patients with mental illness.
Results: 292 surveys were completed (response rate 38.9%). The pharmacists surveyed
felt that they had more positive attitudes toward individuals with depression and schizophrenia compared with AZD1152-HQPA other pharmacists (P <= 0.01). Compared with physicians, pharmacists perceived themselves as having less negative attitudes toward those with depression (P <= 0.001) but greater negative attitudes toward individuals with schizophrenia (P <= 0.05).
More pharmacists were willing to provide services to those with asthma than those with mental illness see more (P <= 0.001). Pharmacists were more likely to provide services to patients with mental illness if they had fewer negative attitudes for those with depression or schizophrenia and placed a greater value on counseling patients (P <= 0.001). Minority pharmacists were more willing to provide services to patients with mental illness.
Conclusion: Community pharmacists have more negative views of schizophrenia than depression and felt that they perceived those with schizophrenia more negatively than physicians. Our findings suggest two ways to improve community pharmacist willingness to provide services to patients with mental illness: reduce negative attitudes toward patients with mental illness and increase pharmacists’ perceived value of counseling patients.”
“Background
and check details objective: Septic pulmonary embolism due to periodontal disease (SPE-PD) is rarely reported and little is known about its clinical features. The purpose of this study was to evaluate the clinical and radiological features, as well as outcome, in SPE-PD.
Methods: Patients’ records were retrospectively reviewed and 12 patients with SPE-PD were identified (10 men, mean age 60.5 years). The patients’ demographic features, laboratory data, physical and radiological findings, and clinical outcomes were evaluated.
Results: All but one patient were smokers. Eight of the 12 patients had comorbidities including hypertension (58%) and/or diabetes mellitus (17%). Prevalent symptoms were fever (67%) and chest pain (58%). Only two patients fulfilled the criteria of systemic inflammatory response syndrome; most of the subjects were not clinically severely ill. Blood cultures were negative in all cases. Contrast-enhanced chest computed tomography (CT) showed multiple peripheral nodules in all 12 patients, wedge-shaped peripheral lesions abutting on the pleura in 10 (83%) and a feeding-vessel sign in 9 (75%). All patients recovered from their illness after antimicrobial therapy concomitant with tooth extraction or periodontal care.