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Search Results: 1 - 10 of 406029 matches for " Sarah M. Westberg "
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Perspectives from the Hmong Population on Type 2 Diabetes
Phoua Xiong, Pharm.D.,Sarah M. Westberg, PharmD, BCPS
INNOVATIONS in Pharmacy , 2012,
Abstract: The primary goal of the study was to determine perceptions the Hmong population has about Type 2 diabetes. Specific information to be gathered from the Hmong participants were: reactions after being diagnosed with Type 2 diabetes, knowledge and beliefs about medications, and how pharmacists can help them with their diabetes care. Learning the beliefs of this population related to Type 2 diabetes will help identify methods to improve diabetes care and education for Hmong patients. A focus group was conducted with Hmong participants with Type 2 diabetes to explore their perceptions and experiences with diabetes. There were 9 participants in the focus group which lasted approximately 90 minutes. The major themes were a misunderstanding of diabetes and its treatment, a reluctance to adhere to medications, a reluctance to change cultural diet, and the need for clear education from pharmacists. Participant recommendations for pharmacists were to improve their diabetes care by educating them about the condition, medication, and available treatments.
Patient-perceived value of Medication Therapy Management (MTM) services: a series of focus groups
Heidi Schultz, PharmD,Sarah M. Westberg, PharmD, BCPS,Djenane Ramalho de Oliveira, PhD,Amanda Brummel, PharmD
INNOVATIONS in Pharmacy , 2012,
Abstract: Objective: To determine the patient-perceived value of MTM services and non-financial barriers preventing patients with insurance coverage from receiving MTM services. Design: Focus groups. Setting: Fairview Pharmacy Services, Minneapolis, MN.Participants: Three focus groups, each with five to nine participants, consisting of different participant populations: (i) patients who paid out-of-pocket to receive MTM services; (ii) insurance beneficiaries, under which MTM is a covered benefit and participants may have received incentives for receiving MTM services; (iii) patients with an insurance plan which covers MTM services who were recruited to receive MTM services but declined. Intervention: MTM services. Main Outcome Measure: Patient-perceived value of MTM services and non-financial barriers. Results: Seven themes were identified relating to the patient-perceived value of MTM services: collaboration of the health care team, MTM pharmacist as a supporter/advocate/confidant, MTM pharmacist as a resource for questions and education, accessibility to the MTM pharmacist, financial incentives for participation in MTM services, MTM pharmacy as a specialty field, and the MTM pharmacist as a coordinator. Three themes were identified regarding patient-perceived non-financial barriers to receiving MTM services, including: availability of the MTM pharmacist, patient/physician lack of knowledge of MTM services, patient’s belief that MTM services are not needed. Conclusion: MTM is a service which patients identify as valuable. Patients are able to identify non-financial barriers that may prevent some patients from receiving MTM services. This study provides preliminary evidence of both the value and barriers perceived by patients.
Over-the-Counter Medication Use, Perceived Safety, and Decision-Making Behaviors in Pregnant Women
Katie L. Kline, Pharm.D. Candidate 2011,Sarah M. Westberg, Pharm.D., BCPS
INNOVATIONS in Pharmacy , 2011,
Abstract: The purpose of this study was to determine which over-the-counter (OTC) medications women are using during pregnancy, and to assess patients’ perceived safety of these medications. In addition, the decision-making process utilized by pregnant women when choosing OTC drug therapy was explored, including sources of information and recommendation. The subjects included pregnant women 18 years and older. Subjects were solicited as a convenience sample by providing surveys in two urban women’s clinic waiting rooms. Of the 61 respondents, 96.3% had used an OTC medication, herbal, or vitamin during their current pregnancy. The most common products included prenatal vitamins, acetaminophen, cough drops, antacids, calcium, vitamin D, and DHA. The majority of women surveyed regarded over-the-counter medications, vitamins, and herbals as “safe, but would talk to a healthcare professional before using.” The most utilized sources of drug information during pregnancy were a physician (68.9%), midwife (55.7%), and the Internet (44.3%). There were an equal number of respondents obtaining general OTC information from apharmacist as from their family and friends (26.2%). Almost all subjects had used an over-the-counter medication during their pregnancy and the majority considered OTCs safe after first consulting a healthcare professional. Although a high percentage of subjects have obtained their information and recommendations from healthcare professionals, a very small proportion of subjects had utilized a pharmacist as a resource. Being drug experts and easily accessible members of the healthcare team, pharmacists have a responsibility to aid the obstetric population in the appropriate and safe use of over-the-counter drugs, vitamins, and herbals during pregnancy.
Advancing Medication Reconciliation in an Outpatient Internal Medicine Clinic through a Pharmacist-Led Educational Initiative
Sarah M. Westberg, Pharm.D.,Kathrine Beeksma, R.N.
INNOVATIONS in Pharmacy , 2010,
Abstract: Objectives: To develop and deliver an effective pharmacist-led educational initiative to clinic staff to advance medication reconciliation in the electronic medical record of an outpatient internal medicine clinic.Methods: An educational initiative designed to improve the ability of nursing staff in medication reconciliation was launched in the outpatient internal medicine clinic of a regional healthcare system. The education was provided by the pharmacist to clinic nursing staff, including registered nurses, licensed practical nurses, and certified medical assistants. The impact of this training was measured through pre-initiation and post-implementation surveys, competency assessments and an audit. Results: The educational initiative was successfully designed and delivered to clinic nursing staff. Assessment of the initiative found that all nursing staff completing competency assessments successfully passed. Pre-initiation- and post-implementation- survey responses on the self-assessed ability to gather and document accurate medication lists did not show significant changes. Informal observations in the clinic indicated that this initiative changed the culture of the clinic, creating increased awareness of the importance of accurate medications and increased emphasis on medication reconciliation.Conclusions: The expertise of pharmacists can be utilized to educate nursing staff on the skills and abilities necessary to gather and document accurate medication lists. This study did not find measurable changes in the accuracy of medication lists in this clinic. Future research is needed to determine the best methods to train health professionals in medication reconciliation to ensure accurate medication lists in the outpatient setting.
Evaluation of a Consumer-Generated Marketing Plan for Medication Therapy Management Services
Brian J. Isetts, Ph.D.,Jon C. Schommer, Ph.D.,Sarah M. Westberg, Pharm.D.,Julie K. Johnson, Pharm.D.
INNOVATIONS in Pharmacy , 2012,
Abstract: The purpose of this project was to utilize a consumer-directed, care model redesign methodology to develop and evaluate a marketing plan for medication therapy management services (MTMS) provided in community pharmacies. This was accomplished through a six-step process: (1) application of “design thinking” for eliciting consumer input on redesigning MTMS and marketing approaches, (2) exploratory research, (3) focus group analysis, (4) marketing plan development, (5) marketing plan implementation, and (6) marketing plan evaluation.The findings showed that the application of “design thinking” and focus group analysis was useful for creating a consumer-directed marketing plan for medication therapy management services (MTMS). Implementation and evaluation of the MTMS Marketing Plan revealed that the most successful pharmacies were those that had established business associate agreements with the medical clinics closest to their site of practice, including access to electronic health records. This “virtual electronic presence” of pharmacists in the medical care system was highly consistent with the consumer demand we uncovered for a visible relationship between pharmacists, physicians and other health care providers.
Oxytocin and socioemotional aging: Current knowledge and future trends
Natalie C. Ebner,Gabriela M. Maura,Kai MacDonald,Lars Westberg,H?kan Fischer
Frontiers in Human Neuroscience , 2013, DOI: 10.3389/fnhum.2013.00487
Abstract: The oxytocin (OT) system is involved in various aspects of social cognition and prosocial behavior. Specifically, OT has been examined in the context of social memory, emotion recognition, cooperation, trust, empathy, and bonding, and—though evidence is somewhat mixed-intranasal OT appears to benefit aspects of socioemotional functioning. However, most of the extant data on aging and OT is from animal research and human OT research has focused largely on young adults. As such, though we know that various socioemotional capacities change with age, we know little about whether age-related changes in the OT system may underlie age-related differences in socioemotional functioning. In this review, we take a genetic-neuro-behavioral approach and evaluate current evidence on age-related changes in the OT system as well as the putative effects of these alterations on age-related socioemotional functioning. Looking forward, we identify informational gaps and propose an Age-Related Genetic, Neurobiological, Sociobehavioral Model of Oxytocin (AGeNeS-OT model) which may structure and inform investigations into aging-related genetic, neural, and sociocognitive processes related to OT. As an exemplar of the use of the model, we report exploratory data suggesting differences in socioemotional processing associated with genetic variation in the oxytocin receptor gene (OXTR) in samples of young and older adults. Information gained from this arena has translational potential in depression, social stress, and anxiety-all of which have high relevance in aging—and may contribute to reducing social isolation and improving well-being of individuals across the lifespan.
Five species of Candelaria and Candelariella (Ascomycota, Candelariales) new to Switzerland
Martin Westberg,Philippe Clerc
MycoKeys , 2012, DOI: 10.3897/mycokeys.3.2864
Abstract: Candelaria pacifica, Candelariella antennaria, C. boleana, C. granuliformis and C. xanthostigmoides are reported from Switzerland for the first time. Candelariella xanthostigmoides is also new to Europe. Candelariella aggregata, C. efflorescens, C. subdeflexa and C. viae-lactea are confirmed to occur in Switzerland. Candelariella antennaria is also reported new to Austria. Brief notes on their identification, ecology and distribution in Switzerland are given.
The Spatial Variability and Temporal Dynamics of Soil Properties as Affected by Visitors’ Pressure in an Urban Park  [PDF]
Helena M. Zhevelev, Pariente Sarah, Atar Oz
Journal of Environmental Protection (JEP) , 2013, DOI: 10.4236/jep.2013.48A2007

Soil properties and their tempo-spatial heterogeneity, affected by visitors’ pressure, season and soil depth, were studied in an urban park in Tel-Aviv. Soil was sampled twice yearly in wet and dry seasons. In each season soil was sampled from areas exposed to differing levels of visitors’ pressure (VP), and designated “no VP (Control)”, “High VP” and “Low VP”. The soil samples were taken from two depths. For each soil sample, moisture, organic matter and soluble-ion contents, pH, and electrical conductivity were determined. It was found that different properties were differently affected by VP, seasonal dynamics and soil depth: organic matter content, penetration depth and sodium concentration were the most sensitive to VP; Soil moisture did not respond to VP, but sharply reflected seasonal changes; Calcium and organic matter contents were significantly affected by the soil depth. The sensitivity of soil properties to VP increased from March to July, and the upper soil layer was more sensitive to seasonal dynamics and VP than the deeper layer. Some soil properties exhibited “spotty” patterns; others a “frontal” one. Organic matter content was completely controlled by VP at both depths and in both seasons, and could be used as an indicator of soil status in recreation areas. Visitors activities included trampling and other anthropogenic factors that enhanced the spatial changes and seasonal dynamics of soil properties. Based on these measurements the intensity of soil degradation and dynamics was evaluated and used to describe the soil status in an urban park.

A New Look at Generalized Means  [PDF]
Sarah M. Tooth, John A. Dobelman
Applied Mathematics (AM) , 2016, DOI: 10.4236/am.2016.76042
Abstract: Since antiquity, the relationships between 2-tuples and their Pythagorean means have been represented in geometric forms. In this paper, we extend the practice to generalized power means through new representations, and also to 3-tuples. These geometric forms give rise to new algebraic expressions for summary statistics of 2- and 3-tuples.
Use of Basal Serum Testosterone Level as Predictor for Poor Ovarian Response in Women with Unexplained Infertility Undergoing In Vitro Fertilization Cycle: Prospective Study  [PDF]
Waleed M. Khalaf, Hayam Fathy, Sarah Safwat
Open Journal of Obstetrics and Gynecology (OJOG) , 2018, DOI: 10.4236/ojog.2018.814153
Abstract: Background: Delayed pregnancy in women and marked increase in the numbers of older women who fail to respond to ovarian stimulation had been a significant issue. This study aims to assess the value of basal serum testosterone level as a predictor of ovarian response for induction of ovulation in women with unexplained infertility undergoing IVF (in vitro fertilization) cycle. Patients and Methods: A prospective study was conducted in Ain Shams University Maternity hospital Infertility Center during a period of time from October 2016 to June 2017. This study recruited 89 women. On day 2 or 3 of a spontaneous menstrual cycle of the included women within 3 months before fresh IVF cycle, basal hormonal (FSH, LH, estradiol, total testosterone) concentrations, AFC (antral follicle count) were performed. Using the Long-protocol for induction of ovulation, serial monitoring of ovarian response was assessed by transvaginal ultrasound. When the expected ovarian response was reached (at least three oocytes 17 mm), we gave trigger dose of HCG. Ultrasound guided oocyte aspiration was performed 34 -
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