SA Pharmaceutical Journal - Volume 79, Issue 2, 2012
Volume 79, Issue 2, 2012
Author Lorraine OsmanSource: SA Pharmaceutical Journal 79 (2012)More Less
Yippee! We cast out some bait and someone nibbled! This month, the nibble goes to Annatjie Bouwer, a member of the PSSA. She is a young pharmacist who experienced an embarrassing and distressing situation. She was shouted at by a pharmacist in front of customers and her colleagues. Her blog makes interesting reading.
Masibambane - Our future is in our hands : to be young, gifted, and a pharmacist! : message from the presidentAuthor Sybil SeokaSource: SA Pharmaceutical Journal 79 (2012)More Less
The last editorial was titled Masibambane: from hope to action. Therefore, it was with great excitement that we welcomed the President of the South African Pharmacy Students Federation (SAPSF), Raydon Juta, to the recent meeting of the PSSA's national executive committee (NEC). What a breath of fresh air from an articulate and visionary leader! He gave many of us hope about the future of our Society, and the profession and country as well. It is our wish that our students maintain a closer link and association with the mother body, so that they get to understand the issues that pharmacy is facing. Not only did his presentation give us hope, it also indicated the intention for action among our young colleagues.
Author Jacky Van SchoorSource: SA Pharmaceutical Journal 79, pp 10 –12 (2012)More Less
Low back pain affects a large percentage of the population at some point in their lives. Most cases of acute low back pain settle within six weeks. The most commonly used medicines for acute low back pain are paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs), skeletal muscle relaxants, and opioid analgesics.
Chronic low back pain may also respond to these medicines, but combination therapy is usually recommended when a single agent, such as paracetamol, fails to control chronic low back pain. Combinations used in this situation should follow the principles of multimodal analgesia, with demonstrated efficacy and safety. A brief discussion follows on the efficacy and safety of weak opioids, when used in combination with paracetamol or aspirin, for low back pain.
Author Catherine WhittakerSource: SA Pharmaceutical Journal 79, pp 14 –16 (2012)More Less
Most women will have a vaginal infection, characterised by inflammation, discharge, itching, or odour, during their lifetime. However, not all cases of vaginitis are caused by a vaginal infection. Numerous vaginal preparations are available to manage vaginitis caused by a vaginal infection or other underlying conditions. The types of vaginitis, and their management using vaginal preparations, are reviewed in this article.
Source: SA Pharmaceutical Journal 79, pp 18 –22 (2012)More Less
Up to 70% of patients with typical symptoms of gastro-oesophageal reflux disease have neither definite endoscopic oesophageal erosions, nor Barrett's oesophagus at upper endoscopy. These patients suffer from nonerosive reflux disease (NERD). There is no gold standard for the diagnosis of NERD, but a comprehensive history is usually sufficient to confirm the diagnosis, and initiate therapy. A sensitive tool for the diagnosis of NERD is a proton-pump inhibitor (PPI) trial of therapy. The aims of NERD therapy are acute and long-term symptom relief, maintenance of clinical remission, and restoration of quality of life. PPIs, in full doses, are the treatment of choice for NERD patients, who often need long-term therapy for symptom control. Identification of the relevant symptoms and initiation of treatment, where symptoms that cause alarm have been excluded, is important in the effective management of NERD for the family physician.
Author Haley SmithSource: SA Pharmaceutical Journal 79, pp 23 –26 (2012)More Less
Inhalers are hand-held portable devices that deliver medication to the lungs. Inhaled medicines have become a cornerstone in the treatment of respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD), but their effectiveness can be compromised if the patient uses the inhaler incorrectly. Patients may be more compliant if they have confidence in their inhalers. Successful inhalation therapy depends on choosing the correct drug and device, and also receiving comprehensive instructions on how to use the inhaler.
Author James KerSource: SA Pharmaceutical Journal 79, pp 28 –31 (2012)More Less
On average, one in four adults has hypertension. This figure is higher in certain regions of the world, and in certain regions of countries. However, the worldwide prevalence of hypertension is on the rise. The relationship between level of blood pressure and risk for cardiovascular events is linear and continuous.
Nearly 75% of adults with other cardiovascular diseases have hypertension as a co-morbidity. Hypertension is associated with a shorter overall life expectancy, as well as a shorter life expectancy free of cardiovascular disease.
Hypertension can be said to be controlled or at goal if blood pressure is less than 140/90 mmHg, or less than 130/80 mmHg for those with diabetes, kidney disease, or a previous vascular event, e.g. myocardial infarction or a stroke.
Author Marietta FourieSource: SA Pharmaceutical Journal 79, pp 34 –36 (2012)More Less
As a lecturer in pharmaceutics, my goals as a teacher have been to:
- Promote the development of students into enthusiastic lifelong learners, as well as to support their personal development at university.
- Assist students in gaining the confidence to apply their theoretical knowledge in practice, and to inspire them to uphold their values and norms in all facets of their profession.
Source: SA Pharmaceutical Journal 79, pp 38 –40 (2012)More Less
Here are some extracts from a query that was recently submitted by a colleague:
"I have always been involved with clinical work, especially within X, and have constantly been on the lookout for clinical pharmacist registrations that are utilised worldwide. Recently, I came across SAPC specialist pharmacist registration. Who qualifies for this? Who may apply? What does the registration mean?"
"I have been involved in development of ward rounds and clinical pharmacy (clinical governance and antibiotic stewardship).Would I perhaps qualify as a specialist pharmacist?"
The response to the first query was to point to the specialist registers that already exist for pharmacists, and that are managed by the South African Pharmacy Council (SAPC). Finding out about them is not easy. The new search facility on the SAPC website (http://www.sapc.za.org/B_Regs_Search.asp) only mentions registers for registered persons, pharmacies (Y numbers), providers (R and U numbers), training sites, assessors and moderators, inspections and tutors. It lists the following categories of registered persons: pharmacy students, pharmacist interns, community service pharmacists, pharmacists, specialist pharmacists, authorised pharmacist prescribers, and pharmacist's assistants (basic, learner basic, learner post-basic and post-basic), as well as pharmaceutical sales representatives. The statistics page provides some details on how many specialist pharmacists have been registered. The number is just 13, in category "unknown", i.e. not assigned to community, institutional, manufacturing, or wholesale practice settings.
Author Wim GrobbelaarSource: SA Pharmaceutical Journal 79, pp 42 –43 (2012)More Less
The pharmacist plays an integral role in any community, and is often the first port of call when a substance abuse problem is suspected or identified. Therefore, it has become increasingly imperative that we, as pharmacists, are proactive in educating the public on drug and medicine use and abuse, identifying the signs, and curtailing and preventing abuse thereof. Our society is going through social, economic, and educational changes, and it is appropriate that we take responsibility for the prevention and treatment of drug abuse. We also have to adapt as the needs of our communities have changed due to an increase in drug trafficking, a huge upsurge in drug abuse in schools, and modern potent medicines that may lead to drug misuse and human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS). If we are active in this arena, it will benefit society in general, and we will contribute to a nation that is self-reliant and sensitive to the correct use of medical substances.
Author Annatjie BouwerSource: SA Pharmaceutical Journal 79 (2012)More Less
The best seat in the house. Dis waar jy is wanneer jy Jockey dra, volgens hulle advertensie. Die beste sitplek wat ek as (veel) jong(er) meisie gehad het, was in die voorste ry by 'n David Fourie-konsert tydens Aardklop. Hy het my gevra om saam met hom te dans terwyl hy gesing het, maar ek was te skaam en vries net daar vas in my stoel. Die man moes maar al singende aanbeweeg na die volgende meisie in die ry. Hoe het ek myself net nie verwyt vir weke daarna nie!