Disproportionality analysis in VigiBase as a drug repositioning method for the discovery of potentially useful drugs in Alzheimer's disease

International audienc

Farmacêutico: profissional de saúde e cidadão The pharmacist: health professional and citizen

O texto foi apresentado no V Congresso de Assistência Farmacêutica/Riopharma, com o objetivo de abordar aspectos importantes para a reflexão da condição do farmacêutico como profissional e como cidadão capaz de atuar em sociedade. Para tanto, o caminho selecionado foi a rememoração de alguns fundamentos que estruturam a reforma sanitária no Brasil; a pressão dos fabricantes sobre os profissionais de saúde e as agências reguladoras; a desigualdade na distribuição dos medicamentos entre os diferentes estratos sociais. Entre as propostas de mudança apontadas estão: a ampliação do papel do farmacêutico na atenção farmacoterapêutica; a proibição da propaganda de medicamentos; a avaliação global e independente da agência de regulação nacional; e a inclusão nas bases de dados nacionais de informações sobre medicamentos consumidos durante as hospitalizações.<br>This text was presented at the V Congress on Pharmacy Care/Riopharma with the intent to approach some aspects important for discussing the role of the pharmacist as health professional and citizen capable of acting in society. To this purpose we decided to recall some of the cornerstones of the Brazilian health reform; the pressure of the industry on health professionals and regulatory agencies; the inequity in the distribution of medicaments among the different social classes. Some of the changes proposed in this paper are: to widen the role the pharmacist plays in pharmacotherapy; to prohibit drug advertising; a global and independent evaluation of the national regulatory agency; inclusion of information about medicament consumption during hospitalizations in the national databases

Evaluation of a simulation-based hospital pharmacy training package for pharmacy students

© 2018, The Author(s). This study describes the process undertaken to develop, implement and evaluate a simulation-based training package focused on medication management and reconciliation processes for final year pharmacy students about a patient’s hospital journey. A five module training package was developed following a literature review and consultation with stakeholders. The simulation-based package immersed students in a real-life scenario and was delivered to final year pharmacy students over a six-week period in 2016. Data on knowledge, skills and confidence was collected via a survey in the week preceding engagement with the online training package and 1 week post completion of the training. The mean score was compared across four student categories: three categories incorporated students who had not completed a hospital pharmacy placement and one category comprised students who had completed a hospital placement. Qualitative feedback was collected via an online survey at the conclusion of the training program. Of the 79 participants, 44 (55.7%) completed both the pre and post- test surveys that showed the change in score was statistically significant. There was a significant positive change in mean test scores across all four student categories for the domains of skills, knowledge and confidence. Assessment of students’ confidence according to 16 ranking statements also improved markedly post-training. Thirty-one students provided qualitative feedback that was generally positive. The positive outcomes reinforce the rationale to include online simulation-based methodologies as part of pharmacy education programs. The model provides a reproducible framework for online simulated learning activities that could be applied within various professions and educational environments

Molecular characterization and analysis of a truncated serotonin receptor gene expressed in neural and reproductive tissues of abalone

In molluscs, the neurotransmitter serotonin (5-HT) has been linked to a variety of biological roles including gamete maturation and spawning. The possible involvement of 5-HT in abalone gamete release was demonstrated by a dose-dependent increase in Haliotis rubra gonad contractile bioactivity following 5-HT stimulation. Physiological functions associated with 5-HT, are mediated through binding to 5-HT receptors. A cDNA encoding a putative 5-HT receptor consisting of 359 amino acids was isolated from the tropical abalone H. asinina, termed 5-HT1 ha. The 5-HT1 ha shares G-protein-coupled receptor motifs with metazoan 5-HT receptors, including predicted transmembrane domains, active sites for protein kinase action, and N-linked glycosylation sites. However, the third intracellular loop of 5-HT1 ha is relatively short, and only six transmembrane domains are predicted, implying a truncated receptor. Phylogenetic analysis with known 5-HT receptor genes suggests that 5-HT1 ha belongs to the type 1 5-HT receptor family. Expression analysis by RT-PCR showed that 5-HT1 ha&nbsp; mRNA was present in all tissues examined, including the neural ganglia and gonad tissues. Immunocytochemistry revealed the presence of 5-HT1 ha specifically within the soma of neuronal cells located in the outer cortex of both cerebral and pleuropedal ganglia. In ovarian and testicular tissues, 5-HT1 ha immunoreactivity was observed in epithelial cells of the outer capsule and connective tissue of the trabeculae to which the gamete follicles adhere. Whether this receptor transcript is translated to a functional protein needs to be verified, but if so, it could play a role in reproduction.<br /