1 Inside this issue: INTRODUCTION OF PhIS 1-2 HOT ISSUE: THINGS TO KNOW ABOUT ZIKA 3 MEDICATION SAFETY: HIGH ALERT MEDICATION 4-5 MIMS GATEWAY 6 DRUG COMPARISON: ARB AVAILABLE IN PKDMT 7-8 TRUTH @ MYTHS: GARCINIA CAMBOGIA SAFE FOR WEIGHT LOSS? 9-10 PHARMACY BULLETIN ISSUE 2 year 2016 PKD MELAKA TENGAH Editorial Board Advisor: Dr. Rusdi bin Abd. Rahman Chief Editor: Halisah binti Kasdi Editor: Chew Poh Chiong Contributors: Foo Swee Yen Nurul Atika binti Wahab Michelle Lim Bee Ping Nursyahirah binti Abd Raof INTRODUCTION Pharmacy Information System (PhIS) is an initiative between Pharmaniaga and Minis- try of Health with the aim to improve quality of service of healthcare through improve- ment in information and communication technology. The system allows patient infor- mation, medical profile and drug prescription to be available online. The agreement was signed on the 16 th March 2011 and it will last for 10 years start- ing from 1 st December 2009 up to 30 th November 2019. [1] The development of PhIS took two years starting from 16 th March 2011 up to 15 th March 2013. [1] The diagram below shows where the PhIS system in pharmacy setting. By: Lim Chun Yian FULL-BASED vs PHAMACY-BASED PhIS SYSTEM Full-Based PhIS system involves all department in a healthcare facility where registra- tion clerk, doctor, nurses and pharmacist take part. However, PhIS system in Melaka currently involves Pharmacy-Based only. There are several limitations regarding the implementation of pharmacy-based only system as compared to a full-based system such as patient registration only takes place when the patient is at the pharmacy de- partment, as opposed to be done once the patient arrives at the healthcare facility. Source of image [2]
10
Embed
PKD MELAKA TENGAH - Jabatan Kesihatan Negeri Melaka Farmasi... · nia, oedema, syn-cope, rhinitis, sinusi-tis, nausea, pharyn- ... MOH Medicines Formulary KKM 2014 2. Medscape Application
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
1
Inside this
issue:
INTRODUCTION OF
PhIS
1-2
HOT ISSUE:
THINGS TO KNOW ABOUT
ZIKA
3
MEDICATION SAFETY:
HIGH ALERT MEDICATION
4-5
MIMS GATEWAY 6
DRUG COMPARISON:
ARB AVAILABLE IN
PKDMT
7-8
TRUTH @ MYTHS:
GARCINIA CAMBOGIA
SAFE FOR WEIGHT LOSS?
9-10
PHARMACY BULLETIN
ISSUE 2 year 2016
PKD MELAKA TENGAH
Editorial Board
Advisor:
Dr. Rusdi bin Abd.
Rahman
Chief Editor:
Halisah binti Kasdi
Editor:
Chew Poh Chiong
Contributors:
Foo Swee Yen
Nurul Atika binti Wahab
Michelle Lim Bee Ping
Nursyahirah binti Abd
Raof
INTRODUCTION
Pharmacy Information System (PhIS) is an initiative between Pharmaniaga and Minis-
try of Health with the aim to improve quality of service of healthcare through improve-
ment in information and communication technology. The system allows patient infor-
mation, medical profile and drug prescription to be available online.
The agreement was signed on the 16th March 2011 and it will last for 10 years start-
ing from 1st December 2009 up to 30th November 2019.[1] The development of PhIS
took two years starting from 16th March 2011 up to 15th March 2013.[1]
The diagram below shows where the PhIS system in pharmacy setting.
By: Lim Chun Yian
FULL-BASED vs PHAMACY-BASED PhIS SYSTEM
Full-Based PhIS system involves all department in a healthcare facility where registra-
tion clerk, doctor, nurses and pharmacist take part. However, PhIS system in Melaka
currently involves Pharmacy-Based only. There are several limitations regarding the
implementation of pharmacy-based only system as compared to a full-based system
such as patient registration only takes place when the patient is at the pharmacy de-
partment, as opposed to be done once the patient arrives at the healthcare facility.
Source of image [2]
2
3) PHARMACY INVENTORY
Provides functionally for finance management, procurement, stock management &
tracking of products movement from receiving up to the supply end point (close loop)
Inventory management
Alerts when quantity of products is out-of preset threshold, products near expiry, prod-
ucts recalled, back order not delivered or exceeding specified delivery dates
Generates goods issue notes, back order lists, floor stock lists, report and labels
4) MEDICATION COUNSELING
Provides documentation for medication counseling activity
Enables scheduling for counseling appointment
REFERENCES:
1. Projek Pharmacy Information System & Clinic Pharmacy System (PhIS & CPS). Pharmaniaga. 10 Jun 2015
2. Pharmacy Information System. Ministry of Health. [Pamphlet]
PhIS
Modules involved with PhIS in Klinik Kesihatan[2]
5) ADVERSE DRUG REACTION
Allows healthcare providers to report Adverse Drug Reaction cases and integrates with
Malaysian Adverse Drug Reaction Centre (MADRAC) system
1) ORDER MANAGEMENT
Electronic medication order for outpatients
Interfaces to external drug databases to provide drug alerts function (drug interaction,
contraindication, allergies, adverse drug effects, overdose & therapeutic duplication)
while prescribing
Maintaining patient complete medication profile
Multilevel access for prescribing and authorization of list A/A* type drugs
Drug codes in compliance with Malaysian Drug Code (MDC) standards
2) OUTPATIENT SERVICES
Monitoring of patient queue
Screening of medication orders
Preparation and filling of medication orders
Printing of labels and fill list
Dispensing of medication
Management and monitoring of Sistem Pendispensan Ubat-ubatan Bersepadu (SPUB)
and value added services
3
Zika virus is a mosquito-borned flavivirus which
was first discovered in
Uganda,1947. Since then there has been multiple
outbreaks in Africa,
Americas, Asia and the
Pacific.
In February 2016, World
Health Organization
(WHO) declares an outbreak , by then the
virus had quickly spread
to multiple parts of the world. Malaysia has
reported its first Zika
case on 1st September of
2016.
What is Zika Virus?
Sign and symptoms:
B y : N i r h o s h a a A / P M o h a n
ZIKA VIRUS
Method of transmission: Transmitted to humans through the same Aedes
mosquito that transmits dengue and chikungunya virus
i.e. Aedes aegypti and Ae. Albopictus.
These mosquitos bites throughout the day being most active during daylight hours.
Can also be transmitted through blood transfusion,
perinatal transmission and sexual transmission. However, these modes are very rare.
Incubation period between 3 – 12 days.
Most people infected often appear asymptomatic. Symptoms that may appear which lasts few days to
weeks:
Other symptoms include muscle pain, headache and
often accompanied by maculopapular rash.
As symptoms are often mild, they are often overlooked.
Zika virus usually lasts only up to a week in an infected
person’s blood.
Real danger is however to the pregnant mothers as in
any point of pregnancy the mother is infected, the virus
is transmitted to the unborn child via placenta, causes congenital birth defects such as microcephaly and
several fatal brain defects.
In adults, it also triggers Gullain-Barré syndrome
Diagnosis: Based on patient’s recent travel history,
symptoms and test results.
Testing methods:
- Viral nucleic acid detection
- Serological testing
Samples collection:
- Saliva or urine samples (first 3 to 5 days after symptom onset) - Serum/blood samples
(first 1 to 3 days after symptom onset)
Treatment:
There is no treatment or vaccine yet. Only supportive treatment to treat fever, joint pain,
rash, conjunctivitis.
Drink fluids to prevent dehydration
Reference:
Zika. Centre for disease control and prevention. Available URL: https://www.cdc.gov/zika/
Zika Emergencies. World Health Organization. Available URL: http://www.who.int/emergencies/zika-virus/history/en/
1998 study published in the Journal of the American Medical Association [6]
After a 12-week randomized, double-blind study of overweight men and women, research-
ers concluded that Garcinia cambogia did not produce significant weight or fat loss above
the placebo.
2013 review in the journal Complementary Theories in Medicine [7]
Researchers evaluated clinical trials that used plant extracts as potential treatment for obe-
sity, and found that the evidence was not convincing in most cases. One exception was a
combination of Garcinia cambogia taken with another herb called Gymnema sylvestre,
which showed a slight increase in weight loss results. It's a glimmer of hope, but surely,
more research needs to be done on the subject.
2005 study in the journal Food and Chemical Toxicology [8]
Researchers tested a high dose of Garcinia cambogia extract on obese male rats. The
good news? The rats lost weight! The bad news? Extremely high doses seemed to cause
testicular atrophy and toxicity.
Conclusion
People say it blocks your body's ability to make fat and it puts the brakes on your appetite. It
could help keep blood sugar and cholesterol levels in check, too. You'll find it in bottles on the
shelf at the store as well as mixed with other ingredients in diet products. Does it live up to its
hype? Maybe a little, but it might not be worth it.
References *1+ Deborah Enos, CN;”The Truth about Garnicia Cambogia” Live Science; 8 Nov 2015. *2+ Brunilda Nazario, MD “ Garnicia Cambogia : Safe for Weight Loss?” WebMD; 31 July 2014.
*3+ “Garnicia Cambogia Select Review – Fast and Efficient Fat Burner Supplement. Offer Valid Worldwide” World Loss Place.
*4+ Sullivan AC, Triscari J, Hamilton JG, Neal Miller O. Effect of (−)-hydroxycitrate upon the accumulation of lipid in the rat: appetite. Lipids.1973;9:129-134
*5+ Steven B. Heymsfield, MD; David B. Allison, PhD; Joseph R. Vasselli, PhD; et al; “Garcinia cambogia (Hydroxycitric Acid) as a *6+ Potential Antiobesi-ty AgentA Randomized Controlled Trial, JAMA. 1998;280(18):1596-1600. doi:10.1001/jama.280.18.1596
*7+ Katie J. Astell,Michael L. Mathai, Xiao Q. Su et al;“Plant extracts with appetite suppressing properties for body weight control: *8+ A systemic re-view of double blind randomized controlled clinical trials”, Science Direct; Complementary Therapies in Medicine Volume 21, Issue 4, August 2013, pages 407-416. *9+ M. Saito, M. Ueno, S. Ogino and et al;” High Dose of Garnicia Cambogia is effective in suppressing fat accumulation in developing male Zucker obese rats, but highly toxic to the testis” Science Direct; Food and Chemical Toxicology Volume 43, Issue 3, March 2005, pages 411-419. *10+Brunilda Nazario, MD “ Garnicia Cambogia : Safe for Weight Loss?” WebMD; 31 July 2014