Most Read Articles
01 Dec 2019
Macrolide antibiotics are derived from the Streptomycesspecies. These contain either 14-membered (erythromycin [ERM],clarithromycin [CAM], roxithromycin [RXM]), 15-membered(azithromycin [AZM]) or 16-membered (spiramycin, josamycin,midecamycin) macrocyclic lactone rings. They inhibit proteinsynthesis by reversibly binding to the 23S ribosomal RNA (rRNA)in the 50s subunit of the bacterial ribosome. Traditionally,macrolides are used as first-line agents in respiratory, skin,soft tissue, and urogenital infections, and they are also activeagainst gram-positive cocci and atypical pathogens.
Roshini Claire Anthony, 6 days ago

The presence of pulmonary arterial hypertension (PAH) in individuals with systemic sclerosis is associated with an increased mortality risk, a study from Singapore showed.

01 Dec 2019
Pneumonia is a common infection– affecting around 3,200 people inSingapore in 2016 – making it the thirdmost common cause of hospitalisation inthe country. Its common complications,especially with delayed or inappropriatetreatment, include bacteraemia andseptic shock, lung abscesses, pleuraleffusions, empyema, pleurisy, respiratoryfailure and renal failure.
23 Dec 2019
At a Menarini-sponsored symposium held during the Asian Pacific Society Congress, renowned cardiologist Prof John Camm provided the latest evidence for chronic stable angina with or without concomitant diseases, with a special focus on the antianginal agent ranolazine and combination therapies. The event was chaired and moderated by Dr Dante Morales from the University of the Philippines College of Medicine.

Exposure to pharmacists may shorten time to treatment intensification in T2D patients

08 Nov 2019
Healthcare professionals should spend sufficient amount of time with their patients in order to elicit information on barriers to medication adherence.

Patients with type 2 diabetes (T2D) who are exposed to a pharmacist have a shorter time to treatment intensification and a greater decrease in A1C compared with those managed solely by a medical provider, according to a study. Results, however, are not statistically significant.

Fifty patients with T2D were included in the study and were divided into pharmacist–physician managed (PPM) or usual medical care (UMC) cohorts.

The UMC cohort experienced significantly longer mean time to treatment intensification than the PPM cohort (325 vs 200 days; p=0.50).

There were more patients in the PPM cohort who achieved ≥0.5-percent reduction in A1C as compared to those in the UMC cohort (60 percent vs 44 percent; p=0.41). In addition, the PPM cohort had a greater mean decrease in A1C from baseline than did those in the UMC cohort (–1 percent vs –0.4 percent; p=0.24).

“Additional research is needed to evaluate the role of the pharmacist in improving clinical inertia in the management of T2D,” the authors said.

This retrospective matched cohort study at two academic family medicine clinics examined time to treatment intensification and changes in A1C among PPM patients compared to UMC patients with T2D. Individuals in each arm were matched 1:1 based on age, gender, race and primary care provider.

“Achievement of treatment goals for patients with T2D is suboptimal,” the authors said. “This is in part driven by a lack of treatment intensification when warranted, termed ‘clinical inertia’.”

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
01 Dec 2019
Macrolide antibiotics are derived from the Streptomycesspecies. These contain either 14-membered (erythromycin [ERM],clarithromycin [CAM], roxithromycin [RXM]), 15-membered(azithromycin [AZM]) or 16-membered (spiramycin, josamycin,midecamycin) macrocyclic lactone rings. They inhibit proteinsynthesis by reversibly binding to the 23S ribosomal RNA (rRNA)in the 50s subunit of the bacterial ribosome. Traditionally,macrolides are used as first-line agents in respiratory, skin,soft tissue, and urogenital infections, and they are also activeagainst gram-positive cocci and atypical pathogens.
Roshini Claire Anthony, 6 days ago

The presence of pulmonary arterial hypertension (PAH) in individuals with systemic sclerosis is associated with an increased mortality risk, a study from Singapore showed.

01 Dec 2019
Pneumonia is a common infection– affecting around 3,200 people inSingapore in 2016 – making it the thirdmost common cause of hospitalisation inthe country. Its common complications,especially with delayed or inappropriatetreatment, include bacteraemia andseptic shock, lung abscesses, pleuraleffusions, empyema, pleurisy, respiratoryfailure and renal failure.
23 Dec 2019
At a Menarini-sponsored symposium held during the Asian Pacific Society Congress, renowned cardiologist Prof John Camm provided the latest evidence for chronic stable angina with or without concomitant diseases, with a special focus on the antianginal agent ranolazine and combination therapies. The event was chaired and moderated by Dr Dante Morales from the University of the Philippines College of Medicine.