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Enregistrement W2479571707 · doi:10.1177/1715163516653107

Pharmacists’ responses to natural disasters

2016· article· en· W2479571707 sur OpenAlexvenueaboutno aff
Ross T. Tsuyuki

Notice bibliographique

RevueCanadian Pharmacists Journal / Revue des Pharmaciens du Canada · 2016
Typearticle
Langueen
DomaineHealth Professions
ThématiqueDisaster Response and Management
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésPharmacyNatural disasterPharmacistMedical emergencyDisaster medicineMedicineHistoryFamily medicineGeographySuicide preventionPoison control

Résumé

récupéré en direct d'OpenAlex

In this issue, we feature an article from Denise A. Epp, a Canadian now living in Japan (and obtaining her PhD in pharmacy). She tells the stories of how pharmacists in Japan and Canada have responded to major disasters. After the Tohoku earthquake-tsunami-nuclear disaster, Yoshirou Tanno, despite his significant personal losses, immediately helped to set up the emergency evacuation centre in the local school, coordinated pharmacist volunteers to get people their medications and set up a temporary pharmacy. She also tells the story of Anita and Bob Brown in Okotoks, Alberta, and the services they provided to patients from nearby High River, which had been particularly hard hit by the floods of June 2013. Ms. Brown was one of the first Alberta pharmacists to receive her prescribing authorization, and the overrun local health centre began to direct patients to see her. The Browns courageously mobilized their staff to provide care to the many displaced patients who needed their help. Read the article—it’s heartwarming and inspirational. As a follow-up to this story, on April 14 to 16 of this year, the Kumamoto area of Japan was struck with several earthquakes and aftershocks. Ms. Epp emailed me in May to tell me that Mr. Tanno was there—1600 km from his home—providing emergency pharmacy services. Because he has lived through such a disaster, he has a unique rapport with the latest earthquake victims. Mr. Tanno’s vest and helmet, which identify him as a pharmacist at the disaster sites (photo credit: Yoshirou Tanno). As I write this, the tragic wildfires in Fort McMurray and surrounding area are ongoing. The evacuation of Fort McMurray has resulted in 40,000 people temporarily relocating to Edmonton, often with nothing but the clothes on their backs. I spoke to Deb Van Haaften, Executive Director, Pharmacy, Edmonton Zone, Alberta Health Services, who, along with Sandra Leung (the pharmacist in charge of home care services), are providing administrative leadership during the crisis. When I spoke to her, Ms. Van Haaften had just completed a shift at the evacuation centre set up at the Northlands Expo complex. The centre has been providing food, clothing, shelter and health care support for evacuees. She got the call last week—Alberta Health Services wanted pharmacists to be there 24 hours a day. Interestingly, they didn’t want pharmacists to dispense drugs but rather to assess patients and prescribe their medications. I repeat, Alberta Health Services wanted pharmacists for their ability to prescribe, not dispense. Pharmacists are also helping assess patients’ coverage of medications. For those unable to pay, they have set up a partnership with a community pharmacy, and Alberta Health Services is covering the costs. And they have even set up a shuttle bus to take patients from the evacuation centre to the pharmacy. They have also been asked to help patients requiring methadone and tuberculosis therapies. One of Japan’s 3 mobile pharmacy vans arrived in the Kumamoto area the day after the second earthquake struck (photo credit: Denise A. Epp). Yesterday, the first pharmacist (from the Royal Alexandra Hospital in Edmonton) was sent to the field hospital set up in Fort MacMurray. Her mission will be to serve the first responders’ needs. And the challenges continue: as of today, they have noted acute diarrheal illnesses in many evacuees, likely a Norwalk or similar virus. This is the scene at the Northlands Expo Centre where pharmacists are busy assessing and prescribing for victims of the Fort McMurray disaster (photo credit: Deb Van Haaften). In all of this, hospital pharmacists have volunteered to help, 24/7. The Royal Alexandra Hospital pharmacy is busy restocking emergency medical supplies. Many community pharmacies have also stepped up to meet the needs of patients. These are all very different tragedies. But I note a few strong themes: courage, selflessness, and above all, patient-centredness. This is an inspiring demonstration (and recognition) of the role that we play in society. Indeed, the actions of these and other pharmacists in the face of disasters could be a defining moment for pharmacy. ■

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,002
score de la tête « metaresearch » (Gemma)0,001
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesMéta-épidémiologie (sens strict), Études des sciences et des technologies, Charge utile insuffisante (le modèle a refusé de juger)
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,229
Score d'incertitude au seuil1,000

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0020,001
Méta-épidémiologie (sens strict)0,0010,000
Méta-épidémiologie (sens large)0,0010,000
Bibliométrie0,0010,001
Études des sciences et des technologies0,0020,000
Communication savante0,0000,001
Science ouverte0,0010,000
Intégrité de la recherche0,0000,001
Charge utile insuffisante (le modèle a refusé de juger)0,0050,001

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,069
Tête enseignante GPT0,376
Écart entre enseignants0,308 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Devis d'étudeSans objet
Domainenon disponible
GenreEmpirique

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations8
Publié2016
Routes d'admission2
Résumé présentoui

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