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Biomedical subjects

W T Hill

Publications and source records attributed to W T Hill.

11 recordsLinked to original sources

Harvey A.K. Whitney lecture. Taking charge of the profession.

The relationship between pharmacists' attitudes toward the profession and their career opportunities is described. Pharmacists must be committed to the idea that pharmacy is an essential component of health care. Pharmacy education needs to instill an attitude of service and excellence and an expectation of success. Social, political, economic, and professional change has challenged fundamental assumptions and values that made life predictable in the past. Pharmacists have permitted others to establish the scope and limits of professional pharmacy practice; it is time for pharmacists themselves to determine the future of their profession by focusing on providing services to fulfill unmet health-care needs. The profession as a whole will suffer if pharmacists view certain practice roles or settings as inferior. When all pharmacists accept "drug-use control" as the primary ethic that drives pharmaceutical decisions, the public, the government, and other health-care providers will respect that role for pharmacists. Studying the pharmacy literature can enhance pharmacists' positive feelings about their contributions. Pharmacists alone are responsible for the status of the profession and for changing what needs to be changed. By changing their thinking about the profession, pharmacists can broaden their career opportunities.

Attitude of Health Personnel↗

Pharmacist-managed patient assessment and medication refill clinic.

The effectiveness of a pharmacist in determining the appropriateness of prescription renewal for patients appearing at a hospital-based refill clinic was investigated. In part 1, data were collected on the clinic as it traditionally functioned with staff physicians evaluating the patients. In parts 2 and 3, data were collected with the pharmacist assuming the assessment function. In part 2, a physician reviewed the pharmacist's decisions before the patient left. In part 3, the pharmacist functioned without supervision and the physician reviewed patient records retrospectively. Physician agreement with the pharmacist's decisions was the primary criterion for determining effectiveness, and was found to be 99% in part 2, for a total of 105 patients. In part 3, physician agreement remained at the 99% level for a total of 106 patients. Patient waiting time was about the same in each part of the study because of clinic procedures beyond the pharmacist's control. A pharmacist can be cost-effective in this role if the task is combined with regular pharmaceutical functions.

Cost-Benefit Analysis↗

Study of particulate matter in carbenicillin disodium using scanning electron microscopy and microbeam x-ray spectrography.

A scanning electron microscopy membrane filtration study was conducted to determine the particulate contamination of samples of carbenicillin disodium which had been manufactured by bulk filling and by lyophilization. The bulk-filled product contained more contaminating particles than the lyophilized product. In both products, the number of particles increased logarithmically with decreasing particle size in the range measured (exceeding 0.1 micron). X-ray spectrographic analysis of particles larger than 0.5 micron revealed that the major particulate contaminates in both products were composed primarily of elements below atomic number 10. It is concluded that packaging of carbenicillin disodium by lyophilization of a solution results in significantly less submicrometer particulate contamination than packaging by sterile bulk filling of spray-dried powder.

Carbenicillin↗

Sperm antibodies after vasectomy with fulguration.

Whether antisperm antibodies develop after vasectomy probably depends on several variables, 1 of which may be the surgical technique. The levels of serum antisperm antibodies were compared in men vasectomized by 1 techniques: vasoligation and fulguration. No difference in the incidence of spermagglutinating antibody was found in the 2 groups. However, immobilizing antibodies were observed in 43 per cent of the men undergoing vasoligation but in only 29 per cent of the men vasectomized by fulguration.

Agglutinins↗