Browsing by Author "Ardava, Elita"
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Item Reasons to Development of Assistant Pharmacists’ Competences for Quality Patient Consulting in Polypharmacy Cases(Rēzeknes Tehnoloģiju akadēmija, 2020-05-20) Ardava, Elita; Makšāne, Valerija; Šukele, Renāte; Onževs, Oskars; Lubkina, Velta; Kaupužs, Aivars; Znotiņa, Daina; Red Cross Medical College of Rīga Stradiņš UniversityOver fifteen years, polypharmacy has increased by 4.9% across all age groups. Consequently, the responsibility of professionals foradvising patients in such cases has increased as well.The research aims at studyingpatients' habits when purchasing and using medicinal productsto enhance the theoretical and practical training of assistant pharmacists at the RSU Red Cross Medical College.The research is based on the patient questionnaires and further analysis of results withinafocus group. 404 respondents were interviewedbetween December 2017 and November 2019. Under the conventionsofsocial studies, this ensured a3%margin of error at a confidence level of 5%.Accordingto the results of the questionnaire, 44% of the surveyed women and 66% of men were rarely or very rarely interested in the possible side effects of a new medicinal products, foodsupplement or herbal product. Patients could obtain such information by reading the package leaflet, however, 24% of women and 40% of men read it very rarely or rarely. 30% of respondents usedfour or more prescription and over-the-countermedicalsubstances on a daily basis.Theinformation-gaining habits of the populationregarding side effects and interactions of medicinal products, food supplements and herbal remediessuggest patients mustreceive oralandmore detailed information from a pharmacist.Based on the obtained results, thefocus group outlined opportunities for raisingpharmacy students' competencesItem Research of computerization and implementation of the E-prescription for individual pharmacies(Rezekne Higher Education Institution, 2011) Ardava, Elita; Onzevs, Oskars; Viksne, Ilmars; Namatevs, IvarsThe paper deals with establishment, implementation and development of electronic prescription or e-Prescription in context with e-Health solutions. It includes introduction of a numerous innovative solutions, which are to be committed for data information flow, data management and functionality as well as of establishment of a new feasible communication forms between doctors, patients and pharmacists. The aim of the study is to describe some technical aspects and functionality of implementation of e-Prescription system for medical institutions, patients and pharmacies; and, calculation of the total cost of implementation (TCI) for Latvian individual pharmacies. Several expecting financial aspects, which have encompassed evaluation of TCI, calculating payback time, ROI, NPV, and IRR are to be calculated. On the bases of these financial calculations, the primary investment of implementation of e-Prescription for individual pharmacies and initial costs are determined. Impact on individual parts of TCI with the scope to individual pharmacy size, location, existence or absence of formal information strategy has calculated. According to collected data, research paper shows how proposed electronic system is going to implement among Latvian individual pharmacies.Item Safety Concerns Related to the Simultaneous Use of Prescription or Over-the-Counter Medications and Herbal Medicinal Products : Survey Results among Latvian Citizens(2023-08-09) Sile, Inga; Teterovska, Renate; Onzevs, Oskars; Ardava, Elita; Department of Applied Pharmacy; Department of Pharmaceutical Chemistry; Red Cross Medical College of Rīga Stradiņš UniversityThe use of herbal medicines is increasing worldwide. While the safety profile of many herbal medicines is promising, the data in the literature show important interactions with conventional drugs that can expose individual patients to high risk. The aim of this study was to investigate the experience of the use of herbal medicines and preparations and the risks of interactions between herbal and conventional medicines among Latvian citizens. Data were collected between 2019 and 2021 using a structured questionnaire designed for pharmacy customers in Latvia. Electronic databases such as Drugs.com, Medscape, and European Union herbal monographs were reviewed for the risk of drug interactions and potential side effects when herbal medicines were involved. The survey included 504 respondents. Of all the participants, 77.8% used herbal preparations. Most of the participants interviewed used herbal remedies based on the recommendation of the pharmacist or their own initiative. A total of 38.3% found the use of herbal remedies safe and harmless, while 57.3% of respondents regarded the combination of herbal and regular drugs as unsafe. The identified herbal medicines implicated in the potential risk of serious interactions were grapefruit, St. John’s wort, and valerian. As the risks of herb–drug interactions were identified among the respondents, in the future, both pharmacy customers and healthcare specialists should pay more attention to possible herb–drug interactions of over-the-counter and prescription medications.