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Issue:  September 2013 •  Archive  •  Subscribe •  Unsubscribe
In This Edition Featured Article Featured CE
•  Editor's Notebook
•  Counseling Pearls
•  Senior Care
•  Clinical Corner
•  Consult Your Pharmacist
•  Educational Spotlight
•  Quick Poll
  – E-Cigarettes
  Photo Drugs in Pregnancy: Do the Benefits Outweigh the Risks?
The prevalence of medication use during pregnancy is widespread and on the rise.
  Photo Pharmacogenomics in Women’s Health
Relating genetics to drug response is the basis of this rapidly expanding field.
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Editor's Notebook
It’s Called "Customer Service"

Pharmacists are some of the most service-oriented professionals in health care. It’s what makes our profession stand out from many other medical disciplines.
Counseling Pearls
Photo The Management of Primary Dysmenorrhea

Menstrual complaints are frequently self-treated by patients of all ages. NSAIDs and combined oral contraceptives represent first-line therapy for pain, but several dietary and herbal supplements also show promise for symptom relief.
Photo Women and Depression: Does Gender Matter?

Depression, like many other psychiatric illnesses, may present differently in women versus men. These disparities go beyond the depressive syndromes unique to women—namely, postpartum and menopausal depression—and often manifest in women with major depressive disorder.
Senior Care
Access to Health Care: Influential Factors and Cultural Competence

Navigating across cultures requires tools such as learning how to listen, empathize, and negotiate a treatment and pharmaceutical plan with patients.
Clinical Corner
Photo Eating Disorders: The Weight of Food

Anorexia nervosa, bulimia nervosa, and binge eating disorder are the most common types of eating disorders. These physical and psychological conditions involve abnormal eating behaviors and often include irregular thoughts towards food and distorted body image.
Photo Infections in Pregnancy

Many different types of infections can occur during pregnancy, including STDs, UTIs, group B streptococcal disease, listeriosis, and toxoplasmosis. A number of antimicrobial therapy regimens may be used for treatment.
Consult Your Pharmacist
Prenatal Supplements

Prenatal supplements are a critical component of health care during pregnancy. Folic acid is key to the prevention of neural tube defects. Calcium and iron intake should also be increased.
Educational Spotlight
Screening and Management of Diabetic Kidney Disease

Early recognition and diagnosis of this microvascular complication of diabetes can reduce morbidity and mortality.
Community-Acquired Bacterial Pneumonia: A Primer for Pharmacists

CABP is the most frequently occurring infectious disease in the U.S.
Strategies for the Prevention and Management of Nevi (Moles)

The presence of multiple moles is associated with an increased risk of melanoma.
E-Cigarettes Found Effective for Smoking Cessation
Barcelona, Spain — According to the results of a recent trial, e-cigarettes showed about the same rate of success in helping smokers quit as nicotine patches. The findings were published online in The Lancet and also presented at the European Respiratory Society Annual Congress in Barcelona, Spain. Similar percentages of smokers were still not smoking 3 months after following a 13-week course using either e-cigarettes (7.3%) or nicotine patches (5.8%). Researchers caution that it is still too early to determine where these devices fit into tobacco control and that additional studies should be conducted to "establish their overall benefits and harms at both individual and population levels."
ER/LA Opioid Label Changes Mandated
Bethesda, MD— The FDA has announced safety labeling changes and postmarket study requirements for extended-release (ER) and long-acting (LA) opioid analgesics. The updated indication states that ER/LA opioids are indicated for the management of pain severe enough to require daily, long-term treatment for which alternative therapies are inadequate. It further clarifies that they are not indicated for as-needed pain relief. The FDA is also requiring drug manufacturers to conduct further studies and clinical trials. The goals of these postmarket requirements are to further assess the known serious risks of misuse, abuse, addiction, overdose, and death. Once the safety labeling changes are finalized, modifications will also be made to the ER/LA Opioid Analgesics Risk Evaluation and Mitigation Strategy (REMS).
Blood Test Can Quickly Identify Viral or Bacterial Infections
Durham, NC— Researchers at Duke University have developed a blood test that can determine whether respiratory illness is caused by a bacterial infection or a virus, with over 90% accuracy. The test takes about 12 hours to get results. Current methods take several days to distinguish the cause, and they are not always accurate. The new test utilizes a genetic signature that the immune system gives off when being attacked by either bacteria or viruses. Researchers indicate that the test has the potential to be extremely beneficial because it can help with diagnosis and prevent physicians from giving unnecessary antibiotics.
To subscribe to e-Connect, send your name, address, and email address to us by clicking here. U.S. Pharmacist is a monthly journal dedicated to providing the nation's pharmacists with up-to-date, authoritative, peer-reviewed clinical articles relevant to contemporary pharmacy practice in a variety of settings, including community pharmacy, hospitals, managed care systems, ambulatory care clinics, home care organizations, long-term care facilities, industry and academia. The publication is also useful to pharmacy technicians, students, other health professionals and individuals interested in health management. Pharmacists licensed in the U.S. can earn Continuing Education credits through Postgraduate Healthcare Education, LLC, accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.