@article {373, title = {Pharmacy Safety and Occupational Health: Fire Safety Perspectives}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2024}, month = {February 2024}, pages = {167-174}, type = {Review Article}, chapter = {167}, abstract = {

Objectives: To explore the occupational safety and health emphasis on fire safety policy and procedures in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of pharmacy practice fire safety policy and procedures. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of general occupational safety and health in hospital practice. The committee of pharmacy occupational safety and health policy and procedures formulated and consisted of various expert members. The policy included fire prevention, Emergency Plans, Fire Protection, Safety conditions, and requirements for the pharmacy buildings and medication stores. Results: The fire safety of pharmacy practice policy and procedures in pharmacy practice had various benefits, such as fire safety risk assessment, Usage of fire extinguishers type per each fire at each section of pharmacy services, illustrate the fire safety equipment requirement for pharmaceutical warehouse and pharmacy buildings, and instruction prevention of fire and during fire incident. Conclusion: Fire safety as part of occupational safety and health policy and procedures in pharmacy practice is a new initiative in Saudi Arabia. They will improve the pharmacy safety measurement and better occupational safety and health. In addition, it encourages pharmacy staff to adhere to local and international occupational safety and health regulations and standards. Therefore, The pharmacy occupational safety and health emphasis on fire safety highly recommended policies, procedures, and related risk assessment analysis in the pharmacy businesses in Saudi Arabia.

}, keywords = {Fire, Occupational safety, Pharmacy, Policy, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.22}, author = {Yousef Ahmed Alomi and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-Sabah and Naif Saleh Alamri and Abdulah Khalid Al-Otaibi and Mohammed Hakami and Rola AL Kenani and Samah Mukhlef Alzaid and Areej Abdullah Al Jasser and Farida Hamad Alsaiari} } @article {377, title = {Performances and Activities of Virtual Pediatrics Medication Counselling Clinic in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {189-194}, type = {Research Article}, chapter = {189}, abstract = {

Objectives: To explore the activities and performances of a virtual pediatrics medication counseling clinic in Riyadh City, Saudi Arabia. Methods: it was a retrospective analysis of activities and performances of a virtual pediatric medicine counseling clinic operated by the pharmacist at a public pediatric and maternity hospital. The pharmacist documented all the activities, including demographic information of patients visiting the clinic, the reason for the counseling, medication requirements to be counseled, and patient counseling items based on international guidelines. The data analysis was done through SPSS version 20 and Microsoft Excel version 2021; descriptive analysis and logistic regression of factors associated with the reason for counseling. Results: The total number of patients who visited the virtual pediatric medicine clinic through 20 months was 1955, with (97.75) per month. The majority of patients were female in the year 2021, 204 (63.55\%) vs. female 900 (61.19\%) in 2021, compared to male 117 (36.46\%) vs. males in year 2022 628 (38.81\%) with non-significant differences (p=0.149). The majority of patients were diagnosed as Diabetic Miletus in both years, 145 (45.17\%) vs 884 (54.47\%), with statistical significance differences between two 2021 and 2022 (p=0.000). The majority of patients counseled due to high alert medication was 230 (71.65\%) in 2021 vs. 1198 (73.32\%) in 2022, with non-statistically significant difference between them (p=0.539), and chronic diseases such as diabetes and asthma 224 (69.78\%) vs. 901 (55.14\%) in the year 2021 and 2022 respectively with statistical significance differences between both years (p=0.000). Most medication counseled was Insulin Aspart in both years, 121 (21.72\%) vs. 909 (31.92\%), insulin Glargine 104 (18.67\%) in 2021 vs. 555 (19.49\%) in 2022, and Enoxaparin in both years 40 (7.18\%) vs. 205 (7.20\%). Conclusion: The virtual pediatric medicine counseling clinic served many patients, emphasizing pediatric chronic diseases such as Diabetes and Asthma. Future studies are highly recommended to measure the clinical and economic outcomes and patient satisfaction.

}, keywords = {Clinic, Counseling, Medication, Pediatric, Saudi Arabia, Virtual}, doi = {10.5530/ijpcs.2023.12.26}, author = {Nouf Musleh Alassadi and Asma Mohammed Alzahrani and Haifa Shabeeb Almutairi and Tahani Mohammed Alotaibi and Mona Yousef Lubbad and Nouf Abdurazaq Alhaza and Raghad Maluoh Alanazi and Yousef Ahmed Alomi} } @article {367, title = {Pharmacy Safety and Occupational Health: Crisis and Disaster Management}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {129-137}, type = {Review Article}, chapter = {129}, abstract = {

Objectives: To the Crisis and Disaster Management policy and procedures in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of pharmacy practice{\textquoteright}s Crisis and Disaster Management policy and procedures. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of general occupational safety and health in hospital practice. The committee of pharmacy accounting policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the occupational safety and health specialist. The topic emphasizes the Crisis and Disaster Management of the Pharmacy policy. Results: Crisis and Disaster Management in pharmacy practice indicates its preparation for an emergency position at a particular time, indicating its assets, competent pharmacy human resources, and related material. The Crisis and Disaster Management consisted of the General concept of crisis and disaster management and the Content of Pharmacy crisis and disaster management (Planning, Implementation, Execution, Training and Education, Exercise and test, Maintenance, and improvement). Conclusion: The Crisis and Disaster Management in pharmacy practice policy and procedures is a new initiative project for pharmacy career professionals. Crisis and disaster management in pharmacy practice improve public demand during healthcare emergencies and risk management decisions. In addition, it encourages pharmacists to participate in public voluntary and charitable activities at various places in healthcare institutions. Therefore, the Crisis and Disaster Management in pharmacy practice policy and procedures policy is highly recommended for implementation in the pharmacy business in Saudi Arabia.

}, keywords = {Crisis, Disaster, Management, Pharmacy, Safety, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.16}, author = {Yousef Ahmed Alomi and Naif Saleh Alamri and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-Sabah and Abdulah Khalid Al-Otaibi and Mohammed Hakami and Samah Mukhlef Alzaid and Rola AL Kenani and Ammar Ali AlAbdullatif and Areej Abdullah Al Jasser and Ibrahim Ali Al Mughira} } @article {379, title = {Pharmacy Safety and Occupational Health: Education and Training}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {197-206}, type = {Review Article}, chapter = {197}, abstract = {

Objectives: To explore the occupational safety and health system education and training in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of occupational safety and health policy and procedures in pharmacy practice. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of occupational safety and health in hospital practice. The committee of pharmacy occupational safety and health policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the occupational safety specialists. The topic emphasizes the occupational safety and health system education and training of the Pharmacy policy. Results: The pharmacy occupational safety and health Education and Training consisted of various items. That has included program objectives, admission requirements, teaching and education methodology, and occupational safety and health Education and Training steps in pharmacy practice. The occupational safety and health education and training contained five models. For instance, Fire safety at pharmacy services, Pharmacy Crisis and Disaster Management, and Pharmacy Material Safety Data Sheet. Besides, the Pharmacy Safety and Occupational Health Surveillance and Monitoring and Quality Management of occupational safety and health. Each model describes the Module description, Learning Objectives, Module Outlines, and Competency items. Conclusion: The occupational safety and health system education and training in pharmacy practice is a new initiative for pharmacy career professionals. It will improve pharmacy occupational safety and health system skills and encourage all pharmacy staff (clinical, distributive pharmacist, and pharmacy technicians) to comply with occupational safety and health system regulations in different pharmacies in various healthcare organizations. Therefore, the occupational safety and health system education and training policy and procedures are required and mandated for pharmacy services in Saudi Arabia.

}, keywords = {Education, Health, Occupational safety, Pharmacy, Policy, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.28}, author = {Yousef Ahmed Alomi and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-sabaa and Naif Saleh Alamri and Abdulah Khalid Al-Otaibi and Mohammed Hakami} } @article {366, title = {Pharmacy Safety and Occupational Health Program in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {127-128}, type = {Editorial}, chapter = {127}, abstract = {

Medication safety is a well-known concept locally and internationally.[1] It deals with drugs inside the patient{\textquoteright}s health workers or healthcare providers.[2] In contrast, another safety issue discusses the safety of the patient or healthcare professionals. It is safe during the occupational and professional process.[3] There are safety concerns for the whole life during working, house, and practicing everyday life. The safety to prevent any destruction or threats of personal, equipment, material, or pharmaceutical products and the environment during health care operations.[4-6] Safety is required for ethical issues and humanity{\textquoteright}s safety. Providing a safe environment during regular work and jobs leads to work satisfaction and increases performance and activities.[7,8] Besides, practice safety performances that distribute safety concepts in society. Safety at work requires strictly following occupational health safety laws and regulations and voiding any financial penalties if not following the law.[7,8] besides the economic burden by preventing incidents for human life, equipment, and the environment.[7]

}, keywords = {Nil}, doi = {10.5530/ijpcs.2023.12.15}, author = {Yousef Ahmed Alomi} } @article {381, title = {Pharmacy Safety and Occupational Health: Quality Perspective}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {208-216}, type = {Review Article}, chapter = {208}, abstract = {

Objectives: To explore quality management policy and procedures of the pharmacy occupational safety and health system in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of the pharmacy occupational safety and health system and quality management policy and procedures in pharmacy practice. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of occupational safety and health in hospital practice. The committee of pharmacy occupational safety and health policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the occupational safety specialists. The topic emphasizes the occupational safety and health system and quality management policy and procedures. Results: The review for quality management of occupational safety and health system policy and procedures in pharmacy practice has consisted of pharmacy occupational safety and health auditing and quality management performance indicators. Besides, it discusses the techniques of conducting quality management systems for occupational safety and health programs in pharmacy practice. Conclusion: The quality management of occupational safety and health system policy and procedures in pharmacy practice demands keeping adherence to occupational safety health standards at an appropriate level, with unnecessary cost control. Besides, monitor key performance indicators of pharmacy occupational safety and health auditing system. Thus, quality management of occupational safety and health system policy and procedures is highly recommended for pharmacy career professionals worldwide.

}, keywords = {Health, Occupational safety, Pharmacy, Policy, Quality management, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.30}, author = {Yousef Ahmed Alomi and Mohannad Ali Abu-sabaa and Naif Saleh Alamri and Areej Abdullah Al Jasser and Maram Kamian Al Shammari and Abdulah Khalid Al-Otaibi and Mohammed Hakami} } @article {339, title = {Perception of Pharmacists about Cardiopulmonary Resuscitation Pharmacy Services in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {112-121}, type = {Research Article }, chapter = {112}, abstract = {

Objectives: To demonstrate the Pharmacist{\textquoteright}s perception of CPR pharmacy services in Saudi Arabia. Materials and Methods: The study analyzed a cross-sectional survey that discussed the perception of Pharmacists about Cardiopulmonary Resuscitation (CPR) pharmacy service in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists, The Perception of pharmacists about a CPR pharmacy service, and barriers, which factors may affecting implementing a CPR pharmacy service. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were carried out with the study. The data analysis of the perception of Pharmacists about Cardiopulmonary Resuscitation (CPR) pharmacy service is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16 were implemented. Results: A total number of 439 pharmacists responded to the questionnaire. Of them, more than onethird responded from the Central region (122 (31.69\%)), one Quarter responded from the Eastern part (91 (23.64\%)), and one-fifth responded from the southern region (79 (20.52\%)). Males responded more than females (203 (53.14\%)) versus 179 (46.86\%)), with statistically non-significant differences between all levels (p=0.219). Most of the responders were in the age group of 36-45 years (152 (39.48\%)) and 46-55 years (134 (34.81\%)), with statistically significant differences between all age groups (p=0.000). The majority of pharmacists had training courses in Basic Life Support (BLS) (293 ((77.11\%)), Advance Cardiac Life Support (ACLS) (289 ((76.05\%)), Pediatric Cardiac Life Support (PCLS) (287((75.53\%)), and Neonatal Cardiac Life Support (NCLS) (203 ((53.42\%)), with statistically significant differences between all levels (p=0.000). The average score of perception of pharmacists about the CPR pharmacy service was (4.32). The element {\textquotedblleft}Pharmacist participation in CPR code led to positive changes{\textquotedblright} obtained the highest score (4.50). The pharmacists believe that The hospital promotes itself as an organization that pharmacist responds to CPR codes and other emergency-related issues (4.50). The average score for the element {\textquotedblleft}Factors affected to prevent you to shares in the CPR codes{\textquotedblright} was (3.95). The highest score for the component {\textquotedblleft}Competency/ Clinical knowledge{\textquotedblright} was (3.38). The score for the element {\textquotedblleft}Shortage of pharmacy staff{\textquotedblright} was (4.41), and level of clinical knowledge makes it difficult to decide whether or not the Pharmacist participates in the CPR team {\textquotedblleft}was (4.39). Followed the element {\textquotedblleft}Uncertain association between the CPR medications and occurrences of Medication Errors (MEs) during CPR code{\textquotedblright} was (4.34), and the element {\textquotedblleft}Fear of legal liability{\textquotedblright} was (4.34). Conclusion: The pharmacist{\textquoteright}s perception of CPR code services is appropriate. Eliminating obstacles to CPR services implementation during undergraduate and postgraduate studies is required. The pharmacist{\textquoteright}s role needs to clarify, and periodic education and training are highly critical in pharmacy practice in Saudi Arabia.

}, keywords = {Cardiopulmonary Resuscitation, Perception, Pharmacists, Pharmacy Services.}, doi = {10.5530/ijpcs.2022.11.18}, author = {Yousef Ahmed Alomi and Wafa Hussain Alshehre and Rola AL Kenani and Samah Mukhlef Alzaid and Khawlah Ibrahim Alshahrani} } @article {346, title = {Perception of Pharmacists about Pharmacy Health Insurances Services in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {173-184}, type = {Research Article }, chapter = {173}, abstract = {

Objectives: To demonstrate the Perception of Pharmacist about Pharmacy Health Insurances Services in Saudi Arabia. Materials and Methods: It analyzes a crosssectional survey discussing Pharmacists{\textquoteright} Perceptions of Pharmacy Health Insurances Services in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists, perception of pharmacists about health insurance, barriers, which factors may Discourage you from implementing health insurance medications, recommendations/suggestions for facilitating the implementation of high-risk medicines, and medications health insurance responsibility. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of the reliability of McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were done with the study. Furthermore, the data analysis of the Perception of Pharmacist about Health Insurances in pharmacy practice is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 398 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (137 (34.51\%)), and one Quarter responded from the western part (109 (27.46\%)), with statistically significant differences between the provinces (p=0.000). Males responded more than females (239 (60.35\%)) versus 157 (39.65\%)), with statstically significant differences between all levels (p=0.000). Most of the responders were in the age group of 24-30 years (271 (68.26\%)) and 31-35 years (56 (14.11\%)), with statistically significant differences between all age groups (p=0.000). Most of the pharmacists were staff pharmacists (300 (75.76\%)) and pharmacy supervisors (43 (10.86\%)), with statistically significant differences between all levels (p=0.000). Almost one-half of pharmacists currently have health insurance coverage (239 ((60.05\%)) with equal or less than one year (108 ((42.52\%)), or 2-3 years (81 ((31.89\%)), have you been associated with your current insurance provider with statistically significant differences between all levels (p=0.000). The average score of perception of pharmacists about health insurance was (3.62). The element {\textquotedblleft}The participation of pharmacists in Heath insurance system should be mandatory {\textquotedblright} obtained the highest score (3.81). The aspect {\textquotedblleft}The Heath insurance pharmacist can analyze the consumption of the medication at healthcare institutions{\textquotedblright} was (3.75). The average score for the element {\textquotedblleft}factors may Discourage you from implementing Health insurance at pharmacy practice{\textquotedblright} was (3.27). The score for the component {\textquotedblleft}The health insurance pharmacist was Not taught properly in pharmacy Schools {\textquotedblright} was (3.59). The score for the element {\textquotedblleft}Lack of Periodic training of pharmacy staff about the role of health insurance pharmacist {\textquotedblright} was (3.57). Most staff responsible for medications and health insurance was Heath insurance Pharmacist (3.65) more than Heath insurance Doctors (2.90) or accountant (2.70), with a statistically significant difference between the responses (p\<0.001). The recommendations/suggestions for facilitating the implementation of pharmacist health insurance were {\textquotedblleft}Increase number of Heath insurance pharmacist staff {\textquotedblleft} 258 (69.07\%) and {\textquotedblleft}Implement of Heath insurance pharmacist at healthcare institutions{\textquotedblright} 252 (64.95\%). Conclusion: The Perception of Pharmacists about Health Insurance in pharmacy practice is appropriate. The pharmacy insurance system demands administrative support. Removing the obstacles and increasing pharmacy staff in health insurance organizations are highly recommended in Saudi Arabia.

}, keywords = {about Pharmacy, Health Insurances, Perception, Pharmacists, Services Saudi Arabia.}, doi = {10.5530/ijpcs.2022.11.24}, author = {Yousef Ahmed Alomi and Shaimaa O Ahmadeen and Maha Hussein Almadany and Mohammad Abdullah Alghamdi and Atheer Fahad Al-Aqile} } @article {344, title = {Perception of Pharmacists About the High-Risk/Alert Medications in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {151-160}, type = {Research Article }, chapter = {151}, abstract = {

Objectives: To demonstrate the perception of pharmacists about the High-Risk/ Alert medications in Saudi Arabia. Methods: It analyzes a cross-sectional survey that discussed the perception of pharmacists about High-Risk/Alert medications in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists and The Perception of High-Risk/Alert Medications, barriers, which factors may Discourage you from implementing High-Risk/Alert medications, and recommendations/suggestions for facilitating the implementation of High-Risk/Alert medicines. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6, were done with the study. In addition, the data analysis of the Perception of Pharmacists About the High-Risk/Alert Medications in Saudi Arabia is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 442 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (183 (40.40\%)), and one Quarter responded from the Western part (119 (26.92\%)), with statistically significant differences between the provinces (p=0.000). Males responded more than females (264 (59.59\%)) versus 179 (40.41\%)), with statistically significant differences between all levels (p=0.000). Most of the responders were in the age group of 24-30 years (266 (59.91\%)) and 31-35 years (78 (17.57\%)), with statistically significant differences between all age groups (p=0.000). Most of the pharmacists were staff pharmacists (323 (72.75\%)) and pharmacy supervisors (56 (12.61\%)), with statistically significant differences between all levels (p=0.000). The average score of perception of pharmacists about High-Risk/Alert medications was (3.88). The element {\textquotedblleft}Staff compliance with protocols, guidelines and order sets related to high-alert medications is required{\textquotedblright} obtained the highest score (4.38). The pharmacists believe that Standard protocols, order sets, and orders express IV and neuraxial high-alert medication infusions/doses are highly recommended (4.36). The average score for the element {\textquotedblleft}Factors Discourage you to implement High-Risk/Alert medications{\textquotedblright} was (3.36). The highest score from the component {\textquotedblleft}The High-Risk/Alert medications are of a serious nature{\textquotedblright} was (3.92). The score for the element {\textquotedblleft}Lack of Periodic training of pharmacy staff about High-Risk/Alert medications {\textquotedblright} was (3.83), and {\textquotedblleft}Low level of clinical knowledge of High-Risk/Alert medications {\textquotedblleft}was (3.70). The most recommendations/suggestions for facilitating the implementation of High-Risk/ Alert medications were the Implementation of an electronic high-alert medications system 385(88.30\%), setup up the therapeutic protocol or guidelines for High-Risk/ Alert medications 347 (79.59\%), and standardizing the prescribing, preparation, dispensing and administration of High-Risk/Alert drugs 345 (79.13\%). Conclusion: The pharmacist attributed High-Risk/Alert medications as appropriate. Therefore, targeting periodic education and training. Besides, improving clinical knowledge and implementing an electronic High-Risk/Alert medications system are highly suggested to improve patient outcomes and avoid drug-related disorders at healthcare facilities in Saudi Arabia.

}, keywords = {Alert, Drugs., High-risk, Medications, Perception, Pharmacist}, doi = {10.5530/ijpcs.2022.11.22}, author = {Yousef Ahmed Alomi and Mohammad Abdulaziz AL-Tuwaijri and Nouf Saad Al-Saban and Maha Hussein Almadany and Faisal Safouq Alanazi} } @article {334, title = {Pharmacist{\textquoteright}s Knowledge of High-risk/Alert Medications in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {65-71}, type = {Research Article }, chapter = {65}, abstract = {

Objectives: To explore pharmacist{\textquoteright}s knowledge of High-risk/Alert medications in Saudi Arabia. Methods: It analyzes a cross-sectional survey discussing pharmacist knowledge of High-risk/Alert medications in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists, the High-risk/Alert medications assessment of basic knowledge, and The Resources used about the High risk or high-alert medications. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of the reliability of McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 been done with the study. Furthermore, the data analysis of the pharmacist{\textquoteright}s knowledge of High-risk/ Alert medications is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 442 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (183 (40.40\%)), and one Quarter responded from the Western part (119 (26.92\%)), with statistically significant differences between the provinces (p=0.000). Males responded more than females (264 (59.59\%)) versus 179 (40.41\%)), with statistically significant differences between all levels (p=0.000). Most of the responders were in the age group of 24-30 years (266 (59.91\%)) and 31-35 years (78 (17.57\%)), with statistically significant differences between all age groups (p=0.000). Most of the pharmacists were staff pharmacists (323 (72.75\%)) and pharmacy supervisors (56 (12.61\%)), with statistically significant differences between all levels (p=0.000). The average score of knowledge of pharmacists about High-risk/ Alert medications was (3.71). The pharmacists familiar with prohibited abbreviations during High-risk/Alert prescribing medications obtained the highest score (4.42). The element {\textquotedblleft}heard about the concept of High-risk/Alert medications{\textquotedblright} got the second highest score (4.39), with a statistically significant difference between the responses (p\<0.000). Followed by the pharmacists familiar with look-alike sound-alike of Highrisk/ Alert medications (4.30) and know the narcotics and controlled medications (4.27) ), with a statistically significant difference between the responses (p\<0.000). The most used resources for High-risk/Alert or high-alert medication information were Drug information resources (Lexi comp-drug information, Micromedex, Epocrates etc. 345 (78.05\%), and Scientific literature 222 (50.23\%). They were followed by Health practitioners 206 (46.61\%) SFDA website 157 (35.52\%). Conclusion: The pharmacist{\textquoteright}s knowledge of High-risk/Alert medications is adequate in Saudi Arabia. However, an expanded basic and advanced understanding of High-risk/Alert areas is needed to improve pharmacy performance, patient safety, and quality of life in Saudi Arabia.

}, keywords = {Alert, Drugs., High-risk, Knowledge, Medications, Pharmacist}, doi = {10.5530/ijpcs.2022.11.13}, author = {Yousef Ahmed Alomi and Nouf Saad Al-Saban and Maha Hussein Almadany and Randa Jaroudi and Faisal Safouq Alanazi and Musleh Samil Reshidi} } @article {320, title = {Pharmacy Research Policy and Procedures: New initiative Project in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {April 2022}, pages = {01-02}, type = {Editorial}, chapter = {01}, abstract = {

In recent years, the number of healthcare research studies with a focus on pharmaceutical care has increased in Arabic countries, emphasized in Saudi Arabia.[1-4] Furthermore, regulations and guidelines for conducting human scientific research have been developed in the healthcare system, as have types of research reporting or scientific publications.[5-17] The standards for conducting research place a greater emphasis on humanitarian, such as protecting human welfare, improving patient safety from any potential hazards, and improving clinical trial outcomes in healthcare systems. Therefore, patient protection was standardized, while the system also encouraged researchers to investigate healthcare services by categorizing research into different categories. The exempted ground is that; any study that does not harm patients, such as healthcare research, education surveys, native reviews, systemic reviews, and metaanalysis research, is exempted from the ethical committee{\textquoteright}s review and approval.[18,19].\  Read more....

}, keywords = {Nil}, doi = {10.5530/ijpcs.2022.11.1}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar} } @article {342, title = {Practice of Cardiopulmonary Resuscitation Services by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {132-140}, type = {Research Article }, chapter = {132}, abstract = {

Objectives: To explore the pharmacist practice of CPR services in Saudi Arabia. Materials and Methods: The study analyzed a cross-sectional survey that discussed the Pharmacist practice of Cardiopulmonary Resuscitation (CPR) in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists, The availabilities of CPR teams, and pharmacist participation in the teams. The hospital{\textquoteright}s specialties had pharmacy personnel participate with the CPR code. Besides activities the pharmacist provides during CPR code, medications are mainly used for CPR code and pharmacy CPR services implementations. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of the reliability of McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were carried out with the study. The data analysis of the Pharmacist practice of Cardiopulmonary Resuscitation (CPR) medications is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16 were implemented. Results: A total number of 439 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (122 (31.69\%)), one Quarter responded from the Eastern part (91 (23.64\%)), and one-fifth responded from the southern region (79 (20.52\%)). Males responded more than females (203 (53.14\%)) versus 179 (46.86\%)), with statistically non-significant differences between all levels (p=0.219). Most of the responders were in the age group of 36-45 years (152 (39.48\%)) and 46-55 years (134 (34.81\%)), with statistically significant differences between all age groups (p=0.000). The majority of pharmacists had training courses in Basic Life Support (BLS) (293 ((77.11\%)), Advance Cardiac Life Support (ACLS) (289 ((76.05\%)), Pediatric Cardiac Life Support (PCLS) (287((75.53\%)), and Neonatal Cardiac Life Support (NCLS) (203 ((53.42\%)), with statistically significant differences between all levels (p=0.000). Most pharmacists participated with CPR code with Adults CPR team 317 (81.07\%), Neonates CPR team 236 (59.75\%), and Pediatric CPR team 230 (58.08\%). Most hospital specialties had pharmacy personnel and participated with CPR code: Emergency 339 (86.26\%) and Medical (76.59\%). The activities provided during the CPR code by pharmacists mostly were the Administration of medications 314 (71.69\%), Preparation and dispensing of medications 278 (63.47\%), and Providing drug information 267 (60.96\%). During ACLS, the most used medicines were Amiodarone 326 (77.99\%), Dobutamine 323 (74.94\%), and Procainamide 304 (74.33\%). The average score of implemented items for CPR services was (4.09). The {\textquotedblleft}Mission of CPR{\textquotedblright} element obtained the highest score (4.23). The aspect {\textquotedblleft}The vision of CPR including the (ACLS-PCLS-NCLS){\textquotedblright} was (4.18). In contrast, the lowest score was obtained for the element {\textquotedblleft}Policy and procedure of CPR{\textquotedblright} (3.94). The score for the component {\textquotedblleft}The strategic plan of CPR{\textquotedblright} was (4.02), with a statistically significant difference between the responses (p\<0.009). Conclusion: The pharmacist{\textquoteright}s full practice in CPR services is insufficient at most healthcare organizations. Pharmacist participation in the CPR code with whole provides distributive and clinical services that are highly demanded to prevent drug misadventures and improve patient clinical outcomes in the kingdom of Saudi Arabia.

}, keywords = {Cardiopulmonary Resuscitation, Pharmacists, Practice, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2022.11.20}, author = {Yousef Ahmed Alomi and Samah Mukhlef Alzaid and Wafa Hussain Alshehre and Rola AL Kenani and Khawlah Ibrahim Alshahrani} } @article {343, title = {Practice of Health Insurance Services by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {141-150}, type = {Research Article }, chapter = {141}, abstract = {

Objectives: To illustrate the Practice of Health Insurance Services by Pharmacists in Saudi Arabia. Materials and Methods: It analyzes a cross-sectional survey that discussed the Pharmacist practice of health insurance in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists and types of Health insurance coverage, present items for health insurance pharmacists at any healthcare institution, and Health insurance pharmacist practice implementation. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 been done with the study. Furthermore, the data analysis of the Practice Health Insurance Services by Pharmacists is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 398 pharmacists responded to the questionnaire. Of them, more than onethird responded from the Central region (137 (34.51\%)), and one Quarter responded from the western part (109 (27.46\%)), with statistically significant differences between the provinces (p=0.000). Males responded more than females (239 (60.35\%)) versus 157 (39.65\%)), with statistically significant differences between all levels (p=0.000). Most of the responders were in the age group of 24-30 years (271 (68.26\%)) and 31-35 years (56 (14.11\%)), with statistically significant differences between all age groups (p=0.000). Most of the pharmacists were staff pharmacists (300 (75.76\%)) and pharmacy supervisors (43 (10.86\%)), with statistically significant differences between all levels (p=0.000). Almost one-half of pharmacists currently have health insurance coverage (239 ((60.05\%)) with equal or less than one year (108 ((42.52\%)), or 2-3 years (81 ((31.89\%)), have you been associated with your current insurance provider with statistically significant differences between all levels (p=0.000). The average score of practice items for health insurance pharmacists at any healthcare institution (is 1.78). The element {\textquotedblleft}Heath insurance and high-risk medications {\textquotedblright} obtained the highest score (1.85). The aspect {\textquotedblleft}Heath insurance pharmacist and home healthcare medication{\textquotedblright} was (1.84). The average score of Health insurance pharmacist practice implementation (is 3.29). The element {\textquotedblleft}The health insurance pharmacist employee as a staff member of Heath insurance departments or pharmacy services {\textquotedblright} obtained the highest score (3.53). The aspect {\textquotedblleft}The Heath insurance pharmacist had an active role in health insurance departments {\textquotedblright} was (3.53). Conclusion: The pharmacist practice of health insurance was inadequate. The health insurance system highly demands pharmaceutical care. Therefore, implementing health insurance pharmacists at healthcare organizations and other health insurance companies is highly suggested in Saudi Arabia.

}, keywords = {Health Insurance, Pharmacist, Practice, Saudi Arabia., Services}, doi = {10.5530/ijpcs.2022.11.21}, author = {Yousef Ahmed Alomi and Mohammad Abdulaziz AL-Tuwaijri and Mohammad Abdullah Alghamdi and Maha Hussein Almadany and Shaimaa O Ahmadeen and Atheer Fahad Al-Aqile} } @article {337, title = {Practice of High-Risk/Alert Medications by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {92-103}, type = {Research Article }, chapter = {92}, abstract = {

Objectives: To illustrate the pharmacist practice of High-Risk/Alertmedications in Saudi Arabia. Methods: It analyzes a cross-sectional survey that discussed the Pharmacist practice of High-Risk/Alert medications in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists and practices, Basic and advanced High-Risk/Alertmedications practice implementation, the High- Risk/Alertdrugs implemented in the following medication stages, and medications considered high alert or high risk at your institution. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 been done with the study. Furthermore, the data analysis of the Pharmacist practice of High-Risk/ Alert medications is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 442 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (183 (40.40\%)), and one Quarter responded from the Western part (119 (26.92\%)), with statistically significant differences between the provinces (p=0.000). Males responded more than females (264 (59.59\%)) versus 179 (40.41\%)), with statistically significant differences between all levels (p=0.000). Most of the responders were in the age group of 24-30 years (266 (59.91\%)) and 31-35 years (78 (17.57\%)), with statistically significant differences between all age groups (p=0.000). Most of the pharmacists were staff pharmacists (323 (72.75\%)) and pharmacy supervisors (56 (12.61\%)), with statistically significant differences between all levels (p=0.000). The average score of the practice of pharmacists{\textquoteright} basic of High-Risk/Alertmedications was (3.81). The element {\textquotedblleft}The risk medications is a part of medications safety vision{\textquotedblright} obtained the highest score (4.18), and the element {\textquotedblleft}Policy and procedure of High-Risk/ Alertmedications {\textquotedblleft} was (4.18). Followed the {\textquotedblleft}The High-Risk/Alertmedications is a part of medications safety Mission{\textquotedblright} (4.12). The average advanced High-Risk/Alertmedications practice implementation score was (3.62). The element {\textquotedblleft}The pharmacist share in medications safety committee for High-Risk/Alertmedications discussion{\textquotedblright} (4.12) and the element {\textquotedblleft}There is documentation of potential impact and outcomes with High- Risk/Alertmedications {\textquotedblleft} was (3.85). The average score of High-Risk/Alertmedications implemented in the medications stages was (3.99). The dispensing stage obtained the highest score (4.21), and the administration stage (4.12). Most drugs considered high alert or high risk at the institutions were antithrombotic agents 332 (77.39\%) and adrenergic agonists 330 (76.92\%). They were followed by insulin 285 (66.43\%) and inotropic medications 284 (65.97\%). Conclusion: The pharmacist{\textquoteright}s practice of High- Risk/Alertmedication is sufficient in Saudi Arabia. However, more expanded training in anesthesia and operation rooms has been successfully implemented. That leads to many preventive drug-related problems and avoids unnecessary economic burdens on the healthcare system.

}, keywords = {Alert, Drugs., High-risk, Medications, Pharmacist, Practice}, doi = {10.5530/ijpcs.2022.11.16}, author = {Yousef Ahmed Alomi and Nouf Saad Al-Saban and Randa Jaroudi and Hussain Mohammed Ibrahim Aareji and Faisal Safouq Alanazi and Maha Hussein Almadany} } @article {338, title = {The Practice of home healthcare services by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {104-111}, type = {Research Article }, chapter = {104}, abstract = {

Objectives: To illustrate the practice of home healthcare services by pharmacists in Saudi Arabia. Methods: It analyzes a cross-sectional survey that discussed practice at home health care services in Saudi Arabia. The study comprised respondents{\textquoteright} demographic information about pharmacists and home healthcare pharmacy services implementation and resources used for home healthcare pharmacy services. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6, were done with the study. Furthermore, the data analysis of the practice home healthcare services by pharmacists in Saudi Arabia is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 393 pharmacists responded to the questionnaire. Of them, more than three-quarters responded from the Central region (303 (77.10\%)), with statistically significant differences between the provinces (p=0.000). Males responded less than females (195 (49.74\%)) versus 197 (50.26\%\%)), with statistically non-significant differences between them (p=0.920). Most of the responders were in the age group of 24-35 years (267 (67.94\%)) and 36-45 years (121 (30.79\%)), with statistically significant differences between all age groups (p=0.000). The average number of home healthcare prescriptions was (17.46) daily per responder, with a total number (6,861) per day. The highest range number of prescriptions was (26-30) ((33.93\%) daily. Those prescriptions were dispensed to home healthcare (8.34) patients daily per each responder, with the highest range number of patients being (16-18) ((25.95\%) daily per each responder. The average score of the practice of pharmacists about the home healthcare Pharmacy implementations was (4.45). The element {\textquotedblleft}The medication error system is included in home healthcare pharmacy services{\textquotedblright} obtained the highest score (4.60). The pharmacists believe that {\textquotedblleft}The research on home healthcare pharmacy services{\textquotedblright} (4.57) and {\textquotedblleft}The cost analysis of home healthcare pharmacy services. The most used resources of the home healthcare pharmacy services in practice were Health Practitioners 265 (67.60\%) and Drug Bulletin 246 (62.76\%). They were followed by Internet 241 (61.48\%), Scientific literature 212 (54.08\%). Conclusion: The home care pharmacy practice by pharmacists is appropriate. Each pharmacist provides home care activities based on each type of healthcare organization. The vision, mission, and home care pharmacy strategy should be identified, and the home care pharmacist role must be unified at all healthcare institutions. Besides, further research about home care pharmacy practice is highly suggested in Saudi Arabia.

}, keywords = {healthcare services, Home, Pharmacists, Practice, Saudi Arabia.}, doi = {10.5530/ijpcs.2022.11.17}, author = {Yousef Ahmed Alomi and Maha Hussein Almadany and Areej Abdullah Al Jasser and Fawaz Abdullah Alrakaf and Fatima Abdulqader Alshamrani and Hussa Mubarak Muwainea and Osama Ali Alzahrani} } @article {292, title = {Perception of Pharmacists about Nuclear Pharmacy Services in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {80-88}, type = {Research Article}, chapter = {80}, abstract = {

Goal: In this study, we aimed to explore the nuclear pharmacy perception in the Kingdom of Saudi Arabia. Methods: This is a 4-month cross-sectional study including all pharmacists and pharmacy interns in the Kingdom of Saudi Arabia. Students were excluded from this study. We distributed the electronic survey to the participants which consisted of two parts. The first part collected demographic information, and the second part collected information of perception of pharmacists about nuclear pharmacy services and reasons preventing nuclear pharmacy services. The responses were obtained through the Survey Monkey system and analyzed via Microsoft Excel and Statistical Package of Social Science (SPSS) software. Results: A total of 235 pharmacists responded to this survey. Of them, 142 (63.96\%) were male and 80 (36.04\%) were female responders, with statistically significant differences between them (p\<0.001). Most of the responders were in the age group of 24{\textendash}30 years (115 (48.94\%)) followed by those in the age group of 31{\textendash}35 years (57 (24.26\%)), with statistically significant differences between all age groups (p\<0.001). About two-thirds of the pharmacists had obtained Bachelor{\textquoteright}s degree (149 (63.40\%)) and Diploma in Pharmacy (75 (31.91\%)), with statistically significant differences between the degrees (p\<0.001). The total average score for the element {\textquotedblleft}pharmacist perception of nuclear pharmacy services{\textquotedblright} was 3.54. We obtained high scores for the element {\textquotedblleft}nuclear pharmacy required to complete the drug therapy for cancer patients{\textquotedblright} (3.77) followed by the element {\textquotedblleft}nuclear pharmacy should be mandatory{\textquotedblright} (3.75). The score for the element {\textquotedblleft}under-working in nuclear pharmacy in the healthcare institutions{\textquotedblright} (3.74). The total average score for the element {\textquotedblleft}barriers prevent the implementation of nuclear pharmacy services{\textquotedblright} was 3.54 with high score obtained for the element {\textquotedblleft}lack of periodic training of pharmacy staff about nuclear pharmacy{\textquotedblright} (3.81). The most recommendations/suggestions for facilitating the implementation of nuclear pharmacy was implemented nuclear pharmacy residency program (170 (72.65\%)). Moreover, set up the therapeutic protocol or guidelines for nuclear pharmacy (147 (62.82\%)). Conclusion: The perception of pharmacists about nuclear pharmacy services was acceptable. The nuclear pharmacy system demands workforces, nuclear management guidelines, and implementation of nuclear pharmacy residency program. We highly recommend to resolve all nuclear pharmacy challenges in order to improve healthcare services in Saudi Arabia.

}, keywords = {Attitude, Nuclear, Perception, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.12}, author = {Yousef Ahmed Alomi and Ali Taer Al-Asmri and Mohammed Abdulaziz Ayoub Asiri and Abdulaziz Saleh Alnabbah} } @article {317, title = {Perception of Pharmacists about Pharmacy Infection Control in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {December 2021}, pages = {160-168}, type = {Research Article}, chapter = {160}, abstract = {

Objectives: In this study, we aimed to explore the perception of pharmacists about pharmacy infection control in the Kingdom of Saudi Arabia. Methods: In this crosssectional study, we aimed to explore the perception of pharmacists about pharmacy infection control in Saudi Arabia. We used a self-reported electronic questionnaire and distributed it to pharmacists from interns to consultants and specialists in Saudi Arabia. The survey collected demographic information of the responders and their perception of pharmacy infection control. In addition, we analyzed the barriers that prevent the implementation of pharmacy infection control in pharmacy practice. We used a 5-point Likert response scale system with close-ended questions to obtain responses. The data were collected through the Survey Monkey system and analyzed with the use of Statistical Package of Social Sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel (version 16) software. Results: A total of 435 pharmacists responded to the questionnaire. Of them, 212 (48.96\%) were female, and 221 (51.04\%) were male responders, and there was no statistically significant difference between them (p=0.665). Most of the responders were in the age group of 24{\textendash}30 years (151 (34.87\%)) and 36{\textendash}40 years (101 (23.33\%)), with statistically significant differences between all age groups (p=0.000). The majority of responders held Bachelor in Pharmacy degree (281 (64.75\%)) and Master in Pharmacy degree (94 (21.66\%)), and Diploma in Pharmacy (90 (20.74\%)). The average score of physician perceptions of pharmacy infection control was 3.47. Furthermore, high scores were obtained for the element {\textquotedblleft}the system in my healthcare institution including policies and procedures related to pharmacy infection control is good at minimizing the occurrence of infection-related problems inside or outside pharmacy{\textquotedblright} (3.96) and {\textquotedblleft}the pharmacy infection control implementation has led to positive changes for patients and healthcare institution{\textquotedblright} (3.83). The average score for the element {\textquotedblleft}perceptions of barriers that prevent you from implementing pharmacy infection control{\textquotedblright} was 3.39. In addition, high scores were obtained for the elements {\textquotedblleft}Level of clinical knowledge of pharmacy infection control{\textquotedblright} (4.10) and {\textquotedblleft}Uncertain association between the pharmacy infection control and the drug-related infection{\textquotedblright} (3.65). The scores for single-test reliability analysis for McDonald{\textquoteright}s ω was 0.838, Cronbach{\textquoteright}s α was0.837, Gutmann{\textquoteright}s λ2 was 0.849, Gutmann{\textquoteright}s λ6 was 0.910, and Greater Lower Bound was 0.960. Conclusion: The perception of pharmacy infection control in the Kingdom of Saudi Arabia was found to be satisfactory. Therefore, we need to implement and provide periodic education and training in pharmacy infection control in Saudi Arabia to improve the perception.

}, keywords = {Control, Infection, Perception, Pharmacy, Saudi Arabia.}, doi = {10.5530/ijpcs.2021.10.22}, author = {Yousef Ahmed Alomi and Ghudair Tashan Alanazi and Hussa Mubarak Muwainea and Razan Alshehri} } @article {302, title = {Pharmacist Practice of Forensic Pharmacy Services}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {111-119}, type = {Research Article}, chapter = {111}, abstract = {

Goal: The current study expected to demonstrate the forensic pharmacy practice in the Kingdom of Saudi Arabia. Methods: It is an analysis of a cross-sectional study. An electronic survey was dispersed to all pharmacists and pharmacy interns. All students were omitted from the existing study. The survey consisted of demographic data about responders and practice aspects and implementations of forensic pharmacy. All analysis was completed using Microsoft Excel and Statistical Package of Social Science (SPSS), and Survey monkey. Results: The total number of responding pharmacists was 402. Of those, 198 (49.75\%) were male, while 200 (50.25\%) were female, with statistical significance between them (p\<0.001). Almost threequarters of the pharmacists had bachelor{\textquoteright}s degrees 303 (75.56\%), with statistically significant among all pharmaceutical degrees (p\<0.001). The total average scores of pharmacist feature elements of forensic pharmacy services were 2.5. The high scores element was forensic pharmacy and potential drug-drug interactions (1.42). On the contrary, the lowest score aspect of nuclear pharmacy was forensic pharmacy, education and training program (1.26). The average score of forensic pharmacy practice implementation was 3.15. With high scores was the pharmacist always parts in crimes medicine committee (3.74), while the lowest forensic pharmacy practice implementation scores were attendance several courses or workshops about forensic pharmacy (2.41). Conclusion: The pharmacist part elements or the practice applications of forensic pharmacy were insufficient. The pharmacist plays an active role in the forensic pharmacy practice. Recognized forensic pharmacy with a clear job description of pharmacy staff with the relationship with forensic medicine and forensic strategic planning is mandatory to improve forensic pharmacy services in Saudi Arabia.

}, keywords = {Forensic, Pharmacist, Pharmacy, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.16}, author = {Yousef Ahmed Alomi and Mawadah Mohsen Aqeeli and Rehab Sultan Najmi and Samiyah Ibrahim Qassadi} } @article {301, title = {Pharmacist{\textquoteright}s Knowledge of Forensic Pharmacy Services}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {92-101}, type = {Research Article}, chapter = {92}, abstract = {

Goal: The knowledge of forensic pharmacy is a grave issue in practice. For example, forensic pharmacy services are obligatory for crime and drug-related death investigations. The current study purposes to affirm Pharmacist knowledge of forensic pharmacy in the Kingdom of Saudi Arabia. Methods: It was a qualitative examination with a cross-section design. An electronic validated and reliability survey was dispersed to all pharmacists and pharmacy interns. All students were omitted from the study. The questionnaire checked demographic data about the responders and pharmacist{\textquoteright}s basic and advanced knowledge of forensic pharmacy and resources of forensic pharmacy. Statistical Package of Social Science (SPSS), Microsoft Excel, and survey monkey did all analysis. Results: The total number of responding pharmacists was 402. Of those, 198 (49.75\%) were male, while 200 (50.25\%) were female, with statistical significance between them (p\<0.001). Almost three-quarters of the pharmacists had bachelor{\textquoteright}s degrees 303 (75.56\%), with statistically significant among all pharmaceutical degrees (p\<0.001). The total average scores of pharmacists{\textquoteright} knowledge of forensic pharmacy services were (2.0) with high scores element was the valuation of basic knowledge of the forensic pharmacy was the medications induced addiction (2.74). In contrast, the lowest scores were the job description of forensic pharmacist (1.5). The average score advances knowledge of forensic pharmacy (1.92). The highest score knowledge was the cardiovascular medications (3.00), while the lowest score knowledge of advanced knowledge of forensic pharmacy was the resources of forensic pharmacy (1.37). The most resources applied for Forensic pharmacy services were internet 224 (56.71\%) and healthcare practitioners 222 (56.20\%). Conclusion: The pharmacists{\textquoteright} knowledge of forensic pharmacy services was insufficient. Therefore, the preventing of crimes problems and drug-related death are obligatory to improve patient outcomes. The undergraduate and postgraduate education and training of forensic pharmacy services in highly recommended in Saudi Arabia.

}, keywords = {Forensic, Knowledge, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.14}, author = {Yousef Ahmed Alomi and Rehab Sultan Najmi and Mawadah Mohsen Aqeeli and Samiyah Ibrahim Qassadi} } @article {300, title = {Pharmacist{\textquoteright}s Perception of Forensic Pharmacy Services}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {120-128}, type = {Research Article}, chapter = {120}, abstract = {

Goal: To illuminate the pharmacist perception of forensic pharmacy in Saudi Arabia. Methods: It is cross-sectional of convenient sampling and planned number of the subject with power eighty. An electronic survey was dispersed to the pharmacist and pharmacy intern, excluding pharmacy students and other healthcare professionals. The survey entailed of demographic data, pharmacist{\textquoteright}s perception of forensic pharmacy, and barriers preventing implementation of forensic pharmacy. Survey monkey, Microsoft Excel, and Statistical Package of Social Science (SPSS) were used in this study. Results: The total number of responding pharmacists was 402. Of those, 198 (49.75\%) were male, while 200 (50.25\%) were female, with statistical significance between them (p\<0.001). Almost three-quarters of the pharmacists had bachelor{\textquoteright}s degrees 303 (75.56\%), with statistically momentous among all pharmaceutical degrees (p\<0.001). The total average scores of pharmacist perception of forensic pharmacy services were (3.93). The high scores element was under-working in forensic pharmacy in the healthcare institutions (4.15). On the contrary, the lowest score medical staff feel like their mistakes are held against them when an event is stated (3.35). The total average scores of barriers prevent the implementation of forensic pharmacy services were (3.41) with high scores element was lack of periodic training of pharmacy staff about forensic pharmacy (4.13). At the same time, the lowest score aspect of forensic pharmacy was the pharmacist shred in forensic sciences is too trivial to work (1.88). The most suggestions for facilitating forensic pharmacy implementation were implementing an electronic forensic pharmacy 306 (77.86\%) and raise the number of forensic pharmacist staff by 319 (81.17\%). Conclusion: The pharmacist had a positive insight of forensic pharmacy. However, various barriers are requisite to eliminate to start the implementation of forensic pharmacy services. Therefore, education and training are indispensable elements for establishing forensic pharmacy services in the Kingdom of Saudi Arabia.

}, keywords = {Forensic, Perception, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.17}, author = {Yousef Ahmed Alomi and Samiyah Ibrahim Qassadi and Mawadah Mohsen Aqeeli and Rehab Sultan Najmi} } @article {281, title = {Physician{\textquoteright}s Knowledge of Adverse Drug Reaction in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {6-12}, type = {Research Article}, chapter = {6}, abstract = {

Objectives: To state the physicians and dentists{\textquoteright} knowledge and responsiveness of the adverse drug reaction (ADR) and reporting system in Saudi Arabia. Methods: It was a cross-sectional design of an authorized self-administered electronic survey about awareness and knowledge valuation of the ADR reporting system in Saudi Arabia. The electronic survey contained of demographic data and designated knowledge assessment of participants about the ADR reporting system. Results: The total number of participants was 151. Of those, 111 (73.5\%) were physicians, while dentists were 39 (26.5\%). Of those (93.38\%) responders who perceived of the ADR reporting system and (54.3\%) knew the diverse types of hypersensitivity reaction. Also, (45.33\%) knew the official form of ADR reporting system, (43.71\%) knew to reflect the ADR as sentinel events and (34.44\%) knew about the legal provision in the medicine act that provides pharmacovigilance activities in Saudi Arabia. Conclusion: The physicians knowledge of ADR and reporting system was insufficient in the Kingdom of Saudi Arabia. Targeting education and training is a planned goal to recover physicians{\textquoteright} ADR knowledge and all healthcare professionals and ADR{\textquoteright}s documentation system.

}, keywords = {Adverse drug reaction, Knowledge, Physician, Reporting, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.2}, author = {Yousef Ahmed Alomi and Nouf Hassan Alamoudi and Sabah Alanazi and Abeer Hussin Almasoudi} } @article {282, title = {Physician{\textquoteright}s Practice of Adverse Drug Reaction in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {13-19}, type = {Research Article}, chapter = {13}, abstract = {

Objectives: To discover the healthcare providers (physicians and dentists) practice of the adverse drug reaction reporting system in Saudi Arabia. Methods: It was a crosssectional study with a self-administered electronic authenticated survey distributed to Saudi Arabia physicians and dentists. The survey contained of demographic data and rudiments of practicing the ADR reporting system, the number of ADR reported, the method of ADR reporting systems. Results: The total number of participants was 151. Of those, 111 (73.5\%) were physicians, while dentists were 39 (26.5\%). Of those 52 (35.68\%), only those who reported the ADR despite most responders 138 (92.62\%) thought the ADR reporting system was critical. The average scores of physicians practice ADR elements were 2.59. The physicians and dentists{\textquoteright} responders had a high score of the agreement; ADR{\textquoteright}s essential tasks as a pharmacist. Conclusion: Over the past twenty years, more than theory studies and our study specified that ADR physicians{\textquoteright} reporting was terrible. The switching accountability of ADR reporting from healthcare providers to the pharmacist is highly suggested.

}, keywords = {Adverse drug reaction, Physician, Practice, Reporting, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.3}, author = {Yousef Ahmed Alomi and Nouf Hassan Alamoudi and Sabah Alanazi and Abeer Hussin Almasoudi} } @article {293, title = {The Practice of Nuclear Pharmacy Services by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {70-79}, type = {Research Article}, chapter = {70}, abstract = {

Goal: In this study, we aimed to illustrate the practice of nuclear pharmacy services in Saudi Arabia. Methods: This is a cross-sectional study. An electronic survey was distributed to all pharmacists and pharmacy interns. Students were excluded from this study. The survey consisted of demographic data about responders and pharmacy practice aspects of nuclear pharmacy. The data were collected using the Survey Monkey system and analyzed using Microsoft Excel and Statistical Package of Social Science (SPSS). Results: A total of 235 pharmacists responded to the survey, with most of them coming from the southern region (82 (34.89\%)), central region (49 (20.85\%)), and western region (47 (20.00\%)), with statistically significant differences between the regions (p\<0.001). Almost two-thirds of the pharmacists had obtained Bachelor{\textquoteright}s degree (149 (63.40\%)) and Diploma in Pharmacy (75 (31.91\%)), with statistically significant differences between all the pharmaceutical degrees (p\<0.001). Most pharmacists were staff pharmacists (119 (51.29\%)) and interns (43 (18.53\%)). The total average score of elements of the practice of nuclear pharmacy services was 1.69. The highest score was recorded for the element {\textquotedblleft}nuclear pharmacy and facilities, equipment, and place for preparation are available{\textquotedblright} (1.79), followed by the elements {\textquotedblleft}nuclear pharmacy and drug monitoring system{\textquotedblright} (1.78) and {\textquotedblleft}nuclear pharmacy and radiation safety{\textquotedblright} (1.77). The average score for the element {\textquotedblleft}nuclear pharmacy practice implementation{\textquotedblright} was 3.39. High scores were obtained for the element {\textquotedblleft}nuclear pharmacy should be covered by health insurance{\textquotedblright} (3.79) and {\textquotedblleft}nuclear pharmacy outsourcing is highly recommended{\textquotedblright} (3.67). The highest score was obtained for the element {\textquotedblleft}nuclear pharmacy currently is the responsibility was a nuclear pharmacist{\textquotedblright} (4.28) and {\textquotedblleft}toxicologist laboratory{\textquotedblright} (3.55). Conclusion: The various aspects of pharmacists based on the elements of the practice implementation of nuclear pharmacy were insufficient in the Kingdom of Saudi Arabia. Pharmacists play an active role in the nuclear pharmacy practice. Further studies on nuclear pharmacy services should be conducted thoroughly and setup strategic plan to improve nuclear pharmacy services in Saudi Arabia.

}, keywords = {Nuclear, Pharmacist, Pharmacy, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.11}, author = {Yousef Ahmed Alomi and Ali Taer Al-Asmri and Mohammed Abdulaziz Ayoub Asiri and Abdulaziz Saleh Alnabbah} } @article {315, title = {The Practice of Pharmacy Infection Control by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {December 2021}, pages = {144-152}, type = {Research Article}, chapter = {144}, abstract = {

Objectives: In this study, we aimed to illustrate the practice of pharmacy infection control by pharmacists in the Kingdom of Saudi Arabia. Methods: In this crosssectional study, we aimed to assess the practice of pharmacy infection control by pharmacists in Saudi Arabia. We used a self-reported electronic survey questionnaire and distributed it to pharmacists from interns to consultants and specialists in Saudi Arabia. The survey collected demographic information of the pharmacists and about the implemented pharmacy infection control practices. The practice of pharmacy infection control and pharmacy infection control responsibilities among the types of healthcare professionals. We used 5-point Likert response scale system with close-ended questions to obtain responses. The data were collected through the Survey Monkey system and analyzed with Statistical Package of Social Sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel (version 16) software. Results: A total of 435 pharmacists responded to the questionnaire. Of them, one-quarter belonged to the central region (97 (22.35\%)), followed by the northern region (92 (21.2\%)), and there were no statistically significant differences between the provinces (p=0.637). Most of the responders were from a community pharmacy (81 (18.62\%)), Ministry of Health (MOH) hospital (69 (15.86\%)), and military hospitals (49 (11.26\%)), with statistically significant differences between working sites (p=0.000). Moreover, 212 (48.96\%) were female, while 221 (51.04\%) were male, with non-statistically significant among the areas (p=0.665). Most of the responders were in the age group of 24{\textendash}30 years (151 (34.87\%)) and 36{\textendash}40 years (101 (23.33\%)) with statistically significant differences between all age groups (p=0.000). The average score of the elements related to the implementation of pharmacy infection control practices was 3.07, with high scores obtained for the aspect {\textquotedblleft}the vision of pharmacy infection control{\textquotedblright} (3.79) and {\textquotedblleft}mission of pharmacy infection control{\textquotedblright} (3.55). In contrast, the lowest score was obtained for the element {\textquotedblleft}competition in infection control pharmacy{\textquotedblright} (2.51) and infection control pharmacy and quality management (2.65). The average score for the element implementation of pharmacy infection control practice was 3.47, with high scores obtained for the element {\textquotedblleft}the pharmacist share in infection control committee{\textquotedblright} (4.37) and {\textquotedblleft}the pharmacist was always a staff member of infection control or pharmacy departments{\textquotedblright} 3.84. In contrast, the lowest score was obtained for the element attending several courses or workshops about pharmacy infection control (3.17). The scores for the single-test reliability analysis of McDonald{\textquoteright}s ω was 922, Cronbach{\textquoteright}s α was0.919, Gutmann{\textquoteright}s λ2 was 0.930, Gutmann{\textquoteright}s λ6 was 0.973, and Greater Lower Bound was 0.990. Conclusion: In this study, pharmacists{\textquoteright} practice of pharmacy infection control was found to be inadequate in Saudi Arabia. Therefore, implementing infection control in pharmacy practice is required to prevent drug-related infection control problems. In addition, we recommend improving the infection control practice in pharmacy services in Saudi Arabia.

}, keywords = {Control, Infection, Pharmacy, Practice, Saudi Arabia.}, doi = {10.5530/ijpcs.2021.10.20}, author = {Yousef Ahmed Alomi and Ghudair Tashan Alanazi and Ban Abdullah Aldosary and Hussa Mubarak Muwainea and Razan Alshehri} } @article {298, title = {Public{\textquoteright}s Experiences and Expectations of Pharmacists during Coronavirus (COVID-19) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {60-69}, type = {Research Article}, chapter = {60}, abstract = {

Goal: To elucidate the public{\textquoteright} experiences and expectations of pharmacists during COVID-19 in Saudi Arabia. Methods: It is three cross-sectional of convenient sampling and calculated number of the subject with power eighty. It was a self-reported electronic survey for the population in the King of Saudi Arabia. It encompassed all citizens who lived in Saudi with the age of more than 18 years and above. The survey entailed of the demographic data patients actual experiences of pharmacists during COVID-19 and patients actual expectations of pharmacists during any other pandemic situation. Survey monkey, Microsoft Excel, and Statistical Package of Social Science (SPSS) were used for the analysis. Results: The total number of responding pharmacists was 461. Of those, 440 (95.44\%) were Saudi, and 344 (74.62\%) were female, with statistical significance between nationality or gender answers (p\<0.001). Almost two-thirds of the responders had bachelor{\textquoteright}s degrees 319 (69.20\%) with statistically noteworthy between among all academic qualifications (p\<0.001). Most of the responders were non-healthcare professionals 338 (74.45\%), and physicians and nurses representative high percentages 37 (35.92\%) and 31 (30.10\%), respectively, with statistically significant among the remaining answers (p\<0.001). The total average scores of patients{\textquoteright} actual experiences of pharmacists during COVID-19 were 3.41. The high scores element was pharmacists routinely counsel me regarding the safe and appropriate use of my medications (3.79), and the pharmacist implemented the MOH covid-19 instructions and guidelines (3.77). The total average scores of patients actual expectations of pharmacists during any other pandemic situation were 3.71 with high scores element was the pharmacist expand their services and will most of my medications request by online and mobile application (3.88) and the pharmacist applied software applications for education for drugs and any pandemic (3.86). Conclusion: The public{\textquoteright} experiences and expectations of pharmacist during COVID-19 in Saudi Arabia is very optimistic. Therefore, targeting education, training, declaring the pharmacist{\textquoteright}s role during pandemic situations, emergency public health emphasizing therapeutic guidelines and preventing drug-related problems is highly proposed for implementations in Saudi Arabia.

}, keywords = {COVID-19, Expectations, Experiences, Pharmacists, Public, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.10}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Dona Abdullah Alajmah and Shatha Alhassan Alnami} } @article {316, title = {Public{\textquoteright}s Perception and Attitude of Herbal Medication for Respiratory Viral Infections}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {December 2021}, pages = {153-159}, type = {Research Article}, chapter = {153}, abstract = {

Background: The use of herbal-origin medications is overgrowing, snowballing belief in its absolute safety. However, some herbal medicines have revealed severe adverse events that may reach death. Hence, it is vital to understand the perception and attitude of patients towards using herbal medications. Objectives: This survey analysis goals to gauge patients{\textquoteright} perceptions and attitudes towards herbal medicine to manage respiratory infections. Design and Settings: A self-administered, structured questionnaire was sent to the public online, counting questions on the responders{\textquoteright} demographics and questions about different herbal medications and their use to treat viral respiratory infections. The survey also encompassed questions to evaluate patients{\textquoteright} perceptions and attitudes towards the use of herbal medicine. Data analysis was implemented through SPSS program version 26. Results: Four hundred and eighty-six responders contributed in this questionnaire. 89.92\% of the responders were from the west area, and 94.62\% had a Saudi nationality. 56.49\% were in the age group between 18 to 30 years old. 46.27\% were students, while only 23.44\% were employees. 53.69\% had an income \<3000 SR. 18.32\% were healthcare practitioners, and 53.85\% were physicians. 45.42\% of the patients did not use herbal medications over the last year. 44.01\% found herbal medicines effective and valuable, and 41.98\% of the responders described herbal medicines as operative. Patients{\textquoteright} gender (p-value=0.025) significantly affected patients{\textquoteright} perception of using herbal medications, where females showed a significantly better perception than females. The validity was tested by Mac (0.96), Cronbach (0.958), Guttmann 2 (0.961), and Guttmann 6 (0.973). Conclusion: The attitudes and perceptions of herbal medicine use among patients in Saudi Arabia are scarce. Awareness of the general public about herbal medications should be amended.

}, keywords = {Attitude, Herbal Medication, Perception, Public, Saudi Arabia., Viral Infections}, doi = {10.5530/ijpcs.2021.10.21}, author = {Yousef Ahmed Alomi and Ghadeer Alhazmi and Murouj Almaghrabi and Ghaida Alzahrani and Mohammad Almatrafi} } @article {297, title = {Public{\textquoteright}s Perception of Pharmacy Services during Coronavirus (COVID-19) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {102-110}, type = {Research Article}, chapter = {102}, abstract = {

Goal: To exemplify the public{\textquoteright}s perception of pharmacy services during COVID-19 in Saudi Arabia. Methods: It is three cross-sectional of convenient sampling and calculated number of the subject with power eighty. It was a self-reported electronic survey for the population in the King of Saudi Arabia. It encompassed all citizens who lived in Saudi with age more than 18 years and above. The survey contained of the demographic data patient{\textquoteright}s perception of medication delivery service during COVID-19. Besides, the patient{\textquoteright}s experiences of drug information inquiries were linked with the pharmacist during COVID-19. Survey monkey, Microsoft Excel, and Statistical Package of Social Science (SPSS) were used in this study. Results: The total number of responding pharmacists was 461. Of those, 440 (95.44\%) were Saudi, and 344 (74.62\%) were female, with statistical significance between nationality or gender answers (p\<0.001). Almost two-thirds of the responders had bachelor{\textquoteright}s degrees 319 (69.20\%) with statistically noteworthy between among all academic qualifications (p\<0.001). Most of the responders were non-healthcare professionals 338 (74.45\%), and physicians and nurses illustrative high percentages 37 (35.92\%) and 31 (30.10\%), respectively, with statistically significant among the remaining answers (p\<0.001). The total average scores of patient{\textquoteright}s perception of medication delivery service during COVID-19 were 2.50. The high scores element was answering drug information inquiries (3.30), medications home delivery (2.80), and requesting medications through a mobile application (2.78). The total average scores of patient{\textquoteright}s experiences of drug information inquiries communicated with a pharmacist during COVID-19 were 2.76 with high scores element was the drug administration inquiries (3.37). In addition, dosage/ schedule inquiries (3.29) and Pharmacoeconomics/medications cost inquiries (3.18) were also entailed. Conclusion: The public{\textquoteright}s perception of medication delivery service and experiences of drug information inquiries transferred with the pharmacist during COVID-19 was not optimum. Therefore, targeting a strategic plan of hospital and community pharmacy services during pandemic situations is highly suggested. In addition, further studies of hospital and community pharmacy services individually during a pandemic or emergency public health are mandatory in Saudi Arabia.

}, keywords = {COVID-19, Perception, Pharmacy, Public, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2021.10.15}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Dona Abdullah Alajmah and Shatha Alhassan Alnami} } @article {254, title = {Pediatrics Standardized Concentration of Antibiotics Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {27-34}, type = {Review Article}, chapter = {27}, abstract = {

Objectives: To declare the pediatrics and neonates standardized concentration of antibiotics intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of antibiotics services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates standardized concentration of antibiotics intravenous infusion services defined as a vision, mission and goals. The services had various benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage established in the analysis. Conclusion: The pediatrics and neonates standardized concentration of antibiotics intravenous infusion services are a new initiative part of the intravenous admixture program. The pediatrics and neonates standardized concentration of antibiotics will prevent drug related misadventures and implement of patient safety at healthcare organizations; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Antibiotics, Concentration, Intravenous, Neonates, Pediatrics, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.6}, author = {Yousef Ahmed Alomi and Faiz Abdullah. Bahadig and Hani Alhamdan} } @article {255, title = {Pediatrics Standardized Concentration of Cardiovascular Intravenous Infusion Medications: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {70-75}, type = {Review Article}, chapter = {70}, abstract = {

Objectives: To explore the pediatrics and neonates standardized concentration of cardiovascular intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of cardiovascular intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: Results indicates that the pediatrics and neonates standardized concentration of cardiovascular intravenous infusion services with a defined vision, mission and goals. The services had multiple benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage confirmed in the analysis. Conclusion: The pediatrics and neonates standardized concentration of cardiovascular intravenous infusion services is a new initiative as part of the intravenous admixture program. The pediatrics and neonates standardized concentration of cardiovascular might diminution the workload of healthcare, pharmacy staff and avoid additional unnecessary economic burden on healthcare system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Cardiovascular, Concentration, Intravenous, Neonates, Pediatrics, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.13}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz Abdullah Bahadig} } @article {258, title = {Pediatrics Standardized Concentration of Central Nervous System Intravenous Infusion Medications: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {108-112}, type = {Review Article }, chapter = {108}, abstract = {

Objectives: To establish the pediatrics and neonates standardized concentration of central nervous system intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of central nervous system intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates standardized concentration of central nervous system intravenous infusion services with a defined vision, mission and goals. The services had multiple benefits including clinical and economic on patients, the continuous of the project confident by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage confirmed in the analysis. Conclusion: The pediatrics and neonates standardized concentration of central nervous system intravenous infusion services is new initiative as part of the intravenous admixture program. The pediatrics and neonates standardized concentration of central nervous system intravenous infusion properly reduce medication errors and improve patient safety culture system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Central Nervous System, Concentration, Intravenous, Neonates, Pediatrics, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.21}, author = {Yousef Ahmed Alomi and Faiz Abdullah Bahadig and Hani Alhamdan} } @article {257, title = {Pediatrics Standardized Concentration of Chemotherapy Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {76-83}, type = {Review Article}, chapter = {76}, abstract = {

Objectives: To discover the pediatrics and neonates standardized concentration of chemotherapy intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of chemotherapy intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates standardized concentration of chemotherapy intravenous infusion services with a defined vision, mission and goals. The services had various paybacks including clinical and economic on patients as discovered in the review. The continuous of the project was assured by risk management model description and the monitoring and controlling of the services as declared. The transition to operation project though closing project stage demonstrated in the analysis. Conclusion: The pediatrics and neonates standardized concentration of chemotherapy intravenous infusion services is a new initiative as part of the intravenous admixture program. The pediatrics and neonates standardized concentration of chemotherapy intravenous infusion will lessen medication errors and recover patient safety at healthcare system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Concentration chemotherapy, Intravenous, Neonates, Pediatrics, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.14}, author = {Yousef Ahmed Alomi and Faiz A Bahadig and Hani Alhamdan} } @article {259, title = {Pediatrics Standardized Concentration of Miscellaneous Mediations Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {November 2020}, pages = {137-142}, type = {Review Article }, chapter = {137}, abstract = {

Objectives: To declare the pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of miscellaneous mediations intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion services with a defined vision, mission and goals. The services had multiple benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as declared as explored in the review. The transition to operation project though closing project stage demonstrated in the analysis. Conclusion: The pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion services is a new initiative as part of the intravenous admixture program. The pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion might improve patient outcome and avoid added unnecessary cost; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Concentration, Intravenous, Miscellaneous, Neonates{\textquoteright}, Pediatrics, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.28}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz Abdullah Bahadig} } @article {260, title = {Pharmacist Prescribing System: A New Initiative in the Kingdom of Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {90-93}, type = {Review Article}, chapter = {90}, abstract = {

Objectives: To declare the pharmacist prescribing system as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national Pharmacist prescribing system services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pharmacist prescribing system services with a defined vision, mission and goals. The services had various benefits including clinical and economic on patients as illustrated in the review. The continuation of the project assured by risk management model description. In addition, the monitoring and controlling of the services as declared. The transition to operation project, though closing project stage explored in the analysis. Conclusion: The pharmacist prescribing system services is new initiative, part of the clinical pharmacy program. The Pharmacist prescribing system will reduce drug-related problems, improve clinical and economic outcomes of patients and the healthcare system and create patient{\textquoteright}s safety culture at healthcare organization; it is highly recommended to implement in Saudi Arabia.

}, keywords = {Initiative, Pharmacist, Prescribing, Saudi Arabia, Services, System}, doi = {10.5530/ijpcs.2020.9.17}, author = {Yousef Ahmed Alomi and Saleh Ibrahim ALdakheel and Faiz Abdullah Bahadig} } @article {271, title = {Pharmacy Transition Care Services during Mass Gathering Hajj in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {November 2020}, pages = {117-119}, type = {Review Article }, chapter = {117}, abstract = {

Objective: To declare the pharmacy transition care services during the mass gathering hajj period as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering pharmacy transition care services with a defined vision, mission and goals. The services had multiple benefits, including clinical and economical on pilgrims, as demonstrated in the review. The extension of the project assured by risk management elements description. In addition, the monitoring and controlling of the services as illustrated. The conversion of operation project, though closing project stage, demonstrated in the analysis. Conclusion: The pharmacy transition care services during the mass gathering is a new initiative, part of the mass gathering medicine. Various pharmacy transition care services can be started during mass gathering; it is highly recommended to implement in Saudi Arabia.

}, keywords = {Hajj, Initiative, Mass Gathering, Pharmacy, Saudi Arabia, Services, Transition Care}, doi = {10.5530/ijpcs.2020.9.23}, author = {Yousef Ahmed Alomi and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Naif Olaythah Alharbi and Fareed Ali Alharpi and Ahmad M. AlKharoby and Wael H. Motair} } @article {67, title = {Patient Satisfaction of Ambulatory Care Pharmacy Services in Pediatric and Maternity Hospital in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {129-134}, type = {Research Article}, chapter = {129}, abstract = {

Objective: The ambulatory pharmacy practice is a crucial part of the healthcare system that delivers pharmaceutical care to the patients who are not admitted to the hospital. The aim of the study to explore the patient satisfaction of ambulatory care pharmacy services in Pediatrics and Maternity Hospital in Riyadh, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient satisfaction of ambulatory care pharmacy services in Pediatrics and Maternity Hospital, Saudi Arabia. The survey consisted of forty-eight (48) questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability, (2) patient counseling, (3) pharmacist and patient relationship, (4) medication reconciliation, (5) medication aberrance, (6) pharmacy location, (7) pharmacy waiting area, (8) pharmacy communications, (9) pharmacy waiting time, (10) pharmacy recommends to others, (11) overall patient satisfaction of pharmacy services. The survey was distributed to the hospitals in Riyadh city, included pediatrics and maternity hospitals ambulatory care patient. The survey was in an electronic format and it analyze the results through the Survey Monkey system. Results: A total of 237 patients responded to the survey. Out of 237 patients, 217 (91.6\%) was Saudi and 20 (8.4\%) was non-Saudi. There were 151 (63.7\%) female and 86 (36.3\%) male responders. Most of them were in age group of 18-44 years (70\%) without any significant differences in the age groups among the hospitals. The highest level of education was high school 91 (38.4\%) followed by the Bachelor{\textquoteright}s degree 93 (39.2\%) and an intermediate school 44 (18.6\%). The mean [{\textpm}standard deviation (SD)] waiting time to get the medications was 13.6{\textpm}4.75 min. The average scores of domains 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were 3.11, 3.1, 3.61, 1.87, 1.72, 3.4, 2.77, 1.93, 3.68 and 3.56, respectively. With a total of 231 (97.4\%) responders, general evaluation of pharmacy services was found to be very good to excellent, whereas 228 (96.2\%) responders recommend the pharmacy to their family or friends and 224 (95.3\%) responders prefer to revisit pharmacy. Conclusion: More than two-thirds of the patients were pleased with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy waiting area domains were not found to be satisfied. Improving ambulatory care pharmacy services will avert drug misadventures, avoid additional cost and surge patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care, Ministry of Health, Patient, Pediatrics, Pharmacy, Riyadh, Satisfaction, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.22}, author = {Yousef Ahmed Alomi and Malika Alshamari and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and Mohanad Imad Al-Hennawi} } @article {43, title = {Patient Satisfaction of Ambulatory Care Pharmacy Services in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {32-38}, type = {Research Article}, chapter = {32}, abstract = {

Purpose: To explore the patient satisfaction of ambulatory care services at Riyadh, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient satisfaction of ambulatory care pharmacy services at Riyadh, Saudi Arabia. The survey consisted of 48 questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability, (2) patient counseling, (3) pharmacist and patient relationship, (4) medication reconciliation, (5) medication aberrance, (6) pharmacy location, (7) pharmacy waiting area, (8) pharmacy communications, (9) pharmacy waiting time, (10) pharmacy recommends to others and (11) overall patient satisfaction of pharmacy services. The survey was distributed to the three hospitals in Riyadh city, included public, pediatrics and emergency hospitals ambulatory care patient. The survey was in an electronic format and it analyze the results through the Survey Monkey system. Results: A total of 606 patients responded to the survey. There were 338 (55.8\%) female and 268 (44.2\%) male responders. Most of them were in age group of 18{\textendash}44 years (65.3\%) without any statistically significant differences in the age groups among the three hospitals (p\<0.5). The highest level of education was high school (232 (38.4\%)) followed by the Bachelor{\textquoteright}s degree (191 (31.6\%)) and an intermediate school (117 (19.4\%)). Most of the patients visited the ambulatory care pharmacy 3 to 4 times in the past 12 months (239 (41.1\%)), whereas the others (105 (18.1\%)) visited the ambulatory care pharmacy for the first time. The mean ({\textpm}standard deviation (SD)) waiting time to get the medications was 18.36{\textpm}11.32 min and there were statistically significant differences among the three hospitals (p\<0.5). The average scores of domains 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were 3.35, 3.2, 3.7 and 1.96, 1.8, 3.7, 3.25, 2.14, 3.61, 3.54, respectively. With a total of 381 (62.87\%) responders, general evaluation of pharmacy services was found to be very good to excellent, whereas 369 (60.9\%) responders recommend the pharmacy to their family or friends and 315 (52.5\%) responders prefer to revisit pharmacy. Conclusion: More than half of the patients were satisfied with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy communication domains were not found to be satisfied. Improving ambulatory care pharmacy services will prevent drug misadventures, avoid additional cost and increase patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care services, Ministry of Health, Patients, Riyadh, Satisfaction, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.7}, author = {Yousef Ahmed Alomi and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and M. Mohanad Imad Al-Hennawi and Malika Alshamari and Nahedh Rashed Alotaibi and Nesreen Al-Shubbar} } @article {214, title = {Patient{\textquoteright}s General Perception and Attitude toward Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {242-245}, type = {Research Article}, chapter = {242}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception and attitude toward pharmacists in Saudi Arabia. Methods: It is a 4-month cross-sectional survey of patient perception of pharmacists. The survey consisted of 49 questions divided in two parts: the first part collects demographic information and the second part contains questions on 4 domains: (1) patient general perception of pharmacist, (2) patients perception of pharmaceutical care services, (3) patient perception of visiting ambulatory care, (4) patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling. The 5-point Likert response scale system was used. The questions were open and closed-ended. The survey was distributed through social media at a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey was in an electronic format and it analyze domain one primary or necessary information about patient medication through the survey monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. In the past 12 months, most of the patients [222 (36\%)] visited the pharmacy more than 10 times, whereas the others [122 (19.8\%)] visited the pharmacy at least 5{\textendash}9 times. Most of the patients 481 (83.5\%) spent less than 11 min with the pharmacist. The highest score was obtained for the statements related to pharmacy job vital in our society (4.63), the pharmacist had a very significant role in preventing medication errors (4.4), the necessity of present pharmacist schools (4.09) and the pharmacist is the first person ask him about drugs (4.01). More 60\% of responders will choose the pharmacy as professional specialty or suggest the family members or friend select the pharmacy professional. The pharmacist shared in public education through the television and media (3.7) and newspaper (3.65) followed by schools (3.56) and public education exhibitors (3.48). Most of the patients visited the pharmacist to seek help in health diseases 429 (73.1\%), the pharmacist knows more about drug doses and adverse drug reaction 224 (38.16\%, followed by free consultation and 166 (28.28\%) and no need for an appointment for pharmacy visit. Also, the patient refused to utilize the pharmacy just for cosmetics 404 (67\%). Conclusion: According to our results, patient{\textquoteright}s perception during pharmacy visit was found to be acceptable. Majority of patients had a good perception of a pharmacist and his role with patients and the general public. The pharmacist should expand pharmaceutical care services overall healthcare institutions in Saudi Arabia.

}, keywords = {Attitude Pharmacists, Patient, Perception, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.53}, author = {Yousef Ahmed Alomi and Abeer Hussin Almasoudi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Yousef Aboshalaf and Mytham Al-Ethan} } @article {42, title = {Patient{\textquoteright}s Perception of a Pharmacist{\textquoteright}s Relationship and Counseling Skills in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {26-31}, type = {Research Article}, chapter = {26}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception of a pharmacist{\textquoteright}s relationship and counseling skills in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of the patient{\textquoteright}s perception of the pharmacist. The survey consisted of two part: the first part gathers demographic information and the second part contains 49 questions divided into four domains: (1) the first domain captures data regarding the patient{\textquoteright}s general perception about the pharmacist; (2) the second domain captures data regarding the patient{\textquoteright}s perception of pharmaceutical services; (3) the third domain was regarding the patient{\textquoteright}s perception of visiting ambulatory care; and (4) the fourth domain captures the data regarding the patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media at a 500-bed general hospital in Alhassa region, at an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey was distributed in an electronic format. In this study, we analyzed domain four, that is, about the patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills through Survey Monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. Most of the patients (222 (36\%)) visited the pharmacy more than 10 times in the past 12 months, whereas the others (122 (19.8\%)) visited the pharmacy at least 5{\textendash}9 times. Most of the patients (481 (83.5\%)) spent less than 11 min with the pharmacist. The average score of patient perception of a pharmacist with communication and relationship skills was 3.66. The following statements received highest scores: {\textquotedblleft}the pharmacist politely delivers the medication{\textquotedblright} (4.09) and {\textquotedblleft}the pharmacist answers the questions in an excellent way{\textquotedblright} (3.87). The statement with lowest score was {\textquotedblleft}communication with pharmacy by phone at any time{\textquotedblright} (3.04) (Table 2). The average score of patient{\textquoteright}s perceptions of pharmacists with medications counseling skills was 3.6. The statement with highest score was {\textquotedblleft}all the medications received were packed{\textquotedblright} (4.35) and {\textquotedblleft}the patient understands what the pharmacist was saying{\textquotedblright} (4.1). The statement with lowest score was {\textquotedblleft}the pharmacist provides you information about the proper storage of your medication{\textquotedblright} (3.04) and {\textquotedblleft}the pharmacist explains all the possible side effects{\textquotedblright} (3.12). The statements with highest scores of patient relationship with drug information centers were {\textquotedblleft}the pharmacist answers patient{\textquoteright}s question through drug information center{\textquoteright}s hospital over 24/7{\textquotedblright} (3.44) and {\textquotedblleft}poisonous cases first contact the national drug information center or any hospital drug information center any time through MOH hotline 937 over 24/7{\textquotedblright} (3.37). Conclusion: Patient{\textquoteright}s perception toward pharmacist{\textquoteright}s communication and counseling skills need to improve with an emphasis on patient{\textquoteright}s privacy, contacting facilities and instructions to drug-related problems. Improvement of patient demand will raise patient{\textquoteright}s perceptions and avoid the unnecessary additional cost.

}, keywords = {Counselling, Ministry of Health, Perception, Pharmacist, Relationship, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.6}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Yousef Aboshalaf and Mytham Al-Ethan} } @article {228, title = {Patient{\textquoteright}s Perception of Pharmaceutical Care Services; Challenges and Improving in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {190-193}, type = {Research Article}, chapter = {190}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception of Pharmaceutical care services; challenges and developments in Saudi Arabia. Methods: It is a 4-months cross-sectional survey of patient perception of pharmacists. The survey consisted of two-part demographic information and second part forty-nine questions divided into four domains. It included domain 1: Patient general perception of pharmacist domain 2: patients{\textquoteright} perception of pharmaceutical care services, domain 3: patient perception of visiting ambulatory care and domain 4: Patient{\textquoteright}s perception of the pharmacist{\textquoteright}s relationship and counseling. The 5-point likert response scale system was used. The questions were open and closed-ended. The survey was distributed through social media and as a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors did the patients interview with electronic survey documentation. The survey was made an electronic format and it analyzed domain two about patient perception of pharmaceutical care services; challenges and developments in Saudi Arabia through the survey monkey system. Results: The total responders were 617 patients. Of those, 536 (87.7\%) was Saudi and 75 (12.3\%) was non-Saudi. The gender distribution 457 (74.1\%) were females and 160 (25.9\%) were males. The majority of patients visited the pharmacy in the past 12-months was 222 (36\%) more than ten times while 122 (19.8\%) attended (5-9 times). Most of the patient visited the pharmacy at evening 395 (64.6\%). Most of the patients{\textquoteright} 481 (83.5\%) spent less than 11 min with the pharmacist. The most pharmaceutical care services provided to patients were dispensing of prescribed medication 390 (70.8\%), medication consultation 262 (47.5\%), dispensing of non-medications, supplements 233 (42.3\%) and dispensing of over the counter medications 229 (41.6\%). The high scores of the pharmaceutical care services provide to the patients were in private{\textquoteright}s hospitals (3.71) and community pharmacies (3.63). The most current experience of perception and challenges with high propriety scores were some pharmacy crowding, medication labels missed and patient privacy missed. The most future perception suggestion with high propriety and opportunity scores were published the pharmacy location through social media and implementation of adverse drug reaction reporting for patients. Conclusion: Patients{\textquoteright} perception is a crucial tool to improve pharmaceutical care. Monitor implementation of the patient medication education system with private places, monitoring of drug-related problems will support the future vision of patient perception and attitude towards the pharmacist.

}, keywords = {Challenges, Patient, Perception, Pharmaceutical Care, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.32}, author = {Yousef Ahmed Alomi and Abeer Hussin Almasoudi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Yousef Aboshalaf and Mytham Al-Ethan} } @article {230, title = {Patient{\textquoteright}s Satisfaction of Pharmacy Ambulatory Cares at the Emergency Hospital in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {199-203}, type = {Research Article}, chapter = {199}, abstract = {

Purpose: To explore the patient satisfaction of pharmacy ambulatory care services at the Emergency Hospital in Riyadh city, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patients{\textquoteright} satisfaction of ambulatory care pharmacy services at the Emergency Hospital, Saudi Arabia. The survey consisted of 48 questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability (2) patient counseling (3) pharmacist and patient relationship (4) medication reconciliation (5) medication aberrance (6) pharmacy location (7) pharmacy-waiting area (8) pharmacy communications (9) pharmacy-waiting time (10) pharmacy recommends to others (11) overall patient satisfaction of pharmacy services. The survey was distributed to the Emergency Hospital in Riyadh city, included public, pediatrics and emergency hospitals ambulatory care patient. The study was in an electronic format and it analyze through the survey monkey system. Results: A total of 202 patients responded to the survey. Of those, 144 (71.6\%) was Saudi and 57 (28.4\%) was non-Saudi. The gender distribution 105 (52\%) were females and 97 (48\%) were males. The majority of them were in age group of 18-44 years (62\%), while more than 44 years old was 68 (33.7\%). The highest level of education was high school 81 (40.3\%) followed by the Bachelor{\textquoteright}s degree 51 (25.4\%) and an intermediate school 44 (21.9\%). The mean [{\textpm}standard deviation (SD)] waiting time to get the medications was 19.36{\textpm}11.02 (minute). The average scores of domains medication availability was 3.71, patient counseling was 3.48, pharmacist and patient relationship were 4.1 and medication reconciliation was 1.99. The medication adherence was 1.88, pharmacy location was 4.13, the pharmacy-waiting area was 3.31, pharmacy communications was 2.18, pharmacy-waiting time was 3.74 and pharmacy recommends to others was 3.69. The General evaluation of pharmacy services was found to be very good to excellent with 155 (76.7\%) of responders, while 186 (92.1\%) responders recommend the pharmacy to their family or friends and 176 (88.44\%) responders prefer to revisit pharmacy. Conclusion: More than half of the patients were satisfied with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy communication domains were not found to be satisfied. Refining ambulatory care pharmacy services will avoid drug misadventures, avoid extra cost and surge patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care, Emergency, Ministry of Health, Patient, Pharmacy, Satisfaction, Saudi Arabia}, doi = {10.5530/ijphs.2019.8.34}, author = {Yousef Ahmed Alomi and Nahith Alotaibi and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and Mohanad Imad Al-Hennawi} } @article {57, title = {Perceptions and Knowledge of Storing Medications at Home in Al-Qassim Region, Saudi Arabia}, journal = {International Journal of Pharmacy and Health Sciences}, volume = {8}, year = {2019}, month = {Feburary 2019}, pages = {79-85}, type = {Research Article}, chapter = {79}, abstract = {

Objective: Globally people store medications at home, which is also common among the residents of Al-Qassim Region, Saudi Arabia. They should be stored safely to prevent the accidental ingestion or unintended use. However, the method of storing medications at homes in Al-Qassim region, Kingdom of Saudi Arabia is unknown. Therefore, in this study, we aimed to explore the perception and knowledge of medications stored at Al-Qassim region, Saudi Arabia. Methodology: This is a descriptive, cross-sectional survey which was conducted through the random distribution of a pre-validated structured questionnaire with the public and private sector employees and with general population from all walks of life above the age of 18 years in Al-Qassim region. The survey was designed electronically through the Survey Monkey system and was distributed through social media. Results: A total of 708 participants responded to this survey. Most of the responders (485 (68.10\%)) were females. About half of the responders were in the age group of 18{\textendash}29 years (393 (58.31\%)) with a significantly dominant female population compared to males (p\<0.05). Most of the responders checked or almost checked the instructions of storing medications (192 (28.24\%) and 273 (40.15\%), respectively) without any significant difference between education level (p\>0.05). Most of the responders checked the expiry date of stored medications (496 (70.06\%)). Most of the responders did not receive instructions on storage of medications from pharmacist or physician (597 (84.32\%)). Most of the resources regarding storage of medications were obtained from the physician (388 (54.8\%)), drug leaflet (320 (45.2\%)) followed by pharmacist (318 (44.92\%)) and self-learned (154 (21.75\%)). Therapeutic classes of stored medication were analgesics and antipyretics (322 (41.87\%)) followed by cardiovascular drugs (64 (8.32\%)) and oral anti-diabetic drugs (58 (7.54\%)). Conclusion: The results of this study showed that people at Al-Qassim region tend to store medication at home not just over the counter medications but also medications of chronic illnesses. They should be educated on the need of medications, safety of medications and requirements of storing medications at home. Educational activities should be conducted through all possible channels to increase the awareness and to educate people on the proper method of storing medications.

}, keywords = {Al-Qassim, Home, Knowledge, Medication Storage, Perceptions, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.14}, author = {Afaf Badr Alenazi and Mansour Saleh Alsharidah and Amal Hassan Al-Najjar and Suliman Abdulaziz Alghazy and Abdul-Aziz Abdullah Alqadi and Amir Marzouk} } @article {52, title = {Pharmacist{\textquoteright}s Awareness and Knowledge of Reporting Adverse Drug Reactions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {60-65}, type = {Research Article}, chapter = {60}, abstract = {

Objectives: Pharmacovigilance is considered a useful tool in detecting, assessing, understanding and preventing Adverse drug reactions (ADRs) to ensure the safety of medications and protect consumers from ADRs. Consequently, the progression and expansion of pharmacovigilance is urgent for safe and effective clinical practice; therefore, in this study, we aimed to compare the awareness and knowledge of the community and hospital pharmacists toward reporting ADRs in different regions of Saudi Arabia. Methods: This cross-sectional study was conducted from January 2016 to March 2016 in Saudi Arabia. A validated and structured questionnaire was distributed by hand or via Internet to 263 hospital and community pharmacists. The questionnaire collected pharmacists{\textquoteright} demographic information and pharmacists{\textquoteright} understanding and knowledge of the pharmacovigilance system and reporting of ADRs. Results: A total of 263 pharmacists responded to the questionnaire with 208 (79.09\%) pharmacists from hospital pharmacy sites and 55 (20.91\%) pharmacists from community pharmacy responding to the questionnaire. There is a significant difference in the pharmacovigilance concept (p\<0.05) between the hospital and community pharmacists. Most community pharmacists were unfamiliar with the existence of a pharmacovigilance center in Saudi Arabia. Furthermore, community pharmacists were unaware of where they could get an ADR reporting form, but hospital pharmacists were aware of this (p\<0.05). Conclusion: The results of this study demonstrated that pharmacists who work at hospitals among different regions in Saudi Arabia had a higher awareness of the pharmacovigilance system than that of community pharmacists who worked at the community pharmacy.

}, keywords = {Adverse drug reactions, Awareness, Knowledge, Pharmacists, Pharmacovigilance, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.11}, author = {Fatimah Fouad Al Doughan and Yousef Ahmed Alomi and Mais Hasan Iflaifel} } @article {65, title = {Pharmacist{\textquoteright}s Intervention and Medication Errors Prevention at Pediatrics, Obstetrics and Gynecology Hospital in East Province, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {122-128}, type = {Research Article}, chapter = {122}, abstract = {

Objectives: Medication errors have a large impact on patient safety and on healthcare cost. Errors occur due to a combination of human and system-related failure. The pharmacist prevents all drug related problems. The objective of this study was to explore pharmacist intervention and prevented medication errors in Pediatrics, Obstetrics and Gynecology at a Tertiary Hospital in East Province, Saudi Arabia. Methods: This article describes 12 months retrospective cohort study of pharmacist intervention and prevented medication errors in year of 2015. This was a retrospective study conducted at 500-bed Pediatrics, Obstetrics and Gynecology in a Tertiary Hospital in East Province, Saudi Arabia. This system was a part of medication safety program. A tertiary hospital had medication safety officer with medication safety committee. All errors or unexpected events related with the medication system or a step in the medication process shall be reported using the medication error from/sheet. The form consisted of patient information, the sources of medication errors and qualification of committing errors. The type of medication errors, description of errors, causes of errors, approval to prevent the errors and the consequence of medication errors by using National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) system. Results: The total number of prevented medication errors were 1654 within 827 patients{\textquoteright} prescriptions. The medication errors had been made by physicians followed by nurses. The sources of errors were general practitioner 631 (38.15 \%) followed by consultant 554 (33.5\%). The most common error was made in Pediatrics (1-month to 6 years) followed by young adults (18-40 years). An occurred error, most of the time was afternoon 872 (52.72\%) errors followed by morning duty 685 (41.4\%) errors. The majority kind of mistakes were prescriber-related 1216 (73.52\%) followed by patient-related errors 426 (25.75\%). The outcome of medication error was 1651 (99.82\%) occurred which did not reach the patient. The most common medications involved in errors were Paracetamol syrup, iron tablet, folic acid tablet and calcium tablet. There were three errors for high-risk medication prohibited for instant: insulin, enoxaparin and heparin. Conclusion: This article presented the pharmacist{\textquoteright}s role in preventing medication errors, especially with pediatrics populations. Pharmacists have a crucial system-level role in planning and important medication safety programs and enhancement initiatives within health care organizations. The expanded role of pharmacists in preventing medication errors associated with patient safety programs and avoid the needless cost

}, keywords = {East Province, Errors, Gynecology, Intervention, Obstetrics, Pediatrics, Pharmacist, Prevention, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.21}, author = {Amal Ahmad Alanazi and Yousef Ahmed Alomi and Mohammed Mohsen Almaznai and Marzook Aldwihi and Ibrahim Abdul Karim Aloraifi and Fatimah Ali Albusalih} } @article {55, title = {Pharmacist{\textquoteright}s Perception of Pharmacovigilance and Reporting of Adverse Drug Reactions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {February 2019}, pages = {73-78}, type = {Original Article}, chapter = {73}, abstract = {

Background: Pharmacists{\textquoteright} perception toward their role in reporting of Adverse Drug Reactions (ADRs) and their understanding of the importance of reporting ADRs are essential keys to be assessed and studied in order to determine the factors that may predispose to underreporting of ADRs in Saudi Arabia. Therefore, in this study, we aimed to asses and compare the perception of community and hospital pharmacists toward reporting of ADRs in different regions of Saudi Arabia. Method: A structured, validated questionnaire was used to conduct a cross-sectional study. A total of 263 pharmacists were enrolled. The questionnaire included the demographic data of the pharmacists and 11 questions to measure pharmacists{\textquoteright} perceptions of ADRs reporting of reporting ADRs. All statistical analysis done by using Statistical Package for the Social Sciences (SPSS) version 21 and Survey Monkey system. Result: the result shows that community and hospital pharmacists strongly agree about that reporting of ADRs allow to measure the incidence of ADRs 29 (55.77\%), 121 (58.45) and to identify previously unrecognized ADRs 30 (57.69\%), 116 (56.59\%) and enable safe drugs to be identified 39 (70.91\%), 129 (62.32\%), respectively with no significant difference (p\>0.05). Besides, both hospital pharmacists 116 (55.77\%) and community pharmacists 31 (60.78\%) strongly agree about their important role in the pharmacovigilance system. However, only 67 (32.52\%) of hospital pharmacists strongly agreed about the physician{\textquoteright}s responsibility in reporting ADRs compared to community pharmacists 29 (52.73\%) with a significant difference between groups (p\<0.05). However, 37 (17.87\%) of hospital pharmacists were uncertain about drug companies{\textquoteright} role in pharmacovigilance system with a significant difference between community pharmacists with (p\<0.05). Conclusion: The result of this study demonstrated that both community and hospital pharmacists among Saudi Arabia had a very goods of perception about the importance of ADRs reporting and their role in reporting ADRs.

}, keywords = {Adverse drug reactions, Community, Hospital, Perception, Pharmacist, Pharmacovigilance, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.13}, author = {Fatima Fouad Al Doughan and Yousef Ahmed Alomi and Mais Hasan Iflaifel} } @article {56, title = {Pharmacist{\textquoteright}s Practice of Reporting of Adverse Drug Reactions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {February 2019}, pages = {86-93}, type = {Research Article}, chapter = {86}, abstract = {

Objectives: To assess and compare the practice of reporting Adverse Drug Reactions (ADRs) and related factors between community and hospital pharmacists in Saudi Arabia. Methods: This is a cross-sectional study. We used a structured, validated questionnaire to collect the data. A total of 263 pharmacists participated in the survey. The questionnaire captures demographic data of the participants and had 26 questions related to the practice of reporting ADRs and factors that encourage and discourage pharmacists from reporting ADRs. Results: Community pharmacists did not know the location of the ADR form, but hospital pharmacists did know about it, which was significantly different (P\<0.05). Despite the increased awareness of ADR form among the hospital pharmacists{\textquoteright}, the overall reporting rate was found to be meager among both the group of pharmacists. We found that several reasons led to the low reporting rate of ADR, for example, community pharmacists were unaware of how to report ADR and they considered that the ADR is too trivial to be reported compared to hospital pharmacists (P\<0.05). in addition, community pharmacists were not know whom to report the ADRs compared to the hospital pharmacists, which was significantly different (P\<0.05). Conclusion: The results of this study demonstrated that pharmacists who work at hospitals had a higher awareness of practicing system of reporting ADRs than that of community pharmacists. Increasing awareness among community pharmacists regarding the pharmacovigilance and ADR reporting systems is highly recommended in the Kingdom of Saudi Arabia.

}, keywords = {Adverse drug reactions, Community, Hospital, Pharmacist, Pharmacovigilance, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.15}, author = {Fatima Fouad Al Doughan and Yousef Ahmed Alomi and Mais Hasan Iflaifel} } @article {222, title = {Pharmacy Technician Workforce in Saudi Arabia over Twelve Years (2006-2017)}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {158-162}, type = {Research Article}, chapter = {158}, abstract = {

Objectives: To explore the workforce of pharmacy technician at Ministry of Health (MOH) institutions over the past twelve years (2006-2017) in the Kingdom of Saudi Arabia. Methods: It is a retrospective analysis of twelve years (2006-2017) of Ministry of Health pharmacy technician workforce at hospital practice. All data derived from the Ministry of Health Statistical Year Books and any missing appropriate information about pharmacy technician workforce, that{\textquoteright}s will be estimated through allied healthcare professional{\textquoteright}s data in each region including gender or nationality. It included pharmacy technician and exclude all types of pharmacists or clinical pharmacist{\textquoteright}s workforces at MOH hospital and Primary Health Care Centers (PHCs) settings. All calculations were based on MOH workforce standards of hospitals and PHCs. All calculation was done using Microsoft Excel version ten. Results: The total number of pharmacy technician in all sectors, hospitals, primary healthcare centers and medical affairs administration increased from 4,289 to 8,373 over twelve years to 1.96-fold increments (2006- 2017). The number of Saudi pharmacy technician increased from 3,064 to 8,061 to 2.63-fold increments while non-Saudi pharmacy technician decreased from 1,225 to 312 to 3.92-fold reductions. The rate of pharmacy technician to pharmacist decreased from 6.7 to 2.2 to 3.05-fold ratio reductions while the pharmacy technician per 10,000 population increased from 2.67 to 4.29 to 1.61-fold incremental ratio over the past twelve years. Conclusion: The pharmacy technician worked at the Ministry of Health institutions increased over the past twelve years. The Saudi pharmacy technician was increased with reduction of non-Saudi nationality. The male gender more than female. The ratio of pharmacy technician to pharmacist was reduced by time. The pharmacy technician workforces needed to explore at all healthcare institutions in the Kingdom of Saudi Arabia.

}, keywords = {Centers, Health, Hospital, Ministry of Health, Pharmacy technician, Saudi Arabia, Workforce}, doi = {10.5530/ijphs.2019.8.26}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {233, title = {The Physician Order for Standardized Concentration of Adult{\textquoteright}s Electrolyte Replacement Therapy: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {208-210}, type = {Review Article}, chapter = {208}, abstract = {

The electrolyte replacement therapy consternation considered one of the high alert drugs. Most of the medication safety organizations have established preventive guidelines for the prescription of electrolyte therapy. The General Administration of Pharmaceutical Care at the Ministry of Health in the Kingdom of Saudi Arabia also has established guidelines for the preparation and administration of electrolyte replacement for adult patients. This new initiative is regarding the standardized concentration of electrolyte preparation and administration for adult patients. The electrolyte therapy may be prescribed via a physician order form, which may be easily converted as computerized physician order entry. This from is designed to prevent all electrolyte-related errors and improve patient outcomes. This project is a new tool implemented for electrolyte safety at the Ministry of Health hospitals in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Electrolyte, Ministry of Health, Physician order, Saudi Arabia, Standardized Concentration}, doi = {10.5530/ijpcs.2019.8.46}, author = {Yousef Ahmed Alomi and Manal Mansour Al Nemari and Fatimah Al-Doughan and Yasir Ahmed Ibrahim and Hussam Saad Almalki and Nahedh Rashed Alotaibi and Mona Mustafa Jadkarim} } @article {53, title = {Poisoning Due to Stored Medications at Home in Al-Qassim Region, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {66-72}, type = {Research Article}, chapter = {66}, abstract = {

Objective: Storing medications at home is a global practice. By storing medications in an appropriate and safe environment, we can prevent accidental poisoning. Information is scarce regarding the storage of different types of medications at homes in Al-Qassim region, Kingdom of Saudi Arabia. Therefore, in this study, we aimed to explore the cases of poisoning due to stored medications at home in Al-Qassim region. Methodology: This is a descriptive, cross-sectional survey conducted through the random distribution of a pre-validated structured questionnaire among the public and private sector employees and people from all walks of life above the age of 18 years in Al-Qassim region. The survey was designed electronically through the Survey Monkey system and was distributed through social media. Results: A total of 708 subjects responded to the survey. Most of the responders (485 (68.10\%)) were females. About half of the responders were in the age group of 18{\textendash}29 years (393 (58.31\%)) with females being significantly dominant than males (p\<0.05). Majority of the responders stored their medications separated from households{\textquoteright} chemicals (524 (77.06\%)). Most of the responders did not store multiple medications in the same container without any significant difference related to gender or educational level (p\>0.05). The total number of poisonous cases were 41 (5.79\%) without any significant difference related to gender or educational level (p\>0.05). Poisoning due to medications were mostly caused due to the medications stored in refrigerator (15 (40.54\%)) and bedroom (10 (27.03\%)). Most of the stored medications were disposed into the trash after their expiry dates (463 (65.4\%)) while 189 items remained at home (26.69\%). A total of 33 different types of stored medications caused poisoning in 44 cases. Paracetamol caused 6 cases of poisoning (18.18\%), followed by ibuprofen 3 (9.09\%) and multivitamins 3 (9.09\%). Conclusion: The results of this study revealed an alarming setting of poisoning cases due to stored medications in Al-Qassim region. Awareness campaigns and more educational sessions should be conducted through social media. By doing so, people can be educated regarding the proper storage of medications to prevent poisoning. Thus, public awareness programs stressing on the safe storage and identification of the right ways to dispose of medication are highly recommended.

}, keywords = {Al-Qassim, Home, Medication Storage, Poisoning, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.12}, author = {Afaf Badr Alenazi and Mansour Saleh Alsharidah and Amal Hassan Al-Najjar and Suliman Abdulaziz Alghazy and Abdul-Aziz Abdullah Alqadi and Amir Marzouk} } @article {224, title = {Primary Healthcare Centers Pharmacy Technician Workforce over Twelve Years (2006-2017) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {171-177}, type = {Research Article}, chapter = {171}, abstract = {

Objectives: To explore the workforce of pharmacy technician at MOH Primary Healthcare Centers over the past twelve years (2006-2017) in the kingdom of Saudi Arabia. Methods: It is a retrospective analysis of twelve years (2006-2017) of Ministry of Health pharmacy technician workforce at Primary Healthcare Centers (PHCs) practice. All data derived from Ministry of Health Statistical Year Books and any missing appropriate information about pharmacy technician workforce, that{\textquoteright}s will be estimated through allied healthcare professional{\textquoteright}s data at each region including gender or nationality. It included pharmacy technician and exclude all types of pharmacists or clinical pharmacist{\textquoteright}s workforces at MOH PHCs setting. All calculations were based on MOH workforce standards of Primary Healthcare Centers. All calculation was done using Microsoft Excel version ten. Results: The total numbers of pharmacy Technician were 8.373 and who distributed at the hospital were 6,620 (79.06\%), at primary care centers 1,623(19.38 \%) while administration regions 130 (1.55\%). The total number of pharmacy technician was (1,623) with rage (891-1,623 and average (1,292). While the average numbers per region of PHCs pharmacy technician were (65) with a range number of (32-84). The average numbers of pharmacy technician per pharmacist per region (9.11) with a range number of (0.83-14.83) annually. The estimated average rage gender distribution of PHCs pharmacy Technician per region were male (31-72) with average 56 (86.15\%), while the female was (6-12) and average 9 (13.84\%). The estimated average rage nationality distribution of PHCs pharmacy Technician per region was Saudi (30-80) with average 61 (93.84\%), while the non-Saudi was (1-13) and average 4 (6.16\%). Conclusion: One fifth of the pharmacy technician worked at the Ministry of Health PHCs. The majority of pharmacy technician was Saudi and the male gender. The ratio of pharmacy technician was very high related shortage of pharmacists. The analysis of pharmacy technician workforces at PHCs is highly recommended annually in Saudi Arabia.

}, keywords = {Ministry of Health, Pharmacy technician, Primary Healthcare Center, Saudi Arabia, Workforce}, doi = {10.5530/ijpcs.2019.8.28}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {29, title = {Patient{\textquoteright}s General Perception and Attitude toward Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {31-37}, type = {Research Article}, chapter = {31}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception and attitude toward pharmacists in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient perception of pharmacists. The survey consisted of two parts: the first part gathers demographic information and the second part has 49 questions divided into four domains: (1) the first domain captures patient{\textquoteright}s general perception of the pharmacist; (2) the second domain is regarding patient{\textquoteright}s perception of pharmaceutical care services; (3) the third domain is about patient perception of visiting ambulatory care; and (4) the fourth domain is regarding patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media to a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey analyzed domain one, which is the primary or necessary general perceptions about pharmacists and the data were analyzed through the Survey Monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. In the past 12 months, most patients (222 (36.04 \%)) visited the pharmacy more than 10 times, followed by 122 (19.81\%)) visited the pharmacy at least 5{\textendash}9 times. Most of the patients (481 (83.5\%)) spent less than 11 min with the pharmacist. The statements with highest scores were related to the pharmacist{\textquoteright}s perceptions such as pharmacy job is vital in our society (4.63); the pharmacist has a very significant role in preventing medications errors (4.4); the necessity of present pharmacist schools (4.09); and the pharmacist is the first person ask about drugs (4.01). More than 60\% of the responders chose pharmacy as the professional specialty or suggest their family members or friend to select a professional pharmacy. The majority of pharmacists shared information in public education through the television and media (3.7) and newspaper (3.65) followed by schools (3.56) and public education exhibitors (3.48). Most of the patients (429 (73.1\%)) visited the pharmacist to seek help, and due to the pharmacists knew more about medication doses and their adverse effects (224 (38.16\%), and free consultation 166 (28.28\%) Conclusion: Majority of the patients had a good perception about the pharmacist and his role with patients and the public. The pharmacists should expand their services across all healthcare institutions in Saudi Arabia.

}, keywords = {Attitude, Patient, Perception, Pharmacist, Saudi Arabia}, doi = {10.5530/ijpcs.2018.7.7}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {30, title = {Patient{\textquoteright}s Perception and Attitude of Pharmacist during Pharmacy Visits in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {38-43}, type = {Research Article}, chapter = {38}, abstract = {

Purpose: To explore patient{\textquoteright}s perception and attitude during pharmacy visit in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient perception regarding pharmacists. The survey consisted of two parts: the first part captures demographic information and the second part is a questionnaire with 49 questions divided into four domains: (1) The first domain is regarding patient{\textquoteright}s general perception of the pharmacist; (2) the second domain captures data of patient{\textquoteright}s perception regarding pharmaceutical care services; (3) the third domain is regarding patient{\textquoteright}s perception of visiting ambulatory care; and (4) the fourth domain captures information on patient{\textquoteright}s perception regarding the pharmacist{\textquoteright}s relationship and counseling skills. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media to a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey analyzed domain three, which is about the patient{\textquoteright}s perception of visiting ambulatory care through Survey Monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. In the past 12 months, most of the patients (222 (36\%)) visited the pharmacy more than 10 times, whereas the others (122 (19.8\%)) visited the pharmacy at least 5{\textendash}9 times. Most of the patients (481 (83.5\%)) spent less than 11 min with the pharmacist. The average score of patients{\textquoteright} general perception of the pharmacist during pharmacy visit was 3.74. The highest score was obtained for the statements received all medications prescribed to me (4.16) and pharmacy convenient located (4.0).4 The lowest score was obtained for the statement pharmacy waiting area convenient located (3.38). The average score of patient perception of the pharmacist with drug monitoring during the pharmacy visit was 3.74. The highest score was obtained for the statement{\textemdash}the patient revived a copy of prescription-contained medications (3.4), whereas the lowest score was obtained for the statement{\textemdash}the pharmacist gives a follow-up call to the patient as medications prescribed (2.09). The score for general evaluation of pharmacy visit was found to be 3.67 with a score of (3.55) for the preference to visit the pharmacy or recommendation to other patients or friends. Conclusion: According to our results, patient{\textquoteright}s perception during pharmacy visit was found to be acceptable. Pharmacy communication methods and counseling place missed. Corrections of patient needs will improve patient{\textquoteright}s perceptions and raise patient satisfaction during visiting of pharmacy.

}, keywords = {Attitude, Ministry of Health, Patient, Perception, Saudi Arabia, Visit}, doi = {10.5530/ijpcs.2018.7.8}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {90, title = {Pediatric Liver Diseases and its Management by Herbals: A Traditional Siddha Medicine Treatise}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {5}, year = {2016}, month = {March 2016}, pages = {32-40}, type = {Review Article}, chapter = {32}, abstract = {

Siddha medicine is one of the oldest (5000 years old, pre vedic period) well-documented Indian traditional medicines, compared to Ayurveda, Unani, and traditional Chinese medicine, by way of keen observation and experimentation. It mentions 108 diseases that occur in childhood, which are further classified and described into various subtypes based on the clinical features and different stages of a particular disease. The objective of this review was to collect literature details on pediatric liver diseases and its management as per Siddha medicine. We have referred all the published Siddha books related to the pediatric practice. There were 37 Siddha literature deals pediatric diseases and they use the term kaamaalai or chenkamaari to describe the liver diseases. Most of the literature classifies liver disease into 3 types, but few texts describe 5-6 subtypes. Thus, a total of 9 subtypes of liver diseases in pediatric age group have been described in Siddha literature with a list of herbals to be used for each type. Mostly, the drug therapy is polyhedral formulations of internal and/or external application. A total of 113 herbals, 6 animal products (including black chicken liver, dairy products, donkey{\textquoteright}s dung, honey) and 7 mineral based products (including iron, rock salt) were listed as potential agents to treat liver diseases. The safety and efficacy of all the above mentioned herbal/mineral products have not been fully explored in children, but may be a great potential for clinical development.

}, keywords = {Agastyar, Ayurveda, Herbals for Children, Liver disease, Traditional Medicine}, doi = {10.5530/ijpcs.5.1.6}, author = {G Senthilvel and Arul Amuthan and Shiny Jasphin} } @article {97, title = {Pharmacogenomics of Metformin- A Way to Personalised Medicine}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {5}, year = {2016}, month = {June 2016}, pages = {55-61}, type = {Review Article }, chapter = {55}, abstract = {

Diabetes is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease. There are atleast 10 different drug classes for the treatment of Type 2 diabetes mellitus (T2DM) but metformin is recommended as the initial medication for treatment of T2DM. Inter-individual variability in response and few clinical or biomarker predictors of response reduces its optimal use. Personalized medicine promises a path for individually optimized treatment, but realizing this promise will require a more comprehensive characterization of disease and drug response. As per American Medical Association, pharmacogenomics is the study of genetic variations that influence individual response to drugs. Knowing whether a patient carries any of these genetic variations can help prescribers individualize drug therapy, decrease the chance for adverse drug events, and increase the effectiveness of drugs. There are variety of genes controlling metformin transport in the body, for eg- SLC22A1, SLC22A2, SLC22A3, SLC22A4 etc. The purpose of this review article is to explain in brief pharmacogenomics of metformin and its application and practical hurdles in its translation.

}, keywords = {Diabetes Mellitus, Metformin, Personalised medicine, Pharmacogenomics, SLC2A4}, doi = {10.5530/ijpcs.5.2.4}, author = {Monali Pradeep Vakharia and Vijay Ramakrishna Zad and Nishikant Nandlal Mankar and Pratik Pradeep Wadivkar and Kalpana Unind Shah} } @article {88, title = {Phytochemical Standardization of Serankottai nei (a Siddha Drug from Milk Extract of Semecarpus Anacardium nuts) and its in-vitro Antitubercular Activity against H37Rv Strain}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {5}, year = {2016}, month = {March 2016}, pages = {17-24}, type = {Research Article}, chapter = {17}, abstract = {

Background: Serankottai nei is a popular Siddha drug, used in the treatment of lung infections including tuberculosis, autoimmune joint diseases (rheumatoid arthritis, degenerative osteoarthritis), cancers and neurological pain. Objective: To standardize serankottai nei and to screen its in-vitro antitubercular activity of in H37Rv strain. Materials and Methods: Serankottai nei, a medicated ghee preparation was procured from the SKM Siddha and Ayurveda Co India Ltd, Erode, Tamil Nadu. Unsaponifiable matter (USM) from the ghee preparation was separated and preliminary phytochemical screening was done. Further, USM was dissolved in 10 ml of chloroform and 3 and 6 μl of the above sample was applied for HPTLC fingerprint, which was developed in toluene: ethyl acetate (9.0:1.0). The developed plates were scanned under UV 254 nm, 366 nm, 540 nm and 620 nm post derivatization. Rf, colour of the spots and densitometric scan were recorded. Different doses of USM were screened for in-vitro antitubercular activity against H37Rv strain using Alamar Blue Dye method. Results: Phytochemical screening of 8\% w/w USM obtained from serankottai nei showed presence of alkaloid, phenol, steroid and terpenoid. In HPTLC, there were 15, 5 and 7 peaks at 254 nm, 366 nm and 620 nm respectively. The Minimum Inhibitory Concentration (MIC) against H37Rv strain of pyrazinamide, streptomycin, ciprofloxacin were 3.125, 6.25 and 3.125 μg/ml respectively. Whereas, the MIC of serankottai nei was 1.6 μg/ml, which was almost 25 to 50\% of standard drugs. Conclusion: Serankottai nei has shown promising antitubercular activity in in-vitro study. Thus, Semecarpus anacardium could be a suitable candidate for a new herbal based antitubercular drug.

}, keywords = {Antitubercular, Semecarpus anacardium, Serankottai nei, Siddha Medicine, Tuberculosis}, doi = {10.5530/ijpcs.5.1.4}, author = {G Senthilvel and Arul Amuthan and KN Sunil Kumar} } @article {104, title = {Prescription Trend of Topical Corticosteroids in Outpatient of Dermatology in a Tertiary Care Hospital in Tumakuru, Karnataka}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {5}, year = {2016}, month = {September 2016}, pages = {77-82}, type = {Original Article}, chapter = {77}, abstract = {

Background: Skin diseases amounts for a large fraction of patients attending the outpatient of dermatology and topical corticosteroids (TCS) are being commonly prescribed, the data related to drug usage patterns of TCS in skin conditions are particularly lacking. Hence it is vital to study the drug prescribing patterns of TCS in skin diseases. Objective: To study the demographic details and drug prescription pattern of TCS in patients with skin diseases. Materials and Methods: A cross-sectional study conducted in the Dermatology Department, Sri Siddhartha Medical College, over a period of 2 months. The patients with skin diseases who were prescribed TCS were included. The data was collected by direct observation in a specially designed proforma containing relevant detail such as demography, skin conditions and drug used. The data were analyzed as counts and percentages. Result: Majority of the patients were under the age of less than 20 years (38\%) followed by those between the age of 21 years to 40 years (36\%). .Female patients (61\%) were more and majority were from rural areas (69\%). Clobetasol propionate (46\%), mometasone furoate (15\%) and betamethasone dipropionate (12\%) were the commonly prescribed TCS. Fixed dose combinations (FDC) of TCS were commonly with fusidic acid, gentamicin and salicylic acid. Average drug per prescription was 2.09. None of the prescriptions used generic names. Conclusion: Prescription pattern provides critical feedback to prescribing physician by focusing on rationalizing drug therapy. FDC of TCS with gentamicin, salicylic acid and fusidic acids are rational and approved by CDSCO.

}, keywords = {Dermatology, Prescribing pattern, Rational, Skin disease, Topical corticosteroids}, doi = {10.5530/ijpcs.5.3.3}, author = {Purushotham K and Eesha BR} } @article {87, title = {Prevalence and Severity of Adverse Drug Reactions (ADRs) in Patients Subjected to Different Anti-psychotic Drugs in an Out-Patient Department of a Psychiatry Hospital in Kashmir; A Prospective Observational Study}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {5}, year = {2016}, month = {March 2016}, pages = {12-16}, type = {Research Article}, chapter = {12}, abstract = {

Background: Adverse effects are usually dose dependent and can be influenced by patient characteristics including age and gender and these confounding factors should be considered in clinical practice and in the interpretation of research data. Selection of an antipsychotic drug should be on an individual patient basis. Patients should be involved in prescribing decisions and this should involve discussion about adverse drug reactions and their severity. Objective: Current study was carried out with the aim to look into the severity with which the adverse drug reactions were associated with various antipsychotics used in our day to day practice. Materials and Methods: It was a prospective observational study conducted over a period of one year in the Outpatient Department of Institute of Mental Health and Neurosciences (IMHNS), Government Medical College Srinagar. An assessment of severity was done using modified Hartwig and Siegel scale. Results: A total of 100 ADRs of different types were observed in 77 patients out of total 177 patients included in our study, with an overall prevalence of about 43.5\%. Most (83.0\%) of the ADRs were mild in severity while ADRs moderate in severity were found in only 17 (17.0\%) according to modified Hartwig and Siegel scale. None of the reported ADRs belonged to {\textquoteleft}severe{\textquoteright} or {\textquoteleft}lethal{\textquoteright} category. There was no statistically significant relationship between development of ADRs with age (p=0.8) or sex (p=0.6) of the patients included in the study. Conclusion: Although with the utilization of antipsychotics, the prevalence of ADRs in our study was as high 43.5\%, most of them (83\%) were mild in nature and only 17\% of them were of moderate severity and none of our patients showed the development of any severe ADR which would lead them to discontinue the therapy.

}, keywords = {ADR prevalence, ADR reporting, ADR severity due to Antipsychotics, Antipsychotics and ADRs, Modified Hartwig and Siegel scale}, doi = {10.5530/ijpcs.5.1.3}, author = {Afkat Ahmad and Arshad Hussain and Samina Farhat and Shagufta Parveen and Vineeta Sawhney and Zubair Ashai} } @article {105, title = {Physico-Chemical Evaluation of Pavalasilasathu Parpam, a Marine based Traditional Siddha Drug used in Leucoderma and Infectious Conditions}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {4}, year = {2015}, month = {Sept 2015}, pages = {44-47}, type = {Original Article}, chapter = {44}, abstract = {

Background: Pavalasilasathu parpam (PSP) is one of the marine derived drugs used in Siddha Medicine for the treatment of leucoderma and respiratory infections. So far, no studies have been done on this drug. Objective: To prepare pavalasilasathu parpam as per the traditional Siddha literature and to evaluate its chemical changes during drug preparation processes. Materials and Methods: First, Suddhi (purification) process of pavalam (coral) and silasathu (selenite) were done by individually processed with Aloe vera juice and tender coconut water respectively. The chemical change in coral and selenite before and after the purification process was analyzed using Fourier transform infrared spectroscopy (FTIR) and inductively coupled plasma optical emission spectroscopy (ICP-OES). Then, coral and selenite were ground well together with Cissus quadrangularis juice for 12 hours and subjected to calcination process. The obtained whitish ash was called as PSP. The physico-chemical property of PSP was analyzed using ash values, FTIR, ICP-OES and Scanning Electron Microscope (SEM). Amount of heavy metal was quantified. Results: The procedure Suddhi reduced the amount of sodium, iron, calcium, phosphorous, sulfur and magnesium in coral and selenite. Particle size ranges between 30-80 μm. Heavy metals like mercury, lead, arsenic and cadmium were below detectable level. Amount of calcium, phosphorous and sulphur were 225 mg, 10 mg and 22 mg in 1 g of PSP. FTIR showed the peaks for the presence of six organic compounds. Conclusion: Pavalasilasathu parpam does not have heavy metals, but contains calcium, phosphorous and Sulphur with few organic phytochemicals derived from Cissus quadrangularis, which was used during the preparation process.

}, keywords = {Ayurveda, Bhasma, Cissus Quadrangularis, Corel, Leucoderma, Marine, Pavalam, Selenite, Siddha}, doi = {10.5530/ijpcs.4.3.2}, author = {Mekala and Sathish and Arul Amuthan} } @article {122, title = {Prophylactic and Curative Activity of {\textquoteright}Barleria Buxifolia. Linn{\textquoteright} on Experimentally Induced calcium Oxalate Nephrolithiasis in Animal Model}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {4}, year = {2015}, month = {Dec 2015}, pages = {68-75}, type = {Research Article}, chapter = {68}, abstract = {

Background: Increased level of urinary oxalate increases the risk of hyperoxaluria and followed by Nephrolithiasis. Berleria buxifolia having flavonoid and saponins showing more active diuretic and antioxidant property. Objectives: The main objective of the study is to evaluate the reduction of urinary oxalate crystal formation by treating with methanol extraction of the test drug {\textquoteleft}Barleria buxifolia{\textquoteright} on experimentally induced Nephrolithiasis in animal model. Methods: In the present study, methanol extract of whole plant of Barleria buxifolia was evaluated for their Antiurolithiatic potential in albino rats of Wistar strains (Five groups containing five animals each). Nephrolithiasis was induced by administering 0.75\% Ethylene glycol supplemented with 2\% Ammonium chloride. Urinary microscopy and histopathology were used as criteria for assessing the preventive or curative effect of the plants. The elevated serum creatinine levels of lithiatic rats were reduced in both groups (prophylactic and curative) by the administration of the extract treatment (once daily for 28 days by p.o route). Result: Assessment of Antiurolithiatic activity was determined by the urine and blood analysis; which gave supportive evidence of Antinephrolithiatic activity, (all p values\<0.05). Experiment findings also resulted in reduction in the stones compared to the control group, but neither was significantly reduced. Conclusion: Prophylactic and curative property of Barleria buxifolia against induced Nephrolithiasis showed concurrent reduction in the formation of Lithiasis in animal. So the test drug can be used as therapeutic agent.\ 

}, keywords = {Barleria Buxifolia, Calcium Oxalate, Creatinine, Ethylene Glycol, Nephrolithiasis}, doi = {10.5530/ijpcs.4.4.1}, author = {Kapilraj P.K} } @article {165, title = {Pharmacoutilization and Costs of Nucleoside and Nucleotide Analog Inhibitors for Hepatitis B Treatment in the Vesuvian Area of South Italy}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {2}, year = {2013}, month = {June 2013}, pages = {55-57}, type = {Short Communication}, chapter = {55}, abstract = {

Hepatitis B virus (HBV) infection is an important sanitary problem due to its worldwide distribution and high social im-pact; severe complications of chronic hepatitis induced by HBV are cirrhosis and hepatocellular carcinoma (HCC). We conducted a survey with the aim i) to show the updated prevalence of the disease and ii) to evaluate the economic impact of treatment with oral agents (nucleoside and nucleotide analog inhibitors) in a region of the South Italy com-prising 1.012.304 inhabitants. Between January and December 2012, 778 patients with hepatitis B (prevalence: 0.08\%) were treated. The total pharmaceutical cost was {\texteuro} 2.082.926 (3\% of the total sanitary expense). Oral drugs against HVB have a moderate impact on the pharmaceutical spending. The major economic impact associated with HBV infection is primarily represented by the later development of cirrhosis and HCC.

}, keywords = {Hepatitis B, Pharmaceutical spending, Pharmacoutilization, Prevalence}, author = {Maurizio Capuozzo and Alessandro Ottaiano and Eduardo Nava and Stefania Cascone and Claudia Cinque and Adriano Vercellone and Rosario Vincenzo Iaffaioli} } @article {166, title = {Population Approach Group of India (PAGIN) 2013: A Report}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {2}, year = {2013}, month = {June 2013}, pages = {58-60}, type = {Scientific proceeding}, chapter = {58}, abstract = {

Population Approach Group of India(PAGIN) is a non-profit organization focused on the training of pharmacometric community in India. Pharmacometrics is a science that specializes in data analysis and modeling using mathematical and statistical methods for handling pharmacokinetic (PK), pharmacody-namics (PD) and disease progression models.

}, keywords = {Nill}, author = {M. Surulivel Rajan} } @article {183, title = {A Prospective Single Arm Open Pilot Trial to Study the Antioxidant Property of Ayurvedic Massage Therapy in Healthy Individuals}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {2}, year = {2013}, month = {September 2013}, pages = {121-125}, type = {Short Communication}, chapter = {121}, abstract = {

Ayurveda, the kernel of the ancient Indian wisdom, reckons abhyanga as a daily regimen owing to its univocal properties like jaraapaha (~delaying ageing process) pushtirit (nourishing), shramahara (removing tiredness) pushtya-yu (~ bestowing longevity) etc. Hence, this study was envisioned to show the antioxidant property of abhyanga on healthy individuals. Recruited voluntary healthy individuals both male and female between eighteen to seventy years of age were given Ayurvedic oil massage with simple gingili oil every day in empty stomach for forty five minutes for a period of seven days. The fasting blood samples of the subjects were collected before and after the study. The study was explicated utilizing the method of Koracevic et al method for the determination of total antioxidant status (TAS) and spectrophotometric method for accomplishing the thiol assay. The mean value with respect to the TAS was 0.88 before the treatment and 0.92 after the treatment and that of thiol was 317.39 and 311.66 before and after the therapy respectively. In TAS, p- value was 0.016 which is \< 0.05 and there was a decrease in serum thiols which was not statistically significant. However, the study establishes the antioxidant property of abhyanga and necessitates further comprehension of the same.

}, keywords = {Abhyanga, Antioxidant, Ayurveda, Massage, Panchakarma}, author = {K.J.Malagi and Shripathi Adiga H and Anjali Rao and Revathi Shenoy and Madhusudhan Kamath and A. Sapna Devi} } @article {143, title = {Physico-chemical Evaluation of kadukkai maathirai and its Tablet Formulation, a Siddha Iron Preparation used in Anemia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {1}, year = {2012}, month = {April 2012}, pages = {3-8}, type = {Research Article}, chapter = {2}, abstract = {

Background: Siddha system of medicine is one among the great heritages of India. Iron deficiency anemia is described as {\textquotedblleft}azhal paandu{\textquotedblright} in siddha system and more formulations are mentioned in literatures to treat anemia. Kadukkai maathirai (KM) is one of the widely used drugs for the treatment of iron deficiency anemia with good patient compliance. It was claimed that this drug is devoid of adverse effects which are seen with other oral iron preparations. Objective: Present study was carried out to standardize kadukkai maathirai by evaluating its physical and chemical properties using modern scientific instruments. Materials and methods: KM was prepared following standard procedures mentioned in the Siddha Hospital Pharmacopeia. Physical properties such foreign matter, loss on drying, total ash content, acid insoluble ash, alcohol soluble extract value and water soluble extract value were evaluated. Amount of iron and heavy metals such as cadmium, mercury, arsenic and lead were estimated. HPTLC chromatogram and photograph were also done. KM was again formulated into tablet form by standard procedures. Kadukkai maathirai tablet (KMT) was analysed for Angle of Repose, bulk density, tapped density, carr{\textquoteright}s index, Hausner{\textquoteright}s ratio, general appearance (shape, color, texture and odor), thickness, uniformity of weight, coating uniformity, coating process efficiency, hardness and friability. Result: Amount of iron in KM was 18.03\%. Whereas amount of heavy metals such as mercury (0.0578 ppm), cadmium (0.0064 ppm), arsenic (0.0405 ppm) and lead (0.2144 ppm) were within the permissible limit . Conclusion: In KM, iron is combined with few herbals which is claimed to facilitate oral bioavailability of iron and nullify iron induced side effects. As heavy metals are within the permissible limit, KM could be considered as safe drug. HPTLC fingerprint could serve for future references

}, keywords = {Anemia, Ayurveda, Herbometallic, Iron deficiency, Traditional Medicine}, author = {Velayudam and Ilavarasan and Arul Amuthan} } @article {164, title = {Protective Role of Black Cumin (Nigella sativa) on Isoproterenol Induced Myocardial Infarction in Rats}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {1}, year = {2012}, month = {June 2012}, pages = {45-53}, type = {Research Article}, chapter = {45}, abstract = {

Background:\ For many years, serologic markers have been used to assist cardiologists in the diagnosis and management of patients with myocardial infarction (MI). Once the serologic markers such as cardiac marker enzymes come to normal level upon a treatment, it clearly shows the treatment drug has the role in the management of MI.\ Objectives:\ The present study is designed to evaluate the effect of\ Nigella sativa\ seeds called black cumin on isoproterenol induced myocardial infarction in experimental rats.\ Materials and methods:\ The rats were randomly divided into four groups of 6 rats each. Group 1 rats received 1.0 ml of 0.5\% carboxymethyl cellulose (CMC) throughout the experimental period and served as the control. Group 2 rats received CMC as in group 1 and isoproterenol (85 mg/kg body weight) intraperitoneally twice at an interval of 24 hours on the 14th and 15th days. The rats in group 3 received black cumin (150 mg/kg body weight) intragastrically for a period of 15 days. Group 4 rats received black cumin and isoproterenol as said above and the experiment was terminated on 16th day and animals were sacrificed by cervical decapitation after an overnight fast. Blood was collected for the estimation of biochemical parameters and heart dissected out for biochemical estimation and histopathological examination.\ Results:\ Along with VLDL, TG, cholesterol, free fatty acids, the levels of marker enzymes in serum such as AST, ALT, LDH, CK, and tissue lipid profile of TG, cholesterol, free fatty acids were significantly decreased (p \< 0.05), whereas the levels of CK-MB and HDL, LDL in serum and tissue lipid profile of phospholipids were significantly increased (p \< 0.05) in rats pretreated with black cumin compared to that of the group which received isoproterenol alone.\ Conclusion:\ Pretreatment with black cumin offered a protective effect against isoproterenol induced myocardial infarction in rats as evidenced by cardiac markers and lipid profile of the heart tissue.

}, keywords = {Black Cumin, Cardiac Markers, lipid peroxidation, Myocardial Infarction}, author = {M. Murugesan and M. Ragunath1 and T. Prabu1 and S. Nadanasabapathi and M. Sakthivel and V. Manju} }