Publications by authors named "Akash Alexander"

Case Summary: An 11-year-old male castrated British Shorthair was referred for investigations into an upper respiratory tract mass. A partial laryngectomy was performed to excise the mass. Marginal resection of the mass involved excision of parts of the thyroid cartilage and left arytenoid cartilage.

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Case Summary: Feline sino-nasal aspergillosis is a rare condition with only sparse heterogeneous reports in the literature regarding its treatment. This report describes the presentation, treatment and outcome of a cat with sino-nasal aspergillosis treated by meticulous debridement in combination with topical and systemic azole therapy. Diagnosis was based on MRI, in combination with rhinoscopic assessment and visualisation of fungal plaques, followed by histopathology, fungal culture and panfungal PCR.

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A trending topic in pharmacy education is the importance of educating and exposing student pharmacists to topics of diversity, equity, inclusion, and antiracism (DEIA). Incorporation of diverse patient populations is one emerging learning opportunity for students in the DEIA space. This commentary presents the findings of seven pharmacy programs reporting similarities and differences in standardized patient (SP) recruitment and training, and their use in DEIA simulation learning activities.

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Background And Purpose: Medical improvisation (improv) is increasingly being used to teach physicians, nurses, and other caregivers how to better communicate with patients and other members of the healthcare team. This article describes how improvisational activities were incorporated within an existing pharmacy practice lab course and how to implement improv games targeting specific communication skills.

Educational Activity And Setting: Three hours of improvisational activities were incorporated into a semester-long pharmacy practice lab course.

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Background: This study aimed to assess the accuracy of veterinary professionals' psychomotor and visual estimation of lengths.

Methods: Members of staff at a single veterinary referral hospital were asked a series of demographic questions. Respondents were first asked to draw lines of a specified length, while being blinded to their previous responses.

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Objective: To assess the perceived effects of the COVID-19 pandemic on small animal surgical specialist training, among trainees and supervisors and to propose changes, based upon the results, that could be incorporated into training programs.

Study Design: Anonymous online questionnaire survey.

Sample Population: Eighty-one eligible responses were collected in September 2020, including 52 European College of Veterinary Surgeons (ECVS) residents and 29 ECVS Diplomates acting as supervisors.

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Article Synopsis
  • The study aimed to evaluate how follow-up radiographic examinations affect treatment recommendations for dogs recovering from uncomplicated tibial plateau leveling osteotomy (TPLO).
  • The research analyzed records of 1,010 dogs from 11 institutions and found that only a small percentage (4.15%) had changes in recommendations based on radiographic findings or client concerns.
  • Ultimately, the study concluded that radiographic results generally do not significantly impact the management of dogs recovering well from TPLO without additional concerns or abnormal findings during check-ups.
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Case Summary: A 14-year-old neutered female Burmese cat was referred for investigation of a caudal oropharyngeal mass. CT showed a thin walled cyst-like structure filling and expanding from the right tympanic bulla. Histopathology showed fragments of mildly dysplastic squamous epithelium and aggregates of keratin.

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Objective:  This case series describes the clinical presentation, management and outcome of three cats diagnosed with cervical intervertebral disc disease that underwent decompressive ventral slot surgery.

Methods:  This is a retrospective case series evaluating client-owned cats undergoing a ventral slot surgical procedure to manage cervical intervertebral disc disease ( = 3).

Results:  A routine ventral slot surgery was performed in each case without complication, resulting in postoperative neurological improvement in all three cases.

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Objectives: To assess student exposure to types of pharmacy practice, evaluate awareness and perceptions of community pharmacy residencies, and identify areas of postgraduate training of interest to student pharmacists.

Design: Cross-sectional, descriptive, online survey study.

Setting: United States, January to April 2008.

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An academic-community partnership between a Health Care for the Homeless (HCH) clinic and a school of pharmacy was created in 2005 to provide medication education and identify medication related problems. The urban community based HCH clinic in the Richmond, VA area provides primary health care to the homeless, uninsured and underinsured. The center also offers eye care, dental care, mental health and psychiatric care, substance abuse services, case management, laundry and shower facilities, and mail services at no charge to those in need.

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Objective: To describe the integration of collaborative medication therapy management (CMTM) into a safety net patient-centered medical home (PCMH).

Setting: Federally qualified Health Care for the Homeless clinic in Richmond, VA, from October 2008 to June 2010.

Practice Description: A CMTM model was developed by pharmacists, physicians, nurse practitioners, and social workers and integrated with a PCMH.

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Implementation of Medication Therapy Management (MTM) services under the Medicare Modernization Act of 2003 has highlighted the innovative roles that pharmacists are assuming in progressive, community-based practice settings. MTM underscores the vital role that community pharmacists have in helping patients achieve desirable therapeutic outcomes and reduce health care expenses. Pharmacists can: 1) obtain detailed medication histories, 2) assess patient adherence and the development of side effects, 3) educate patients on their medications and disease states, and 4) perform cost-effective therapeutic interchanges in collaboration with prescribers.

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