Impact of the fracture risk assessment on patient and physician behavior in osteoporosis prevention.

Objective: To evaluate the impact of a pharmacist-directed osteoporosis screening program utilizing the fracture risk assessment (FRAX) tool on patient and physician behavior.

Methods: Postmenopausal women 45 to 65 years with Achilles T score <-1.0 not receiving bisphosphonate therapy were randomly assigned to a control or intervention group.

Development and integration of pharmacist clinical services into the patient-centered medical home.

Objectives: To describe the development of pharmacist clinical services within a primary care physician practice using a standardized business plan, the extent of clinical pharmacy service integration into the patient-centered medical home (PCMH), and the clinical changes in the pharmacist's patient cohort.

Setting: A two-physician primary care/occupational care practice in Pittsburgh, PA, from May 2007 to December 2011.

Practice Description: Pharmacist-led clinic receives physician referrals for medication management, adherence, and disease management services.

A required course in the development, implementation, and evaluation of clinical pharmacy services.

Objective: To develop, implement, and assess a required pharmacy practice course to prepare pharmacy students to develop, implement, and evaluate clinical pharmacy services using a business plan model.

Design: Course content centered around the process of business planning and pharmacoeconomic evaluations. Selected business planning topics included literature evaluation, mission statement development, market evaluation, policy and procedure development, and marketing strategy.

Management of chronic nonmalignant pain with nonsteroidal antiinflammatory drugs. Joint opinion statement of the Ambulatory Care, Cardiology, and Pain and Palliative Care Practice and Research Networks of the American College of Clinical Pharmacy.

Chronic nonmalignant pain is a major burden on the health care system in the United States. Frequently, nonsteroidal antiinflammatory drugs (NSAIDs) are used to assist in the management of various chronic pain syndromes. Although evidence is accumulating on the potential toxicities associated with NSAIDs, clear recommendations are lacking to guide the appropriate use of these drugs.

Impact of pharmacist interventions on seeking of medical care by migraineurs.

Objectives: To determine the impact of a pharmacist-led educational intervention on the seeking of medical care from physicians by patients with migraine and identify barriers to migraine care and lapsing from this care.

Design: Prospective, multigroup, quasiexperimental.

Setting: Duquesne University in Pittsburgh, November 2004 through June 2005.

Development and implementation of a pharmacist-managed university-based wellness center.

Objective: To describe the development and implementation of a pharmacist-managed wellness center based on campus within a school of pharmacy.

Setting: Duquesne University Mylan School of Pharmacy, located in Pittsburgh, Pa.

Practice Description: University-based employee wellness center, the Academic Research Center for Pharmacy Care, located within a school of pharmacy staffed by clinical practice faculty and student pharmacists.

Equianalgesic dosing of opioids.

The concept of opioid equianalgesia, limitations in current dose conversion systems, equianalgesic dose tables, and computer assisted dose conversions are discussed. Conversions for methadone, fentanyl and hydromorphone are described.

Factors influencing migraineur-consulting behavior in a university population.

Objective: The purpose of this study was to identify factors that contribute to treatment-seeking behavior in migraineurs in a large employer population. Specifically, the impact of psychographic variables, such as social support, attitudes toward medication, locus of control, and migraine-associated disability, are considered concomitantly with demographic and disease severity variables.

Background: Migraine remains an underconsulted condition.