Host specificity of a parasitic fluke: is Posthodiplostomum minimum a centrarchid-infecting generalist or specialist?

Parasite host specificity has important implications for species diversity estimates, food web dynamics, and host shifts. "White grub" is the metacercaria stage of a fluke ( Posthodiplostomum minimum ) that occurs in many fish species, but no attempt has been made to quantify variation in host use by this worm. Here we used 2 approaches to evaluate host specificity within the strain that infects centrarchids ( P.

Adverse effect monitoring: opportunity for patient care and pharmacy practice.

Objectives: To present an adverse effect monitoring tool with theoretical, practical, and data-supported explanation and justification for use in pharmacy practice for the purpose of building patient-pharmacist partnerships and improving medication-management outcomes.

Design: Randomized pretest-posttest experimental design.

Setting: Ambulatory patients in three multidisciplinary cancer clinics.

Concordance in cancer medication management.

This article explores how the concept of concordance can help to identify gaps and opportunities for research on consumer-provider communication related to cancer medication management. The relationship of concordance, patient-centered care and shared decision making is examined. Research on unmet patient agendas, quality of life issues related to symptom management and tools to assist communication about patient somatic experience are discussed.

Pharmacist-patient relationship development in an ambulatory clinic setting.

We investigated the pharmacist-patient relationship, conceptualizing its interpersonal constructs and dynamics using social exchange principles. The constructs of felt indebtedness (FI), collaborative willingness (CW), interpersonal relationship quality (IRQ), medication use beliefs (MUBs), and critical interpersonal incidents (CII) between pharmacist and patient were proposed, measured, and modeled. Patient responses were collected using interviews and mail surveys in 2 pharmacist-managed anticoagulation clinics.

Measuring patients' medical care preferences: care seeking versus self-treating.

The objectives of this study were (1) to develop a scale to measure patient preferences for using medical care, (2) to assess the reliability and validity of the scale, and (3) to examine factors predicting preferences. Preferences were defined along a continuum, anchored by self-treating preferences and care-seeking preferences. A 9-item scale was developed and mailed to a random sample of 3500 Wisconsin consumers age 50 and older.