Publications by authors named "R Knoebel"

Background: Cancer patients frequently suffer from pain, often managed with opioids. However, undertreated pain remains a significant concern. Opioid effectiveness varies due to genetic differences in how individuals metabolize some of these medications.

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Purpose: Cancer care-related greenhouse gas (GHG) emissions harm human health. Many cancer drugs are administered at greater-than-necessary doses, frequencies, and durations. Alternative dosing strategies may enable reductions in cancer care GHG emissions without compromising patient outcomes.

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This clinical pharmacy on-call program (CPOP) is a 24-hour, in-house service provided by pharmacy residents. During shifts, challenging situations may arise, which may correlate with depression, anxiety, and stress. This pilot study aims to describe the implementation of a debriefing program and characterize mental health patterns of residents in the CPOP.

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Introduction: This research was undertaken to examine the individual and neighborhood drivers that contributed to increases in opioid overdose deaths during the COVID-19 pandemic.

Methods: The incident location and Centers for Disease Control and Prevention Social Vulnerability Index (along with the individual indicators) were then geocoded to 1 of the 77 Chicago Community Areas. Changes in opioid overdose death rates were calculated and compared for each Chicago Community Area using linear regression between 2019 and 2020.

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Article Synopsis
  • Pharmacogenomics plays a vital role in personalized medicine but is rarely implemented in hospitals, prompting a collaborative project in Chicago to integrate it into inpatient care.
  • The study focused on enrolling African American adult patients for preemptive genotyping to predict drug responses or toxicity across three hospitals.
  • Challenges faced included engaging hospital staff and adapting workflows, with strategies like streamlined information delivery and leveraging champions among healthcare providers to enhance adoption of pharmacogenomic practices.
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