47). Children with habitual snoring
showed significantly lower (mean +/- standard deviation) school grades in Spanish language (5.6 +/- 1.2 vs. 5.4 +/- 0.9, p-value = 0.04) and general average school grades (5.9 +/- 0.6 vs. 5.7 +/- 0.6. p-value = 0.05). After adjustment for possible confounding factors, children with an abnormal SIM questionnaire score had significantly higher risk for poor academic performance in Spanish language, odds ratio (95% confidence interval): 1.82 (1.01-3.27) and physical GSK1904529A purchase education 1.85 (1.05-3.26).
Discussion: There was a high prevalence of habitual snoring and symptoms of SDB in this survey of Chilean children, being among the highest reported. The presence of habitual snoring and an abnormal SDB questionnaire were associated with poor academic performance and hyperactive behavior. (c) 2012 Elsevier Ireland Ltd. All rights reserved.”
“Objectives: To compare the accuracy and precision of a manufacturer-supplied dropper versus a pharmacy-supplied
syringe when measured by a trained student pharmacist and to evaluate patients’ ability to accurately measure a prescribed amount of medication with these devices before and after counseling on their use.
Methods: This was a two-phased study with a pretest/posttest design of 125 community pharmacy patrons of Virginia community pharmacies. Deliverable volume was measured by a student pharmacist for nystatin suspension and digoxin elixir using the manufactured-supplied device. Patients at pharmacies were asked to complete a short survey, then asked to measure a specified dose of nystatin suspension and digoxin elixir (using the manufacturer-supplied BMS-777607 administration device). The patients repeated this
a second time after a student provided education on how to properly use each administration device. The main outcomes measure was whether education on an administration device would provide more measurement accuracy A-1210477 using medications with different physical properties.
Results: For nystatin, 88% and 85.6% of patients measured with an error of greater than or equal to 20% before and after counseling, respectively. For digoxin, the totals were 24.8% before counseling and 4% after. A statistically significant (P < 0.05) difference was observed in the percent measurement error before and after counseling for nystatin and digoxin both for patients who had been educated before the study and for those who had not been counseled.
Conclusion: In general, the accuracy of medication dosage devices seems to be most affected by viscosity of the liquid being measured. With education on proper use, the oral syringe provides a statistically and clinically significant improvement in dosing accuracy for viscous medications compared with the manufacturer-supplied dropper. Pharmacists must review with patients the proper way to use a manufacturer-or pharmacy-supplied oral delivery device for appropriate dosing measurements.