Sunday, November 20, 2011

Six Professional Journal Articles

Bond, G. Randell. "The Growing Impact of Pediatric Pharmaceutical Poisoning." The Journal of Pediatrics. The Journal of Pediatrics, 16 Sept. 2011. Web. 21 Oct. 2011. <http://www.jpeds.com/article/S0022-3476(11)00771-2/fulltext#abstract>.
To understand which medications, under which circumstances, are responsible for the noted increase in pediatric medication poisonings, resource use, and morbidity.

Budnitz, Daniel."The Last Mile: Taking the Final Steps in Preventing Pediatric Pharmaceutical Poisonings." The Journal of Pediatrics. Elsevier Inc, 07 Nov. 2011. Web. 14 Nov. 2011. <http://www.jpeds.com/article/S0022-3476(11)00934-6/fulltext>.
Hopefully the findings in this study can help catalyze targeted efforts to reverse the rise in injuries from pediatric pharmaceutical poisonings and push the number of pediatric deaths closer to zero.

Kearns, Gregory. "Acetaminophen Overdose with Therapeutic Intent." The Journal of Pediatrics. Elsevier Inc, 2011. Web. 21 Nov. 2011. <http://www.jpeds.com/article/S0022-3476(98)70476-7/fulltext>.
This journal addressed the issue of the most used medication ingested by children is also the one that is most overdosed on.

O'Brien, Craig. "Pediatric Poisoning Fatalities from 1972 through 2007." CPSC. CPSC, Aug. 2010. Web. 14 Nov. 2011. <http://www.cpsc.gov/library/foia/foia10/os/pppa2010.pdf>.
Unintentional poisonings from drugs and other household chemical substances pose a hazard to children under five years of age. This report updates  information on unintentional pediatric poisonings with the most recently available data.

Vilke, Gary. "Pediatric Poisonings in Children Younger than Five Years Responded to by Paramedics." ScienceDirect - Home. The Journal of Emergency Medicine, Sept. 2011. Web. 21 Nov. 2011. <http://www.sciencedirect.com/science/article/pii/S073646791000911X>.
From the Paramedic point of view, how many calls have been made and children, five years and younger, taken to hospitals because of overdoses.

Yin, Shan. "Malicious Use of Pharmaceuticals in Children." The Journal of Pediatrics. Elsevier Inc., 22 July 2010. Web. 14 Nov. 2011. <http://www.jpeds.com/article/S0022-3476(10)00446-4/fulltext>.
To describe malicious administration of pharmaceutical agents to children.  We performed a retrospective study of all pharmaceutical exposures involving children <7 years old reported to the US National Poison Data System from 2000 to 2008 for which the reason for exposure was coded as “malicious.”

Monday, November 14, 2011

Professional Journal Articles

Budnitz, Daniel."The Last Mile: Taking the Final Steps in Preventing Pediatric Pharmaceutical Poisonings." The Journal of Pediatrics. Elsevier Inc, 07 Nov. 2011. Web. 14 Nov. 2011. <http://www.jpeds.com/article/S0022-3476(11)00934-6/fulltext>.

Hopefully the findings in this study can help catalyze targeted efforts to reverse the rise in injuries from pediatric pharmaceutical poisonings and push the number of pediatric deaths closer to zero.


Bond, G. Randell. "The Growing Impact of Pediatric Pharmaceutical Poisoning." The Journal of Pediatrics.The Journal of Pediatrics, 16 Sept. 2011. Web. 21 Oct. 2011. <http://www.jpeds.com/article/S0022-3476(11)00771-2/fulltext#abstract>.

To understand which medications, under which circumstances, are responsible for the noted increase in pediatric medication poisonings, resource use, and morbidity.


Yin, Shan. "Malicious Use of Pharmaceuticals in Children." The Journal of Pediatrics. Elsevier Inc., 22 July 2010. Web. 14 Nov. 2011. <http://www.jpeds.com/article/S0022-3476(10)00446-4/fulltext>.

To describe malicious administration of pharmaceutical agents to children.  We performed a retrospective study of all pharmaceutical exposures involving children <7 years old reported to the US National Poison Data System from 2000 to 2008 for which the reason for exposure was coded as “malicious.”


O'Brien, Craig. "Pediatric Poisoning Fatalities from 1972 through 2007." CPSC. CPSC, Aug. 2010. Web. 14 Nov. 2011. <http://www.cpsc.gov/library/foia/foia10/os/pppa2010.pdf>.

Unintentional poisonings from drugs and other household chemical substances pose a hazard to children under five years of age. This report updates  information on unintentional pediatric poisonings with the most recently available data.

Thursday, November 3, 2011

Identifying Popular Audience

The popular audience of the pharmacy discipline includes patients, parents, and also other professionals from the medical field that want to learn more about medications and prescriptions.  The interest of patients include different brands of medication, whether it be generic, name brand or over-the-counter medications, and to know their risks and potential side effects.  They want to know if there are any new medications that will replace their old that have less risks and side effects.  They would want to know if there are any recalls or any long term effects that they need to be concerned about if they will be taking that certain drug for an extended period of tine. Parents of children will want to find out how different medications will affect their child, since some medications are not designed for children and are only intended for adults.  The hot topic of accidental pediatric poisoning has a lot of parents concerned about dosage and keeping medications locked up and out of reach.  Lastly, other professionals will want to know about new ground breaking medications there are so they can prescribe them to patients of their own.  How all of this information would be communicated is through the news, online pharmacy sites, and also in articles of magazines and newspapers.  Getting information out to the public can be difficult if it is not advertised on different websites and on television.  The popular audience wouldn't understand statistics and graphs, so in order to effectively communicate information, it will have to be done in a simplistic form.  Instead of case studies and journals, the information will have to be written in a short article, with minimal statistics, but all of the same main points and important information.  This can be sometimes difficult since not everyone reading it has the same knowledge on the topic.  Writing information in a short article with main ideas will be a great way that everyone can understand what is being presented without being overwhelmed with facts and statistics. 

Thursday, October 27, 2011

Genre Analysis

Over the last few years there has been a rise in accidental overdoses involving children, but it hasn’t become an up and coming news story until recent.  Since children haven’t matured physically and mentally they are affected by medications differently than adults are.  A lot of medications adults take are not intended for young adults let alone children, and with the advancements in medicine, there is a wider range of medications being prescribed to patients.  When it comes to understanding this issue, there is no one better than the doctors and pharmacists themselves.  Their professional perspectives on the issue can give insight to better understanding why this is becoming such an issue.  From the Journal of Pediatrics, G. Randell Bond documents in his article and case study, “The Growing Impact of Pediatric Pharmaceutical Poisoning,” the understandings of which medications, and under what circumstances, is responsible for the noticeable increase in pediatric medication poisonings.  On the other hand, the popular perspective gives more of the personal understanding and is expressed for average person to understand.  Tara Parker-Pope from the New York Times writes an article titled “More Accidental Drug Poisonings of Children,” which talks primarily about the overall topic itself and why professionals think there may be a problem.  Another major part of the article is the space for readers to provide comments on the topic.  This gives insight to what the general public thinks about this issue. 

                The professional genre of writing is intended toward other professionals.  In the article explained previously, there are a lot of names of medications and groups of types of medication that only other professionals of the same discipline as the author would understand.  The audience would include professionals from the medical field as well as other science and math based fields.  Included in the article are statistics of different medications that are most commonly overdosed as well as percentages of the severity of the dose.  It would be important to know which drugs are the most frequent ones that are overdosed on in order to find means of preventing future overdoses.  What the audience might not know is the break-down of the number of children it affects and the different ages from 0-5 that ingest the medications. The way that the journal is outlined is only for those who understand the structure of a formal report.   There are separate sections for methods, results, and a discussion of the results as well as figures and tables to support the results.  The purpose of the professional journal is to inform other professionals about the severity of the issue and also to provide support and information on the topic that is pediatric overdosing.

                The professional journal is extremely thorough when it comes to analyzing the topic.  Anytime there is a topic of concern pertaining to the medical field, soon after there are statistics and case studies done in order to better understand the issue.  With the issue of pediatric poisoning, the professional genre establishes its credibility by providing not only statistics, but where the statistics come from.  The journal isn’t someone’s opinion, or a certain view on the issue, it is the fact of the matter whether it be good or bad.  The credibility is based on the availability of the information, and this journal doesn’t exclude any important facts that could sway the readers’ opinion about the topic.  As far as emotion, since this is a scientific journal, it lacks the emotion that persuades the reader to think one way or another.  The overwhelming statistics to someone who isn’t accustomed to reading journals like that will feel overwhelmed with all the information, which is why it is directed toward professional audiences.  The evidence that is used to support this topic is statistics.  Since this is for a professional audience, statistics is the most sensible way to give supporting evidence.  The journal gives over the counter drugs and prescription drugs and which ones are most commonly overdosed on.  The information given is time consuming, in order to get a clear understanding of the topic.  There is a lot of information given and there are tables and graphs to help better explain them which are important in the professional genre. 

                On the complete other side of pediatric poisoning, there is the popular genre.  This type of genre is directed toward the average reader that wants to be up to date on the recent news headlines.  There are minimal statistics, and quotations from professionals in the article.  The audience of this article would be men and women, primarily parents of children that want to learn more about this, to most likely keep it from happening to their child.  With the information provided, the audience will either use it to lock up their prescription and over the counter medications.  What is most interesting about this article is that there is a place where people can comment on the subject and give personal anecdotes on the topic.  No one buys something online without reading the reviews to make sure the product is what they say it is, well the same goes with this article.  The personal stories and input can give a better understanding from the point of view from people who have experienced it or want to give their own input about the matter.  Depending on who is reading the article is going to depend how much time they spend on it.  This is an interesting topic that affects thousands of families, and parents of young children will be spending the most time reading and understanding why this issue keeps happening.  A really interested parent will lock up their medications after reading it to make sure something like that doesn’t happen to their child.  The main purpose of this information is to inform the public about this issue, and bring awareness to the fact that this could happen to anyone.  The message that the audience should get from this is that parents need to keep their medication out of the reach of children especially if they have a lot of prescriptions.

                The popular genre is informative to the average person to keep them updated on recent news.  The genre gains credibility by having a few statistics as well as dialog from a professional.  In order to make something credible, the information needs to come from a credible source.  The article can also invoke a feeling of fear; fear that the readers own child could be at risk for an accidental overdose of drugs.  What really give a strong message are the comments at the end.  People can post their thoughts about the topic and give personal anecdotes.  That is the most emotional part of the article.  The comments also give insight to other reasons why the poisonings occurred.   For example, not all the time is it the doctor or the pharmacists fault, but the parents, and they are failing to mention that to the hospital when their child ends up there after being given a different drug then they are supposed to be taking.  The evidence that supports this are links to other scientific journals discussing the issue and giving commentary from professionals in the article saying that this is something to be concerned about.  This article is an easy read and isn’t too long for the kind of information that is being presented.  It leaves the reader wanting to know more about the topic. 

                The two different genres are targeted for two very different audiences.  The professional genre is targeted for medical professionals that want to know the facts.  On the other side the popular genre is targeted to the everyday person wanting to read the headlines in news.  The popular audience can include families wanting to know why the rise in accidental overdosing is happening.  However there is a common thread between them.  In order to make the popular genre credible it needs a professional source.  The professional journal is the reference material used to write the popular article.  The professional journal does an excellent job giving supporting facts to the issue.  It displays them in tables and charts to give a more clear understanding of what information is being presented.  It gives a great framework to future articles on this topic.  However, what it lacks is interest.  Unless the reader is a medical professional this journal is not interesting to the average reader, it only appeals to professionals and not at all to the popular audience.  The popular genre is a light read and not too in depth, but also informative about the topic.  It is written with just enough information to give the reader what they want to know.  This article can be for any audience including professionals, but it doesn’t give the detail and facts that most professionals want to know.  Overall the effectiveness of both articles is where is should be for the audience it is intended for.  Both teaches the reader something that they might not have known before, and because of that they are both successful pieces.  


References

Bond, G. Randell. "The Growing Impact of Pediatric Pharmaceutical Poisoning." The Journal of Pediatrics. The Journal of Pediatrics, 16 Sept. 2011. Web. 21 Oct. 2011. <http://www.jpeds.com/article/S0022-3476(11)00771-2/fulltext#abstract>.

Parker-pope, Tara. "More Accidental Drug Poisonings of Children - NYTimes.com." Health and Wellness -Well Blog - NYTimes.com. New York Times, 16 Sept. 2011. Web. 20 Oct. 2011. <http://well.blogs.nytimes.com/2011/09/16/more-accidental-drug-poisonings-of-children/>.

Friday, October 21, 2011

Professional Perceptions

Pharmacists realize the large problem of accidental pediatric overdoses.  What they have to say is that a lot of the time the overdoses occur because of over the counter cold medicine.  They said that over 60% of problems were because of cold and flu medications, which isn’t a surprise since it is the most frequent occurring illness worldwide.  Because of the rise in overdoses a lot of different cold medicines have been taken off the market to help prevent accidental overdoses.  However it isn’t just the over the counter cold medicine that is the culprit; it’s also the prescription drugs.  The study that took place by the Cincinnati Children’s Hospital is the one that all the professionals are talking about.  It looks at poisonings from 2001-2008.  What they notice is that most of the emergency room visits are because of the child ingesting the medication themselves.  Pharmacists say that the prevention efforts have proved to be inadequate in the rising availability of prescription drugs and particularly more dangerous drugs.  Pharmacists think that the advancement in drugs also make it more likely that a child getting access to medications will be more fatal due to the potency of the new medications.  Pharmacists think in most ways the same as the non-professional community about this issue.  They both realize it’s a growing problem.  Pharmacists understand the drugs responsible and most of the effects and severity of the overdoses.  Pharmacists are beginning to go out of their way to help prevent and educate their patients on the importance of keeping medication out of the reach of children as well as dosing advice on the different over the counter and prescription medications.

References

Aguilera, Lydia. "USPharmacist.com Pediatric OTC Cough and Cold Product Safety."USPharmacist.com. Jobson Medical Information, 20 July 2009. Web. 21 Oct. 2011. <http://www.uspharmacist.com/content/d/feature/i/765/c/14137/>.

Bond, G. Randell. "The Growing Impact of Pediatric Pharmaceutical Poisoning." The Journal of Pediatrics. The Journal of Pediatrics, 16 Sept. 2011. Web. 21 Oct. 2011. <http://www.jpeds.com/article/S0022-3476(11)00771-2/fulltext#abstract>.

Wednesday, October 19, 2011

Popular Perceptions

The rise in accidental poisoning in children by prescription drugs are being talked about it multiple news stations and in medical journals.  Why they think this is happening is because of the rise in the use of prescription drugs among adults.  Despite childproof caps and the safety warnings, the number of poisonings have went up 22% from 2001 to 2008.  There is a rise in both adult and children prescription drug use, which leads to having more pill bottle in a household than normal.  They are saying that the majority of cases are from the parents’ failure to keep the medications out of reach of children and securely put away.  The Cincinnati Children’s Hospital and the University of Cincinnati analyzed national poison control data and found that 544,133 children ages 5 and younger had been to the emergency room between 2001 and 2008 after an accidental medication poisoning.  In 95% of the cases, it happened because of a child ingesting the drug, instead of a labeling or dosing error.  It is possible that now there are more medications that are more likely to be kept in a household, such as diabetic medication, since obesity is a major concern in our country which can lead to all sorts of medical issues.  Also changes in drug technology can also be contributing to the increase.  For example, heart patients that used to take diuretics for blood pressure are now being prescribed beta blockers which can lead to more toxic overdoses. 
The change in the way that the prescriptions are packaged can help in reducing the number to accidental overdosing.  For example, liquid medicine can be made to restrict flow to only one dosing, and pill bottles will only allow only one pill to be dispensed at a time.  Little changes like locking up prescription pills instead of just placing them in hard to reach places can also greatly reduce the number of accidental overdoses.

References 

Join Together Staff. "Growing Number of Children Accidentally Poisoned by Prescription Drugs | The Partnership at Drugfree.org." The Partnership at Drugfree.org | Support and Resources for Parents Dealing with Teen Drug and Alcohol Abuse. The Partnership, 16 Sept. 2011. Web. 20 Oct.2011. <http://www.drugfree.org/join-together/drugs/growing-number-of-children-accidentally-poisoned-by-prescription-drugs>.

Jones, Rebecca. "Accidental Poisoning in Children Is on the Rise." KwikMed. Wordpress, 16 Sept. 2011. Web. 20 Oct. 2011. <http://kwikblog.kwikmed.com/2011/09/16/accidental-poisoning-in-    children-is-on-the-rise/>.

Parker-pope, Tara. "More Accidental Drug Poisonings of Children - NYTimes.com." Health and Wellness -Well Blog - NYTimes.com. New York Times, 16 Sept. 2011. Web. 20 Oct. 2011. <http://well.blogs.nytimes.com/2011/09/16/more-accidental-drug-poisonings-of-children/>.

Sunday, October 16, 2011

Hot Topic Focus

The topic I will be focusing on is the rise in young kids getting accidentally poisoned by medication.  It was the most voted for hot topic and I think the most important.  Families trust their doctors in diagnosing their child's sickness and communicating the appropriate drug and patient information to the pharmacy.  Then it is the pharmacist’s job to get the dosage correct based upon their age and weight and double checking it before given to the patient.  Since children are still growing and developing well into their teens, it is especially important to get dosage amounts right, since it can interfere with their growth.  There are over 70,000 cases per year that deal with children being poisoned by prescription drugs.  The reason why this issue is gaining more awareness is because this number was never this high.  I think there are underlying issues besides just the pharmacists and doctors getting the dosage wrong.  As I research this topic I'm going to look at other issues and if any have connecting problems as to why this number is rising.  Also the medications that are being overdosed on, painkillers, sedatives, and cardiovascular drugs, are the most common that are overdosed on with adults.  There are so many different aspects to this hot topic that it will be interesting to research and learn more about it.