• Objective: To assess the impact of a drug utilization review (DUR) alert letter program on metformin discontinuation rates in patients with a metformin claim and an absolute contraindication to metformin

OBJECTIVE To investigate the impact of national implementation of age restriction on fluoroquinolone prescription in children and adolescents. METHODS Data collected from the database of Health Insurance Review and Assessment Service in South Korea, a national health insurance system to analyze fluoroquinolone prescribing practice in children and adolescents younger than 18 years, between 200...

BACKGROUND The importance of creating and sustaining a strong culture of patient safety has been recognized as a critical component of safe medication use. This study aims to assess changes in attitudes toward patient safety culture and frequency of quality-related event (QRE) reporting after guided implementation of a continuous quality improvement (CQI) program in a panel of community pharmac...

Central equatorial Africa is deficient in long-term, ground-based measurements of rainfall; therefore, the aim of this study is to assess the accuracy of three high-resolution, satellite-based rainfall products in western Uganda for the 2001–10 period. The three products are African Rainfall Climatology, version 2 (ARC2); African Rainfall Estimation Algorithm, version 2 (RFE2); and 3B42 from th...

As policymakers debate adding a prescription drug benefit to Medicare, they must also seek ways to promote cost-effective use of drugs and minimize inappropriate prescribing. For more than a decade, all state Medicaid agencies and most private insurers have used computerized drug utilization review (DUR) programs to prevent or rectify potential prescribing errors. DUR can be retrospective, in w...

In this study a new conceptual model for partial duration series analysis was applied to determine the likely rainfall of the monsoon season and the pattern of rainfall events distribution. Example case study was carried out with rainfall data of semiarid area, Agra, India, experiencing extremes of yearly rainfall; ranging between high (1200 mm) to low (300 mm). The coefficient values for the e...

BACKGROUND The Omnibus Budget Reconciliation Act of 1990 offered the promise that prospective drug utilization review (pDUR) systems would improve the quality of drug prescribing and patient drug use. There is little evidence that this promise has been fulfilled. To the contrary, there is growing evidence that suboptimal use of drugs (in terms of preventable drug-related morbidity) is at least ...

Against the background of increasing frequency heavy rainfall due to climate change, an analytical approach maximize effective use reservoir from both flood control and water utilization was conducted. Simulations by applying statistical down-scaling method long-term ensemble forecast ECMWF on a dam basin where large inflow occurred during Typhoon Hagibis in 2019 were shown. The results show th...

CONTEXT Retrospective drug utilization review is required of all state Medicaid programs and is performed by most private-sector prescription programs. However, it has not been shown to improve clinical outcomes or reduce the rate of potential prescribing errors, known as "exceptions." OBJECTIVE To look for an effect of retrospective drug utilization review on the rate of exceptions and of cl...

Following a predicted decline in water resources in the Mediterranean Basin, we used reaction-diffusion equations to gain a better understanding of expected changes in properties of vegetation patterns that evolve along the rainfall transition between semi-arid and arid rainfall regions. Two types of scenarios were investigated: the first, a discrete scenario, where the potential consequences o...