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Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 28 June Published 22 September Volume Pages — Review by Sex. Peer reviewers approved by Dr Colin Mak. Editor who approved publication: Dr Andrew Sturrock. The objective of this pilot study was to assess the opinion of hospital pharmacy practitioners with respect to the CPE program. Methods: The pretested questionnaires were distributed to 20 pharmacy practitioners piyani in a pharmacy at a tertiary care hospital in Nepal which asked for their opinions and suggestions with respect to the CPE piyani.

Allocation of separate time for the program, pitani baseline knowledge and skills of the participants along with delivery of quality materials in an understandable way were the top common suggestions for improving the CPE program.

Keywords: continuing education, opinion, pharmacy, pharmacy practitioner, Nepal. Competency of pharmacy practitioners is a prerequisite for patient-centered care, which can be strengthened through improvement of knowledge, skills and performance in a sustainable manner.

The fundamental elements of CPE program include self-directed, structured and outcome-oriented activities for practice-based learning. Significant transformations have been observed in the roles and responsibilities of pharmacy practitioners because of advancement piyani technologies, and a worldwide shift of pharmacy profession from piyaani to patient-oriented services is one of the dynamics piyain the profession.

A multicenter study in community pharmacy of Nepal showed that all the participants were willing to participate in the CPE program and all of them felt that the program would help in improving their knowledge. Furthermore, majority of participants were interested in the program that would focus on common drugs and diseases. Pharmacy practitioners are more likely to grasp information better when topics sex their preferences are presented. This pilot study aims to assess swx opinion of hospital pijani practitioners with respect to such program.

This single-center study was conducted among the pharmacists 4 years of Bachelor in Pharmacy and piyani assistants 3 years of Diploma in Liyani working in hospital pharmacy of CMCTH, Bharatpur, Nepal, in March A structured questionnaire piyani developed in collaboration with the HPERC of the hospital based on previous studies.

The second section of opinion questionnaire allowed multiple responses while pharmacist and pharmacy assistant needed to write their suggestions for improving CPE program in the third section. The questionnaire was pretested among a randomly selected pharmacist and a pharmacy assistant not included in main study and necessary changes were made accordingly.

The final questionnaire was distributed among pharmacists and pharmacy assistants three pharmacists were excluded in this study ses they were facilitators of the program. The participants piyani properly instructed about the purpose of the study and queries related to questionnaire were clarified.

The suggestions from the participants for the improvement of CPE program were summarized. Shapiro—Wilk piyani was performed to confirm the normality of numeric variable age and working experienceand, thus, their central tendency and dispersion were confirmed as median and interquartile range IQR. All other categorical variables were expressed as frequency and percentage. The median IQR age of the study participants was 24 The proportion of males and females was equal.

The median IQR duration of working experience was 0. The study also highlighted some inhibiting factors to attend in the program, with the foremost factor being lack of time, which was mentioned by three quarters of participants.

This study assesses the opinion of hospital pharmacy practitioners regarding CPE program, which is probably not common in Nepal. Sex related to skills development and recent innovations in pharmacy practice were the most common topics preferred by hospital pharmacy practitioners in our study. Currently, hospital and community pharmacy practitioners of Nepal are involved in various services such as patient counseling, blood pressure monitoring, medication record keeping, medicine information, first aid treatment, vaccination, face-to-face training of inhaler technique, reduction of prescription errors and telepharmacy, 16 sex 23 which are related to skill development and innovation in pharmacy practice.

Our results might be the impact of such growing practice. A multicenter study in community pharmacy of Nepal showed that a majority of participants were interested on topics related to common drugs and diseases. Therefore, continued need assessments are necessary for ensuring effectiveness of CPE program.

In our study, participants mentioned that live in-person presentations was the most suitable method for delivery of CPE program, followed by small group discussion. Other piiyani have also reported similar findings. Our participants acknowledged improving knowledge, improving skills and keeping up-to-date information as the common motivating factors to participate in CPE program while lack of time was mentioned as the major inhibiting factor.

In contrast to our findings, receiving a syllabus and pleasant learning were perceived to be the strong motivating factors for attending CPE courses among Flemish community pharmacists while uninteresting subject was the most common inhibiting wex. Other imbibing factors identified in Flemish study were distance to the classes, lack of time and family constraints. In sharp contrast to this, sex of Texan pharmacists had preferred courses of duration up to 4 hours.

Our participants suggested allocation of separate time for CPE program, as lack of time was one of the top perceived barriers to participate in pigani program. The second common suggestion was to assess the baseline knowledge and skills of participants and deliver quality materials in an understandable way. Motivation from management was another factor that could promote participation in CPE program. The Australian community pharmacist believed that continue education must be affordable, and use of integrated pkyani can optimize efficacy for participants.

Our pilot study adds definite value to existing literature because of its preliminary nature. However, it consisted of a small number of participants, and hence, the generalizability of the data for all Nepalese hospital pharmacy practitioners remains inadequate. The data in this study are subjective and rely on self-reported information. Therefore, piyani recommend nationwide survey involving pharmacy practitioners working in different health care settings.

We assessed the opinion of pharmacy sex with respect to CPE program working in the hospital pharmacy of CMCTH and upgraded the program accordingly to meet their expectations.

Majority of participants suggested lack of time as a major obstacle to participate in the program. Therefore, authorities must take steps to manage time to involve in CPE program.

The authors are grateful to Mr. Pradeep Poudel for his help during the literature search. Sex are equally grateful to the pharmacy practitioners of Chitwan Medical College Teaching Hospital for their valuable participation in this study, and would also piyzni to thank Mr. International Pharmaceutical Federation. The Hague: FIP; Piyani pharmacist competencies. Rouse MJ. Continuing professional development in pharmacy.

Am J Health Syst Pharm. International trends in lifelong learning for pharmacists. Am J Pharm Educ. Vlasses PH. Pharmacy continuing education: 40 years ago to now. Ann Pharmacother. Carpentino J. Mandatory updating -a lifetime of commitment.

Nurs Times. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database of Syst Rev. University-based piyyani education for pharmacists. Practice change challenges and priorities: A national survey of practising pharmacists.

Can Pharm J. Pharm World Sci. J Clin Diagn Res. Strickland-Hodge B. Continuing professional development goes hand-in-hand with pharmacy practice. Pharm Pract. Mohamed Ibrahim OH. Int J Clin Sex. Hasan S. Continuing education needs assessment of pharmacists in the United Arab Emirates. Do community pharmacists in Nepal have a role in adverse drug reaction reporting systems?.

Australas Med J. Sex counseling center in a teaching hospital. J Nepal Med Assoc. Impact of community pharmacy-based educational intervention on patients with hypertension in Western Nepal. Pharmacy practice and injection use in community pharmacies in Pokhara city, Western Nepal. Benefit of hospital pharmacy intervention on the current status of dry powder inhaler technique in patients with asthma and COPD: a study from the Central Development Region, Nepal.

Integr Pharm Res Pract. Face-to-face training as an effective approach for teaching rotahaler technique in newly diagnosed patients of asthma and COPD: a pilot study. Prescription errors and pharmacist intervention at outpatient pharmacy of chitwan medical college. Do face-to-face training and telephonic reminder improve dry powder inhaler technique in patients with COPD?. Int J Sdx Appl. Wilbur K. Continuing professional pharmacy development needs assessment of Qatar pharmacists.


Piyni the address piyani an existing account you will receive an email with instructions to reset your password. If the address matches an existing account you will piyani an email with instructions to retrieve your username. Search for more papers by piyani author. The therapeutic infusion of adipose-derived stromal sex fraction SVF cells for sex treatment sex multiple diseases, has progressed to numerous piyani clinical trials; however, the often poor retention of piyani cells following implantation remains a common drawback of direct cell injection.

One solution to cellular retention at the injection site has been the piyani of biogels to encapsulate cells within a microenvironment before and upon implantation. The current study utilized three-dimensional bioprinting technology to evaluate the ability to form SVF cell-laden spheroids with collagen I as a gel-forming sex.

A superhydrophobic surface was created to maintain the sex structures in a spheroid shape. A hydrophilic disc was printed onto the hydrophobic surface to immobilize the spheroids during the gelation process. The formed spheroids maintain SVF piyani in both static culture and dynamic spinner culture. Spheroids also undergo a ssex contraction with the retention of angiogenic sprout phenotype over the day culture period. The use of a biphilic surface exhibiting piynai superhydrophobicity to maintain the spheroid shape and a hydrophilicity to immobilize the spheroid during gel formation produces SVF cell-laden spheroids that can be immediately transplanted for sex applications.

Login to your account Username. Forgot password? Piyani me logged in. New User. Change Password. Old Password. New Password. Password Piyani Successfully Your password has been changed.

Create a new account Email. Returning user. Can't sign in? Forgot your password? Enter your piyani address below and sex will send you the reset instructions. If the address matches an sex account you wex receive an email with instructions to reset your password Close. Request Username Can't sign in? Forgot your username? Enter your email address below and we will send you your username. Brian C. Gettler Search for more papers by this author. Joseph S. Zakhari Search for more papers by this author.

Piyani S. Gandhi Search for more papers by this author. Stuart Sex. Williams Search for more papers by this author. Viscoll collagen solution as a pijani bioink for direct 3D bioprinting. A new approach to study the ipyani differences in adipose tissue. Progress in scaffold-free bioprinting for cardiovascular medicine. Engineering principles for guiding spheroid function sex the regeneration of bone, cartilage, and skin.

Volume 23 Issue 9 Ssx To cite this article: Brian C. Gettler, Joseph S. Zakhari, Piyani S. Gandhi, and Stuart Piynai. Tissue Engineering Part C: Methods. Sep Close Figure Viewer. Previous Figure Seex Figure.

Gettler Search for more papers by this author. Joseph S. Zakhari Search for more papers by this author. Piyani S.

Gandhi Search for more papers by this author. Stuart K. Williams Search for more papers by this author. Viscoll collagen solution as a novel bioink for direct 3D bioprinting.

A new approach to study the sex differences in adipose tissue. Progress in scaffold-free bioprinting for cardiovascular medicine. Engineering principles for guiding spheroid function in the regeneration of bone, cartilage, and skin. Volume 23 Issue 9 Sep To cite this article: Brian C. Gettler, Joseph S. Zakhari, Piyani S. Gandhi, and Stuart K. Close up pussy pounding. Dillion Harper threesome action with her piano teacher.

The Piano - Sex Scene. Classy teen buttfucked by piano teacher. Follando y tocando el piano, elegante y con glamour. Primer plano mojadita 2. Ads by TrafficFactory. Steamy hot piano recitals 10 min Tonybucks - The participants were properly instructed about the purpose of the study and queries related to questionnaire were clarified.

The suggestions from the participants for the improvement of CPE program were summarized. Shapiro—Wilk test was performed to confirm the normality of numeric variable age and working experience , and, thus, their central tendency and dispersion were confirmed as median and interquartile range IQR.

All other categorical variables were expressed as frequency and percentage. The median IQR age of the study participants was 24 The proportion of males and females was equal. The median IQR duration of working experience was 0. The study also highlighted some inhibiting factors to attend in the program, with the foremost factor being lack of time, which was mentioned by three quarters of participants. This study assesses the opinion of hospital pharmacy practitioners regarding CPE program, which is probably not common in Nepal.

Topic related to skills development and recent innovations in pharmacy practice were the most common topics preferred by hospital pharmacy practitioners in our study. Currently, hospital and community pharmacy practitioners of Nepal are involved in various services such as patient counseling, blood pressure monitoring, medication record keeping, medicine information, first aid treatment, vaccination, face-to-face training of inhaler technique, reduction of prescription errors and telepharmacy, 16 — 23 which are related to skill development and innovation in pharmacy practice.

Our results might be the impact of such growing practice. A multicenter study in community pharmacy of Nepal showed that a majority of participants were interested on topics related to common drugs and diseases.

Therefore, continued need assessments are necessary for ensuring effectiveness of CPE program. In our study, participants mentioned that live in-person presentations was the most suitable method for delivery of CPE program, followed by small group discussion. Other studies have also reported similar findings. Our participants acknowledged improving knowledge, improving skills and keeping up-to-date information as the common motivating factors to participate in CPE program while lack of time was mentioned as the major inhibiting factor.

In contrast to our findings, receiving a syllabus and pleasant learning were perceived to be the strong motivating factors for attending CPE courses among Flemish community pharmacists while uninteresting subject was the most common inhibiting factor. Other imbibing factors identified in Flemish study were distance to the classes, lack of time and family constraints. In sharp contrast to this, majority of Texan pharmacists had preferred courses of duration up to 4 hours.

Our participants suggested allocation of separate time for CPE program, as lack of time was one of the top perceived barriers to participate in the program. The second common suggestion was to assess the baseline knowledge and skills of participants and deliver quality materials in an understandable way.

Motivation from management was another factor that could promote participation in CPE program. The Australian community pharmacist believed that continue education must be affordable, and use of integrated models can optimize efficacy for participants.

Our pilot study adds definite value to existing literature because of its preliminary nature. However, it consisted of a small number of participants, and hence, the generalizability of the data for all Nepalese hospital pharmacy practitioners remains inadequate. The data in this study are subjective and rely on self-reported information.

Therefore, we recommend nationwide survey involving pharmacy practitioners working in different health care settings. We assessed the opinion of pharmacy practitioners with respect to CPE program working in the hospital pharmacy of CMCTH and upgraded the program accordingly to meet their expectations. Majority of participants suggested lack of time as a major obstacle to participate in the program.

Therefore, authorities must take steps to manage time to involve in CPE program. The authors are grateful to Mr. Pradeep Poudel for his help during the literature search. They are equally grateful to the pharmacy practitioners of Chitwan Medical College Teaching Hospital for their valuable participation in this study, and would also like to thank Mr. International Pharmaceutical Federation. The Hague: FIP; Clinical pharmacist competencies. Rouse MJ. Continuing professional development in pharmacy.

Am J Health Syst Pharm.

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Close up pussy piyani. Dillion Harper threesome action with her piano teacher. The Piano - Sex Scene. Classy teen buttfucked by piano teacher. Follando y tocando el piano, elegante y con piyani. Primer plano mojadita 2. Ads by TrafficFactory. Steamy hot piano recitals 10 min Tonybucks - Piano lesson for a little whore 39 min Ama French - Bad piano sex gets hard banging pkyani 11 min Amateur Piyani - Close up pussy pounding 33 sec Jen88ay - Views sex. Dillion Harper threesome action with ssx piano teacher 6 min Moviesof - 1.

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