Christina Leung completed two Bachelor degrees in England, Management Sciences degree followed by the Pharmacy degree at the University of Nottingham. Following the registration as a pharmacist, she had worked in different London Teaching Hospitals. In the last 12 years, she has specialised in Paediatrics (especially in PICU and Paediatric Liver), Obstetrics and Gynaecology. She published two articles in the UK magazine relating to drugs use in paediatric liver diseases. Ms Leung is a registered pharmacist in HK and she is currently working as the Senior Pharmacist (Clincial Pharmacy Service) at the HKU-SZH in China. She is also the Honorary Lecturer at the University of Hong Kong. She delivers lectures to the Master and Undergraduate Pharmacy students relating to Paediatrics, Obstetrics and Gynaecology.
HKU-SZH has adopted the good pharmacy practices from the West and has implemented an advanced clinical pharmacy system within Pharmacy Department. We hope to use near-patients and near-doctors approach to provide high quality of clinical pharmacy service to the patients and the healthcare professionals to ensure safe and effective of drugs use.rnThe clinical pharmacists join the doctor-led ward rounds regularly on selected clinical areas such as ICU and NICU. For all newly admitted in-patients, the clinical pharmacists take drug histories and carry out medication reconciliation, and the information is recorded permanently in the electronic prescribing system. They also check all the in-patient prescriptions for clinical appropriateness using appropriate and approved reference sources. In addition, pharmacists involve actively in the warfarin patient counselling services for in-patients, and stroke clinical pathway patient care contribution on the wards.rnSince early 2015, clinical pharmacists have participated in the smoking cessation clinic, paediatric and adult respiratory out-patient clinics, diabetic clinic to provide patient counselling services. In addition, clinical pharmacists play a role in the cardiac rehabilitation centre to deliver educational talk relating to cardiac drugs. Furthermore, Clinical Pharmacists have delivered talks to patients regarding drugs use for smoking cessation, safe use of insulin injections, effective use of inhalation devices, medication safety in children such as use of oral syringes and tablet cutter in the out-patient forum.rnAll these improvement action plans are to enhance medication safety and optimistation of drugs. Clinical Pharmacists find that this cannot be achieved without an effective multi-disciplinary teamwork.
Menyfah Al Anazi is a pharmacist currently working at the Drug policy and Economic Center ofrnMinistry of National Guard – Health Affairs. She has completed Clinical Pharmacy Practice sincern2007, and certificated in Clinical Research Coordinator since 2009.
BACKGROUND: Suicidal behaviors are among the leading causes of death worldwide. AIM: tornassess the cases of suicide among children, potential risks, and outcomernMETHOD: Using a retrospective chart review of children who diagnosis with intentionalrnpoisoning between 2009 and 2011,rnRESULTS:rnWe identified 10 cases of suicide among children (mean age 12 years, SD 1.98, range 8 to 14rnyears) 0.66% of poisoning cases in pediatric. The female: male ratio was 1:1. The majority of casesrnwere middle social/economic class (n = 9; 90%). Chemical constituted the most commonlyrnencountered group of toxins 60 %( mainly Clorox 50%) and drugs 40% (mainly acetaminophenrn20%).rnHome Chicken was the commonest place of poisoned (50%); summer was the most commonrnseason of poisoning (40%) and Thursday most common day. Mothers of (90%) the childrenrnpoisoned worked in the home.rnSymptomatic cases on admission were 80%, GI complication representing 60% and neurologyrn30% of the complication. Most of the poisoned cases undergo complete recovery and dischargedrnfrom ER (60%) and 40% were hospitalized, the mean hospital stay was 2 days, and ranged from 0rnto 9 days. There was a statistically significant difference between the lengths of stay of patients inrnterms of hospital cost (P < 0.05).rnCONCLUSIONS:rnThe results point to the need to increase our understanding of the suicidal behaviors duringrnchildhood/adolescence and of the causal pathways linking these behaviors to child-adolescentrnmental disorders. During routine care visits, pediatricians should be skilled to recognize risk factorsrnfor adolescent suicide in order to intervene appropriately