Thèse--Strasbourg. / "Errata": 2 p. inserted. "Bibliographie": p. [xiii]-xxii.

Thèse--Strasbourg. / "Errata": 2 p. inserted. "Bibliographie": p. [xiii]-xxii.

Thesis (M.A.)--Cincinnati Christian University, 2005. / Abstract. Includes bibliographical references (leaves 100-106).

Class of 2012 Abstract / Specific Aims: To evaluate the effect on the incidence and nature of pharmacists’ drug utilization review (DUR) interventions of including patient diagnosis on electronic prescription (e-prescription) orders. Methods: This prospective pre-post evaluation was conducted in the outpatient pharmacy of a federally funded community health center over two consecutive four-week periods. During the pre-phase, a clinical pharmacist in the clinic’s onsite pharmacy prospectively reviewed the e- prescriptions received from the clinic’s primary care providers using a standard prospective DUR process and recorded all therapy-related interventions. In the post-phase, providers added a diagnosis on each e-prescription. Interventions were documented using a standard intervention form that has been used in previous research. Chi square and t-tests were used to assess the nominal and interval data, respectively (α=0.05). The Institutional Review Boards of the two collaborating universities approved the study. Main Results: Pharmacist intervention rates on problematic e-prescription orders significantly decreased (4% pre vs. 1% post, p<0.001). Drug-drug interactions (17.5% pre vs. 20% post) and missing information (15% pre vs. 20% post) were the most frequently cited problems that prompted the need for the pharmacist’s intervention. The medication classes most frequently involved in interventions were antibiotics (53% pre vs. 50% post) and central nervous system agents (17% pre vs. 10% post). After receiving clarification, the pharmacist most often dispensed the prescription (33.3% pre vs. 38.4% post) and educated the patient regarding their treatments (18.8% pre vs. 7.7% post). Conclusions: In this small pilot project, including the patient’s diagnosis on e-prescription orders significantly reduced the incidence of pharmacists’ DUR-related interventions. If duplicated in larger studies, our results suggest that providing pharmacists with additional targeted clinical information could reduce confusion and uncertainty thereby decreasing the number of unnecessary pharmacist contacts with prescribers and improving workflow and efficiency for both.

Depuis l’abolition de la monarchie absolue en 1932, le royaume a connu des situations politiques variées : les activités « contre-révolutionnaires » des royalistes ; l’arrivée au pouvoir des militaires ; l’émergence de nouvelles classes politiques ; les massacres de civils ; les compromis entre les militaires, les royalistes et les progressistes ; l’incertitude sur l’avenir du royaume et de la couronne... L’échec de la transition démocratique thaïlandaise est expliqué généralement par un argument convenu : l’immaturité de la société thaïlandaise ; la démocratie libérale de type occidental ne serait pas appropriée pour le pays, notamment pour des « pauvres ruraux ignorants » ; l’armée est le seul acteur capable d’encadrer le développement d’une démocratie. Pourtant, cette étude présente une explication alternative ; elle démontre que la vie politique du royaume est déterminée par trois axes du pouvoir : les élites traditionnelles, dont la monarchie, l’armée et la haute fonction publique ; c’est cette situation qui explique l’échec du progrès démocratique. Et le coup d’État est la méthode préférée pour protéger le statu quo ; quant à la constitution thaïlandaise est semblable à une « lettre morte » ou à un « instrument de la politique au quotidien » ; elle ne représente plus la norme suprême qui exprime l’idéologie politique du pays ; au contraire, elle est utilisée non seulement pour légitimer a posteriori un coup d’État, mais également pour défendre la domination politique des groupes dominants. Nous pouvons donc conclure que le coup d’État thaïlandais est déclenché par l’armée royale avec l’appui de la monarchie et son réseau de conseillers ; puis, il est justifié par le roi et le judiciaire, en assurant l’impunité de ses auteurs par les lois et la constitution. / Since the abolition of absolute monarchy in 1932, the kingdom has experienced the various political situations: the ‘counter-revolution’ of the royalists, the dictatorial regime, the emergence of the new middle classes, the massacres of civilians, the political compromise, the uncertainty about the future of the kingdom and the crown… The failure of a transition to democracy is usually explained by the usual arguments: the political immaturity of Thai society, the ‘Western-style liberal democracy’ would not be appropriate for the country especially for ‘the ignorant masses’, the army is the only actor, who capable to promote democracy. However, this study presents an alternative explanation. It demonstrates that the political life of the kingdom is determined by three axes of power: traditional elites, including the monarchy, the army and the senior civil servant. It is this situation that explains the failure of the democratic process. And the coup is the traditional method to protect their status quo. As for the constitution, it is similar to a ‘dead letter’ or an ‘instrument of everyday politics’. It isn’t represented as supreme norm that expresses the country’s political ideology. On the contrary, it is used not only to legitimize a coup, but also to defend the political domination of the traditional elites. We can conclude that the Thai coups are triggered by the royal army with the support of the monarchy. Then, justified by the king and the judiciary, and assuring the impunity by the laws and the constitutions.

Thesis (Ph.D.)--Hua zhong shi fan da xue, 2005. / Includes bibliographical references (p. 361-374).

Despite the fact that all U.S. states offer some form of civil protection orders to intimate partner violence (IPV) victims, little research has assessed their efficacy. In this analysis, the effect of race/ethnicity and socioeconomic status on civil protection order effectiveness is examined. The results indicate that race/ethnicity, overall, is not a significant predictor in protection order efficacy. However, SES, as measured by the petitioner?s highest educational attainment, employment status, and income, is statistically related to repeat victimization and perceptions of efficacy. Policy recommendations and areas for future research are proposed.

Inaug.-diss.--Munich. / Lebenslauf. "Quellen und literatur": p. iii-vii.

Thesis (M.S.)--Worcester Polytechnic Institute. / Keywords: Change orders; Change orders due to errors & omissions; 3D parametric building modeling; CAD systems; Project design coordination; Design documents. Includes bibliographical references (p. 99-102).

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