Browsing by Subject "interventions"
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Item A Black Seat at the High-Table: A Continent's Quest for Justice and Equality within the United Nations System(2023) Minishi, HortenseThis paper contends with the paradoxes in the realization of the principle of ‘equality of nations’ in a multilateral political system. Established primarily as a collective security framework to “save succeeding generations from the scourge of war” (UN Charter, 1945), the United Nations is premised on the “principle of the sovereign equality of all its members” and the “equal rights…of nations large and small” (UN Charter, 1945). Nearly 80 years since the UN was formed, the entire African continent-the largest regional grouping in the organizationremains at the periphery of the UN’s most powerful organ. Yet, the Security Council engages directly and indirectly in the affairs of many African countries through peacekeeping missions and other political engagement. Anchored on a largely unchanged (but challenged) structure, the Security Council centers five permanent powers that were most relevant in the post-World War II era. The Council has been widely criticized by reform proponents for its lack of “equitable representation” as it does not reflect the current geopolitical landscape. Shaped by colonial legacies and nationalistic self-interests of a few elite states, the UN’s historical foundations and present institutional composition has been marred by exclusionary and exploitative politics. Focusing on the prevalent UN’s political, economic, and military influence in Africa, this paper examines how the inequalities in the permanent membership of the Security Council continues to shape international, regional, and domestic politics and conflicts in the continent and beyond. It concludes by arguing that the normative ideals of the UN can only be achieved by addressing this injustice through comprehensive reform.Item Prevalence of drug-related problems in self-medication in Danish community pharmacies(University of Minnesota, College of Pharmacy, 2012-12) Frøkjær, Bente; Bolvig, Tina; Griese, Nina; Herborg, Hanne; Rossing, CharlotteBackground: Drug-related problems are known to be a major problem associated with pharmacotherapy. A broad range of studies, mainly in the area of prescription-only medicines, supports this fact. Only a few studies have evaluated drug-related problems with over-the-counter medicine and the role of community pharmacies in this. Purpose: To quantify drug-related problems in self-medication (use of over-the-counter medicine) identified by community pharmacies in Denmark and to document the interventions by pharmacy staff in relation to the identified drug-related problems. Method: A descriptive study mapping drug-related problems in self-medication registered at the counter at a selected number of Danish community pharmacies. Results: Data for 3,868 consecutive customers with requests for over-the-counter (OTC) medicines were registered at 39 community pharmacies. The pharmacies registered a total number of 4,324 OTC medicines requests, illustrating that a customer requested 1.1 OTC medicines on average. Drug-related problems (DRPs) were identified for 813 customers, equivalent to DRPs for 21.0 % of all customers, presenting symptoms or requesting OTC medicines, and for 20 % of all over-the-counter medicines requests. 1,239 DRPs were registered, corresponding to an average of 1.5 DRPs per customer requesting OTC medicines. Community pharmacies estimated that they solved or partly solved 76.2 % of the detected DRPs; 73 % were solved without involving a general practitioner. Conclusions: DRPs were identified for 21.0 % of the pharmacy customers presenting a symptom or asking for an OTC medicine. The community pharmacy counselled the customers with DRPs more thoroughly than other customers by giving 2.4 pieces of professional advice, compared to an average of 2.1 to customers in general. It is not possible to determine the magnitude of the safety risk involved. Based on the most frequent categories of DRPs, there were risks of insufficient effect, unintended effects and, to a lesser extent, inappropriate self-medication.